Isikhathi sokuya esikhathini, ukuxhoma kwexesha, nokukhulelwa
Abantu abaninzi abayizigidi ezili-10 emhlabeni jikelele banomthambo we-fibromyalgia , ngokwe-National Fibromyalgia Association. Ingqikelelo engamaphesenti angama-75 ukuya kuma-90 ekhulwini kubo bafazi .
Ukuba ukuxhaphaka kukukhokelela kumbuzo ocacileyo ukuba ngaba i-hormone yesondo (estrogen, progesterone) ibeka ityala. Ucwaningo oluninzi aluphumelelanga ukutyhila nayiphi na into engaqhelekanga kula ma-hormone athile ngokubhekiselele ku-fibromyalgia, kodwa abanye baye bacetyiswa ukuba amanqanaba e-estrogen aphantsi anganceda ekuphuhliseni imeko.
Iimpawu ze-Fibromyalgia kunye nexesha lokuSesikweni
Abasetyhini abaninzi abaneli meko babika ixesha elibuhlungu , elibizwa ngokuba yi- dysmenorrhea . Abaninzi bathi iingqungquthela zabo zesifo zihambelana ne-pre-menstrual syndrome (PMS) okanye ngamaxesha abo.
Nangona uphando luxutywe kulo mbandela, uphando lubonakala luxhasa ukuba, kubafazi abathile, amanqanaba entlungu ayenzakala ngakumbi kumanqaku ahlukeneyo kumjikelezo wokuya esikhathini , njengesiqendu sokuqala. Abanye abaphandi baqaphela ukuba abafazi abane-dysmenorrhea banokuthi bahlakulele i-syndromes ezibuhlungu ezingapheliyo, kuquka i-fibromyalgia.
Kufuneka kuqatshelwe ukuba i-fibromyalgia ibangela iimpawu zentlungu eziqhelekileyo ukuba zikhuliswe. Oku kuthiwa yi hyperalgesia . Kungakhathaliseki ukuba yintoni enye eyenzekayo ngexesha lomjikelezo wesini, mhlawumbi ukungazinzi okuqhelekileyo kuhambelana ne-PMS kwaye ixesha libi nakakhulu kumntu onobomi be-fibromyalgia.
I-Fibromyalgia kunye nexesha lokuyeka
Kulula ukufumana abasetyhini abathi impawu zabo ze- fibromyalgia zenzeke ngakumbi emva kokuphuma komyeni.
Nangona oko kubonakala ngokucacileyo nabanye abantu, asinakho izifundo ezibonisa ukuba zininzi. Olunye uphando oluthile lufumanise ukuba abafazi abaninzi be-postmenopausal babene-fibromyalgia kunabesifazana be-foremenopausal. Ngokuthakazelisayo, abafazi be-premenopausal abane-fibromyalgia babike iimpawu ezininzi ze-menopausal (ukukhathala, iimpawu zokuqonda, ukulala okungapheliyo) ngelixa abafazi be-postmenopausal ne-fibromyalgia babika ezimbalwa kwezi zibonakaliso.
Kodwa-ke, ngovavanyo luka-2009, abaphandi babika ukuba abafazi abane-fibromyalgia bekunokwenzeka ukuba baye baqala ukuyeka umva okanye i-hysterectomy. Baphetha ukuba ezi zinto zinokuba negalelo.
Kukho into engayaziwa malunga nendlela i-fibromyalgia kunye nokunqumla kwindoda ekuxhomekeke ngayo kunye nendlela amava abesifazana be-postmenopausal angahluka ngayo.
