Nzira dzeChechi uye Inowedzera yekurapa
Nemhaka yokuti hapana maviri maviri e fibromyalgia akafanana, hapana kana kurapa kumwe kunogona kukonzera zviratidzo zvechirwere. Pane kudaro, kurapwa kuchave kwakasiyana-siyana uye kwakagadzirirwa kumhando uye kusimba kwezviratidzo zvauri kuona. Izvi zvinogona kusanganisira kupfuura-the-counter (OTC) nemirairo yemishonga, miviri yepanyama uye inotsigira, kuderedza kudzvinyirira, kuchinja mararamiro, uye kugoverana kwakagadzirirwa kutapudza marwadzo ako uye kudzorera mararamiro ako ehupenyu.
Mishonga
Sezvinorondedzera zvinoreva fibromyalgia , marwadzo ndiyo inonyanya kukoshesa kurapwa. Nokuda kweizvi, vanachiremba vacharamba vachienda kumarudzi akasiyana-siyana eOTC uye mishonga yemishonga, zvimwe zvacho zvinotenderwa kurapwa kwe fibromyalgia nezvimwe zvinoshandiswa kure-teti.
Chinangwa cherapi ndechekubata zviratidzo zvakasiyana-siyana zvakasiyana-siyana uye sezvidimbu zvinodhaka sezvinogona kuti zvibudirire kliniki yakakura. Izvi zvinogona kusanganisira zvipembenene, antidipressants, anticonvulsants, tsvina yekudzivirira, uye mamwe marudzi emishonga yemuromo.
Analgesics
Nekurapa kwehupenzi hwemagetsi e-fibromyalgia, Tylenol (acetaminophen) inogona kupa ruremekedzo rwakakwana rwezviratidzo zvakakomberedzwa nevashoma, kana zvipi zvayo, nemigumisiro (kunyanya kushungurudza uye kupera kwemimba). Kunyange zvazvo sarideroidal anti-inflammatory drugs (NSAIDs) saArail (ibuprofen) neAleve (naproxen) inopawo analgesic (pain-relieving) migumisiro, zvinokosha kuyeuka kuti fibromyalgia haisi chirwere chekuvhiringidza uye kuti kushandiswa kwenguva refu kweNSAID kunogona kuwedzera mungozi yako yekubuda ropa, chironda chemimba, uye kushaya simba kweropa.
Zvinyorwa NSAIDs zvakadai seCelebrex (celecoxib) kana Voltaren (diclofenac) dzinotakurawo njodzi dzakadai sevamwe vavo veOTC asi inogona kunge yakakodzera kusunungurwa kwenguva pfupi kana ikachengetwa kusvika pamvura yakaderera yakakwana.
Antidepressants
Zvinodzvinyirira zvinowanzoshandiswa mukurapa sezvo zvichikwanisa kubata zviratidzo zvakawanda, kuderedza kurwadziwa, kuneta, uye kuora mwoyo kune rumwe rutivi apo zvichibatsira mukurara nekusimudzira mafungiro pane imwe.
Kune zvirwere zviviri zvinodhaka zvinotenderwa neU.S. Food and Drug Administration (FDA), ayo ose ari serotonin uye norepinephrine reuptake inhibitors (SNRIs) . Dzinoshanda nekudzivirira serotonin uye norepinephrine kubva pakugadziriswa nemasero uye, nokuita izvozvo, kuvimbisa hukuru hwema "hormones" anonzwa-akanaka mumuviri.
Iyo mishonga miviri inorayirwa sezvinotevera:
- Cymbalta (duloxetine) inorayirwa neyokutanga inotakura chirwere chema 30 milligrams pazuva risati rawedzera kusvika kune chinangwa chairo chemamiriyoni 60 pazuva.
- Savella (milnacipran) inorayirwa neyokutanga kukosha chirwere che 12.5 milligrams chinotorwa kamwe chete zuva rimwe nerimwe risati rawedzera kusvika mamamirigiramu 50 akatorwa kaviri zuva rega rega. Nhamba yakakwana yezuva nezuva yemamiriyoni 200 inogona kushandiswa mumatambudziko akaoma.
Migumisiro inogona kusanganisira kunyorera, kuoma muromo, kuvhiringidzika, kuderedza chido, kurara, kuwedzera kutuka, uye kushungurudzika.
Zvimwe zvinodzvinyirira zvinowanzonyorerwa kure-label kuti iite fibromyalgia, kusanganisira SNRIs seCelexa (citalopram), Lexapro (escitalopram), Paxil (paroxetine), uye Zoloft (sertraline).
Kunyange zvazvo chizvarwa chekare-tricyclic zvinodzvinyirira zvisingawanzoshandiswi, doro rezasi Elavil (amitriptyline) rakaratidza kubudirira sehope yekubata panguva yekubatsira nyore kusuruvara kusingaperi uye kuora mwoyo.
(Kurara mapiritsi kunowanzodziviswa chero chinhu kunze kwekusunungurwa kwenguva pfupi sokushandiswa kwenguva refu kunogona kutungamirira pakuvimba.)
Anticonvulsants
Kunyange zvazvo masayendisiti asina kunyatsoziva kuti anoshanda sei, anticonvulsant zvinodhaka , zvinowanzoshandiswa pakurapa uye kuora mwoyo, zvakaratidza kubudirira mukurapa fibromyalgia. Zvinotendwa kuti dzinobatsira kuderedza nhamba yezviratidzo zvehutano uye, nokuita kudaro, gadzikana zvakanyanyisa masero emasero.
Lyrica (pregabalin) ndiyo yekutanga anticonvulsant inogamuchirwa neRDA yekurapa fibromyalgia. Kana zvakatemwa, iwe unotanga kurapwa nemaitiro maduku asati usvika pamvura yakawanda yemamirigiramu mazana matatu emakumbo mana (katatu katatu zuva rimwe nerimwe mu 100-milligram doses) kana makirogiramu 330 echidimbu chekununurwa-yakatorwa kamwe kamwe zuva nezuva).
Migumisiro yakajairika inosanganisira uhuzha, kugona, uye kuwedzera kuwedzera.
Mamwe anticonvulsants akadai seNeurontin (gabapentin) anopa nzira imwechete yekuita uye inogona kushanda zvakanaka. Vimpat (lacosamide) uye Keppra (levetiracetam) zvakare yakashandiswa.
Muscle Relaxants
Tsvina yekuzorodza inoita seinobatsira mune dzimwe mamiriro ezvinhu, uye masayendisiti haasi kunyatsoziva kuti nei. Nemhaka yokuti mishonga inogona kukonzera kugona, inowanzoendeswa usiku usiku husati hwavata.
Sezvo kurara kusingabatsiri chiratidzo chakakurumbira che fibromyalgia, zvakarongedzwa kuti kudzorerwa kwemaitiro akarenda okurara kunogona kuderedza kushushikana kwemunhu kunorwadza. (Kusiyana, kubatwa kwekurara kunonyatsozivikanwa kunokonzera zviratidzo zvinorwadza zvakanyanya.)
Iyo miviri miviri yakasununguka inowanzoshandiswa kurapa fibromyalgia iFlexeril (cyclobenzaprine) uye Zanaflex (tizanidine). Migumisiro inogona kunosanganisira muromo wakaoma, chizivo, kushungurudza, nekuona zvisizvo.
Mimwe Mishonga
Opioid mishonga yakadai seVicodin (hydrocodone) uye OxyContin (oxycodone) yakagara ishandiswa kubata fibromyalgia, kunyange zvazvo tsika nhasi inonyangadza pamusoro pengozi yakanyanya yekudhakwa uye kuwanikwa kwezvizvarwa zvitsva zvemishonga ye fibromyalgia. Izvo chete zvinogona kuva kushandiswa kwepasi-dose Ultram (tramadol) yekushandiswa kwenguva pfupi kwemagetsi anonzi fibromyalgia flares . Kunyange zvakadaro, mishonga inochengeterwa zviitiko zvakanyanya apo apo vamwe vane chirwere chepamusoro vanokundikana kupa rubatsiro.
Irritable bowel syndrome (IBS) inowanzoonekwa nevanhu vane fibromyalgia uye inofanirwa kugovana zvirwere zvakafanana nenzira. Zvichienderana nemararamiro ako unogona kunyoreswa kunyara, maitiro anorwadza akadai seImodium (loperamide) kana Lomotil (diphenoxylate), kana antispasmodics seNorpramin (desipramine).
Kurapa Kwepanyama nekupa mazano
Mukuwedzera kumishonga, chiremba wako angakuendesa kune vanyori kuti vakurire kukunda chero kupi zvako kana kwepfungwa iwe ungatarisana nazvo. Kunyange zvazvo tine mafungiro ekufunga nezve fibromyalgia sechirwere chemitsipa, inenge iri mhirizhonga yakawanda-siyana umo kushungurudzika, kuzvidya mwoyo, uye hutano hwose zvinotora chikamu.
Kusvika kune izvi, unogona kubatsirwa nekuona nyanzvi dzinotevera:
- Masayendisiti anogona kubatsira kana iwe uri kutambura nekuora mwoyo, kutya kunetseka, uye kushungurudzika kwepfungwa sezvinoitika mushure mekutambudzika kwepfungwa (PSTD) inowanzoonekwa kuvanhu vane fibromyalgia. Kushamwaridzana pamwe chete nechiremba wako kurapa kunofanirwa kuve nechokwadi kuti hakuna kuwirirana kana kupesana kwemishonga yemishonga.
