E- fibromyalgia , isizungu, ukulingana okubi, nokuwa yizikhalazo ezivamile. Kwababantu abathile, bayisicasulayo esincane esivuna isikhathi. Kwezinye, zingabangela ukulimaza kakhulu futhi ziholele ekulimaweni okuvamile.
Ukuwa, ikakhulukazi ukuwa njalo, kuyinkinga enkulu. Into yokugcina oyidingayo uma usuvele uhlala ebuhlungu njalo ukuzilimaza sonke isikhathi.
Ukuwa njalo noma izinkinga zokulinganisela kungaholela ekwesabeni ukuwa.
Ukwesaba kungakwenza ukwesaba ukuhlala usebenza, ngisho nangokwemingcele yakho. Ngokusho kokucwaninga ku- Clinical Rheumatology, amaphesenti angu-73 abantu abane-fibromyalgia esaba ukwenziwa ngokomzimba, kanti cishe amaphesenti angu-75 anenkinga yokulinganisela.
Ukuwa kungaphansi kwesibonakaliso futhi kunomphumela wezimpawu zesimo sosizi kanye nokulinganisela okungalungile. Kule nkinga, izinkinga zokuwa nokulinganisela zingase zihlotshaniswe nezinguquko endleleni esihamba ngayo.
Ngakho kungani i-fibromyalgia ihilela lezi zinkinga? Futhi yini esingayenza ngabo?
I-Fibromyalgia kanye nosizi
E-fibromyalgia, ukuzondwa ngokuvamile kuvela lapho uqala ukuma. Kufana nomzwelo wokuthi "ukugijima ikhanda" kusuka lapho usukuma ngokushesha, kungenzeka kuphela noma nini lapho uya khona ukulala phansi noma uhlezi ukuma. Ukuqala okuzumayo kwesiyezi kungakwenza uhambe ezinyaweni zakho, ukuzulazula, noma kungenza wenze noma uphelelwe amandla.
Ukuzondwa nokuphelelwa amandla kule nkinga kungase kuhlanganiswe nengqikithi ethile, ngokwezifundo zango-2017 ezanyatheliswa kuyi- European Journal of Pain . Ngaphandle kwesiyezi nokuphelelwa amandla, leli qembu lalinamazinga obuhlungu obukhulu kakhulu kanye nezimo ezihlukahlukene kanye nezimo ezixubile kuhlanganise nokukhubazeka kwengqondo ("fibro fog"), isisindo esicasulayo, i-vulvodynia, ne-syndrome engenamaphutha.
Ucwaningo lubonisa ukuthi lesi sibonakaliso sitholakala ekusebenziseni isimiso sezinzwa ezizimele (ANS), okuthiwa i- dysautonomia . I-ANS ihilelekile ngemisebenzi eminingi ebalulekile emzimbeni wakho, kufaka phakathi izinga lezinhliziyo, ukucindezelwa kwegazi, izinga lokuphefumula, izinga lokushisa komzimba, ukushisa umzimba nokugaya.
Ukuzivocavoca okubangelwa i-dysautonomia kungabizwa ukungahambisani kahle kwe- orthostatic , hypotension engavamile, noma i- postural orthostatic tachycardia syndrome (i-POTS). Ngokuyinhloko, lezi zinto zisho ukuthi inhliziyo nobuchopho abukhulumisana kahle.
Okufanele kwenzeke ukuthi uma usukuma esikhundleni sokuqamba amanga noma ukuhlala, i-ANS yandisa ukucindezelwa kwegazi ukuze ulwe nokuvuthwa nokugcina igazi elanele ngokwengqondo yakho. Nge-dysautonomia, lokhu akukwenzeki ngendlela efanele. Esikhundleni salokho, ingcindezi yegazi ingakwazi ukuwa phansi uma usukuma, futhi umphumela kungumsizi noma ukukhanya okukhanyayo. Ku-POTS, izinga lenhliziyo lihamba ngokushesha njengoba ukucindezeleka kwegazi kwehla.
Ukuzivocavoca kungase kuhlotshaniswe nezinhliziyo zenhliziyo, umbono ongenalutho, ukukhula kwe-pulse, ubuhlungu besifuba, kanye nohlobo lokuphelelwa amandla okuthiwa i-syncope ye-vasovagal.
Akuwona wonke umuntu onesizungu esihlobene ne-fibromyalgia, kodwa. Esicwaningweni sika-2008, abacwaningi bathi ukuzondwa nokudabuka kwakuvame kakhulu kunokudangala.
Bathi futhi i-POTS ingenye yezibonakaliso ezivame kakhulu ze-fibromyalgia abazibonayo ngesikhathi sokuhlolwa kwetafula, okulinganisa impendulo yakho ekushintsheni esikhundleni.
Ukulinganisela Nezinkinga Zezinkinga ku-Fibromyalgia
Ukwengeza ukuthi kungenzeka ukuwa, ucwaningo lubonisa ukuthi abantu abane-fibromyalgia bahamba ngokuhlukile kunabantu abanempilo. Ucwaningo olwenziwe ngo-2009 lwathola ukuthi cishe amaphesenti angu-28 abantu abanalesi sifo bane-gait engavamile (indlela yokuhamba).
