Momwe Fibromyalgia Imachitira

Njira Zachikhalidwe ndi Zowonjezera za Chithandizo

Chifukwa palibe ziwalo ziwiri za fibromyalgia zofanana, palibe mankhwala omwe amatha kuthetsa zizindikiro za matendawa. M'malo mwake, chithandizochi chidzakhala chophatikizana ndipo chikugwirizana ndi zizindikiro ndi kuuma kwa zizindikiro zomwe mukukumana nazo. Izi zingaphatikizepo kuwonjezera pa-o-counter (OTC) ndi mankhwala, mankhwala othandiza ndi othandizira, kuchepetsa nkhawa, kusintha kwa moyo, ndi mankhwala othandizira kuti athe kuchepetsa ululu wanu ndikubwezeretsanso umoyo wanu.

Mankhwala

Monga momwe timagwiritsire ntchito fibromyalgia , kupweteka ndiko cholinga chachikulu cha mankhwala. Kuti izi zitheke, madokotala adzapita ku mitundu yosiyanasiyana ya OTC ndi mankhwala osokoneza bongo, ena mwa iwo amavomerezedwa kuti azitha kulandira fibromyalgia ndi ena omwe amagwiritsidwa ntchito pamtundu.

Cholinga cha mankhwala ndi kuchiza zizindikiro zosiyanasiyana zosiyana siyana monga mankhwala ochepa kuti athe kukwaniritsa kwambiri matendawa. Izi zikhoza kuphatikizapo analgesics, anti-depressants, antiticonvulsants, kupumula kwa minofu, ndi zina zamamwa mankhwala.

Analgesics

Pofuna kupweteka kwa ululu wa fibromyalgia, Tylenol (acetaminophen) ikhoza kupereka mpumulo wochuluka wa zizindikiro zoopsa ndi zotsatira zochepa, ngati zilipo, (makamaka kunyowa ndi kupweteka m'mimba). Ngakhale mankhwala osakanikirana ndi kutupa (NSAIDs) monga Advil (ibuprofen) ndi Aleve (naproxen) amaperekanso zotsatira za analgesic (kuchepetsa kupweteka), ndikofunika kukumbukira kuti fibromyalgia si matenda opweteka komanso kuti kugwiritsa ntchito NSAID nthawi yaitali yonjezerani chiopsezo cha kutaya kwa m'mimba, zilonda za m'mimba, ndi kuwonongeka kwa chiwindi.

NSAID zolembedwa ngati mankhwalawa monga Celebrex (celecoxib) kapena Voltaren (diclofenac) zimakhala ndi zofanana zomwe zimafanana ndi anzawo a OTC koma zingakhale zofunikira kwa mpumulo wa nthawi yayitali ngati zimasungidwa mlingo wotsika kwambiri.

Kudetsa nkhaŵa

Nthawi zambiri anthu amatha kupatsirana pogwiritsa ntchito mankhwala omwe amatha kuchiza matendawa, kuchepetsa ululu, kutopa, ndi kupanikizika pambali imodzi pomwe akuthandizira kugona ndi kukweza maganizo ena.

Pali mankhwala oponderezedwa awiri omwe amavomerezedwa ndi US Food and Drug Administration (FDA), onsewa ndi serotonin ndi norepinephrine reuptake inhibitors (SNRIs) . Zimagwira ntchito poletsa serotonin ndi norepinephrine kuti zibwezeretsedwe ndi maselo, ndipo pochita izi, zitsimikizirani kuti mahomoni ambiri "amamva bwino" m'thupi.

Mankhwala awiriwa amalembedwa motere:

• Cymbalta (duloxetine) imayikidwa ndi mlingo woyamba wa mlingo wa mamita 30 pa tsiku musanawonjezere mlingo wamakilomita 60 pa tsiku.
• Savella (milnacipran) amalembedwa ndi mlingo woyamba wa mlingo wa 12.5 milligrams atengedwa kamodzi tsiku ndi tsiku asanayambe kuwonjezeka mpaka mamiligalamu 50 atengedwa kawiri tsiku ndi tsiku. Mlingo wokwanira tsiku ndi tsiku wa 200 milligrams ungagwiritsidwe ntchito pa milandu yoopsa.

Zotsatirapo zingaphatikizepo nseru, chitseko chouma, kudzimbidwa, kuchepa kwa chilakolako, kugona, kuchuluka kwa thukuta, ndi kusokonezeka.

Mankhwala ena opatsirana pogwiritsa ntchito mankhwalawa amatchulidwa kuti asagwiritsidwe ntchito pa fibromyalgia, kuphatikizapo SNRI monga Celexa (citalopram), Lexapro (escitalopram), Paxil (paroxetine), ndi Zoloft (sertraline).

