I-Fibromyalgia isifo esingapheliyo esibonakala sisifo esixhaphakileyo kwaye sihamba kunye nokukhathala, ukuxinezeleka, ukuphazamiseka kokulala, ukuphazamiseka kwengqondo, kunye nokuphazamiseka kwengqondo kunye nokuvuthwa. Ingxaki eyayiqondwa kakuhle into apho iintlungu zenziwa ngongqondo kubonakala zixakile, zikhulisa ukuvakalelwa kweentlungu kunye nezicubu ezithambileyo.
Ngenxa yokuba akukho mvavanyo ukuqinisekisa eso sifo, i-fibromyalgia kufuneka ifumaneke ngokungabandakanyi ezinye izizathu ezinokwenzeka. Unyango lunokubandakanya ukuxilwa kweentlungu ezingaphezu kwamanqanaba, ukuxhatshazwa kwamagciwane, unyango lwamaziko, ukuzinyamekela, kunye namayeza amasha afana neLyrica (pregabalin) avunyelwe ngokukhethekileyo ukuphatha i-fibromyalgia.
Iimpawu
I-Fibromyalgia ingaphezulu nje kweentlungu zomzimba kunye nentlungu edibeneyo. Kuyinto eqhubekayo, iintlungu ezixhaphakileyo ezinokuthi zidlulele emzimbeni kumagagasi, kubangele ukuvezwa okuchazwe ukuphosa, ukutshatyalaliswa, ukukhupha okanye ukugwaza. Nokuba utshintsho oluncinane kummandla weqondo lokushisa okanye uxinzelelo (kubandakanywa nomnxeba) lunokubangela ukungazinzi.
Nangona abanye abantu begcina amanqanaba ahambelana neempawu, abanye baya kuhamba ngamaxesha okuxolelwa okunye kunye nezikhathi zemisebenzi yezifo ( iirhari ). Ngaphandle kweentlungu, i-fibromyalgia idibaniswa kunye neengxaki eziphazamisayo ezichaphazela iinkqubo ezininzi zesebe.
Ziquka:
- Ukukhathala , ngokuqhelekileyo kungapheliyo, kuthintela abane abanezifo ezihlanu
- Izimpawu ezinamahloni kunye kunye kunye kunye nezifo ezinjenge-muscle spasms, ubuthakathaka obubuthakathaka, kunye nobuhlungu bentambo
- Iimpawu zokuqonda ezifana nokulahleka kwengqondo , ukuphazamiseka, kunye "nobuchopho bentliziyo"
- Iziphazamiso zokulala ezifana nokulala ebuthongweni, ubuthongo buqala kunye nokulala
- Izimpawu ze-neurosensory ezifana ne-vertigo, i-migraine, okanye uvakalelo ekukhanyeni, isandi, okanye ukuvumba
- Izimpawu zesisu ezinjenge-diarrhea, ukuqothulwa, ukuqhaqhaqhafaza, okanye ukuchithwa
- Izimpawu zase-Urinary ziquka intlungu yesantya, intlungu ngexesha lokucima, okanye ukunyanzelisa ukuvuthwa
- Iimpawu zengqondo ezifana nokudandatheka, ukuguquka kwemizwelo, okanye ukuhlaselwa ngumsindo
- Izimpawu zokuzala ezifana nezihlandlo ezibuhlungu, ubuhlungu beentlungu, okanye ukuphuma kwesantya
Ukulahleka kweenwele zesikhashana, iintliziyo zomlenze, kunye nokugqithisa kwesisu (lipomas).
Izizathu
Akukho mntu uyazi oko kubangela i-fibromyalgia. Ihlanganiswe kunye neengxaki ezifanayo, ezifana nesifo esingapheliyo sesifo (CFS) kunye nesifo sengqondo sesifo se-blu (i-IBS) , ekholelwa ukuba ibangelwa yimpendulo engapheliyo kwinkqubo ye-nervous central to other stimuli.
Nangona i-fibromyalgia namhlanje ibonwa njenge-syndrome yonyango loluntu, kukho impikiswano malunga nokuba ngaba sisifo (somzimba) esicacileyo okanye esichaphazelwa yimiqobo yangaphandle-njengokudandatheka, ukuxhalabisa kunye neengxaki zokulala -okuthi ukuphucula ukuqonda kweentlungu okanye ukuchaphazela ngokuthe ngqo umsebenzi wengqondo.
Kule nqanaba, asikwazi nje. Into esiyaziyo kukuba izinto ezinobungozi zinganyusa iingxaki zokufumana i-fibromyalgia.
Phakathi kwabo:
- Abasetyhini banamanye amaxesha anesithoba afana nokuba ne-fibromyalgia kunamadoda. Kuye kucetyiswa ukuba ukuncipha kwi- estrogen ngexesha lokuya esikhathini (ngokukodwa okanye ekuqaleni kokuphuma kwimizi kungabangela impawu kwabanye besetyhini.
