{"id":32900,"date":"2020-01-26T12:25:58","date_gmt":"2020-01-26T12:25:58","guid":{"rendered":"https:\/\/cannigma.com\/?p=32900"},"modified":"2021-08-22T08:41:47","modified_gmt":"2021-08-22T08:41:47","slug":"sindrome-de-hiperemesis-cannabinoide","status":"publish","type":"post","link":"https:\/\/cannigma.com\/es\/investigacion\/sindrome-de-hiperemesis-cannabinoide\/","title":{"rendered":"\u00bfQu\u00e9 es el s\u00edndrome de Hiper\u00e9mesis Cannabinoide?"},"content":{"rendered":"\n

Se suele pensar que el cannabis es un tratamiento para las n\u00e1useas, no una causa de las mismas. Pero para el peque\u00f1o subconjunto de grandes consumidores de cannabis que padecen el s\u00edndrome de hiper\u00e9mesis cannabinoide<\/a>, el consumo de cannabis puede causar episodios recurrentes de n\u00e1useas graves y v\u00f3mitos c\u00edclicos<\/a> que duran d\u00edas o m\u00e1s.<\/p>\n\n\n\n

El s\u00edndrome puede aparecer sin previo aviso despu\u00e9s de a\u00f1os o incluso d\u00e9cadas de consumo de marihuana. El \u00fanico tratamiento definitivo para el SHC es la abstinencia total de cannabis. Una revisi\u00f3n m\u00e9dica encontr\u00f3 que el 96% de los pacientes<\/a> ten\u00edan s\u00edntomas que se resolv\u00edan cuando dejaban de consumir marihuana.<\/p>\n\n\n\n

Para obtener un alivio temporal<\/a>, muchas personas con SHC recurren a duchas o ba\u00f1os calientes. Esto se ha convertido en un indicador principal que los m\u00e9dicos buscan para diagnosticar el s\u00edndrome de hiperemesis del cannabis<\/a>.<\/p>\n\n\n\n

Si bien se cree en general que s\u00f3lo un peque\u00f1o subconjunto de consumidores de marihuana experimentar\u00e1 el SHC, un estudio<\/a> encontr\u00f3 que hasta un tercio de los grandes consumidores de cannabis (que lo consumen m\u00e1s de 20 d\u00edas al mes) cumplen los criterios para un SHC al menos leve.<\/p>\n\n\n\n

A\u00fan as\u00ed, s\u00f3lo un peque\u00f1o n\u00famero de pacientes con SHC se dan cuenta de que estos ataques est\u00e1n relacionados con el consumo de cannabis. Debido a que la marihuana tiende a aliviar temporalmente los s\u00edntomas relacionados con el SHC y se sabe que es un gran tratamiento para las n\u00e1useas en general, muchos pacientes aumentan su consumo de cannabis al principio.<\/p>\n\n\n\n

Tambi\u00e9n suele ser dif\u00edcil para las personas creer que el SHC es causado por la marihuana, porque la mayor\u00eda de quienes la consumen, incluso a niveles altos, no desarrollan esta condici\u00f3n.<\/p>\n\n\n\n

S\u00edntomas del s\u00edndrome de hiper\u00e9mesis cannabinoide<\/h2>\n\n\n\n
\"\"
Los pacientes con s\u00edndrome de hiper\u00e9mesis cannabinoide suelen hallar alivio s\u00f3lo a partir de ba\u00f1os calientes y duchas, y eso se ha vuelto un indicador para los doctores a la hora de diagnosticar SHC. (Shutterstock)<\/figcaption><\/figure><\/div>\n\n\n\n

Fase Prodromal:<\/strong> En la fase prodromal, los pacientes experimentan n\u00e1useas temprano en la ma\u00f1ana, miedo o impulso de vomitar, falta de apetito y dolor abdominal que puede durar d\u00edas. Esta etapa puede durar de meses a a\u00f1os. Durante ella, los pacientes tienden a aumentar el consumo de cannabis para aliviar sus n\u00e1useas.<\/p>\n\n\n\n

Fase Hiperem\u00e9tica:<\/strong> En esta fase, vemos los paradigm\u00e1ticos episodios de n\u00e1useas y v\u00f3mitos incontrolables. Tambi\u00e9n se observan aumentos de los dolores abdominales y una fuerte compulsi\u00f3n por ba\u00f1arse en agua caliente. Los pacientes tambi\u00e9n tienden a experimentar p\u00e9rdida de peso y deshidrataci\u00f3n durante esta etapa. Estos episodios de v\u00f3mitos se repiten cada pocas semanas o meses.<\/p>\n\n\n\n

