Kubalulekile ukuba inani elininzi labalinganiselwa kwizigidi ezili-27 zabantu abane-hypothyroidism liphela kwakhona lifumanisa i-fibromyalgia. Ezi zombini iimeko ziba nempawu ezininzi ezifanayo, kuquka ukukhathala, ukudinwa, ukudandatheka, inkohlakalo yengqondo , kunye neentlobo ezihlukeneyo zeentlungu kunye nentlungu .
Ezinye iingcali zichaza ukuba ezinjengeenkoliso ezininzi ze-hypothyroidism e-United States, i-fibromyalgia nayo isifo esisodwa.
Abanye bacacisa ukuba iqela leempawu ze-fibromyalgia empeleni zizibonakaliso ze-hypothyroidism ngokwayo. Kodwa akukho mbuzo ukuba kukho into enkulu yokuwela phakathi kwezi zimbini.
Ukuqonda i-Fibromyalgia
I-Fibromyalgia iyaziwa nangokuthi i-fibromyalgia syndrome (i-FMS), i-fibromyositis, i-fibrositis, ne-myofibrositis. I-Fibromyalgia ibonakaliswe yintlungu kunye kunye neentlungu kunye nentlungu, ukukhathala, nokunyuka emva kokulala kwaye emva kokuba wenze umzamo.
I-Fibromyalgia ithinta abaninzi abantu abayizigidi ezi-8 e-US, ngokukwenzeka ikakhulukazi kwabasetyhini abaneminyaka yobudala. Ngokubanzi, i-fibromyalgia ibetha amaxesha asixhenxe ngokuphindaphindiweyo kunamadoda. Iimvakalelo zivame ukuphakama phakathi kweminyaka engama-20 ukuya kwimi-55, kodwa le meko inokuthi ifumaneke kwi-childhood. Phakathi koluntu lonke, kuqikelelwa ukuba amaninzi ama-3 ukuya kuma-6 ekhulwini kubantu bonke, kubandakanywa nabantwana, bahlangabezane neendlela eziqhelekileyo zokuxilongwa ngokusemthethweni kwe-fibromyalgia.
Oku kuya kwenza i-fibromyalgia ibe yinto eqhelekileyo kabini njenge- rheumatoid arthritis .
Izimpawu zeFibyalyalgia
Ezinye iimpawu ze-fibromyalgia ziquka:
- Ukuvakalelwa intlungu , ukutshisa, ukugubha, nokukhathazeka emzimbeni
- Intloko, ukunyameka kwesikhumba, intlungu emva kwekhayi
- Ubuhlungu entanyeni, emagxeni, emagxeni kunye nasezintendeni
- Ubunzima emagqumeni, phezulu kweentambo, ngaphandle kwe-hip ephantsi, ngaphantsi kweentsimbi, kunye ne-pelvis
- Ubuhlungu emadolweni nakwindawo ye-kneecap
- Ukukhathala, ukuvuselela ubuthongo , ukuvusa ukhathele, ukuqina komso
- Ukulahla, ukuvuka rhoqo, ubunzima bokulala, okanye ukulala ngokulala ngokukhawuleza
- Ingqungquthela kaRaynaud (apho izandla zakho ziziva zibandayo, ziphazamise, okanye ziphendukele ezihlaza, xa zibonakala ziguqule ukushisa)
- I-irritable bowel syndrome, isifo sohudo, ukubethelwa, ukuqhaqhaqhafaza, ukuxubha
Ukuxilongwa kwe-Fibromyalgia
Ukuxilongwa ngokusemthethweni kuqinisekiswa kusetyenziswa i-American College yaseRheumatology criteria ye fibromyalgia:
____ Iintlungu zixhaphake ubuncinane kwiinyanga ezi-3. Ubuhlungu kufuneka bube kwicala lesibini lasekhohlo lomzimba kunye nekhohlo elifanelekileyo, kwaye intlungu ibe ngaphantsi nangaphantsi kwelinqeni. Umphunga womlomo wesibeleko, isifuba sangaphambili, i-thoracic umlenze okanye iintlungu ezisezantsi zimele zibe khona.
