Aia kekahi lāʻau lapaʻau no ka Chronic Fatigue Syndrome (CFS), ka mea e luhi mau ai ʻoe?

Ke luhi nei ʻoe i ka lā a pau? ʻOiai ma hope o ka hiamoe maikaʻi ʻana i ka pō, i kou ala ʻana i ke kakahiaka, ua like kou kino me he mea lā ʻaʻohe ona ikaika? Ke ʻeha nui nei kou kino a hiki ʻole iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā? ʻAʻole paha kēia he luhi maʻamau. I kēia lā, ke kamaʻilio nei mākou e pili ana i ka Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), kahi maʻi e hoʻopilikia nei i nā poʻe he nui a hiki ke hoʻopilikia i ko lākou ola.

I ka ʻōlelo maʻalahi, he ʻano paʻakikī loa kēia. Hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka. ʻOiai paha ʻoe e ʻike i ka luhi nui a me ka ʻeha ʻiʻo, ʻo ka pilikia nui o kekahi kanaka ʻo ia ka nalowale o ka hoʻomanaʻo a me ka luhi me ka nānā ʻole i ka nui o ka hiamoe a lākou e loaʻa ai. No laila, i ka mālama ʻana i kēia, pono ʻoe a me kāu kauka e nānā mua i nā hōʻailona e hoʻopilikia nui nei i kou ola.

Aia kekahi lāʻau lapaʻau kūikawā no kēia maʻi?

ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau hoʻokahi no ka Chronic Fatigue Syndrome (CFS). ʻAʻohe lāʻau lapaʻau kikoʻī i ʻae ʻia no ke ʻano. Akā, mai hopohopo. Aia nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe e hiki ke kōkua i ka hoʻokele ʻana i kāu mau hōʻailona. Hiki ke kuhikuhi ʻia kekahi o kēia e ke kauka, aʻo kekahi he mau lāʻau hōʻoluʻolu ʻeha ma luna o ke kauka.

Nā lāʻau lapaʻau e kōkua ai i nā hōʻailona like ʻole

E nānā kākou i ke ʻano o ka lāʻau a ke kauka e manaʻo ai ma muli o kāu mau hōʻailona nui.

He aha kāu e hana ai no nā pilikia hiamoe?

He nui ka poʻe me ME/CFS i loaʻa i kekahi ʻano pilikia hiamoe. No laila, ʻo ka loaʻa ʻana o kahi hiamoe maikaʻi i ka pō (a i ʻole ka hiamoe maikaʻi ma mua o ka wā ma mua) hiki ke kōkua nui i ka hōʻemi ʻana i ka luhi o ke ao.

ʻO ka mea mua, e nānā kāu kauka inā he mau ʻano hiamoe maikaʻi kāu. ʻO ia hoʻi, e hiamoe i ka manawa like, e ala ana i ka manawa like, a e mālama i kou lumi moe i ka mālie, ka pouli, a me ke anuanu.

Inā ʻaʻole kōkua kēia mau mea iā ʻoe e hiamoe, e kuhikuhi paha kāu kauka i kahi mea kōkua hiamoe ma luna o ke kauka, e like me ka antihistamine. ʻO ka hemahema, hiki i nā hopena o ka lāʻau ke mau ma mua o 8 mau hola. Hiki paha iā ʻoe ke hiamoe i ka lā aʻe. He mea ia a mākou e hoʻāʻo nei e pale aku. Akā, ʻaʻole like ka hana a nā lāʻau āpau no nā kānaka a pau. No laila, e nīnau i kāu kauka i ke ʻano kūpono iā ʻoe a pehea e hoʻohana ai.

Inā ʻaʻole holo pono kēlā, hiki i ke kauka ke kuhikuhi i kahi lāʻau hiamoe. ʻO ka pahuhopu o kēia mau mea, ʻo ia ke hoʻoponopono i kāu ʻano hiamoe ma ka liʻiliʻi loa no ka manawa pōkole loa. ʻAʻole ʻōlelo ʻia lākou no ka hoʻohana lōʻihi.

Loaʻa i kēia mau lāʻau lapaʻau a pau nā hopena ʻaoʻao. ʻO ka hiamoe i ke ao, ka poniuniu, a me ka nalowale o ka hoʻomanaʻo he mau hōʻailona nō hoʻi ia o ME/CFS. No laila, pono ʻoe e kamaʻilio me kāu kauka e pili ana i nā pono a me nā pōʻino o ka lawe ʻana i kahi lāʻau lapaʻau a i ʻole.