Ngakhale kuti mbadwo wokalamba wa tricyclic wodwalayo umagwiritsidwa ntchito mochepa, mlingo wotsika Elavil (amitriptyline) watsimikizirika kukhala wogwira ntchito monga tulo pogona pothandizira kukhala ndi chisoni chachikulu ndi kuvutika maganizo.

(Kugona mapiritsi kawirikawiri kumapewa chilichonse koma kupumula kwa nthawi yayitali ngati ntchito yowonjezereka ingapangitse kukhala wodalira.)

Anticonvulsants

Ngakhale kuti asayansi sadziwa kuti amagwira ntchito bwanji, mankhwala osokoneza bongo , omwe amagwiritsidwa ntchito pochizira matenda ndi khunyu, amatsimikizira kuti amagwiritsa ntchito fibromyalgia. Amakhulupirira kuti amathandiza kuchepetsa chiwerengero cha zizindikiro za mitsempha ndipo, motero, khalani chete m'maselo a m'mitsempha.

Lyrica (pregabalin) ndi anticonvulsant yoyamba yovomerezedwa ndi FDA pofuna kuchiza fibromyalgia. Ngati mwalemba, mungayambe mankhwala ochepa kwambiri musanafike pa mlingo wa ma 300 milligrams pafupipafupi (katatu katatu tsiku lililonse pa 100-milligram mlingo) kapena makilogalamu 330 pa pulogalamu yotulutsidwa.

Zotsatira zoyipa zimaphatikizapo chizungulire, kugona, ndi kupindula.

Mankhwala ena amodzi monga Neurontin (gabapentin) amapereka njira zomwezo ndipo amatha kugwira bwino ntchito. Vimpat (lacosamide) ndi Keppra (levetiracetam) agwiritsidwanso ntchito.

Muscle Relaxants

Zosangalatsa za minofu zikuwoneka ngati zikuthandizira nthawi zina, ndipo asayansi sadziwa kwenikweni chifukwa chake. Chifukwa mankhwalawa amachititsa kugona, amatha kutengedwa usiku usanagone.

Monga tulo tomwe sitingabwerere ndi chizindikiro chofala cha fibromyalgia, tawonedwa kuti kubwezeretsa kugona mokwanira kungachepetse chisamaliro cha munthu. (Mosiyana ndi zimenezi, kugona tulo kumadziwika kuti zimayambitsa zizindikiro zowawa kwambiri.)

Zotsitsimula ziwiri zomwe zimagwiritsidwa ntchito pochizira fibromyalgia ndi Flexeril (cyclobenzaprine) ndi Zanaflex (tizanidine). Zotsatirapo zingaphatikizepo mkamwa wouma, chizungulire, kunyoza, ndi masomphenya osowa.

Mankhwala Ena

Mankhwala opioid monga Vicodin (hydrocodone) ndi OxyContin (oxycodone) akhala akugwiritsidwa ntchito pochiza fibromyalgia, ngakhale kuti masiku ano chizoloŵezichi chimadetsedwa chifukwa cha chiopsezo chachikulu cha kuledzera komanso kupezeka kwa mankhwala atsopano a fibromyalgia. Chinthu chokhacho chingakhale kugwiritsa ntchito mlingo wochepa Ultram (tramadol) pa ntchito yaifupi ya acromacgia flares . Ngakhale apo, mankhwalawa amakhala osungirako milandu yokhayokha pokhapokha ngati ena opweteka akulephera kupereka chithandizo.

Matenda owopsa a m'mimba (IBS) amavomereza kwa anthu omwe ali ndi fibromyalgia ndipo amakhulupirira kuti amagawana matenda omwewo. Malinga ndi zizindikiro zanu mukhoza kupatsidwa mankhwala ofewetsa mankhwala, antidiarrals monga Imodium (loperamide) kapena Lomotil (diphenoxylate), kapena antispasmodics monga Norpramin (desipramine).

Thandizo Lathupi ndi Uphungu

Kuwonjezera pa mankhwala, dokotala wanu angakulozereni kwa akatswiri kuti athetse mavuto aliwonse omwe mungakumane nawo. Pamene timakonda kuganiza kuti fibromyalgia ndi matenda a mitsempha, imakhala matenda omwe amachititsa kuti maganizo, nkhawa, ndi thanzi likhale gawo.

