Uphando lwe-Connection
I-Hypermobility kunye noFibromyalgia
Iimpawu ze-Fibromyalgia zingaba nezifo ezizimeleyo kunye nezinye izimo zonyama ezenza kube nzima ukuxilonga. Iimpawu ze-fibromyalgia zihlala zidibaniswa nezinye iimpawu ezizimeleyo kunye neenjongo ezenziwa ngokudibeneyo. Isizathu sokuthi i-fibromyalgia ithathwa njengeyinkimbinkimbi njengenkcazo yayo yeklinikhi.
Isizathu esicacileyo se-fibromyalgia asikaqondakali kakuhle kodwa iindlela ezicetywayo zibandakanya:
- ukuvezwa kweentlungu ezingavamile
- izifo zokulala
- izinto eziqhelekileyo zokujikeleza izidakamizwa ezisemgangathweni
- i-muscle ye-muscle engafanelekanga, isakhiwo okanye isebenzayo
Kuye kwacetyiswa ukuba ukuxhatshazwa okuhlangeneyo (JH) kunokunxulumaniswa ne-pathology ye-fibromyalgia.
- Imibuzo: Ngaba Unayo I-Fibromyalgia?
Yiyiphi i-Hypermobility Joint?
Ukuxhatshazwa okuhlangeneyo kuchazwa ngokuthi "ukunyuka ngokungaqhelekanga kwamanyathelo amancinci kunye namaninzi angaphaya kwemida yokunyakaza kwawo". Ukuxhatshazwa okuhlangeneyo (jonga umzekeliso) uqhelekileyo phakathi kwabasetyhini abancinci kwaye kubonakala malunga ne-5% yabantu abadala abadala. Xa iimpawu ze-musculoskeal zivela kubantu abangenazo izinto ezingenasiphelo xa kungekho naluphi na olunye uhlobo lwe-rheumatological disorder, lubizwa ngokuba yi "hypermobility syndrome". Ukuxhatshazwa okuhlangeneyo kwimeko yonyango oluthiwa yi-Ehlers-Danlos syndrome (EDS) ebonakaliswa bubuthathaka beethambo zomzimba zomzimba.
Isifundo: I-Hypermobility Joint kunye neFibromyalgia
Kwiphononongo echazwe kwiNcwadi yeRheumatology, umbutho phakathi kokuxhatshazwa ngokubambisana kunye ne-fibromyalgia eyinhloko uphando. Iqela lokufunda laliqulethwe zizigulane ezingama-88 (bonke abesifazana, abaneminyaka engama-34 ubudala ubudala) kunye neentlungu ezixhaphakileyo ezifunyanwa njenge-fibromyalgia kunye ne-90 yokulawula impilo (bonke abesifazana, abaneminyaka engama-36 ubudala).
Ngaphandle kwesi sifundo kwaku:
- izigulane zinoma yimuphi umonakalo we-rheumatological okanye inkqubo.
- izigulane nazo nayiphina inkqubo yokuvuvukala okanye isifo se-arthritis.
- nabani na oye wafumana unyango.
Izigulane zazingekho ukuba zine-fibromyalgia yi- rheumatologist ngaphambi kokuba zifundwe kwaye zazingakhange ziphathwe nge-fibromyalgia.
Inkqubo yoFundo
Zonke izigulane zavunyelwa ngokusekelwe kwintlungu ehlala ixesha elingaphezu kweenyanga ezintathu. Izigulane kunye nokulawulwa kwangoko kwavanywa okokuqala ngumbhalo we-rheumatologist. Izigulane zenze olunye uvandlakanyo oluthe ngqo kunye nezinye iiklinikhi (abaye baphuphuthekiswa ukuvavanya kovavanyo lokuqala) ekuqinisekiseni i-fibromyalgia kunye ne-hypermobility ehlangeneyo.
I-Fibromyalgia yahlolwa kuzo zonke izigulane ngokubuza imibuzo ngezikhalazo eziqhelekileyo ezihambelana nesi sifo. Baye bafumanisa ukuba bane-fibromyalgia ukuba badibana ne-American College yeRheumatology (ACR) imilinganiselo yokwahlula nokuxilongwa kwe-fibromyalgia. Ukuxhatshazwa okuhlangeneyo kubonwa njengamanje kwizigulane ezisekelwe kwi-Beighton ukuguqulwa kweCarter ne-Wilkinson imilinganiselo yokuxhatshazwa okuhlangeneyo.
Iziphumo zophando
Amashumi amahlanu anesithandathu kwizigulane ezingama-88 ezinentlungu ebanzi ekuqaleni efana ne-fibromyalgia yadibana ne-ACR imigaqo ye-fibromyalgia, ngelixa i-6 ye-90 yokulawulwa kwempilweni nayo idibene ne-ACR.
Izigulane okanye ngaphandle kwe-fibromyalgia zafaniswa ngokuphindaphindiweyo koxinzelelo oluhlangeneyo. Ubume be-hypermobility ehlangeneyo yile:
- 8% kwizigulane ezine-fibromyalgia.
- 6% kwizigulane ezingenayo i-fibromyalgia.
Ukuxhatshazwa okuhlangeneyo kwaqatshelwa kwizigulane ezingama-32 ze-fibromyalgia ezingazange zihlangabezane neempendulo ze-ACR. Ubungqina bokungabikho kokubambisana kwakuqhelekileyo kweli qela kunokuba kulawulo.
Izigqibo zokugqibela
Ubudlelwane phakathi kwe-fibromyalgia kunye noxinzelelo oluhlangeneyo aluqondi ngokupheleleyo. Ukudibanisa okuhlangeneyo kungabangela ukuba i- arthralgia isasazeke kwizigulane ngenxa yokusetyenziswa kakubi okanye ukusetyenziswa kakubi kwezihlanganisi ezingenazo.
Iinkcukacha ezivela kule sifundo ziboniswe:
- Izikhalazo eziqhelekileyo ze-fibromyalgia zazigqalwa ngokugqithiseleyo kwizigulane eziye zahlangabezana neemfuno ze-ACR.
- Ezinye izigulane ezibonisa iimpawu ze-fibromyalgia kwizonyango kodwa ezingenakuhlangabezana nemigangatho ye-ACR ingaba ne-hypermobility edibeneyo engabonakaliyo njenge-fibromyalgia.
Ubungqina bokuhlanganiswa bokuqala kubonakaliswe kwincwadi ye-rheumatology ngo-1967. Namhla, ukuxhamla okuxhamlekileyo kuqondwa kangcono kwaye kuqondwa ngokubanzi. Nangona kunjalo, uphando olongezelelweyo kunye nophando kuyafuneka ukuba ufunde okungakumbi malunga nokusebenzisana phakathi kokuxhatshazwa okuhlangeneyo kunye ne-fibromyalgia.
Umthombo:
I-Hypermobility edibeneyo kunye neFibromyalgia yaseprayimari: I-Clinical Enigma, Journal of Rheumatology, ngo-Julayi 2000 (27: 1774-6)