- Ubudala buyinto ebalulekileyo. Nangona kuthathwa njengesifo esichaphazela abasetyhini abasemva kwamadoda, i-fibromyalgia isoloko ifunyaniswa phakathi kweminyaka engama-20 no-50 (nangona impawu zihlala zikhula iminyaka emininzi ngaphambi).
- Uxinzelelo lubonakala lubonakalisa iimpawu ze-fibromyalgia. Xa uhamba kunye neengxaki zokulala, ukuqonda kweentlungu kuqhubeka ngakumbi njengoko kungengozi yokukhathala nokuxinezeleka.
- I-Genetics nayo ikholelwa ukuba yinto. Uphando lwangoku lubonisa ukuba ukuba nomzali okanye umntakwabo kunye ne-fibromyalgia kwandisa ingozi ngokumalunga nama-28 ekhulwini ngelixa i-relative-degree degree isisusa ngama-19 ekhulwini.
Ukuxilongwa
Ngaphandle kwebhuyibhile okanye uvavanyo lwezithombe ezikwazi ukuxilonga isifo, i-fibromyalgia inokuqinisekiswa kuphela ngokungabandakanyi zonke ezinye izizathu ezibangela iimpawu zakho. Yinkqubo enzima ekufuneka ijongelwe yi- rheumatologist okanye, ngokuthe ngenye indlela, i-neurologist okanye utyando jikelele ofumana i-fibromyalgia okanye ezinye izifo zenyama.
Ngo-2010, i-American College yeRheumatology (ACR) ihlaziye imilinganiselo yokuxilonga ye-fibromyalgia, ithathelwa ingqalelo ukuhanjiswa kwentlungu, ubude beentlungu, kunye nesigulane sokujonga intlungu kunye nezinye iimpawu.
Imilinganiselo ye-ACR iquka uvavanyo olu-based based score:
- Iyokuqala, ebizwa ngokuba yinkcazo yeentlungu ezixhaphakileyo (WPI) , inika enye ingongoma kwicandelo ngalinye lomzimba onama-19 apho ubuhlungu bubuhlungu (ubuninzi beephupha ezili-19).
- Iyesibini ebizwa ngokuba ngumlinganiselo wesisindo (SS) , ibeka u-0 ukuya ku-3 amaphuzu-0 anentsingiselo yeemeko ezi-3 ezibonisa iimpawu ezinzulu-kwisinye sezibonakaliso ezine zesifo (malunga namaqondo angama-12).
Ukuze ufumane i-fibromyalgia, kufuneka uyanelise le miqathango emithathu elandelayo:
- Kufuneka ube ne-WPI ye-7 okanye ngaphezulu kunye ne-SS amanqaku angama-5 okanye ngaphezulu okanye, ngokunye, i-WPI ye-3 ukuya kwe-6 kunye ne-SS amanqaku angama-9 okanye ngaphezulu.
- Kufuneka ukuba ube nale miqondiso ubuncinane ubuncinane kweenyanga ezintathu.
- Akufuneki kubekho enye inkcazo yezokwelapha kwimpawu zakho.
Unyango
Ayikho ipilisi enye ekwazi ukuphatha i-fibromyalgia okanye ukuqinisekisa ukuxolelwa okuqhubekayo kweempawu. Ngenxa yoko, kuzakufuneka uthabathe indlela eyahlukeneyo, enokubandakanya i-counter-counter-counter (i-OTC) kunye neyeza zamachiza, unyango lomzimba kunye nokucebisa, iindlela zokungenelela kwendlela yokuphila, kunye neendlela zokuncedisa.
Ngenxa yokuba akukho zimbini ze-fibromyalgia ezifanayo, unyango lunokuhluka ukusuka komntu omnye ukuya kwesilandelayo.
Amachiza kunye nezoNyango
Amachiza aqhelekileyo ngumqolo wonyango. Ukukhethwa kwezidakamizwa kuxhomekeka kakhulu kwiintlobo kunye nobukhulu beempawu zakho. Phakathi kwabo:
- Ulwaphulo lwe-OTC lukhulula njengeTylenol (i-acetaminophen) kunye nezidakamizwa ezichasene nezidakamizwa (i-NSAID) njenge-Advil (ibuprofen) okanye i-Aleve (naproxen) inokubonelela ngokukhawuleza kwexesha leentlungu ezincinane. Isisu sithukuthele kwaye unyuka uxinzelelo lwegazi luqhelekile kwi-NSAID.
- Iintlungu ezidityanisiweyo zesohlwayo ezifana neCelebrex (celecoxib) okanye i- Voltaren (diclofenac) zihlala zihlala zide kodwa zingabangela i-nausea, isisu, isisu, isilonda, kunye nesibindi sesibindi.
