Hadin gargajiya da kuma cikakkiyar maganin jiyya
Saboda babu wasu lokuta biyu na fibromyalgia daidai, babu wani magani wanda zai iya magance alamun cutar. Maimakon haka, magani zai kasance mai sauƙi kuma an tsara shi zuwa nau'in da kuma tsananin bayyanar cututtuka da kake fuskantar. Wannan na iya haɗawa da kan-da-counter (OTC) da takardun magani, maganin cututtuka na jiki da tallafi, raguwa ta danniya, canje-canje na rayuwa, da magungunan da suka dace don rage jinƙanka da sake sabunta rayuwarka.
Magunguna
Kamar yadda yake nuna alamun fibromyalgia , zafi shine babban abin da ake nufi da magani. Hakanan, likitoci zasu juya zuwa iri-iri na OTC da kwayoyi, wasu daga cikinsu an yarda da su don maganin fibromyalgia da sauransu waɗanda aka yi amfani da su-lakabin.
Manufar farfadowa shine magance lokuttan da yawa na bayyanar cututtuka tare da wasu ƙwayoyi masu yiwuwa don cimma nasara mafi girma. Wadannan zasu iya haɗawa da analgesics, antidepressants, anticonvulsants, shakatawa na muscle, da sauran nau'o'in maganganun maganganu.
Analgesics
Don maganin ciwo mai fibromyalgia mai tsanani, Tylenol (acetaminophen) zai iya ba da taimako mai yawa na bayyanar cututtuka tare da 'yan kaɗan, idan akwai, sakamako masu illa (yafi jiji da ciwon ciki). Duk da yake kwayoyin anti-inflammatory (NSAIDs) kamar Advil (ibuprofen) da Aleve (naproxen) suna bayar da cututtuka (cutarwa), yana da muhimmanci a tuna cewa fibromyalgia ba cutar cututtuka ba ne kuma yin amfani da NSAIDs na dogon lokaci ƙara yawan haɗarin jini na ciki, ciwon ciki, da rashin hanta.
Shafin NSAID kamar Celebrex (celecoxib) ko Voltaren (diclofenac) suna ɗauke da irin wannan hadari kamar takwarorinsu na OTC amma suna iya dacewa da taimako na gajeren lokaci idan an kiyaye su zuwa mafi yawan ƙasƙanci.
Antidepressants
Ana amfani dasu a cikin farfadowa kamar yadda suke iya magance magunguna masu yawa, rage ciwo, gajiya, da damuwa a daya bangaren yayin taimakawa cikin barci da haɓaka yanayi a daya.
Akwai maganin antidepressants guda biyu da Cibiyar Abinci da Harkokin Kiyaye na Amurka (FDA) ta amince da su, dukansu biyu ne masu sintirika da kuma masu ƙwaƙwalwar ƙwararrun ƙwararrun ƙwararrun (SNRIs) . Suna aiki ta hana ciwon serotonin da norepinephrine daga ciwon kwayoyin halitta, kuma, ta hanyar yin haka, tabbatar da mafi girma daga wadannan kwayoyin "ji-kyau" a jiki.
Ana amfani da kwayoyi guda biyu kamar haka:
- Cymbalta (duloxetine) an tsara shi tare da nauyin loading farko na miliyon 30 a kowace rana kafin kara zuwa kashi 60 na kowane rana.
- Savella (milnacipran) an tsara shi tare da nauyin loading farko na kimanin 12.5 milligrams da aka dauka sau ɗaya a kowace rana kafin kara zuwa milligrams 50 da aka ɗauki sau biyu a kowace rana. Za a iya amfani da nauyin kowace rana na kimanin 200 milligrams a lokuta masu tsanani.
Sakamakon lalacewar zai iya haɗa da motsa jiki, bakin ciki, ƙuntatawa, rage yawan ci abinci, damuwa, ƙarawa da karuwa.
Sauran maganin antidepressants an ba da izini akan launi na fibromyalgia, ciki har da SNRIs kamar Celexa (citalopram), Lexapro (escitalopram), Paxil (paroxetine), da Zoloft (sertraline).
Duk da yake tsofaffi maras amfani da antidepressants ba su da amfani da shi, lalata mai suna Elavil (amitriptyline) ya tabbatar da tasiri kamar taimako na barci yayin taimakawa ciwo da ciwo na kullum.