Kuti izi zitheke, mungapindule pakuwona akatswiri otsatirawa:

• Achipatala angakuthandizeni ngati mukudwala matenda ovutika maganizo, mantha, komanso nkhawa monga post-traumatic stress disorder (PSTD) omwe amawoneka mwa anthu omwe ali ndi fibromyalgia. Pezani mgwirizano ndi dokotala wanu kuti muwone kuti palibe mankhwala kapena mankhwala otsutsana ndi mankhwala.
• Akatswiri a zamaganizo angapereke uphungu ndikugwiritsa ntchito mankhwala opatsirana pogonana (CBT) kuti apititse patsogolo chimwemwe mwa kusintha malingaliro osayenera, makhalidwe, kapena malingaliro.
• Olemba thupi angakuthandizeni kukhala ndi mphamvu ndi thanzi labwino mwa kukuphunzitsani njira zowotambasula ndi kuchita masewera olimbitsa thupi zomwe sizikuwonjezera zizindikiro zanu. Angathandizenso kupereka chithandizo chamankhwala kuti athetse ululu ndikupangitsanso kuti minofu ikhale yothandiza kwambiri.
• Ogwira ntchito zapamwamba angakupatseni zipangizo ndi njira zothetsera zovuta za kukhala ndi fibromyalgia. Zingaphatikizepo kusungira mphamvu, kupweteka kwa kupweteka, njira zotsitsimutsa, kuthetsa mavuto, kugona kwa ukhondo , ndi kukhazikitsa zolinga.

Zosintha Zamoyo

Nthawi zambiri tikamadalira mankhwala kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda, sitingathe kukhala mankhwala okhaokha. Kuphatikiza pa mankhwala osokoneza bongo, muyenera kupanga zosankha za moyo wathanzi kuti muzitsitsimutsa zizindikiro zanu.

Kuchita masewera olimbitsa thupi ndizofunikira pa izi. Pamene chidziwitso chanu chingakuuzeni kuti musasunthike chifukwa chowopsya, zimangopangitsa kuti zinthu ziipire pamene mukuyenera kusuntha. (Ndipo, tiyeni tiyang'ane nazo, tonsefe timachita.) Pogwira ntchito mwakuya kwanu ndipo pang'onopang'ono kumanga mphamvu zanu ndi kusinthasintha, mudzachepetsa kuchepa kwanu pang'onopang'ono. Kugwira ntchito yokonzekera zochitika zolimbitsa thupi wanu wodwalayo ndi njira yabwino yothetsera.

Monga bonasi yowonjezera, kuchita masewera olimbitsa thupi kumayambitsa kupanga endorphins , mahomoni omwe sangokhala ndi zotsatira zofanana koma amatha kukweza maganizo anu.

Zakudya ndi kulemera kwa thupi ndizofunikira. Kutenga kulemera kwakukulu sikungowonjezera kulemera kwa minofu ndi ziwalo zanu, kumachepetsa mphamvu ya mtima wanu wamaganizo ndipo kumakulepheretsani kutopa ndi kutopa.

Ngakhale kuti palibe zakudya zinazake zotchedwa fibromyalgia "zakudya," madokotala ambiri amavomereza njira yabwino yodyera yomwe ili ndi:

• Awiri mwa magawo atatu a zipatso, ndiwo zamasamba, ndi mbewu zonse
• Mkaka wachitatu wokhala ndi mafuta ochepa kwambiri komanso mapuloteni owonda
• Kudya masentimita 25 mpaka 30 a zakudya zamadzimadzi kuti musamakhale ndi thanzi labwino
• Mafuta abwino monga mafuta a azitona
• Kupewa caffeine yomwe ili pakatikati ya mitsempha ya stimulant
• Pewani zakudya zowonongeka, zakudya zokazinga, ndi shuga woyengedwa

Monga chowopsya, mowa uyenera kubwezeretsedwanso ndipo mwina uyenera kupeŵa pamene utenga Cymbalta, Savella, ndi Tylenol chifukwa cha kuwonjezeka kwa chiwindi cha chiwindi.

Muyeneranso kulingalira kuti musiye ndudu monga momwe maphunziro ambiri agwirizanitsa kusuta ndi kuwonjezereka kupweteka kwambiri ndi osauka omwe amagona mu anthu omwe ali ndi fibromyalgia.

Mankhwala Osakaniza Owonjezera (CAM)

Anthu omwe amadwala matenda osatha nthawi zambiri amapita kuchipatala chophatikizira komanso chosakaniza (CAM) monga njira yowonetsera thanzi lawo, labwino, ndi lauzimu. Izi ndizofunikira makamaka pa chikhalidwe monga fibromyalgia chomwe chomwecho sichimvetsetsedwa bwino .

Ngati mukufuna njira zina zothandizira, onetsetsani kuuza dokotala wanu za izo kuti zisawononge chithandizo chanu (monga mankhwala a zitsamba monga St. John's Wort nthawi zina angachite) kapena kukupweteketsani. Kuwona kuti chinachake ndi "chirengedwe" sikukutanthawuza kuti izo ziri zotetezeka mwachibadwa.

Matenda a Maganizo

Mankhwala othandizira m'maganizo ndi kagulu ka zizolowezi zomwe amagwiritsidwa ntchito ndi anthu omwe ali ndi matenda aakulu kuti athe kuchepetsa mavuto a thupi komanso kuti akhale ndi moyo wabwino. Ndili ndi matenda monga fibromyalgia, njira iliyonse yomwe ingapangitse kuti thupi likhale lolimba kuti likhale ndi nkhawa popanda mankhwala osokoneza bongo.

