Maganin Kiwon Lafiyar Lafiya don Inganta Cutar Lafiya
Shin magunguna na iya taimaka mana muyi maganin bayyanar fibromyalgia , kodayake bayyanar cututtuka suna da tasiri na ilimin lissafi? Bisa ga binciken, kuma musamman nazarin shekara ta 2017 da aka buga a mujallar Pain , zai iya.
Wannan shi ne godiya ga wasu hakikanin abubuwa game da tunaninmu, da kwarewarsu don canzawa, da kuma ikonmu na yin canji mai kyau a kan yadda kwakwalwarmu ke aiki.
Facts vs. Controversy
Duk wani tattaunawa game da wannan batu zai kasance mai rikici. Wannan ya fahimci, musamman a ba da rashin fahimta a cikin jama'a da kuma likita a game da fibromyalgia shine "kawai" rashin ciki ko wani matsala na tunanin mutum.
Abu mai mahimmanci shine ya fahimci cewa duk da yake wadannan maganin sun shafi maganganun tunanin mutum, wannan ba yana nufin cewa fibromyalgia ne mai hankali ba. Ga wasu bayanai don tunawa:
- Fibromyalgia wani cututtukan neuro ne kuma yana dauke da neurotransmitters (jakadun sinadaran a cikin kwakwalwa) waɗanda ke da hannu a wasu ƙwayar cuta.
- Ƙwarewa babbar matsala ne mai yawa a yawanci, idan ba mafi yawan ba, lokuta na fibromyalgia. Ana zargin shi a matsayin factor causal kuma sananne don yin bayyanar cututtuka mafi tsanani kuma haifar da flare-ups.
- Rashin hankali da damuwa sune yanayi mai mahimmanci a fibromyalgia.
- Nazarin ya nuna cewa ƙwayar yara zai iya canza musabbabin aikin jiki na jiki, wanda zai haifar da rashin lafiya daga baya a rayuwa.
- Rayuwa tare da ciwo na kullum, rashin lafiya mai tsanani yana da wuya kuma zai iya haifar da mummunan motsin zuciyarmu, kuma wasu nau'i na farfadowa na iya taimakawa wajen kawar da waɗannan motsin zuciyar. (Haka kuma wannan yake na cututtuka kamar ciwon daji, wanda babu wanda yake tsammani yana da tausayi.)
- Ba a bada maganin jiyya ba a matsayin likita, amma a matsayin ɓangare na tsarin kulawa. Ba'a nufin su zama maye gurbin sauran hanyoyin.
- Kwaƙwalwar kwakwalwa ce. Kira yana da tasiri a kan ilmin halayen kwakwalwa, sabili da haka canjin tunani zai iya shafar canji na physiological.
A halin yanzu, yawancin mutane da fibromyalgia sukan ba da magungunan magani wadanda ba su da tasiri sosai kuma sun zo da komai mai yawa. Muna buƙatar fiye da waɗannan maganin kwayoyi, kuma wasu magungunan tunani na iya taimakawa wajen haɓaka.
Ɗaya daga cikin mafi mahimmancin nazarin jiyya na zuciya shi ne maganin halayyar halayyar kwakwalwa (CBT) . Mawallafin binciken Pain , duk da haka, sun ce sun sami wata hanyar da ta fi dacewa da CBT. Suna kira shi da wayar da kan jama'a da maganganu (EAET).
Menene Sanin Zuciya da Juyin Halitta?
A cewar masanin binciken Mark A. Lumley, PhD, EAET wata alama ce ta hanyoyin da masu tasowa da yawa sun saba da su. Wadannan dabaru sun hada da:
- Psychodynamic far
- Kwararriyar farfadowa
- Siffar gabatarwa
- Rubutun bayyanawa
- "Farko"
"Mun kawai tsayar da jigogi ko fasahohi daga wasu, hanyoyin da suka fi dacewa da su da kuma sake sa su, kuma mun samar da wasu ƙarin ra'ayoyin don ya dace da yanayin jin zafi," in ji Lumley a wata hira.
Abin da ke nufi shine, kodayake EAET wani sabon tsarin ne, wannan shine wanda zai iya sauƙaƙewa da sauƙi.
