A Yakagadzirisa MS Chirwere Chirwere, Asi Zvimwe Mimwe Mibvunzo
Kunyange zvazvo pasina mushonga we multiple multiple sclerosis (MS) , kune mishonga inogona kubatsira kuderedza chirwere ichi-iyo mishonga inonzi chirwere-chinogadzirisa kurapwa . Uyezve, kune mishonga inogona kuderedza zviratidzo uye inovandudza hupenyu hwomunhu hwehupenyu hwezuva nezuva nekushanda.
Imwe MS zviratidzo-iyo inorodza inorapa yave wakambonzwa nezvayo ndeye cannabis, inonziwo marijuana.
Ngatinyatsoongororai basa rinobudirira remuchu muna MS, uyewo kukakavhiringidza kunowedzera izvi zvinowanzozivikanwa nemishonga.
Basa reMarijuana Mukutsvaga Kupararira muSMS
Marijuana yakave yakashandiswa muSMS kuti isununguke kuderera , izvo zvinoparadza uye zvinowanzorwadza chiratidzo chinokanganisa nechetatu chevanhu vane MS.
Kunyanya kutaura kunoreva kuwedzera kwemaviri emutsetse, zvinoreva kuti mamwe masumbu (kunyanya avo mumakumbo) vane nguva yakaoma yekuzorodza. Kunaka kunogona kuva kwakanyanya, kunokonzera marwadzo anokonzera marwadzo uye kuoma, kuora mwoyo kufamba kana zvimwe zvinetso, uye zvinotungamirira pakuwa.
Zvinosuruvarisa, mishonga yemagariro inoshandiswa kurapa kupisa muSMS (somuenzaniso, kusuruvara kwemasumbu, benzodiazepines, kana anticonvulsants) kazhinji haishandi zvakanaka uye inobata migumisiro yakaita sehope, izvo zvinogona kukuvadza zvakanyanya kufanana ne-MS-iyo kaviri whammy. Uyezve, kufanana nemishonga iyi, isiri mishonga yekurapa kwekurapa kuparadzaniswa muSMS (somuenzaniso, kurapwa kwepanyama uye remagetsi ekugadzirwa kwema-electromagnetic) zvakawanikwa zvakare kuti zvishoma zvinobatsira.
Ichi ndicho chikonzero vanachiremba vakashandura kurapwa semakumbo kuitira kupa varwere vavo ruzivo rwavanofanirwa.
Chimwe Chidzidzo paMarijuana yePasita muSMS
Chimwe chekudzidza mu Journal of Neurology, Neurosurgery, uye Psychiatry yakatsvaga vanenge 300 vatori veSMS. Vadzidzi vacho vaiva nechirwere chakachengetedza kwemwedzi mitanhatu yakatarwa uye vakarondedzera kushungurudzika uye kusingagumi kwemutsipa musimba kwemwedzi mitatu vasati vanyoresa muchidzidzo.
Hafu yevatori vechikamu yakagamuchira mutsara weannabis mumuromo (mbanje) uye imwe hafu yakagamuchira placebo. Vakatora pamwe nevashambadzi vose vakanga vasingaoni kuti ndiani akagamuchira mbanje kune avo vakagamuchira placebo, sezvo zvinhu zvose zviri kutungamirirwa kuburikidza ne soft gelatine capsule.
Vadzidzi vacho vanotaura zviratidzo zvakasiyana-siyana, semafuta emasisita, pamwe nehuwandu hwavo hwekuvandudza vasati vapora uye pashure pevhiki gumi nembiri pashure pokurapa (kana kuti placebo) yakatanga.
Ruregerero kubva musimba mushure mushure memavhiki gumi nemaviri akavandudzwa kaviri kaviri muboka remuchonja richienzaniswa neboka re placebo. Paivawo nekuvandudza kwakakura mumasaisai emasumbu uye kuvhiringidzika kwevete kune avo vakagamuchira mbanje kune avo vakagamuchira placebo.
Migumisiro yakaipa
Mukutaura kwekuchengeteka, zvinokanganisa zvakashata zvakanyanya muboka rinokonzerwa ne cannabis kupfuura boka re placebo, rine hukuru hwehuwandu hwehutano hwakashata huri kuitika pamagumo e cannabis chirwere chekuwedzera kwechikwata (icho chakanga chiri chiduku zvishoma). Izvi zvakaita kuti pave nehuwandu hwakareba hwekudzoka kubva pakudzidza.
