Kei te ngenge koe i te rā roa? Ahakoa i muri i te moe pai i te pō, ina ara ake koe i te ata, kei te ahua kore he kaha o tō tinana? Kei te mamae rawa tō tinana, ā, kāore e taea e koe te mahi i ō mahi o ia rā? Ehara pea tēnei i te ngenge noa iho. I tēnei rā kei te kōrero tātou mō te Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), he mate e pāngia ana e te tini tāngata, ā, ka taea hoki te whakararu i ō rātou oranga.
He māmā noa iho tēnei mate. Ka rerekē ngā tohu i ia tangata, i ia tangata. Ahakoa ka pāngia koe e te ngenge nui me te mamae o ngā uaua, ko te raru nui o tētahi atu ko te ngaronga o te mahara me te ngenge ahakoa te nui o te moe. Nō reira, i te wā e rongoā ana koe i tēnei, me arotahi tuatahi koe me tō tākuta ki ngā tohu e tino pā ana ki tō oranga.
He rongoā motuhake kei reira mō tēnei mate?
Ki te pono, kāore he rongoā kotahi mō te Chronic Fatigue Syndrome (CFS). Kāore anō hoki he rongoā motuhake kua whakaaetia mō te mate. Kaua e manukanuka. He rongoā me ētahi atu maimoatanga hei āwhina i te whakahaere i ō tohu. Ko ētahi o ēnei ka tohua pea e te tākuta, ko ētahi he rongoā mamae ka taea te hoko kore utu.
Ko te mea nui ko te kōrero ki tō tākuta, me te whakatakoto i tētahi mahere maimoatanga e pai ana mōu. Kaua e haere noa ki te tiki rongoā i runga i ngā kōrero a te hunga e karapoti ana i a koe.
Ngā rongoā e āwhina ana i ngā tohu rerekē
Kia tirohia tātou he aha te momo maimoatanga ka tūtohutia e te tākuta i runga i ō tohu matua.
He aha tāu e mahi ai mō ngā raruraru moe?
He maha ngā tāngata whai ME/CFS he momo raruraru moe tō rātou. Nō reira, mā te moe pai i te pō (kia pai ake rānei i mua) ka āwhina nui ki te whakaiti i te ngenge o te awatea.
Tuatahi, ka tirohia e tō tākuta mēnā he pai ō tikanga moe. Arā, me haere koe ki te moe i te wā kotahi, me ara ake i te wā kotahi, me te pupuri i tō rūma moe kia marino, kia pōuri, kia mātao hoki.
Ki te kore ēnei mea e āwhina i a koe ki te moe, ka tūtohu pea tō tākuta i tētahi rongoā moe ka taea te hoko kore utu, pērā i te antihistamine. Ko te ngoikoretanga, ka roa pea ngā pānga o te rongoā mō te neke atu i te 8 hāora. Tērā pea ka hiamoe koe i te aonga ake. He mea tēnā e ngana ana mātou ki te karo. Engari kāore e rite te mahi a ngā rongoā katoa mō te katoa. Nō reira, pātai atu ki tō tākuta ko tēhea momo e tika ana māu, me pēhea hoki te whakamahi.
Ki te kore e mahi, ka taea e te tākuta te tohu i tētahi pire moe. Ko te whāinga o ēnei he whakatika i tō tauira moe i te horopeta iti rawa mō te wā poto rawa. Kāore i te tūtohutia kia whakamahia mō te wā roa.
| Momo/kāwai rongoā | He āwhina nui |
|---|---|
| Ngā rongoā pēnei i te Eszopiclone (Lunesta), Zolpidem (Ambien) | Āwhina i a koe kia tere te moe. |
| Ngā rongoā ārai pouri pērā i te Amitriptyline, Doxepin, Trazodone | Ka āwhina i a koe kia moe, kia mau tonu ai te moe. |
| Ngā Benzodiazepines | He āwhina mō te moe me te manukanuka, engari he mōrearea anō hoki kei te waranga. |
He pānga taha tō ēnei rongoā katoa. Ko te hiamoe i te awatea, te whanoke, me te ngaronga o te mahara he tohu anō hoki nō te ME/CFS. Nō reira, me kōrero koe ki tō tākuta mō ngā painga me ngā huakore o te tango rongoā, te kore rānei.
