Yini Engatholakala & Indlela Esebenza ngayo
Ngenkathi odokotela bebeka imithi eminingi ehlukene yokwelashwa okungapheliyo (CFS noma i- ME / CFS ), akekho kubo ovunyelwe i-FDA ngesimo.
Njengoba nje lesi simo sithinta wonke umuntu ngendlela ehlukile, ngakho-ke imithi yokwelapha isetshenziswa. Kubalulekile ukuthi usebenze eduze nodokotela wakho ukuze uthole okulungile kuwe. Kumele ujwayelane nemiphumela emibi futhi uvumele udokotela wakho wazi nganoma yikuphi ongase uthuthuke.
Uma ungaphezu kwemithi engaphezu kweyodwa (udokotela noma i-over-the-counter), vumela udokotela wakho kanye nekhemisi ukuthi ukwazi ukugwema ukuxhumana okungalungile.
Amakilasi Ezidakamizwa
Izigaba eziningana zezidakamizwa zisetshenziselwa ukuphatha i-ME / CFS. Zihlanganisa:
- Imithi elwa namagciwane (ihlanganisa i-antiviral, antibiotic)
- Ama-Antidepressants (SSRIs / SNRIs kanye ne-tricyclic)
- Ukukhathazeka noma ama-agent al-anxiolytic
- Izidakamizwa ezingezona ukuvuvukala (non-steroidal anti-inflammatory (NSAIDs)
- Imithi yokucindezelwa kwegazi
- Imithi yokuhlola
Ngenxa yokuthi yonke le mithi isetshenziselwa izinkomba ezingekho (okusho ukuthi awusona i-FDA evunyelwe ngokuqondile i-ME / CFS), inkampani yakho yomshuwalense kungenzeka ingabasizi.
Ama-antimicrobial
"I-antimicrobial" ibhekisela ezinhlobonhlobo zezinhlobo zezidakamizwa, kufaka phakathi ama-antiretroviral, antibiotics, antifungals, nama-antiprotozoals. Abacwaningi bathi lesi simo senza umzimba wakho usebenze njengokungathi ulwa nesifo. Ngenkathi kungekho gciwane elithile noma amabhaktheriya ehlanganiswe ngokuqondile kuMe / CFS, olunye ucwaningo lusekela ukuthi kungenzeka i- Epstein-Barr virus (ebangela i-mononucleosis), i- human herpes virus 6 (i-HHV-6, ebangela i-roseola) ne- enteroviruses .
- I-Ampligen (i-rintatolimod)
Lesi sidakamizwa sokuhlola senqatshelwe yi-FDA futhi asikakabi emakethe nganoma yisiphi ukusetshenziswa. I-Ampligen isebenza ngokugxuma-ukuqala umzila womzimba wakho wokulwa nemvelo futhi ulawula amazinga ka- RNase L (into ekhona amangqamuzana akho ahlasela ama-virus), angaba phezulu kubantu abane-ME / CFS.Ucwaningo lubonisa ukuthi i-Ampligen iphumelela futhi inemiphumela emibi kakhulu kunezinye izidakamizwa ekilasini layo. Umkhiqizi uHemispherx Biopharma uqhubeka nokuvivinywa kweminye imibandela, enethemba lokuthi ngelinye ilanga uzothola imvume.
- U-Valcyte (i-valganciclovir)
I-valganciclovir ye-antiviral ithatha i-HHV-6, okuyizifundo eziningi ezitholile emaphesenti amakhulu abantu abane ME / CFS. Ucwaningo oluncane luye lwaba nemiphumela ekhuthazayo, kodwa ochwepheshe bayavuma ukuthi izifundo ezinkulu nezinkampani ezihlelwe kangcono kudingeka zenziwe ngaphambi kokuba zifinyelele iziphetho ezinokwethenjelwa.
Ngenxa yokuthi abacwaningi abazange babone ukutheleleka okuthile okuholela kule nkinga, odokotela ngokuvamile abaqapheli amanye ama-antimicrobial, ngaphandle kokuba une-infection ekhuthele.
Ama-antidepressants
Ngenxa yokuthi ama-anti-depressants ayindlela ejwayelekile yokwelashwa, akusho ukuthi bonke abantu abazithathayo bacindezelekile noma banoma yiluphi uhlobo lwesimo sengqondo. (Nakuba abantu abaningi abanezimo becindezelekile emitholampilo, ngokuvamile kubhekwa njengomphumela wezimpawu kanye nokushintsha endleleni yokuphila hhayi imbangela yokugula ngokwalo.) Izinhlobo ezivame kakhulu zokulwa nokucindezeleka ezibekwayo yi-SSRI / SNRIs nama-tricyclic agents.
