Iipulo kwiAples, okanye iiApile kwii-Oranges?
Uphi umehluko? Umcimbi wesifo esingapheliyo wokukhathala ngokumelene ne-fibromyalgia inxulumene nabantu abaninzi, kubandakanywa oogqirha, abantu abanezi ngxaki, kunye nosapho kunye nabahlobo abanomdla ngabo.
Abanye ogqirha baphatha i- fibromyalgia (ebizwa nangokuthi i-fibromyalgia syndrome, okanye i-FMS) kunye nesifo esingapheliyo sokugula (i-CFS, ebizwa ngokuba yi-myalgic encephalomyelitis, okanye i- ME / CFS ) ngokwahlukileyo, ngelixa abanye bakholelwa ukuba ngokwenene bayinto efanayo-okanye, ubuncinane, .
Ngokutsho kweArthritis Foundation, uphando lubonisa ukuba phakathi kwama-50 no-70 ekhulwini kwabantu abanokuxilongwa okufanayo bafanelana nemigangatho yesinye. Oku kungenziwa ngenxa yezinto ezimbalwa:
- ukufana kwazo
- ukugqithana okukhulu phakathi kwabo (ukuthetha abantu abaneemimiselo zombini)
- ukungabikho kweemvavanyo zegazi ezicacileyo okanye izicatshulwa zokuxilonga
Nanku ukukhangela ukufana kunye nokungafani kwezi zifo zibini.
Ukufana: Iimpawu
I-FMS kunye ne-ME / i-CFS yaziwa ngokuba nenani leempawu ezifanayo. Ziquka:
- ukukhathala
- ubuhlungu obungapheliyo
- ukungafihlisi ubuthongo
- ingqiqo (ukucinga nokuqiqa) okanye ubunzima beememori
- ukuzontwa kunye nokungahambi kakuhle (ukuhamba ngokunyanisekileyo)
Uninzi lweempawu ezibangelwa yimpawu ziyafana, ngokunjalo, ezifana:
- uxinzelelo (ngokomzimba okanye kwengqondo)
- nzakala
- kugula
- ezibi kakhulu kunokuba zilala ngokuqhelekileyo
- ukuzama
Zidibaniswe kunye neemeko ezininzi eziqhelekileyo, eziquka:
- uxhalaba kunye / okanye ukudandatheka
- iimpawu zesifo seengqondo (ezifana nokubhubhisa, isifo sohudo, kunye / okanye ukunqandeka)
- ikhanda elingapheliyo
- syndrome ye-temporomandibular (TMJ)
Kutheni i fanayo? Iingcamango eziqhelekileyo ziqhelekileyo izinto eziphantsi. Oyintloko phakathi kwabo kukudityaniswa kwamakhemikhali amaninzi eengqondo ezibizwa ngokuba ngama-neurotransmitters .
Kule minyaka, abaphandi bafikeleleke ngeendlela ezahlukeneyo ze-FMS, ME / CFS, kunye neemeko ezifanayo, ezifana ne-somatic syndromes, izifo zenkqubo ezininzi, izifo ezingenanto kunye neengxaki ze-neuroendocrineimmune.
Ngoku kutshanje, kodwa elinye ixesha liye ladlala kwaye libonakala livunyelwa ngokubanzi ngorhulumente wezonyango "yintsholongwane ye-syndrome ," okanye iCSS.
I-CSS ineyona nto ibalulekileyo ngokuqhelekileyo-zonke zibandakanya iinkqubo ezisisiseko zeentlanzi eziye zithintela izinto ezithile. Ngokuxhomekeka kwimeko, banokuthi banomdla wokuthintela , ukushisa , ukutya okuthile, iikhemikhali / iphunga , isandi, ukukhanya , kunye neminye imiba yendalo. Zonke iimeko ezigqitywe apha ngentla ziwela phantsi kwesi siqendu, njengabanye abaninzi.
Ukwahlukana: Iimpawu
Ukwahlukeka kweempawu kaninzi kuninzi kwimeko yezinga elingaphezu kokuhlukana ngokupheleleyo. Ngokomzekelo, uphawu oluphambili kwi-ME / CFS lukhathala, ngelixa uphawu oluphambili lwe-FMS lubuhlungu. Nangona kunjalo, zombini iimeko zingabandakanya kokukhathala kunye nentlungu.