Babban manufar EAET shine don taimakawa mutane su magance matsalolin da ba a warware su ba. A cikin binciken, mutane 230 da fibromyalgia na da mako takwas na jiyya-wata ƙungiyar ta sami EAET, wani mai karɓar CBT, da kuma na uku na samun ilimi game da yanayin. An kimanta mahalarta a farkon binciken, bayan an kammala maganin, kuma bayan watanni shida.
Yayin da rashin ciwo mai tsanani bai inganta tare da EAET ba idan aka kwatanta da ilimin fibromyalgia, masu bincike sun lura da wasu ci gaba, ciki har da waɗannan yankuna:
- Overall bayyanar cututtuka
- Jin zafi mai yawa
- Yin aiki na jiki
- Dysfunction bincike
- Raguwa
- Dama
- Kyakkyawan tasiri
- Rayuwa ta rayuwa
Har ila yau, kimanin kashi 35 cikin dari na mutanen da ke cikin kungiyar EAET sun bayar da rahoton cewa suna "ingantaccen" ko "mafi kyau," idan aka kwatanta da kimanin kashi 15.5 cikin rukunin ilimi.
Idan aka kwatanta da kungiyar CBT, sakamakon ya kasance daidai da matakan da dama, amma EAET ya sami sakamako mafi kyau idan ya zo:
- Ƙananan fibromyalgia alamu
- Jin zafi mai yawa
- Kashi 50 cikin dari na rage raguwar kashi 22.5 bisa dari, idan aka kwatanta da kusan kashi 8 a cikin kungiyar CBT
Wannan binciken ya tabbatar da bincike na binciken binciken na 2010, wanda aka buga a cikin Journal of General Medicine, wanda ya bada shawara akan ayyukan kai tsaye na inganta yawancin alamun fibromyalgia, ciki har da ciwo, tausayi, da kuma yadda aka ba da rahoton mutum. Har ila yau, ya tabbatar da aikin da aka yi a baya akan maganin ƙwaƙwalwa a cikin fibromyalgia, wanda aka buga a mujallar Psychotherapy a shekarar 2008.
Me yasa ake buƙatar EAET?
A cikin fibromyalgia, kwakwalwa yana ƙarfafa sakonni mai tsanani kuma yana haifar da su a cikin abin da ba zai haifar da ciwo ba . Hanyoyin kwakwalwa ta kwakwalwa "sun haɗu da hanyoyi da ke fuskantar alamun haɗari da barazanar. Idan zaka iya canza waɗannan hanyoyi game da ikon mutum ko jin tsoro, rage karfin tsoro da karuwa da ikonka ta hanyar warware wasu matsalolin halayen, lokaci guda rage jin zafi. " Lumley ya ce.
Ya ce fushin fuska yana da motsin rai wanda ake hana shi sau da yawa, har ma a farfadowa. Mutane da yawa suna nuna fushi ga mutane a cikin rayuwarsu da sauran motsin zuciyarmu game da dangantaka. Ta hanyar fahimtar waɗannan motsin zuciyarmu da kuma koyo don bayyana su a cikin hanyoyi masu lafiya, ya ce zai iya canza "rashin taimako, tsoro, da kuma tunanin da ake kama da mutane da yawa."
Maimakon karatu sun tabbatar da abin da yawancinmu suka sani daga gwaninta-rashin lafiya na yau da kullum yana da wuya akan dangantaka. Rashin daidaituwa na yau da kullum game da fibromyalgia da yanayin da yake rikicewa kawai yana taimakawa wajen magance matsalar. Abubuwan dangantaka zasu haifar da danniya, kuma damuwa yana sake farfado da alamun mu.
Wani sashi Lumley ya jaddada cewa mutane suna buƙatar tambayi likitancin su don maganin da suka hada da EAET domin ba su da hanyar "daidaitattun" don rage cin hanci. Dole mai likitancin ku ya sami damar gano binciken (alamar yana a ƙarshen labarin) don ƙayyadadden bayanai.
