Wani Muradin Mutuwar MS na Musamman, Amma Duk da haka Tambayoyi da yawa
Duk da yake babu maganin warkar da ƙwayar cuta (MS) , akwai magunguna waɗanda zasu iya taimakawa jinkirin cutar-waxannan magunguna an kira su magungunan cututtuka . Bugu da ƙari, akwai hanyoyin kwantar da hankalin da zai iya sauƙaƙe bayyanar cututtuka kuma ya inganta rayuwar mutum ta yau da kullum da kuma aiki.
Ɗaya daga cikin siginar MS-jinƙan jinƙan da kuka ji shine cannabis, wanda aka fi sani da marijuana.
Bari mu dubi muhimmancin aikin marijuana a cikin MS, da kuma gardamar da ta ƙunshi wannan ƙwayar magani mai ƙari.
Matsayin Marijuana a Sauƙaƙe Spasticity a cikin MS
Marijuana ta yi amfani da ita a cikin MS don taimakawa da tsaka-tsaki , wanda shine mummunar cututtukan da ke da zafi wanda ke shafar kashi biyu cikin uku na mutane tare da MS.
Spasticity yana nufin ƙara ƙwayar tsoka, wanda ke nufin cewa wasu tsokoki (musamman ma wadanda ke kafafu) suna da wahalar shakatawa. Musamman bayani zai iya zama mai tsanani, haifar da tsofaffin ƙwayar tsoka da ƙyama, rashin hawan tafiya ko wasu motsa jiki, da kuma haifar da fadowa.
Abin takaici, magungunan gargajiyar da ake amfani dasu don biyan ƙwaƙwalwa cikin MS (misali, shakatawa na muscle, benzodiazepines, ko anticonvulsants) sau da yawa ba sa aiki da kyau kuma suna daukar nauyin kulluka kamar barci, wanda zai iya damuwa da gajiya mai wuya na MS -a faɗun biyu. Bugu da ƙari, kamar waɗannan magungunan, magungunan marasa magani don magance saɓo a cikin MS (alal misali, farfadowa na jiki da kuma farfadowa na electromagnetic) ma an gano su don taimakawa kaɗan.
Wannan shine dalilin da ya sa likitocin MS sun juya zuwa hanyoyin kwantar da hankula kamar marijuana domin su ba marasa lafiya abin da suka cancanta.
Ɗaya daga cikin Nazarin akan Marijuana don Spasticity a cikin MS
Ɗaya daga cikin binciken da aka yi a cikin Jaridar Neurology, Neurosurgery, da Psychiatry yayi nazarin kusan mutane 300 da MS. Masu halartar sun sami ciwon barga a cikin watanni shida da suka gabata, kuma sun nuna damuwa da mummunan ƙwayar tsoka na tsawon watanni uku kafin su shiga cikin binciken.
Rabin mahalarta sun karbi tsinkayen cannabis na sirri (marijuana) kuma rabi ya karbi wuribo. Masu halartar da masu binciken sun kasance masu makanta ga wadanda suka karbi marijuana wanda suka karbi wuribo, yayin da dukkanin abubuwa sunyi amfani da su ta hanyar gwargwadon gelatin.
Mahalarta sun bada rahoton cututtuka daban-daban, kamar ƙwayoyin tsoka, kazalika da inganta cigaba kafin magani sannan bayan makonni goma sha biyu bayan jiyya (ko placebo) ya fara.
Taimako daga ƙarfin tsoka bayan makonni goma sha biyu sun inganta ta kusan sau biyu a cikin ƙungiyar marijuana idan aka kwatanta da ƙungiyar placebo. Har ila yau, akwai gagarumin cigaba a cikin tsofaffin ƙwayoyin tsoka da kuma barcin barci a cikin waɗanda suka karbi marijuana tare da wadanda suka sami placebo.
Hanyoyin Kyau
Dangane da aminci, cututtuka masu yawa sun fi girma a cikin rukuni na cannabis maimakon ƙungiyar wuribo, tare da mafi girma yawan rahotanni da ke faruwa a karshen ƙarshen lokacin cannabis (wanda ya kasance da sauri). Wannan ya haifar da karuwar kudaden shiga daga binciken.