(Maganin kwakwalwa suna guje wa duk wani abu sai dai jinkiri na gajeren lokaci saboda amfani da tsawo ya haifar da dogara.)
Anticonvulsants
Duk da yake masana kimiyya ba su da tabbacin irin yadda suke aiki, kwayoyi masu tsaiko , waɗanda ake amfani da su don magance cututtuka da epilepsy, sun tabbatar da tasirin maganin fibromyalgia. An yi imanin cewa suna taimakawa wajen rage yawan sigina na sakonni, kuma, ta hanyar yin hakan, sunyi kwantar da hankulan kwayoyin jikinsu.
Lyrica (pregabalin) shi ne wanda aka fara yarda da shi ta hanyar FDA don maganin fibromyalgia. Idan an umurce ku, za ku fara jiyya tare da ƙananan allurai kafin ku kai kimanin miliyon 300 na ma'auni na yau da kullum (dauka sau uku kowace rana a cikin kwayoyi 100-miliyoyin) ko 330 milligrams don kwamfutar da aka ƙaddamar da shi (ɗauka sau daya kowace rana).
Abubuwan da aka haɗu da juna sun haɗa da rashin ƙarfi, damuwa, da wadata.
Sauran masu tayar da hankula kamar Neurontin (gabapentin) suna ba da irin wannan aikin kuma zai iya aiki kamar yadda ya kamata. Vimpat (lacosamide) da Keppra (levetiracetam) sun kuma yi amfani.
Masu haɗarin Muscle
Har ila yau, masu shakatawa na musamman suna neman taimako a wasu lokuta, kuma masana kimiyya ba su san dalilin da ya sa ba. Saboda magunguna na iya haifar da barci, ana daukar su a daren dare kafin lokacin barci.
Yayinda barci marar sanyi ya zama alama ce ta fibromyalgia, an nuna cewa sake sabunta dabi'un al'ada na al'ada zai iya rage ƙarfin mutum ga jin zafi. (A bambanta, ɓataccen barci yana san lalacewa sau da yawa na bayyanar cututtuka.)
Wadannan shakatawa guda biyu da ake amfani da ita don magance fibromyalgia shine Flexeril (cyclobenzaprine) da Zanaflex (tizanidine). Hanyoyin lalacewa na iya haɗawa da bushe-bushe, rashin hankali, tashin hankali, da hangen nesa.
Wasu Magunguna
Ana amfani da kwayoyi masu amfani da kwayoyi irin su Vicodin (hydrocodone) da OxyContin (oxycodone) don magance fibromyalgia, ko da yake ana yaudarar aikin a yau saboda mummunar haɗari da kuma samuwa da sababbin kwayoyin fibromyalgia. Abinda kawai zai iya kasancewa yin amfani da Ultram (tramadol) ƙananan don yin amfani da gajeren lokaci mai tsanani na fibromyalgia . Duk da haka, ana amfani da miyagun ƙwayoyi ne ga lokutta masu tsanani amma idan wasu mawallafi sun kasa bayar da taimako.
Sashin ciwon jiji na rashin lafiya (IBS) yana cikin mutane da fibromyalgia kuma an yarda su raba irin wannan hanya ta hanyar cututtuka. Dangane da bayyanar cututtuka za a iya yin wajabtaccen abu, antidiarrheals kamar Imodium (loperamide) ko Lomotil (diphenoxylate), ko antispasmodics kamar Norpramin (desipramine).
Tsarin jiki da shawara
Baya ga magunguna, likitanku zai iya mayar da kai ga likitoci don taimakawa wajen shawo kan ƙalubale na jiki ko na tunanin da za a fuskanta. Duk da yake muna da tunani game da fibromyalgia a matsayin cuta na jijiyoyin jiki, to hakika yanayin rashin daidaito ne wanda ciki har da damuwa, damuwa, da rashin lafiya duka suna taka rawar gani.
Don haka, zaku iya amfana daga ganin masu sana'a:
- Malaman likita zasu iya taimakawa idan kuna shan wahala daga damuwa, damuwa da tsoro, da damuwa da damuwa kamar cututtukan cututtuka post-traumatic (PSTD) da aka fi gani a cikin mutane da fibromyalgia. Ana buƙatar daidaituwa tare da likitan likitan ku don tabbatar da cewa babu magani ko magungunan magani.
- Masu ilimin kimiyya zasu iya ba da shawara da kuma amfani da maganin halayyar zuciya (CBT) don bunkasa farin ciki ta hanyar canza tunanin motsin jiki, halayyar, ko tunani.
