Yintoni eyahlukileyo?
I-Fibromyalgia kunye nesifo sengqondo se-myofascial rhoqo ihamba kunye. Ngenxa yokuqhuba rhoqo kunye nezinye iimpawu ezifanayo, zihlala ziphosakele ngenye imeko kwaye, ngenxa yoko, abantu abanezihlandlo zodwa bafumana i-diagnostic eyodwa kwaye baphathwa ngayo.
Ezi ziyingxaki zangempela, ngezizathu ezintathu ezibalulekileyo:
- Bafuna unyango olwahlukileyo
- Amaphuzu e-MPS angabangela ukuba apheliswe
- Iintlungu ze-MPS zinokunyusa i-FMS, kwaye ukunciphisa intlungu ye-MPS kunokunciphisa iimpawu zeFMS
Kuqhelekile ukuba abantu abanezinye zeemeko bafumane kakubi kunye nolunye, olukhokelela ekunyangeni okungafanelekanga.
Abanye abaphandi basebenzisa igama elithi " intlungu ye-myofascial pain " (CMP) endaweni yesifo sengqondo se-myofascial ngenxa yobungqina besi sifo, kungekhona isifo. ("I-syndrome" isethi yempawu ngaphandle kwesizathu esaziwayo.)
Sibanzi
Kwi-MPS, imisipha kunye nezicubu ezixhumeneyo (ezenza i-fascia) zihlakulele oko kubizwa ngokuba yi- point point (TrP). Oku akufani nendawo yeethenda zeFMS.
Iphuzu elincinci lincinci elincinci, elinokuthi ungeva ngezinye izinto phantsi kwesikhumba sakho. Iqhina ngokwayo linokuba lusizi, ngakumbi xa lugxothwa, kodwa luvame ukubangela intlungu kwenye indawo, ebizwa ngokuba yintlungu.
Iimpawu eziqhelekileyo zenziwe emva kokuba izilwanyana zenzakele kwaye, ngenxa yesizathu esithile, ayiphilisi kakuhle.
Iingcali abazi ukuba kutheni umonakalo ophilisa ngokuqhelekileyo kubantu abaninzi kubangela ukuba abanye baxhomekeke kwi-TrPs. Nangona kunjalo, uphando lubonisa ukuba ukulimala komzimba kwabanye abantu kubangela ukungabikho kokungaqhelekanga apho iiseliti zegazi zidibanisa kwiiseli ze-muscle. Oku kubonisa ukuba i-MPS yi-neuromuscular disease.
Umbutho
Kutheni abantu abanama-MPS bahlala behlakulela i-FMS ayengacacile, kodwa ubungqina obunokukhula bubonisa ukuba, kwabanye abantu, intlungu engapheliyo ingenza utshintsho kwinkqubo yesantya ephakathi, okubangele ukukhuliswa komphakathi .
Ukuba iingcamango zichanekile, unyango lwangokokuqala lwe-MPS lunokunceda ukukhusela i-FMS.
Ixesha eliphumayo le-FMS, i-MPS kunye nezinye iimeko ezibandakanya ukusondeza okuphakathi kukuphambili kwe-syndromes .
Iimpawu
Ezinye iimpawu ezinxulumene ne-MPS zifana neempawu ezihambelana ne-FMS, ngelixa ezinye zidibene nenye yazo.
Iimpawu abazibandakanya ngazo ziquka:
- Ubuhlungu obukhulu beentlungu ezivela kumncinci ukuya kunzima
- Intloko kunye / okanye imigraines
- Ukulala okuphazamisayo
- Iingxaki zokulinganisela kunye / okanye ukungcola
- I-Tinnitus (ukukhala ngeendlebe) kunye nentlungu yeendlebe
- Iingxaki zeMemori
- Ukujuluka okungachazi
- Iimpawu ezixhasayo ngenxa yokuxinezeleka, utshintsho / ukugqithisa kwemozulu, kunye nokusebenza komzimba
Iimpawu ezinxulumene ne-MPS kodwa kungekhona ngeFMS ziquka:
- Ubungqina kwimida
- Ukupenda okanye ukucofa amajoyina
- Ulwahlulo olukhawulelweyo lwamalungu , ngakumbi umhlathi
- Umbono ophindiweyo okanye obonakalayo
- Isiqhumiso esingachazwanga
Iimpawu ezihambelana ne-FMS kodwa kungekhona ne-MPS ziquka:
- Ukukhathala
- Ukuhlaselwa ngumsindo
- Ndiziva ndixakekile ngenxa yokugqithiswa kwengqondo
- Iingxaki kunye neengqondo
- Ukudideka kwangaphambili kunye nokuphazanyiswa
Ngezinye iimpawu ze-fibromyalgia, funda i -Monster List ye-Fibromyalgia Symptoms .
