Indlela i-Fibromyalgia eyafunyanwa ngayo

Uxilongo luqala ngokungabandakanyi zonke ezinye izizathu

I-Fibromyalgia yisifo esinzima ukuyixilonga. Ngenxa yokuba ayiqondwa kakuhle, akukho mvumelwano ecacileyo malunga nokuba yeyiphi imilinganiselo enokuthi isetyenziswe okanye ifanele isetyenziselwe ukuxilongwa. Ngaphezu koko, nangona unemiqondiso yesifo-kuquka ukusabalala okungapheliyo kunye nokukhathala-iimvavanyo zobunobhala kunye neengcamango ziza kubonakala ziqhelekileyo ngokuqhelekileyo.

Oku akusiphakamisi ukuba awugula.

Kuphela nje ukuba asinakho ukuqonda indlela isifo esisebenza ngayo okanye isizathu sokuba ingqondo ilahlekise ngokucacileyo iimpawu zentlungu emzimbeni.

Ngenxa yoko, indlela yodwa esinokuqiniseka ngayo ukuba unayo i-fibromyalgia ngokuqalisa into ebizwa ngokuba yi-diagnostic of excluding. Le yinkqubo enomdla apho ugqirha wakho uya kuhlaziya kwaye aphelise zonke izizathu ezibangelwa iimpawu zakho. Kuphela ngokukhipha omnye umntu osenokukrokra, omnye ngomnye, ukuze sigqibelele ukuba ekugqibeleni unayo i-fibromyalgia.

Iimpawu zokuxilonga

Ngenxa yokuba akukho vavanyo ekhoyo ukuqinisekisa u- fibromyalgia , ugqirha wakho kufuneka athembele kuphela kwiqela lakho leempawu ukuze uhlalutye. Ukuxilongwa ngokuqhelekileyo kuya kuvela ngongcali wezokwelapha eyaziwa ngokuba yi- rheumatologist ejongene nezifo ze-musculoskelet kunye nezifo ezizimele . Iingcali ze-neurologists kunye neengcali zikarhulumente ngamanye amaxesha, maxa wambi banamava okujongana novavanyo.

Inkqubo yokuxilonga yaqulunqwa yi-American College of Rheumatology (ACR) ngo-1990 kwaye ihlaziywa ngokukhawuleza ngo-2010 ukuba ivumeleke indlela engakumbi yokuxilonga. Namhlanje, endaweni yokufumanisa isifo kwimbali kunye nendawo yentlungu, izikhokelo ezintsha zivavanya imilinganiselo emithathu ephambili:

1. Ukusabalalisa njani intlungu kunye nendlela ova ngayo iimpawu zesifo
2. Ingaba iimpawu ziye zaqhubeka kule nqanaba ubuncinane kwiinyanga ezintathu
3. Ingaba akukho zichazi zeempawu

Ukuqinisekisa ukuxilongwa, ugqirha uya kusebenzisa inkqubo esekelwe kwimilinganiselo ebizwa ngokuba yi- ACR Fibromyalgia Diagnostic Criteria ebandakanya uvavanyo olubizwa ngokuba yi-index ye-pain (wider) index (WPI) kunye nolunye olubizwa ngokuba ngumlinganiselo wesisindo (SS).

Nangona inkqubo ye-ACR isetyenziswa ngokuqhelekileyo, inayo abacebisi bayo abakholelwa ukuba i-fibromyalgia ayifanele ihlolwe njengesifo esisisigxina (ngokomzimba) kodwa esinye isimo sengqondo kunye noxinzelelo lwengqondo.

Ukuxilongwa

Ngaphambi kokuba uhlolisise iimpawu zangoku, ugqirha wakho kufuneka afune ukukhuphela isiphi isifo okanye isifo esichaphazelekayo kunye neempawu ezifanayo. Ngokuxhomekeke kwimiba yezibonakaliso onayo (ukugaya ukutya, urinary, kwengqondo, njl.), Uluhlu lunokuba lukhulu kakhulu.

Phakathi kwamathuba:

• Isifo seAdison
• Utywala
• Osteoarthritis
• I-Guillain-Barre syndrome
• Hypothyroidism
• Hyperparathyroidism
• Ukugula ngengxaki yokugula (IAD)
• Lupus
• Isifo seLyme
• Izibhambathiso
• Multiple sclerosis (MS)
• I-Myasthenia gravis (MG)

• Polymyalgia rheumatica
• I-post-traumatic disorder stress (PTSD)
• Irheumatoid arthritis
• I-Schwartz-Jampel syndrome
• Scleroderma

Umngeni ekufumaneni i-fibromyalgia kukuba ezinye iimeko zihlala zikhona kunye ne-fibromyalgia kwaye zinempawu ezifanayo okanye ezigqithisiweyo. Ngokomzekelo, ukuba i-arthritis okanye i- apnea yokulala ifunyanwe, ukuxilongwa kunokuthi kuchaze ezinye zezibonakaliso eziphambili ozijongayo kodwa kungekhona abanye.