- Ukuxhatshazwa kancinci kunokunciphisa ubuhlungu nokukhathala ngelixa kuphakamisa imizwelo ngokuphakamisa amanqanaba e- serotonin . I-anti-depressants I- Cymbalta (duloxetine) kunye ne- Savella (milnacipran) ivunyiwe ukuphatha i-fibromyalgia kwaye, ngelixa isebenza kakuhle, inokubangela i-nausea, ikhanda, ukutywina, ukulala, kunye nesisu.
- Iziyobisi ze-anticonvulous zingaphumelela ekuphatheni intlungu. Ziquka uLyrica (pregabalin) , evunyelwe ukonyango lwe-fibromyalgia, kunye nabanye abafana ne- Neurontin (gabapentin) enokumiselwa ngaphandle-ilebula. Ukuvuvukala, inzuzo yesisindo, ukuxakeka, nokulalazela phakathi kweempembelelo ezinokwenzeka.
Iingxaki zokulala ziphathwa ngokugqithiseleyo nge-dose-anti-depressants ezifana ne- Elavil (amitriptyline) kunokulala iipilisi. I-muscle i- Flexeril (i-cyclobenzaprine) inokwenza umsebenzi ophindwe kabini ngokunciphisa uxinzelelo lomzimba xa kunceda umntu alele.
Ukongezelela kumachiza, ugqirha ungabhekisela kwiingcali zokunqoba iingxaki zomzimba okanye zomzwelo, kubandakanywa oogqirha bezonyango, oogqirha bezemisebenzi, izazi zengqondo, okanye abacebisi.
Indlela yokuphila kunye nezoNyango eziPheleleyo
Ukunciphisa uxinzelelo kuphakathi kwezinto eziphambili zeprogram yokunyanga ye-fibromyalgia. Oku akubandakanyi kuphela iindlela zokuzihlaziya okanye izifo zengqondo, kunokufuna ukuba udle kakuhle, usebenzise umzimba kwaye uphephe izinto ezifana ne-caffeine, utywala kunye nokutshaya . Ukwenza njalo akuyikukunceda nje, kunokuphakamisa isimo sakho (ikakhulukazi ukuvuthwa okubangela ukukhululwa kwe-serotonin, i-dopamine, ne-endorphins).
Ezinye iindlela zokongezelela unyango ziquka:
- Ukuguqulwa, umfanekiso okhokelwayo, kunye nokuphefumula (pranayama) ukunciphisa uxinzelelo
- Yoga kunye neTaichi equka ukunyakaza okulawulwayo kunye nokukhululwa kwengxabano
- Ukuguqulwa kwe-Massage, ngokukodwa iifente ezinjenge-Shiatsu okanye i-aromatherapy massage
- Ukuphumla kwe-muscle okuqhubekayo (PMR) egxininisa ukukhululwa kwengxabano yecandelo lomzimba
- I-Biofeedback enokukufundisa indlela yokulawula ukuphendula kwengcinezelo
- I-marijuana yonyango enganciphisa intlungu, ukuphakamisa imizwelo, nokukunceda ulale ngokubhetele
- I-5-HTP (5-hydroxytryptophan), isongezelelo semvelo esisuka kwi-African Griffonia simplicifolia isityalo ngelixa linokunceda ukuphakamisa amanqanaba e-serotonin
ILizwi
Nangona ulwazisa uluntu olwandisiweyo, i-fibromyalgia ihlala iyimfihlelo kubantu abaninzi, abanye babo bangathandabuza ukuba khona kwayo okanye bacebise ukuba "yonke into entloko yakho." Ayiyo.
Musa ukuvumela abanye abantu ukuba bafune ukunyamekela. Fumana inkxaso evela kubahlobo kunye nosapho, uvule malunga noko uvakalelwa kodwa indlela ozivakalelwa ngayo. Joyina iqela loxhaso lendawo okanye qhagamshelana ne-National Fibromyalgia & Chronic Pain Association ukuze ufumane enye kufuphi nawe. Ukwakha inkqubo yenkxaso inokukunika ukuzithemba kunye nemfundo ukuba ube ngummeli wokunyamekela kwakho.
Ukuba ugqirha wakho akakwazi ukunceda okanye ukuqonda ukukhathazeka kwakho, fumana i-rheumatologist kwingingqi yakho ngokusebenzisa indawo ye-intanethi eyenziwa yi-American College of Rheumatology. Iiprogram zokuhlawula amayeza kunye neenkqubo zokuncedisa isigulane nazo ziyafumaneka ukunceda ukulahlekisa indleko zonyango, ukuba zifanelekile.
> 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.
> Ipaki, D. kunye no-Lee, S. Iinkcukacha ezintsha kwi-genetics ye-fibromyalgia. Korea J Intern Med . 2017; 32 (6): 984-95. INGXELO: 10.3904 / kjim.2016.207.