Te maimoatanga mō te mamae o te tinana
He mea noa te mamae mō te tini o te hunga e pāngia ana e te ME/CFS. Ko te mamae o te upoko, te mamae o te uaua me te hononga ngā mea tino noa. Ka tohua pea e tō tākuta he rongoā whakamamae mamae ka taea te hoko kore utu (hei tauira, Panadol, Aspirin, Ibuprofen) he rongoā kaha ake rānei. I ētahi wā, ka whakamahia hoki ngā rongoā pēnei i ngā rongoā ārai pouri tricyclic hei āwhina i te mamae mau tonu. Mena he uaua ki te whakahaere i tō mamae, ka tukuna pea koe e tō tākuta ki tētahi tohunga mamae.
Te Manawanui Orthostatic
Ko tētahi atu raruraru tēnei e pā mai ana me te ME/CFS. Ko ngā tohu ko te pōuriuri i te tū, te tirohanga pōuri, te ngoikore, me te tere o te pao o te ngakau. Mena kei a koe tētahi o ēnei tohu, me whakamōhio atu ki tō tākuta. Ka taea e ngā rongoā pēnei i a Fludrocortisone, Midodrine, me Propranolol te āwhina ki te whakahaere i tēnei āhuatanga.
Kia ako tātou mō ngā rongoā whakaohooho me ngā rongoā pōuri.
He pai te whakamahi i ngā mea whakaohooho?
I ētahi wā ka tohua e ngā tākuta ngā rongoā whakaohooho, e whakamahia ana hei rongoā i ngā āhuatanga pēnei i te ADHD, hei āwhina i te ngenge me ngā raruraru mahara ka puta mai i te ME/CFS. Engari he nui ngā mōrearea ki te whakamahi i aua mea.
Whakaarohia, ina tangohia e koe tēnei rongoā, ka piki ake tō kaha. Nō reira ka ngana koe ki te mahi i te nui o ngā mahi i te rā kotahi. Engari i te rā i muri mai, ka nui ake tō ngenge i tō mua, me te mea kei te 'pakaru' koe. Ka kino ake tō āhua. Waihoki, ka taea e ētahi o ēnei rongoā te whakawara. Nō reira, ka tūtohutia ēnei i roto i ngā horopeta tino iti, ā, mā te tākuta anake he wheako pai ki ēnei rongoā e taunaki.
Ngā rongoā ārai pouri me te hauora hinengaro
Tata ki te haurua o te hunga whai ME/CFS ka pāngia e te pouri i tētahi wā o ō rātou oranga. Kāore tēnei i te miharo. He mea noa te pōuri ina ngenge tonu koe, ina mamae hoki.
Mena he rite tō āhua, ka taea e koe te kōrero ki tō tākuta kia whakatau ai mēnā he tika te whakamahi i tētahi rongoā ārai pouri māu. He rerekē ngā momo, pērā i ngā SSRI, SNRI, me ngā TCA. Mā tō tākuta e whiriwhiri te rongoā e tika ana māu, ā, he iti rawa ngā pānga taha.
Haunga te rongoā, he tino āwhina te kōrerorero/te whakaora hinengaro i tēnei wā. Ki te taea e koe te kōrero mō ō kare ā-roto me ō whakaaro, he tino whakamarie tēnei.
I ēnei rā, ko ngā rongoā kei roto i te wāhanga rangahau
Kei te haere tonu ngā tākuta me ngā kaipūtaiao ki te rangahau i ngā rongoā hou hei āwhina i tēnei mate. Kua rangahaua kētia ngā rongoā pēnei i a Ampligen, te naltrexone iti-horopeta (LDN), me te rituximab. Kei te rangahauhia hoki ngā rongoā ārai huaketo me ngā rongoā neuromodulators kia kitea ai mēnā ka taea e rātou te āwhina i te whakaiti i ēnei tohu.
Karere Tangohia ki te Kāinga
- Kāore anō kia kitea he rongoā kotahi, he rongoā tuturu mō te mate ngenge mau tonu (ME/CFS).
- Ko te whāinga matua o te maimoatanga he whakahaere i ngā tohu e tino whakararuraru ana i a koe (te kore moe, te mamae, te ngenge).
- I mua i te tīmatanga o tētahi rongoā, me kōrero koe ki tō tākuta mō ōna painga me ōna huakore.
- He iti noa te horopeta ka tīmatahia te maimoatanga nā te mea ka tino pāngia te hunga whai ME/CFS e ngā rongoā.
- Haunga ngā rongoā, ka tino āwhina ngā tikanga moe pai, te tuku tohutohu, me te whakarite i te tere o te oma i a koe i tēnei haerenga.
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