Iimpawu ezichaseneyo kodwa ubuhlobo obunokwenzeka
Kuphezulu, isifo esingapheliyo sogonywa ( ME / CFS ) kunye nokulahlekelwa kwengqalelo / ingxaki yokuxhatshazwayo (ADHD) ibonakala ngathi iphikisana ngokupheleleyo: Omnye kuthetha ukuba kufuneka uhlale ungasebenzi kakhulu ixesha, kwaye enye ikwenza uhlale usebenza. Babengenakubananto into efanayo, kunene?
Enyanisweni, banako.
Abaphandi abahlola ukuxhamla okunokwenzeka phakathi kwe-ME / CFS kunye ne-ADHD yabantu abadala bathi ukukhathala kungabonakalisa uphawu lwe-ADHD ebalulekileyo, kwaye ukuba oogqirha kufuneka bafune i-ADHD, okanye imbali yalo, kubantu abane ME / CFS okanye ezinye iintlobo zokunyuka okuqhubekayo.
Uphando loPhando kwi-ADHD / ME / CFS Link
Ngo-2007, uphando olukhokelwa nguJL Young lukhangelelanise ukuxhamla okunokwenzeka phakathi kwe-ADHD (uhlobo olungalindelanga), ME / CFS, kunye ne-fibromyalgia. Ngokutsho kwezinto ezicacileyo:
Kwi-kliniki yengqondo yezifo zengqondo, ezininzi izigulane zabantu abadala eziye zabonisa ngokuyinhloko impawu ze-ADHD, uhlobo oluninzi olungalunakali, lwachazwa ukukhathala okungaxeliweyo, intlungu exhaphakileyo ye-musculoskelet okanye ukuxilongwa kwangaphambili kwe-CFS okanye i-FMS. Njengoko kulindeleke, i-ADHD i-pharmacotherapy ngokuvamile [iphuculwe] iimpawu ze-ADHD ezingenakulinganiswa, ukuphazamiseka, ukunyanzeliswa, nokungafuneki. Oku kwakungalindelekanga kukubona ukuba ezinye izigulane nazo zabika [ukuphucula] iintlungu kunye neempawu zokukhathala.
Oku kufunyenwe kukhokelela ekubeni kunomdla okwandisiweyo ekusebenziseni imishanguzo ye-ADHD-njengoRitalin-ukukhulula ezinye iingxaki ezinengqiqo ezinxulumene ne-ME / CFS kunye nezinye iintlobo zoguthala olungapheliyo.
Isifundo se-2013 sisekela iziphumo
Ukufunda kamva kwangoko kubhekisele kwiimeko ezintathu ze-ME / CFS kubantu abaye baphendula ngokungafanelekileyo unyango.
Abaphandi bafumanisa ukuba bonke abathathu badibanisa imigaqo ye-ADHD, kwaye bonke abathathu baphendule kakuhle kwimithi ye-psychostimulant, eyinto eqhelekileyo yonyango lwe-ADHD. Bathi izigulane zibone ukuphuculwa ekukhathala, intlungu, ukungasebenzi kunye nezinye iimpawu. Ngokutsho kwabo:
... zonke izigulane zifunyenwe ukuhlangabezana nemigqaliselo yokunqongophala kweengxaki / ingxaki yokuxhatshazwa (ADHD) kwaye ibe nomlinganiselo oqhelekileyo wonyango lwe-psychostimulant. Emva kokunyanga ngeengqondo zengqondo, izigulane ezi-3 zabika iimpawu eziphuculweyo zokukhathala kunye nentlungu, kunye neempawu ze-ADHD eziphambili.
Abaphengululi baphetha ukuba i-ADHD kunye ne-ME / CFS inokwabelana ngesimo esivamile kunye nokuba ngokuhamba kwexesha, i-ADHD inokukhula ibe yintlungu engapheliyo yokukhathala kunye nentlungu. (Akucaci ukuba ngaba kuya kuthethwa ngokufanelekileyo ngoluhlobo olutsha lwe-ADHD okanye i-subset ye-ME / CFS.)
