Ukuba noBugqirha kunye neFibromyalgia & Chronic Satiment Syndrome

Indlela Yokufumana Ukuhlinzwa

I-Fibromyalgia (i-FMS) kunye nesifo esingapheliyo sokunyameka ( ME / CFS ) zombini sinokukhushulwa yintlungu. Kuqhelekile ukuba abantu abaneemeko baxhalabele xa bejongene nokuhlinzwa. Bakhathazeke ngokukodwa ukuba imimiselo yabo iyakwazi ukutshatyalaliswa emva koko, nto leyo ingaba nzima ukubuyisela.

Kuze kube ngoku, sinalo ulwazi oluncinci olusekelwe kuphando malunga nefuthe lotyando kwi-FMS okanye i-ME / CFS okanye indlela iimpawu zethu ezichaphazela ngayo inkqubo yokubuyisela. Nangona kunjalo, abaphandi abambalwa baye bahlanganisa ndawonye iingcomo zethu ngokusekelwe kolwazi lwabo ngeemeko kunye noko bakuye babone kwizigulane zabo.

Ezi ngcaphephe yi-Fibromyalgia Information Foundation, eyasungulwa ngabaphandi e-Oregon Health & Science University, kunye noCharles W. Lapp, MD, owasekwa i-Hunter-Hopkins Centre eCharlotte, NC, ejoliswe kwi-FMS kunye ne-ME / CFS.

Imiba ethile esimele sijamelane nayo emva kokuhlinzwa iyininzi. Nazi ezo zichazwa ngcali ezikhankanywe ngasentla kunye nezinye iimbono, kunye nento enokwenza ngayo nganye.

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Ubunzima bokuPhumela emva

Zombini i-FMS kunye ne-ME / CFS zibandakanya i- hyperalgesia , oko kukukhulisa intlungu. Oko kuthetha ukuba siza kuba neentlungu ezininzi emva kokuhlinzwa kunokugqithisa abantu abaninzi, ngoko ke ukukhululeka okukhulu.

Ngokukodwa kwi-FMS, ukuba khona nje kwintlungu yokuhlinzwa kunokubangela ukuba kuvezwe uphawu. Oku kubangelwa kukunxibelelwano oluphakathi-ukunyanzeliswa kwemvelo kwinkqubo yesistim ephakathi-echazwe ukuba yinto ebalulekileyo kule miqathango.

Nangona uza kulala kwaye akayi kuqonda intlungu yonyango ngokwawo, ubuchopho bakho buya kuqhutyelwa iibhombo zentlungu, apho kuya kwenzeka ukuba yenzeke ngaphezulu, nto leyo inokubangela i-flare.

Ukuncedisa oku:

• Buza ukuba unikezwe unyango lwe-opiate phambi kokuba utyunjulwe ukuze uncede ukunciphisa ukusetyenziswa kweempawu.
• Buza ukuba ube ne-anesthetic yendawo esebenzayo ende esetyenziswe kwi-incision yakho.

Ukongezelela, imirhumo emiselweyo yeentlungu zentlungu yangemva kwe-op mayingabi namandla ngokwaneleyo okanye avumele ukuhlaziywa okwaneleyo ukuze ufumane kwakhona.

Yintoni ongayenza:

• Khangela ukuba umpu we-PCA, okuvumela ukuba ulawulwe ngokukhuselekileyo bakho ababulali buhlungu, unokwenzeka.
• Cela uncedo lweentlungu ezinamandla ngaphezu kokuqhelekileyo, kokubili ukuhlala esibhedlele kunye nokubuyisela ekhaya, kwaye ucele ukuzaliswa okunye okanye ezimbini.

Unogqirha ongeke wathanda okanye awukwazi ukuzalisa zonke ezi zicelo, kodwa yonke into anokuyenza kule mizila ingakunceda ukuba ufumane ukubuyiswa ngendlela engcono.

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Ukuxhatshazwa kweMisipha kwiPositioning

Ngethuba lokuhlinzwa, umzimba wakho unokufakwa kwiimpawu ezinokuthi zithintele okanye zithintele iintlobo ezithile. Ngokomzekelo, ingalo yakho ingatyulwa phezu kwekhanda lakho okanye uphume kwicala lokufumana i-IV.

