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Kudzivirira uye kurapwa kwe fibromyalgia
Tinogona here kudzivirira fibromyalgia?
Chikonzero che fibromyalgia hachina kuzivikanwa zviri pamutemo, hapana nzira yekuzvidzivirira nayo inozivikanwa.
Ngatitaurei chete kuti inokurudzirwa kuti isanyanya kuwandisa, nekuti inosimbisa marwadzo mumajoini nemamhasuru.2. Verenga yako body mass index (BMI) uye chiuno chako.
Ndeapi marapirwo ekurapa kwe fibromyalgia?
Parizvino hapana kurapwa kwakaratidza kunoshanda kwe fibromyalgia. Mushonga unogona chete kubatsira kugadzirisa marwadzo zviri nani. Kunyangwe pasina kurapwa kunozivikanwa kurapa fibromyalgia, kune rutsigiro.
Mishonga inokurudzirwa
Nekuti isu tichiri kuziva zvishoma nezve michina inobatanidzwa fibromyalgia, ivo kurapwa inopiwa kuvarwere inobva pakuvhara kwemaitiro anobatanidzwa mukurwadziwa uye kusagadzikana kwehope.
Kuderedza marwadzo, imwe yeakanakisa mhedzisiro inowanikwa neTramadol. The analgesics kana mishonga yakasimba, yakadai semorphine, inoderedza marwadzo, asi sezviri pachena haigoni kushandiswa kwenguva refu. Tramadol (Ralivia®, Zytram®), kubva kumhuri yeopiates (senge morphine), yakaratidza kuti inoshanda mune dzinoverengeka miedzo ichangoburwa yakaitwa muvarwere vane fibromyalgia. Inokurudzirwa kurapwa kwe fibromyalgia nenyanzvi dzakawanda, yoga kana pamwe chete neacetaminophen. Zvisinei, mushonga uyu unofanira kungoshandiswa sechisarudzo chekupedzisira, kana mamwe marapiro aonekwa kuti haashandi. Kushandiswa kwayo kunofanira kuitwa pasi pekutariswa kwechiremba nekuda kwengozi yekutsamira.
The nonsteroidal anti-anogumbura zvinodhaka (NSAIDs), semuenzaniso ibuprofen (yakadai seAdvil® kana Motrin®), naproxen uye acetaminophen (Tylenol®) dzimwe nguva inobatsira kuderedza marwadzo emisumbu uye kuoma. Kushanda kwavo kunosiyana pamunhu nemunhu. Zvinonyanya kubatsira kana fibromyalgia ichionekwa mumunhu ane chirwere chinoputika, senge rheumatoid arthritis. Mune "nyore" fibromyalgia, ivo havawanzo kukurudzirwa.
Yambiro. Nekufamba kwenguva, kushandiswa kwezvinodhaka zvakadai seNSAID zvinogona kukonzera kukanganisa kwakakomba: kurwadziwa mudumbu uye kubuda ropa, maronda emudumbu, kukuvara kweitsvo uye BP.
Ngwarira kushungurudzwa kwemishonga inonyaradza marwadzo. Marwadzo ekurwadziwa anoshandiswa zvakanyanya nevanhu vane fibromyalgia. Izvo zvinowanzosashanda, izvo zvinoita kuti varwere vashandise zvisina kufanira, muhuwandu hwepamusoro uye mukusanganiswa kwemishonga yakasiyana. Ngwarira! Marwadzo anobvisa marwadzo uye anti-inflammatories ane zvinogona kuva nengozi mhedzisiro, kunyanya munguva refu. Nguva dzose tsvaga mazano kubva kuna chiremba wako kana wemishonga usati washandisa chero mushonga. |
Kudzoreredza a kurara kwekudzorera, kana matambudziko ekurara ari kumberi uye zvakare kana chiitiko che anxio-depressive background, tinogona kushandisa mamwe maIRS antidepressants pamadosi ane hafu yakasimba seyakaitika depressive syndrome.
Zvese izvi Antidepressants, seyakaderera dose serotonin reuptake inhibitors ndiyo inonyanya kushandiswa kurapa fibromyalgia. Vane simba pamarwadzo akawanda asingagumi, kusanganisira marwadzo e fibromyalgia, uye naizvozvo anowanzoshandiswa kunyange kana pasina kuora mwoyo. Mukuwedzera, ivo vanowedzera huwandu hweserotonin muuropi. Zvisinei, mazinga akaderera e serotonin akabatanidzwa kwete chete nekuora mwoyo, asiwo kune migraines, zvirwere zvekudya uye kuzvidya mwoyo, izvo zviri pakati pezviratidzo zve fibromyalgia.
Kudzivirira uye kurapwa kwe fibromyalgia: nzwisisa zvese mu2 min
Amitryptiline (Élavil®) inoshandiswa muvanhu vane fibromyalgia sechinhu chinopedza marwadzo uye nemhedzisiro yayo pakusagona kurara uye kuneta. Ndiyo kurapwa kunowanzoshandiswa, mukupindira kwekutanga 68. The duloxetine (Cymbalta®) inogonawo kushandiswa, sezvinogona fluoxetine (Prozac®) kana moclobemide, iyo inowanzowedzerwa sekuwedzera kurapwa. Pakupedzisira, imwe antidepressant, milnacipran, yakaratidza migumisiro inovimbisa pamusoro pe fibromyalgia uye iri kuongororwa muCanada.
