Koj puas xav tias koj nkees tag hnub? Txawm tias tom qab koj pw tsaug zog zoo hmo ntuj, thaum koj sawv thaum sawv ntxov, koj lub cev zoo li tsis muaj zog? Koj lub cev puas mob heev uas koj ua tsis tau koj tej haujlwm txhua hnub? Qhov no tej zaum yuav tsis yog kev qaug zog ib txwm muaj. Hnub no peb tab tom tham txog Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), ib yam mob uas ua rau ntau tus neeg raug kev txom nyem thiab tuaj yeem ua rau lawv lub neej puas tsuaj.
Hais yooj yim xwb, qhov no yog ib qho mob nyuaj heev. Cov tsos mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Txawm hais tias koj yuav muaj kev qaug zog heev thiab mob nqaij, qhov teeb meem loj tshaj plaws ntawm lwm tus neeg yuav yog kev nco tsis nco qab thiab qaug zog txawm tias lawv tau pw tsaug zog npaum li cas los xij. Yog li thaum kho qhov no, koj thiab koj tus kws kho mob yuav tsum xub tsom mus rau cov tsos mob twg cuam tshuam rau koj lub neej tshaj plaws.
Puas muaj ib txoj kev kho tshwj xeeb rau tus mob no?
Yog hais qhov tseeb, tsis muaj ib txoj kev kho tau rau Chronic Fatigue Syndrome (CFS). Tsis muaj tshuaj tshwj xeeb uas tau pom zoo rau tus mob no. Tab sis tsis txhob txhawj. Muaj tshuaj thiab lwm yam kev kho mob uas tuaj yeem pab tswj koj cov tsos mob. Qee cov tshuaj no yuav raug sau los ntawm kws kho mob, thaum lwm cov tshuaj yuav yog cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj.
Qhov tseem ceeb tshaj plaws yog nrog koj tus kws kho mob tham thiab npaj ib txoj kev kho mob uas haum rau koj. Tsis txhob tsuas yog mus nrhiav tshuaj raws li cov neeg nyob ib puag ncig koj hais xwb.
Cov tshuaj uas pab nrog ntau yam tsos mob
Tam sim no cia peb saib seb tus kws kho mob yuav qhia hom kev kho mob twg raws li koj cov tsos mob tseem ceeb.
Koj ua dab tsi rau cov teeb meem pw tsaug zog?
Muaj coob tus neeg uas muaj ME/CFS muaj teeb meem pw tsaug zog. Yog li ntawd, kev pw tsaug zog zoo hmo ntuj (lossis tsawg kawg pw tsaug zog zoo dua li yav dhau los) tuaj yeem pab txo qhov qaug zog thaum nruab hnub.
Ua ntej, koj tus kws kho mob yuav kuaj xyuas seb koj puas muaj tus cwj pwm pw tsaug zog zoo. Qhov ntawd txhais tau tias yuav tsum mus pw tib lub sijhawm, sawv tib lub sijhawm, thiab ua kom koj chav pw ntsiag to, tsaus ntuj, thiab txias.
Yog tias cov no tsis pab koj tsaug zog, koj tus kws kho mob yuav qhia kom siv cov tshuaj pab pw tsaug zog uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj, xws li tshuaj antihistamine. Qhov tsis zoo yog tias cov tshuaj no tej zaum yuav kav ntev tshaj 8 teev. Koj kuj tseem yuav tsaug zog rau hnub tom qab. Qhov ntawd yog ib yam dab tsi uas peb tab tom sim zam. Tab sis tsis yog txhua yam tshuaj ua haujlwm zoo ib yam rau txhua tus. Yog li nug koj tus kws kho mob seb hom twg yog rau koj thiab yuav siv nws li cas.
Yog tias qhov ntawd tsis ua haujlwm, tus kws kho mob tuaj yeem sau ntawv kom noj tshuaj pw tsaug zog. Lub hom phiaj ntawm cov no yog kho koj tus cwj pwm pw tsaug zog kom tsawg kawg nkaus rau lub sijhawm luv tshaj plaws. Lawv tsis pom zoo kom siv rau lub sijhawm ntev.
| Hom tshuaj / pawg | Feem ntau pab tau |
|---|---|
| Cov tshuaj xws li Eszopiclone (Lunesta), Zolpidem (Ambien) | Pab koj tsaug zog sai sai. |
| Cov tshuaj Antidepressants xws li Amitriptyline, Doxepin, Trazodone | Pab koj tsaug zog thiab pw tsaug zog. |
| Cov tshuaj Benzodiazepines | Pab nrog kev pw tsaug zog thiab kev ntxhov siab, tab sis muaj kev pheej hmoo ntawm kev quav yeeb quav tshuaj. |
Tag nrho cov tshuaj no muaj cov kev mob tshwm sim. Kev tsaug zog thaum nruab hnub, kiv taub hau, thiab tsis nco qab kuj yog cov tsos mob ntawm ME/CFS. Yog li koj yuav tsum nrog koj tus kws kho mob tham txog qhov zoo thiab qhov tsis zoo ntawm kev noj tshuaj lossis tsis noj.