Fase de recuperaci\u00f3n:<\/strong> Si un paciente deja de consumir cannabis, entra en una fase de recuperaci\u00f3n en la que las n\u00e1useas, los v\u00f3mitos y el dolor abdominal disminuyen. Adem\u00e1s, los h\u00e1bitos de alimentaci\u00f3n y de ba\u00f1o se normalizan. Esto puede llevar alg\u00fan tiempo, normalmente al menos 7-10 d\u00edas despu\u00e9s de dejar de consumir cannabis. En los casos m\u00e1s graves, esto puede tardar meses o incluso a\u00f1os en resolverse por completo. Si se reintroduce el cannabis durante este tiempo, generalmente lleva a una recurrencia inmediata de los s\u00edntomas.<\/p>\n\n\n\n

Estos per\u00edodos prolongados de v\u00f3mitos<\/a> son dif\u00edciles de detener y pueden dejar a los pacientes con problemas como deshidrataci\u00f3n, desorientaci\u00f3n y desequilibrio electrol\u00edtico. En casos raros, este estado continuo de deshidrataci\u00f3n puede conducir a una disfunci\u00f3n renal<\/a> y, a\u00fan m\u00e1s raramente, a una insuficiencia renal.<\/p>\n\n\n\n

\u00bfQu\u00e9 causa el SHC?<\/h2>\n\n\n\n

Parece claro que el consumo cr\u00f3nico de cannabis puede desencadenar el SHC, dado que la abstinencia de cannabis es la \u00fanica manera que los m\u00e9dicos han encontrado para tratar la condici\u00f3n de manera confiable. Sin embargo, los investigadores a\u00fan no han llegado a una conclusi\u00f3n firme sobre el mecanismo exacto detr\u00e1s de la condici\u00f3n<\/a>.<\/p>\n\n\n\n

Los investigadores han observado que los efectos del cannabis son a menudo bif\u00e1sicos, ya que causa efectos opuestos en diferentes contextos. En el caso de algunos componentes de la planta, las diferentes dosis podr\u00edan producir tanto n\u00e1useas como alivio de las n\u00e1useas<\/a>.<\/p>\n\n\n\n

Otra teor\u00eda es que, si bien la estimulaci\u00f3n de los receptores CB1 (uno de los receptores endocannabinoides del cuerpo activado por el cannabis) suele aliviar las n\u00e1useas, causa otros efectos<\/a> en el sistema digestivo, como retraso del vaciado g\u00e1strico, alteraci\u00f3n de la motilidad intestinal, reducci\u00f3n de la motilidad g\u00e1strica e inhibici\u00f3n del \u00e1cido g\u00e1strico.<\/p>\n\n\n\n

O puede ser que cuando los receptores endocannabinoides como el CB1<\/a> o el TRPV1<\/a> son sobreestimulados por un exceso de cannabis, se desensibilizan y ya no pueden proporcionar un alivio normal de las n\u00e1useas. Esto deja a los pacientes con n\u00e1useas excesivas y sin los recursos internos para aliviarlas.<\/p>\n\n\n\n

Sin embargo, lo que desconcierta a los investigadores es la raz\u00f3n por la que esto ocurre s\u00f3lo en algunos pacientes de cannabis, y c\u00f3mo identificar a los que podr\u00edan estar en riesgo. Un art\u00edculo plante\u00f3 la hip\u00f3tesis de que el SHC s\u00f3lo puede ocurrir en quienes tienen una susceptibilidad al s\u00edndrome de v\u00f3mitos c\u00edclicos<\/a>.Algunos pacientes han teorizado que sus s\u00edntomas podr\u00edan ser el resultado de los plaguicidas en la cannabis, pero el perfil de envenenamiento por plaguicidas es significativamente diferente del del SHC. Tambi\u00e9n hay informes anecd\u00f3ticos<\/a> de pacientes con SHC que han pasado a consumir cannabis org\u00e1nico sin plaguicidas y siguen teniendo s\u00edntomas de SHC. Si bien el envenenamiento por plaguicidas es un peligro potencial con el cannabis, por lo general no se manifiesta de la misma manera que el SHC.<\/p>\n","protected":false},"excerpt":{"rendered":"

Se suele pensar que el cannabis es un tratamiento para las n\u00e1useas, no una causa de las mismas. Pero para el peque\u00f1o subconjunto de grandes consumidores de cannabis que padecen el s\u00edndrome de hiper\u00e9mesis cannabinoide, el consumo de cannabis puede causar episodios recurrentes de n\u00e1useas graves y v\u00f3mitos c\u00edclicos que duran d\u00edas o m\u00e1s. El […]<\/p>\n","protected":false},"author":15,"featured_media":28396,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[15403],"tags":[],"class_list":["post-32900","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-investigacion"],"acf":[],"yoast_head":"\n\u00bfQu\u00e9 es el s\u00edndrome de Hiper\u00e9mesis Cannabinoide? | The Cannigma<\/title>\n<meta name=\"description\" content=\"Se suele pensar que el cannabis es un tratamiento para las n\u00e1useas, no una causa de las mismas, pero a\u00fan as\u00ed existe un s\u00edndrome causado por\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cannigma.com\/es\/investigacion\/sindrome-de-hiperemesis-cannabinoide\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00bfQu\u00e9 es el s\u00edndrome de Hiper\u00e9mesis Cannabinoide? 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