Iinkqubo zeMveli kunye neZongezelelweyo zoLonyango
Ngenxa yokuba akukho zimbini ze-fibromyalgia zilinganayo, akukho nonyango olulodwa olukwazi ukunciphisa iimpawu zesifo. Endaweni yoko, unyango luya kuba luninzi lwahlukeneyo kwaye lufane neentlobo kunye nobukhulu beempawu ozifumanayo. Oku kungabandakanya ngaphezulu kwe-counter (i-OTC) kunye nemigqaliselo yeziyobisi, ezonyango kunye nokuxhaswa, ukunciphisa uxinzelelo, ukuguquka kwendlela yokuphila, kunye nokunyanga okunye okujoliswe ekunciphiseni intlungu yakho nokubuyisela umgangatho wobomi.
Mayeza
Njengoko icacisa into ye- fibromyalgia , intlungu yinto ephambili yonyango. Kule nto, oogqirha baya kutshintshela ii-OTC ezahlukahlukeneyo kunye nezidakamizwa zonyango, ezinye zazo zivunyiwe ukuba zonyango lwe-fibromyalgia kunye nezinye ezisetyenzisiweyo.
Injongo yonyango kukuphatha unyango lwamaqela ahlukeneyo njengamachiza ambalwa ngangokunokwenzeka ukufezekisa umphumo omkhulu weklinikhi. Ezi ziquka i-analgesics, i-antidepressants, i-anticonvulsants, i-muscle relaxants, kunye nezinye iintlobo zemithi yomlomo.
Uhlalutyo
Ukuze unyango lweentlungu ezincinci ze-fibromyalgia, i-Tylenol (i-acetaminophen) inokubonelela ngokukhululeka kweempawu ezinzima, ukuba zikhona, iziphumo ezibi (ikakhulukazi izicathulo kunye nesisu esiswini). Ngelixa izidakamizwa ezichasene nezidakamizwa (i-NSAID) njenge-Advil (ibuprofen) kunye ne-Aleve (naproxen) nayo inika imiphumo ye-analgesic (i-pain-relieving), kubalulekile ukukhumbula ukuba i-fibromyalgia ayikho isifo sokuvuvukala kwaye ukusetyenziswa kwexesha elide le-NSAID ukwandisa umngcipheko wokugaya isisu, izilonda zesisu, kunye nokukhubazeka kwesibindi.
I-NSAID ye- prescription efana neCelebrex (celecoxib) okanye i- Voltaren (i-diclofenac) nayo inomngcipheko ofanayo kunye nohlobo lwe-OTC kodwa ingaba lufanelekile ukuxhaswa kwexesha elifutshane ukuba igcinwe kwiqondo eliphantsi kakhulu elinokwenzeka.
Ukuxhatshazwa
Iingxaki zokuxhatshazwayo zihlala zisetyenziselwa unyango njengoko ziyakwazi ukunyanga iimpawu ezininzi, ukunciphisa intlungu, ukukhathala, nokuxinezeleka ngakwesinye icala ngelixa uncedo ekulala kunye nokuphakamisa imizwelo kwenye.
Kukho ezimbini ezixhatshazwayo ezivunyiweyo yi-US Food and Drug Administration (FDA), zombini ziyi- serotonin kunye ne-norepinephrine reuptake inhibitors (i-SNRIs) . Basebenza ngokuthintela i-serotonin kunye ne-norepinephrin ekubuyiseni kwakhona iiseli kwaye, ngokwenza njalo, qi nikela ingxube enkulu yale "hormones" ebonakalayo emzimbeni.
Ezi zi yobisi zichazwe ngolu hlobo lulandelayo:
- I-Cymbalta (duloxetine) inqunywe nge-dose yokulayisha yokuqala ye-30 milligrams ngosuku ngaphambi kokunyuka kwiqondo elijoliswe kwiimithagram ezingama-60 ngosuku.
