Ukufumana Isampula yoTyikityo luyintloko
Ngaba ukufunyanwa ngokusekelwe kwiingcingo zobugcisa zobugcisa kunika indlela entsha yokufumanisa nokuphatha i- fibromyalgia ? Abaphandi abavela kwiYunivesithi yaseColorado iBoulder bayithetha nje.
Kwiminyaka emininzi, abaphandi baye bafuna into emzimbeni yethu ukuba bayayichaza bathi, "Niyabona oko? Yilokho eyenza i-fibromyalgia." Into enjalo ayiluncedo, nangona kunjalo.
Ngokuqinisekileyo, sivame ukuba ne-dysfunction kwiindawo ezininzi, kodwa kungekho ngendlela ekhethekileyo ehambisana nesigulane esinye kwesinye.
Ukuba ayikho into ekhethileyo kwaye ingaguquguquki, inokukunceda ukukhokela izigqibo zokuxilonga ugqirha, kodwa ayikwazi ukuzimela njengesixhobo sokuxilonga. Ngenxa yokuba izidakamizwa ezaziwayo kunye nezitenxo ze-fibromyalgia ziguquke kakhulu, kwaye ngenxa yokuba ezininzi zazo ziyimpawu kwezinye izifo, sishiye sinemivavanyo engaphantsi kwe-optimal diagnostic .
Ukukhangela iipatheni
Xa iingqondo zakho (ukubona, ukuvumba, ukuva, njl njl njl.) Uthumele ulwazi kwiibhokhwe zakho, iindawo ezithile zengqondo zisebenza. Uhlobo lokutshintshwa kwengqondo olubizwa ngokuthi i- functional magnetic resonance imaging (fMRI) inokubona ukuba yeyiphi imimandla ebandakanyekayo ekuqwalaseleni olo lwazi. Ngokungafani ne-MRI ephezulu, ebonisa kuphela isicatshulwa sobuchopho, i-FMRI ibonisa indlela umsebenzi uguquka ngayo ekuphenduleni oko kwenzekayo.
Ngokwe-2016 uphando olushicilelwe kwiphepha le- Pain , ngokusebenzisa i-FMRI, abaphandi bathi banokuqikelela i-fibromyalgia ngama-93% echanekileyo.
Oku kungenxa yamaphethini omsebenzi oqhubekayo abawabona kwingqondo.
Ukuze zichongele iipateni, zathatha abantu abangama-37 nge-fibromyalgia kunye nabantu abangama-35 abasempilweni kwaye babhenela kwizinto ezahlukeneyo ngexesha le-FMRIs. Ezi ziqulatho ziquka iziboniso, isandi, umgca, kunye noxinzelelo olubuhlungu.
Okokuba abaphengululi babone indlela ubuchopho basabela ngayo kwaye uqhathanise i-fibersyalgia ipatenti yobuchopho kwiiqela lolawulo.
Oko bafumene kwakukho uluhlu lweendlela ezintathu ze-neurological ezixhunywa kwiintlungu ezithintekayo ezichaza imeko.
Kunene-iipatheni ezithile zomsebenzi wengqondo zibonisa i-fibromyalgia. Ungumfanekiso ugqirha unokutsalathisa kwaye athi, "Yilokho i-fibromyalgia ibonakala ngathi."
Ngokukodwa, abaphandi baphendule impendulo enkulu kulokho uphando olwangaphambili lukhankanyile iSignity ye-Paurologic Pain Signature. Oko akusiyo imilinganiselo ethile ye-fibromyalgia, nangona kunjalo.
Kuloo nto babiza ngayo umenzi weentlungu ze-FM, i-stimuli ebuhlungu ixhunyiwe kwiimpendulo ezingaqhelekanga kwiindawo ezininzi zeengqondo, kuquka:
- i-insula / operculum, ejongene nokuhlanganiswa kweengqondo (impendulo ephakamileyo)
- imimandla yeendawo eziphambili, ezibandakanyeka kwinkqubo yokuzimela (ukuphendula okuphakamileyo)
- i-cortex yangaphambili, echaphazelekayo ekuhambeni ngokuzithandela, ulwimi, kunye nezibalo (impendulo ephantsi)
Iimpawu ezingenabuhlungu zidibaniswe nokungaqhelekanga kwimimandla engakumbi.
Iimpendulo zazibaluleke kakhulu kubantu abavakalisa ubunzima obukhulu beempawu, ngokunjalo.
Impembelelo kwiDiagnostics
Le nto ibonisa ukuba oogqirha, abaninzi babo abajamelana nokuxilongwa kwesi simo.
Nangona kunjalo, kubaluleke nakakhulu kwizigulane, abaye bathe bangathandabuzeki ngemisebenzi yezonyango kunye nabahlobo kunye nosapho ngokuchanekileyo ngenxa yokuba akukho scan okanye ukuhlolwa kwegazi ukuqinisekisa ukuxilongwa.