Lapaʻau no ka ʻeha o ke kino

He mea maʻamau ka ʻeha no nā poʻe he nui me ME/CFS. ʻO ke poʻo ʻeha, ka ʻeha ʻiʻo a me nā hono ka mea maʻamau. Hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻeha ma luna o ke kauka (e like me Panadol, Aspirin, Ibuprofen) a i ʻole nā ​​​​lāʻau lapaʻau ikaika. I kekahi manawa, hoʻohana ʻia nā lāʻau lapaʻau e like me nā antidepressants tricyclic e kōkua i ka ʻeha mau. Inā paʻakikī kou ʻeha e kaohi, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea ʻeha.

Ka Hoʻomanawanui ʻole Orthostatic

ʻO kēia kekahi pilikia e hele mai me ME/CFS. ʻO nā hōʻailona e komo pū me ka manaʻo poniuniu i ke kū ʻana, ka ʻike maka pohihihi, ka nāwaliwali, a me ka puʻuwai wikiwiki. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hōʻoia e haʻi i kāu kauka. Hiki i nā lāʻau lapaʻau e like me Fludrocortisone, Midodrine, a me Propranolol ke kōkua i ka kaohi ʻana i kēia kūlana.

E aʻo kākou e pili ana i nā mea hoʻoulu a me nā lāʻau antidepressants.

He mea maikaʻi anei ka hoʻohana ʻana i nā mea hoʻoulu?

I kekahi manawa, kuhikuhi nā kauka i nā mea hoʻoulu, i hoʻohana ʻia e mālama i nā kūlana e like me ADHD, e kōkua i ka luhi a me nā pilikia hoʻomanaʻo e hiki ke hana me ME/CFS. Akā, aia nā pilikia koʻikoʻi i ka hoʻohana ʻana iā lākou.

E noʻonoʻo, ke lawe ʻoe i kēia lāʻau lapaʻau, loaʻa koke iā ʻoe kahi ikaika. No laila ke hoʻāʻo nei ʻoe e hana i ka nui o ka hana i hoʻokahi lā. Akā i ka lā aʻe, ʻoi aku kou luhi ma mua o ka wā ma mua, me he mea lā e 'hiolo' ana ʻoe. Hoʻonui wale kēia i kou kūlana. Eia kekahi, hiki i kekahi o kēia mau lāʻau lapaʻau ke hoʻopili. No laila, ua ʻōlelo ʻia kēia mau mea ma nā dosis haʻahaʻa loa a na ke kauka wale nō i loaʻa ka ʻike maikaʻi me kēia mau lāʻau lapaʻau.

Nā lāʻau antidepressants a me ke olakino noʻonoʻo

Kokoke i ka hapalua o ka poʻe me ME/CFS e ʻike i ke kaumaha i kekahi manawa o ko lākou ola. ʻAʻole kēia he mea kupanaha. He mea maʻamau ka manaʻo kaumaha ke luhi mau ʻoe a me ka ʻeha.

Inā loaʻa iā ʻoe kahi maʻi like, hiki iā ʻoe ke kamaʻilio me kāu kauka e hoʻoholo inā kūpono ka hoʻohana ʻana i kahi antidepressant iā ʻoe. Aia nā ʻano like ʻole, e like me SSRIs, SNRIs, a me TCAs. E koho kāu kauka i ka lāʻau lapaʻau i kūpono iā ʻoe a he liʻiliʻi loa nā hopena ʻaoʻao.

I kēia mau lā, nā lāʻau lapaʻau i loko o ke kahua noiʻi

Ke hoʻomau nei nā kauka a me nā ʻepekema i ka noiʻi ʻana i nā lāʻau lapaʻau hou e kōkua i kēia kūlana. Ua aʻo mua ʻia nā lāʻau lapaʻau e like me Ampligen, naltrexone haʻahaʻa (LDN), a me rituximab. Eia kekahi, ke noiʻi ʻia nei nā antiviral a me nā neuromodulators e ʻike inā hiki iā lākou ke kōkua i ka hōʻemi ʻana i kēia mau hōʻailona.