- I-Savella (i-milnacipran) inqunywe nge-dose yokulayisha yokuqala ye-12.5 milligrams ethathwa rhoqo ngosuku ngaphambi kokunyuka kuma-milligram ama-50 athathwe kabini imihla ngemihla. Umthamo wemihla ngemihla yama-milligrimu angama-200 ungasetyenziswa kwiimeko ezinzima.
Imiphumo emibi ingabandakanya isicongconi, umlomo owomileyo, ukuzithemba, ukunciphisa ukutya, ukulala, ukunyuka nokujuluka.
Amanye ama-antidepressants aqhelekileyo axelwe kwi-ileyibhile yokuphatha i-fibromyalgia, kuquka i-SNRI njengeCelexa (citalopram), i-Lexapro (escitalopram), i-Paxil (i-paroxetine) kunye ne-Zoloft (i-sertraline).
Nangona i-tricyclic-generation generation anti-depressants ingasetyenziswa ngokuqhelekileyo, i-dose ephantsi i- Elavil (amitriptyline) ibonakalise ngempumelelo njengobuncedo bokulala ngenkxaso ekunciphiseni ubuhlungu obungapheliyo nokudandatheka.
(Ukulala iipilisi ngokuqhelekileyo kugwenyelwa nantoni na ngaphandle kwexesha elifutshane ukukhutshwa njengoko ukusetyenziswa ixesha elide kunokukhokelela ekuxhomekeke kuyo.)
Anticonvulsants
Ngelixa izazinzulu aziqinisekanga ukuba zisebenza njani, izidakamizwa ze-anticonbulsant , eziqhelekileyo ezisetyenziselwa ukunyanga nokuhluthwa, ziye zafakazela ngokuphumelelayo ekuphatheni i-fibromyalgia. Kukholelwa ukuba bancedisa ukunciphisa inani leempawu zentsholongwane kwaye, ngokwenza njalo, ukulalisa iiseli zesisindo ezinzulu kakhulu.
ULyrica (pregabalin) ngowokuqala i-anticonvulsant evunywe yi-FDA yokunyanga kwe-fibromyalgia. Ukuba kunqunywe, uza kuqala unyango olunamanani amancinci ngaphambi kokuba ufike kwi-dose yemihla ngemihla eyi-300 milligrams kwi-capsule rhoqo (ithathwa kathathu ngosuku kwii-100-milligram).
Iziphumo eziqhelekileyo zibandakanya ukungcola, ukulala, nokufumana ubunzima.
Ezinye i-anticonvulsants ezifana ne- Neurontin (gabapentin) zinikezela ngendlela efanayo kwaye zisebenza ngokufanelekileyo. I-Vimpat (lacosamide) kunye neKeppra (levetiracetam) sele isetyenzisiwe.
Ukuxhamla kwemizimba
Ukuphumula kwemizimba kubonakala kunceda kwiimeko ezithile, kwaye izazinzulu aziqinisekanga ukuba kutheni. Ngenxa yokuba iziyobisi zingabangela ukulala, zithathwa ngobusuku nje ngaphambi kokulala.
Njengoko ukulala okungapheliyo kubonakaliso oluqhelekileyo lwe-fibromyalgia, kuye kwacetyiswa ukuba ukubuyiselwa kweendlela zokulala eziqhelekileyo kunokunciphisa ukuqonda komntu kwiintlungu. (Ngokwahlukileyo, ukulahlwa kokulala kuyaziwa ngokubangela ukuba iimpawu ezibuhlungu zivame ukuba zibuhlungu.)
Izifo ezihlambulukileyo zomzimba eziqhelekileyo zisetyenziswa ekuphatheni i-fibromyalgia yi- Flexeril (cyclobenzaprine) kunye noZanaflex (tizanidine). Imiphumo emibi ingabandakanya umlomo owomileyo, utywala, isisonguluko, kunye nombono otyumkileyo.
