Zvinotsvakurudzwa neZvesarudzo
Marijuji yekurapa inokakavadzana-munzanga, mumutemo, uye mune zvezvematongerwe enyika. Zvisinei, uchapupu hwezvesayenzi hunoenderera mberi huchiratidza kuti hunogona kunge huri hutano hwakachengeteka uye hunobudirira hwehutano hwakawanda, kusanganisira fibromyalgia .
Tine zvimwe zvinyorwa zveetrahydrocannabinol (THC) pamusika, iyo ndiyo inobatanidza ne "high" yemuchu.
Zvidzidzo zvinoratidza, zvakadaro, kuti zvimwe zvikamu zviri mumiti zvinogona kuva nehutano hwekurapa zvakare.
Usati wataurirana nezvemigumisiro yechipupuriro chechigunwe pahutumbromyalgia, inobatsira kuziva zvishoma nezvimwe zvinonzi endogenous cannabinoid, kana endocannabinoid, system.
Chii Chinonzi Endocannabinoid System?
"Endogenous" rinoreva chimwe chinhu chinotangira mukati memuviri wako-chimwe chinhu chiripo pacho.
"Cannabinoid" inobva pashoko rokuti cannabis, iro ndiro zita rekugadzira michero yemuchu, uye rinoreva zvikamu zvemuviri wako zvinogadziriswa nehainabis. Isu tose tine zvinyorwa zvepanyama mumuviri wedu, uye zvakawanda zvinogona kubudiswa nekusvuta kana kupisa mbanje kana kushandiswa kwayo.
Iyo endocannabinoid system inobatanidzwa mune dzimwe nzira dzakawanda, dzakawanda dzayo dzinozivikanwa kana dzinofanirwa kuti dzisina simba mu fibromyalgia. Izvi zvinosanganisira:
- Simba metabolism
- Immune function
- Memory
- Pain processing
- Kurara
- Kushushikana mupfungwa
- Mutemo wekushisa
- Izwi rinotyisa remagetsi
Bhuku ra2004 remagumo endocannabinoid rakarongerwa kuti fibromyalgia, inokanganisa chirwere chemafupa, uye mamiriro akafanana anofananidzwa se "kliniki endocannabinoid inoshaya syndromes." Inotsanangurawo kutsvakurudza zvinokonzera zvinetso nechiratidzo ichi mune schizophrenia, multiple sclerosis, chirwere chaHuntington, zvimwe zviitiko zvehosha yaPasinson, zvimwe zviitiko zveanorexia, uye chirwere chisingaverengeki chirwere.
Sangano rinokura rekutsvakurudza rinoratidza kuti fibromyalgia inogona kusanganisira kukanganisa mune endocannabinoids inomutsa mubvunzo wakajeka: kuwedzerwa kuwanda kwemagetsi kanomwe mumuviri kubatsira kubatsiridza basa uye kuderedza zviratidzo? Kana zvakadaro, ndezvipi zviratidzo zvinonzi marijuana yezvokurapa (kana kugadzira zvakafanana) inobatsira kuderedza?
Tsvakurudzo pamusoro peMarijuana neFibromyalgia
Kubvunzurudzwa kwegore re2014 kwekutsvaga mbanje pakurapa fibromyalgia, pamwe chete nemamiriro akafanana anokanganisa bowel syndrome uye migraine, akati:
- Endocannabinoid kukanganisa kunoita basa mumamiriro aya
- Marijuana ine simba rekudzivirira nzira dzepamuviri, chirwere cheperi uye kurwadziwa kwepamuviri
- Chiitiko chekliniki chinotsigira izvi zvakawanikwa
Zvidzidzo zvinoratidza kuti mbanje inogona kunyanya kukosha:
- Deredza marwadzo (kusanganisira marwadzo evanhu vasingadiwi, ayo ari chikamu che fibromyalgia)
- Deredza kuoma
- Kuputika kwepasi (kusanganisira myofascial inflammation, iyo inogona kuita basa mu fibromyalgia)
- Kuvandudza kuporesa
- Wedzera kurara
- Wedzera manzwiro ekugara zvakanaka
Chimwe chidzidzo chakaona zvakare kuti vashandisi vekodabis vaive nehupamhi hwepfungwa yehutano hwepamusoro kupfuura vasiri vashandisi. Imwe, iyo yakatarisa kuitika kwechigadzirwa cheinnabinoid chinonzi nabilone, inoratidza kuti chirwere chepasi usiku chinogona kuvandudza kurara mu fibromyalgia uye inogona kuonekwa seimwe nzira kune yakakurumbira antidipressant amitriptyline.
Chidzidzo che2012 chakatarisa kupararira kwebambani kushandiswa mu fibromyalgia. Vatsvakurudzi vakaona kuti vanenge 13 muzana yevatori vechikamu vaishandisa chironga ichi kuti vabatsire kubvisa zviratidzo zvavo. Pakati idzi, vanopfuura 80 muzana vakanga vari kushandisa zvisina kukodzera.
Vatsvakurudzi vakawanawo kuti mbanje inoshandisa yakawanda mune varwere ve fibromyalgia vane chirwere chepfungwa chisingachinji. Ukama huri pakati pemashonga uye chirwere chepfungwa muboka iri hazvizivikanwi.
Marijuana inoshandiswawo yakave yakawanda pakati pevarume, vashandi vasingashandi, uye avo vanowana kubhadhara kwekuremara.