Mimwe yemigumisiro yakaipa yakaonekwa pamwero wakakwirira mune marijuana neuswebo boka rinosanganisira:
- Chizutu
- Kuneta
- Dry mouth
- Kushaya simba
Izvozvo zvakati, huwandu hwemigumisiro yakaipa hwaive hunyoro kana huwandu uye hwakanyanya kuderedzwa nekuguma kwekudzidza.
Chidzidzo cheChipiri paMarijuana Kushandisa Spasticity mu MS
Mune imwe dzidzo, vanhu vane MS yakanyanyosimbiswa nehutachiona husina kubudirira nemishonga yemagariro yakabatwa neSativex (nabiximol), chirwere chemuromo chinosanganisira tetrahydrocannabinol (THC) uye cannabidiol (CBD), uye imwe nhengo ye Sativex inotakura THC uye CBD mune imwe nharaunda inosvika 1: 1.
Senguva iyo, mbanje inobva mumuchero weHeman sativa, unosvika makumi matanhatu kana kupfuura. Pamusoro pezvinhu izvi zvinogona kushandiswa, zvinyorwa zvakawanda ndeyeTC uye CBD, zvose zviri zviviri zvinogona kubatsira kubvisa kusarura kuburikidza nekurerutsa marwadzo uye kuve nekudzikama kwemisungo.
Vakatora chikamu vakatanga kutongerwa kwemavhiki masere etafura, uye kana vakawana 20 kubva muzana kana kukurudzirwa kukuru mukushamisika kwavo, vakaenderera mberi kumutambo wevhiki 12. Pamuedzo uyu wechipiri, vatori vechikamu vakashandurwa kuti vawane kana nabiximol kana placebo.
Migumisiro yechirongwa ichi yakaratidza kuti avo vakagamuchira nabiximol vaiva nekuvandudzika kwepamusoro pakuperesa (kunotsanangurwa sevanenge makumi matatu kubva muzana kubva pakusiya kwavo) kupfuura boka re placebo. Paivawo nekuvandudzika kwepasm frequency uye nekuvhiringidzika kwekurara mukurapa kusvika kunzvimbo ye placebo.
Migumisiro yakaipa
Zvakakosha kuziva kuti kune avo vatori vechikamu 124 vakaenderera mberi kuchitongwa chemavhiki gumi nemaviri uye vakagoverwa nabiximol, paingova nevane gumi chete avo vakabva padzidzo (chikamu chepasi chakanyanya kupfuura chidzidzo chepamusoro). Izvi zvingave nokuti chiitiko chekutora regimen (zvinoreva kuti nokukurumidza chiitiko chebambani chawedzerwa) chakanga chichinonoka uye chakangwarira.
Saizvozvowo, kwaivawo nehuwandu hwehutano hwemigumisiro yakaipa yakataurwa munyaya ino-imwe bhonasi. Paya avo vanotora nabiximol, zvinowanzovhiringidza zvakanyanya:
- Vertigo
- Kuneta
- Tsvina dzemuviri
- Urinary tract infection
Mharidzo yekutora pamba ichi kubva kune iyi ndechokuti marijuana (nokuda kwevanhu vakarurama, saka "nguva yevhiki yekuedzwa") inoita seinobatsira, yakachengeteka, uye inobvumirwa zvakanaka munguva shomanana yekurapa spasticity mu multiple sclerosis.
Zvinonzi Professional Societies Say
I National MS Society inotsigira kodzero dzevanhu kuti vashande pamwe nechiremba wavo veMM kuti vawane marijuana nekuda kwekurapa, "maererano nemitemo yepamutemo mune iyo nyika apo kushandiswa kwakadaro kwakagamuchirwa." Uyezve, National MS Society inotsigira tsvakurudzo inotsvaga zvingave zvingobatsira uye njodzi dzekushandisa mbanje senzira yekurapa kwaMS.
Izvo zvakati, zvinosuruvarisa, kutsvakurudza nezvebambani kushandiswa muSMS kunowanzomiswa nekuda kwemitemo yehurumende, sezvo marijuana ichiri pamutemo pamutemo we federal.
