Chii Chinowanikwa & Kuti Inoshanda Sei
Kunyange zvazvo vanachiremba vachipa mishonga yakawanda yakasiyana yekusingaperi kuneta kwechirwere (CFS kana ME / CFS ), hapana chimwe chazvo chiri FDA-chakabvumirwa kuti chiitiko chacho.
Kungofanana nemamiriro ezvinhu aya anobata munhu wese zvakasiyana, ndizvo zvinoshandiswa nemishonga yekurapa. Zvakakosha kuti ushande pamwe chete nechiremba wako kuti uwane zvakakunakira iwe. Iwe unofanirwa kunge uchiziva zviitiko zvinogona kuitika uye rega chiremba wako azive nezvese zvaunogona kukura.
Kana iwe uri pane zvinodarika mimwe mishonga (chiremba kana kupfuura-the-counter), rega chiremba wako uye chiremba wemasikirwo azive kuti iwe unogona kudzivisa kusawirirana kusina kunaka.
Makirasi Emishonga
Makakatani akawanda emishonga anoshandiswa kurapa ME / CFS. Dzinosanganisira:
- Antimicrobial drugs (inosanganisira antiviral, antibiotic)
- Antidipressants (SSRIs / SNRIs uye tricyclic)
- Kunetseka kana kuzvidya mwoyo
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Ropa-kushandiswa kwemishonga
- Ongororo dzekuongorora
Nemhaka yokuti yese iyi mishonga inoshandiswa nokuda kwe-label-purpose (kureva kuti haisi FDA inogamuchirwa zvakananga nokuda kwe ME / CFS), kambani yako yveshuwarenzi ingasavafukidza.
Antimicrobial
"Antimicrobial" inoreva marudzi akasiyana-siyana emishonga, kusanganisira mishonga yemishonga, antibiotics, antifungals, uye antiprotozoals. Vanotsvakurudza vanoti chiitiko ichi chinoita kuti muviri wako urambe uchiita sekuti uri kurwa nehutachiona. Kunyange zvazvo pasina hutachiona chaihwo kana mabhakitiriya ave akabatanidzwa zvakananga kuMe / CFS, mamwe tsvakurudzo anotsigira kukwanisa kwehutachiona hweEpstein-Barr (inokonzera mononucleosis), vanhu vemavirus virus (HHV-6, inokonzera roseola) uye enteroviruses .
- Ampligen (rintatolimod)
Iyi mishonga yekuedza yakarambwa neDFA uye haisati iri pamusika kune chero kushandiswa. Ampligen inoshanda nekusvetuka-kutanga mararamiro emuviri wako wepachirwere chetachiona uye kuronga mazinga eRNase L (chinhu chiri mumasero ako anorwisa zvirwere), iyo inogona kuva yakakwirira kuvanhu vane ME / CFS.Zvidzidzo zvinoratidza Ampligen inonyanya kubudirira uye ine zvishoma zvisingabatsiri pane zvimwe zvinodhaka mukirasi yayo. Mutungamiri Hemispherx Biopharma iri kupfuurira miedzo yemamwe mamiriro ezvinhu, achitarisira rimwe zuva kugamuchira mvumo.
- Valcyte (valganciclovir)
Ivhaviral valganciclovir inobata HHV-6, iyo yakawanda yakaongororwa yakawanikwa muhuwandu hwevanhu vane ME / CFS. Zvidzidzo zviduku zvakave nezvibereko zvinokurudzira, asi nyanzvi dzinobvumirana kuti zvidzidzo zvakakura uye zviri nani zvakagadziriswa zvinofanira kuitika vasati vawana zvinogamuchirwa.
Nokuti vanotsvakurudza havana kuziva chirwere chimwe chinotungamirira kumamiriro ezvinhu aya, vanachiremba havawanzopa mamwe maantimicrobial nokuda kwaro, kunze kwekuti iwe une chirwere chinoshanda.
Antidepressants
Chero bedzi nokuti zvinodhaka zvinoratidzira, hazvirevi kuti vanhu vose vanovatora vakaora mwoyo kana vane chero mhando yepfungwa. (Kunyange zvazvo vanhu vakawanda vane chirwere ichi chiri kuora mwoyo, zvinowanzoonekwa sechikonzero chezviratidzo uye kuchinja mararamiro ehupenyu uye kwete chikonzero chechirwere pachako.) Zvizhinji zvinowanzoita zvekudzivirira mwoyo zvinorondedzerwa ndeye SSRI / SNRIs uye tricyclic agents.
