Kupewa ndi chithandizo chamankhwala cha fibromyalgia
Kodi tingapewe bwanji fibromyalgia?
Chifukwa cha fibromyalgia sichinadziwike bwino, palibe njira yoletsera imadziwika.
Tiyeni tingonena kuti tikulimbikitsidwa kuti tisakhale onenepa kwambiri, chifukwa amakulitsa ululu m'malo olumikizirana mafupa ndi minofu.2. Werengani body mass index (BMI) ndi m'chiuno mwanu.
Kodi chithandizo chamankhwala cha fibromyalgia ndi chiyani?
Pakalipano palibe chithandizo chovomerezeka cha fibromyalgia. Mankhwala angathandize kuthetsa ululu bwino. Ngakhale palibe chithandizo chodziwika chochiza fibromyalgia, pali chithandizo.
Mankhwala ovomerezeka
Chifukwa sitikudziwabe pang'ono za njira zomwe zimakhudzidwa m'minofu, ndi chithandizo chamankhwala zoperekedwa kwa odwala zimachokera ku kutsekereza kwa njira zomwe zimakhudzidwa ndi ululu ndi kugona.
Kuti muchepetse ululu, chimodzi mwazotsatira zabwino kwambiri chimapezeka ndi Tramadol. The mankhwala opha ululu kapena mankhwala opha ululu amphamvu, monga morphine, amachepetsa ululu, koma mwachiwonekere sangathe kugwiritsidwa ntchito kwa nthawi yaitali. Tramadol (Ralivia®, Zytram®), wochokera ku banja la opiates (monga morphine), komabe yasonyezedwa kuti ndi yothandiza m'mayesero angapo aposachedwa a odwala omwe ali ndi fibromyalgia. Zimalimbikitsidwa kuti azichiza fibromyalgia ndi akatswiri ambiri, okha kapena ophatikizana ndi acetaminophen. Komabe, mankhwalawa amayenera kugwiritsidwa ntchito ngati njira yomaliza, pamene chithandizo china chawonetsedwa kuti sichigwira ntchito. Kugwiritsa ntchito kwake kuyenera kuchitika moyang'aniridwa ndi dokotala chifukwa cha chiopsezo chodalira.
The mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), mwachitsanzo ibuprofen (monga Advil® kapena Motrin®), naproxen ndi acetaminophen (Tylenol®) nthawi zina zimathandiza kuchepetsa kupweteka kwa minofu ndi kuuma. Kuchita kwawo kumasiyanasiyana munthu ndi munthu. Zimathandiza makamaka pamene fibromyalgia ikuwonekera mwa munthu yemwe ali ndi matenda otupa, monga nyamakazi ya nyamakazi. Mu "fibromyalgia" yosavuta, samalimbikitsidwa kawirikawiri.
Chenjezo. Pakapita nthawi, kugwiritsa ntchito mankhwala osokoneza bongo monga NSAID kungayambitse mavuto aakulu: kupweteka kwa m'mimba ndi magazi, zilonda zam'mimba, kuwonongeka kwa impso ndi kuthamanga kwa magazi.
Chenjerani ndi nkhanza zoletsa ululu. Mankhwala ochepetsa ululu amagwiritsidwa ntchito kwambiri ndi anthu omwe ali ndi fibromyalgia. Nthawi zambiri zimakhala zosagwira ntchito, zomwe zimapangitsa odwala kuti azizigwiritsa ntchito mosayenera, pamlingo waukulu komanso kuphatikiza mankhwala osiyanasiyana. Samalani! Mankhwala ochepetsa ululu ndi anti-inflammatories ali ndi zotsatira zowopsa, makamaka pakapita nthawi. Nthawi zonse funsani malangizo kwa dokotala kapena wazamankhwala musanagwiritse ntchito mankhwala aliwonse. |
Kubwezeretsa a tulo tobwezeretsa, ngati matenda a tulo ali kutsogolo komanso kukakhala ndi nkhawa-depressive maziko, titha kugwiritsa ntchito IRS antidepressants pa Mlingo wamphamvu theka ngati wa matenda ovutika maganizo.
Zonsezi Kudetsa nkhaŵa, monga mlingo wochepa wa serotonin reuptake inhibitors ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pa fibromyalgia. Amakhala ndi zotsatira pa zowawa zambiri zosatha, kuphatikizapo ululu wa fibromyalgia, motero amagwiritsidwa ntchito mobwerezabwereza ngakhale palibe kupsinjika maganizo. Kuphatikiza apo, amachulukitsa kuchuluka kwa serotonin muubongo. Komabe, mlingo wochepa wa serotonin umagwirizanitsidwa osati ndi kuvutika maganizo, komanso migraines, matenda a m'mimba ndi nkhawa, zomwe zili pakati pa zizindikiro za fibromyalgia.
Kupewa ndi kuchiza kwa fibromyalgia: kumvetsetsa zonse mu 2 min
Amitryptiline (Élavil®) amagwiritsidwa ntchito mwa anthu omwe ali ndi fibromyalgia ngati mankhwala ochepetsa ululu komanso zotsatira zake pazovuta za kugona komanso kutopa. Ndiwo mankhwala omwe amagwiritsidwa ntchito nthawi zambiri, pothandizira koyamba 68. The mankhwala a duloxetine (Cymbalta®) ingagwiritsidwenso ntchito, monganso fluoxetine (Prozac®) kapena moclobemide, yomwe nthawi zambiri idzawonjezedwa ngati mankhwala owonjezera. Pomaliza, mankhwala ena ochepetsa kupsinjika maganizo, milnacipran, awonetsa zotsatira zolimbikitsa motsutsana ndi fibromyalgia ndipo akuwunikidwa ku Canada.
