Isilinganiso, Izinzuzo, kanye Nemiphumela Ehlangothini Ye-Provigil Yokukhathala ku-MS
Ukukhathala kukhona ngamaphesenti angaba ngu-80 abantu abane- multiple sclerosis (MS) futhi kubhekwa njengesifo esibucayi kakhulu engxenyeni yabantu abane-multiple sclerosis. I-Provigil (i-modafinil) imithi ngezinye izikhathi enikezwe iziguli ezinokukhathala okuhlobene ne-MS.
Iyini i-Provigil?
I-Provigil iyisimiso se-nervous central stimulant okwamanje esivunyelwe i-FDA-yokuphatha abantu abanezinkinga eziphuthumayo , ukushintsha-umsebenzi wokulala disorde r, nokulala kwe-apnea okuhlobene nokulala ngokweqile kwamalanga.
Indlela ecacile yalo muthi ayicacile, kodwa itholakale ukuthuthukisa ukuvuka.
Kungani Ukwelashwa Okuhlobene Ne-MS Okubalulekile?
Ukukhathala kungathinta kakhulu izinga lomuntu lomuntu, kuphazamise ikhono labo lokusebenza, libandakanye ubudlelwane bomphakathi, futhi lihlanganyele emisebenzini enhle. Nakuba ukukhathala kungacindezelwa ezinye izinto ezihlobene ne-MS ezinjengezokwelapha, ukuphazamiseka okubhekene nokulala, noma ukucindezeleka, i-MS ngokwayo ikholelwa ukuthi idlala indima ekukhathaleni komuntu - okuvame ukuchazwa njengokuntuleka kwamandla engokwenyama nangokwengqondo okungathuthuki ngokuphumula .
Iyini Isilinganiso se-Provigil se-MS Ukhathala?
I-Provigil ithathwa ifomu lephilisi, futhi umthamo ojwayelekile wekhathala oluhlobene ne-MS ngu-200 mg nsuku zonke. Izindleko eziphezulu, njenge-400mg nsuku zonke, azitholakalanga ukuthi ziphumelela kakhulu.
Yimiphi imiphumela engase yenzeke ye-Provigil?
Kuyinkimbinkimbi ngoba eminye imiphumela emibi ye-Provigil ingakwazi ukulingisa noma yokwandisa izimpawu ze-MS .
Isibonelo, umphumela owodwa ongase ube nomphumela wokulala nokulala - kanti nobunzima bokulala ebusuku kungalimaza ukukhathala okuhlobene ne-MS, ukudala umjikelezo ononya. Yingakho kubalulekile ukuthatha i-Provigil ekuseni, njengokuthatha umthamo kamuva ngosuku, ikakhulukazi ngemva kwemini, kungalimaza ubuthongo bakho ebusuku.
Eminye imiphumela emibi engaba khona ihlanganisa:
- Ikhala le-Stuffy
- Ukuhlungu obusemhlane
- Uhudo
- Ukudabuka noma ukuhlanza
- Ukukhathazeka
- Isizungu
Kubalulekile ukuphawula nokuthi i-Provigil ingabangela ukungathí sina okungathí sina, okungenzeka kusongela ukuphila, isikhumba noma ukuphendula okwehliswayo okungathinta isibindi sakho noma amaseli egazi. Kubalulekile ukuxhumana nodokotela wakho uma uthuthukisa noma yikuphi ukusabela isikhumba, ukuvuvukala, ukukhathazeka ukuphefumula, umkhuhlane, umchamo omnyama, noma ukuphuziza amehlo akho uma uthatha i-Provigil. Eminye imiphumela emibi engase ibe yingozi ihlanganisa izinkinga zenhliziyo noma izinkinga zengqondo ezifana nokucindezeleka, ukucubungula noma ukucubungula.
Ngokuvamile, uma uqala imithi emisha, kubalulekile ukuhlela ukulandelwa nodokotela wakho ukuze ahlole ukuthi wenza kanjani kuwo, futhi ungakwazi ukubhekana nanoma yimiphi imiphumela emisha noma ukukhathazeka.
Yini Okufanele Ngiyitshele Udokotela Wami Ngaphambi Kokuthola I-Provigil?
