Paunomuka Wakaneta
Chimwe chinhu chinokosha chekusingaperi kuneta kwechirwere ( ME / CFS) chirwere chisina kunaka chaicho chisingaregi kuneta. Zvinonzi kusafema kana kusava nekurara kwekurara. Hazvina mhosva kuti vanhu vane ME / CFS vanorara zvakadini, havazombomuka vachinzwa uye vakagadzirira zuva racho.
Vatsvakurudzi vari kuzarura zvakawanda nezvisina kufara zvehope mu ME / CFS, kusanganisira makiriniki, maitiro ayo, uye kuti ingarapwa sei.
Chii Chisingagadziri Kurara?
Usingaregi kurara hausi chinhu chakafanana nekushaya hope (iyo inogona kunge iripo kune vanhu vane chirwere ichi.) Haisi kuti unotora nguva yakareba sei kana kuti zvakaoma sei kusvika ipapo.
Pane kudaro, shoko risingaregi kurara rinoshandiswa kurondedzera kurara kwemahombeko, kunyange mushure mekuzara kweusiku, hausi kukusiya iwe zororo. Vanhu vane ME / CFS vanowanzoti vanomuka vakaneta uye vachinzwa sekuti havana kurara zvachose-zvisinei kuti vakagara kwenguva yakareba sei vavete. Migumisiro yekusagutsikana kurara kunopfuura kungoita kuneta chete.
Kurara kusinganzwisisiki kunotendwa kunokonzerwa nechinetso chekuti muviri wako unoronga sei kurara, kunonzi sleep homeostasis. Kunyange zvazvo vanhu vane ME / CFS vangave vane zvinetso zvehope pamwe chete, zvidzidzo zvakawanda zvinotsigira dzidziso yokuti nguva dzose, kuneta kwavo kwakanyanya kunobva pakushaya hope homeostasis uye kwete kubva kune dzimwe matambudziko ekurara. Ichokwadi, chidzidzo che2013 chakabudiswa muHarare Medicine kuongororwa hakuna kuwana humwe uchapupu hwokuti kubata zvirwere zvekurara zvakanyanya kunoderedza kuneta kwechiitiko ichi.
Impact
Zviratidzo zvakawanda zve ME / CFS zvinotungamirirwa kuti zvive, zvichida chikamu, kubva pakusarara kusingafadzi. Dzinosanganisira:
- kusaneta kusingaperi
- kurara masikati
- kusagadzikana uye kusavhiringidzika kwepfungwa ( brain brain )
- kuwedzera kunzwisisika kunorwadza ( hyperalgesia )
- kuremara kwakawanda
Sei Kurara Kusinganatsiri muM ME / CFS?
Zvidzidzo zvakawanda zvakarondedzera kusiyana kwekuenzanisa kwokuti vanhu vane ME / CFS vakarara sei, kusanganisira:
- uropi-humbo husina kunaka muzvikamu zvakasiyana zvehope
- zvakapfupisa nguva yekurara
- nguva yakawanda yakavata pamubhedha
- kunyarara kwe REM uye zvimwe zvisingaenderani neR REM
- low night nocturnal heart-rate variability, kuratidza kuvhiringidzika kwezvokudzivirira
Chimwe chikwata chekutsvakurudza chiri kukura chinotsigira pfungwa yehutachiona hwehutachiona huri mukati me ME / CFS, iyo inetso nehurongwa hwehutachiona hwehutongi (ANS). I ANS inoumbwa nehukama hwekunzwira tsitsi uye hutsinye, hunoshanda mukuenzanisa pamwe chete.
Kana hurongwa hwekutambudzika hunovhiringidzwa, hunokuisa mukurwisana-kana-kumhanya kwemamiriro. Kusiyana naizvozvo, parasympathetic activation inonzi inosara-uye-digest mode.
Kana anonzwira tsitsi uye anononoka asingakanganisi pamusana pekusagadzikana kwezvokudzivirira, zvinogona kukuisa mumamiriro ekusimudzirwa nekusimudzirwa iwe uchiedza kurara. Zvakawanda sekuti mubereki mutsva anogara akangwarira sei mwana ari kuchema, asina kumbopinda mune zvakanaka, kurara zvakadzama.