Ngaphezu koko, intlungu ubuncinane kwi-11 ye-18 yeendawo zendawo zeethenda ezibandakanya:
____ Indawo apho imisipha yentamo ifakela kwisiseko sekhayi, amahlangothi asekhohlo kunye namacaleni (Occiput)
____ Umgama phakathi kwentamo kunye negxalaba, kwicala lasekhohlo kunye nelungelo (Trapezius)
____ Imisipha ngaphaya kwesobunxele nangakwesokudla kwiphepha elingaphakathi lamagxa, kumacala asekhohlo kunye namacala (Supraspinatus)
____ 2 amasentimitha ngaphantsi kwethambo lesecaleni kwinqanaba leengalo ezingasesinxele nangesokudla (i-episode epicondyle)
____ Ekhohlo kunye namanqwanqwa angaphandle angaphandle (Uzuko)
________________________________________ __________________________ ___________ ___________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________ ___________ Amathambo asekhohlo asekhohlo kunye namanqamle (
____ Ngaphezulu ngaphaya kwamadolo asekhohlo nangakwesokudla ngaphakathi
____ Intsimbi encinane phambi, inqamle kunye namacala angakwesibini (Umlomo wesibeletho ophantsi)
____ Ukuphakama kwethambo lesifuba esiphakamileyo, amacaleni asekhohlo kunye namacala (Intambo yesiBini)
I-Fibromyalgia nengcali engapheliyo yokukhathala uJacob Teitelbaum , MD, umbhali we- From tired to Fantastic , uthatha ingcaciso engakumbi. Ukholelwa ukuba xa umntu ngokubanzi ehambelana nenkcazo ye-fibromyalgia, kunye neempawu eziquka ukukhathala okungaxeliweyo, kunye neyiphi na impawu ezivela kwintliziyo yengqondo, ukuphazamiseka kokulala, ukunyuka ukwanda, ukungasebenzi kwemfuyo, kunye / okanye ukusulela okanye izifo ezifana nezifo, ukuxilongwa ngokufanelekileyo kufuneka kuthathelwe ingqalelo.
I-Hypothalamic Connection
UDkt Teitelbaum ukholelwa ukuba kwi-core ye-thyroid i-dysfunction kunye ne-fibromyalgia ingxaki yokungasebenzi okanye ukunciphisa i-master gland kwingqondo ebizwa ngokuba yi-hypothalamus.
Uthi uDkt Teitelbaum ...
Le ngqungquthela ilawula ukulala, isimiso se-hormonal, ummiselo weqondo lokushisa, kunye neenkqubo zokuzimela (umz. - uxinzelelo lwegazi, ukuhamba kwegazi, kunye nokuhamba kokutya kwilungu lakho). Yingakho ungeke ulale, uneqondo lokushisa eliphantsi, uyanzima, kwaye (ngenxa yokuba ulala ebuthakathaka bangela ukuba umzimba ungasebenzi) unyanzelekile kwiintsholongwane ezininzi neziphindaphindiweyo. I-hypothalamic dysfunction ngokwayo ingakho, kubangele ezininzi iimpawu! Ndiyakrokrela ukuba iingxaki "ngeenjini zamandla" kwiiseli zakho (ezibizwa ngokuba yi-mitochondria) zivame ukudala ukuxothwa kwe-hypothalamic.
Uxhumano lwe-Thyroid kunye ne-T3
Ukuba ungumguli we- thyroid enezibonakaliso neempawu ze-fibromyalgia, kufuneka ucinge ukuba uhlolwe ngutitshala onobuchule kwimeko, nokuba ngaba i-MD epheleleyo okanye ehambelanayo, i-internist okanye i-rheumatologist.
Yaye, ukuba ungumguli wesifo se-fibromyalgia, kuyafaneleka ukumba ubuncinane ukujonga ukuba unengxaki ye-thyroid engaphantsi kwayo okanye inokubangela-iimpawu zakho ze-fibromyalgia.
Abantu banesicingo se- TSH ye-thyroid ukuqinisekisa ukuba banokungalingani kwe-thyroid, kodwa uchwepheshe we-fibromyalgia u-John John Lowe, ohamba phambili kwi-Fibromyalgia Research Foundation kwaye wabhala Ukwelashwa kweMetabolic ye-Fibromyalgia , wayibuza into awabiza ngayo "abane-endocrinology . "
- Isizathu esisodwa se-thyroid ye-hormone ukusilela kwempawu yi-hypothyroidism
- kuphela izigulane ezine-hypothyroidism "ngokweziphumo zebhu" kufuneka zivunyelwe ukusebenzisa i -hormone ye-thyroid
- Isigulane se-hypothyroid sifanele sivunyelwe ukusebenzisa i-T4 (levothyroxine) kunye
- Umlinganiselo wesigulane awufanelekanga ukuphelisa i -hormone ye - thyroid (TSH).