Ngaphandle komlando wakho wezokwelapha, qiniseka ukuthi utshela udokotela wakho yonke imithi oyithathayo. Lokhu kuhlanganisa noma yimaphi imishanguzo, ama-supplements, noma amavithamini, ngoba angase axhumane ne-Provigil. Isibonelo, i-Provigil iye yaboniswa ukunciphisa ukusebenza kwemithi yokwelapha ye-hormone, kubandakanya amaphilisi okulawula ukubeletha, ama-patches, izindandatho, izimila, izijovo, namadivayisi we-intrauterine. Lokhu kungandisa amathuba okukhulelwa ku-Provigil.
Yiziphi ezinye Izinzuzo Zokuhlinzeka Nge-Multiple Sclerosis?
I-Provigil ingathuthukisa ukuqonda phakathi kwabantu abane-MS, ikakhulukazi ukukhumbula imemori, njengoba kuboniswa ukutadisha okuncane ngo-2015 ngeziguli ezingu-16 eziPhilweni ZokuPhepha .
Futhi, ngocwaningo oluncane kakhulu ngo-2007 kuyi- European Journal of Neurology , iziguli ezimbili ezine-MS kanye ne-enuresis eyisiyingi eyisihlwa-ukukhishwa okungavunyelwe komchamo ngesikhathi ubuthongo ebusuku - kwaphuthumisa ama-episode ngemuva kokuthatha i-Provigil.
Yiqiniso, kuyadingeka izifundo ezinkulu, ezihleliwe ukuze kuqinisekiswe kokubili kokuthola.
Lokhu Kusho ukuthini Ngami Uma Nginokukhathala Okuhlobene ne-MS?
Uma uhlushwa ukukhathala okuhlobene ne-MS, kubalulekile ukuba nenkulumo eqotho futhi evulekile ne-neurologist yakho.
Kunezici eziningana ezihlobene nokukhathala ku-MS, futhi i-neurologist yakho izofuna ukuyikhipha. Kungase kube nokulungiswa okulula, njengemiphumela yomphumela wezokwelapha. Ngezinye izikhathi, i-anemia engaziwa noma isifo se-thyroid iphetha ngokuthi yilokho okwakucabanga ukuthi ukukhathala okuhlobene ne-MS. Ngezinye izikhathi, ukuzivocavoca nsuku zonke, ukwelashwa kokucindezeleka kwakho, noma ukwelashwa kwengqondo-ukuziphatha kunganciphisa ukukhathala kwakho ngaphandle kokuthi uthathe omunye umuthi.
Lokhu kuthiwa, i-Provigil iyindlela ehlakaniphile yokuphatha ukukhathala okuhlobene ne-MS okusekelwe kwedatha yesayensi etholakalayo. Uma ushiwo u-Provigil, sicela ukhumbule ukuqhubeka uzizinakekela, okusho ukulala ngokwanele. Ngamanye amazwi, ngenkathi i-Provigil ithuthukisa ukuvuka, lokhu akusho ukuthi awudingi ukulala.
Imithombo:
Brown JN, Howard CA, & Kemp DW. I-Modafinil yokwelapha ukukhathala okuhlobene ne-multiple sclerosis. U-Ann umama . 2010 Jun; 44 (6): 1098-103.
UCarrieri PB, weLeva MF, uCarrieri M & Buongiorno M. Modafinil uthuthukisa i-enuresis eyisibusiso ebusweni obuningi e-sclerosis. I-Eur J Neurol . 2007 Mar; 14 (3): e1.
I-FDA. (2015). Umhlahlandlela wemithi: Provigil . Ibuyiselwe ngoJanuwari 7, 2016.
I-Ford-Johnson L et al. Imiphumela yokucabangela ye-modafinil kuziguli ezine-multiple sclerosis: Isivivinyo somtholampilo. I-Rehab Psychol . 2015 Dec 14. [Epub ngaphambi kokuphrinta].
UTurkington, uCarol. I-A kuya Z ye-Multiple Sclerosis. I-New York: Amabhuku wokuhlola. 2005.
QAPHELA: Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .