Isizathu Sokubangela Ubunzima nobushushu Ubunzima be-Fibromyalgia
Ukuba uhlala ne- fibromyalgia , mhlawumbi uyazi ezinye zeengxaki. Akukuphela nje ukungazithengi yonke indawo ngenxa yesizathu esicacileyo, kodwa kubonakala ngathi akukho mntu uyazi ukuba kutheni le nto yenzeka. Kwada de siyazi ngokwenene imbangela yeempawu, kunzima ukufumana unyango olululo. Oko kwathiwa, ukufundisisa ngo-2013 kunokubhekisela kwisizathu esibalulekileyo sobuhlungu obubanzi kunye nezinye iimpawu ezibonakalisa i-fibromyalgia.
Ukuhlaziywa okufutshane kwe-Fibromyalgia kunye nezizathu ezinokwenzeka
I-Fibromyalgia yimeko ebangela intlungu ebanzi kwaye ichaphazela abantu abayizigidi ezi-6 e-United States. Ngethuba langoku, oogqirha kufuneka bavelise iimpawu kunye neempawu ezifunyenwe kwimbali kunye nokuhlolwa komzimba kuphela ukwenza ukuxilongwa . Lo mqathango uvame ukungaqondakali, kwaye ukuphazamiseka kokuphila kunye nesimo esingenakho ukuvavanya ngokucacileyo ukuvavanya kushiya abantu abaninzi abane-fibromyalgia bazizwa bodwa bebuzwa ngabo bangayiqondi. Uphando olubhekisele kwizinto ezibangelwa yi-fibromyalgia nalo luye lwaphazamiseka, kwaye ngaphandle kwesizathu esaziwayo, uvavanyo lokuxilonga okanye unyango olwenzelwe ukuguqula imbangela alukhoyo.
Isizathu Esinokwenzeka Sokuba i-Fibromyalgia: Amaninzi amaninzi
Emva kokuqwalasela amathuba avela kwi-P ukuya kuma-hormone, abaphandi baye baxakeka malunga neendlela ezichanekileyo ezivela kumpawu ze-fibromyalgia.
Kodwa ngoku bathetha ukuba abantu abane-fibromyalgia banokuba neentlobo ezininzi zeentsholongwane kwinxalenye ethile ye-circulatory system. Ezi "ndlebe ezongezelelekileyo" zingabangela ubuhlungu obukhulu kunye nobubele, ukunyusa ukuhamba kwegazi, kwaye kwenze kube nzima ukuba umzimba ulawule ukushisa kwangaphakathi.
I-Arteriole-Venule Iintambo kunye Nokuba Kutheni zibalulekile
Nantsi isifundo sokufunda ngokukhawuleza ukukunceda uqonde oku kufunyanwe.
Kwindlela yakho yokujikeleza , unemiqolo emininzi yemithwalo yegazi. Igazi liphuma kwicala lasekhohlo lentliziyo kwimibhobho emikhulu. Ezi zesebe zibe phantsi kwemibhobho encinci kwaye i-arterioles. I-arterioles iyancinci kwaye imancinci, njengokuba amagatsha omthi athathaka kwaye amancinci, kwaye aphelile kwi- capillaries , encinci yemithambo yegazi apho utshintshi lwe-oxygen kunye nezondlo zenzeke. Ekuphumeni kwe-capillaries, igazi lihamba ngeepilisi, ukuya kwiimvumba ezinkulu nakakhulu, ekugqibeleni libuyela kwicala lasekunene lentliziyo.
Iintlobo ezimbini zemithambo yegazi esibheke kuyo kule ngqungquthela yi-arterioles kunye nama-venules. Ngamanye amaxesha, ngokusekelwe kutshintsho kwigazi elifunekayo kwiindawo ezithile zomzimba, igazi lidlulela i-capillaries kwaye lihamba ngokuthe ngqo ukusuka kwi-arterioles ukuya kwiivenyu. Cinga ngeplumbing ngomzuzwana. I-Arterioles kunye neepilisi zibukhulu obuhlukeneyo bemibhobho, kwaye zifuna iipasiti zokuzixhuma. Ezi zivalo zibizwa ngokuba yi-arteriole-venule shunts (AVS.)