Kev kho mob rau qhov mob ntawm lub cev
Qhov mob yog ib qho uas ntau tus neeg uas muaj ME/CFS feem ntau ntsib. Mob taub hau, mob nqaij thiab mob pob qij txha yog qhov feem ntau tshwm sim. Koj tus kws kho mob yuav sau ntawv kom yuav cov tshuaj tua kab mob uas yuav tsis tas yuav muaj ntawv yuav tshuaj (piv txwv li Panadol, Aspirin, Ibuprofen) lossis cov tshuaj muaj zog dua. Qee zaum, cov tshuaj xws li tricyclic antidepressants kuj siv los pab kho qhov mob ntev. Yog tias koj qhov mob nyuaj rau tswj, koj tus kws kho mob yuav xa koj mus rau tus kws tshwj xeeb txog qhov mob.
Kev Tsis kam lees Orthostatic
Qhov no yog lwm qhov teeb meem uas los nrog ME/CFS. Cov tsos mob suav nrog kiv taub hau thaum sawv ntsug, pom kev tsis meej, tsaus muag, thiab lub plawv dhia ceev. Yog tias koj muaj ib qho ntawm cov tsos mob no, nco ntsoov qhia rau koj tus kws kho mob. Cov tshuaj xws li Fludrocortisone, Midodrine, thiab Propranolol tuaj yeem pab tswj qhov mob no.
Cia peb kawm txog cov tshuaj stimulants thiab antidepressants.
Puas zoo siv cov tshuaj stimulants?
Cov kws kho mob qee zaum sau ntawv kom siv cov tshuaj stimulants, uas yog siv los kho cov mob xws li ADHD, los pab txo qhov qaug zog thiab teeb meem nco qab uas tuaj yeem tshwm sim nrog ME/CFS. Tab sis muaj kev pheej hmoo loj heev rau kev siv lawv.
Xav txog seb, thaum koj noj cov tshuaj no, koj mam li muaj zog dua. Yog li koj sim ua ntau yam haujlwm hauv ib hnub. Tab sis hnub tom qab, koj nkees dua li yav dhau los, zoo li koj yuav 'tsoo'. Qhov no tsuas ua rau koj tus mob hnyav zuj zus xwb. Tsis tas li ntawd, qee cov tshuaj no tuaj yeem ua rau quav tshuaj. Yog li ntawd, cov no raug pom zoo kom noj tsawg heev thiab tsuas yog los ntawm tus kws kho mob uas muaj kev paub zoo nrog cov tshuaj no.
Cov tshuaj tiv thaiv kev nyuaj siab thiab kev noj qab haus huv ntawm lub hlwb
Yuav luag ib nrab ntawm cov neeg uas muaj ME/CFS muaj kev nyuaj siab rau qee lub sijhawm hauv lawv lub neej. Qhov no tsis yog qhov xav tsis thoob. Nws yog ib qho uas yuav muaj kev nyuaj siab thaum koj nkees thiab mob tas li.
Yog koj muaj ib yam mob zoo sib xws, koj tuaj yeem nrog koj tus kws kho mob tham kom txiav txim siab seb kev siv tshuaj antidepressant puas yog rau koj. Muaj ntau hom, xws li SSRIs, SNRIs, thiab TCAs. Koj tus kws kho mob yuav xaiv cov tshuaj uas yog rau koj thiab muaj cov kev mob tshwm sim tsawg tshaj plaws.
Ntxiv rau kev siv tshuaj, kev kho mob tham/kev kho mob hlwb yog ib qho kev pab zoo heev rau lub sijhawm no. Yog tias koj tuaj yeem tham txog koj txoj kev xav thiab kev xav, nws tuaj yeem yog qhov kev nplij siab zoo heev.
Niaj hnub no, cov tshuaj uas nyob rau theem kev tshawb fawb
Cov kws kho mob thiab cov kws tshawb fawb tseem niaj hnub tshawb nrhiav cov tshuaj tshiab los pab kho qhov teeb meem no. Cov tshuaj xws li Ampligen, naltrexone tsawg (LDN), thiab rituximab twb tau raug kawm lawm. Tsis tas li ntawd, cov tshuaj tua kab mob thiab cov tshuaj neuromodulators tab tom raug tshawb nrhiav seb lawv puas tuaj yeem pab txo cov tsos mob no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tseem tsis tau muaj ib txoj kev kho mob uas yuav kho tau Chronic Fatigue Syndrome (ME/CFS) no.
- Lub hom phiaj tseem ceeb ntawm kev kho mob yog tswj cov tsos mob uas ua rau koj ntxhov siab tshaj plaws (tsis tsaug zog, mob, qaug zog).
- Ua ntej pib siv tshuaj dab tsi los xij, nco ntsoov nrog koj tus kws kho mob tham txog nws qhov zoo thiab qhov tsis zoo.
- Kev kho mob feem ntau pib ntawm cov koob tshuaj tsawg heev vim tias cov neeg uas muaj ME / CFS tuaj yeem ua rau cov tshuaj tsis haum.
- Ntxiv rau cov tshuaj, kev pw tsaug zog zoo, kev sab laj, thiab kev nrawm yuav pab tau koj ntau yam ntawm txoj kev no.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus