Siva lonke ixesha ukuba kunzima ukuxilonga i- fibromyalgia kuba iyafana nezinye iimeko ezininzi. Enye yeemeko ezifanayo i-polymyalgia rheumatica (PMR).
Kungenzeka ukuba i-PMR ingathathwa kakubi njenge-fibromyalgia (okanye i-vice versa), okanye ukuba nayiphi imeko ingayinakunyulwa kumntu ofunyanwe nomnye.
Le miqathango mibini, nangona kunjalo, ihluke kakhulu kwaye ifuna unyango oluhlukile.
Ukukwazi iimpawu zombini kunokukunceda uqaphele ukuba unayo imeko entsha okanye engafumanekiyo kufuneka iphendulwe.
Yintoni i-Polymyalgia Rheumatica?
I-PMR isifo esivuthayo esikholelwa ukuba sizenzekelayo. Kubonwa phantse kubantu abangaphezu kweminyaka engama-65. Oogqirha abanako ukuyiqwalasela nakubani na ongeyena ummi ophezulu.
Phakathi kwabantu abadala kunama-50, malunga neephesenti ezingama-0.5 kunye ne-PMR, eyenza isifo esingavamile. (Ukukuthelekisa, imiphumo ye-fibromyalgia phakathi kwamabini amabini neesine ebantwini base-US.) Ucwaningo luka-2014 kwiRheumatology International lucetyise ukuba i-PMR ibe khona malunga neepesenti ezintathu zabantu abane-fibromyalgia. Ukuba oko kuyinyaniso, kuya kwenza ukuba ibe yinto eqhelekileyo ngakumbi kweli qela kunabantu bonke.
I-PMR ibangela ukuba ubuhlungu beentlungu kunye nokuqina kuzinxalenye ezithile zomzimba, kuquka:
- Amagxa
- Neck
- Izandla ezingaphezulu
- I-Hips
- Amatye
- Amathanga
- Ngamanye amaxesha izibonda, izibonda, okanye amadolo
Ubunzima buhlala bunzima kakhulu kusasa, xa kunokunciphisa kakhulu amandla okwenza imisebenzi eyimfuneko njengokuphuma ebhedeni nokugqoka.
I-PMR ingabandakanya ezinye iimpawu, njenge:
- Ukukhathala
- Umkhuhlane ophantsi
- Ukuphelelwa kwesidlo
- Malaise (uvakalelo oluqhelekileyo lokungazinzi)
- Ukuxinezeleka
Xa esi sifo sihlasela, impawu ziza ngokukhawuleza.
Indlela i-PMR kunye neFibromyalgia eyahlukileyo ngayo
Makhe sijonge kule nkcazelo engenhla, phawula ngombala, ukuthelekisa le mibini mibandela.
- I-PMR ibandakanya ukuvutha komzimba kunye nokuxhamla. I-Fibromyalgia inokubandakanya ukuvuvukala kwe-fascia (uluhlu oluncinci lwezicubu ezinxibelelwano ezijikeleze izihlunu kunye nezitho,) kodwa ukuvuvukala kwezinga eliphantsi kunokuba kufunyenwe kwi-PMR.
- I-PMR ineziganeko zesifo esizimele. I-Fibromyalgia ayilungiselelwanga njengesi sifo ngokuzenzekelayo kodwa kukho ubungqina bokuba ubuncinane ubuncinane bezinye iinqununu zingabandakanya ukuzimela .
- I-PMR iphantse ifunyanwe kuphela kubantu abangaphezu kwama-65. I- Fibromyalgia ibonakala kakhulu kubasetyhini bexesha lokubeletha. (Nangona kunjalo, kunokwenzeka ukuba umntu ahlakulele nayiphi imeko.)
- I-PMR ibangela ubuhlungu nokuqina kwiindawo ezithile zomzimba. I-Fibromyalgia ibangela ubuhlungu obubanzi. Abanye abantu banokuba neepateni ezithile zentlungu, kodwa oku kuyahluka kakhulu kumntu omnye komnye.
- Iintlungu ze-PMR kunye nokuqina kubaluleke kakhulu ekuseni. Abanye, kodwa kungekhona bonke, abantu abane-fibromyalgia bangenayo impawu ecacileyo eyaziwa kakhulu ekuseni . Nangona kunjalo, abaninzi banomvandedwa obubi kakhulu ngokuhlwa okanye ebusuku.
- I-PMR inokuquka ukukhathala, umkhuhlane we-low-grade, ukulahleka kwesidlo, ukunyameka nokudakumba. I-Fibromyalgia ibandakanya ukukhathala kwaye ingabandakanya ukudakumba. I-Fever, ukulahleka kwesidlo, kunye ne-malaise ayithathwa njengempawu ze-fibromyalgia. ( Isifo esingapheliyo sokunyamezela sisifo kubantu abanesifo se-fibromyalgia, nangona kunjalo kwaye singabandakanya ukukhulelwa komzimba kunye ne-malaise.)
- I-PMR ifika ngokukhawuleza ngokukhawuleza. Ezinye iimeko ze-fibromyalgia ziza ngokukhawuleza ngelixa ezinye zibandakanya ukuphuculwa kweempawu.
ILizwi
Akukho vavanyo lwegazi elilodwa lingaxilonga i-PMR. Oogqirha baqwalasela uluhlu olupheleleyo lweempawu kunye novavanyo lwebhabhi olubizwa ngokuba yi- sedimentation (okanye "sed") . Isilinganiselo esiphezulu se-sedon isilathisi sokuvuvukala. (Kwabantu abane-fibromyalgia, i-sed rate iyinto evamile okanye iphakanyisiwe nje.)
I-PMR iphathwa ngokubanzi nge-steroids kwaye iyakwazi ukulawulwa kakuhle. Abanye abantu abane-fibromyalgia abanakho ukunyamezela i-steroids, kodwa oku akuyona ingxaki yendalo yonke.
Qinisekisa ukuxoxa ngeendlela zokonyango, kunye naziphi na iziphumo ezichaphazelekayo, kunye nogqirha wakho ukufumanisa unyango olungcono.
Inokukunceda nokufunda ngokubanzi nge-PMR kunye nokuba ingabachaphazela njani ubomi bakho.
Imithombo:
I-Caro XJ, i-Winter EF. Arthritis & rheumatology. 2014 Julayi; 66 (7): 1945-54. Ubungqina bentsholongwane engavumelekanga ye-nerve fibreyalgia kwi-fibromyalgia: impembelelo kunye ne-immunologic.
I-Caro XJ, i-Winter EF, iDumas AJ. Rheumatology. 2008 Feb; 47 (2): 208-11. Izigulane ze-fibromyalgia zifumene iziphumo ezibonisa ukunyuka kwesifo sokudumala kwe-polyneuropathy engapheliyo kwaye kubonakala ngathi iphendula kwi-IVIg.
Inkukhu, uWilliam P, MD. Ikholeji yaseMerika yaseRheumatology. Polymyalgia Rheumatica. Onke Amalungelo Agciniwe. Kufumaneka: Ngomhla we-2016.
Haliloglu S, et al. Rheumatology ngamazwe ngamazwe. 2014 Sep; 34 (9): 1275-80. I-Fibromyalgia kwizigulane ezinezinye izifo ze-rheumatic: ukuxhaphaka kunye nobudlelwane nomsebenzi wesifo.
Liptan, GL. Umbhalo wemizimba kunye nokunyanga kweendlela. NgoJan 2010; 14 (1): 3-12. UFascia: Ikhonkco elahlekileyo ekuqondeni kwe-pathology ye-fibromyalgia.