Ngaloo ndlela, ufuna udokotela owaziwayo onokukwazi ukwenza izinto ezikhethileyo.

Inkcazo yePain ephakamileyo

Isalathiso esisasazekayo (WPI) siphula umzimba ukuya kumaqendu anesi-19, ngasinye sithathwa njengendawo yokuzibandakanya.

Ngamnye unikwe amanqaku e-1 ukuba ufumane ubuhlungu kuloo nxalenye yomzimba kwisonto elidlulileyo.

I-WPI ikucela ukuba ufanise uhlobo lwenzondelelo oyenayo (njengobunzima okanye obonakalayo) okanye ucinge ngamanqaku amathenda (iinjongo zokubangela ubuhlungu) ezazisetyenziselwa ukuxilongwa.

Iziza ezili-19 ezibuhlungu ezibandakanyiweyo kuvavanyo (zivela phezulu ukuya phezulu):

• Umhlathi omnene
• Umhlathi okhohlo
• Neck
• Ibhinqa elisekunene
• Ibhinqa lembombo elisekhohlo
• Ingalo ephezulu
• Ingalo engaphezulu
• Ingalo ephantsi
• Ingalo engezantsi
• Umva ophezulu
• Ngaphantsi
• Esifubeni
• Isisu
• I-hip / i-cow / upper upper leg
• I-hip / kwesitja / phezulu
• Umlenze ophezulu ophezulu
• Umlenze ophezulu ophezulu
• Umlenze ophantsi ophantsi
• Umlenze ophantsi osekhohlo

Amanqaku amaninzi kwi-WPI i-19.

Isilinganiselo sobunzima beSimptom

Isalathisi sesisindo (SS) sivavanya iimpawu ezine ezicatshulweyo ezichazwe kwi-fibromyalgia diagnostic. Iimpawu nganye zifunyenwe kwisikali se-0 ukuya ku-3, kunye ne-0 esichaza impawu, 1 zithetha iimpawu ezintle, 2 ezibonisa iimpawu ezilinganisiweyo, kunye ne-3 ezibonisa iimpawu ezinzulu. Amanqaku asekelwe ngokukodwa kwiimpawu eziye zenzeka ngeveki eledlule.

Izimpawu ezine ezivandlakanywe kwiinkqubo zilandelayo:

• Ukukhathala
• Ukuvuka ukulala kungapheli
• Iimpawu zokuqonda (kubandakanywa ingxaki, ukudideka, ukuphazamiseka, nokuqonda okungahambi kakuhle)
• Izimpawu zeSomatic (iimvakalelo zomzimba ezinjengeentlungu, utywala, isisulu, isifo, okanye isifo sengqondo)

Amanqaku amakhulu kwizinga le-SS li-12.

Ukuqinisekisa ukuxilongwa

Ukuba akukho nenye inkcazo yeempawu zakho ezifunyenweyo, ugqirha wakho uya kuqinisekisa ukuxilongwa kwe-fibromyalgia ngokuqinisekisa ukuba i-WPI kunye nezikolo ze-SS zidibene nenye yeendlela ezimbini ze-ACR zokufakwa:

• Isiphumo se-WPI se-7 okanye ngaphezulu, kunye nomlinganiselo we-SS we-5 okanye ngaphezulu
• Inani le-WPI le-3 ukuya kwe-6, kunye nomlinganiselo we-SS we-9 okanye ngaphezulu

Emva koko, ukuba ugqirha unokukwazi ukubeka ukuba iimpawu zakho zikhona kwizinga elifanayo okanye elifanayo ubuncinane ubuncinane kweenyanga ezintathu, uya kuthi ufumaneke ngokusemthethweni ukuba une-fibromyalgia.

Xa ukuxilongwa kugqityiwe, wena kunye nogqirha wakho unokuqalisa ukuhlola iindlela zokonyango . Le nto inokuyenza ibe yinkqubo ende kunye nexesha elide, kodwa enye inokukubeka endleleni eya kwimpilo engcono kunye nokugcina ukugula .

> Imithombo:

> Bellato, E .; Marini, E .; Castoldi, F. et al. I-Fibromyalgia Syndrome: i-Etiology, i-Pathogenesis, i-Diagnosis, kunye neNyango. Ukunyangwa kobuhlungu. 2012; 2012: 426130. INGXELO: 10.1155 / 2012/426130.

> Wolfe, F .; U-Clauw, D .; Fitzcharles, M .; okqhubekayo. I-American College yeRheumatology yeendlela zokuthobela i-fibromyalgia kunye nokulinganisa impawu ezinzima. I-Arthritis Care Res. 2010; 62 (5): 600-10. INGXELO: 10.1002 / acr.20140.