UDkt. Lowe wayenomngeni wokujongana nale ngcamango njengengxenye yomzamo wakhe omdala wokufunda kabanzi malunga ne-fibromyalgia engaxhomekiyo. Isiphumo senkqubo yonyango esekelwe kwiziphumo zakhe ukuba iimpawu ezingaphendulwanga ezinxulumene ne- hypothyroidism kunye ne-fibromyalgia empeleni bubungqina bokungaphenduli okanye ukungaphathwa kakubi kwe- hypothyroidism , okanye ukuxhatshazwa kwamaselula kwi-hormone ye-thyroid.
Into eyingqayizivele yeengcamango zikaDkt. Lowe yayiyiqonda ukuba isigulane esinokumelana neselula sinokujikeleza ngokuqhelekileyo amazinga e-hormone ye-thyroid kodwa ineempawu kunye neempawu ze-hypothyroidism. Nangona kunjalo, wafumana kwiingxoxo zakhe kunye nabanye abaphandi be-fibromyalgia / iCFS, abaninzi abangaziqondi iindlela ezinjalo. Uthi:
Kuzo, ukuba isigulane sinomgangatho oqhelekileyo we-TSH , kwaye ingakumbi xa iimpawu zesigulane zingaphuculanga kunye namayeza atshintshiweyo e-T4 (levothyroxine), imeko yakhe ayikwazi ukudibana nayo nayiphi na indlela kwi-hormone ye-thyroid. Uphando olusandululwazi lwakutshanje, nangona kunjalo, lubonise ukuba le nkolelo iyinyani.
Ukuba uhamba nge- hypothyroidism , ngokuqhelekileyo ukuvelisa iimpawu ezinjengama-classic fibromyalgia ezinjengeentlungu zesisundu / ezidibeneyo, ama-aches, kunye nokuphazamiseka kokulala. Ngokutsho kukaDkt. Lowe, oogqirha abaqhelekileyo banokuqwalasela nayiphi na impawu okanye ezona zibuhlungu njengobungqina bokuba kukho enye imeko efana ne-fibromyalgia ngaphezu kweengxaki ze-thyroid . UDkt. Lowe, nangona kunjalo, wachaza ukuba njengobungqina bokuba isigulane sibonisa ubungqina be-hypothyroidism engaphantsi :
Njengoko i-hormone ye-hormone isweleka, inani lamathambo achaphazelekayo kunye nobunzima beempawu ezibangele ukwanda. Isigulane sifana nokusilela kancinci njengenani elongeziweyo leempawu zokuqatha okukhulu. Kwiimeko ezininzi, izigulane ezinjalo zifuna nje i-dosage efanelekileyo okanye uhlobo lwehomoni ye-thyroid ukuze uphucule kuzo zonke iimpawu zazo.
UDkt Lowe wayekholelwa ukuba ukunamathela ngokuthe ngqo kwinto ebizwa ngokuba "uluhlu oluqhelekileyo" alubonakali ukuba isigulane sinokwanela ukujikeleza i-T3 (i-hormone esebenzayo ye-thyroid kwinqanaba leselula, eliveliswa yinxalenye yecroroid, kwaye inxalenye yenguquko I-hormone ye-T4 ukuya kwi-T3) ukugcina imetabolism evamile kwiiseli. Uphando lwakhe lubonise ukuba amayeza akhuselekileyo kodwa acinezelayo ayedla ngokuphumelela ekupheliseni iingxaki zempilo ezichaphazelekayo. Ukuguqulwa kwe-T4 ukuya ku-T3 kunokukhubazeka, ngoko into yokuba isiguli sinesimo esiqhelekileyo se-TSH asithethi ukuba isisu sayo sesisu siyinto eqhelekileyo.
Ngokutsho kukaDkt. Lowe, uphando oluthile lubonise ukuba i-hormone ye-thyroid yokuguqula, i-dose egcina i-TSH ngaphakathi kwindlela eqhelekileyo, iyancipha ngobunzima izigulane ze-cholesterol eziphezulu, kodwa i-TSH-suppress dosages iyanciphisa amanqanaba ngokugqithiseleyo.
