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健康亮点:2022年12月16日
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光线疗法可以缓解医学相关疲劳。科学家们不明白它如何帮助,但参与者在一个小研究报告有更多的能量经过两周的治疗。读到现在

光线疗法可能会缓解医学相关疲劳
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周五,2022年12月16日(每日健康新闻)——极度疲劳常常排在最痛苦的症状为数百万人生活在多发性硬化症(MS)。现在,一项新的研究表明,光疗法可以帮助这些人拿回他们的生活。女士是一种自身免疫性疾病,发生在身体攻击绝缘绕着它的神经,导致疲劳、麻木、膀胱问题,情绪问题和流动性问题会妨碍日常生活。当患者女士坐在一个灯箱每天30分钟,两个星期,他们就不那么累了,报道更多的能量通过他们的天比谁坐在昏暗的红光。光线是如何有助于疲劳的机制还不完全清楚,但研究人员他们的理论。“光疗法促进警觉性,浓度和白天清醒,提高大脑中血清素和去甲肾上腺素的可用性;神经递质都是负责调节情绪和动机,”研究作者斯蒂芬·塞德尔博士说。他是一个神经学家维也纳总医院和奥地利维也纳医科大学的副教授。研究包括26人,一半女士坐在一个日光灯的亮度10000勒克斯,推荐级别有效光照疗法。另一半坐在前面的一个相同的灯发出微弱的红光。研究人员排除了任何睡眠障碍在开始研究之前,这些可能会干扰的结果。人坐在10000勒克斯日光灯每天半小时显示改善身体和精神表现在短短两周。 In addition, they were less sleepy by day.In contrast, no such effect was seen among people with MS who sat by the red-light lamps, the study showed. These changes were measured by reductions in scores on a Fatigue Severity Scale.Easing fatigue makes a big difference in quality of life for people with MS, Seidel said."Fatigue is highly prevalent in patients with MS affecting anywhere from 75% to 98% and ranks in the top three reasons for impairment during activities of daily living," he said.Various medications can help alleviate fatigue in MS, but they carry a risk of side effects. This is where light therapy shines as it is essentially free of side effects, Seidel said."It should be worth a two- to three-week trial when experiencing fatigue in combination with depression [in MS]," he said.Seidel noted that light sensitivity due to medication should be discussed and checked by a physician before treatment starts. Certain medications cause heightened skin sensitivity when skin is exposed to light.The study was recently published in the Multiple Sclerosis Journal – Experimental, Translational and Clinical.Kathy Zackowski, associate vice president of research at the New York City-based National MS Society, reviewed the findings."Light therapy is an option for someone with MS who has fatigue," Zackowski said. "Light therapy has been associated with lessening of fatigue in several studies, though all studies have been small and underpowered to show a strong effect."What is needed now is a larger study and more careful consideration of the effect of natural environmental light, she said.Still, there really isn't a downside to giving light therapy a try if you have significant fatigue, Zackowski added."Light therapy is a non-technical, non-pharmaceutical intervention with very few known side effects, and the financial investment needed to pursue light therapy is minimal," she said.The light boxes used in the study start at around $200."MS-related fatigue is a very common symptom of MS and is very difficult to treat," Zackowski noted.Checking in with your health care team can also help troubleshoot MS-related fatigue, she said."A physician can evaluate the medications a person is on and determine the risk of side effects as well as testing for physiologic reasons for feeling fatigued," Zackowski said. "A second step would be to consult with an occupational therapist to assess sleep issues, help with simplifying tasks at work and home and learn strategies for conserving energy."In addition, a physical therapist can help develop a regular exercise program to prevent de-conditioning, and a psychologist can offer guidance in strategies such as stress management, relaxation training or psychotherapy.More informationThe National MS Society offers more tips on how to manage MS-related fatigue.SOURCES: Stefan Seidel, MD, associate professor, neurology, Medical University of Vienna, and neurologist, Vienna General Hospital, Austria; Kathy Zackowski, PhD, associate vice president, research, National MS Society, New York City; Multiple Sclerosis Journal – Experimental, Translational and Clinical, Nov. 7, 2022, online

南非广播公司:打断内分泌治疗不造成乳腺癌复发的风险
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2022年12月14日,星期三(每日健康新闻)——为年轻女性乳腺癌早期激素受体(HR)阳性(BC)渴望怀孕,暂时中断内分泌治疗不授予更大的短期复发的风险比不中断治疗,根据一项研究在一年一度的圣安东尼奥乳腺癌研讨会,于12月6日至10日在圣安东尼奥举行。