Fibromyalgia kunye nokukhulelwa
Uphando kwi-fibromyalgia nokukhulelwa kancinci, kunye nezifundo ezinezigqibo eziphikisanayo malunga nokuba kukho impembelelo embi kwimpilo yengane. Uphando olusisiseko lwabantu olupapashwe ngo-2017 lwagqiba ukuba "i-fibromyalgia yimeko ekhuselekileyo yokukhulelwa echaphazelekayo neziphumo ezingabonakaliyo zomama kunye nosana olutsha." Ukufundwa kwabazali abangaphezu kwezigidi ezili-12 e-US kufumene ukwanda okwandayo kwe-fibromyalgia kwabasetyhini abakhulelweyo. La mabhinqa ayedla ngokuxhalabisa, ukuxinezeleka, okanye ukuphazamiseka kwengqondo.
Iingxaki zokukhulelwa eziphawulwe ziyi-mngcipheko ophezulu wesifo sikashukela, isifo se-diabetes, isantya sokukhawuleza, ukukhutshwa kwe-placental, ukuhanjiswa kwe-plaster, kunye nokukhuselwa kwe-venous thromboembolism ngexesha lokuzalwa. Iintsana zazinokwenzeka ukuba zingaphambi kwexesha kwaye zinezithintelo zokukhula kwe-intrauterine.
Kwisifundo esincinci esincinci esibhekisele kwimiphumo yokukhulelwa kwabasetyhini abane-fibromyalgia, bonke abathathi-nxaxheba bathi intlungu yakhe kunye nezinye iimpawu ze-fibromyalgia zazibi kakhulu xa bekhulelwe.
Emva kokunikezelwa, abafazi abangama-33 kwabangama-40 bathi izifo zabo zenze utshintsho olubi kakhulu. Ukuxinezeleka kunye nokuxhalaba kwakuyizinto ezibonakalayo emva kwe-partum.
ILizwi
Zininzi izinto ezinokubangela ingozi ephezulu ye-fibromyalgia kubafazi . Uphando luqhubeka lubheka indlela i-fibromyalgia inokuchaphazela ngayo iimpawu zebhinqa zeemeko zentsholongwane. Enye into ecacileyo, ukuba awuyedwa xa ucinga ukuba abo babini banamathele ndawonye.
> Imithombo:
> Carranza-Lira SCA, Hernandez IBV. Ukuxhaphaka kwe-fibromyalgia kubasetyhini bamandulo kunye ne-postmenopausal kunye nokuhambelana kwayo kunye neempawu ze-climacteric. Ukuhlaziywa kweMenopausal . 2014; 3: 169-173. i-doi: 10.5114 / ntambama.2014.43819.
> Colangelo K, Haig S, Bonner A, Zelenietz C, uPapa J. I-flaring eyaziwayo ngokwahlukileyo iyahluka ngexesha lomjikelezo wesini kwi-systemic lupus erythematosus xa kuthelekiswa ne-rheumatoid arthritis kunye ne-fibromyalgia. Rheumatology . 2010; 50 (4): 703-708. i-doi: 10.1093 / i-rheumatology / keq360.
> Iacovid S, Avidon I, Baker FC. Oko sikuyazi malunga ne-dysmenorrhea yokuqala namhlanje: ukuhlaziywa okubalulekileyo. Ukuhlaziywa koLuntu . 2015; 21 (6): 762-778. i-doi: 10.1093 / i-humupd / dmv039.
> Magtanong GG, i-Spence AR, iCzuzoj-Shulman N, iAbenhaim HA. Iziphumo zomama kunye neononatal phakathi kwabasetyhini abakhulelwe nge-fibromyalgia: isifundo esisekelwe ngabantu esinezigidi ezili-12 zokuzalwa. I-Journal ye-Maternal-Fetal & Neonatal Medicine . 2017: 1-7. i-doi: 10.1080 / 14767058.2017.1381684.
> Pamuk CN, Dönmez S, Çakir N. Iimfono ezandisiweyo ze-hysterectomy kunye nokusa kwimihla kokuqala kwezilwanyana kwizigulane ze-fibromyalgia: ukufundiswa okuthelekisayo. Rheumatology Clinic . 2009; 28 (5): 561-564. i-doi: 10.1007 / s10067-009-1087-1.