Maererano neNational MS Society, chikonzero chemaitiro avo pamuchombisi chinobva mushoko ra2014 rakabudiswa neAmerican Academy of Neurology (AAN). Mutsara weAAN unopa mazano ekushandisa shanduko dzakasiyana-siyana uye dzimwe nzira dzokurapa muSMS zvichienderana nekuongororwa kweongororo dzekutsvakurudza.
Nezvemapupuri, AAN inoratidza kuti mutsara unobva mumuromo unogadzirwa uye unogadzira tetrahydrocannabinol (THC) zvichida inobatsira kuderedza kusagadzikana uye kurwadziwa.
Mutsara uyu unotaurawo kuti muromo weSativex (naxibimol) wemuromo unobatsira pakuvandudza kupararira, kurwadziwa, uye kuwedzerwa kwekuvhenekera; kunyange zvazvo Sativex asiri kuwanika iye zvino muUnited States.
Kune rumwe rutivi, maererano neAAN, hakuna humwe huchapupu hwesainzi hunokwana hunosimbisa kubatsirwa kana kuchengetedzwa kwekusvuta kannabis nekurapa zviratidzo zve MS.
Pakupedzisira, njodzi dzenguva refu yekushandisa mbanje mukurapa zviratidzo zvakasiyana-siyana muSMS hazvizivikanwi panguva ino nekuda kwechiwandu chezvidzidzo. Kutaura zvazviri, chimwe chekunyanya kunetseka pamusoro pekushandiswa kwenguva refu kwemuchu hakugoni kuve nekugunun'una mabasa, sekuyeuka nekushanda kwekushanda.
Shoko Rinobva
Nekusimudzira mariko kushandiswa kwemhando dzakasiyana-siyana dzehutano mune makumi maviri nemapfumbamwe dzinotaura uye District of Columbia (uye zvichida zviri munzira dzavo), nhamba yevanhu vane MS vanoshandisa mbanje kuderedza zviratidzo zvavo zve MS zvinogona kuwedzera.
Zvisinei, kunyatsotsanangura kuchengetedza kwenguva pfupi uye kwenguva yakareba kuchengeteka uye kubatsirwa, nekunyengedza nyaya, sezvipi zviratidzo zvinorapwa zvakanakisisa neinnabis kana kuti chiyero kana nzira yekufambisa yakanaka, tinoda humwe uchapupu hwezvesayenzi.
Kusvikira ipapo, kana uri kutarisa mbanje nekuda kwekusarura kwako, tapota ona kuti uri kushandisa iri pasi pekutungamirirwa kwechiremba wako MS . Nenzira iyi, unogona kuwedzera kubatsira kwayo uye kuderedza mamiriro ayo akaipa. Kazhinji, izvi zvinosanganisira kurongedza uye kunyatsofungisisa marijuana kudhesa uye chirongwa chekutumira.
> Sources:
> Amatya B, Khan F, La Mantia L, Demetrios M, Wade DT. Zvisiri-zvepamusoro pemaprogiramu zvepasticity mu multiple sclerosis. Cochrane Database Syst Rev. 2013 Feb 28; (2): CD009974. doi: 10.1002 / 14651858.CD009974.pub2.
> National MS Society. Marijuana yeArape (Cannabis) FAQs.
> Novotna A et al. Nhamba isina kukwana, inokwana mapofu, iyo-placebo-yakarongedzwa, yakafanana-boka, yakagadziriswa-kugadzira kudzidza kweabiximols (Sativex (®)), sekuwedzera kurapwa, mune zvidzidzo zvinokanganisa kusagadzikana kunokonzerwa ne multiple sclerosis. Eur J Neurol . 2011 Sep; 18 (9): 1122-31. doi: 10.1111 / j.1468-1331.2010.03328.x.
> Rudroff T, Honce JM. Cannabis uye multiple sclerosis-Inzira mberi. Front Neurol. 2017; 8: 299.
> Zajicek JP, Hobart JC, Slade A, Barnes D, Mattison PG, MUSEC Research Group. Multiple sclerosis uye kubviswa kwe cannabis: migumisiro yeMUTEC muedzo. J Neurol Neurosurg Psychiatry. 2012 Nov; 83 (11): 1125-32. doi: 10.1136 / jnnp-2012-302468.