Iimpawu eziqhelekileyo ezidibene neFibromyalgia
I-Fibromyalgia yimeko yokuhlunguphazeka okungapheliyo echaphazelekayo kunye neentlungu ezixhaphakileyo eziqhelekileyo-ngokuqhelekileyo izihlunu , iintambo kunye nezicubu ezixhamlayo. Ngamanye amaxesha kuthiwa yi-rheumatism okanye i-rheumatic syndrome. Ngokungafani nezinye iintlobo zesifo se-arthritis nezimo ze-rheumatic , i-fibromyalgia ayinxulumene nomonakalo odibeneyo okanye ukukhubazeka ngokuhlangeneyo.
Ukuxilongwa kwe-fibromyalgia kunokubandakanya uvavanyo lweempawu zamathambo. Ekubeni iimvavanyo zesebhoratri eziqhelekileyo azifumani i-fibromyalgia, amaphupha eethenda ayingxenye yenkqubo yokuxilonga. Ziziphi iingongoma zethenda?
Ukuchonga i-Fibromyalgia
Ngokweziganeko zokuxilongwa kwe-fibromyalgia (esekelwe kwi-American College of Rheumatology Criteria for Rheumatology 1990), isiguli kufuneka sibe:
- Intlungu ebanzi kuzo zonke iine quadrants zomzimba ubuncinane ubuncinane kwiinyanga ezintathu
- ubuncinane kwi-11 ye-18 yamanqaku athile
Amaphuzu amathenda ayindawo ekhethekileyo emzimbeni (amanqaku angama-18 kwiindawo ezili-9 zaseburhulumenteni) ezikhethekileyo kwi-touch (i-digital palpation) xa kuhlolwa ngugqirha. Iindawo ezili-9 zomhlaba ezixubileyo zi:
- Ummandla ongaphantsi wesibeletho: (ngaphambili kwentamo yentamo) kummandla wangaphandle weendawo ezikhoyo phakathi kweenkqubo zeC5-C7.
- Ibha ye sibini: (phambi kwendawo yesifuba) kwiindibano ze-costochondral zesibini.
- I-Occiput: (emva kwentamo) ekufakweni kwe-muscle ye-suboccipital.
- I-Trapezius Muscle : (ummandla wegxala elingasemva) emkhatsini womda ophezulu.
- I-Supraspinatus Imisipha: (indawo yomgca) ngaphaya komda womda we-scapular umgudu.
- I-episode ye-Lateric Epicondyle: (indawo yomgca ) 2 cm distal kwi-epicondyle ye-lateral.
- Uzuko: (ekupheleni komva ) kwi-quadrant yangaphandle yamatye.
- I-Trochanter ephezulu: (umlenze ongemuva) emva kobukhulu be-trochanteric.
- I-knee: (indawo yeedolo) kwinqanaba leoli elidlulileyo elixhomekeke kumgca odibeneyo.
Nge-digital palpation, isigulane sibuzwa ukuba i-palpation ibuhlungu. Impendulo ye "ewe" evela kwisigulane yindlela kuphela impendulo ethathwa njengeyiyo. Ngaphandle kwesojithali yedijithali, iimviwo zeengongoma zithenda zingenziwa nge dolorimetry (isisetyenzisi esetyenziselwa ukulinganisa ukunyamezela intlungu).
Ngo-2010, nangona kunjalo, i-American College yeRheumatology icebise indlela yokuhlaziya i-fibromyalgia. Iimpawu zokuqala ezihlaziyiweyo zibonisa ukuba uviwo lwepotowiti luya kupheliswa ngokuxhamla inhlanganisela ye-WPI (ubukhulu bentlanzi) kunye ne-SS (ubunzima beempawu). Kwakukho iingxaki zendalo kunye neengongoma zethanti ezijoliswe ekuxilongweni kwe-fibromyalgia. Enyanisweni, kufuna ikhono lokwenza uviwo lwepotayiti ngokufanelekileyo. Kwakhona, uphando lwepotayiti aluzange luncedo ekuhloleni impumelelo yonyango. Abanye oogqirha banqanda ukuhlolwa kweengongoma kwaye bahlawula ngakumbi ezinye iimpawu (umzekelo, iingxaki zokulala, ukulibala, ingqondo yengqondo kunye nokusebenza komzimba owenziwe ngokuphathelele kwimisebenzi yemihla ngemihla). Iziphumo zophando zibonise ukuba iikhrayitheriya ezihlaziyiweyo zikwazi ukuchonga i-88% yezigulane ze-fibromyalgia ezidibana ne-American College yaseRheumatology yokuchonga ukuhlola i-fibromyalgia.
- Imibuzo: Ngaba Unayo I-Fibromyalgia?
Iimpawu zeTender kunye nePowmark Points - Ngaba zifanayo?
Iingongoma zeetender kunye neengongoma zokuqala ziyimigangatho emibini edla ngokusetyenziswa ngokuthe tye-kodwa ngaba iyafana? Iimpawu zezinto eziqhelekileyo zinamaqhina athathekayo kwiindidi ze-taut (i-fibers muscle) ezihambelana nomzekelo weentlungu eziveziweyo. Ngakolunye uhlangothi, iingongoma zethenda ziindawo zentando ezenzeka kwi-muscle, uxhumano lwe-tendon-tendon, bursa, okanye i-fat pad. Amaphupha e-tender aqhelekile xa ehlanganiswa ne-fibromyalgia. Iingongoma ze-Trigger ziqhelekileyo kwipateni ekhutshwe kwaye zidla ngokuxhamla ne- syndrome ye-pain syndrome .
Kuyakwenzeka ukuba zombini zenzeke kunye.
Imithombo:
Ikholeji yaseMerika yeRheumatology Iimpawu zokuQaphela eziPhezulu zeFibromyalgia kunye nokulingana kweSymptom. Wolfe F. et al. Ukunyamekela kweArthritis noPhando. Meyi 2010.
https://www.rheumatology.org/Portals/0/Files/2010_Preliminary_Diagnostic_Criteria.pdf
Fibromyalgia. Indlela yokwenza uvavanyo lweTender Point. Iphepha le-740. I-Kelley ye-Rheumatology. INguqulelo yesithoba. Elsevier. Fumaneka ngo-11/27/2015.
I-Fibromyalgia, uJoseph J. Biundo, MD. I-Merck Manual, ngoFebruwari 2013.
http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/bursa-muscle-and-tendon-disorders/fibromyalgia
I-Fibromyalgia Tender Points.Sebenzise Ukuyilahlekisa? Ukuhlaziywa okufutshane kwenkqubela. Harth noNelson. Umbhalo weRheumatology.
https://jrheum.com/subscribers/07/05/914.html
Amaphuzu kunye neengongoma zethenda: enye enye? Ngaba unyango lwamayeza luncedo? UBorg-Stein J. et al. Iikliniki zeRheumatic Diseases zaseNyakatho Melika. Meyi 1996.
http://www.ncbi.nlm.nih.gov/pubmed/8860801