I-verile ye-Arterial iyanqanda ukulawula ukuba ingaba igazi lakho lihlala kwiinqanawa ezinkulu okanye liphuma kwiincinci ezibizwa ngokuba ngama-capillari. Leyo ndlela umzimba wakho ulawula ngayo ubushushu, obuthathela umzimba wakho ngegazi. I-AVS ivuliwe kwaye ivaliwe ngamagulane akhethekileyo, aqonda ukuba igazi lihamba kunye nentlungu kunye nokushisa.
(Ungazibona ngokwakho ngokuqwalasela indlela umzimba wakho ubonakala ngayo xa ushushu kwaye uphaphazeka xa ubanda.)
Kule sifundo, izazinzulu zifumanise ukuba abathathi-nxaxheba be-fibromyalgia babenomdla wamanzi amaninzi agijima kwi-AVS. Iimvumi ezingakumbi zithetha igalelo elinengqondo, kwaye ngenxa yoko isabela ngokugqithiseleyo kwiimvakalelo ezinjengeentlungu kunye nokushisa.
Ingaba ithetha ntoni?
Ngoko, kukho iimbilini ezithe xaxa eziphendula ngokugqithiseleyo kwiintlungu kunye nokushisa, kwaye ezi zinzwa zilawula i-arteriole-venule shunts, kodwa oko kuthetha ukuthini? Xa uphando ngemeko efana ne-fibromyalgia sinokufumana utshintsho olusesikweni emzimbeni, kodwa loo nto itshintsha njani.
Yaye ke loo nto ingatshintsha njani kumsebenzi kubangela iimpawu esizifumanayo?
Iimvumi ezongezelelweyo zithetha okungakumbi "i-Thermostats yangaphakathi"
Kulo pho nonongo, abaphandi bajonga iimbilini kunye nemithambo yegazi esandleni. Asisazi ukuba ngaba ezi zininzi ziphezu kwemizimba yethu, kodwa ukuba ngaba kunjalo, kunokukunceda ukuba uchaze ukuba kutheni abantu abane-fibromyalgia belimaza yonke indawo. Kungachaza nokuba kutheni i- thermostats zethu zangaphakathi ziphela .
Imiba yokuPhalaza kweGazi
Ukongeza kwimiba ye-thermostat, yimiba yokuphuma kwegazi. Igazi lithwala i-oxygen kunye nezondlo kwiimisipha, kodwa ukuba umzimba unenkathazo yokuqondisa ukuhamba kwegazi ekuphenduleni ukunyamezela, izihlunu ziyancitshiswa, ngoko ke zibuthathaka. I-acid ye-latic yakha kwaye ibangela ukuba uvakalelo oluvuthayo olusenokuba nolwazi.
Ukongezelela, ngaba uye waziva ukuba izikhonkwane ezibuhlungu-kunye neenaliti uziva xa unyawo okanye isandla silele? Yibangelwa ukuhamba kwegazi ngokungeneli kummandla womzimba (obizwa ngokuba yi-ischemia), kwaye oogqirha baye bahlala becinga ukuba i-ischemia ixanduva lweentlungu ezithile ze- fibromyalgia .
(Unokuba unqwenela kwakhona ukuphonononga ubuhlobo be- serotonin kunye nokuhamba kwegazi kwi-fibromyalgia enye inyiyo malunga nokuba kutheni iingxaki zokuhamba kwegazi zingenzeka.)
Indlela okufunyanwa ngayo le nto inokukhokelela kwi-Test Diagnostic Test or Treatment for Fibromyalgia
I-Fibromyalgia okwangoku isifo se-kliniki, oku kuthetha ukuba akukho vavanyo lwegazi okanye isifundo se-radiological esingenziwa ukuze kuqinisekiswe okanye kungabandakanyi ukuxilongwa. Esikhundleni salokho, i-fibromyalgia idla ukuxilongwa ngokuxhomekeka kwimbali echanekileyo, ukuhlolwa ngokomzimba kunye nokulawula izimo esineziphumo zokuhlola.