Ukuxilongwa
Intlungu evezweyo yenza i-MPS ibe nzima ngakumbi ukuxilonga nokunyanga. Ngokuqhelekileyo, ugqirha uthi, "Uphi na ubuhlungu?" uze ubheke apho ubeka khona.
Ukuphatha i-MPS, wena kunye nodokotela wakho kufuneka uhlolisise iimpawu zakho kwaye uqonde ukuba ziphi iingongoma zakho.
Ugqirha wakho unokufumana amanqaku okubangela ngokuziva okanye esekelwe kwimpawu. Uvavanyo olunjenge-magnetic resonance elastography kunye ne-biopsy yezicubu zingabonakalisa ukungaqhelekanga kwi-TrPs, kodwa iindima zabo ekufumaneni i-MPS zisacacile.
Ngokwahlukileyo, akukho vavanyo okanye ukuskena kubonisa ukungaqhelekanga kwezicubu apho abantu abane-FMS beva intlungu.
Unyango
Unenketho ezininzi zokuphatha iPMP:
- I-Trigger-Point Injections: Ugqirha ufaka inaliti ngqo kwi-TrP okanye kwiindawo ezininzi ezikujikelezayo ukukhupha iindidi zeetayiti. Ugqirha unako ukufaka iyeza zokuncedisa ubuhlungu, ezifana ne-corticosteroids okanye i-lidocaine. (Qaphela: abanye oogqirha bakholelwa ukuba i-corticosteroids inokunyusa iimpawu ze-fibromyalgia.) Xa kungekho mayeza asetyenziswayo, kubizwa ngokuba ngumsinga omile.
- Ukwenziwa komzimba : Ukwenziwa komzimba kwindlela yokudala yaseTshayina efana ne-needling dry. Nangona uphando lwe-usetyenziso lwayo kwi-MPS lukhawulelana, bafumana iziphumo ezilungileyo.
- Ulwaphulo oluthile : Uhlobo oluthile lonyango oluthiwa i-spray-and-stretch luqhelekile ekuphatheni i-MPS. Umphathiswa wezinto eziphathekayo ukhokela ngokusebenzisa izilwanyana eziseleyo xa uhlambela into ephazamisayo kwimisipha yakho. Umgqirha unokusebenzisa iindlela ezithile zokusilalisa ukukhulula imisipha yakho kunye ne-TrPs. Ukongezelela, umgqirha unokusebenza nawe kwimibandela enjenge- posture poorness engabangela i-MPS.
- Amachiza: Iziyobisi eziqhelekileyo ze-MPS ziquka izidakamizwa ezingekho komzimba ( anti-inflammatory drugs) (i-NSAID) ezifana ne-Aleve (naproxen) okanye i-ibuprofen-based based drugs njenge-Advil ne-Motrin, kunye ne- tricyclic antidepressants ezifana ne-amitriptyline, doxepin kunye ne-nortriptyline.
Iipilisi ze-MPS kunye neZonyango ze-FMS
Nanku kwakhona, kukho ukungabikho kwezinto kodwa kubalulekile ukungafani. Unyango olwenzelwe zombini i-MPS kunye ne-FMS lubandakanya:
- Ukwenza i-Acupuncture
- Ulwaphulo lwezonyango (nangona kukho iindlela ezahlukeneyo)
- I-Tricyclic antidepressants (nangona ii-SSRI / SNRI ezixinzelelekayo ziba zixhaphake ngakumbi kwi-FMS)
Izifundo zibonisa iinjongo ze-trigger-point pointings are not effective in relieving fibromyalgia tender points, kwaye ii-NSAID azisebenzi kakuhle ekunyangeni ubuhlungu be-FMS.
Iingcali ezininzi ze-fibromyalgia zincoma indlela ehlukeneyo yokwenza unyango.
Ukujamelana
Ngokuchasene kakhulu kwiimpawu zabo, ukuxilonga kunye nokonyango, kucacile ukuba i-fibromyalgia kunye nesifo sengqondo se-myofascial ayikho imeko efanayo. Nangona kunjalo, kunokuba nzima kakhulu ukufumanisa ukuba yintoni imeko ebangela ukuba iintlungu xa umntu enabo bobabini.
Ngokusebenza kokubodwa kunye nodokotela wakho kunye / okanye umphathiswa wenyama, unokukwazi ukubona apho udale khona amaphulo kunye nendlela engcono yokuphatha ngayo ngaphandle kokwandisa i-fibromyalgia yakho. Ukunciphisa intlungu ye-myofascial kunokukhulisa iimpawu zakho ze-fibromyalgia, ngoko unokubona inzuzo ephindwe kabini.
Imithombo:
ICliniical Biomechanics. 2008 Juni; 23 (5): 623-9. Epub 2008 Feb 21. "Ikhono le-magnetic resonance elastography ukuvavanya iindidi ze-taut."
Schmerz. 2003 Dec; 17 (6): 419-24. "Ukuxilongwa kunye nokunyanga kwamaqondo omdlalo we-myofascial."