Nilengin i chau tih i hria em? Zan mut tha tak hnuah pawh zing i thawh chuan i taksa hian chakna nei lo ang maiin a inhria em? I taksa a na lutuk a, nitin hna pawh i thawk thei lo em ni? Hei hi hahna pangngai mai a ni lo mai thei. Vawiin hian Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) chungchang kan sawi dawn a, hei hian mi tam tak a tibuai a, an nun pawh a tichhe thei a ni.
A awlsam zawngin sawi ila, hei hi dinhmun buaithlak tak a ni. Mi tin hian natna lan chhuah dan a inang lo thei. Chauhna nasa tak leh taksa ruh na i neih laiin, mi dang harsatna lian ber chu eng ang pawhin mut mah se hriatrengna hloh leh hahna hi a ni thei. Chuvangin hei hi i enkawl dawnin nang leh i doctor hian eng symptom nge i nun a nghawng nasa ber tih hi i ngaihtuah hmasa tur a ni.
He natna hi damdawi bik a awm em?
Dik tak chuan Chronic Fatigue Syndrome (CFS) hi damdawi pakhat mah a awm lo. Tin, he natna atana damdawi bik pawm bik a awm lo bawk. Mahse, lungngai suh. Damdawi leh enkawlna dang a awm a, chu chuan i natna lan chhuah dan tur a enkawl thei a ni. Chûng zînga ṭhenkhat chu doctor-in a pêk a ni thei a, a ṭhen chu over-the-counter pain reliever a ni thei bawk.
A pawimawh ber chu i doctor nen inbia a, i tana tha tur treatment plan siam hi a ni. I chhehvela mite thusawi a zirin damdawi la mai mai suh.
Symptom hrang hranga pui thei damdawi
Tunah chuan i natna lan chhuah dan tlangpui a\angin doctor-in eng ang enkawlna nge a rawt theih ang tih i en ang u.
Mut harsatna nei tan eng nge i tih thin?
ME/CFS vei tam tak chuan mut harsatna chi khat an nei a. Chuvangin, zan mut that (a nih loh leh a hma aia mut tha zawk pawh nise) neih hian nitin hahna tihziaawmna kawngah kawng thui tak a zawh thei a ni.
A hmasa berin i doctor chuan mut dan tha i neih leh neih loh a enfiah ang. Chu chu a ruala mut, a ruala harh, leh i mutna pindan chu a reh a, a thim a, a lum reng tihna a ni.
Heng thilte hian mut a puih loh chuan i doctor chuan over-the-counter sleep aid, antihistamine ang chi a rawn rawt thei ang. A chhe lam chu damdawi in a nghawng hi a chang chuan darkar 8 aia rei a daih thei a ni. A tuk zingah pawh i muhil thei bawk. Chu chu kan pumpelh tum a ni. Mahse damdawi zawng zawng hian mi zawng zawng tan hna a inang vek lo. Chuvangin i doctor hnenah eng chi nge i tan a tha tih leh engtin nge i hman ang tih zawt rawh.
Chu chuan a hlawhtlin loh chuan Doctor chuan mutna damdawi a pe thei a ni. Hengte hian a tum ber chu hun rei lote chhunga i mut dan chu a tlem thei ang bera siam that hi a ni. Hun rei tak hman atan an tha lo.
| Damdawi chi / category | A bik takin a pui |
|---|---|
| Damdawi chi hrang hrang Eszopiclone (Lunesta), Zolpidem (Ambien) te hi a ni. | Mutthilh thuai turin a pui che. |
| Depressant damdawi te chu Amitriptyline, Doxepin, Trazodone te an ni | Mut theih nan leh muthilh reng turin a pui thin. |
| Benzodiazepines te pawh a awm | Mut leh lungkhamnaah a pui a, mahse addiction hlauhawmna a keng tel thung. |
Heng damdawi zawng zawng hian side effect a nei vek a ni. Nitin mutthilh, luak chhuak, leh hriatrengna hloh te pawh hi ME/CFS chhinchhiahna a ni. Chuvangin damdawi ei emaw ei loh emaw a thatna leh that lohna chu i doctor nen in sawipui tur a ni.