- Nyanzvi dzezvepfungwa dzinogona kupa kupa mazano uye kushandisa maitiro ekugadzirisa hutano hwemaitiro (CBT) kuwedzera mufaro nekugadzirisa mafungiro asina kunaka, maitiro, kana pfungwa.
- Masayendisiti ezvepanyama anogona kuvandudza simba rako uye hutano hwakanaka kuburikidza nekukudzidzisa nzira dzekutambanudza nekuita zvinhu nenzira isina kuwedzera zviratidzo zvako. Vanogona kupawo kurapa kurapa kunonatsa marwadzo uye kunatsiridza mamiriro ekugadzirisa mishonga inoshanda.
- Occupational therapists inogona kukupa matanho uye mazano ekugadzirisa zvinetso zvekurarama ne fibromyalgia. Zvinogona kusanganisira kuchengetedza simba, kugadzirisa kurwadziwa, maitiro ekuzorodza, kugadzirisa matambudziko, kurara kwehutano , uye kugadzirisa chinangwa.
Lifestyle Adjustments
Kunyanya sezvatinovimba nemishonga yekurapa fibromyalgia, haigoni kuve iyo yega yega yekurapa. Mukuwedzera kune zvinodhaka, unofanirwa kuita sarudzo dzehupenyu hwehupenyu hunoita kuti hurumende igare yakasimba.
Kurovedza muviri kunokosha pakati peizvi. Kunyange zvazvo mafungiro ako angakuudza kuti urege kutama nokuda kwekutya kunokonzera marwadzo, zvichaita kuti zvinhu zviwedzere kuipa kana iwe uchifanira kufamba. (Uye, ngatitarisei, isu tose tinoita.) Nokushanda mukati memiganhu yako uye zvishoma nezvishoma kusimbisa simba rako nekugadzirisa, iwe uchaderera zvishoma nezvishoma kunzwisisika kwako kunorwadza. Kushanda pane chirongwa chekubatsira muviri wako chiremba wepanyama inzira yakanaka yekutanga.
Sekuwedzera bhonasi, kurovedza muviri kunokurudzira kugadzirwa kwe endorphins , mahomoni asina kungova nemafungiro asi anokwanisa kusimudzira mafungiro ako.
Kudya uye kuora kurasika zvakakosha zvakaenzana. Kutakura uremu hunorema hausi kungowedzera kune zvakakosha mutoro pamisungo nemapfundo ako, zvinoderedza kushanda kwehutano hwepfungwa dzako uye kunokusiya iwe wose wakaneta uye wakaneta.
Kunyange zvazvo pasina humwe fibromyalgia chaiyo "kudya," vanachiremba vazhinji vanozobvumirana chirongwa chakanaka chekudya chinowanikwa ne:
- Zvitatu zvezvitatu michero, miriwo, uye mbeu yose
- Chetatu chema-fat-fat and milk protein
- Zvokudya zvemazuva maviri kusvika kune makumi matatu zvemafuta ekuchengetedza kudya kwemafuta kuitira kuchengeta utano hwakanaka
- Mafuta anopa utano akadai samaorivhi
- Kudzivisa caffeine iyo inonyanya kushungurudza manzwiro emagetsi
- Kudzivisa zvokudya zvakagadzirwa, zvokudya zvakabikwa, uye shuga yakanatswa
Sezvinodzvinyirira, doro rinofanirawo kubviswa zvakare uye inogona kudiwa kudzivirirwa paunotora Cymbalta, Savella, uye Tylenol nekuda kwehuwandu hwehutachiona hunokanganisa.
Iwe unofanirwawo kufunga kuregera fodya sezvo zvidzidzo zvakawanda zvakabatanidza kusvuta kuwedzera kurwadziwa uye kushaya hurombo kwevanhu vane fibromyalgia.
Mishonga Inobatsira Inobatsira (CAM)
Vanhu vanotarisana nezvirwere zvisingaperi zvinowanzoenda kune mishonga inobatsira uye inoshandiswa (CAM) senzira yekutora hutano hwavo hwepanyama, hwepfungwa, uye hwemweya. Izvi zvinonyanya kuitika kumamiriro akaita se fibromyalgia umo chikonzero chacho chisingazwisisi zvakakwana .
Kana uchitevera imwe nzira yekurapa, iva nechokwadi chekutaurira chiremba wako pamusoro payo kuti ave nechokwadi chokuti hazvipindirani nemishonga yako (semishonga yemishonga yakadai saSt. John's Wort dzimwe nguva inogona kuita) kana kukukuvadza. Ichokwadi chokuti chimwe chinhu "chimiro" hazvirevi kuti iyo yakachengeteka yakachengeteka.
