Yintoni Ekhoyo & Indlela Esebenza ngayo
Nangona oogqirha banika amaninzi amachiza ahlukeneyo ngenxa yokugula okungapheliyo (i-CFS okanye i- ME / CFS ), akukho namnye u-FDA-avunyelwe ukuba imeko.
Kanye njengoko le meko ithinta wonke umntu ngokungafaniyo, ngokunjalo amayeza asetyenziswa ukuwuphatha. Kubalulekile ukuba usebenze ngokusondeleyo kunye nogqirha wakho ukufumana okulungileyo kuwe. Kufuneka uqhelane nemiphumo emihle kwaye uvumele ugqirha wakho azi malunga naluphi na onokuphuhlisa.
Ukuba unamayeza angaphezu kweyodwa (imithi okanye i-counter-counter-counter), vumela ugqirha wakho kunye nekhemistiya ukuba wazi ukuba unokuphepha ukusebenzisana kakubi.
Iiklasi zeDrugs
Iindidi eziliqela zamachiza zisetyenziselwa ukuphatha i-ME / CFS. Ziquka:
- Iziyobisi ezithintekayo (kuquka i-antiviral, antibiotic)
- I-Anti-depressants (i-SSRIs / i-SNRI kunye ne-tricyclic)
- Ukuxhalabisa okanye ukuxhalabisa
- Izidakamizwa ezichasene nezidakamizwa (nonsteroidal anti-inflammatory (NSAIDs)
- Imishanguzo yegazi
- Iingonyango zovavanyo
Ngenxa yokuba zonke ezi zonyango zisetyenziselwa iinjongo ezingabikhoyo (ithetha ukuba awunayo i-FDA evunyelwe ngokukodwa kwi-ME / CFS), inkampani yakho yomshuwalense ayinakukufihla.
IAntimicrobial
"I-antimicrobial" ibhekisele kwiintlobo zeentlobo zeziyobisi, kuquka i-antitivirals, antibiotics, i-antitifungals kunye ne-antiprotozoals. Abaphandi bathi le meko yenza umzimba wakho usebenze ngokungathi ulwa nesifo. Nangona akukho ntsho longwane okanye ibhaktheriya edibaniswe ngokuthe ngqo kwi-ME / CFS, uphando oluthe ngqo luxhasa inkxaso ye -virus ye- Epstein-Barr (eyabangela i-mononucleosis), isifo se-herpes virus (i-HHV-6, ebangela i-roseola) kunye ne- enteroviruses .
- Ampligen (rintatolimod)
Esi sizaziso sokulinga samkelwa yi-FDA kwaye asikakwiimarike naluphi na ukusetyenziswa. U-Ampligen usebenza ngokuxhoma-ukuqala indlela yomzimba wakho olwa nentsholongwane yendalo kunye nokulawula amanqanaba e- RNase L (into ekhoyo kwiiseli ezihlasela iintsholongwane), ezinokuphakama kubantu abane-ME / CFS.Izifundo zibonisa ukuba i-Ampligen iphumelele kwaye inemiphumo engaphantsi kweminye imichiza eklasini. Umenzi weHemispherx Biopharma uqhubeka novavanyo lwezinye iimeko, enethemba lokuba ngelinye ilanga uzakufumana imvume.
- Valcyte (valganciclovir)
I-valganciclovir ye-anti-virus iphatha i-HHV-6, ezo zifundo ezininzi ezifunyenwe kwipesenti enkulu yabantu abane-ME / CFS. Izifundo ezincinci ziye zaba neziphumo ezikhuthazayo, kodwa iingcali ziyavuma ukuba izifundo eziphambili kunye nezilungelelaniso kufuneka zenziwe ngaphambi kokuba zifumane izigqibo ezichanekileyo.
Ngenxa yokuba abaphandi abazange bachaze intsholongwane ethile ekhokelela kule meko, oogqirha abaqhelekanga ukuba bathethelele ezinye i-antibiotic for it, ngaphandle kokuba unesifo esichukumisayo.
Ukuxhatshazwa
Kungenxa yokuba i-anti-depressants yonyango oluqhelekileyo, akuthethi ukuba bonke abantu abazithathayo bacinezelekile okanye banaluphi na uhlobo lwengqondo yengqondo. (Nangona abantu abaninzi abaneemeko bexinezelekile kwiikliniki, ngokuqhelekileyo kubonwa njengemiphumo yemeko kunye nokutshintsha kwindlela yokuphila kwaye akuyiyo imbangela yokugula ngokwalo.) Iindidi eziqhelekileyo zezidalwa ezixinzelelekileyo ezichaziweyo zi-SSRI / SNRI kunye nama-tricyclic agents.
