Akukho mntu owaziyo oko kubangela i-fibromyalgia, kwaye leyo yinto engabonakaliyo kubantu abanezigidi ezine abakholelwa ukuba bayabandezeleka kwisifo e-US Ezinye izazinzulu ziye zaphakamisa ukuba i-fibromyalgia "yintlupheko yokukhathazeka phakathi" apho amangqamuzana enesibindi engqondweni kunye Umgca womgudu unomsebenzi osebenzayo okanye iindlela ezikhuselekileyo ezibhekiselele ekutshitshweni kweempawu zentlungu zingasebenzi.
Abanye, okwangoku, bakholelwa ukuba i-fibromyalgia ayiyona isifo esisisigxina (esiziphathekayo) kodwa enye ilawulwa kakhulu-okanye kwezinye iimeko-ngokubandezeleka kwengqondo. Oku kuphakamisa ukuba i-fibromyalgia isifo esininzi-ntlungu apho ezinye iimpawu zingabangela umonakalo we-nervous central central system, kanti abanye (njengobuthongo okanye imizwa) kunokubangela okanye kuthintele ubuhlungu obungapheliyo obuqhelekileyo esiyiqonda njenge-fibromyalgia.
Akukho mntu unokuthetha ngokuqinisekileyo ngeli nqanaba. Oko sikuyazi kukuba izinto ezinokuthi zinokubeka ingozi enkulu ye-fibromyalgia, kubandakanya ubulili, ubudala, iingcinezelo zengqondo kunye nemfuza.
Ngesini
Ukuthetha ngesitatimende, abafazi banamathuba ama-9 amathuba okufumana i-fibromyalgia kunamadoda. Nangona isizathu salo singacaciswanga ngokupheleleyo, iikhomoni zesondo zikholelwa ukuba zidlala indima ephambili ekungabini ukusasazwa kwesi sifo kodwa ubukhulu kunye nobukhulu beempawu .
Oku kuboniswe kwinxalenye yocwaningo lwango-2017 olupapashwe kwincwadi yeGynecology ne-Endocrinology ebonisa ukuba iimpawu ze-fibromyalgia zibonakaliswa ngokukodwa kwimiqathango yokuqala kweempawu zokuqala. Enyanisweni, abasetyhini abanesifo esibi kakhulu (PMS) babenamaxesha angama-20 amathuba okuba neengcingo ze-fibromyalgia ezinokugqithisa kunabesetyhini abanezincinci ezingenazo iimpawu ze-PMS ezazingekho kwisichengiso sesi sifo.
Ezinye iimeko zibonakala zihambelana nokuqala kokumiswa kwexesha apho ama-hormone amanqanaba aya kulahla ngokuphawulekayo. Oku kuxhasa indima ye-estrogen kwi-cyclic fibromyalgia flares ngaphaya kwamazinga e-estrogen xa eqala ukuya esikhathini. Kwaye, kungekhona kuphela i-estrogen kodwa i-testosterone, ngokunjalo.
Oku kubonisa ukuba i-testosterone, i-hormone yamadoda, inokudlala indima ekuphuhliseni iimpawu ze- fibromyalgia kumadoda . Ngexesha lophando lwanakho, uphando lwe-2010 oluvela kwiYunivesithi yaseNebraska lweZonyango lwezonyango lubonise ukuba ukunyuka okuqhubekayo kumanqanaba e-testosterone njengendoda yeminyaka ibonakaliswe ngokunyuka kwimizila kunye nobukhulu beentlungu ze-musculoskeletal ezibonakalayo ze-fibromyalgia.
Abanye abaphandi bacetyisa ukuba izinga le-fibromyalgia phakathi kwamadoda, ngokwenene, liphezulu kunokuba liqikelelwe, ngokukodwa kuba amadoda awanako ukufumana unyango lwentlungu engapheliyo kunabesifazane.
Ubudala
Abantu abaninzi bacinga ukuba i-fibromyalgia ibe sisifo esichaphazela abasetyhini abasemsebenzini (ingcamango echaphazeleke kakhulu kwiintengiso zeTV eziphantse zilahla abafazi kuma-50s kunye nama-60 abo abanezifo. Enyanisweni, i-fibromyalgia idla ngokuqhubekayo ngexesha lokuzala komfazi kwaye ixhaphake kakhulu phakathi kweminyaka engama-20 no-50.
Ngokubanzi, umngcipheko usanda ukwandisa njengoko ufumana udala. Nangona ingozi enkulu ye-fibromyalgia iphakathi kwamaphesenti amabini kunye neepesenti ezine, iya kwanda ukuya kuma-8 ekhulwini ngelixa ujika kuma-80.
