Zosiyana ndi Zizindikiro koma Ubale Wotheka
Pamwamba pake, matenda otopa ( ME / CFS ) ndi kusokonezeka / matenda osokoneza bongo (ADHD) akuwoneka ngati kutsutsana kwathunthu: Mmodzi amatanthawuza kuti mukhale osagwira ntchito nthawi yochuluka, ndipo chimzake chimakupangitsani kukhala okhudzidwa nthawi zonse. Iwo sakanakhoza kukhala nazo zambiri zazofanana, zolondola?
Kwenikweni, iwo angakhoze basi.
Ofufuza akufufuza kugwirizana pakati pa ME / CFS ndi ADDD akulu amati kutopa kungakhale chizindikiro chofunika cha ADHD, ndipo madokotala ayenera kuyang'ana ADHD, kapena mbiri yake, kwa anthu omwe ali ndi ME / CFS kapena mitundu ina ya kutopa.
Kafukufuku wakale ku ADHD / ME / CFS Link
Mu 2007, kafukufuku wotsogoleredwa ndi JL Young anayang'ana kugwirizana kotheka pakati pa ADHD (mtundu wosazindikira), ME / CFS, ndi fibromyalgia. Malingana ndi zolembazo:
M'chipatala cha matenda opatsirana m'maganizo, odwala akuluakulu ambiri omwe amasonyeza makamaka zizindikiro za ADHD, makamaka mtundu wosazindikira, amachititsa kuti munthu asatope kwambiri, amve ululu wambirimbiri kapena matenda ena omwe alipo kale a CFS kapena FMS. Monga tikuyembekezeredwa, ADHD pharmacotherapy nthawi zambiri [imasintha] zizindikiro za ADHD za kusayenerera, kusokonezeka, kusasamala, ndi kukhudzidwa. Zosayembekezereka zinali zochitika kuti odwala ena ananenanso kuti [kupititsa patsogolo] zopweteka ndi zizindikiro za kutopa.
Kupeza izi kunachititsa chidwi kwambiri pakugwiritsa ntchito mankhwala a ADHD-monga Ritalin-kuthetsa mavuto ena okhudzana ndi malingaliro okhudzana ndi HIV / CFS ndi zina zotopa.
Phunziro la 2013 limathandizira kupeza
Phunziro lachichepere la achinyamata likuyang'ana pa milandu itatu ya ME / CFS mwa anthu omwe adayankha bwino kuchipatala.
Ochita kafukufuku anapeza kuti zonse zitatuzi zimagwirizana ndi chiwerengero cha ADHD, ndipo onse atatu adayankha bwino mankhwala a psychostimulant, omwe ali gawo lofala la mankhwala a ADHD. Amati odwalawo akuwona kusintha kwa kutopa, kupweteka, kusokonezeka maganizo ndi zizindikiro zina. Malinga ndi zomwe iwo amanena:
... odwala onse anapezeka kuti ali ndi vuto la kusamala / matenda osokoneza bongo (ADHD) ndipo anali ndi dongosolo loyenera la mankhwala a psychostimulant. Pambuyo pa chithandizo cha psychostimulants, odwala atatuwa adanena kuti zizindikiro zakutopa ndi zopweteka zimakhala bwino, komanso zidziwitso zoyambirira za ADHD.
Ochita kafukufuku anatsimikizira kuti ADHD ndi ME / CFS zingagwiritse ntchito njira yodziwikiratu komanso kuti patapita nthawi, ADHD ikhoza kukhala matenda osatopa komanso ovutika. (Sindikudziwa ngati izi ziyenera kuonedwa ngati mtundu watsopano wa ADHD kapena subset ya ME / CFS.)
Kuchokera kafukufuku wammbuyo, tikudziwa kuti ME / CFS ndi ADHD zonse zimakhudzana ndi matenda a neurotransmitter omwe angaphatikizepo serotonin , norepinephrine , ndi dopamine . Komabe, izo zokha si zokwanira kuti zitsimikizire zowonjezera zokhudzana zokhudzana ndi ulesi-ntchito zogonana zogwira ntchito zosiyanasiyana m'madera osiyanasiyana, ndi ntchito zosiyanasiyana m'deralo zokhudzana ndi zovomerezeka, choncho ndi nkhani yovuta.
