Abin da ke samuwa & yadda yake aiki
Yayinda likitoci sun rubuta magunguna daban-daban don ciwo na gajiya (CFS ko ME / CFS ), babu wani daga cikin su wanda ya amince da yanayin.
Kamar dai yanayin wannan yana shafar kowa da kowa, haka ma magungunan da ake amfani dasu. Yana da muhimmanci ka yi aiki tare da likitanka don gano abin da ke daidai a gare ka. Ya kamata ku kasance da masaniya game da yiwuwar sakamako mai yiwuwa kuma ku sanar da likitanku game da duk abin da za ku iya ci gaba.
Idan kun kasance a kan magunguna fiye da ɗaya (takardar sayan kuɗi ko over-counter-counter), bari likita da likitan ka san haka zaka iya kauce wa hulɗar da ba daidai ba.
Kwayoyin magani
Ana amfani da yawancin magungunan maganin ME / CFS. Sun hada da:
- Antimicrobial kwayoyi (ya hada da antiviral, kwayoyin)
- Antidepressants (SSRIs / SNRIs da tricyclic)
- Raguwa ko nauyin da ke ciki
- Magungunan anti-inflammatory marasa nau'in ƙwayoyin cuta (NSAIDs)
- Magunguna na jini
- Gwaje-gwaje gwaji
Domin duk waɗannan magunguna suna amfani dasu don dalilai na lakabi (ma'anar ba su da FDA da aka yarda musamman ga ME / CFS), kamfanin inshorar ku bazai rufe su ba.
Antimicrobial
"Antimicrobial" yana nufin iri-iri iri iri, ciki har da antivirals, maganin maganin rigakafi, injustiyoyi, da antiprotozoals. Masu bincike sun ce wannan yanayin yana sa jiki ya yi aiki kamar yadda yana fada da kamuwa da cuta. Duk da yake babu wata kwayar cuta ko kwayoyin cutar da aka haɗa da ME / CFS, wasu bincike suna taimakawa yiwuwar cutar Epstein-Barr (wanda ke haifar da mononucleosis), cutar ta mutum 6 (HHV-6, wanda ke haifar da sautin) da kuma haɗari .
- Harshen (rintatolimod)
Wannan ƙwayar gwajin gwaji ta ƙi ta FDA kuma bai rigaya a kasuwa don kowane amfani ba. Ampligen yana aiki ne ta hanyar tsalle-tsire-tsire ta hanyar hanyar maganin maganin rigakafi ta jiki da kuma matakan daidaitawa na RNase L (wani abu a cikin jikinka wanda ke kaiwa ƙwayoyin cuta), wanda zai iya kasancewa a cikin mutane tare da ME / CFS.Nazarin ya nuna Ampligen ya fi tasiri kuma yana da tasiri fiye da sauran kwayoyi a cikin kundin. Mai sana'a Hemispherx Biopharma yana ci gaba da gwaji na wasu yanayi, yana fatan samun nasara ta wata rana.
- Valcyte (valganciclovir)
A antiviral valganciclovir bi HHV-6, wanda mahara karatu sun samu a cikin wani muhimmanci yawan mutane tare da ME / CFS. Ƙananan karatun sun sami sakamako masu ƙarfafa, amma masana sun yarda cewa ana buƙatar ɗakunan karatu da yawa da suka fi dacewa kafin su iya samo shawarwari masu aminci.
Saboda masu binciken ba su gano wani kamuwa da cuta wanda ke haifar da wannan yanayin ba, likitoci ba sukan rubuta wasu maganin antimicrobial ba, sai dai idan kuna da wata cuta mai tsanani.
Antidepressants
Dalili ne kawai saboda masu maganin antidepressants ne na maganin kowa, ba yana nufin duk mutanen da ke dauke da su sunyi matsi ba ko kuma suna da kowane yanayin yanayin zuciya. (Yayinda mutane da yawa da yanayin da ke fama da rashin lafiya, an yi la'akari da shi a sakamakon cututtuka kuma canza rayuwarsu kuma ba dalilin rashin lafiya kanta ba.) Mafi yawan nau'in antidepressants wacce aka tsara su ne SSRI / SNRIs da ma'aikatan tricyclic.