- Masu warkarwa na jiki zasu iya inganta ƙarfinka da jin daɗin jiki ta hanyar koya maka hanyoyin da za a shimfiɗawa da kuma motsa jiki a hanyar da bazai kara yawan bayyanar cututtuka ba. Suna kuma iya ba da magani don magance ciwo da kuma inganta yanayin da za a yi don inganta aikin ƙwayar tsoka.
- Masu tasowa na aikin likita zasu iya ba ku kayan aiki da dabarun don dacewa da kalubale na rayuwa tare da fibromyalgia. Hakanan sun haɗa da kiyaye makamashi, gudanarwa ta ciwo, fasaha na shakatawa, warware matsalolin, tsabtace barci , da saitin burin.
Sauye-sauye na gidan
Kamar yadda muka dogara ga magunguna don magance fibromyalgia, ba za su iya kasancewa kawai hanyar maganin magani ba. Bugu da ƙari ga magunguna, kana buƙatar yin zaɓin salon rayuwar lafiya don tabbatar da ci gaba da taimako na alamun bayyanarka.
Motsa jiki yana tsakiyar wannan. Yayin da iliminku zai iya gaya muku kada ku motsa don tsoro don haifar da ciwo, zai zama abu mafi muni idan kun matsa. (Kuma, bari mu fuskanta, duk muna yin hakan.) Ta aiki a cikin iyakokinka kuma a hankali ka ƙarfafa ƙarfinka da sassauci, zaku cigaba da rage karfinku ga jin zafi. Yin aiki a kan aikin motsa jiki mai kwantar da hankali na jiki shine hanya mai kyau don farawa.
A matsayin kariyar da aka haɓaka, motsa jiki yana ƙarfafa samar da endorphins , hormones cewa ba wai kawai suna da sakamako na analgesic ba amma zai iya bunkasa halinka.
Rashin ci abinci da nauyi yana da mahimmanci. Karɓar nauyin ƙananan nauyi ba kawai yana ƙara wa nauyin nauyin da ke cikin ƙunƙun ku da ɗakuna ba, yana rage yadda ya dace da tsarin kwakwalwa na zuciya kuma ya bar ku da gaji da kuma gajiya.
Duk da yake babu wani filaromyalgia "abinci," mafi yawan likitoci za su amince da wani tsarin cin abinci mai kyau daidaitawa hada da:
- Hanyoyi biyu na uku, kayan lambu, da dukkanin hatsi
- Ɗaya daga cikin kashi uku na ƙananan kiɗa da kiɗa mai gina jiki
- Amfanin yau da kullum na 25 zuwa 30 grams na zafin abincin mai cike da zafin jiki domin kula da lafiyar lafiya
- Kwayoyin lafiya kamar man zaitun
- Kiyaye maganin maganin kafeyin wanda shine cibiyar kula da kwayar halitta mai ban sha'awa
- Ka guje wa abinci mai sarrafawa, abinci mai soyayyen, da sukari mai tsabta
A matsayin mai takaici, dole ne a sake mayar da barasa kuma za'a iya kauce masa lokacin shan Cymbalta, Savella, da kuma Tylenol saboda yawan haɗarin hanta da hanta.
Ya kamata ku yi la'akari da barin cigaban sigari kamar yadda binciken da yawa suka danganta shan taba don ƙara yawan ciwo da rashin barci a cikin mutane da fibromyalgia.
Ƙarin Magunguna Makiya (CAM)
Mutane da ke fama da cututtuka na yau da kullum za su juya zuwa mahimmanci da kuma magani (CAM) a matsayin hanyar da za su kula da lafiyar su, ta jiki, da ruhaniya. Wannan shi ne ainihin gaskiya ga yanayin kamar fibromyalgia wanda ba a fahimci dalilin .
Idan kuna bin wata mahimmanci na magunguna, tabbatar da sanar da likitan ku game da shi don tabbatar da cewa ba ta tsangwama da maganinku (kamar yadda magunguna kamar St. John's Wort zai iya yin wani lokaci) kuma ba ya cutar da ku. Gaskiyar cewa wani abu ne "na halitta" ba yana nufin cewa ba shi da lafiya.
Mind-Body hanyoyin kwantar da hankali
Magungunan tunani na jiki shine rukuni na ayyuka da yawancin mutanen da ke fama da rashin lafiya kullum sukan yi amfani da su don rage yawan tasirin ilimin lissafi yayin haɓaka lafiyar jiki da kuma jin tausayi. Tare da wata cuta kamar fibromyalgia, duk wani aiki da zai iya sauke jikinsa ya dagewa ga danniya ba tare da amfani da kwayoyi ba kamata a yi la'akari da amfani.
Daga cikin wasu ayyuka na jiki masu mahimmanci:
- Zuciyar tunani shine nau'i na zuzzurfan tunani wanda ya koya ko kada kuyi mummunan tunani da zai iya haifar da danniya.
- Hanya da aka jagoranci wata hanya ce wadda ka ƙirƙiri hotunan tunani don yin kwantar da hankula.
- Hanyoyin motsa jiki mai zurfi (pranayama) yi amfani da fasahar motsa jiki don haifar da tunani
- Yoga da Tai chi sun hada da motsi tare da motsi don samun karfin jiki akan kula da jikinka.
- Magungunan massage , kamar sakin layi na yayata , yana so a kwantar da hankali da damuwa ba tare da jin zafi ba.
- Maganin ci gaba na muscle (PMR) wata hanya ce wadda kake tanadawa da kuma shayar da tsokoki a jikinka don yin kwantar da hankali.
- Biofeedback yana yin amfani da na'ura na lantarki don taimaka maka ka lura da kuma kula da matakan damuwa.
Magunguna Na Ƙarin
Magungunan gargajiya, ciki har da ganye, tsantsa, bitamin, da kuma maganin gargajiya na gargajiya na kasar Sin (TCM), wasu sun rungume su a matsayin wani nau'i na farfadowa. Daga cikin wadanda zasu iya ba da amfani ga mutane da fibromyalgia:
- 5-HTP (5-hydroxytryptophan), wani amino acid mai tsabta wanda aka samo daga Griffonia simplicifolia na Afirka wanda zai iya taimakawa wajen tada matakan serotonin. Duk da yake an dauki kariyar lafiya, akwai bayanai kadan game da tasirinta a zalunta fibromyalgia.
- Capcaisin shine nau'in aiki a cikin barkono barkono wanda yake samuwa a cikin creams, sprays, da alamu. Anyi amfani da nau'o'i daban-daban na neuralgia (ciwo na naman), an kuma dauke shi lafiya amma zai iya haifar da redness, itching, ko kona. Binciken da aka yi a shekarar 2013 daga Italiya ya nuna cewa yin amfani da nau'in maganin cizon maganin 0.075%, sau uku a kowace rana don makonni shida, rage yawan ciwo ta kashi 73 cikin 100 a cikin masu nazarin nazarin 130.
- An san sanannun wutan lantarki saboda ikonsa na rage rage zafi, tada hali, kuma ya taimake ka barci mafi alhẽri. Wani karamin binciken da Isra'ila yayi a shekara ta 2018 ya ruwaito cewa yin amfani da maganin cannabis a cikin ƙwararru 60 da ke da fibromyalgia mai tsanani ya haifar da inganta cigaba da ciwo a dukan mahalarta. Bayan shekara guda, 13 sun iya dakatar da magungunan fibromyalgia, yayin da takwas suka bada rahotanni kawai sakamakon sakamako mai sauƙi.
> Sources:
> Casanueva, B; Rodero, B; da kuma Quintial, C. "Amfanin gajeren lokaci na farfadowa na maganin kutsaicin a cikin marasa lafiya na fibromyalgia mai tsanani." Rheumatol Int . 2013; 33 (10): 2665-70. DOI: 10.1007 / s00296-012-2490-5.
> Habib, G. da Artul, S. "Cannabis na likita don maganin Fibromyalgia." J Clin Rheumatol. 2018. [Bugu da ƙari a gaban bugawa.] DOI: 10.1097 / RHU.0000000000000702.
> Sanam, K. da Choy, E. "Ɗaukaka kan Harkokin Gudanarwa a Ciwo na Cutar Fibromyalgia tare da Faɗakarwa kan Pharmacology." Biomedicines. 2017; 5 (2): 20. DOI: 10.3390 / biomedicines5020020.
> Cibiyar Kasa ta Kasuwanci ta Kwarewa da Haɗakarwa. "Hanyar tunani da Jiki don Fibromyalgia: Abin da Kimiyyar Kimiyya ta ce." Bethesda, Maryland; buga watan Satumba 2017; sabunta Maris 27, 2018.