Ngo-2017 isifundo sokusebenza okusebenzayo, abacwaningi bathi ukulingana nokulinganisela kwakunzima kakhulu kule nkinga. Ukwahlukahluka kufakwe:
- ubude obuncane bomkhawulo obuncane
- ukuhamba kancane
- indlela umzimba ohamba ngayo lapho uhamba
Abacwaningi baphawula ukuthi ukungezwani kokulingana nokulinganisela kwakubi nakakhulu kubantu abanobuhlungu obukhulu , ukuqina, ukukhathala, ukukhathazeka nokucindezeleka. Bancoma ukuthi odokotela bahlolisise ukuphazamiseka kweziguli zabo ne-fibromyalgia ukuze bathole uhlobo oluhle lokuvuselela nokuwalela.
Lolu cwaningo luyingxenye yomzimba okhulayo wezincwadi zesayensi obonisa ukulinganisa kanye nezinkinga zokulahlekelwa kule nkinga engabangela ukuwa. Noma kunjalo, ukuhlola nokwelapha lezi zimpawu kungenzeka ukuthi akuyona into ebaluleke kakhulu kudokotela wakho. Uma bakhathazeka ngawe, qinisekisa ukuthi uyabakhuphula ngesikhathi sokuqokwa kwakho okulandelayo.
Ukunciphisa Isizungu Nesivivinyo E-Fibromyalgia
Uma uphumelela kakhulu ukwelapha i-fibromyalgia yakho, kancane kancane lezi zimpawu kufanele zibe yinkinga. Kodwa-ke, uma badinga ukunakekelwa okungaphezulu noma awukwazi ukuthola ukwelashwa okuphumelelayo kwe-fibromyalgia, unezinketho eziningana.
Ukuze uthole isizungu esivela ku-POTS, hypotension noma i-orthostatic hypotension, noma i-hypotension engavamile, udokotela wakho angakwazi ukuncoma imithi esiza. Lezi zingabandakanya SSRI / SNRIs , benzodiazepines kanye ne- beta blockers . Ezinye zalezi zidakamizwa zingasiza ukunciphisa ezinye izimpawu ze-fibromyalgia, kanye nama-SSRIs nama-SNRI ngokuvamile avunyelwe kulokhu kugula. Udokotela wakho angase futhi ancoma izinguquko zokuphila.
Uma ubhema, ucwaningo olwanyatheliswa encwadini ye-rheumatologic Joint, Bone, Spine lisikisela ukuthi ukuyeka kungasiza ekunciphiseni ukudikibala nezinye izimpawu eziningi ze-fibromyalgia.
Uma kuziwa ngokulinganisela nokuqapha, ukwelapha ngokomzimba kuyindlela yokwelapha evamile. Ungase futhi ufune ukubuza udokotela wakho ukuthi ngabe yini efana ne- yoga , tai chi , noma i- qigong iphephile kuwe.
Kuze kube yilapho uthola izindlela zokuthuthukisa lezi zimpawu, kubheka ukuqapha. Amadivaysi okusiza anjengomhlanga noma uhambahamba angakusiza uhlale ezinyaweni zakho. Ukuzivocavoca okuhlelekile kungase kube yindlela ephephile, futhi ngokuqinisekile bangcono kakhulu kunokungasebenzi kangako kunokuba ube khona.
> Imithombo:
> Costa ID, Gamundi A, Miranda JG, et al. Ukusebenza okusebenza okusebenzayo kuziguli ezine-fibromyalgia. Imingcele e-neuroscience yabantu. 2017 Jan 26; 11: 14.
> Lee SS, Kim SH, Nah SS, et al. Imikhuba yokubhema ithinta ubuhlungu kanye nezici ezisebenzayo nezingokwengqondo ku-fibromyalgia. Joint, bone, umgogodla. 2011 Meyi; 78 (3): 259-65.
> Ukungasebenzi komzimba kwe-Staud R. Autonomic ku-fibromyalgia syndrome: i-postural orthostatic tachycardia. Imibiko ye-rheumatology yamanje. 2008 Dec; 10 (6): 463-6.
> Russek L, Gardner S, Maguire K, et al. Ucwaningo olunqamulelayo oluhlola imithombo yokukhathazeka okuhambisana nokuhamba phakathi kwabantu abane-fibromyalgia syndrome. I-rheumatology yemitholampilo. 2015 Jun; 34 (6): 1109-19.
> Watson NF, Buchwalk D, Goldberg J, et al. Izimpawu nezimpawu ze-neurologic ku-fibromyalgia. I-arthritis ne-rheumatism. 2009 Sep; 60 (9): 2839-44.
> Yim YR, Lee KE, Park DJ, et al. Ukuqaphela ama-subgroups e-fibromyalgia usebenzisa ukuhlaziywa kweqoqo: ubudlelwane neziguquko zemitholampilo. Umagazini weYurophu wezinhlungu. 2017 Feb; 21 (2): 374-384.