Unopesana Zviratidzo asi Ukama Hwakakwana
Pamusoro penyika, chirwere chisingaperi chinopera simba ( ME / CFS ) uye kucherechedza nekushaya simba (hyperactivity disorder) (ADHD) inoratidzika sekupesana kwakakwana: Imwe inoreva kuti iwe unofanira kugara usingashandi nguva yakawanda, uye imwe inokuita iwe nguva dzose. Havana kuzova nezvinhu zvakawanda zvakafanana, zvakarurama?
Chaizvoizvo, ivo vanokwanisa.
Vatsvakurudzi vanoongorora zvinogona kuwirirana pakati peMe / CFS nevakuru ADHD vanoti kuneta kunogona kuva chiratidzo chinokosha cheHADH, uye kuti vanachiremba vanofanira kutarisa ADHD, kana kuti nhoroondo yaro, kune vanhu vane ME / CFS kana kuti mamwe marudzi ekuneta kunoramba aripo.
Ongororo yepakutanga kune ADHD / ME / CFS Link
Muna 2007, chidzidzo chakatungamirirwa naJL Young chakatarisa kushandiswa kunogona kuitika pakati pe ADHD (isina kutarisira), ME / CFS, uye fibromyalgia. Maererano nebhuku rakanyorwa:
Muchipatara chepfungwa chepfungwa, vazhinji vakura varwere vanoisa zvikurukuru nezviratidzo zveADHD, kunyanya kusatenda, uyewo kunotaura kusanzwisisika kusina kutsanangurwa, kurwadziwa kwema musculoskeletal kana kusati kwavapo kunozivikanwa kweCFS kana FMS. Sezvakatarisirwa, ADHD pharmacotherapy kazhinji [yakagadziridzwa] zviratidzo zve ADHD zvekusaziva, kukanganisa, kushaya simba, uye kusagadzikana. Zvisingatarisirwi ndezvaionekwa kuti vamwe varwere vakazvitiwo [kubudirira] kwekutambudzika uye zviratidzo zvekuneta.
Izvi zvakakonzera kuwedzera kufarira mukushandiswa kwemishonga yeHDH-yakadai saRitalin-kubvisa zvimwe zvezvinetso zvekufungisisa zvakabatana neM ME / CFS nemamwe marudzi ekuneta kusingaperi.
2013 Chidzidzo Chinosimbisa Kuwana
Kubva kwekudzidza kwevechidiki kwakatarisa pamatatu matatu eE ME / CFS kune vanhu vange vati vapindura zvakanaka kurapwa.
Vatsvakurudzi vakaona kuti zvose zvitatu zvinosangana nekodzero yeAdHD, uye vose vatatu vakapindura zvakanaka kune psychostimulant mishonga, iyo inowanzobatwa nehutano hweHDH. Vanotaura kuti varwere vakaona kuvandudzwa kwekuneta, kurwadziwa, kusanganisa kusagadzikana uye zvimwe zviratidzo. Maererano nebhuku ravo:
... varwere vose vakawanikwa kuti vawane nzira yekucherechedza-kukanganisa / hyperactivity disorder (ADHD) uye vakawana mutemo wakakwana wemishonga ye psychostimulant. Mushure mekurapwa ne psychostimulants, vatatu vatatu vakaudza zviratidzo zvakanatsika zvekuneta uye kurwadziwa, uye kuziva uye hukuru hwezviratidzo zveHADH.
Vatsvakurudzi vakagumisa kuti ADHD neMei / CFS vangave pamwe chete nenzira inowirirana iyo uye kuti nekufamba kwenguva, ADHD inogona kukura kuva chisingagumi kuneta uye chirwere. (Hazvizivikanwe kana izvi zvingave zvakakodzera kuonekwa sechimiro chitsva che ADHD kana subset ye ME / CFS.)
Kubva pakutsvakurudza kwakapfuura, tinoziva kuti ME / CFS uye ADHD zvose zvinosanganisira neurotransmitter dysregulation inogona kusanganisira serotonin , norepinephrine , uye dopamine . Zvisinei, izvo chete hazvina kukwana kusimbisa zvinopfuura hukama hwakasununguka-nhengo dzemahara dzinoita mabasa akasiyana munzvimbo dzakasiyana siyana, uye mabasa akasiyana mukati memunharaunda zvichibva pane zvakagadziriswa, naizvozvo chinhu chakaoma.
