Damalai marasa bambanci amma dangantaka mai yiwuwa
A gefe, ciwo na gajiya mai tsanani ( ME / CFS ) da kuma rashin kulawa da rashin kulawa (ADHD) yana kama da cikakkiyar tsayayya: Ɗaya yana nufin dole ka kasance mai aiki sosai lokaci, kuma ɗayan ya sa ka ci gaba. Ba za su iya samun abu mai yawa a kowa ba, daidai?
A gaskiya, su kawai iya.
Masu bincike masu bincike akan wata hanyar haɗi tsakanin ME / CFS da adana ADHD ya ce fatigue na iya kasancewa muhimmiyar alama ta ADHD, kuma likitoci su nemi ADHD, ko tarihin shi, a cikin mutanen da ke dauke da ME / CFS ko sauran nau'ikan wahala.
Binciken farko a cikin ADHD / ME / CFS Link
A 2007, binciken da JL Young ya jagoranci ya dubi yiwuwar haɗuwa tsakanin ADHD (nau'in saka idanu), ME / CFS, da fibromyalgia. A cewar abubuwar:
A cikin likitan asibitin, wasu marasa lafiya marasa lafiya da suka gabatar da farko tare da bayyanar cututtuka na ADHD, nau'in rashin kulawa, wanda ya ruwaito rashin gajiya maras kyau, jinƙarar ƙwayar ƙwayar cuta ko tsohuwar samuwa na CFS ko FMS. Kamar yadda aka sa ran, ADHD magungunan ƙwayar magani na yawanci [inganta] ainihin magungunan ADHD na rashin kulawa, damuwa, hyperactivity, da impulsivity. Kadan da aka sa ran shi ne lura cewa wasu marasa lafiya sun bada rahoton [ci gaba] na ciwo da kuma gajiya bayyanar cututtuka.
Wannan binciken ya haifar da ƙarin sha'awa ga yin amfani da magungunan ADHD-irin su Ritalin-don taimakawa wasu matsalolin da suka shafi MU / CFS da sauran nau'o'in wahala.
Binciken Nazarin Yana Taimakawa
Binciken matasa a baya ya duba lokuta guda uku na ME / CFS a cikin mutanen da suka amsa rashin lafiya ga lafiyar su.
Masu bincike sun gano cewa duka uku sun sadu da ka'idoji na ADHD, dukansu uku sun amsa sosai ga magungunan ƙwayar cuta, wanda shine wani ɓangare na maganin ADHD. Sun ce marasa lafiya sun ga cigaba da gajiya, zafi, rashin tausayi da sauran cututtuka. Bisa ga abubuwan da suka dace:
... an gano dukkan marasa lafiya don daidaita ka'idodi don rashin kulawa da nakasa / hyperactivity (ADHD) da kuma aiwatar da tsarin tsarin likita na psychostimulant. Bayan jiyya tare da psychostimulants, 3 marasa lafiya sun ruwaito inganta alamun bayyanar da gajiya da ciwo, da kuma tunani da kuma core ADHD bayyanar cututtuka.
Masu bincike sun kammala cewa ADHD da ME / CFS na iya raba wata ma'ana mai mahimmanci da kuma cewa a tsawon lokaci, ADHD zai iya zama cikin ciwo mai wuya da ciwo. (Ba a sani ba ko wannan zai fi dacewa a dauka sabon nau'i na ADHD ko sashi na ME / CFS.)
Daga bincike na baya, mun san cewa ME / CFS da ADHD duka sun haɗa da dysregulation neurotransmitter wanda zai iya ƙunsar serotonin , norepinephrine , da dopamine . Duk da haka, wannan shi kadai bai isa ya tabbatar da alaƙa da dangantaka mara kyau ba - masu ba da agaji na aiki da ayyuka daban-daban a yankuna daban-daban, da kuma ayyuka daban-daban a cikin yanki wanda ya dogara da ƙwararrun masu karɓa, don haka abu ne mai rikitarwa.
Yayin da muka koyi game da waɗannan yanayi da kuma tushen su, zamu iya girma don fahimtar dangantaka.
Me yasa Kasuwancin Magungunan Guda Maɗaukaki Na Biyu?
Komawa zuwa waɗannan yanayin da ake nuna su zama masu adawa a yanzu. Me yasa magani ɗaya zai taimaka wa wanda ke da kullun ko da yaushe kuma har ma wanda ba zai iya zauna har yanzu ba?
Ka lura cewa ƙididdiga a sama yayi magana game da "maganin psychostimulant." Mahimmin ɓangare na wannan magana shine "mai tasowa." Don wasu dalilai, yawancin masu tasowa sunyi tasiri ga mutanen da ke tare da ADHD fiye da yadda suke da wasu: Suna kwantar da hankulan su maimakon yin sauri.
Sauran Bincike
Wannan wani yanki ne na binciken da ke tattare da hankali. Sauran binciken sun tabbatar da haɗin kai tsakanin ME / CFS da AdHD ADD, musamman ma a cikin mutanen da suke fama da damuwa. (Yana da wataƙila ba daidaituwa ba cewa damuwa yana haifar da dysregulation na guda neurotransmitters.)
Akalla binciken daya, wanda aka buga a Kwararre na Kwararrun Neurotherapeutics , yana taimakawa wajen tabbatar da shaidar cewa methylphenidate (miyagun ƙwayoyi a Ritalin) zai iya samun rawar daɗi a kula da ME / CFS.
Ya kamata ku yi la'akari da Ritalin ga ME / CFS?
Yayin da bincike ya bada shawarar haɗi, ADHD takardun magani ba a ba da izini ba ne don rashin gajiya da ba ta lalacewa ta hanyar ME / CFS.
Wasu likitoci sun rubuta takardun magani na ADHD don ME / CFS, waɗannan kwayoyi sunyi aiki ga wasu (amma ba duka) mutane ba.
Idan kun fuskanci wahala tare da kasancewa da hankali da kuma sauraron hankali, kuma musamman ma idan kuna tawayar, wannan na iya zama magani don kawowa tare da likitanku.
- Ƙara Ƙarin: ADHD Drugs for ME / CFS
> Sources:
> Rogers DC, Dittner AJ, Rimes KA, Tsofaffi T. Rashin ƙarfin hali a cikin ƙwararruwar rashin kulawa da rashin lafiyar jama'a: Tsarin hanyar bincike-bincike. Jaridar Birtaniya ta nazarin ilmin likita. 2017 Mar; 56 (1): 33-52.
> Saez-Francas N, Alegre J, Calvo N, et al. Cutar rashin lafiya ta rashin kulawa a cikin marasa lafiya marasa lafiya. Nazarin ilimin gabbai. > 2012 Dec 30; 200 (2-3): 748-53.
> Valdizan Uson JR, Idiazabal Alecha MA. Dama da kuma maganin kalubalen ciwo na ciwo mai tsanani: rawar da za a yi watsi da methylphenidate. Binciken gwani na neurotherapeutics. 2008 Yuni; 8 (6): 917-27.
Young, JL. Mawuyacin ciwo mai wuya: 3 lokuta da kuma tattaunawa game da tarihin halitta na rashin hankali / rashin lafiya. Postgrad Med. 2013 Janairu 125 (1): 162-8.
> Young, JL, Redmond JC. Fibromylagia, ciwo mai tsanani, da kuma rashin lafiyar yara da yawa ga rashin lafiya a cikin balagagge: nazarin binciken. Psychopharmacol Bull. 2007; 40 (1): 118-26.