Ka pale ʻana a me ka lāʻau lapaʻau no ka fibromyalgia
Hiki iā mākou ke pale i ka fibromyalgia?
ʻAʻole i ʻike mua ʻia ke kumu o ka fibromyalgia, ʻaʻole ʻike ʻia kahi ala e pale aku ai.
E haʻi wale mākou e ʻōlelo ʻia ʻaʻole e lilo i ke kaumaha, no ka mea e hoʻokūpaʻa i ka ʻeha ma nā ʻāʻī a me nā ʻiʻo.2. E helu i kāu helu helu kino (BMI) a me kou pūhaka.
He aha nā lāʻau lapaʻau no ka fibromyalgia?
ʻAʻohe lāʻau lapaʻau kūpono i kēia manawa no ka fibromyalgia. Hiki i ka lāʻau lapaʻau ke kōkua i ka mālama maikaʻi ʻana i ka ʻeha. ʻOiai ʻaʻohe lāʻau lapaʻau i ʻike ʻia e hoʻōla i ka fibromyalgia, aia ke kākoʻo.
Nā lāʻau lapaʻau ʻōlelo ʻia
No ka mea, ʻike liʻiliʻi mākou e pili ana i nā mīkini i komo i loko fibromyalgia, ka lāʻau lapaʻau hāʻawi ʻia i nā mea maʻi e pili ana i ka pale ʻana i nā mīkini e pili ana i ka ʻeha a me nā maʻi hiamoe.
No ka hōʻemi ʻana i ka ʻeha, loaʻa kekahi o nā hopena maikaʻi loa me Tramadol. ʻO ka analgesics a i ʻole nā lāʻau ʻeha ikaika, e like me ka morphine, e hōʻemi i ka ʻeha, akā ʻaʻole hiki ke hoʻohana ʻia no ka wā lōʻihi. ʻO Tramadol (Ralivia®, Zytram®), mai ka ʻohana opiates (e like me ka morphine), ua hōʻike ʻia i ka maikaʻi i nā hoʻokolohua hou i hana ʻia i nā maʻi me ka fibromyalgia. Manaʻo ʻia no ka mālama ʻana i ka fibromyalgia e nā poʻe loea, hoʻokahi a i hui pū ʻia me ka acetaminophen. Eia naʻe, pono e hoʻohana ʻia kēia lāʻau lapaʻau ma ke ʻano he hopena hope loa, ke hōʻike ʻia nā lāʻau lapaʻau ʻē aʻe ʻaʻole pono. Pono e hoʻohana ʻia ma lalo o ka nānā pono ʻana o ke kauka ma muli o ka pilikia o ka hilinaʻi.
ka nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), no ka laʻana ibuprofen (e like me Advil® a i ʻole Motrin®), naproxen a me acetaminophen (Tylenol®) i kekahi manawa kōkua i ka hōʻemi ʻana i ka ʻeha a me ka ʻoʻoleʻa. ʻOkoʻa ka hopena o kēlā me kēia kanaka. He mea maikaʻi loa ia i ka wā e ʻike ʻia ai ka fibromyalgia i kahi kanaka me kahi maʻi ʻeha, e like me ka rheumatoid arthritis. I ka fibromyalgia "maʻalahi", ʻaʻole i ʻōlelo ʻia lākou.
ʻLelo aʻoaʻo. I ka wā lōʻihi, hiki i ka hoʻohana ʻana i nā lāʻau lapaʻau e like me NSAID ke hoʻoulu i nā hopena koʻikoʻi: ʻeha ʻōpū a me ke koko, ʻeha ʻōpū, hōʻino ʻino a me ke koko kiʻekiʻe.
E makaʻala i ka hoʻohana ʻana i nā lāʻau ʻeha. Hoʻohana nui ʻia nā mea hōʻeha ʻeha e ka poʻe me ka fibromyalgia. ʻAʻole maikaʻi pinepine lākou, e alakaʻi ana i nā poʻe maʻi e hoʻohana pono iā lākou, i nā kiʻekiʻe kiʻekiʻe a me ka hui pū ʻana o nā lāʻau lapaʻau like ʻole. Akahele! Loaʻa i nā mea hōʻeha ʻeha a me nā anti-inflammatories nā hopena ʻaoʻao weliweli, ʻoi aku ka lōʻihi. E ʻimi mau i ka ʻōlelo aʻo mai kāu kauka a lāʻau lapaʻau ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau. |
E hoʻihoʻi a hiamoe hoʻihoʻi, inā aia nā maʻi hiamoe i ka mua a i ka wā o ka anxio-depressive background, hiki iā mākou ke hoʻohana i kekahi mau antidepressants IRS ma ka hapalua o ka ikaika e like me ke ʻano o ka depressive syndrome.
Pau ana keia Nā hōʻaihopiho, e like me ka haʻahaʻa haʻahaʻa serotonin reuptake inhibitors ka mea i hoʻohana nui ʻia no ka fibromyalgia. Loaʻa iā lākou ka hopena i nā ʻeha mau loa, me nā ʻeha fibromyalgia, a no laila hoʻohana pinepine ʻia ʻoiai me ka ʻole o ke kaumaha. Eia kekahi, hoʻonui lākou i ka nui o ke serotonin i loko o ka lolo. Eia naʻe, pili nā haʻahaʻa haʻahaʻa o ke serotonin ʻaʻole i ke kaumaha wale nō, akā i ka migraines, nā maʻi digestive a me ka hopohopo, aia kekahi o nā hōʻailona o ka fibromyalgia.
ʻO ka pale a me ka mālama ʻana i ka fibromyalgia: hoʻomaopopo i nā mea āpau i 2 min
Amitryptiline (Élavil®) hoʻohana ʻia i ka poʻe me ka fibromyalgia ma ke ʻano he mea hōʻeha ʻeha a no kona hopena i nā maʻi hiamoe a me ka luhi. ʻO ia ka lapaʻau i hoʻohana pinepine ʻia, ma ka hana mua 68. ʻO ka duloxetine (Cymbalta®) hiki ke hoʻohana ʻia, e like me ka fluoxetine (Prozac®) a i ʻole moclobemide, e hoʻohui pinepine ʻia i mea lapaʻau hou. ʻO ka mea hope loa, ua hōʻike kekahi antidepressant, milnacipran, i nā hopena hoʻohiki e kūʻē i ka fibromyalgia a ke loiloi ʻia nei ma Kanada.
ʻO nā antidepressants haʻahaʻa haʻahaʻa ʻo ia ka lāʻau lapaʻau lōʻihi loa no ka ʻeha ʻiʻo i ka fibromyalgia. Akā naʻe, ʻaʻole i loaʻa i nā kānaka a pau ka hōʻoluʻolu i kēia.
ka nā antaniumvulsants a i ʻole nā anti-epileptics - i hana mua ʻia e mālama i ka epilepsy - maikaʻi nō hoʻi no ka ʻeha mau. ʻO kēia ka gabapentin (Neurontin®), pregabalin (Lyrica®) a me ka topiramate (Topamax®). ʻO kekahi o kēia mau anticonvulsants e hoʻomaikaʻi i ka maikaʻi o ka hiamoe (ʻoi aku ka gabapentin, a ma kahi liʻiliʻi pregabalin). Loaʻa iā Lyrica®, ma 2009 ma Kanada, kahi hōʻailona no ka mālama ʻana i ka ʻeha e pili ana i ka fibromyalgia.
Kāpena i kekahi manawa i kuhikuhi ʻia e hoʻomaʻamaʻa i ka hiamoe, akā ʻaʻole ʻōlelo ʻia kā lākou hoʻohana lōʻihi e nā kauka (no ka laʻana, Imovane®). Eia kekahi, ʻo ka hapa nui o nā lāʻau i helu ʻia ma luna nei he hopena sedative.
ʻO nā mea hoʻomaha hiki ke kōkua i ka hoʻomaha ʻana i ka ʻeha. ʻO Flexeril® ka mea hoʻomaha hoʻomaha hoʻomaha maikaʻi no ka fibromyalgia, ʻo kāna hana e like me ka amitriptyline (Laroxyl®).
E hoʻomaopopo. ʻAʻole i hōʻike ʻia ka maikaʻi o nā corticosteroids (e like me prednisone) i ka mālama ʻana i ka fibromyalgia.
ʻO ka hoʻokele lāʻau ʻole
ʻAʻole lawa nā lāʻau lapaʻau i ka maikaʻi o ke ola o ka poʻe me ka fibromyalgia. No laila pono e mālama ʻia multidisiplinal. hoʻokokoke aku, e ae ana i ka hoʻonānea a aʻo aku a mālama i kou ʻeha, ʻo ia paha nā ala kūpono loa no ka noho maikaʻi ʻana me ka fibromyalgia i kēia lā. Ina eha nui, ka ʻauʻau wai wela, me ka hoʻoikaika kino ʻole a i ʻole, hiki ke hāʻawi i ka hoʻomaha wikiwiki58.
Balneotherapy
Ina eha nui, ka ʻauʻau wai wela, me ka ho'oikaika kino 'ole 58, hiki ke ho'omaha wikiwiki. ʻO ka mālama ʻana i kahi kikowaena hoʻoponopono me ka balneotherapy, i loko o kahi kikowaena spa me kahi wai ʻauʻau wai wela ua hōʻike i kekahi pono.
Nā hoʻoikaika aerobic
kanā hoʻoikaika kino he hapa nui o ka lapaau kumu. Hoʻokumu ke kino i nā endorphins, nā hormones e hāʻawi i ka maikaʻi a me ka ʻeha mālie. He mau hōʻuluʻulu haʻawina6, 7,55, me kekahi i paʻi ʻia ma 200864, ua hoʻoholo i ka hoʻomaʻamaʻa ʻana i ka aerobic i hōʻemi i nā hōʻailona o ka fibromyalgia a hoʻomaikaʻi i ka hiamoe a me ka hana kino. Manaʻo ʻia ka hoʻoikaika ʻana a me ka hoʻoikaika ʻana e hoʻomaikaʻi i kekahi mau hōʻailona, akā, ʻaʻole liʻiliʻi nā hōʻike no kēia.
ʻAʻole pono ke makaʻu i ka hoʻomāhuahua ʻana o kona maʻi ma ka hoʻoikaika kino, ʻoiai ka fibromyalgia ʻaʻole ia he pilikia o ke kumu ʻiʻo1. Eia kekahi, ua ʻike ʻia ʻo ke kūlana kino maikaʻi ka mea e hoʻoulu ai i ka luhi a me ka hopohopo. Eia naʻe, pono e hoʻomaka mālie, me ka a papahana i hoʻopili ʻia i kona kulana kino.
ka hoʻoikaika kino aerobic hoʻomaʻamaʻa i loko o ka wai ʻauʻau, ʻoi aku ka maikaʻi ma ka wai wela, hiki ke lilo i wahi hoʻomaka maikaʻi e hoʻi hou i ka hana. Wahi a nā hoʻokolohua lapaʻau 2 i paʻi ʻia ma 2006, ʻo ka hoʻomaʻamaʻa opono wai (ka hele wāwae a i ʻole ka holo ʻana i loko o ka wai, no ka laʻana) maikaʻi i ka hoʻomaha ʻana i ka ʻeha i hoʻokumu ʻia e ka fibromyalgia a me ka hoʻomaikaʻi ʻana i nā manaʻo o ka maikaʻi.8,9. Pono lākou e hoʻololi i ka mana o ka mea i hoʻopilikia ʻia, a pono e hoʻonui mālie ʻia ko lākou ikaika.
ʻO nā ʻano hana no ka hoʻokuʻu ʻana a me ka mālama ʻana i ke koʻikoʻi a me ka ʻeha, e like me ka hoʻomaha, ericksonnian hypnosis, a i ʻole ka lāʻau mele i hōʻike ʻia i ka maikaʻi i kēia maʻi. Hāʻawi lākou iā ʻoe e ola maikaʻi me ka ʻeha a me ka luhi.
Hoʻomalu
Hiki i ka Psychotherapy ke loaʻa nā pōmaikaʻi nui no ka poʻe me ka fibromyalgia. ʻO ka kaʻike o ka maʻamau (TCC) maikaʻi loa. E ʻike i ka ʻāpana Complementary Approaches.
Eia kekahi mau ʻōlelo aʻoaʻo mai kaAhahui Kokua Kanada e hoʻomaha i nā hōʻailona4 :
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