I-SSRI / SNRI-Uhlobo lwe-Antidepressants
Isizathu sokuthi i-antidepressants isebenza ngoba iphakamisa amazinga we- neurotransmitter ezibalulekile kubantu abathile abane-ME / CFS. Lezi zidakamizwa zibizwa ngokuthi i-serotonin reuptake inhibitors (SSRIs) noma i-serotonin-norepinephrin reuptake inhibitors (i-SNRIs noma i-NSRIs).
I-Serotonin isiza ukucubungula izibonakaliso zobuhlungu futhi kubalulekile ekujikelezeni kwakho kokulala, kuyilapho i- norepinephrine (uhlobo lwe-adrenaline) ihilelekile ekuphenduleni kokucindezeleka nokuqhuma kwamandla.
Izibonelo zama-SSRI nama-SNRIs yizi:
- I-Cymbalta (i-duloxetine)
- I-Prozac (i-fluoxetine)
- I-Zoloft (sertraline)
- I-Paxil (i-paroxetine)
- I-Effexor (i-venlafaxine)
- I-Desyrel (i-trezodone)
- I-Wellbutrin (bupropion)
I-Tricyclic Antidepressants
Amazinga amancane ama-agent we-tricyclic ngezinye izikhathi akhuthaza ukulala nokukhulula ubuhlungu obukhulu, obubanzi kubantu abane ME / CFS. Ezinye izibonelo ziyi:
- I-Adapin, iSinequan (doxepin)
- Elavil, Etrafon, Libitrol, Triavil (amitriptyline)
- I-Norpramin (deipramine)
- I-Pamelor (nortriptyline)
Qinisekisa ukuthi uyazi ngemiphumela emibi yezinkinga zokucindezeleka ozithathayo, ikakhulukazi njengoba eziningi zokucindezeleka ziza nomxwayiso wengozini ephakeme yokucabanga kokuzibulala kanye nokuziphatha. Uma unquma ukuyeka ukuthatha noma iyiphi yalezi zidakamizwa, khuluma nodokotela wakho mayelana nokuthi ungakuyeka kanjani. Ukuyeka i-turkey ebandayo kungaholela ezinkingeni ezithile ezingase zibe yingozi.
Ukukhathazeka
Ngesinye isikhathi odokotela banikeze izidakamizwa zokulwa nokukhathazeka kulabo abagulayo abane-ME / CFS abane-panic disorder. Zihlanganisa:
- I-Xanax (alprazolam)
- I-klonopin (i-clonazepam)
- I-Ativan (lorazepam)
Imiphumela emibi yemithi yezidakamizwa ihlanganisa sedation, amnesia, ubuthongo , imisipha yomzimba, nokuxubana. Ukuwayeka nakho kungabangela izimpawu zokuhoxiswa.
I-NSAIDS
Lezi zidakamizwa ngezinye izikhathi zisetshenziselwa ukukhulula ubuhlungu nomkhuhlane ohlobene ne-ME / CFS. Eziningana ziyatholakala ngaphezu kwe-counter, kufaka phakathi:
- Advil, Bayer Khetha, Motrin Nuprin (ibuprofen)
- I-Aleve, i-Anaprox, i-Naprosyn (i-naproxen)
- UFeldene (piroxicam)
Udokotela wakho angabeka ezinye izinhlobo ze-NSAID, futhi kubalulekile ukuthi ungahlanganisi izidakamizwa ezahlukene kuleli klasi. Lokhu kungakubeka engozini enkulu yokudala imiphumela emibi, okufaka ukulimala kwezinso nokuphuma kwamathumbu.
Ukushaya kwegazi
Ifomu lokucindezeleka kwegazi eliphansi okuthiwa i-hypotension ne-mediation mediation (NMH) livamile kubantu abane ME / CFS. Kubangelwa ukuxhumana okungavamile phakathi kwenhliziyo nobuchopho, nakuba izitho zombili zijwayelekile futhi ziphilile. Ebizwa nangokuthi i-reflex ephazamisayo, i-NMH ingabangela ukuzondeka nokuphelelwa amandla futhi ngezinye izikhathi itholakale yilokho okubizwa ngokuthi ukuhlolwa kwetafula elithambile.
Abanye abantu abane-NMH abathintekayo bathatha imishanguzo ephansi yegazi okuthiwa i-Florinef (fludrocortisone), kuyilapho abanye bethatha imithi ephakeme ye-blood Tenormin (atenolol). Uma usu-Tenormin, cishe uzodinga ukubuka umfutho wegazi ophansi futhi ungase weluleke ukwandisa usawoti wakho kanye nokudla kwamanzi.
Umthombo:
2013 Solve Initiative ME / CFS. Wonke Amalungelo Agodliwe. Ukwelapha i-FYI