I-ME / CFS ifanelekile ukuba ihlangane neempawu ezifana nezifo:
- umqala obuhkungu
- izigulane ezivuvuzayo
- i-fever-grade fever
I-FMS isoloko ibandakanya intlungu, kuquka i-hyperalgesia (intlungu ebuhlungu) kwaye ngamanye amaxesha i-allodynia ethandekayo (intlungu evela kumgca wokukhanya).
Iimeko ezininzi ze-ME / CFS ziquka enye okanye zombini le ntlobo zentlungu, ngokunjalo. Nangona kunjalo, i-FMS ibandakanya ezinye iintlobo zentlungu ezingaqhelekanga kwi-ME / CFS.
Ezi zombini iimeko zibandakanya ukusabela ngokugqithiseleyo ekusebenziseni, kodwa oku kukhulu ngakumbi kwi-ME / CFS kwaye kuthiwa yi- post-exertional malaise .
Nangona le miqathango mibini ikwabelana ngeemeko ezininzi ezixubileyo, i-FMS idibene neemeko ezininzi zentlungu kunye neengxaki zokulala ezingabonakali zidibene ne-ME / CFS.
Ukufana: unyango
Ngeempawu ezifanayo kunye neyona nto ifanelekileyo, akufanele kumangaliswe ukuba i-FMS kunye ne-ME / CFS zihlala ziphathwa ngendlela efanayo.
Ngokomzekelo, oogqirha bahlala banika i-drugs efanayo kubo, kuquka:
- I-SSRI / SNRI yokuxinzelela
- i-tricyclic antidepressants
- izibonelelo zokulala
- ababulali beentlungu
Ezinye iintlobo zonyango ezinokucetyiswa kuzo zombini le miqathango zibandakanya:
- i-acupuncture
- unyango oluthile lokuziphatha ( oluphikisana kakhulu ne-ME / CFS )
- ukusilalisa okanye ezinye iifom zomzimba
Ulwahluko: unyango
Kwakhona, ukwahlukana akukona okweqile xa kuvela kunyango.
Kwi-FMS, unyango lube lujoliswe ngakumbi kwiintlungu zoxolo. Kwi-ME / CFS, i-skews ngakumbi malunga nolawulo lokukhathala. Nangona kunjalo, amaxesha amaninzi afana namachiza kunye nezinye iindlela zokonyango ezinceda ngazo zombini ezi zimpawu.
Omnye umehluko omkhulu kukuba abanye oogqirha bakholelwa ukuba i-ME / CFS inamathele kwiintsholongwane ezithile, kwaye zinokumisela iziyobisi zonyango. Oku kukuphela komgaqo, nangona kunjalo, njengoko oogqirha abanakho baqinisekisiwe kwi-viral component.
Ukufana: Ukuxilongwa
Indlela le miqathango ifumaneka ngayo enye into efanayo. Bobabini bafumana ukuxilongwa , oku kuthetha ukuba abanalo uhlobo lweemvavanyo zokuxilongwa abantu abazilindele.
Akukho vavanyo legazi okanye iskena likwazi ukukuxelela ukuba wenza (okanye awunayo) i-FMS okanye i-ME / CFS. Kunoko, oogqirha bancike kakhulu kwizinto ezinjengezo iimpawu onayo kunye neemvavanyo zokulawula izimo ezibangela iimpawu ezifanayo.
Ukungafani: Ukuchonga
Nge-ME / CFS, ukuxilongwa kokukhutshwa yiyo yonke into esamkelekileyo. Abanye abaphandi baye baqulunqa iindlela zabo zokuxilonga abazithethayo ziphumelelayo, kodwa akukho nto ibonakaliswe ngokufanelekileyo okanye yamkelwe luluntu lonyango.
I-FMS inemivavanyo emibini, kodwa ayilona uhlobo oluqhelekileyo lweemvavanyo zonyango.
Iyokuqala ibizwa ngokuba yi-tender point point. Ngokwenene, ugqirha ukhangela iimpawu ezithile ezihamba kunye nentlungu kwiindawo ezithile ezizungeze umzimba.