Xa kuthethwa oko, ngamanye amaxesha kuthatha iminyaka ngaphambi kokuba ubuhlungu obungapheliyo buhlungu bugqitywe ekugqibeleni bubizwa ngokuba yi-fibromyalgia. Enyanisweni, uphononongo luka-2010 olwenziwa yiSebe lezeMfundo likaRheumatology kwiKing College yaseLondon lugqiba ukuba kuthatha iminyaka engama-6.5 ukususela ekuqalekeni kweempawu zokufumana ukuxilongwa ngokuqinisekileyo kwesi sifo.
Ngokungaqhelekanga, i-fibromyalgia inokubetha abantwana kunye nentsha kwindlela engabonakaliyo ye-disorder eyaziwa njenge- juvenile fibromyalgia syndrome (JFMS) .
Ukukhathazeka kwengqondo
Ukuxinezeleka kungaphinda kuphazamise i-fibromyalgia, nangona yinto ethile yenkomo yenkukhu kunye neqanda. Ngethuba sisazi, umzekelo, ukuba i-fibromyalgia iqhubana rhoqo kunye neengxaki ezinxulumene noxinzelelo njengengxaki engapheliyo yokukhathala (i-CFS) , ukudandatheka , isifo sengqondo se-bladd (irstable disorders disorders disorder) (PTSD), asiyi niqiniseke ngokupheleleyo ukuba ubuhlobo busebenza njani.
Ngeemeko ezinjenge-PTSD, umbutho ubonakala ubonisa ukuba iimpawu zengqondo zinokuthi zibangele ezinye izifo ngokomzimba (ngokuguqula imisebenzi ye-physiologic), ingqondo yengqondo , okanye zombini. Nge-CFS, ukudandatheka, kunye ne-IBS, ubudlelwane bungabangela imbangela-kunye nempembelelo, kunye neengxaki ezithile zeengqondo ezibangalisa iimpawu zomzimba kunye neempawu ezithile zomzimba ezibangela iingqondo / iingqiqo.
Uphando kwiindawo ezixubeneyo ze-fibromyalgia ibonisa ukuba kukho iincinci ezine:
- I-Fibromyalgia engenazo izimo zengqondo
- I-Fibromyalgia enexinzelelo ephathelele intlungu
- I-Fibromyalgia iqhagamshelana kunye nokuxinezeleka klinikhi
- I-Fibromyalgia ngenxa yokufunyaniswa kwesiganeko (ukutyekela ukuvalelwa kwengqondo yengqondo kunye neempawu zomzimba, ezinje ezinokuthi zenzeke nge-PTSD)
Ngokufanayo, iingxaki zokulala zidibene ne-fibromyalgia. Nangona ukuphazamiseka okuthile kokulala njengobungqingili bokulala obunzima bokungakwazi ukuhlala kunye ne-fibromyalgia kunye negalelo kumanqanaba aphezulu okukhathala okungapheliyo, ezinye izinto ezinxulumene nokulala ezifana nokuqala kokulala (kunye ne-sleeping hypers) kunye nokulala okucatshulwayo kubangelwa yi- neurotransmitter ukungasebenzi kwi-central kwinkqubo yesantya.
Oko sikwaziyo kukuba, nokuba nayiphi na isizathu okanye isiphumo, ukulala okubuyiselwayo (apho iindlela zokulala ziqhelekileyo) zidibene ngqo nokunciphisa iimpawu zentlungu.
Genetics
I-Genetics igalelo ngokucacileyo ekuphuhlisweni kwe-fibromyalgia, ubuncinane kwinqanaba, nangona kungenokuba kungenxa yokuguquka komzimba omnye kodwa uguquko oluninzi kunye nolunye uhlobo. Okwangoku, izazinzulu azikaze zivule intsebenziswano ukusuka kumakhulu eentlobo zengqondo ezilawula ubuhlungu emzimbeni wakho
Indima yezofuzo kwi-fibromyalgia iboniswe kwinqanaba lokuphononongwa ngokubanzi kweengxelo ezivela kwi-Chonnam National Hospital Hospital eKorea ezibonisa ukuba isantya esingaqhelekanga yelifa phakathi kwamalungu omndeni wokuqala kwi-fibromyalgia. Ukususela ngo-1989 ukuya ku-2013, ubuninzi bophando lubonise ukuba ukuba nomzali okanye umntakwabo kunye ne-fibromyalgia kwandisa umngcipheko wesi sifo ukususela kuma-26 ukuya kuma-28 ekhulwini, ngelixa unelungu leentsapho elinesibini landisa umngcipheko malunga ne-19 ekhulwini .
Nangona uphando luqhubeka, kukho ubungqina bokuba abantu abanokuthiwa yi-5-HT2A yokufumana i-102T / C i-polymorphism inokuba yingozi enkulu ye-fibromyalgia.
Imithombo:
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> Choy, E .; Perrot, S; ULeon, T. et al. Uphononongo lwesigulane malunga nefuthe le-fibromyalgia kunye nohambo lokuxilonga. IMetroC Health Serv Res. 2010; 10: 102. INGXELO: 10.1186 / 1472-6963-10-102.
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