Zimene Zilipo & Mmene Zimagwirira Ntchito
Ngakhale madokotala amapereka mankhwala osiyanasiyana osiyana ndi odwala matenda aakulu (CFS kapena ME / CFS ), palibe mwa iwo omwe ali ndi FDA omwe amavomerezedwa.
Monga momwe chikhalidwe ichi chimakhudzira aliyense mosiyana, komanso mankhwala omwe amachiza. Ndikofunikira kuti mugwire ntchito limodzi ndi dokotala kuti mupeze zomwe mukuyenera. Muyenera kudziwa bwino zotsatira zomwe zingatheke ndipo adziwe dokotala wanu za chilichonse chimene mungakhale nacho.
Ngati muli pa mankhwala oposa limodzi (dokotala kapena mankhwala), lolani dokotala wanu ndi wamankhwala adziwe kuti mutha kupewa kuyanjana kosayenera.
Maphunziro a Mankhwala Osokoneza Bongo
Magulu angapo a mankhwala amagwiritsidwa ntchito pochiza ME / CFS. Zikuphatikizapo:
- Mankhwala osokoneza bongo (kuphatikizapo antiviral, antibiotic)
- Mankhwala oletsa kupanikizika (SSRIs / SNRIs ndi tricyclic)
- Nkhawa kapena nkhawa
- Mankhwala otsutsana ndi kutupa (osaperoidal anti-inflammatory drugs (NSAIDs)
- Mankhwala oponderezedwa ndi magazi
- Zotsatira zamakono
Chifukwa chakuti mankhwala onsewa amagwiritsidwa ntchito pazinthu zosiyana-siyana (kutanthauza kuti iwo si FDA ovomerezeka mwachindunji kwa ME / CFS), kampani yanu ya inshuwalansi mwina singawaphimbe.
Antimicrobial
"Antimicrobial" amatanthauza mitundu yosiyanasiyana ya mankhwala, kuphatikizapo mankhwala osokoneza bongo, antibiotic, antifungals, ndi antiprotozoals. Ofufuza amanena kuti matendawa amachititsa thupi lanu kukhala ngati likulimbana ndi matenda. Ngakhale kuti palibe kachilombo koyambitsa matenda kapena mabakiteriya omwe agwirizana kwambiri ku ME / CFS, kafukufuku wina amathandiza kuti kachilombo ka Epstein-Barr (yomwe imayambitsa mononucleosis), kachilombo ka HIV 6 (HHV-6, komwe kumayambitsa roseola) ndi enteroviruses .
- Ampligen (rintatolimod)
Mankhwalawa akukanidwa ndi FDA ndipo sanagulitsidwe pa ntchito iliyonse. Ampligen amagwira ntchito podumpha-kuyambira njira yowonongeka ya thupi lanu komanso kuyendetsa masitepe a RNase L (chinthu chomwe chimayambitsa ma ARV), chomwe chingakhale chachikulu mwa anthu omwe ali ndi ME / CFS.Kafukufuku amasonyeza kuti Ampligen ndi othandiza komanso amakhala ndi zotsatira zochepa kuposa mankhwala ena m'kalasi. Wopanga Hemispherx Biopharma akupitirira mayesero a zovuta zina, akuyembekeza kuti tsiku lina adzapatsidwa chilolezo.
- Valcyte (valganciclovir)
Antiviral valganciclovir imaphatikizapo HHV-6, zomwe maphunziro ambiri adapeza mwa anthu ambiri omwe ali ndi ME / CFS. Maphunziro ang'onoang'ono akhala ndi zotsatira zolimbikitsa, koma akatswiri amavomereza kuti maphunziro akuluakulu ndi opangidwa bwino ayenera kuchitidwa asanatenge mfundo zowona.
Chifukwa chakuti asayansi sanazindikire matenda ena omwe amatsogolera ku matendawa, madokotala nthawi zambiri sapereka mankhwala enaake ophera tizilombo tokha, kupatula ngati muli ndi kachilombo ka HIV.
Kudetsa nkhaŵa
Chifukwa chakuti kupatsirana maganizo kumakhala kofala, sizikutanthauza kuti anthu onse amene amawatenga amakhala opsinjika kapena ali ndi mtundu uliwonse wamaganizo. (Ngakhale kuti anthu ambiri omwe ali ndi matendawa akudwala matendawa, amayamba chifukwa cha zizindikiro ndi kusintha kwa moyo wawo osati chifukwa cha matenda omwewo.) Mitundu yowonjezereka ya antidepressants ndi SSRI / SNRI ndi tricyclic agents.
