Izimpawu ezihlukile kodwa Ubuhlobo obunokwenzeka
Phezulu, ukugula okungapheliyo ( ME / CFS ) nokukhathazeka kokukhathazeka / ukugula kwengqondo (ADHD) kubonakala sengathi ukuphikisana okuphelele: Omunye kusho ukuthi kufanele uhlale ungasebenzi isikhathi esiningi, kanti enye ikwenza usebenze njalo. Babengenakho okuningi okuningi okufanayo, kwesokudla?
Empeleni, kungenzeka nje.
Abacwaningi bahlola ukuxhumana okukhona phakathi kwe-ME / CFS kanye ne-ADHD yabantu abadala ukuthi ukukhathala kungaba yisibonakaliso esibalulekile se-ADHD, nokuthi odokotela kufanele babheke i-ADHD, noma umlando wayo, kubantu abane ME / CFS noma ezinye izinhlobo zokukhathala okuqhubekayo.
Ukucwaninga okuqala ku-ADHD / ME / CFS Isixhumanisi
Ngo-2007, isifundo esiholwa nguJL Young sibheke ukuxhumana okungenzeka phakathi kuka-ADHD (uhlobo olungalutholi), ME / CFS, ne-fibromyalgia. Ngokwe-abstract:
Emtholampilo wezifo zengqondo eziphuthumayo, iziguli eziningana ezikhulile ezanikeza ngokuyinhloko izimpawu ze-ADHD, uhlobo oluyinhloko olungalutholi, futhi lwabika ukukhathala okungahlongozwayo, ubuhlungu obukhulu bomswakama noma ukuxilongwa kwangaphambili kwe-CFS noma i-FMS. Njengoba kulindeleke, i-ADHD pharmacotherapy ngokuvamile [ithuthukise] izimpawu ze-ADHD eziyinhloko zokungafaneleki, ukuphazamiseka, ukungahloniphi, nokungafisi. Okungalindelekile ukuthi kwakukhona ezinye iziguli ezibike ukuthi [ngcono] ubuhlungu kanye nezimpawu zokukhathala.
Lokhu kuthokozisa isithakazelo esikhulu ekusebenziseni imishanguzo ye-ADHD-njengoRitalin-ukuxazulula ezinye izinselele zokucabangela ezihlobene ne-ME / CFS nezinye izinhlobo zokukhathala okungapheli.
Isifundo se-2013 sisekela ukuthola
Ukufundwa kwentsha kamuva kubheka amacala amathathu ka-ME / CFS kubantu ababesabela ngokungafanele emitholampilo.
Abacwaningi bathole ukuthi bonke abathathu bahlangabezana ne-ADHD, futhi bonke abathathu baphendule kahle imishanguzo ye-psychostimulant, okuyingxenye evamile yokuphathwa kwe-ADHD. Bathi iziguli zibone ukuthuthukiswa kokukhathala, ubuhlungu, ukungasebenzi komzimba nezinye izimpawu. Ngokusho kwabo abstract:
... zonke iziguli zitholakale zihlangabezana nezindlela zokunakwa / ukuhlukunyezwa kwengqondo (ADHD) futhi zathola umuthi ojwayelekile wemithi ye-psychostimulant. Ngemuva kokwelashwa nge-psychostimulants, lezi ziguli ezingu-3 zabika izimpawu ezithuthukisiwe zokukhathala nobuhlungu, kanye nezibonakaliso eziyinhloko ze-ADHD.
Abacwaningi baphetha ngokuthi i-ADHD ne-ME / CFS ingabelana ngesimo esivamile futhi ngokuhamba kwesikhathi, i-ADHD ingase ikhule ibe yi-syndrome yesifo esingapheli nobuhlungu. (Akucaci ukuthi lokhu kungabhekwa njengendlela entsha ye-ADHD noma i-subset ye-ME / CFS.)
Kusukela ekucwaningeni kwangaphambilini, siyazi ukuthi i-ME / CFS ne-ADHD zombili zibandakanya ukuhlukunyezwa kwe-neurotransmitter okungabandakanya i- serotonin , i- norepinephrine , ne- dopamine . Noma kunjalo, lokho kuphela okwanele ukuqinisekisa okungaphezu kobudlelwane obukhulu kakhulu-ama-neurotransmitter enza imisebenzi ehlukene ezifundeni ezihlukene, nemisebenzi ehlukene esifundeni esekelwe kuma-receptors ethize, ngakho kuyinkimbinkimbi.