Ukususela kumphando wangaphambilini, siyazi ukuba i-ME / CFS kunye ne-ADHD zombini zibandakanya i- neurotransmitter dysregulation engabandakanya i- serotonin , i- norepinephrine kunye ne- dopamine . Nangona kunjalo, loo nto yodwa ayaneleyo ukuqinisekisile ngaphezu kobudlelwane obukhulu-i-neurotransmitter yenza imisebenzi eyahlukileyo kwimimandla eyahlukeneyo, kunye nemisebenzi eyahlukeneyo kwingingqi ngokusekelwe kwiimvume zokufumana, ngoko ke kuyinkimbinkimbi.
Njengoko sifunda ngokubanzi malunga nale miqathango kunye neendlela zawo, sinokukhula sikwazi ukuqonda ngakumbi ubudlelwane.
Kutheni Ubomi Bokufanayo Bokuya Kusebenza Ngalo Mthetho?
Buyela kule miqathango ibonakala iphikisana ngoku. Kutheni iyeza linye luza kunceda umntu ohlala ephelelwe ngumzimba kunye nomntu ongenakuhlala phantsi?
Qaphela ukuba isicatshulwa ngasentla sithetha "ngeengqondo ze-psychostimulant." Inxalenye ebalulekileyo yale binzana ithi "ivuselela." Ngesizathu esithile, izikhuthazo ezininzi zinempembelelo eyahlukileyo kubantu abane-ADHD kunokuba banalo kwabanye: Bazobakhawuleza endaweni yokuzikhawulezisa.
Olunye uphando
Le yindawo yophando eyenza ingqwalasela eqhubekayo. Ezinye izifundo ziqinisekisile isixhumanisi phakathi kwe-ME / CFS kunye ne-ADHD yabantu abadala, ngakumbi kubantu abadandathekile. (Mhlawumbi kungekhona into engafanelekanga ukuba ukudakumba kukubandakanya ukutshatyalaliswa kwee-neurotransmitter efanayo.)
Ubuncinane isifundo esisodwa, esapapashwa kwi- Expert Review of Neurotherapeutics , sinceda unxweme lobubungqina bokuthi i-methylphenidate (isicatshulwa e-Ritalin) inokuba nenxaxheba ethembisayo kwi-ME / CFS unyango.
Ngaba ufanele ucinge ngoRitalin nge-ME / CFS?
Ngoxa uphando luphakamisa uxhumano, amayeza e-ADHD aqhelekanga ngokukhathala okungapheliyo angabangelwa yi-ME / CFS.
Abanye oogqirha banika imishanguzo ye-ADHD kwi-ileyile ye-ME / CFS, kwaye ezi zi yobisi zisebenza kwabanye (kodwa kungekhona bonke abantu).
Ukuba uhlangabezana nobunzima ngokuhlala ugxininise kwaye uqaphele, kwaye ngokukodwa xa ucinezelekile, le nto ingaba yinyango yokukhupha nodokotela wakho ..
- Funda ngakumbi: I- ADHD izidakamizwa ze-ME / CFS
> Imithombo:
> Rogers DC, uDittner AJ, iiRimes KA, iChalder T. Ukukhathala komntu omdala ukukhathalela ukungakhuselekanga kwesifo sengxaki yabantu: I-diagnostic approach. Umbhalo waseBrithani weengqondo zonyango. Ngo-2017 Mar; 56 (1): 33-52.
> Saez-Francas N, uAlegre J, Calvo N, et al. Ukukhathazeka-ukungaphumeleli kwimeko yokuxhatshazwa kwezigulane ezingapheliyo. Uphando lweengqondo. > 2012 Dec 30; 200 (2-3): 748-53.
> Valdizan Uson JR, Idiazabal Alecha MA. Imingeni yokuxilonga kunye neyonyango yengxaki engapheliyo yokukhathala: indima yokukhululwa kwe-methylphenidate. Uphononongo lweengcali ze-neurotherapeutics. 2008 Juni; 8 (6): 917-27.
Oselula, JL. Isifo sokunyamezela esingapheliyo: iimeko ezi-3 kunye nengxoxo yembali yemvelo yengqwalasela-ukungaphumeleli / ukugula ngengxaki. Postgrad Med. 2013 Jan; 125 (1): 162-8.
> Young, JL, Redmond JC. I-Fibromylagia, ukukhathala okungapheliyo, kunye nomntu omdala ukukhathazeka ngengxaki yokuxhatshazwa komntu omdala. Psychopharmacol Bull. 2007; 40 (1): 118-26.