SSRI / SNRI-Type Antidepressants
Chifukwa chomwe zimapangitsa kuti anthu azivutika maganizo ndi chifukwa chakuti amaletsa miyeso ya odwala matendawa omwe ali otsika kwa anthu ena omwe ali ndi ME / CFS. Mankhwalawa amatchedwa serotonin reuptake inhibitors (SSRIs) kapena serotonin-norepinephrine reuptake inhibitors (SNRIs kapena NSRIs).
Serotonin imathandiza njira zopweteketsa komanso ndikofunika kuti mugone, pamene norepinephrine (mtundu wa adrenaline) umakhudzidwa ndi kupsinjika maganizo ndi kupasuka kwa mphamvu.
Zitsanzo za SSRIs ndi SNRIs ndi:
- Cymbalta (duloxetine)
- Prozac (fluoxetine)
- Zoloft (sertraline)
- Paxil (paroxetine)
- Effexor (venlafaxine)
- Desyrel (trazodone)
- Wellbutrin (bupropion)
Tricyclic Oponderezedwa
Mankhwala otsika a tricyclic mawonekedwe nthawi zina amachititsa kuti tulo tigone ndi kuchepetsa ululu wofala, kwa anthu omwe ali ndi ME / CFS. Zitsanzo zina ndi izi:
- Adapin, Sinequan (doxepin)
- Elavil, Etrafon, Libitrol, Triavil (amitriptyline)
- Norpramin (desipramine)
- Pamelor (nortriptyline)
Onetsetsani kuti mukudziŵa zotsatira za zotsatira zolimbitsa thupi zomwe mukuzitenga, makamaka chifukwa chakuti ambiri omwe amadwala matendawa amabwera ndi chenjezo la chiopsezo cha kudzipha ndi makhalidwe awo. Ngati mwaganiza kusiya kusiya kumwa mankhwalawa, kambiranani ndi dokotala wanu za momwe mungalekerere. Kutseka ozizira ku Turkey kungabweretse mavuto ena.
Nkhawa
Nthaŵi zina madokotala amapereka mankhwala osokoneza bongo kwa odwala awo a ME / CFS omwe ali ndi vuto la mantha. Zikuphatikizapo:
- Xanax (alprazolam)
- Klonopin (clonazepam)
- Ativan (lorazepam)
Zotsatira zoyipa za mankhwala osokoneza bongo ndi monga sedation, amnesia, kusowa tulo , kupweteka kwa minofu, ndi kupweteka. Kuwasiya nawo kungachititse kuti zizindikiro zichoke.
NSAIDS
Mankhwalawa nthawi zina amagwiritsidwa ntchito kuthetsa ululu ndi malungo omwe amapezeka ndi ME / CFS. Ambiri alipo pa----counter, kuphatikizapo:
- Advil, Bayer Select, Motrin Nuprin (ibuprofen)
- Aleve, Anaprox, Naprosyn (naproxen)
- Feldene (piroxicam)
Dokotala wanu angaperekenso mitundu ina ya NSAID, ndipo nkofunika kusagwirizanitsa mankhwala osiyana mukalasiyi. Izi zingakuike pangozi yaikulu yowonjezera mavuto owopsa, kuphatikizapo kuwonongeka kwa impso ndi kutuluka kwa m'mimba.
Kupanikizika kwa Magazi
Mtundu wotsika wa magazi wotchedwa neurally mediated hypotension (NMH) ndi wamba mwa anthu omwe ali ndi ME / CFS. Zimayambitsa kugwirizana kosagwirizana pakati pa mtima ndi ubongo, ngakhale ziwalo zonse zikhale zachilendo komanso zathanzi. Komanso imatchedwa reflex reflex, NMH ikhoza kuyambitsa chizungulire ndi kutaya ndipo nthawi zina imatengedwa ndi zomwe zimatchedwa kuyesera patebulo.
Anthu ena omwe amapezeka kuti ali ndi NMH amatenga mankhwala ochepetsa magazi omwe amatchedwa Florinef (fludrocortisone), pamene ena amamwa mankhwala opatsirana kwambiri a Tenormin (atenolol). Ngati muli pa Tenormin, mwinamwake muyenera kuyang'anitsitsa kutsika kwa magazi ndipo mukhoza kulangizidwa kuti muwonjezere mchere ndi madzi.
Chitsime:
2013 Sungani Mayankho a ME / CFS. Maumwini onse ndi otetezedwa. Kuchiza FYI