SSRI / SNRI-Type Antidepressants
Dalilin da ya sa magungunan antidepressants shine saboda sun taso da matakan da ke da muhimmanci a cikin wasu mutane tare da ME / CFS. Ana kiran wadannan magungunan masu satar maganin serotonin (SSRIs) ko kuma masu sintiri na rerotake na serotonin-norepinephrine (SNRIs ko NSRIs).
Serotonin yana taimakawa wajen aiwatar da sakonni mai tsanani kuma yana da mahimmanci ga sake zagaye na barci, yayin da norepinephrine (wani irin adrenaline) yana cikin damuwa da damuwa da makamashi.
Misalan SSRIs da SNRIs sune:
- Cymbalta (Duloxetine)
- Prozac (fluoxetine)
- Zoloft (sertraline)
- Paxil (paroxetine)
- Mafarki (venlafaxine)
- Desyrel (trazodone)
- Wellbutrin (bupropion)
Tricyclic Antidepressants
Ƙananan asarar magungunan tricyclic wani lokaci sukan inganta barci da kuma taimakawa sauƙi, ciwo mai tsanani a cikin mutane tare da ME / CFS. Wasu alamu sune:
- Ƙaddara, Sinequan (doxepin)
- Elavil, Etrafon, Libitrol, Triavil (amitriptyline)
- Norpramin (desipramine)
- Pamelor (nortriptyline)
Tabbatar da cewa kun saba da sakamakon da duk wani maganin antidepressants da kuke dauka, musamman ma da yawa masu amfani da antidepressants sun zo tare da gargadi game da haɗari da ƙaddarar tunanin tunani da halayyar suicidal. Idan ka yanke shawarar dakatar da shan kowane irin wadannan kwayoyi, magana da likitanka game da yadda za a yayata su. Tsayar da turkey sanyi zai iya haifar da wasu matsaloli masu wuya.
Raguwa
Doctors a wasu lokuta sukan rubuta kwayoyi masu zanga-zanga don wadanda ke fama da rashin tsoro. Sun hada da:
- Xanax (alprazolam)
- Klonopin (clonazepam)
- Ativan (lorazepam)
Abubuwan da ke faruwa na yau da kullum na kwayoyi masu juyayi sun hada da sedation, amnesia, rashin barci , ƙwayar tsoka, da kuma damuwa. Tsayawa su kuma zai iya jawo hankalin bayyanar cututtuka.
NSAIDS
Ana amfani da waɗannan kwayoyi a wasu lokuta don taimakawa ciwo da zazzabi da aka haɗa da ME / CFS. Da dama suna samuwa a kan-da-counter, ciki har da:
- Advil, Bayer Zabi, Motrin Nuprin (ibuprofen)
- Alamar, Anaprox, Naprosyn (naproxen)
- Feldene (piroxicam)
Kwararku na iya ƙayyade wasu nau'o'in NSAID, kuma yana da muhimmanci kada ku hada kwayoyi daban-daban a wannan aji. Wannan zai iya sanya ku cikin hadari mafi girma na bunkasa cututtuka masu illa mai haɗari, ciki har da lalacewar koda da kuma zub da jini.
Ruwan jini
Wani nau'i na ƙananan karfin jini da ake kira hypotension wanda ba shi da kyau (NMH) ya kasance a cikin mutane tare da ME / CFS. Hakan yakan haifar da haɗuwa tsakanin hawan zuciya da kwakwalwa, kodayake kwayoyin biyu na al'ada ne da lafiya. Har ila yau, ana kiran mai raɗaɗi, NMH na iya haifar da ƙananan hankali kuma yana ɓarna kuma a wasu lokuta ana gane shi ta hanyar abin da ake kira gwagwarmayar tebur.
Wasu mutanen da suka bincikar NMH sunyi amfani da maganin jinin jini mai suna Florinef (fludrocortisone), yayin da wasu ke daukar magani na jini mai tsanani Tenormin (atenolol). Idan kun kasance a kan Tenormin, tabbas za a iya kula da cutar karfin jini kuma za'a iya yin shawara don ƙara yawan gishiri da ruwa.
Source:
2013 Sakamako ME / CFS Initiative. Duk haƙƙoƙin haƙƙin mallaka. Jiyya FYI