大麻使用模式和与高血压的关联:综合性审查
William L Hasler1, Omayma Alshaarawy2, Thangam Venkatesan3
1Division of Gastroenterology and Hepatology, Mayo Clinic Arizona, Scottsdale, Arizona, USA.
Neurogastroenterology and motility
|August 21, 2024
概括
大麻素缩综合征 (CHS) 与长期高剂量大麻使用有关,并与周期性吐综合征 (CVS) 共享症状. 禁食大麻是CHS管理的关键,尽管患者持怀疑态度.
科学领域:
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 由于更广泛的接受,合法化和感知到的健康益处,大麻的使用正在增加.
- 大麻产品的功效显著增加,含有更高的三角-9-四大麻素 (THC) 含量.
- 大麻表现出抗性质,大麻类药物用于化疗引起的恶心和吐.
研究的目的:
- 审查美国大麻使用模式.
- 讨论大麻素过度复杂综合征 (CHS) 的诊断和管理.
- 识别有关CHS的知识差距.
主要方法:
- 关于大麻使用模式的文献综述.
- 对CHS的诊断标准的分析.
- 检查CHS的治疗策略,包括大麻戒断.
主要成果:
- 40-80%的循环吐综合征 (CVS) 患者使用大麻缓解症状.
- CHS与CVS类似,但与慢性高剂量大麻使用有关.
- 强迫性热水洗在CHS中很常见,但也在CVS患者中观察到.
结论:
- 大麻戒断是CHS管理的基石.
- 患者的怀疑和感知的大麻益处给治疗带来了挑战.
- 由于大麻使用而引起的偶发吐导致了大量的医疗保健利用.
相关概念视频
Chemotherapy-Induced Nausea and Vomiting: Cannabinoids
205
Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
Two synthetic agonists of THC,...
Two synthetic agonists of THC,...
205
CNS Stimulants: Cocaine, Amphetamines and Cannabinoids
170
CNS stimulants, such as cocaine, amphetamines, and cannabinoids, have varying structures and mechanisms of action that lead to different therapeutic effects and side effects. Cocaine, with its molecular formula C17H21NO4, is a tropane alkaloid and a tertiary amino compound. It has two chemical forms: the hydrochloride salt and the "freebase." The former is in powder form, while the latter involves removing the hydrochloride salt to create a form that can be smoked. Cocaine exerts its...
170
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists
238
Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
Phenothiazines, such as prochlorperazine...
238
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
154
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
154
Pathophysiology of Vomiting
348
Vomiting is a complex physiological response to expel harmful or irritating substances from the body. It's a defensive mechanism triggered by stimuli like poisons, microbial toxins, cytotoxic drugs, and mechanical abdominal distension. The process is centrally coordinated by the vomiting (or emetic) center located in the medulla of the brainstem. This area, rich in muscarinic M1, histamine H1, neurokinin 1 (NK1), and serotonin 5-HT3 receptors, coordinates the act of vomiting through...
348
Assessment of the Gastrointestinal System II: Health Perception Pattern
87
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
87


