Kwi- fibromyalgia , isiyezi, ukulingana okubi, kunye nokuwa yizikhalazo eziqhelekileyo. Kwabanye abantu, bayisicashulo esincinci sokutsalwa kweso sihlandlo. Kwabanye, banokukhubazeka kakhulu kwaye kubakho ukulimala ngokuqhelekileyo.
Ukuwa, kwaye ngokukodwa ukuwa rhoqo, yinkinga enkulu. Into yokugqibela oyifunayo xa sele usenentlungu rhoqo kukuba uzilimaze lonke ixesha.
Ukuhlala rhoqo okanye iingxaki zokulinganisela kunokukhokelela ekubeni ukwesaba ukuwa.
Uloyiko luyakwenza ukwenze ukwesaba ukuhlala usebenza, nangona ungaphaya kwemida yakho. Ngokutsho kwiphando kwi- Clinical Rheumatology, i- 73 ekhulwini yabantu abane-fibromyalgia banesabiseko sokusebenza, kwaye phantse i-75 ekhulwini inengxaki yokulinganisela.
Ukuwa kungaphantsi kwembonakalo kunye nangaphezulu kweziphumo zempawu zesimo sezulu kunye nokulingana okubi. Kule meko, ukuwa kunye neengxaki zokulinganisela nazo zidibene nokutshintsha kwindlela esihamba ngayo.
Ngoko kutheni i-fibromyalgia iquka ezi ngxaki? Kwaye sinokuyenza ntoni ngabo?
I-Fibromyalgia kunye neNzululwazi
Kwi-fibromyalgia, utywala luvame ukufika xa uqala ukuma. Kuyafana nomvakalelo "wokukhawuleza kwentloko" ukususela xa usukuma ngokukhawuleza, kuphela oko kunokwenzeka naluphi na ixesha oya kulala okanye uhleli ukuma. Ukuqala ngokukhawuleza kokungcola kungakwenza uhambe ngeenyawo zakho, ukugwedeza, okanye kunokukwenza ukuba uwe okanye uphelelwe amandla.
Ukuzondwa kunye nokuphelelwa amandla kule meko inokuthi iboshwe kwinqutyana elithile, ngokuphathelele kwisifundo se-2017 esashicilelwe kwi- European Journal of Pain . Ukongeza kwidlozi kunye nokuphelelwa amandla, le nkqutyana yayinamazinga aphakamileyo entlungu kunye neemeko ezahlukeneyo kunye nezimo ezigqithisileyo kuquka ukungasebenzi komsebenzi ("i-fibro fog"), i-bladder bladder, vulvodynia, kunye nemilenze yokuphunga imilenze.
Uphando lubonisa ukuba le mpawu ibangelwa ukungasebenzi komsebenzi wendlela yokuzimela (i-ANS), ebizwa ngokuba yi- dysautonomia . I-ANS ibandakanyeka ngemisebenzi emininzi emzimbeni wakho, kubandakanywa izinga lentliziyo, uxinzelelo lwegazi, izinga lokuphefumula, ukushisa komzimba, ukutshatyalaliswa kwamanzi kunye nokutya.
Uxinzelelo olubangelwa yi-dysautonomia lungabizwa ngokuba yi- orthostatic tolerance, hypotension, okanye i- postural orthostatic tachycardia syndrome (i-POTS). Okubalulekileyo, ezi zinto zithetha ukuba intliziyo kunye nengqondo azikhulumi kakuhle.
Yintoni ekumele yenzeke kukuba xa usukuma uvela kwindawo yokulala okanye indawo yokuhlala, i-ANS inyusezela uxinzelelo lwegazi ukuze ulwe nokunyamezela kwaye ugcine ukunikezelwa kwegazi okwaneleyo kwingqondo yakho. Nge-dysautonomia, oku akukwenzeka njengokuba kufanelekile. Endaweni yoko, uxinzelelo lwegazi luyakwazi ukuwa xa usukuma, kwaye umphumo ungumngcingo okanye ukuhamba ngokukhanya. Kwi-POTS, izinga lentliziyo likhawuleza njengoko uxinzelelo lwegazi luhla.
Ukuxakeka kwintlanantya kunokunxulumana nentliziyo yesifo, imbonakalo ephazamisekileyo, ukunyuka kwe-pulse rate, intlungu yesifuba, kunye nohlobo lokuphelelwa amandla olubizwa ngokuba yi-vasovagal syncope.
Akunjalo wonke umntu onesidumbu se-fibromyalgia ephazamisayo, nangona kunjalo. Ngophando luka-2008, abaphandi bathi ukutyhafa kunye nokubetheleka kwakuqhelekileyo kunokuba kuphelelwe amandla.
Bathi kwakhona i-POTS yenye yezona zinto ziqhelekileyo iimpawu ze-fibromyalgia ezazibonwa ngexesha lokuhlolwa kwetafile, ezilinganisa impendulo yakho kwishintsho kwindawo.