Amanye amayeza
Izidakamizwa ze-opioid ezifana ne- Vicodin (i-hydrocodone) kunye ne- OxyContin (i-oxycodone) sele isetyenziselwa ukuphatha i-fibromyalgia, nangona isenzo namhlanje sithandwa ngenxa yobungozi obuphezulu bokuxhatshazwa kunye nokufumaneka kwezidakamizwa ezintsha zokuzalwa kwezidakamizwa ze-fibromyalgia. Okukuphela kwendawo inokusetyenziswa kwe- dolt ephantsi i- Ultram (tramadol) yokusetyenziswa kwexesha elifutshane le- acromacgia flares . Ngona kunjalo, le nkunkuma igcinwe kwiimeko ezinzima kuphela xa ezinye i-painkillers zihlulekile ukubonelela.
I-irritable bowel syndrome (IBS) iqhelekile kubantu abane-fibromyalgia kwaye bakholelwa ukuba babelana ngezifo ezifana nezifo. Ngokuxhomekeka kwiimpawu zakho unokumiselwa i-laxative, i- antidiarrals ezifana ne-imodium (loperamide) okanye iLomotil (i-diphenoxylate), okanye i- antispasmodics njenge-Norpramin (desipramine).
Ulwaphulo lweMpilo kunye noCetying
Ukongezelela kumachiza, ugqirha unokukuthumela kwiingcali zokunqoba nayiphi na imingeni yomzimba okanye yemvakalelo onokujamelana nayo. Nangona sihlala sicinga nge-fibromyalgia njengesifo seentsholongwane, empeleni sisifo sengqondo esisodwa apho ukudandatheka, ukuxhalaba kunye nempilo ebuthathaka yonke idlala inxalenye.
Kule nto, unokuzuza xa ubona iingcali ezilandelayo:
- Iingqondo ziyakunceda ukuba unengxaki yokuxinezeleka, ukuphazamiseka, kunye neengxaki zokukhathazeka ezifana ne-post-traumatic disorder disorder (PSTD) ngokuqhelekileyo kubonwa ngabantu abane-fibromyalgia. Vala ulwalamano kunye nogqirha wakho ogulisayo kufuneka ukuba kuqinisekiswe ukuba akukho kulwa okanye ukuphikisana kweziyeza zonyango.
- Iingcali zengqondo zinokunika iingcebiso kwaye zisebenzise unyango lokuziphatha (CBT) lwezobuchule ukuze zenze ulonwabo ngokuguqula iimvakalelo ezingasebenzi, iimpawu zokuziphatha, okanye iingcamango.
- Iiphilisi zenyama ziyakwazi ukuphucula amandla akho kunye nenhlalakahle emzimbeni ngokukufundisa iindlela zokwelula kunye nokusebenzisa ngendlela engacinyiyo iimpawu zakho. Baya kunika neyeza zokwelapha ukunciphisa ubuhlungu kunye nokuphucula isithuba sokusebenza kwemisipha esebenzayo.
- Iingcali zengqesho ziyakunika izixhobo kunye nezicwangciso zokujongana nemingeni yokuphila ne-fibromyalgia. Zingabandakanya ukugcinwa kwamandla, ukuphathwa kweentlungu, iindlela zokuphumula, ukuxazulula iingxaki, ukucoceka kokulala , kunye nokubeka iinjongo.
Indlela yokuphila
Kanye njengoko sithembela kumachiza ukuphatha i-fibromyalgia, azinakuba yinto eyodwa yonyango. Ukongeza kwimizi yobisi, kufuneka wenze ukhetho lokuphila ngendlela enempilo ukuqinisekisa ukukhuseleka kweempawu zakho.
Ukuzivocavoca kukuphambili kule nto. Nangona utyhafu lwakho lungaxelela ukuba ungadlulanga ukwesaba ukubangela intlungu, kuya kwenza izinto zibe zibi nakakhulu xa kufuneka uhambe. (Kwaye, masijongene nayo, sonke senza.) Ngokusebenza kwimida yakho kwaye ngokuthe kancinci ukwakha amandla akho kunye nokuguquguquka, uya kuphuhlisa ngokuthe ngcembe uvelwano lwakho. Ukusebenza kwisicwangciso somsebenzi wakho we-physiologist indlela efanelekileyo yokuqalisa.