Tikamaphunzira zambiri zokhudza izi ndi njira zawo zowonjezera, tikhoza kukula kuti timvetse bwino chiyanjanocho.
N'chifukwa Chiyani Mankhwala Omwe Ankagwiranso Ntchito Nawonso?
Bwererani ku zikhalidwe izi zikuwoneka ngati zotsutsana tsopano. Chifukwa chiyani mankhwala amodzi angathandize munthu amene nthawi zonse amatopa komanso amene sangathe kukhala chete?
Onani kuti mawu omwe ali pamwambawa akunena za "psychostimulant mankhwala". Gawo lofunika la mawuwa ndi "lolimbikitsa." Pazifukwa zina, zowonjezera zambiri zimakhudza anthu omwe ali ndi ADHD kuposa momwe amachitira ena: Amawaletsa m'malo mofulumizitsa.
Kafukufuku Wina
Awa ndiwo malo ofufuzira omwe amachititsa chidwi chenicheni. Maphunziro ena atsimikizira kugwirizana pakati pa ME / CFS ndi ADHD wamkulu, makamaka kwa anthu omwe ali ovutika maganizo. (N'zosakayikitsa kuti sizodziwika kuti kusokonezeka kumaphatikizapo kusokonezeka kwa anthu omwe ali ndi ubongo.)
Phunziro limodzi, lomwe lafalitsidwa mu Expert Review of Neurotherapeutics , limathandiza kuti pakhale umboni wosonyeza kuti methylphenidate (mankhwalawa mu Ritalin) akhoza kukhala ndi chithandizo chamtundu wa ME / CFS.
Kodi Mukuganiza Ritalin kwa ME / CFS?
Ngakhale kuti kafukufuku akusonyeza kugwirizana, mankhwala a ADHD sali olembedwera kuti asatope chifukwa chosayambitsidwa ndi ME / CFS.
Madokotala ena amapereka mankhwala osokoneza bongo kuchokera ku ME / CFS, ndipo mankhwalawa amagwira ntchito kwa anthu ena (koma osati onse).
Ngati mukukumana ndi zovuta pakukhala ndi chidwi komanso mosamala, makamaka ngati mukuvutika maganizo, izi zikhoza kukhala mankhwala omwe mungakweretse dokotala wanu ..
- Dziwani zambiri: ADHD Mankhwalawa kwa ME / CFS
> Zotsatira:
> Rogers DC, Dittner AJ, Rimes KA, Chalder T. Kutopa mwachidziwitso akuluakulu okhudzidwa ndi vuto la anthu odwala matendawa: Njira yochizira matenda. Magazini ya ku Britain ya matenda a maganizo. 2017 Mar; 56 (1): 33-52.
> Saez-Francas N, Alegre J, Calvo N, et al. Matenda osadziwika bwino odwala matenda odwala matenda otopa. Kafukufuku wamaganizo. > 2012 Dec 30; 200 (2-3): 748-53.
> Valdizan Uson JR, Idiazabal Alecha MA. Matenda ozindikira komanso odwala matenda osokoneza maganizo omwe ali nawo: gawo lamasulphenidate. Kufufuza kwa akatswiri a matenda a ubongo. 2008 Jun; 8 (6): 917-27.
Young, JL. Matenda otha msanga matenda: 3 milandu ndi kukambirana za mbiri yakale ya vuto-kuchepa / matenda osokoneza bongo. Mndandanda wa Med Post. 2013 Jan; 125 (1): 162-8.
> Young, JL, Redmond JC. Fibromylagia, kutopa kwachilendo, komanso akuluakulu osamala kuti asamangokhala ndi vuto lachilendo kwa munthu wamkulu: kuphunzira. Psychopharmacol Bull. 2007; 40 (1): 118-26.