Ya kuma ce magungunan magunguna sukan kasa yin amfani da marasa lafiya na fibromyalgia su fahimci cewa alamun su sun samo asali ne daga tsarin kulawa ta tsakiya da kuma hanyoyi na ciwon kwakwalwa. Abu mai mahimmanci game da fahimtar wannan shine sanin cewa kwakwalwa yana canzawa:
Mun san cewa kwakwalwar ta canza tare da kwarewa, kuma mafi yawan karfin zuciya shine kwarewa, mafi ƙarfin kwakwalwa ya canza. Mutane da yawa marasa lafiya sunyi kwarewa a cikin rayuwa, wanda tunaninsu ya tuna sosai. Za mu iya ƙirƙirar mai karfi ADAPTIVE ko HEALTHY abubuwan da suka shafi tunanin mutum ... sababbin abubuwan da za su iya kare tsofaffi marasa lafiya, da kuma canza kwakwalwar don mafi kyau? Irin waɗannan canje-canje sun bayyana kuma rage rage sigina (wanda kwakwalwa zai iya yin rajista a matsayin haɗari).
Kalma Daga
Babu wanda ke cewa duk wanda ke da fibromyalgia ya warware matsalolin motsa jiki ko kuma cewa waɗannan al'amura suna haifar da rashin lafiya. Abin da bincike ya nuna cewa ga wasu, magance matsalolin motsa jiki zai iya taimaka mana mu ji daɗin aiki da kyau.
Lokacin da kake da makamai tare da sanin cewa kwarewa zai iya canza kwakwalwar-ƙila, a gaskiya ma, za su iya canza hanyoyin da ke da alhakin yawancin alamun bayyanar mu-ya zama a fili dalilin da yasa hanyoyi masu tunani irin su CBT da EAET zasu iya taimaka mu koda kuwa rashin lafiyar mu shine ilimin lissafi.
Kamar duk jiyya, duk da haka, waɗannan hanyoyi bazai taimaka kowa ba. Magungunan ilimin likita na bukatar karin bincike game da tasirin su, bisa ga binciken 2017 a cikin fasaha na BMC . Wani bita a wannan shekara, duk da haka, an buga shi a cikin jaridar Jamus Schmerz , ya ba CBT karfi mai bada shawara. (A matsayin sabon tsarin kiwon lafiya, EAET ba a kimantawa ba a cikin waɗannan nazarin.)
Babu wani magani da zai iya tasiri akan dukkanin bayyanar mu. Ya biya la'akari da hanyoyi daban-daban idan kun zo tare da tsarin kulawa wanda ke aiki mafi kyau a gare ku.
> Sources:
> Hsu MC, Schubiner H, Lumley MA, et al. Ragowar ciwo ta ci gaba ta hanyar fahimtar kai tsaye a cikin fibromyalgia: gwajin gwagwarmaya da aka bazu. Jarida na likita na ciki. 2010 Oktoba; 25 (10): 1064-70. Doi: 10.1007 / s11606-010-1418-6.
> Kollner V, Bernardy K, Greiner W, et al. Harkokin ƙwaƙwalwa da ƙwarewa don ciwo na fibromyalgia: Jagororin da aka gabatar da labaran 2017 da kuma fassarar abubuwan da aka yi nazari akai-akai. Schmerz. 2017 Jun, 31 (3): 266-273. Doi: 10.1007 / s00482-017-0204-3. [Abubuwa da aka ambata; labarin a cikin Jamus.]
> Mami MJ, Martinez MP, Sanchez Al. Binciken na yau da kullum game da magani a cikin fibromyalgia. Rahoton da ake fama da shi yanzu da ciwon kai. 2013 Jul; 17 (7): 345. Doi: 10.1007 / s11916-013-0345-8.
> Lumley MA, Schubiner H, Lockhard NA, et al. Sanarwar motsa jiki da maganganu, farfadowa da halayyar halayyar kwaskwarima, da kuma ilimin fibromyalgia: wani gwaji mai sarrafawa wanda ba shi da yawa. Pain. 2017 Aug 8. Doi: 10.1097 / j.pain.0000000000001036.
> Markozannes G, Sufeto E, Rintou E, et al. Binciken kulawa da wallafe-wallafe game da tasiri na ayyukan kwakwalwa don rage cin hanci. Fasaha na BMC. 2017 Aug 31; 5 (1): 31. Doi: 10.1186 / s40359-017-0200-5.