Ingabe amehlo iwindi yalokho okungahambi kahle ngobuchopho ku- fibromyalgia ? Ucwaningo olushicilelwe ngo-2015 no-2016 luphakamisa ukuthi lungase lube khona.
I-Fibromyalgia iyakholelwa ukuthi iyisimo sesimiso sezinzwa esiyinhloko, esihlanganisa ubuchopho kanye nekholomu yomgogodla. Ibuye ihlanganise amehlo nezakhiwo ezisiza ubuchopho bethu ukuhumusha lokho esikubonayo.
Oyinhloko phakathi kwalezi zakhiwo yi-nertic optic, efana nekhebula elihlanganiswe nezintambo ezincane ezincane. Phakathi kwabo kuyisimo sezinzwa ezibizwa ngokuthi i-retina nerve fiber layer (RNFL).
Lezo zinkimbinkimbi zinobuciko ngokukhethekile kubacwaningi ngenxa yomunye umsebenzi wamuva ongenakuthola ukungasebenzi kwamagciwane amancane . Iphakamisa ukuthi, kubantu abane fibromyalgia, i-fiber-neuropathy (umonakalo wezinzwa) ingaba necala lokungenani ubuhlungu obukhulu.
Ezicwaningweni ezimbili, abacwaningi baseSpain bathole nobufakazi bokuthi i-neuropathy inesibindi ezincane zeso.
Izinkinga Zokugeleza Ngegazi
Esicwaningweni eshicilelwe ngo-2015, abacwaningi babheka ukugeleza kwegazi kuya emgodini we-optic kanye ne-RNFL. Ukugeleza kwegazi, okubizwa nangokuthi i-perfusion , kukhonjiswe ukuba kungavamile ezindaweni eziningana zobuchopho babantu abane-fibromyalgia.
Abacwaningi bahlola futhi bathatha izithombe zamehlo abantu abangu-118 abanalesi simo kanye no-76 abantu abanempilo eqenjini lokulawula.
Izithombe zabe sezihlaziywa nge-software ekhethekile. Abacwaningi baphetha ngokuthi ama-fibromyalgia amehlo abonisa ngempela amazinga okunciphisa ama-infusion emikhakheni eminingana, kodwa umehluko ophawulekayo kuphela wawuyi-RNFL ethile.
I-Optic Nerve Thinning
Ucwaningo olushicilelwe ngo-2016 olwakhiwe kulolo cwaningo, olubandakanya abaningi abacwaningi abafanayo.
Lesi sikhathi, babandakanya abantu abangu-116 abane-fibromyalgia nabangu-144 eqenjini lokulawula.
Bathola:
- ukwehla okukhulu kwi-RNFL ku-fibromyalgia kuqhathaniswa nezilawuli
- ukunciphisa izakhi eziningi ezweni
- i-optic nerve thinning kulabo abane-fibromyalgia eqinile kunelabo abanenkinga ebuhlungu
- i-optic nerve thinning in subgroups ngaphandle kokucindezeleka kunelabo abanokucindezeleka
I-Neurodegeneration
Ngaphambi kwalokho, i-fibromyalgia iye yacatshangwa ukuthi ayinayo i-neurodegenerative, okusho ukuthi akukho zakhiwo eziphilayo ezilimazwa noma ezibhujiswa njengoba ziyazi ukuthi zikhona kwezinye izifo ze-neurological ezifana ne- multiple sclerosis noma isifo se-Alzheimer's .
Kodwa-ke, lolu cwaningo luveza ukuthi i-fibromyalgia, eqinisweni, ingabandakanya ukungena kwemvelo ezakhiweni ngaphakathi kwesistimu yenzwa yomphakathi.
Lokhu, kuhlangene nocwaningo lwangaphambili emonakalweni omncane we-fibre ye-nerve esikhumbeni, kungasho ukuthi ukuguqulwa akugcini kwisistimu yezinzwa zomphakathi kodwa kungangena kwisistimu yezinzwa zomzimba, okufaka izinzwa ezithombeni, ezandleni nasezinyaweni.
Ubudlelwano Phakathi Kwe-Fibromyalgia, i-Optic Nerve, ne-Neurodegeneneration
I-Fibromyalgia ibilokhu ibeka izinkinga odokotela. Sinebuhlungu, kodwa asikho isizathu esizwakalayo.
Uma lolu cwaningo lunembile, esingalazi lutho luze lwachazwa, lungasho ukuthi ubuhlungu bethu buvela emthonjeni ozwakalayo. Phela, ubuhlungu be-neuropathic buye kwabonakala isikhathi eside. Ngokungazelelwe, kwenza ubuhlungu bethu "obungaqondakali" bungaqondakali neze.
Ngakolunye uhlangothi, ivula iminyango emisha yokubuza imibuzo. Uma siye sabangela izinzwa, kungani? Yini ebangela umonakalo?
Abazokwazi ukufaka ukhetho bangahlanganisa ukuzimela, okuzobandakanya amasosha omzimba aya ku-haywire futhi ahlasele amazinyo njengokungathi ayengama-bacterium noma amagciwane, nezinkinga zendlela umzimba osebenzisa ngayo izinto ezikhula noma ezigcina izinzwa.
Sekuyisikhathi eside abacwaningi becatshangelwa ukuthi kungenzeka ukuthi i-fibromyalgia ikwazi ukuzimela kanjani, kodwa kuze kube manje asikho ubufakazi obuqinile obukhomba kuso. Manje ukuthi abacwaningi bathole umonakalo wangempela, bangathola ukuqonda kangcono ukuthi bangabheka kuphi umsebenzi wokuzimela. Bangase bakwazi ukukhomba ukuntuleka noma ukungabi namakhono ukuthi izisetshenziswa zigcinwa kanjani.
Uma kuziwa ezivivinyweni zokuxilonga, kusencane kakhulu ukutshela ukuthi ukungafani kweso kungaholela ekuvivinyweni okunamgomo kunalokho okwamanje. Uma kunjalo, kuyoba ukuthuthuka okukhulu endleleni i-fibromyalgia etholakala ngayo.
Ngenxa yokuthi ukugcoba kwakubi nakakhulu ezimweni ezimbi kakhulu, kungahlinzeka umaka odokotela ukuqapha ukwelashwa kanye nokuqhubeka.
Kungenzeka nokuthi lezi zitholakala zingabangela ukwelashwa okuhlosiwe.
Ngeke sazi umthelela ogcwele walolu cwaningo isikhathi esithile, njengoba noma yikuphi ukuthuthuka ekuhloleni kanye nokwelapha kuzodingeka kulandelwe ucwaningo olwengeziwe noma kuqinisekisa noma kuphikisana nalezi zithole.
> Imithombo:
> Garcia-Martine E, Garcia-Campayo J, Puebla-Guedea M, et al. I-Fibromyalgia ihambisana ne-retinal nerve fiber layer thinning. PLoS One. 2016 Sep 1; 11 (9): e0161574.
> Pilar Bambo M, Garcia-Martin E, Gutierrez-Ruiz F, et al. Ukutadisha ukuguqulwa kwe-perfusion kwi-disc optic yeziguli ezine-fibromyalgia syndrome usebenzisa isofthiwe entsha yokuhlaziywa kombala. I-Journal francais d'opthalmologie. 2015 Sep; 38 (7): 580-7.
> Uceyler N, Zeller D, Kahn AK, et al. I-fiber encane pathology kwiziguli ezine-fibromyalgia syndrome. Ubuchopho: umagazini we-neurology. 2013 Jun; 136 (Pt 6): 1857-67.