Kodi pali mankhwala a matenda otopa nthawi zonse (CFS), omwe amakupangitsani kutopa nthawi zonse?

Kodi mumamva kutopa tsiku lonse? Ngakhale mutagona bwino usiku, mukadzuka m'mawa, thupi lanu limamva ngati lilibe mphamvu? Kodi thupi lanu limapweteka kwambiri moti simungathe kuchita ntchito zanu za tsiku ndi tsiku? Izi sizingakhale kutopa kwachibadwa. Lero tikulankhula za Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), vuto lomwe limakhudza anthu ambiri ndipo lingathe kuwononga miyoyo yawo.

Mwachidule, iyi ndi vuto lovuta kwambiri. Zizindikiro zimatha kusiyana malinga ndi munthu. Ngakhale kuti mungamve kutopa kwambiri komanso kupweteka kwa minofu, vuto lalikulu la wina lingakhale kuiwalaiwala komanso kutopa mosasamala kanthu kuti amagona tulo totani. Choncho pochiza izi, inu ndi dokotala wanu muyenera choyamba kuganizira zizindikiro zomwe zikukhudza kwambiri moyo wanu.

Kodi pali mankhwala enieni a vutoli?

Kunena zoona, palibe mankhwala amodzi okha a matenda otopa (CFS). Palibenso mankhwala enaake omwe amavomerezedwa makamaka pa vutoli. Koma musadandaule. Pali mankhwala ndi njira zina zomwe zingathandize kuchepetsa zizindikiro zanu. Zina mwa izi zitha kuperekedwa ndi dokotala, pomwe zina zitha kukhala zochepetsa ululu zomwe zimaperekedwa kwa dokotala.

Mankhwala othandiza pa zizindikiro zosiyanasiyana

Tiyeni tsopano tiwone mtundu wa chithandizo chomwe dokotala angakupatseni kutengera zizindikiro zanu zazikulu.

Kodi mumatani ngati muli ndi vuto la kugona?

Anthu ambiri omwe ali ndi ME/CFS ali ndi vuto la kugona. Choncho, kugona bwino usiku (kapena kugona bwino kuposa kale) kungathandize kwambiri kuchepetsa kutopa masana.

Choyamba, dokotala wanu adzafufuza ngati muli ndi chizolowezi chabwino chogona. Izi zikutanthauza kuti muyenera kugona nthawi yomweyo, kudzuka nthawi yomweyo, ndikusunga chipinda chanu chogona chete, chamdima, komanso chozizira.

Ngati zinthuzi sizikuthandizani kugona, dokotala wanu angakulangizeni kuti mugwiritse ntchito mankhwala ogona omwe mumagwiritsa ntchito pa chipatala, monga mankhwala oletsa kutsekula m'mimba. Vuto lake ndilakuti zotsatira za mankhwalawa nthawi zina zimatha kupitirira maola 8. Muthanso kumva tulo tsiku lotsatira. Ichi ndi chinthu chomwe tikuyesera kupewa. Koma si mankhwala onse omwe amagwira ntchito mofanana kwa aliyense. Choncho funsani dokotala wanu kuti ndi mtundu uti woyenera kwa inu komanso momwe mungaugwiritsire ntchito.

Ngati zimenezo sizikugwira ntchito, dokotala akhoza kukupatsani mapiritsi ogonetsa. Cholinga cha mapiritsiwa ndikuwongolera momwe mumagonera pa mlingo wochepa kwambiri kwa nthawi yochepa kwambiri. Sakulangizidwa kuti mugwiritse ntchito kwa nthawi yayitali.

Mankhwala onsewa ali ndi zotsatirapo zake. Kugona masana, chizungulire, komanso kuiwala zinthu ndi zizindikiro za ME/CFS. Chifukwa chake muyenera kulankhula ndi dokotala wanu za ubwino ndi kuipa kwa kumwa mankhwala kapena ayi.

Chithandizo cha ululu wa thupi

Ululu ndi wofala kwa anthu ambiri omwe ali ndi ME/CFS. Mutu, kupweteka kwa minofu ndi mafupa ndi zomwe zimafala kwambiri. Dokotala wanu angakulembereni mankhwala ochepetsa ululu omwe amagulitsidwa ndi dokotala (monga Panadol, Aspirin, Ibuprofen) kapena mankhwala amphamvu. Nthawi zina, mankhwala monga tricyclic antidepressants amagwiritsidwanso ntchito pothandiza kupweteka kosatha. Ngati ululu wanu ndi wovuta kuuletsa, dokotala wanu angakutumizireni kwa katswiri wa ululu.

Kusalolera kwa Orthostatic

Vuto lina lomwe limabwera ndi ME/CFS ndi ili. Zizindikiro zake ndi monga kumva chizungulire mukamayimirira, kusawona bwino, kukomoka, komanso kugunda kwa mtima mwachangu. Ngati muli ndi zizindikiro izi, onetsetsani kuti mwadziwitsa dokotala wanu. Mankhwala monga Fludrocortisone, Midodrine, ndi Propranolol angathandize kuchepetsa vutoli.

Tiyeni tiphunzire za mankhwala olimbikitsa komanso oletsa kuvutika maganizo.

Kodi ndi bwino kugwiritsa ntchito zinthu zolimbikitsa?

Madokotala nthawi zina amapereka mankhwala opatsa mphamvu, omwe amagwiritsidwa ntchito pochiza matenda monga ADHD, kuti athandize kutopa ndi mavuto okumbukira omwe angachitike ndi ME/CFS. Koma pali zoopsa zazikulu zogwiritsa ntchito mankhwalawa.

Tangoganizirani, mukamwa mankhwalawa, mwadzidzidzi mumapeza mphamvu zambiri. Choncho mumayesetsa kugwira ntchito yambiri tsiku limodzi. Koma tsiku lotsatira, mumakhala otopa kwambiri kuposa kale, ngati kuti 'mugwa'. Izi zimangowonjezera vuto lanu. Komanso, mankhwala enawa akhoza kukhala osokoneza bongo. Chifukwa chake, awa amalimbikitsidwa pamlingo wochepa kwambiri ndipo ndi dokotala yekha amene ali ndi chidziwitso chabwino ndi mankhwalawa.

Mankhwala oletsa kuvutika maganizo ndi thanzi la maganizo

Pafupifupi theka la anthu omwe ali ndi ME/CFS amakumana ndi vuto la kuvutika maganizo nthawi ina m'miyoyo yawo. Izi sizodabwitsa. N'zachilendo kumva kuvutika maganizo mukatopa nthawi zonse komanso mukumva ululu.

Ngati muli ndi vuto lofananalo, mutha kulankhula ndi dokotala wanu kuti mudziwe ngati kugwiritsa ntchito mankhwala oletsa kuvutika maganizo kuli koyenera kwa inu. Pali mitundu yosiyanasiyana, monga SSRIs, SNRIs, ndi TCAs. Dokotala wanu adzasankha mankhwala omwe ali oyenera kwa inu komanso omwe ali ndi zotsatirapo zochepa.

Masiku ano, mankhwala omwe ali mu gawo lofufuza

Madokotala ndi asayansi akupitiliza kufufuza mankhwala atsopano kuti athandize pa vutoli. Mankhwala monga Ampligen, naltrexone (LDN) yotsika, ndi rituximab aphunziridwa kale. Komanso, mankhwala oletsa mavairasi ndi ma neuromodulators akufufuzidwa kuti awone ngati angathandize kuchepetsa zizindikirozi.