Abaphandi kulolu cwaningo bakholelwa ukuba-kuba oku kufunyanwe kukuhlaselwa kwe-pathology ecacileyo-oku kufumaneka kukukhokelela kwiimvavanyo zokuxilonga. Ukongezelela, ekubeni ukungaqhelekanga kuye kwaphawulwa, ukujonga iindlela zokuguqula ukuba okungaqhelekanga kunokukhokelela kwiindlela zokwelashwa ezizayo. Konke okubonakala kukuthembisayo, kodwa ngoko ke kukho nezinye izifundo ezininzi. Ixesha liza kuxela.
Ukukhawulelwa kweeNkalo zezifundo
Nantsi into ekumele uyigcine ngqondweni malunga nalolu cwaningo: Ixhaswe ngeenkampani ezimbini ezivelisa imithi ye-fibromyalgia I- Cymbalta (duloxetine) ne- Savella (i-milnacipran.) Ukukhululwa kogcino kwizinto ezifunyenweyo zikhankanya ukuba izibilini ezingaphezu kwezona zizathu zenza ukuba ezo zidakamizwa zisebenza; banokukunceda ukucwangcisa iimbuliso ezingaphezulu. Oku kufunyanwe kukuphakamisa ukungaqiniseki malunga neendlela ezintsha zonyango njengoko iinkampani zonyango aziqhelekanga kumkhwa wokutshitshiswa kwezilwanyana ezintsha xa ziyakwazi ukukhulisa iimveliso zalabo abasemarike.
Kwakhona, oku kwakufundela encinci kunye nabafazi abangama-24 kuphela. Sifuna uphando olungakumbi ngaphambi kokuba sithethe, ngokungathandabuzekiyo, ukuba oku kwenzekayo emzimbeni wethu. Le ngongoma enomdla ekufuneka ifundwe ngokuqhubekayo, kodwa ngokuqinisekileyo iya kulandelwa abanye abaphandi ukunciphisa uxhalabo malunga neengxaki.
Ngaphantsi kweeNinzi ezininzi zeMisipha njengeNobangela enokwenzeka ye-Fibromyalgia Symptoms
Inkolelo yokuba iimpawu ze-fibromyalgia zinokuthi zihambelane neentsholongwane ezigqithiseleyo kwi-AV shunts ezibangelwa intlungu kunye nokushisa ukutshatyalaliswa kwentsholongwane. Ukuba kukho inyaniso kule ngqungquthela, ayiyi kuphakamisa nje ithemba lokuba uvavanyo lovavanyo lwe-fibromyalgia luya kuphuhliswa, kodwa ukuba unyango olujoliswe kulolu hlobo lungabonakaliswa ngokunjalo. Njengoko kuphawuliwe, uphando oluxutyushwa apha lusemncinci, kwaye uphando olongezelelweyo lufunekayo ukuba lunqunywe ukuba kulungile ukuphishekela
Kubantu abahlala noxinzelelo lwengxaki engenabuhlungu kuphela kodwa engenayo ukuvavanya ngokuqinisekileyo, le ngcamango inokuthi yanciphise ezinye ihlazo kunye nokuzihlukanisa ezizibonakalisa zokuhlala nezifo ezingapheliyo.
> Imithombo:
> Albrecht, P., Hou, Q., Argoff, C., Storey, J., Wymer, J., noF. Rice. Ukugqithiswa kwePeptidergic yokuHlola okungabonakaliyo kwe-Cutaneous Arteriole-Venule Shunts (AVS) kwi-Palmar ebushushu besikhumba se-Fibromyalgia Izigulane: Impembelelo yoPhulo oluPhezulu lweTissue and Patigue. Uphulo lweMpilo . 2013. 14 (6): 895-915.
> Albrecht, P., no F. Rice. I-Fibromyalgia Syndrome I-Pathology and Environmental Influences on Afflictions With Medically Symptoms Symptoms. Uphononongo kwiMpilo yeNdalo . 2016. 31 (2): 281-94.
> Sluka, K., kunye noD. Clauw. I-neurobiology ye-Fibromyalgia kunye nobuhlungu obuqhelekileyo obuqhelekileyo. Neuroscience . 2016. 338: 114-129.