Enye indlela yokuxilonga ibandakanya impawu zeempawu kunye nezimpendulo kwimibuzo. Uphando lucebisa ukuba zombini iindlela zisebenza ngokufanelekileyo kwi-FMS nokuyihlula kwiimeko ezifanayo.
Ukufana: Iimbono
Iimbono ziyimicimbi ebalulekileyo kule miqathango. Bobabini bajamelana nokungaqiniseki ngokubanzi kwiindawo zonyango, uluntu lwaseburhulumenteni, kunye noluntu ngokubanzi.
Nangemva kwamashumi eminyaka uphando lwezokwelapha, usenokufumana oogqirha kunye nabanye abasebenzi abanonophelo lwempilo abangakholelwa "kwelinye okanye bobabini. Oko kungakhokelela ekunyilweni okwaneleyo kwaye, kwiimeko ezinzima, kwaneentloni kunye nokuhleka usulu kumntu ogulayo.
Abagwebi abangakholelwa kuwo bangabachasa izicelo zeNkxaso- ntle yoKhuseleko lweNtlalo . Kwimiba yokuqhawula umtshato kunye nokugcinwa kwamagcisa, ezi zifunyenwe ukuxhasa izimangalo zomlingane ukuba umntu ogulayo "utyhafile" okanye "ukuxhatshazwa."
Imitshato emininzi, ubudlelwane bokuthandana, ubudlelwane, kunye nentsapho kunye nentsapho yonakaliswe ngokungaqondani okanye ukungakholelwa kwi-FMS okanye i-ME / CFS.
Ukwahlukana: Iimbono
Umehluko kwimibono ikhule ngaphezu kwexesha. Baye bahlala behamba ngendlela efanayo. Kwaye kwafika imvume ye-FDA yesilwanyana sokuqala se-FMS, iLyrica (pregabalin) ngo-2007. Le nto yayinempembelelo esemthethweni kwimeko.
Ukususela ngoko, i-FMS iye yamkelwa kakhulu kwimithi, ngokusemthethweni, nakwentlalo kunokuba yayisetyenziswa. Oko kuqalile ukwenza izinto zibe lula kulabo abanayo.
Ngokudabukisayo, i-ME / i-CFS ayinayo imishanguzo e-FDA evunyiwe kuyo, ngoko nangona i-stigmatized less than once it was, i-earnings iye yancinci kakhulu kwaye incinci.
Igama elithi "isifo esingapheliyo isifo sokugula" kukholelwa ukuba yimbangela enkulu yale ngxaki kuba ivakala ngathi umntu ukhathele nje kwaye ufuna i-nap enhle. Yingakho abanye abaphandi, izigulane kunye neenkampani zokukhuthaza ziye zanyusa ukuba "ME" zongezwe egameni kwaye sinethemba lokuba ngelinye ilanga liza kutshintsha "iCFS" ngokupheleleyo.
Ingxelo enkulu yonyango eyanyatheliswa ngo-2015 inokukunceda ukulinganisa i-ME / CFS kubafundi abasalayo. Inxalenye ebalulekileyo kukuba i-ME / CFS yaqaphela njengesifo endaweni yesifo . Kuhlala kubonakala ukuba yintoni igalelo lexesha elide eliya kuba.
Ngaba Ingxaki Eyintlukwano?
Enyanisweni, ezinye iingcali zithi ukungafani phakathi kwezi zimbini miqathango mhlawumbi akunandaba nantoni na.
Ngoba? Eyona nto ingakumbi kuba unyango lufana noko. Ukuba ukuxilongwa A kunye nokuxilongwa B kukhokelela kwonyango efanayo, ngaba unomsebenzi onalo?
Njengoko sifunda ngakumbi malunga nabo, nangona kunjalo, ukungafani kungakhula ngakumbi. Ukuba unyango luyahluka phakathi kwexesha, ngokusekelwe kwinto ephosakeleyo emzimbeni kunokuba zibonakalise iimpawu, sinokupheliswa ngamachiza asebenza kangcono omnye okanye omnye.
Kuze kube ngoko, siya kubalwa ngokufanayo kunokuba sihluke kwaye sijamelane neemeko ezifanayo: ukuhlala kunye nokugula okungapheliyo, nokufuna unyango oluye lunciphisa iimpawu ezininzi (ezifanayo).