Ukuqhawula ndawonye
Xa unesifo esipheleleyo esichaphazela yonke imiba ebomini bakho, kuyinto evamile ukubuza "kutheni?" Xa kuziwa kwi- fibromyalgia (i-FMS), sisoloko sinezela iziqendu ezininzi nakwi-puzzle. Nangona singenayo umfanekiso opheleleyo, sisondela.
Iingcali zifunda ngokubanzi malunga nezinto ezikhokelela kwi-FMS, kodwa ayikacaci isizathu sokuba ezi zinto zikhokelela kwi-FMS kwezinye kwaye kungekhona kwabanye.
Iingcali ezininzi zikholelwa ukuba imeko iyaxhomekeka kwizinto eziphilayo , eziza kucima loo mbuzo.
I-Fibromyalgia iqokelelwe kwiibakala ezimbini: eziprayimari nezesekondari. I-FMS yePrayimari yinto eqhelekileyo kwaye ibizwa nangokuthi "idiopathic" ye-FMS, oku kuthetha ukuba inesizathu esingaziwa. I-FMS yesiSeko idibene nezinye izizathu zentlungu engapheliyo.
# 1 - I-Primary (Idiopathic) i-Fibromyalgia
Izizathu ezisalindelekileyo ze-FMS eziphambili ziquka ukungaqhelekanga kwingqondo kunye nama-hormone, ukuphazamiseka okungapheliyo kokulala, ukuphazamiseka kwengqondo kunye nentlalo, kunye nokungaqhelekanga kwemisipha. Uphando lukhangeleka kwezinye iindlela ezininzi, ngempumelelo ehlukahlukeneyo.
Ubunzima kunye neHormonal
Izifundo zibonisa, kunye ne-FMS, iinxalenye zesistim sakho senzwa esisemgangathweni esichaphazelekayo zibonakalisa ukusebenza ngokwahlukileyo kwabanye abantu. Oku kubizwa ngokuba yi- central sensitization .
Abaphengululi bayazi ukuba abantu abane-FMS banokungaqhelekanga kwiimveliso zabo ze-hormonal, metabolic and brain-chemicals, kodwa abaqinisekanga ukuba zezi zizathu ze-fibromyalgia okanye umphumo weentlungu kunye noxinzelelo kwinkqubo yesistim ephakathi.
Ezinye utshintsho zomzimba kwingqondo ziye zafunyanwa, ngokunjalo.
Abantu abane-FMS banokungaqhelekanga nakweliphi na oku kulandelayo:
- Serotonin : amazinga aphantsi
I-Serotonin ithintela umjikelezo wakho wokulala, inqanaba leentlungu kunye neemvakalelo zokuphila. Amanqanaba aphantsi adibaniswa nokudandatheka , i- migraine , kunye nesifo sengqondo sesifo esilumkileyo , zonke ezihlala zifumaneka kubantu abane-FMS.
- Melatonin : amazinga aphantsi
Olunye uphando lubonisa ukuthatha izithako ze-melatonin kunokunciphisa amanqanaba entlungu, ukuphucula ukulala nokunceda ukunciphisa iimpawu zokudandatheka kubantu abane-FMS. Nangona kunjalo, ezinye iingcaphephe zibonise ubuncinane okanye akukho phuculo. - I-Norepinephrine & Dopamine : amanqanaba aphantsi
Amanqanaba aphantsi e-norepinephrin angakhokelela ekulahlekelweni kokulumkisa, ingqondo yengqondo , ukudandatheka kunye nokunganakwa. Umzimba wakho usebenzisa i-norepinephrin ukudala i-dopamine, kunye ne-low dopamine yeziphumo zentlungu ye-muscle, ukungasebenzi komsebenzi, kunye neengxaki ezinxulumene nentsebenzo (oko kukuthi, ukuthuthumela, ukulingana okungafanelekanga, ukuxhamla.) - I-Glutamate & GABA : ngaphandle kokulinganisela
Umsebenzi weGlutamate ukufumana izisele zeengqondo zakho. Kubalulekile ukufunda kunye nezinye iimeko ezifuna ukucinga ngokukhawuleza. Umsebenzi we-GABA ukulwa ne-glutamate kwaye uhlalise ingqondo yakho. Kwi-FMS, uphando lubonisa ukuba amanqanaba e-glutamate aphakamileyo kakhulu ngokubhekiselele ku-GABA, engakhokelela ekugqibeleni nasekufeni kweeseli zobuchopho. - Ukunyamezela amahomoni: amanqanaba aphantsi
Ukungaphumeleli kwi-hormone yokucindezeleka i-cortisol kunye ne-norepinephrin yenza umzimba wakho ungakwazi ukuhlangabezana nokunyamezela kwengqondo okanye ngokomzimba. (Ukuxinzezeleka komzimba kubandakanya ukusuleleka okanye umsebenzi onzima.) - IGH-1 i-hormone yokukhula: amazinga aphantsi
Le hormone ikhuthaza ithambo kunye nokukhula kwemisipha. Amanqanaba aphantsi ahambelana neengxaki ngokucinga, amandla aphantsi, ubuthathaka bemisipha ukunganyamezelani kubanda. Eli nqanaba linokuba ngummakishi we-FMS kunokubangela isizathu.
