Kumvetsa Fibromyalgia ndi ME / CFS Mankhwala
Pamene mukuphunzira za mankhwala omwe mungapange pa fibromyalgia ndi matenda otopa , mumatha kupeza mawu akuti "reuptake inhibitors." Limatanthauzira mtundu wa mankhwala olepheretsa kugwiritsira ntchito omwe timakonda kuuzidwa , kuphatikizapo mankhwala a FDA -vomerezedwa ndi fibromyalgia Cymbalta (duloxetine) ndi Savella (milnacipran) .
Koma kodi mumamvetsa zomwe reuptake zimatanthauza?
Pamene mutangoyamba kuphunzira za reuptake inhibitors, zingakhale zosokoneza-tikudziwa kuti izi zimagwiridwa kuti zimaphatikizapo kuchuluka kwake kwa ubongo serotonin ndi norepinephrine, kotero kutenga chinthu chomwe chikuwaletsa iwo sichimveka bwino.
Kufotokozera kwa izi kumaphatikizapo mawu omveka bwino azachipatala omwe ambiri a ife sitingamvetsetse. M'munsimu, mutha kusokonezeka kwa njirayi m'chinenero chomwe chiri chosavuta kuchimvetsa.
Kodi Reuptake Ndi Chiyani?
Choyamba, pang'ono pokha momwe ubongo wanu umagwirira ntchito:
Maselo anu a ubongo (neurons) amasiyanitsidwa ndi mipata yaying'ono. Pamene ubongo wanu umatumiza mauthenga kuchokera ku neuron kupita ku wina, umalumikiza mipata imeneyi mwa kumasula mankhwala apadera otchedwa neurotransmitters kuti atenge uthengawo.
Pakapita kanthawi, danga pakati pa maselo limakhala lophwanyidwa ndi magulu ambiri omwe amagwiritsidwa ntchito ndi opaleshoni. Zili ngati kutsegula makalata anu ndi kutseka mulu wa ziphuphu zopanda kanthu-ma envulopu anali ofunika kuti akupezeni makalata, koma simukusowa.
Ubongo wanu umachotsa chisokonezo mwa kubwezeretsanso mankhwalawa kuti athe kubwezeretsanso. Dzina lachipatala la izo ndi reuptake.
Tsopano tiyeni tiyambe kuphweka ndikupita patsogolo:
Tangoganizani kangaude yomwe ili kumbuyo kwa mpando wodyera. Iye akufuna kuti apite ku gome, kotero iye akuwombera chingwe cha intaneti kudutsa kusiyana.
Iye sayenera kukhala ndi vuto kupita kumalo omwe akupita, koma wonyezimira osasunthika mchipindamo amakhalabe akutembenukira kumbaliyo ndikuponyera ukonde kuti akangaude asamalize ulendo.
Tsopano, taganizirani kuti wina amasintha liwiro pa fanesi kuti likhale pang'onopang'ono. Izi zimapatsa kangaude nthawi yokwanira kutsegula mpata usanachitike.
Kangaude ndi uthenga, intaneti ndi neurotransmitter, ndipo firimu imabweretsanso. Mukamapepuka mofulumira, uthengawu uli ndi khungu lamtundu wokwanira kuti lifike kumene likupita. Reuptake inhibitors samawonjezera kuchuluka kwa matenda a ubongo mu ubongo wanu, koma amachulukitsa nthawi yomwe ilipo. Izi zimathandiza mauthenga kuti adziwe kumene akupita.
Momwe Reuptake Amafunira Kwa Ife
Akatswiri amanena kuti ubongo wa anthu omwe ali ndi fibromyalgia, matenda otopa kwambiri, ndi matenda ena ambiri a m'magazi amakhala ndi ochepa kwambiri a m'mitsempha kapena osagwiritsira ntchito ma neurotransmitter bwino. Izi zimatchedwa neurotransmitter dysregulation, ndipo amakhulupirira kuti ndi amene amachititsa zizindikiro zambiri, kuphatikizapo ubongo wa ubongo ndi kupweteka kwa ululu .
Kafukufuku amasonyeza kuti kuchepetsa kupuma kwa reusptake kumachepetsa zizindikiro za anthu ambiri omwe ali ndi matendawa.
Okalamba a reuptake inhibitors amachepetsa njira zonse zothandizira anthu, zomwe zinayambitsa zosafuna zambiri. Mankhwala a reuptake amasiku ano amatsata malingaliro enieni othandizira odwala-makamaka serotonin ndi norepinephrine. Amatchedwa:
- Kusankha serotonin reuptake inhibitors (SSRIs)
- Serotonin-norepinephrine reuptake inhibitors (SNRIs)
Ngakhale kuti mankhwalawa amachititsa mavuto ochepa kusiyana ndi mankhwala achikulire, akadali ndi mndandanda wazotsatira. Chimodzi mwa vuto ndi chakuti tilibe zofooka za ubongo m'madera onse a ubongo, kotero mankhwala amatha kusintha kusintha kwa dera limodzi ndikusokoneza.
Komabe, mtundu watsopano wa SSRI ukukwera kumene ungapereke mpumulo ndi zochepa zochepa mwa kuwongolera selo ya ubongo yomwe imalandira uthenga wa neurotransmitter. Selo ilo limatchedwa receptor, ndipo aliyense wolandirayo walingalira kuti alandire mauthenga otumizidwa ndi othandizira ena. Chofunika kwambiri, cholandira ndilolola. Ndibwino kuti mukuwerenga Makina oyenera okha omwe angatsegule.
Mankhwala atsopanowa amagwiritsira ntchito makina opangira mankhwala osokoneza bongo kuti agwiritse ntchito mapulogalamu ena otsegula, kuti zikhale zosavuta kuti mauthenga atuluke kuchokera ku selo kupita ku selo. Mankhwala amodzi a mtundu umenewu-Viibryd (vilazodone) -wavomerezeka kuvutika maganizo ku United States. (Komabe, sizinafufuzidwe ndi fibromyalgia kapena matenda otopa.)
Phunzirani zambiri za momwe mankhwalawa amachitira zinthu:
Kuti muwone zizindikiro zomwe zimagwirizana ndi kulephera kwa matenda a neurotransmitter, pamodzi ndi zosankha za mankhwala, werengani:
Zotsatira:
Munda, R. Douglas, Ph.D. (2009) Ubongo Wina. New York: Simon & Schuster.
Goldstein, J. Alasbimn Journal2 (7): April 2000. AJ07-5. "The Pathophysiology and Treatment of Chronic Fatigue Syndrome ndi Matenda Ena a Neurosomatic: Pulogalamu Yoperekera Maganizo Pill."
Smith AK, ndi al. Psychoneuroendocrinology. 2008 Feb; 33 (2): 188-97. "Kufufuza kwa majini kwa serotonergic dongosolo lachilendo matenda aakulu."
2008 University of Maryland Medical Center. Maumwini onse ndi otetezedwa. "Kutopa Kwambiri Kwambiri"