Kurapa
Vatsvakurudzi havana kuisa nzira yakawanda pakuwana nzira dzinobatsira yekuvandudza kurara, uye naizvozvo kuderedza kuneta uye zvimwe zviratidzo, mu ME / CFS. Kusvika iye zvino, hapana chirwere chave chiri FDA-chakabvumirwa nokuda kwechirwere ichi.
A 2010 kudzidza mu Pain Practice yakaratidza migumisiro yakanaka nemudumbu wezvinodhaka Xyrem (sodium oxybate) .
Zvisinei, ichi chinodhaka chakanyatsogadziriswa uye zvinowanzoomera kuwana mishonga.
Zvidzidzo pamusoro pekurara kwekurara kwekubata melatonin zvakasanganiswa, uye kuongororwa kwakaitwa muna 2010 mu Medicine Chemistry kunotsanangura kuti mamwe mabasa anodiwa kuti aone kana ichibudirira.
Vamwe vanhu vane chirwere ichi vanoparidza kubudirira nemishonga kuti vabatsire kurara, kusanganisira vanodzvinyirira uye mishonga yepamutemo kana kupfuura-the-counter-counter. Vamwe vanoti zvinowedzera zvakabatsira kuti varara zviri nani. Zvinosuruvarisa, tine zvishoma-ku-hapana tsvakurudzo yemhando yekuratidzira kana zvirwere izvi chaizvoizvo zvichivandudza hope dzisingabatsiri mu ME / CFS.
ME / CFS inofanirwa kuva yakafanana ne fibromyalgia , iyo inosanganisira kurara kusingafadzi. Zvirwere zvitatu zvakagamuchirwa neCDA zve fibromyalgia zvose zvakave zvichiratidzwa kunatsiridza kurara mumamiriro ezvinhu akadaro. Ndivo Lyrica (pregabalin) , Cymbalta (duloxetine) uye Savella (milnacipran) . Kusvika ikozvino, hapana yemishonga iyi yakadzidziswa neE ME / CFS.
Vanachiremba vanowanzokurudzira nzira dzakadai sedzidzo yekudzikinura nzira, kuvandudza mararamiro ekurara nekuwana rubatsiro kune chero dambudziko rehope iwe unogona kuva naro.
Kana iwe ME / CFS yako inosanganisira kurwadziwa, kurapa kwakakodzera kunogona kubatsirawo kuvandudza kunaka kwako kurara.
Nokushanda pamwe chete nechiremba wako uye kuedza nemishonga yakasiyana-siyana, unogona kuwana mishonga inobatsira kugadzirisa kurara kusingafadzi kuitira kuti ugone kuvandudza hutano hwako, hutano, uye hupenyu hwehupenyu.
Sources:
> Mariman A, et al. Acta > clinica > Belgica. 2012 Jan-Feb; 67 (1): 19-24. Kuenzanisa kwehutano hwehusiku uye kurara kwemasikati mune muenzaniso mukuru wevarwere vane chirwere chisingaperi chinopera simba (CFS).
Mariman AN, et al. Kurapa mishonga yekurara. 2013 Jun; 17 (3): 193-9. Kurara muchirwere chisingaperi chinopera simba.
Mikirova N, Casciari J, Hunninghake R. Zvimwe nzira dzokurapa muhutano nemishonga. 2012 Jan-Feb; 18 (1): 36-40. Kuongororwa kwesimba metabolism kune varwere vane chirwere chisingaperi chine simba kubva kune sirum fluorescence emission.
> Sanchez-Barcelo EJ, et al. Iye zvino mishonga yemishonga. 2010; 17 (19): 2070-95. Kushandiswa kwekliniki ye melatonin: kuongorora kwevanhu miedzo.
Spitzer AR, Broadman M. Pain maitiro: nyanzvi yepamutemo yeWorld Institute of Pain. 2010 Jan-Feb; 10 (1): 54-9. Kurapa kwe narcoleptiform chirwere chokurara muzvisingagumi kuneta uye chirwere che fibromyalgia ne sodium oxybate.