Zina mwazimene zimathandiza kwambiri:

• Kusinkhasinkha mwalingaliro ndi mawonekedwe a kusinkhasinkha kumene kuphunzira kusagwirizana ndi maganizo omwe angayambitse kupanikizika.
• Chithunzi chotsogolera ndi njira yomwe mumapangidwira zithunzi zowonongeka.
• Kugwiritsa ntchito kupuma mokwanira (pranayama) amagwiritsa ntchito njira zakuthupi zapamwamba pofuna kupangitsa kuti azisinkhasinkha
• Yoga ndi Tai chi zimaphatikizapo kulingalira ndi kuyenda kuti mukhale ndi mphamvu zochulukira pa thupi lanu.
• Kuchulukitsa mankhwala , monga kumasulidwa kwa myofascial , cholinga cha kumasula minofu ndi nkhawa popanda kupweteka.
• Kupuma msanga kwapang'onopang'ono (PMR) ndi njira imene mumagwiritsira ntchito mwakhama ndikutsitsimula minofu m'thupi lanu kuti mupange bata.
• Biofeedback amagwiritsa ntchito pulogalamu yamagetsi pofuna kukuthandizani kuti muyang'ane komanso kuti musamayende bwino.

Mankhwala Okwanira

Mankhwala achilengedwe, kuphatikizapo zitsamba, zowonjezera, mavitamini, ndi mankhwala achikhalidwe cha Chinese (TCM), amavomereza ndi ena ngati njira yothandizira. Mwa zina zomwe zingapindulitse anthu omwe ali ndi fibromyalgia:

• 5-HTP (5-hydroxytryptophan), ayendedwe amino acid omwe amachokera ku chomera cha African Griffonia simplicifolia pomwe angathe kuthandiza kulimbikitsa serotonin. Ngakhale kuti mankhwalawa akuwoneka otetezeka, pali deta yochepa yomwe imapezeka kuti imathandiza kuchiza fibromyalgia.
• Capcaisin ndi chigawo chogwiritsidwa ntchito mu tsabola womwe umapezeka mu zokometsera, zowonongeka, ndi mabala. Amagwiritsa ntchito mitundu yosiyanasiyana ya neuralgia (ululu wa mitsempha), imatchedwanso kuti ndi yotetezeka koma ikhoza kuyambitsa kupukuta, kuyabwa, kapena kuyaka komweko. Phunziro la 2013 kuchokera ku Italy linanena kuti kugwiritsa ntchito 0.075% yamapiko a supersicin cream, amagwiritsidwa ntchito katatu tsiku lililonse kwa masabata asanu ndi limodzi, kupweteka kwa magawo 73 peresenti mwa ophunzira 130.
• Chimanga chachidakwa chimadziwika bwino kuti chimatha kuchepetsa kupweteka, kukweza maganizo, ndi kukuthandizani kugona bwino. Phunziro laling'ono lochokera ku Israeli lomwe linapangidwa mu 2018 linanena kuti kugwiritsa ntchito mankhwala osokoneza bongo kwa anthu akuluakulu 60 omwe ali ndi matenda aakulu a fibromyalgia kunachititsa kuti ophunzira onse apitsidwe patsogolo. Patadutsa chaka chimodzi, 13 adatha kuimitsa mankhwala awo a fibromyalgia, pomwe asanu ndi atatu adanena zotsatira zochepa chabe.

> Zotsatira:

> Casanueva, B .; Rodero, B ;; ndi Quintial, C. "Kuchita kanthawi kochepa kwa mankhwala opatsirana pogwiritsa ntchito kapisaicin odwala odwala fibromyalgia." Rheumatol Int . 2013; 33 (10): 2665-70. DOI: 10.1007 / s00296-012-2490-5.

> Habib, G. ndi Artul, S. "Nthendayi yachipatala yothandizidwa ndi matenda a Fibromyalgia." J Clin Rheumatol. 2018. [Epublished patsogolo pa kusindikiza.] DOI: 10.1097 / RHU.0000000000000702.

> Sanam, K. ndi Choy, E. "Kukonzekera pa Chithandizo cha Chithandizo mu Matenda a Fibromyalgia ndi Maganizo pa Pharmacology." Biomedicines. 2017; 5 (2): 20. DOI: 10.3390 / biomedicines5020020.

> Padziko Lonse pa Zowonjezera ndi Zogwirizanitsa Zaumoyo. "Maganizo ndi Thupi la Mtundu wa Fibromyalgia: Zimene Sayansi Imanena." Bethesda, Maryland; lofalitsidwa mu September 2017; zasinthidwa pa March 27, 2018.