Njengoba sifunda kabanzi mayelana nalezi zimo kanye nezinqubo zabo ezingaphansi, singase sikhule ukuze siqonde kangcono ubuhlobo.
Kungani Lezidakamizwa Ezizosebenza Zombili?
Buyela kulezi zimo ezibonakala ziphikisa manje. Kungani imithi eyodwa ingasiza umuntu ohlale ekhathele futhi nomuntu ongenakuhlala phansi?
Phawula ukuthi isicatshulwa ngenhla sikhuluma "ngemithi ye-psychostimulant." Ingxenye ebalulekile yale nkulumo "ivuselela." Ngesizathu esithile, ukugqugquzela okuningi kunomthelela ohlukile kubantu abane-ADHD kunokuba banalo kwabanye: Bayehlisa umoya esikhundleni sokubasheshisa.
Okunye Ucwaningo
Lona yindawo yokucwaninga okudonsa okunye okuqhubekayo. Ezinye izifundo ziqinisekisile ukuxhumana phakathi kwe-ME / CFS ne-ADHD yabantu abadala, ikakhulukazi kubantu abacindezelekile. (Kungenzeka ukuthi akuyona into engaqondakali ukuthi ukucindezeleka kuhilela ukuhlukunyezwa kwama-neurotransmitter efanayo.)
Okungenani isifundo esisodwa, eshicilelwe ku- Review Expert Review of Neurotherapeutics , sisiza ugube ubufakazi bokuthi i-methylphenidate (isidakamizwa ku-Ritalin) ingaba nendima ethembisayo ekwelapheni kwe-ME / CFS.
Ingabe Kufanele Ucabange Ritalin for ME / CFS?
Ngenkathi ucwaningo luphakamisa uxhumano, izidakamizwa ze-ADHD azijwayele ukukhathala okungapheli okungabangelwa yi-ME / CFS.
Abanye odokotela bahlinzekela imithi ye-ADHD off-ilebuli ye-ME / CFS, futhi lezi zidakamizwa zisebenza kwabanye (kodwa hhayi bonke) abantu.
Uma uhlangabezana nobunzima ngokuhlala ucacile futhi uqaphele, futhi ikakhulukazi uma ucindezelekile, lokhu kungase kube imithi yokukhulisa nodokotela wakho ..
- Funda kabanzi: ADHD Izidakamizwa ze-ME / CFS
> Imithombo:
> Rogers DC, uDittner AJ, Rimes KA, Chalder T. Ukukhathala emkhakheni omdala wokunakekelwa kwabantu abanenkinga yokuhlukumezeka kwabantu: Indlela yokwelapha. Umagazini waseBrithani wezokwelapha kwengqondo. 2017 Mar; 56 (1): 33-52.
> Saez-Francas N, Alegre J, Calvo N, et al. Ukukhathazeka-ukungaphumeleli kokugula kwengqondo kweziguli ezingapheliyo ukukhathala syndrome. Ucwaningo lwe-Psychiatry. > 2012 Dec 30; 200 (2-3): 748-53.
> Valdizan Uson JR, Idiazabal Alecha MA. Izinselele zokuxilonga nokwelashwa kwesifo esingapheliyo sokukhathala: indima ye-methylphenidate yokukhululwa ngokushesha. Ukubuyekezwa kochwepheshe we-neurotherapeutics. 2008 Jun; 8 (6): 917-27.
Intsha, JL. Ukhathala okungapheli syndrome: ama-3 amacala kanye nengxoxo yomlando wemvelo wokukhathazeka-ukungabi nalutho / ukugula okubangelwa ukugula. I-Postgrad Med. 2013 Jan; 125 (1): 162-8.
> Young, JL, Redmond JC. I-Fibromylagia, ukukhathala okungapheli, nokukhulelwa komuntu omdala ukukhathazeka kokungabi nakakhulu komuntu omdala: isifundo socwaningo. I-Psychopharmacol Bull. 2007; 40 (1): 118-26.