Ngaba amehlo iifestile kukho konke okungahambi kakuhle ngengqondo kwi- fibromyalgia ? Uphando olushicilelwe ngo-2015 no-2016 lubonisa ukuba lungaba njalo.
I-Fibromyalgia iyakholelwa ngokubanzi ukuba yimeko yenkqubo ye-nervous central, equka ubomi kunye nomqolo wamagxa. Kwakhona kubandakanya amehlo kunye nezakhiwo eziza kubakho ubuchopho bethu ukutolika into esiyibonayo.
Oyintloko phakathi kwezi zakhiwo yimbilini ye-optic, efana nekhefu eyenziwe ngamaninzi amancinci. Phakathi kwazo kuluhlu lweentsimbi ezibizwa ngokuba yi-retina nerve fibre layer (RNFL).
Ezi zibopho zinobunomdla okhethekileyo kubaphandi ngenxa yomsebenzi osandul 'umva nje onokufumanisa ukungasebenzi kwemichiza encinci . Iphakamisa ukuba, kubantu abane-fibromyalgia, i-small-fiber neuropathy (umonakalo weentlanzi) ingaba nexanduva lokungenani ubuninzi bentlungu.
Kwimiqulu emibini, abaphandi baseSpain baye bafumanisa ubungqina be-neuropathy kwiintambo ezincinci zeso.
Iingxaki zegazi
Kuphando olupapashwe ngo-2015, abaphandi bajonga ukuhamba kwegazi kwi-nertic optic kunye ne-RNFL. Ukugeleza kwegazi, okubizwa ngokuba yi-perfusion , kukhankanywa ukuba kungavunyelwanga kwimimandla emininzi yoluntu lwabantu abane-fibromyalgia.
Abaphengululi bahlola kwaye bathabatha iifoto zamehlo abantu abayi-118 abanalo mqathango kunye no-76 abantu abanempilweni kwiqela lolawulo.
Iifoto zaze zahlaziywa nge software ekhethekileyo. Abaphandi baphetha ngelithi amehlo e-fibromyalgia ayenayo ngokwenene abonisa izinga lokunciphisa amancinci kumacandelo ambalwa, kodwa impazamo ephawulekayo kuphela kwi-RNFL ethile.
Optic Nerve Thinning
Uphando olupapashwe ngo-2016 olwakhiwe kuloluphando, olubandakanya abaninzi abaphandi abafanayo.
Ngeli xesha, babandakanya abantu abangama-116 abane-fibromyalgia kunye ne-144 kwiqela lolawulo.
Ba fumene:
- ukwehla okukhulu kwi-RNFL kwi-fibromyalgia kuthelekiswa nokulawula
- ukunqunyulwa kwezakhiwo ezininzi kwiso
- i-optic nerve thinning kwalabo abane-fibromyalgia eqinile kunabo abo baneimeko ezinzima
- i-optic nerve thinning in subgroups ngaphandle kokudandatheka kunezo zixinzelelo
Neurodegeneration
Ngaphambi kwangoku, i-fibromyalgia ithathelwe ingqalelo into engeyiyo i-neurodeergenerative, oku kuthetha ukuba akukho zakhiwo zezinto eziphilayo eziwonakaliswe okanye zonakaliswa njengoko ziyaziwa kwezinye izifo zengqondo ezifana ne- multiple sclerosis okanye isifo se-Alzheimer .
Nangona kunjalo, olu phando lubonisa ukuba i-fibromyalgia inokuthi, eqinisweni, ifake i-neurodegeneneration in structures ngaphakathi kwenkqubo ye-nervous central.
Oku kubandakanywa nophando olusenyakaliswe kumonakalo omncinci wentsholongwane kwesikhumba, kunokuthetha ukuba ukuguqulwa kwamanzi kungagcinwa kwinkqubo yesantya ephakathi kodwa kunokwandiswa kwinkqubo yenzwa ye-peripheral, equka iimbilini ezandleni, ezandleni nasezinyaweni.
Ubudlelwane phakathi kweFibromyalgia, i-Optic Nerves kunye ne-neurodegeneneration
I-Fibromyalgia isoloko idala iingxaki zoogqirha. Sinentlungu, kodwa akukho sizathu esibonakalayo.
Ukuba lo uphando luchanileyo, esiya kukwazi ukuba luya kuphinda luchazwe, lithetha ukuba intlungu yethu ivela kumthombo oqondakalayo. Emva koko, intlungu ye-neuropathic iye yaqaphela ixesha elide. Ngokukhawuleza, kwenza ukuba "iintlungu" zethu zingabonakali.
Ngakolunye uhlangothi, ivula iingcango ezintsha zokubuza imibuzo. Ukuba siye sonakalisa imisipha, kuba kutheni? Yintoni ebangela umonakalo?
Abaviwa banokuthi badibanise ukuzimela, okuza kubandakanywa isistim somzimba sokuzivikela kwisifo se-haywire kwaye sihlasele iimbilini njengezilwanyana ezinobungozi okanye iintsholongwane, kunye neengxaki zendlela umzimba osebenzisa ngayo izinto ezikhulayo okanye ezigcina izibilini.
Abaphandi baye baxela ixesha elide malunga nokuzimela komzimba kwi-fibromyalgia, kodwa ngoku asikho ubungqina obuqinileyo obukhomba kuyo. Ngoku abaphandi bafumene umonakalo okona, banokufumana ingqiqo engcono apho bajonga khona umsebenzi wokuzimela. Basenokukwazi ukuphawula ukunqongophala okanye ukungaphumeleli kwindlela iigulane ezigcinwa ngayo.
Xa kuziwa kwiimvavanyo zokuxilonga, kusekuqaleni ukuthetha ukuba ukungaqhelekanga kwiso kungakhokelela ekuvavanyeni kweyona njongo kunokuba sinawo ngoku. Ukuba kunjalo, kuya kuba yimpumelelo enkulu kwindlela i-fibromyalgia ifumaneka ngayo.
Ngenxa yokuba ukugcoba kwakunzima nakwiimeko ezinzima kakhulu, kunokunika umakishi oogqirha ukubeka unyango kunye nokuqhubeka.
Kwakhona kunokwenzeka ukuba ezi zinto zifumene unyango.
Asiyi kuqonda igalelo elipheleleyo lophando ixesha elithile, njengoko kukho naluphi na uphuhliso ekuxilweni kunye nezokwelapha kufuneka luze emva kophando olongezelelweyo luqinisekisa okanye luphikisana nezi ziphumo.
> Imithombo:
> Garcia-Martine E, Garcia-Campayo J, Puebla-Guedea M, et al. I-Fibromyalgia ihambelaniswe ne-retinal nerve fiber layer thinning. PLoS One. 2016 Septemba 1; 11 (9): e0161574.
> Pilar Bambo M, Garcia-Martin E, Gutierrez-Ruiz F, et al. Isifundo sokutshintshwa kwe-perfusion kwi-disc optic yezigulane nge-fibromyalgia syndrome usebenzisa isofthiwe entsha yokuhlaziya i-colorimetric. Journal francais d'opthalmologie. 2015 Sep; 38 (7): 580-7.
> Uceyler N, Zeller D, Kahn AK, et al. Iifayibrari ezincinci kwizifo kwizigulane ze-fibromyalgia syndrome. Ubunjongo: i-journal of neurology. 2013 Juni; 136 (Pt 6): 1857-67.