- Isixhobo P : amanqanaba aphezulu
I-P isistim somthi wamakhemikhali kwinkqubo yesantya ehambelana nentlungu. Ukuba uninzi kakhulu, ubuchopho bakho bufumana iimpawu ezininzi zobuhlungu. Abantu abane-FMS banokufikelela kwizihlandlo ezintathu eziqhelekileyo emzimbeni wazo. - Ukubona intlungu engavumelekanga: amanqanaba omsebenzi ophezulu
Ezinye izifundo kunye neengqondo zengqondo zibonisa ukuba izigulane ze-fibromyalgia zinomsebenzi omkhulu kwiindawo zengqondo kunye nenkqubo ye-nervous central eyenza intlungu.
Abaphandi bazama ukuqonda ukuba zeziphi izinto ezingaqhelekanga zithetha kunye nendlela olu lwazi lunokubangela ngayo unyango.
Ukuphazamiseka kokulala okungapheliyo
Ukuphazamiseka kokulala kunye ne-fibromyalgia kuya kwesandla kunye, kwaye ezinye iingcali zikholelwa ukuphazamiseka kokulala.
Abantu abane-FMS banamazinga aphezulu kunamazinga omzimba ongenamandla omzimba, ukuphazamiseka kwentshukumo yokunyakaza kwesigxina (PLMD) kunye neengxaki zokuphefumla ezinjenge- apnea yokulala .
Ezinye iingxaki zokulala ze-FMS zinokudibaniswa namanqanaba emichiza e-nervous-system e-serotonin kunye ne-melatonin, enceda ukulawula imijikelezo yokulala nokukhupha.
Iimpawu zengqondo kunye nezeNtlalo
Ngokwezifundo, abantu abane-FMS banamathuba amaninzi kunokuba abanye baye bafumana uxhatshazo olubi ngokomzimba nangokwenyama. Oku kuphakamisa ukuba ukuphazamiseka kwesifo sengxaki ( post-traumatic disorder stress) (PTSD) okanye ukunyamezeleka okungapheliyo kunokudlala indima ebalulekileyo ekuphuhliseni i-FMS kwabanye abantu.
Ubungqina bubonisa ukuba uxinzelelo kunye ne-PTSD ekhokelela ekutshintsheni kwintsingiselo, mhlawumbi ukususela kwithuba elide lokunyamezela kwiimodemoni ezixinzelelekileyo.
Ukungahambi kakuhle
Nangona ezi zinto zikwazi ukuvavanywa kwiofisi yakho okanye eklinikhi, uphando oluthile lubonise ukuba abantu abane-FMS baneentlobo ezi-3 ezingafaniyo:
- Yezinto eziphilayo
Ezinye izigulane ze-FMS zinamazinga aphantsi amayeza e-muscle-cell eqinisekisa ukuba unayo i-calcium eyaneleyo kwimisipha yakho. Xa amazinga aphantsi, izihlunu zihlala zivumelwano ngaphandle kokuphumla. - Ukuhamba kwezakhiwo kunye negazi
Abaphandi baye bafumanisa abantu abane-FMS banama-capillaries amaninzi (iimithambo ezincinci zegazi). Oku kunokuthetha ukuba izihlunu zakho azifumani okwaneleyo ngegazi okwi-oxygen okanye ezinye izixhobo ozifunayo ukuze usebenze kakuhle. - Sebenza
Iingcali azi ukuba kutheni le nto ingqikelela ukuba intlungu kunye noxinzelelo lwesifo ngokwawo kungonakalisa umsebenzi we-muscle.
# 2 - I-Fibromyalgia yesiSekondari
I-fibromyalgia yesibini ibonakala emva okanye ngokubambisana nezinye iingxaki zonyango, ngokuqhelekileyo enye yezi zinto zilandelayo:
- Ukulimala ngokwenyama, ngakumbi entanyeni
- I-Ankylosing spondylitis (i-arthritis echaphazela umgudu)
- Ukuhlinzwa
- Isifo seLyme (iMeyi ingabangela i-FMS nangemva kokuba uLyme uphathwe)
- I-Hepatitis C (ezinye izifundo zichaphazela kulo mbutho)
- Endometriosis
- Ezinye iimeko ezibandakanya ubuzwe obuphakathi
- Ezinye izizathu zentlungu engapheliyo
Xa kukho enye imeko emsebenzini, ingenza oogqirha babe ngumngeni ngokwenene xa kuziwa ekufumaneni i-FMS yesibini. Okokuqala, kunokuba nzima ukulungisa ukuba yeyiphi imeko ebangela ukuba ziphi iimpawu. Okwesibini, i-FMS ithathwa njengesicatshulwa sokukhutshwa ngenxa yokuba nayiphi na into eguqulwayo kufuneka iphathwe phambi kokuba ugqirha angayixilonga.
Ukuba ukrokrela ukuba une-FMS ngaphezulu kwesinye imeko, xela ugqirha wakho. Ukunxibelelana kakuhle kudla ngokubalulekileyo kwimeko yokufumanisa.
> Imithombo:
> de Zanette SA, et al. I-BMC i-pharmacology kunye ne-toxicology. 2014 Julayi 23; 15: 40. I-melatonin analgesia idibaniswa nokuphuculwa kwenkqubo yokuhlalisa intlungu ehamba phambili ekuthinzeni i-fibromyalgia: isigaba II, isilingo esilawulwayo, esilungelelaniso, esine-double-dummy.