Sezvatinodzidza zvakawanda pamusoro pemamiriro aya uye maitiro avo epasi, tinogona kukura kuti tinyatsonzwisisa hukama.
Sei Izvozvo Zvichida Mishonga Inoshanda Pamwe?
Dzokera kumamiriro ezvinhu aya achiita seanopesana zvino. Sei mishonga imwechete ingabatsira mumwe munhu anogara akapera uyewo munhu asingakwanisi kugara?
Cherechedza kuti chirevo chepamusoro chinotaura nezve "psychostimulant mishonga." Chikamu chinokosha chemutsara iwoyo "chinokurudzira." Nokuda kwechimwe chikonzero, vazhinji vanokurudzira vane chinopesana chinopesana nevanhu vane ADHD kupfuura zvavari kune vamwe: Vanovadzikama panzvimbo pokuvamhanyisa.
Zvimwe Tsvakurudzo
Iyi inzvimbo yekutsvakurudza iyo inoita kuti vamwe vafunge. Zvimwe zvidzidzo zvakasimbisa kubatana pakati peM ME / CFS uye munhu mukuru ADHD, kunyanya kune vanhu vakaodzwa mwoyo. (Zvichida hazvirevi kuti kushungurudzika kunosanganisira kukanganiswa kwevana vanoita zvemaurotransmitter.)
Kunyanya kuongororwa kumwe, kwakabudiswa mu Expert Review of Neurotherapeutics , kunobatsira kugadzira uchapupu hwokuti methylphenidate (mishonga muRitalin) inogona kuva nechivimbiso mumatambudziko e ME / CFS.
Unofanira Kufunga Ritalin ye ME / CFS?
Apo kutsvakurudza kunoratidzira kubatana, mishonga yeAdHD haisi inowanzonyorerwa yekusagadzikana kusingaperi kusina kukonzerwa ne ME / CFS.
Vamwe vanachiremba vanoronga mishonga yeAIDS kubva kune-label ye ME / CFS, uye madhiragi aya anoshanda kune vamwe (asi kwete vose) vanhu.
Kana uri kunetseka nekugara wakanyatsoteerera uye wakanyatsoteerera, uye kunyanya kana wakaora mwoyo, izvi zvinogona kuva mishonga yekurera nachiremba wako ..
- Dzidza zvakawanda: ADHD Zvinodhaka zve ME / CFS
> Sources:
> Rogers DC, Dittner AJ, Rimes KA, Chalder T. Kushushikana mumunhu mukuru wekushungurudzika kwehutano hwehutano hwevanhu vakawanda: Kuongorora-kutarisa nzira. Bhuku reBritish remakiriniki epfungwa. 2017 Mar; 56 (1): 33-52.
> Saez-Francas N, Alegre J, Calvo N, et al. Kucherechedza-kusakwana kwehutano hwehutano muhutano husingaperi hwevarwere varwere. Psychiatry research. > 2012 Dec 30; 200 (2-3): 748-53.
> Valdizan Uson JR, Idiazabal Alecha MA. Kuongororwa uye kurapwa zvinetso zvekusingaperi kuneta kwechirwere: basa rekubudiswa kwemashylphenidate nokukurumidza. Ongororo yekuongorora kweyeurotherapeutics. 2008 Jun; 8 (6): 917-27.
Muduku, JL. Dambudziko rekushushikana kwechirwere chirwere: 3 matambudziko uye nhaurirano yenhau yezvisikwa yekucherechedza-kukanganisa / kusagadzikana kwehutano. Postgrad Med. 2013 Jan; 125 (1): 162-8.
> Young, JL, Redmond JC. Fibromylagia, kusagadzikana kusingaperi, uye kukura kwevanhu vakuru kusagadzikana kwehutano mumunhu mukuru: nyaya yekudzidza. Psychopharmacol Bull. 2007; 40 (1): 118-26.