Wasu daga cikin mummunan illa da aka gani a mafi girma a cikin rukunin marijuana zuwa placebo kungiyar sun hada da:
- Dizziness
- Wulo
- Dry baki
- Rashin rauni
Wannan ya ce, yawancin cututtuka masu tasiri sun kasance m ko matsakaici kuma mafi yawan sun rage bayan ƙarshen binciken.
Nazarin Na biyu a kan Marijuana Yi amfani da shi don Spasticity a cikin MS
A cikin wani binciken, mutane da MS da suka ci gaba da kasancewa da yawa wadanda ba su dace da magungunan gargajiyar da aka bi da su ba tare da Sativex (nabiximol), wani yaduwa wanda ya ƙunshi tetrahydrocannabinol (THC) da cannabidiol (CBD), tare da kowane nau'i na Sativex yana aika THC da CBD a cikin kusan kashi 1: 1.
Kamar yadda kewayo, marijuana ta fito ne daga tsirrai Cannabis sativa, wanda ya ƙunshi sittinbinoids sittin ko fiye. Daga waɗannan cannabinoids, mafi yawan su ne THC da CBD, dukansu biyu na iya taimakawa wajen taimakawa spasticity ta hanyar saurin ciwo da kuma tsokar da tsokoki.
Masu halartar farko sunyi shawo kan gwaje-gwajen mako hudu na furewa, kuma idan sun samu kashi 20 cikin 100 ko kuma mafi girma a cikin adadin su, sun matsa zuwa gwajin mako 12. A wannan gwaji na biyu, mahalarta sun kasance bazuwar karɓar ko dai nabiximol ko placebo.
Sakamakon binciken ya bayyana cewa wadanda suka karbi nabiximol suna da haɓaka mafi girma a cikin ladabi (wanda aka bayyana a matsayin akalla kashi 30 cikin dari daga haɓaka) fiye da ƙungiyar wuribo. Har ila yau, akwai haɓaka a cikin tsinkar cuta da kuma barci na barci a cikin magani tare da rukuni na placebo.
Hanyoyin Kyau
Ya cancanci a lura cewa daga cikin masu halartar 124 da suka matsa zuwa gwajin makonni 12 kuma aka sanya su nabiximol, akwai 15 da suka janye daga binciken (ƙananan kashi fiye da nazarin da ke sama). Wannan zai iya kasancewa saboda tsarin tsaftacewa na takaddama (ma'anar yadda sauri maye gurbin marijuana ya karu) yayi jinkiri ne kuma mai hankali.
Bugu da ƙari, akwai wasu ƙananan lalacewar abubuwan da suka faru a cikin wannan binciken-wani darasi. Daga wadanda ke shan nabiximol, sakamakon da yafi rinjaye shine:
- Vertigo
- Wulo
- Musamman spam
- Ƙungiyar ƙwayar cuta ta jiki
Shawarar gida daga wannan binciken shi ne cewa marijuana (ga mutumin da yake daidai, saboda haka "gwajin gwagwarmayar mako hudu") ya bayyana da amfani, aminci, da kuma jurewa a cikin ɗan gajeren lokaci don magance spasticity a cikin sclerosis mai yawa.
Abin da Ƙungiyoyin Ayyukan Sayarwa
Ƙungiyar MS Society ta kasa tana goyon bayan 'yancin mutane suyi aiki tare da likitan MS don samun marijuana don dalilai na magani, "bisa ga ka'idojin doka a cikin jihohi inda aka yarda da wannan amfani." Bugu da ƙari, Ƙungiyar MS Society ta tallafa wa goyan bayan binciken da ke nazarin yiwuwar da za a iya amfani da shi da amfani da marijuana a matsayin magani ga MS.