Iziphakamiso zokunciphisa le ngxaki zibandakanya:

• Ukucela ukuba isandla sakho se-IV sibekwe kufuphi nomzimba wakho ukuba kunokwenzeka
• Ukubuza ukuba uza kuba ne-endotracheal tube kwimpumlo okanye emlonyeni ngexesha le nkqubo, kwaye ukuba kunjalo, ukucela ukuba ugqoke ikholeji entanyeni yentamo ukunciphisa ingozi yentamo yakho

Hlalani nikhumbule ukuba ezinye iindawo zokuhlala zingenakwenzeka, kuxhomekeke kwimeko yokuhlinzwa.

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UkuSuswa kweSeli

Ngokwe-Hunter-Hopkins Centre, i-ME / CFS ngamanye amaxesha inokubandakanya amanqanaba aphantsi e- magnesium ne-potassium kwiiseli zazo, ezingakhokelela kwisimo sengqondo esingaqhelekanga xa ungaphantsi kwe-anesthesia.

Isisombululo salokhu kubandakanya:

• Ukuba namazinga e-serum magnesium kunye ne-potassium ihlolwe kakuhle phambi kokuhlinzwa kangangokuba unako ixesha lokuphucula xa kufuneka
• Ukujongana naluphi na ukungaphumeleli ngokutya kunye nezongezelelo
• Ukuqinisekisa ukuba ufumana i-magnesium kunye ne-potassium emva kokuhlinzwa

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Ukuditywa kwamanzi

U-Hunter-Hopkins uthi i-plasma ephantsi kunye nezinye iimpawu ze-ME / CFS zinokuthi zikhombe imfuno yokumisa ngaphambi kokuhlinzwa. Ukunyanzeliswa kwamanzi kungakhokelela kwiingxaki nge-syncope ye-vasovagal (utywala kunye nokuphazamiseka okuhambelana nokuxinzelelo lwegazi oluphantsi).

Isisombululo sale nto siyacaca:

• Qiniseka ukuba uhlambulukile kakuhle phambi kokuhlinzwa.
• Qinisekisa ukuba uhlale u-hydrated emva kokuhlinzwa.

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Ukuphendula kwiMida

Abantu abanezi meko bavame ukuvavanya kumachiza, kuquka i-anesthesia kunye ne-relaxation muscle engasetyenziswa ngexesha lotyando.

I-Fibromyalgia Information Foundation ibonisa ukuba i-succinylcholine ye-muscle ephumayo ingakhokelela ekubeni i-myalgia yangemva kwayo (intlungu yomzimba). Le micimbi inokubangela ukuba uphumelele.

Ukukhupha le ngxaki:

• Thetha ugqirha wakho malunga neziyobisi ezinokukukhathaza, kubandakanywa nayiphi na intlungu eyaziwayo, iimvakalelo kunye nemiphumo emibi.
• Xoxa malunga naluphi unyango olufanelekileyo kakhulu kuwe kumgudu wakho wokunciphisa intlungu emva kokuhlinzwa.
• Ukuba unobungozi bezonyango, cela ukuba i-histamine-ukukhupha i-anesthetic izakusetyenziswa kwaye ixoxe ngeendlela ezinokwenzeka.

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Ukuyeka ukusetyenziswa kwezidakamizwa kunye nezongezelelo

Uninzi lwethu nge-FMS kunye ne-ME / CFS sincike kwiidakamizwa zamachiza kunye nezongezelelo zondlo ukulawula iimpawu zethu. Ngokuxhomekeke kwimeko yokuhlinzwa, unokucelwa ukuba unqande ezinye okanye zonke iidrans and supplements.

Ukuyeka ukunyanga kunokuba yinto eyikrakrayo, kuba kunokuthetha ukuba une-upswing in symptoms ngaphambi kokuhlinzwa.

Akukho nto enokuyenza malunga nalokhu-ukuba uxelwa ukuba uyeke ukuthatha izinto ezithile, kukukhusela impilo yakho.

Ukunciphisa iingxaki ngale:

• Thetha ugqirha wakho ngokukhawuleza malunga nokuba yiyiphi imichiza kunye nezongezelelo ezithathayo kwaye nokuba uya kufuneka ukuba uziyeke phambi kokuhlinzwa, nokuba ingaba inkqubo yokucoca ichaphazelekayo.
• Khangela ukuba kungekudala emva kokuhlinzwa, ungaqala ukuthatha izinto kwakhona.
• Ukuba kunokwenzeka, zama ukunciphisa ishedyuli yakho ngexesha lokuphuma kwiingcamango ngaphambi kokuba utyunjiswe ukuze uxinzelele emzimbeni wakho.

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Ezinye iingxaki: I-Apnea yokulala

Akukho qela leengcali elibhekiselele kulo, kodwa uphando lubonisa ukuba i-FMS kunye ne-ME / CFS zombini zidibene ne- obnetive obne sleep apnea , okubangela ukuba uyeke ukuphefumla ngexesha lokulala. Ukulala nge-apnea ingabangela ingxaki enkulu xa uphantsi kwe-anesthesia.

Isixazululo:

• Ukuba unesi sifo sokulala, qiniseka ukuba uxoxe nodokotela wakho nokuba uya kufuneka ukuba ulethe umshini wakho we-C-PAP okanye esinye isixhobo osebenzisa sona.
• Qinisekisa ukuba unayo kunye kwaye uhlanganisene phambi kwenkqubo.

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Ezinye iingxaki: Ukuphulukisa okufutshane

Ukuphulukiswa kudla ngokubhekisele ukuba kuphuculwa, ngoko kulungile ukuba ulungele inkqubo yokuphilisa ende. I-flare yesifo ingandisa ixesha elenza ukuba uzive ungcono.

Kwenziwe ntoni:

• Yazi phambi kokuhlinzwa oza kukunyamekela.
• Hlela ixesha elifanelekileyo lomsebenzi, kuquka ixesha elingaphezulu kunokuba ugqirha acinga ukuba uya kuyimfuneko, ukuba kunokwenzeka.
• Isitoreji kwi-intanethi nayiphi na into onokuyidingayo ukuze ulungele i-flare .
• Phumla kwaye uvumele umzimba wakho ixesha kunye namandla afuna ukuphilisa.
• Emva kokuba ukunyanga kuphulukisiwe kakuhle, iFibromyalgia Information Foundations zibonisa ukuba zilula kwaye zisebenze ekuvuseleleni izihlunu.
• Buza ugqirha wakho ukuba unokufumana inzuzo kwipilisi yokwenyama ukuze uncedise ukuphulukana kwaye, ukuba kunjalo, fumana i-rightrapist yomzimba.

ILizwi

Oku kunokwenkqisayo ukujongana nokuhlinzwa kuphela, kwaye nangakumbi xa unenkxalabo yokuba iya kwenza i-FMS okanye i-ME / CFS ibe yimbi ngakumbi ixesha elide.

Xa wenza isigqibo sokuba okanye ungenalo msebenzi, kubalulekile ukuba ube neenyaniso kwaye wenze isigqibo esinolwazi malunga nento engcono kwimpilo yakho.

Thetha ugqirha kunye nodokotela ogqirha uze ulinganise ukuhlaselwa kovavanyo ngokuchasene nemiphumo engafanelekanga yokungabi nayo. Ekugqibeleni, nguwe omele aphile nale miphumo.

Ukuba ukwesaba kukwenza kube nzima ukuba wenze isigqibo ngokusekelwe kwiingqinisiso, ungafuna ukucinga ngokuthetha nomcebisi wezempilo yengqondo ukuze uncede ukulungisa iimvakalelo zakho. Unokuthatha kwakhona kwezi zixhobo ezilandelayo:

• Isikhokelo sezilwanyana ze-Fibromyalgia Abaphi na Ukuhlinzwa Ngonyango, ukusuka kwi-Fibromyalgia Information Foundation
• Iseluleko kubantu abaneSynde Syndrome engapheliyo Kulindeleke ukuba iAnesthesia okanye iTycholoji, evela kwi-Hunter-Hopkins Centre

> Imithombo:

> Ferre A. Ingxaki yokunyameka kwengxaki yokugula kunye nokuphazamiseka kokulala: iinkampani zekliniki kunye nobunzima bokuxilonga. Neuroglia. 2016 Feb 11. i-pii: S0213-4853 (16) 00010-4. i-doi: 10.1016 / j.nrl.2015.11.019.

> Marvisi M, Bazarini L, Mancini C, Ramponi S, Marvisi C. I-Fibromyalgia isoloko ephazamisayo yokulala ngomoya kwaye iphendule unyango lwe-CPAP. Ijenethi yaseYurophu yonyango lwangaphakathi. 2015 Nov; 26 (9): e49-50. i-doi: 10.1016 / j.ejim.2015.06.010.