Njengebhonasi eyongeziweyo, ukuvuthwa kwento kukhuthaza ukuveliswa kwe- endorphins , i-hormone engenayo kuphela ingqinamba yokuhlaziya kodwa inokuphakamisa isimo sakho sengqondo.
Ukutya kunye nokulahleka kwesisindo kubaluleke kakhulu. Ukuthatha ubunzima obunzima nje kungezelele kwimithwalo yesakhiwo kwiimisipha kunye namalungu akho, ukunciphisa ukusebenza kakuhle kwenkqubo yakho ye-cardiovascular system kwaye kukushiya ukhathele kwaye ukhathala.
Nangona kungekho nhlobo i-fibromyalgia "yokutya," oogqirha abaninzi baya kuvuma isicwangciso sokutya esilungeleleneyo esiquka:
- Iziqhamo ezibini kwizityalo, imifuno kunye neenqolowa ezipheleleyo
- Ubisi lwesithathu elingu-fat fat and fat protein
- Ukudla kwimihla ngemihla kuma-25 ukuya ku-30 amagremu we -fiber e-soluble yokutya ukuze kugcinwe ukutyalwa kwezempilo
- Amafutha anempilo afana neoli yeoli
- Ukuphepheka kwe-caffeine ephakathi kwenkqubo yesantya
- Ukuphepheka kokutya okucwangcisiweyo, ukutya okuthosiweyo kunye noshukela ococekileyo
Njengoxinzelelo, utywala kufuneka kwakhona uphinde uphephe kwaye mhlawumbi kufuneka uphephe xa uthatha iCymbalta, Savella, kunye neTylenol ngenxa yengozi yokwanda kwesibindi.
Kufuneka uqwalasele ukuyeka u-cigarettes njengoko uphando oluninzi ludibanisa ukutshaya kwintlungu ebandayo kunye nobuthongo obuthathaka kubantu abane-fibromyalgia.
I-Alternative Medicine (CAM)
Abantu abajamelana nezifo ezingapheliyo baya kuhlaselwa kwiyeza elongezelelweyo kunye neyezinye (CAM) njengendlela yokuthatha umthwalo wempilo yabo yengqondo, yengqondo kunye nengokomoya. Oku kuyinyani ngokukodwa kwimeko efana ne-fibromyalgia apho isizathu asiqondi kakuhle .
Ukuba ulandela enye indlela yokonyango, qiniseka ukuxelela ugqirha malunga nalo ukuqinisekisa ukuba akuphazamisi unyango lwakho (njengokuba izilwanyana zamanzi ezifana neSt. Inyaniso yokuba into "yendalo" ayithethi ukuba ikhuselekile ngokusemthethweni.
IiNtsholongwane zengqondo
Iimpawu zomzimba zengqondo ziqela lezenzo eziqhelekileyo zisetyenziswe ngabantu abanezifo ezingapheliyo ukunciphisa imiphumo yomzimba wokuxinezeleka ngelixa kuphuculwe impilo kunye nempilo. Ngesifo esifana ne-fibromyalgia, nayiphi na isenzo esinokuthi sinciphise ukuphendula komzimba ngokubandezeleka ngaphandle kokusetyenziswa kweziyobisi kufuneka kuthathwa njengenzuzo.
Phakathi kwezinye zeengcinga zomzimba ezinceda ngakumbi:
- Ukucamngca ngengqiqo yindlela yokucamngca apho ukufunda ukungahambi kakubi kwiingcamango ezinokubangela uxinzelelo.
- Imifanekiso ekhokelwayo yinkqubo apho udala imifanekiso engqondweni ukuze wenze ukuzola.
- Ukusebenzisa ukuphefumula okujulile (pranayama) basebenzise iindlela zokuphefumla zesiganeko ukukhuthaza isimo sokucamngca
- I-Yoga ne- Tai zi zibandakanya ingqondo kunye nokunyakaza ukuzuza ubuninzi ngaphezu kolawulo lomzimba wakho.