Low-dose antidepressants inoratidzika seyakanakisa kurapwa kwenguva refu kwekurwadziwa kwemisumbu mu fibromyalgia. Zvisinei, haasi munhu wose anowana zororo mune izvi.
The anticonvulsants kana anti-epileptics - yekutanga yakagadzirirwa kurapa pfari - inoshandawo pakurwadziwa kusingaperi. Izvi zvinosanganisira gabapentin (Neurontin®), pregabalin (Lyrica®) uye topiramate (Topamax®). Mamwe eaya anticonvulsants anovandudza kunaka kwekurara (kunyanya gabapentin, uye kune zvishoma pregabalin). Lyrica® yakatowana, muna 2009 muCanada, chiratidzo chekurapa kwemarwadzo ane chokuita ne fibromyalgia.
Sedatives dzimwe nguva zvinorayirwa kuti zvive nyore kurara, asi kushandiswa kwavo kwenguva refu kazhinji hakukurudzirwi navanachiremba (somuenzaniso, Imovane®). Mukuwedzera, mishonga yakawanda yakanyorwa pamusoro apa inewo sedative effect.
Tsvina dzinozorodza inogonawo kubatsira kubvisa marwadzo. Iyo chete inoshanda tsandanyama inozorodza fibromyalgia ndeye Flexeril®, ine chiito chakafanana neicho cheamitriptyline (Laroxyl®).
Kucherechedza. Corticosteroids (kufanana ne prednisone) haina kuratidzwa kuti inoshanda mukurapa fibromyalgia.
Kusashandisa zvinodhaka
Mishonga yega haigadziri zvakakwana hupenyu hwevanhu vane fibromyalgia. Naizvozvo manejimendi inofanira kuva multidisciplinary. nzira dzinopindirana, kubvumira kunyanya ku dekara uye dzidza ku gadzirisa marwadzo ako, zvichida ndiyo nzira dzinonyanya kushanda dzekurarama zviri nani ne fibromyalgia nhasi. Muchiitiko chekurwadziwa kwakanyanya, the mabhati emvura inopisa, ine kana pasina maekisesaizi emhasuru, inogonawo kupa zororo rinokurumidza58.
Balneotherapy
Muchiitiko chekurwadziwa kwakanyanya, the mabhati emvura inopisa, ine kana isina mhasuru maekisesaizi 58, inogonawo kupa kukurumidza kusununguka. Kuchengeta munzvimbo yekudzoreredza ine balneotherapy, munzvimbo ye spa ine dziva rekutuhwina remvura inopisa kwakaratidza kumwe kushanda.
Aerobic kurovedza
L 'muviri muviri chikamu chinokosha chekurapa kwekutanga. Inoita kuti muviri ugadzire endorphins, mahomoni anopa hutano uye marwadzo akadzikama. Dzidzo dzinoverengeka pfupiso6, 7,55, kusanganisira imwe yakabudiswa muna 200864, akagumisa kuti kutarisirwa kweaerobic exercise kwakaderedza zviratidzo zve fibromyalgia nekuvandudza kurara uye kushanda kwemuviri. Kutambanudza uye kusimbisa kurovedza muviri kunofungidzirwawo kuvandudza zvimwe zviratidzo, asi kune humbowo hushoma hweizvi.
Mumwe haafanire kutya kuwedzera kurwara kwake nekurovedza muviri, sezvo iyo fibromyalgia harisi dambudziko remabviro emhasuru1. Uyezve, zvinozivikanwa kuti kushata kwemuviri kunokonzera kuneta uye kufunganya. Zvisinei, zvakakosha kutanga zvishoma nezvishoma, ne yakagadziridzwa purogiramu kumamiriro ake ezvinhu.
The maekisesaizi eerobic inodzidzirwa mudziva rekutuhwina, zvichida mumvura inopisa, inogona kuva nzvimbo yakanaka yekutangira kudzoka mukuita. Zvinoenderana ne2 kiriniki miedzo yakaburitswa muna 2006, maekisesaizi eaquafitness (kufamba kana kumhanya mumvura, semuenzaniso) inoshanda mukubvisa marwadzo anokonzerwa ne fibromyalgia nekuvandudza manzwiro ekugara zvakanaka.8,9. Ivo vanofanirwa kuchinjirwa kune kugona kwemunhu akabatwa, uye kusimba kwavo kunofanirwa kuwedzera zvishoma nezvishoma.
Nzira dzekuregedza kuenda uye kugadzirisa kushushikana uye kurwadziwa, sekuzorora, ericksonnian hypnosis, kana mumhanzi kurapwa zvakaratidzwa kuve zvinoshanda muchirwere ichi. Vanokubvumira kuti urarame zviri nani nekurwadziwa uye kuneta.
Psychotherapy
Psychotherapy inogona kuva nemabhenefiti akakosha kune vanhu vane fibromyalgia. The kusanganisa maitiro therapy (TCC) inonyanya kushanda. Ona chikamu cheComplementary Approaches.
Heano mamwe mazano kubva kuCanadian Medical Association kuderedza zviratidzo4 :
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