Iingxelo ezininzi ezishicilelweyo kunye nezifundo zethu zibonisa ukuba izinga leTSH alihambelani neemvavanyo ezahlukahlukeneyo zeetabolism zezicubu. UDkt. Lowe uvakalelwa kukuba oku kubalulekile kuba ukwenza i-tissue metabolism eqhelekileyo kufuneka ibe yinjongo yazo zonke izigulana kunye nezigulane ze-hypothyroid. Xa isigulane se-hypothyroid sithintela kwisilinganisi se-T4 esigcina i- TSH ngaphakathi kwinqanaba eliqhelekileyo , ukuvavanya kuya kuvelisa ubungqina bendalo engavamile kwiimveliso ezininzi.
Abanye abaphandi banqanda i-hormone ye-thyroid njengendlela yokunyanga impawu ze-fibromyalgia okanye i-CFS. Ngokutsho kukaDkt. Lowe, ke, "ukutshintshwa" njengoko kuchazwe ngabaphandi ngokuqhelekileyo akusebenzi ngenxa yokuba ukutshintsha kuthetha ukusetyenziswa kweT4 kuphela ukugcina i- TSH kwindawo eqhelekileyo . Wayevakalelwa kukuba akwanele ukukhulula izigulane ezininzi ze-hypothyroid kwiimpawu zabo.
Kwakhona wayekholelwa ukuba ukucinga ukuba ama-dosage e-T4 kuphela ayenyango olwamkelekileyo avimbela abanye abaphandi ukuba babone isizathu sokuba ezininzi izigulane ze-fibromyalgia zazingenalo ukulawulwa kwe-hormone ye-thyroid ye-tissue. UDkt. Lowed ukholelwa ukuba ukuhlanganiswa kwe- T4 kunye ne-T3 ngokubanzi isebenza kangcono kuneT4 yedwa kunye nezigulane ze-hypothyroid , kwaye kwezinye iimeko uT3 yedwa yasebenza kakuhle. UDkt. Lowe wafumanisa ukuba xa izigulane ze-hypothyroid ziphathwa nge-T4 kuqala, ngokunyuka kwandisa umyinge, ukuba ingazange inikeze inzuzo okanye nayiphi na enye, izigulane zatshintshelwe kwi-T3.
I-T4 yodwa yindlela ephosakeleyo kwizigulane ezininzi ze-hypothyroid fibromyalgia, kwaye akusizizo izigulane ze-fibromyalgia ezinokumelana neselula kwi-hormone ye-thyroid. Ininzi yezi zi gulane, ezenza malunga ne-44 ekhulwini ye-fibromyalgia isigulane kwisigulane ngokubhekiselele kwizifundo zethu, zincedwa kuphela kwii-dose ezinkulu zeT3. Kuphela iincinci ze-hypothyroid fibromyalgia izigulane ziphuculwe ngokufanelekileyo kunye nokusetyenziswa kweT4 yedwa.
ILizwi
Ukuba unayo i-hypothyroidism eneempawu ezibonisa ukuba i-fibromyalgia, okanye unayo i-fibromyalgia, unokufuna ukuqwalasela ukubona udokotela onobuchule kwiimeko zombini, obonwaba njengento enxibelelana ngayo. Isiqalo esilungileyo sokufumana ugqirha olungileyo kwiziko le-National Fibromyalgia Association kunye ne-National Fibromyalgia & Chronic Pain Association
Imithombo:
> Haliloglu S et al. "I-Fibromyalgia kwizigulane ezine-autoimmunity: ukuxhaphaka kunye nolwalamano nomsebenzi wesifo." KwiKliniki yaseRheumatol. 2017 Julayi; 36 (7): 1617-1621. i-doi: 10.1007 / s10067-017-3556-2. Epub 2017 Feb 7.
> Lowe, uJohn. "Unyango lweMetabolic of Fibromyalgia." Inkampani yaseMcdowell Publishing; 2000.
> Nishioka K, et al. "Ukuphakama okuphezulu kwe-anti-TSH receptor antibody kwi-fibromyalgia syndrome." Int J Rheum Dis. 2017 Juni; 20 (6): 685-690. i-doi: 10.1111 / 1756-185X.12964. Epub 2016 Nov 30.
> Selmi C et al. "Umhlangano wonyaka we-ACR wama-2014: iliso leentaka lijongene nokuzimela ngo-2015." I-Autoimmun uMhla. 2015 Jul; 14 (7): 622-32. I-doi: 10.1016 / j.autrev.2015.03.003. Epub 2015