- Ukuphulukiswa kwezifo , ezifana nokukhutshwa kwe-myofascial , kuhloswe ukuba ukhululeke ngokukhawuleza uxinzelelo lwesisu kunye noxinzelelo ngaphandle kwentlungu.
- Ukuphumula kwe-muscle (Progressive muscle relaxation) (PMR) yinkqubo apho ujikeleza khona kwaye ukhulule izihlunu emzimbeni wakho ukuze wenze ukuzola.
- I-Biofeedback isebenzisa iliso lombaneli ukukunceda ukugcina nokulawula ukuphendula kwengcinezelo.
Iimviwo eziNcedisayo
Amayeza emvelo, kuquka iifom, iziqulatho, iivithamini, kunye namayeza aseNtshonalanga (TCM), awamkelwa ngabanye njengoluhlobo oluthile lwenyango. Phakathi kwalawo anokunika iingenelo kubantu abane-fibromyalgia:
- 5-HTP (5-hydroxytryptophan), i-amino acid echongiweyo evela kwisityalo sase-Afrika saseGriffonia simplicifolia ngelixa inganceda ukuphakamisa ama-serotonin. Ngoxa i-supplement ithathwa njengekhuselekile, akukho ncinane idatha ekhoyo malunga nokuphumelela kwayo ekuphatheni i-fibromyalgia.
- I-Capcaisin iyinxalenye esebenzayo kwi-pepper e-pepper efumaneka kuma-creams, spray, kunye ne-patches. Ukusetyenziswa ukuphatha iintlobo ezahlukeneyo ze-neuralgia (intlungu yesibindi), ikwacatshangelwa ikhuselekile kodwa ingabangela ubomvu, ukutshaya okanye ukutshisa. Ukufundiswa kwe-2013 evela e-Italia kubhengeze ukuba ukusetyenziswa kwe-0.075% ye-capsaicin cream cream, isetyenziswe kathathu ngeentsuku ezintandathu, iincinci ezincinci zincinci ngamaphesenti angama-73 kwizifundo ezingama-130.
- I-marijuana yonyango iyaziwa ngokukwazi ukunciphisa intlungu, ukuphakamisa imizwelo, nokukunceda ulale kangcono. Ucwaningo oluncinane oluvela kwaSirayeli oluqhutywa ngo-2018 lubonise ukuba ukusebenzisa i-cannabis yonyango kubantu abadala abangama-60 abane-fibromyalgia eqinile kubangele ukuphuculwa kwamanqaku entlungu kubo bonke abathathi-nxaxheba. Emva konyaka omnye, aba-13 bakwazi ukuyeka izidakamizwa zabo ze-fibromyalgia, ngelixa iibhozo zichazwe ngemiphumo emibi kuphela.
> Imithombo:
> Casanueva, B .; Rodero, B; kunye noQuintial, C. "Ukusetyenziswa kancinci kwexesha elifutshane lwe-capsaicin yonyango kwizigulane ezinokuchaphazeleka kakhulu kwi-fibromyalgia." Rheumatol Int . 2013; 33 (10): 2665-70. INGXELO: 10.1007 / s00296-012-2490-5.
> Habib, G. kunye noArtul, S. "I-Cannabis yezoNyango kwiNyango yeFibromyalgia." J Clin Rheumatol. Ngowe-2018. [I-Epub ishicilelwe ngaphambili kokuprinta.] INGXELO: 10.1097 / RHU.0000000000000702.
> I-Sanam, K. kunye ne-Choy, E. "Ukuhlaziywa kwikhokelo yeZonyango kwi-Fibromyalgia Syndrome ngokugxila kwi-Pharmacology." I- Biomedicines. 2017; 5 (2): 20. INGXELO: 10.3390 / i-biomedicines5020020.
> Iziko leSizwe kwiMpilo eQinisiweyo kunye neNxulumeneyo. "Ingqondo kunye neCandelo loLwazi lweFibromyalgia: Into ethi iNzululwazi ithi." EBethesda, eMaryn; papashwa ngoSeptemba 2017; ihlaziywe ngoMatshi 27, 2018.