Migumisiro Yechiri
Chirongwa chegore ra2011 chakataura kuti zvinodhaka zvinogona kuve zvakachengeteka uye zvakabatanidzwa nemigumisiro yerunyoro kana inonzwisisika yakave yakanyatsorambidzwa, uye kuti chidonho chekuderera kubva pamigumisiro yacho chakanga chiri pasi.
Yakasangana nemigumisiro yakaipa inosanganisira:
- Chizutu
- Nausea
- Dry mouth
- Ataxia (kuderedzwa kwekutenderera kwomuviri)
Zvisinei, chidzidzo chegore ra2014 chinoratidza kuti tinoda zvidzidzo zvekare-kwenguva kuti tizive zvinokonzerwa nemigumisiro yakareba kwenguva yakareba, pamwe chete nezvingangova nengozi dzokushandisa zvisina kunaka uye kusagadzikana.
Marijuana-Based Treatments
Mamwe maitiro ekugutisa ari mumusika muUnited States Mishonga iyi inosanganisira:
- Marinol (dronabinol)
- Cesamet (nabilone)
Marijuji yekurapa inobvumirwa mune dzimwe nyika. Ichi chimiro chechirwere chinogona kusvuta, kudyiwa (zvakadai mumabiko akabikwa), kana kuputika. Kudya kana kupisa mafomu kunogona kuva yakachengeteka uye nyore kune vamwe vanhu kuti vashandise.
Nemhaka yekuwanikidzwa kwayo sekushandisa zvinodhaka, vamwe vanhu vanosarudza kuzvidzora nemuchu zvisina kutenderwa. Izvi zvinouya nezviitiko zvayo pachavo, kusanganisira:
- Kusungwa, kutongerwa uye kutongerwa mhosva
- Kugamuchira marijuana nezvinhu zvinogona kutyisa zvinosanganiswa
- Kugamuchira chimiro chisingaenzaniswi
Vanhu vari kushandisa mbanje nenzira dzisiri pamutemo vangavewo vasingadi kuudza vapeki vavo nezvehutano pamusoro pazvo. Izvi zvinogona kutungamirira kumatambudziko nemishandisirwo emishonga kana, kana zviitiko zvakashata zvisingaiti, zvinokonzera vanachiremba kuti vasatomboziva nyaya yacho. Kuti uzvidzivirire, iwe unofanira kugara uchiudza chiremba wako uye wemhizha nezvemishonga yose yauri kutora.
Zvimwe Endocannabinoid System Treatments
Kutsvakurudza kunoratidza kuti mamwe mishonga yakawanda, zvose zvinyorwa uye kupfuura-the-counter, zvinokonzera endocannabinoid system. Izvi zvinosanganisira:
- Painkillers ( acetaminophen , NSAIDs , opioids , glucocorticoids)
- Antidepressants ( amitriptyline , duloxetine )
- Antipsychotics
- Kuzvidya mwoyo nemishonga
- Anti-seizure drugs ( pregabalin , gabapentin)
Zvirwere zvisingaiti-zvinodhaka zvinogonawo kushanda zvinosanganisira:
- Massage
- Myofascial manipulation
- Acupuncture
- Zvigadzirwa
- Mishonga yemishonga
Maitiro eupenyu hunosanganisira kudya uye kuita zvekuita maitiro zvinogonawo kutungamirira kuchinja mu endocannabinoid system. Sezvo nehupi hwehutano kana nzira yekutarisira, unofanira kutaura nachiremba wako pamusoro pezvakanakisisa zvaungasarudza iwe.
Sources:
Benyamina A, Reynaud M. La revue du praticien. 2014 Feb; 64 (2): 165-8. (Chinyorwa muFrench. Abstract inotsanangurwa.) Kurapa kwekushandisa kwezvinokonzerwa ne cannabis.
Fiz J, et al. PLoS One. 2011 Apr 21; 6 (4): e18440. Cannabis inoshandiswa nevarwere vane fibromyalgia: kuitika pamararamiro emararamiro uye mararamiro ane chokuita nehutano hwehupenyu.
Lynch ME, Campbell F. British Journal yemakiriniki ekurapa. 2011 Nov; 72 (5): 735-44. Cannabinoids pakurapa marwadzo asingagoneki ane kenza; kurongeka kwakarongeka kwemiedzo yemaitiro.
McPartland JM. Zvinyorwa zve bodywork uye kufamba kwemishonga. 2008 Apr; 12 (2): 169-82. Tsanangudzo ye endocannabinoid system mu fibroblasts uye myofascial tissues.
McPartland JM, Guy GW, Di Marzo V. PLOS Rimwe. 2014 Mar 12; 9 (3): e89566. Kuchengetedza uye kudya kwekupedzisira endocannabinoid system: kugadziriswa kwekugadzirisa kwezvimwe zvirongwa zvekliniki zvinokonzerwa nekugumira endocannabinoid system.
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Ste-Marie PA, uye al. Kunyanya kweArthritis nekutsvakurudza. 2012 Aug; 64 (8): 1202-8. Sangano remishonga yemasitadhi rinoshandisa nehuipi hwepfungwa dzehutano hwepfungwa mune varwere vane fibromyalgia.
Ware MA, et al. Anesthesia uye analgesia. 2010 Feb 1; 110 (2): 604-10. Migumisiro yekubilone pamusoro pekurara mu fibromyalgia: migumisiro yechirwere chisingatarisirwi chekuedzwa.