Taksa natna enkawlna
ME/CFS vei tam tak tan natna hi a awm fo thin. Lu na, taksa ruh leh ruh na hi a tam ber. I doctor chuan over-the-counter painkiller (e.g. Panadol, Aspirin, Ibuprofen) emaw, damdawi chak zawk emaw a pe thei ang. A châng chuan, damdawi, tricyclic antidepressant te pawh hi natna khirh tak takte tanpui nan hman a ni bawk. I natna hi thunun harsa a nih chuan i doctor chuan natna lam doctor hnenah a refer thei che a ni.
Orthostatic Intolerance a ni
Hei hi ME/CFS nena lo awm harsatna dang a ni. A lan chhuah dan chu ding laia luak chhuak, mit hmuh fiah lo, muhil, leh thinlung na chak lutuk te a ni. Heng symptoms te hi i neih chuan doctor hnenah hrilh ngei ang che. Fludrocortisone, Midodrine, leh Propranolol ang chi damdawi te hian he natna hi a control thei a ni.
Stimulant leh antidepressant chungchang i zir dawn teh ang.
Stimulant hman hi a tha em?
Doctor-te chuan ME/CFS avanga hahna leh hriatrengna lama harsatna awm thei te tanpui nan stimulant an pe \hin a, chu chu ADHD ang chi natna enkawlna atan an hmang \hin. Mahse an hman hian hlauhawmna lian tak a awm.
Ngaihtuah teh, he damdawi hi i ei hian chakna nasa tak i nei nghal a. Chuvangin ni khatah hna tam tak thawh i tum thin. Mahse a tuk zingah chuan a hma aiin i chau zawk a, ‘crash’ tur ang maiin i chau ta zawk a ni. Hei hian i dinhmun a tichhe zual chauh a ni. Tin, heng damdawi thenkhat hi addiction a ni thei bawk. Chuvangin hengte hi a dose tlem hle a, heng damdawi chungchanga tawnhriat nei tha doctor chauhin a rawt a ni.
Antidepressant leh rilru hriselna
ME/CFS vei zinga a chanve vel chuan an dam chhungin engtik lai pawhin depression an nei thin. Hei hi thil mak a ni lo. I chau reng a, natna i neih reng hian lungngaihna i nei fo thin.
Hetiang dinhmun hi i neih chuan i doctor nen inbiain antidepressant hman hi i tan a tha em tih i rel thei ang. A chi hrang hrang a awm a, SSRI, SNRI, leh TCA te hi a ni. I doctor chuan i tana tha tur leh side effect nei tlem ber damdawi a thlang ang.
Damdawi bakah hian talk therapy/psychotherapy hi tun dinhmunah chuan tanpuitu lian tak a ni. I rilru put hmang leh ngaihtuahna i sawi thei a nih chuan thlamuanna nasa tak a ni thei.
Tunlai hian damdawi zirchianna stage-a awm mekte chu
Doctor leh scientist te chuan he natna hi a pui thei tur damdawi thar an zirchiang chhunzawm zel a ni. Damdawi Ampligen, low-dose naltrexone (LDN), leh rituximab te hi zirchian a ni tawh a. Tin, antiviral leh neuromodulators te hi heng symptoms te tihziaawmna tura pui thei an nih leh nih loh zirchian mek a ni bawk.
Take-Home Thuchah a ni
- Chronic Fatigue Syndrome (ME/CFS) hi damdawi pakhat, chiang tak a la awm lo.
- Enkawlna tum ber chu i natna lanchhuahna (symptoms) tibuai bertu (mut theih lohna, natna, hahna) control hi a ni.
- Damdawi eng pawh i ei tan hmain i doctor nen a thatna leh that lohna te sawipui hmasa phawt ang che.
- ME/CFS vei te hian damdawi an sensitive hle thei a, a chhan chu dose hniam takah enkawl tan a ni fo thin.
- Damdawi bakah hian mut dan tha, counseling leh pacing te hian he zinkawngah hian nasa takin a pui ang che.
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