Ma antidepressants otsika amawoneka ngati chithandizo chanthawi yayitali cha kupweteka kwa minofu mu fibromyalgia. Komabe, si onse amene amapeza mpumulo mu izi.
The anticonvulsants kapena anti-epileptics - yoyamba yopangidwira kuchiza khunyu - imathandizanso kupweteka kosalekeza. Izi zikuphatikizapo gabapentin (Neurontin®), pregabalin (Lyrica®) ndi topiramate (Topamax®). Ena mwa mankhwalawa amawongolera kugona bwino (makamaka gabapentin, komanso pang'ono pregabalin). Lyrica® ngakhale adalandira, mu 2009 ku Canada, chizindikiro cha chithandizo cha ululu wokhudzana ndi fibromyalgia.
Zosintha Nthawi zina amalembedwa kuti azitha kugona, koma kugwiritsa ntchito kwawo nthawi yayitali sikuvomerezeka ndi madokotala (mwachitsanzo, Imovane®). Kuphatikiza apo, mankhwala ambiri omwe atchulidwa pamwambapa amakhalanso ndi sedative.
Zotsitsimula minofu zingathandizenso kuthetsa ululu. Njira yokhayo yotsitsimula minofu ya fibromyalgia ndi Flexeril®, yomwe zochita zake zimakhala zofanana ndi za amitriptyline (Laroxyl®).
Kuzindikira. Corticosteroids (monga prednisone) sinawonetsedwe kuti ndi yothandiza pochiza fibromyalgia.
Kusagwiritsa ntchito mankhwala osokoneza bongo
Mankhwala okha sasintha mokwanira moyo wa anthu omwe ali ndi fibromyalgia. Utsogoleri uyenera kukhala zosiyana siyana. njira zowonjezera, kulola makamaka kuti Khazikani mtima pansi ndi kuphunzira samalirani ululu wanu, mwina ndi njira zothandiza kwambiri zokhalira bwino ndi fibromyalgia lero. Ngati ululu waukulu, the osambira madzi otentha, ndi masewera olimbitsa thupi kapena opanda minofu, angaperekenso mpumulo mwamsanga58.
Balneotherapy
Ngati ululu waukulu, the osambira madzi otentha, ndi masewera olimbitsa thupi kapena opanda minofu 58, angaperekenso mpumulo wofulumira. Chisamaliro m'malo owongolera omwe ali ndi balneotherapy, m'malo opangira spa okhala ndi dziwe losambira lamadzi otentha awonetsa kuchita bwino.
Zochita za aerobic
Thezolimbitsa thupi ndi mbali yofunika ya chithandizo chamankhwala. Zimapangitsa kuti thupi lipange ma endorphins, mahomoni omwe amapereka moyo wabwino komanso ululu wodekha. Chidule cha maphunziro angapo6, 7,55, kuphatikizapo yomwe inafalitsidwa mu 200864, adatsimikiza kuti kuyang'anira masewera olimbitsa thupi kumachepetsa zizindikiro za fibromyalgia komanso kugona bwino komanso kuchita bwino thupi. Zochita zotambasula ndi zolimbitsa thupi zimaganiziridwanso kuti zimathandizira zizindikiro zina, koma pali umboni wochepa wa izi.
Mmodzi sayenera kuchita mantha kukulitsa matenda ake pochita masewera olimbitsa thupi, chifukwa m'minofu si vuto la chiyambi cha minofu1. Komanso, zimadziwika kuti kufooka kwa thupi kumayambitsa kutopa ndi nkhawa. Komabe, ndikofunikira kuyamba pang'onopang'ono, ndi a pulogalamu yosinthidwa ku mkhalidwe wake wakuthupi.
The masewera olimbitsa thupi kuchitidwa mu dziwe losambira, makamaka m'madzi otentha, kungakhale koyambira bwino kuti mubwererenso kuchitapo kanthu. Malinga ndi mayesero 2 azachipatala omwe adasindikizidwa mu 2006, machitidwe am'madzi (kuyenda kapena kuthamanga m'madzi, mwachitsanzo) kumathandizira kuthetsa ululu wobwera chifukwa cha fibromyalgia komanso kukhala ndi moyo wabwino.8,9. Ayenera kusinthidwa kuti agwirizane ndi mphamvu za munthu amene akhudzidwa, ndipo mphamvu yawo iyenera kuwonjezeka pang'onopang'ono.
Njira zosiyanitsira ndikuwongolera kupsinjika ndi zowawa, monga kupumula, ericksonnian hypnosis, kapena nyimbo zothandizira zawonetsedwa kuti ndizothandiza pa matendawa. Amakulolani kuti mukhale ndi moyo wabwino ndi ululu ndi kutopa.
Psychotherapy
Psychotherapy ikhoza kukhala ndi phindu lalikulu kwa anthu omwe ali ndi fibromyalgia. The chithandizo chamaganizo (TCC) ndiwothandiza kwambiri. Onani gawo la Complementary Approaches.
Nawa malangizo ochokera kuCanadian Medical Association kuthetsa zizindikiro4 :
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