Ukulinganisela kunye neengxaki zeGait in Fibromyalgia
Ukongeza kwimeko yokuwa, uphando lubonisa ukuba abantu abane-fibromyalgia bahamba ngokuhlukileyo kunabantu abanempilo. Uphononongo luka-2009 lufumene ukuba malunga neepesenti ezingama-28 zabantu abanalo gulo banesimo esingavamile (indlela yokuhamba).
Ngo-2017 isifundo somsebenzi osebenzayo, abaphandi bathi ukuzuza kunye nokulinganisela kwakunzima kakhulu kule meko. Ukwahlukana kuquka:
- ubude bexesha elifutshane
- ukuhamba ngokukhawuleza
- indlela umzimba uhamba ngayo xa uhamba
Abaphengululi bathi ukungafani kunye nokulinganiswa kwamanani kwakubi kakhulu kubantu ababenentlungu , ubunzima, ukukhathala, ukuxhalaba nokudandatheka. Bacebisa ukuba oogqirha bavavanye i-gait kunye nesimo sengqondo sezigulane zabo nge-fibromyalgia ukwenzela ukuba bafumane uhlobo oluhle lokuvuselela kunye nokukhusela kwabo.
Olu pho nonongo luyingxenye yomzimba okhulayo weencwadi zenzululwazi ebonisa ukulingana kunye neengxaki zengxaki kulo mqathango ongakhokelela ekuwa. Sekunjalo, ukuvavanya nokuphatha le mpawu kungekuko kubaluleke kakhulu kugqirha wakho. Ukuba ngaba bakhathazeke ngawe, qinisekisa ukuba uwakhuphe ekuqeshweni kwakho okulandelayo.
Ukunciphisa utywala kunye nokuwa ingozi kwi-Fibromyalgia
Eyona mpu melelo uyaphatha i-fibromyalgia yakho, ngaphantsi kwezi zimpawu kufuneka zibe yingxaki. Nangona kunjalo, ukuba badinga ingqalelo engakumbi okanye awukwazi ukufumana unyango olusebenzayo lwe-fibromyalgia, unokhetho oluninzi.
Ukufumana utywala ukusuka kwi-POTS, i-hypotension orthostatic, okanye i-hypotension ekholisayo, ugqirha wakho unokukwazi ukucebisa uncedo lwemithi encedisayo. Ezi ziquka ii- SSRI / i-SNRI , i-benzodiazepines kunye ne- blocka blockers . Ezinye zezi ziyobisi zingancedisa ezinye iimpawu ze-fibromyalgia, kunye nee-SSRI kunye nee-SNRI ziqhelekileyo ngokubhekiselele kule sigulo. Ugqirha wakho unokucebisa nokutshintsha indlela yokuphila.
Ukuba utshaya, uphando olushicilelwe kwiphepha le-rheumatologic I- Joint, i-Bone, i-Spine ibonisa ukuba ukuyeka kunokuncedisa ukunciphisa kunye nezinye iimpawu ze-fibromyalgia.
Xa kufikelelwe ekulinganiseni kunye nokunyanga, unyango lomzimba luyonyango oluqhelekileyo. Ungaphinda ufune ukubuza ugqirha wakho nokuba into efana ne yoga , tai chi , okanye iqigong ikhuselekile kuwe.
Kuze ufumane iindlela zokuphucula ezi zimpawu, uhlawulela ukuba uqaphele. Izixhobo zokuncedisa ezifana nenqanawa okanye uhambahamba zingakunceda uhlale ezinyaweni zakho. Ukuhlala ukuzilolonga kungasona ndlela ekhuselekileyo, kwaye ngokuqinisekileyo ikhethekileyo kunokuba ungasebenzi kangangoko kunokuba unakho.
> Imithombo:
> IDosta ID, iGamundi A, uMiranda JG, et al. Ukusebenza okutshintshileyo kwizigulane ezine-fibromyalgia. Imida kwi-neuroscience yabantu. 2017 Jan 26; 11: 14.
> Lee SS, Kim SH, Nah SS, et al. Imikhwa yokubhema inokuchaphazela ubuhlungu kunye neempawu zokusebenza kunye neengqondo kwi-fibromyalgia. Idibene, ithambo, umgudu. NgoNovemba ka-2011; 78 (3): 259-65.
> Staud R. Autonomic ukungasebenzi kwi fibromyalgia syndrome: i-postural orthostatic tachycardia. Iingxelo ezikhoyo ze-rheumatology. 2008 Dec; 10 (6): 463-6.
> Russek L, Gardner S, Maguire K, et al. Uphando lwee-cross-sectional assessment of sources of fear-related relation among people with fibromyalgia syndrome. Rheumatology yezonyango. 2015 Juni; 34 (6): 1109-19.
> Watson NF, Buchwalk D, Goldberg J, et al. Iimpawu ze-neurologic kunye neempawu kwi-fibromyalgia. Arthritis kunye ne-rheumatism. 2009 iSept; 60 (9): 2839-44.
> Yim YR, Lee KE, iPark DJ, et al. Ukuchonga ii-subgroups ze-fibromyalgia usebenzisa uhlalutyo lweqoqo: ubudlelwane kunye neenguqu zeclini. Umbhalo waseYurophu weentlungu. 2017 Feb; 21 (2): 374-384.