SSRI / SNRI-Type Antidepressants
Chikonzero chikonzero chekuita zvinodhaka zvinoshandiswa ndezvekuti vanosimudzira maitiro evanhu vane hutano hunokosha huri pasi kune vamwe vanhu vane ME / CFS. Iyi mishonga inonzi yakasarudza serotonin reuptake inhibitors (SSRIs) kana serotonin-norepinephrine reuptake inhibitors (SNRIs kana NSRIs).
Serotonin inobatsira kugadzirisa zviratidzo zvinorwadza uye inokoshawo pakurara kwako, asi norepinephrine (rudzi rweadrenaline) inobatanidzwa mukudzvinyirira kwepfungwa uye kuputika kwesimba.
Mienzaniso yeSSRIs uye SNRIs ndeiyo:
- Cymbalta (duloxetine)
- Prozac (fluoxetine)
- Zoloft (sertraline)
- Paxil (paroxetine)
- Effexor (venlafaxine)
- Desyrel (trazodone)
- Wellbutrin (bupropion)
Tricyclic Anodzvinyirira
Kuderera kwema tricyclic dzimwe nguva dzimwe nguva kunovandudza kurara uye kunoderedza urombo, kupararira kwose kune vanhu vane ME / CFS. Mimwe mienzaniso ndeyi:
- Adapin, Sinequan (doxepin)
- Elavil, Etrafon, Libitrol, Triavil (amitriptyline)
- Norpramin (deipramine)
- Pamelor (nortriptyline)
Iva nechokwadi kuti unoziva nemigumisiro yechirwere chero ipi zvayo inodzvinyirira iwe uri kutora, kunyanya sezvo vazhinji vanodzvinyirira vanouya nekunyevera kwehuwandu hwekuzviuraya nemafungiro. Kana ukasarudza kurega kutora chero ipi zvayo yemishonga iyi, taura nachiremba wako pamusoro pekunyatsokwanisa kurega. Kuchengeta kutonhora kunotungamirira kune mamwe matambudziko angakonzera.
Kufunganya
Vanachiremba dzimwe nguva vanorambidza kuzvidya mwoyo nemishonga kune avo vane ME / CFS vane chirwere chinotyisa. Dzinosanganisira:
- Xanax (alprazolam)
- Klonopin (clonazepam)
- Ativan (lorazepam)
Zvinowanzovhiringidza zvinokonzera kushungurudzwa zvinodhaka zvinosanganisira sedation, amnesia, kusuruvara , misumbu, uye kunetseka. Kuzvidzivirirawo kunogona kutungamirira pakusiya zviratidzo.
NSAIDS
Iyi mishonga dzimwe nguva inoshandiswa kugadzirisa kurwadziwa uye fevri inobatanidza ME / CFS. Zviverengeka zvinowanikwa pane-the-counter, kusanganisira:
- Advil, Bayer Select, Motrin Nuprin (ibuprofen)
- Aleve, Anaprox, Naprosyn (naproxen)
- Feldene (piroxicam)
Chiremba wako anogonawo kupa mamwe mhando dzeNSAID, uye zvakakosha kuti isanganisa mishonga yakasiyana-siyana mukirasi ino. Izvozvo zvinogona kukuisa pangozi yakakura yokuva nemigumisiro yakaipa, inosanganisira kuora kwetsvo uye kubuda kwepuropa.
Ropa Ropa
Chimiro chekuderedzwa kweropa kunonzi ne-medially mediated hypotension (NMH) inowanikwa kune vanhu vane ME / CFS. Inokonzerwa nekubatana kusina kukanganisa pakati pemwoyo uye uropi, kunyange zvazvo nhengo mbiri dziri dzakanaka uye dzine utano. Izvo zvinonziwo kukanganiswa kwemafuro, NMH inogona kukonzera chirwere uye kupera simba uye dzimwe nguva inowanikwa neanonzi inonzi tilt table test.
Vamwe vanhu vane chirwere cheNMH vanotora mishonga yakaderera-ropa inonzi Florinef (fludrocortisone), nepo vamwe vanotora mishonga yakakosha yeropa Tenormin (atenolol). Kana uri pane Tenormin, iwe uchada kutaridzirwa nekuda kwekuderedzwa kweropa uye ungakurudzirwa kuwedzera munyu wako nemvura.
Kunobva:
2013 Sarudza ME / CFS Initiative. Kodzero dzose dzakachengetedzwa. Mishonga FYI