Wannan ya ce, Abin takaici, bincike akan bincike akan marijuana da ake amfani da su a cikin MS an hana shi sau da yawa saboda ka'idojin gwamnati, kamar yadda marijuana har yanzu ba bisa ka'ida ba ne a fannin tarayya.
Bisa ga kungiyar MS Society ta kasa, dalilin da suke da shi a kan marijuana yana fitowa ne daga wata sanarwa ta 2014 da Cibiyar Nazarin Kasuwancin Amirka (AAN) ta fitar. Bayanan AAN na bayar da shawarwari game da amfani da magungunan likita da magungunan kiwon lafiyar MS a bisa binciken binciken bincike.
Tare da jin dadin marijuana, AAN ya nuna cewa maganin cannabis da kuma roba tetrahydrocannabinol (THC) zai iya tasiri ga rage cututtuka da ciwo.
Sanarwar ta kuma lura cewa sativex (naxibimol) mai laushi zai iya tasiri don inganta ladabi, ciwo, da urinary mita; ko da yake Sativex ba a halin yanzu a Amurka.
A gefe guda, bisa ga AAN, akwai isasshen shaidar kimiyya don tallafawa amfanin ko aminci na cannabis kyafaffen don magance cututtukan MS.
A ƙarshe, hadarin da ake amfani da ita na tsawon lokaci don magance cututtuka daban-daban a cikin MS ba a sani ba a wannan lokaci saboda ƙananan karatun. A gaskiya ma, daya daga cikin damuwa mafi girma game da amfani da marijuana na dadewa yana da tasiri na aiki na kwakwalwa, kamar ƙwaƙwalwar ajiya da gudanarwa.
Kalma Daga
Tare da izinin amfani da marijuana don amfani da yanayin kiwon lafiya a jihohi ashirin da tara da District of Columbia (kuma mafi mahimmanci a hanyarsu), adadin mutanen da ke da MS da suke amfani da marijuana don saukaka sarkinsu na MS zai iya tashi.
Duk da haka, don tabbatar da ƙayyadaddun lokacin da ake amfani da su da kuma amfani da su, da kuma tsayar da matsalolin, kamar yadda alamu sun fi dacewa da maganin cannabis ko wane sashi ko hanyar da gwamnati ta dace, muna buƙatar ƙarin shaidar kimiyya.
Har sai lokacin, idan kuna la'akari da marijuana don jininku, don Allah tabbatar da cewa kuna amfani da ita a karkashin jagorancin likitan MS . Wannan hanya, zaka iya inganta amfaninta kuma rage girman tasirinsa. Sau da yawa, wannan yana ƙunshe da tsinkayen marijuana da tsinkaye da tsaida.
> Sources:
> Amatya B, Khan F, La Mantia L, Demetrios M, Wade DT. Harkokin da ba a samo asibiti ba don magance bambancin halitta a ƙananan sclerosis. Cochrane Database Syst Rev 2013 Feb 28; (2): CD009974. Doi: 10.1002 / 14651858.CD009974.pub2.
> Ƙungiyar MS Society ta kasa. Magani na Marijuana (Cannabis) FAQs.
> Novotna A et al. Ƙararren kai tsaye, masu makantar makafi, mai gudanarwa, ƙungiya mai launi, nazarin zane-zane-zane (Sativex (®)), kamar yadda ake ƙarawa, a cikin batutuwa tare da raɗaɗɗɗen spasticity da yawa daga sclerosis. Eur J Neurol . 2011 Satumba 18 (9): 1122-31. Doi: 10.1111 / j.1468-1331.2010.03328.x.
> Rudroff T, Tabbatar JM. Cannabis da ƙananan sclerosis-Hanyar gaba. Neurol na gaba. 2017; 8: 299.
> Zajicek JP, Hobart JC, Slade A, Barnes D, Mattison PG, Cibiyar Nazarin MUSEC. Magungunan sclerosis da tsantsa daga cannabis: sakamakon binciken MUSEC. J Neurol Neurosurg Sizai. 2012 Nov; 83 (11): 1125-32. Doi: 10.1136 / jnnp-2012-302468.