I-SSRI / SNRI-Uhlobo lwe-Antidepressants
Isizathu sokudambisa i-anti-depressant work is because they raise the levels of neurotransmitters ezibalulekile kwabanye abantu abane-ME / CFS. Ezi zonyango zibizwa ngokuba yi-serotonin e-reuptake inhibitors (SSRIs) okanye i-serotonin-norepinephrine reuptake inhibitors (i-SNRIs okanye i-NSRIs).
I-Serotonin inceda ukucwangcisa impawu zentlungu kwaye kubalulekile ekujikelezweni kwakho kokulala, ngelixa i- norepinephrine (uhlobo lwe-adrenaline) ithinteka ekuphenduleni uxinzelelo kunye nokugqitywa kwamandla.
Imizekelo ye-SSRIs kunye ne-SNRIs yile:
- I-Cymbalta (duloxetine)
- Prozac (i-fluoxetine)
- Zoloft (sertraline)
- Paxil (paroxetine)
- Effexor (venlafaxine)
- Desyrel (trazodone)
- Wellbutrin (bupropion)
I-Tricyclic Antidepressants
Amanqanaba amancinci ama-tricyclic amaxesha athile aphucula ubuthongo kwaye anciphise intlungu epholileyo, exhaphakileyo kubantu abane-ME / CFS. Ezinye imizekelo:
- I-Adapin, iSinequan (doxepin)
- Elavil, Etrafon, Libitrol, Triavil (amitriptyline)
- I-Norpramin (desipramine)
- Pamelor (nortriptyline)
Qinisekisa ukuba uqhelane nemiphumo yecala nayiphi na i-anti-pressressants inxaxheba, ingakumbi kuba abaninzi abaxinzelelekileyo beza kunye neengxaki zokuzibulala nokuziphatheka. Ukuba uthatha isigqibo sokuyeka ukuthabatha nawaphi na amachiza, xela ugqirha wakho malunga nendlela yokucima kakuhle. Ukuyeka ubusika obandayo kubangele kwiingxaki ezinkulu.
Ukuxhalabisa
Amagqirha ngamanye amaxesha anika izidakamizwa ezichasene nezixinzelelo kwezo ziguli ze-ME / CFS ezineengxaki zokuphazamiseka. Ziquka:
- Xanax (alprazolam)
- Klonopin (clonazepam)
- Ativan (lorazepam)
Iziphumo eziqhelekileyo zezidakamizwa ezixhalaba zibandakanya i-sedation, i-amnesia, i- sleepiness , i-muscle cramps, kunye neengxaki. Ukuwayeka kwakhona kunokukhokelela ekubonakaleni kweempawu.
NSAIDS
La mayeza ngamanye amaxesha asetyenziswa ukukhupha intlungu kunye nomkhuhlane odibene ne-ME / CFS. Zininzi zifumaneke ngaphezu kwe-counter, eziquka:
- Advil, Bayer Khetha, Motrin Nuprin (ibuprofen)
- Aleve, Anaprox, Naprosyn (naproxen)
- Feldene (piroxicam)
Ugqirha wakho unokuyalela ezinye iintlobo ze-NSAID, kwaye kubalulekile ukuba ungahlanganisi iziyobisi ezahlukeneyo kule klasi. Oku kunokukubeka engozini enkulu yokuba nemiphumo emibi yecala, kubandakanya ukulimala kwentso kunye nokuphuma kwamathumbu.
Ifuthe legazi
Uhlobo oluphantsi lwexinzelelo lwegazi olubizwa ngokuba yi-hypotension (ne-NMH) engavumelekanga (General) iqhelekile kubantu abane-ME / CFS. Kubangelwa ukusebenzisana okungavumelekanga phakathi kwentliziyo kunye nengqondo, nangona iziko zombini ziqhelekileyo kwaye ziphilile. Kwakhona kuthiwa yi-reflex ephazamisayo, i-NMH inokubangela ukutyhafazeka nokuphelelwa amandla kwaye ngamanye amaxesha ifunyaniswe yiyo ebizwa ngokuba yi-tabletten test test.
Abanye abantu abane-NMH bafumana i-anti-blood pressure-medication ebizwa ngokuba yiFlorinef (i-fludrocortisone), ngelixa abanye bathabatha iyeza eliphezulu lokunyanga kwegazi i-Tenormin (i-atenolol). Ukuba uhlala kwi-Tenormin, mhlawumbi kufuneka ukhangelelwe uxinzelelo lwegazi oluphantsi kwaye unokucetyiswa ukuba ukwandise ityuwa yakho kunye nokutya kwamanzi.
Umthombo:
2013 Sombulula i-ME / CFS Initiative. Onke Amalungelo Agciniwe. Unyango lwe-FYI