Iimpawu ezifanayo kodwa zixilongo
I-Multiple Sclerosis (MS) kunye ne-fibromyalgia yabelana ezininzi neempawu. Ngokomzekelo, ukuxinezeleka kuyimpawu eziqhelekileyo kwiimeko zombini kwaye kunokuba ngumphumo wesifo sesifo ngokwaso, umphumo wokuba nesifo esinokukhubaza, okanye ncinane nje kokubili.
Ezinye iimpawu ezabelwana ngazo ziquka:
- Ukukhathala
- Ubuhlungu
- Ukuphazamiseka kokulala
- Iingxaki zeengcamango
- Intloko kunye nemigraines
- Iingxaki zesisu kunye neembilini
- Impembelelo engalunganga kumgangatho wobomi kunye nokukwazi ukwenza imisebenzi yemihla ngemihla
Oku kuphazamiseka kwiimpawu kunokudibanisa ukuxilongwa kwe-fibromyalgia kunye ne-multiple sclerosis, ngakumbi kumntu ohlala ehlala nale miqathango. Ngamanye amazwi, kuyacaca ukuba oogqirha kunye nabantu abaphila nesi sifo ngokwabo, baya kucinga ukuba iimpawu ziyingxenye yokuxilongwa kwangaphambili kwaye bayanqikaza ukuphanda phambili.
Ingozi ye-Fibromyalgia ne-Multiple Sclerosis
I-Fibromyalgia ixhaphake kakhulu kune- multiple sclerosis , njengoko kuqikelelwa ukuba iipesenti ezithandathu ukuya kweyeshumi zabantu base-US bane fibromyalgia. Ngokwahlukileyo, i-MS ithintela ngaphantsi kweepesenti ezili-10 zale nombolo okanye abantu abangama-400,000 ase-US.
Oko kwathiwa, enye inxibelelwano ekwabelwana phakathi kwe-fibromyalgia kunye ne-MS ehambayo-yokubuyisela (uhlobo oluqhelekileyo lwe -MS ) kukuba izifo zombini ziqhelekileyo kubasetyhini, nangona amadoda kunye nabantwana bangabahlakulela nabo.
Ukuxilongwa kwe-Fibromyalgia ne-Multiple Sclerosis
Nangona kungekho zivavanyo zegazi ukuxilonga ngokucacileyo i-fibromyalgia okanye i-multiple sclerosis, kukho imigaqo echanekileyo esetyenziswa ngugqirha ukuqinisekisa ukuba umntu unenalo imeko. Ezi ngqinisiso zinceda kakhulu ukukhusela i-misdiagnosis, engayonakalisa umntu.
Sekunjalo, inkqubo yokuxilonga ingaba ngumngeni kwabanye abantu, njengoko iimpawu zekliniki ziyakwazi.
I-Fibromyalgia ifumaneka xa umntu edibana nenye yeendlela ezilandelayo:
- I-Average Distribution Score ye-Pain Score engama-7 okanye ngaphezulu kunye ne-Symptom Severity Scale Score e-5 okanye ngaphezulu OKANYE
- Inkcazo ye-Pain Index ye-Pain ye-3 kuya kwe-6 kunye ne-Symptom Scverp Score Score ene-9 okanye ngaphezulu.
Uhlu lweentlungu (WPI) olubanzi kwiimpawu ukusuka kwi-0 ukuya ku-19 kwaye lusekelwe kwinani leendawo apho umntu ebika iingxaki kwiveki edlulileyo. Ngokomzekelo, intlungu emlenzeni ophantsi osezantsi, umlenze osezantsi osezantsi, isisu, umlenze osekhohlo, kunye nomhlathi osekhohlo uya kuba ngamanqaku ama-5.
Isibalo somlinganiselo we-Symptom Severity (SS) sisisombululo samanani amanqanaba (ukusuka ku-0 kuya ku-3) kwezi zimbonakaliso ezine: ukukhathala, ukuvuselela, iimpawu zokuqonda, kunye nomlinganiselo we-somatic jikelele ("umzimba") iimpawu zamanqaku apheleleyo 0 ukuya ku-12.
Ukuxilongwa kwe-sclerosis ezininzi kuxhomekeke kakhulu kwizilonda kwi-brain okanye umgogodla, njengoko kubonwa kwi-MRI scan. I-MS inokuthi ifunyaniswe nekliniki, oku kuthetha ukuba umntu unempawu eziza kumaxesha ahlukeneyo (ubuncinane inyanga enye ngaphandle) nakwezinye iindawo ezahlukeneyo zobuchopho, intambo yomgogodla okanye i-nertic optic (ubuncinane kwimimandla e-2).
Enye yalezi ziqendu (ezibizwa ngokuba kubuyiselwa kwakhona) kufuneka ziqinisekiswe ngumbono we-neurological examination, kunye ne-MRI, okanye uvavanyo olubizwa ngokuba yizinto ezibonakalayo ezikhutshwayo (ukuba kukho iingxaki zombono).
Xa uqinisekisa ukuxilongwa kwe-MS, i-neurologist iya kufuna ukulawula ezinye izifo ezinokulinganisa i- MS ngaphandle kwe-fibromyalgia. Oku kunokuthetha ukuqhuba iimvavanyo zegazi kunye / okanye ukugqitywa kwe-lumbar.
ILizwi
Ngenxa yokugqithwa kweempawu ezininzi zezi zifo, kwakunye neengxaki ezifanayo zengozi kunye nemingeni yokuxilonga, kunokwenzeka ukuba kukho abantu abane-MS kunye ne-fibromyalgia, okanye loo nto iphosakele enye.
Ukuba ukhathazekile ngale nto, kuqiqelekile ukucela ukuthunyelwa kwi- rheumatologist (okanye i-neurologist yeimpawu ze-MS) ukuze uthole ulwazi olongezelelweyo kunye nesibini sesibini.
Oku kuthetha ukuba kubalulekile ukuba uqonde ukuba ukuba imeko enye ayikubeka engozini yokuba neyanye-ithetha ukuba sele ufumene i-fibromyalgia, akuthethi ukuba unethuba eliphezulu lokuphuhlisa i-MS (kunye nenye indlela).
Akukho pheko kwisifo, kodwa kukho imishanguzo yokuphatha ezininzi iimpawu. Kwi-MS, imishanguzo yokuguqula izifo inokugcina i-MS yakho ingaqhubekiyo.
Umgca olapha apha kukuba kukufanele ixesha lakho nomgudu wokuqhubeka ubuza imibuzo kwaye uhlale usebenza ngokufuna impilo ephuculweyo kunye nomgangatho wobomi obubhetele.
Imithombo:
Umbutho weSizwe weFibromyalgia. (2016). Iphepha leNkcukacha zeFM.
Tommaso, M., et al. (2009). I-Fibromyalgia i-comorbidity in headaches head. Cephalalgia. 29: 453-464.
UTullman, MJ (2013). Ubume be-epidemiology, ukuxilongwa, kunye nokuqhubeka kwezifo ezinxulumene ne-multiple sclerosis. Umbhalo waseMerika woNonophelo oPhathayo, Feb; 19 (2 Suppl): S15-20.
> Wolfe F et al. I-American College yeRheumatology yeendlela zokuthobela i-fibromyalgia kunye nokulinganisa impawu ezinzima. Ugqirha lwe-Arthritis Res 2010; 62: 600-10.