Mind-Body Therapies
Pfungwa-muviri kurapwa iboka rezviito zvinowanzoshandiswa nevanhu vane chirwere chisingaperi kuti vaderedze hutano hwekugadzikana kwekushungurudzi pavanowedzera hukama hwepanyama uye hwepfungwa. Nechirwere chakafanana ne fibromyalgia, chero chiito chinogona kuparadza simba remuviri wekuita kudzvinyirira kunze kwezvinodhaka kunofanira kuonekwa sekubatsira.
Pakati peimwe pfungwa dzinobatsira-miviri:
- Kunyatsofungisisa kufungisisa inzira yekufungisisa umo kudzidza kusaita zvisina kunaka nemafungiro angave akakonzera kushungurudzika.
- Mufananidzo unotungamirirwa inzira iyo iwe unogadzira mifananidzo yepfungwa kuti unyengetedze kugadzikana.
- Kufuridzira kufema kwemaitiro (pranayama) kushandisa nzira yekufema mafungiro ekukurudzira mamiriro ekufungisisa
- Yoga naTa chi vanofungisisa nekufambisa kuti vawane hukuru hwakakura pamusoro pekutonga muviri wenyu.
- Kurapa kurapwa , zvakadai se myofascial release , chinangwa chekudzikinura kushungurudzika kwemasisita uye kushungurudzika pasina kurwadziwa.
- Kufambira mberi kwemuviri mushure (PMR) inzira iyo iwe unogadzirisa nguva uye unozorodza misumbu mumuviri wako kuti unyengetedze kugadzikana.
- Biofeedback inoshandisa magetsi ekubatsira kuti uchengetedze uye uchengetedze kudzvinyirira.
Mishonga Inobatsira
Mishonga yemasikirwo, kusanganisira mishonga, zvinyorwa, mavhithamini, nemasikirwo emutauro weChina (TCM), anogamuchirwa nevamwe semhando inobatsira yekurapa. Pakati peiyo inogona kubatsira vanhu vane fibromyalgia:
- 5-HTP (5-hydroxytryptophan), yakanatswa amino acid yakabva muAfrican Griffonia simplicifolia michero asi inogona kubatsira kusimudzira serotonin mazinga. Kunyange zvazvo kuwedzerwa kunonzi kwakachengeteka, pane zvishoma zvinyorwa zvinowanikwa maererano nekubudirira kwayo pakurapa fibromyalgia.
- Capcaisin ndiyo inoshandiswa muzvikamu pepper pepper iyo inowanika muzvisikwa, mapiritsi, uye mavara. Inoshandiswa kubata marudzi akasiyana-siyana eveuralgia (kurwadziwa kwemasuru), inofungidzirwawo yakachengeteka asi inogona kukonzera kubwinya, kunhuwa, kana kupisa. Chidzidzo che2013 kubva kuItaly chakashuma kuti kushandiswa kwe 0.075% yepamusoro-soro capsaicin cream, yakashandiswa katatu zuva rimwe nerimwe kwemavhiki masere, kupera kunorwa nemakore makumi manomwe nemakumi mapfumbamwe mumasangano makumi matatu ekudzidza.
- Marijuji yekurapa inonyatsozivikanwa nekukwanisa kwayo kugadzirisa marwadzo, kusimudzira mafungiro, nekukubatsira kurara zviri nani. Chidzidzo chiduku kubva kuIsrael chakaitwa muna 2018 chakashuma kuti kushandiswa kwechirwere chechirwere muvanhu vakuru 60 vane fibromyalgia yakakomba kwakaguma nekuvandudzirwa kwekunzwa marwadzo kune vose vanotora. Mushure memakore rimwe chete, 13 vakakwanisa kumira maitiro avo emishonga ye fibromyalgia, asi hupfumi ichitaura chete nemigumisiro yenyoro.
> Sources:
> Casanueva, B .; Rodero, B ;; uye Quintial, C. "Kwenguva pfupi kushandiswa kwemashoko echechi capsaicin therapy mune zvakaoma varwere ve fibromyalgia." Rheumatol Int . 2013; 33 (10): 2665-70. DOI: 10.1007 / s00296-012-2490-5.
> Habib, G. naArtul, S. "Chirwere cheArannis for the Treatment of Fibromyalgia." J Clin Rheumatol. 2018. [Epublished mberi kwekudhinda.] DOI: 10.1097 / RHU.0000000000000702.
> Sanam, K. uye Choy, E. "Kuvandudzwa kweUrapa Mutungamiri muFibromyalgia Syndrome neKutarisa paParammacology." Biomedicines. 2017; 5 (2): 20. DOI: 10.3390 / biomedicines5020020.
> National Centre pamusoro Pokugadzirisa uye Utano Hwakanaka. "Mafungiro uye Mutumbi Anoita Fibromyalgia: Zvinotaurwa neSayenzi." Bethesda, Maryland; yakabudiswa muna September 2017; yakarongedzwa musi waMarch 27, 2018.