Kwakhona kuyabaduduza kulabo abasanda kuxilongwa, ngubani onokuzibuza ukuba ugqirha ulungile okanye ukuba kukho into engalunganga kubo.
Ukuba nento into ekubhekiselele kuyo yayiza kwenza umehluko kumntu wonke ochaphazelekayo.
"Nangona inzululwazi ezininzi zenze iinkqubo zekliniki zokuxilonga i-fibromyalgia, ilebula yeklinikhi ayichazi into eyenzekayo ngegazi kwaye ayibonakali ngokugcweleyo kwezigulane," kusho uTor Wager, umlawuli weCU eBoulder's Cognitive and Affective Control Laboratory , ekukhululweni kweendaba.
Amandla ezinyathelo zobuchopho ezinjengezo sizenzile apha kukuba ziyakwazi ukusitshela into malunga nokungaqhelekanga kwengqondo eqhuba ukukhathazeka komntu.
Oko kunokusinceda sibini sibone i-fibromyalgia yinto eyiyo-ingxaki yenkqubo ye-nervous central - kwaye uyiphathe kakuhle, "watsho.
Impact kwiNyango
Emva koko kuza umbuzo wonyango. Okwangoku, sinezilwanyana ezithile zonyango ezisebenzayo-kodwa akuzona zonke-abantu abane-fibromyalgia.
Oogqirha abaninzi bakholelwa ukuba isifo senziwe ngamagqabana amaninzi, nganye efuna iindlela ezahlukeneyo zonyango. Kodwa ezo nkqutyana azange zichazwe kakuhle, ngoko ke ngamnye kuthi kufuneka ahlole unyango oluhlukeneyo de sibe sichaze oko kusebenza kuthi. Yinkqubo ende, ehlala ephazamisayo, esoloko ixabisa kakhulu inokuba yingozi kwaye idangele.
Kodwa le nto ingaba isinyathelo sokuqala ekutshintsheni oko.
"Isixhobo sezixhobo sinokukunceda ukuchonga izigulane zezigulane, okubalulekile ukuba ulungele ukhetho lwezokwelapha ngokwahlukileyo," kusho umlobi oqhubayo, uMarolina Lopez-Sola.
Ngenxa yokuba iimpendulo zazikhulu kubantu abagulayo, kunokunika oogqirha indlela efanelekileyo yokuxelela indlela unyango olusebenza ngayo, ngokunjalo.
Kubalulekile ukuba ukhumbule, nangona kunjalo, ukuba ezo zinokwenzeka, iimpembelelo zangexesha elide le sifundo. Ngaphambi kokuba nayiphi na inguqu kwindawo yoluntu, siya kufuna iimfuno ezininzi ezininzi eziqinisekisa ezi ziphumo. Kuthatha ixesha.
Kubalulekile ngokukhawuleza
Ngabantu abangaphezu kwe-70, asinakulindela oogqirha ukuba baqale ukuxhalabisa izigulane ze-fibromyalgia ukuya kwi-FMRI ukujonga le ndlela, okanye ukuba neengcebiso zonyango ezithile zonyango kule minyaka embalwa ezayo.
Esi sifundo sinokubaluleka ngokukhawuleza, nangona kunjalo. Okokuqala, kunika abaphandi into yokuyakha. Oko kuya kokubili ukuxilongwa kunye neyeza.
Ngaphezulu koko, kunceda ngakumbi ukubeka isigunyaziso sokugula. Yonke inqaku lobungqina bemizimba esiyifumanayo, ngokukodwa okulula ukubona, lunceda ekunciphiseni ukungathembeki kwiingcali zezobugcisa.
Kwakhona into esinokuyibonisa ngayo abahlobo bethu, intsapho, abaphathi, njl njl. Ukunceda babone ukuba ewe, siyagula ngokwenene.
Kulabo bahlala kunye ne-fibromyalgia, uphando olunjengolu luya kuqinisekisa. Kwakhona kubonisa abaphandi abaqhubela phambili, abanika ithemba nangona kungatshintshi ixesha elifutshane. Kwabaninzi, kunceda ukwazi ukuba le meko ithathwa ngokungathí sina kwaye izinto ziya kuqhubeka ziphucula.
> Umthombo:
> Lopez-Sola M, Woo CW, uPoljol J, et al. KuSignity of Neurophysiological Signature yeFibromyalgia. Ubuhlungu. 2016 Aug 31. [Epub phambi kokuprinta.]
> Inkcazo yokushicilelwa. Yunivesithi yaseColorado eBoulder. Ngo-Oktobha 17, 2016. IsiTyikitya seNorural for Fibromyalgia Uncedo lweNgcaciso, unyango.
> Wagerager RD, Atlas LY, Lindquist MA, et al. IsiTyikityo se-FMRI esisekelwe kwi-FMRI yeSignity of Pain. I-New England Journal of Medicine. 2013 Apr 11; 368 (15): 1388-97.