Iimviwo zesikhokelo se-Tender ayiseyona yodwa indlela yokufumanisa i- fibromyalgia - i-American College yeRheumatology iye yamkela ngokuthe ngenye indlela imigaqo yokujonga imeko kwaye ibeka ubungqina beempawu.
Inkqubo yokugonywa koogqirha abaye bayisebenzisa yayisungulwa ngowe-1990. Emva kokuba ezinye iimbangela ezibangelwa iimpawu zapheliswa, ukuxilongwa kwakusekelwe kuphela kwiintlungu.
Kwakufuneka ibe ngamacala omabini omabili, ngasentla nangaphantsi kwelinqeni, kunye ne-axial squke (intloko, umphimbo, isifuba, umlenze), kunye nakwimibandela engama-11 kwimi-18 ekhethekileyo emzimbeni obizwa ngokuba ngamatye . Iimpawu kufuneka zibe khona ubuncinane kwiinyanga ezi-3.
Isihloko sovavanyo lwethenda sisoloko siphikisana ngezizathu ezininzi. Okokuqala, okokuqala kwakujoliswe ukuba ube ngumqeqeshi kwizifundo zekliniki, kungekhona njengethuluzi lokuxilonga. Okwesibini, iyancomeka kuba ixhomekeke kwintlungu yesigulane. Okwesithathu, ngenxa yokuba iimpawu ziguquke kakhulu, inani leethenda zithenda lingahluka kakhulu ukusuka kwelinye vavanyo ukuya kwesinye.
Kuze kubekho uvavanyo lokuxilonga olusekelwe kubakishi begazi okanye ukucinga, mhlawumbi asiyi kuba novavanyo olufanelekileyo lokuxilonga. (Yiyo inyaniso kwizifo ezininzi, ingakumbi ngeengxaki zeengqondo.) Sekunjalo, abaphandi bakholelwa ukuba baye bafumana into esebenza bhetele - bathi xa bejonga iqela lezilwanyana ezifunyenwe ngaphambili, i-tender-point point I-75% ichanekile, ngelixa i-criteria yabo ibanjwe i-88% yexesha.
Iimpawu ezintsha zokuxilonga
Inkqubo entsha ichaza iimfuno ezinye izizathu ezikhutshwe ngaphandle kwaye iimpawu kufuneka ziqhubeke zenzeke ubuncinane kwiinyanga ezi-3. Ziquka iindlela ezi-2 ezintsha zokuvavanya, isalathisi esisasazekayo (WPI) kunye nomlinganiselo wesisindo (SS) .
I-WPI dwelisa iindawo ezi-19 zomzimba kwaye usho apho uye waba neentlungu ngeveki ephelileyo.
Ufumana indawo engama-1 kummandla ngamnye, ngoko amanqaku angama-0-19.
Ngokomlinganiselo weS SS, isigulane sibonisa iimpawu ezithile kwizinga lika-0-3. Ezi zimpawu ziquka:
- Ukukhathala
- Ukuvuka kungahlaziywa
- Iimpawu zokuqonda
- Impawu zeSomatic (ngokomzimba) ngokubanzi (njengentloko, ubuthathaka, iingxaki zesifuba, isisulu, isisulu sezondlo, ukugubungela / ukubetha, ukulahleka kweenwele)
Amanqaku abelwe ngamnye aya kufakwa, malunga ne-0-12.
Le nxalenye elandelayo inomdla kum. Esikhundleni sokukhangela amanqaku anzima ngamnye, kukho ukulungelelaniswa okwakhiwe kuyo, eyazi ukuba i-fibromyalgia ifuthe kuthi sonke, kwaye ezo zimpawu zitshintsha.
Ukuxilongwa kwakho kufuneka:
- I-WPI ubuncinane ubuncinane be-7 kunye ne-SS amanqaku okulinganiselwa okungenani ama-5, OKANYE
- I-WPI yamanqaku angama-3-6 kunye ne-SS ubuncinane be-9.
Oko oku kuvumela abantu abaneendawo ezibuhlungu kodwa iimpawu ezinzima zifumaneke.
Enye into endiyithandayo ngolu hlobo kukuba ekugqibeleni iquka iimpawu zengqondo! Kwabaninzi kuthi, "i- fibro fog " iyancipha okanye iyancipha ngakumbi kunokuba ibuhlungu, kodwa imigaqo yokudala ayifumananga. Ikwaqonda kwakhona umahluko phakathi 'kokukhathala' kunye 'nokuvuselela,' endiyakholelwa ukuba yinto eyahlukileyo engaziwayo kwiindawo zonyango.
Inqaku elikhawulezayo malunga "neempawu ze-somatic": ngokuthe ngqo, i-somatic ithetha umzimba. Ixesha lifumene i-rap embi kwintlalo ye-fibromyalgia ngenxa yokuba isetyenziswe ukubonisa ukuba iimpawu zethu zibangelwa ukuhluthwa komntu, oku kuthetha "ukubonakaliswa ngokomzimba kwesifo sengqondo." Ngokwakhe, nangona kunjalo, igama elithi somatic alithethi isiseko sengqondo.
Inqaku elipheleleyo kwimiqathango emitsha ayifumaneka kwi-intanethi ngaphandle kwe-intanethi, kodwa i-PDF yesihlomelo iquka le khrayitheriya. Inoluhlu lweendawo ezibuhlungu kwi-WPI kunye nohlu olude lweempawu ze-somatic ezinokuqwalaselwa. Kulapha:
- IsiHlomelo A: Iimpawu zoLwazi lwe-Fibromyalgia Diagnostic
Ukuba awufumananga okanye ufumaniswe ngentsholongwane, unokufuna ukuthatha oko ugqirha wakho. Qiniseka ukuba umvumele ukuba azi ukuba ivela e-American College of Rheumatology kwaye yapapashwa kwi- Arthritis Care & Research .