Ifomu Lezinsipho Eziqinile Ze-Rheumatism
I-Fibromyalgia yi-syndrome ehlobene ne-arthritis evezwe ubuhlungu obukhulu noma obukhulu bomzimba, ububele, nokukhathala. I-fibromyalgia ngokwezwi nezwi isho ubuhlungu emisipha, imigaments, nama-tendon.
I-Fibromyalgia ibhekwa njengesifo se-syndrome ngoba isethi yezimpawu nezimpawu ezivela ndawonye. Akubhekwa njengolunye uhlobo lwe-arthritis, kodwa nakanjani luhlobo lwe-soft-tissue rheumatism (izimo ezibangela ubuhlungu nokuqina kozungezile, kanye nasemisipha nasetheni).
Akukho ukuvuvukala okuhlobene ne-fibromyalgia.
Izimbangela
Isizathu se-fibromyalgia asisakwazi. Abacwaningi baphakamise ukuthi iziguli ze-fibromyalgia zithola ubuhlungu bokukhuliswa obubangelwa ukucubungula okungavamile ohlelweni lwezinzwa zomphakathi. Olunye ucwaningo lwenqume ukuthi ezinye iziguli ze-fibromyalgia zinezi:
- Izinga elikhulayo lempahla P (ikhemikhali ekhulisa ukuzwela kwesisindo ebuhlungu) emthonjeni womgogodla
- Ukunciphisa ukugeleza kwegazi kuya esifundeni se-thalamus sobuchopho
- Ukungalingani kwama-hormone e-hypothalamic-pituitary-adrenal axis (ethinta indlela isiguli esibhekana ngayo nokucindezeleka)
- Amazinga aphansi we-serotonin ne-tryptophan
- Umsebenzi we-cytokine ongajwayelekile
Izimpawu
Okunye ngaphandle kwesimiso esiyinhloko esihlobene ne-fibromyalgia - ubuhlungu obukhulu bomzimba - kunezinye izimpawu ezihlobene nesifo. Izimpawu zingafika futhi ziguquke ngamandla:
- Ukukhathala okukhulu
- Izinsizwa
- I-syndrome e-irritable syndrome
- Isibilini esicasulayo
- Izinkinga zokuqonda nokukhumbula
- I-TMJ noma isifo esihlangene se-temporomandibular
- Isifo somlenze esingenalutho
- Ubuhlungu be-pelvic
- Umsindo nokushisa ukushisa
- Ukukhathazeka noma ukucindezeleka
- Izinguquko zombala wesikhumba
Ukuxilongwa
Ayikho ivivinyo elilodwa elingahlola i-fibromyalgia. Ukuvivinywa kwe-laboratory kuyalwe ukulawula ezinye izimo. I-X ray ayibonakali ubufakazi be-fibromyalgia.
Ngo-1990, i-American College of Rheumatology yasungula izindlela okufanele zisetshenziselwe ukuxilongwa kwe-fibromyalgia:
- Umlando wobuhlungu obusakazeka kuwo wonke ama-quadrants amane omzimba (isb. Ngaphezulu kwesinqe ezinhlangothini zombili; ngaphansi kwesigqoko zombili zomzimba) izinyanga ezintathu noma ngaphezulu.
- Ubuhlungu ezindaweni ezingu-11 kwezingu-18 zethenda
Ngokusho kweNational Fibromyalgia Association, kuye kwacatshangwa ukuthi kuthatha iminyaka emihlanu ukulinganisa ukuthola i-fibromyalgia ngokunembile. Le mibuzo ingakusiza ukuba uyihlole, kodwa qiniseka ukuthi ukhuluma nodokotela wakho mayelana nemiphumela yakho!
Ukwelapha
Ukuphathwa kobuhlungu kuyindawo eyinhloko yokugxila ekwelapheni kwe-fibromyalgia. Ubuhlungu bungakhululwa ngokusebenzisa imithi yobuhlungu efana ne-acetaminophen noma i-NSAID (izidakamizwa ezingezona ukuvuvukala). I-Tramadol (i-Ultram) enye ukukhululwa kabuhlungu okwenziwe odokotela ukuphatha ubuhlungu be-fibromyalgia. Amanye ama-anti-depressants noma ama-benzodiazepines angabuye anqunywe ukuze asize ngokulala nokubuhlungu. Ukujova kwendawo ngaphakathi kwamaphuzu wethenda kungasiza futhi.
Ukuguqulwa kwempilo kuhlanganise nokuvivinya umzimba njalo, imikhuba emihle yokulala, ukusekelwa ngokomzwelo, kanye nokwelashwa okuhambisanayo kusiza ukulawula izimpawu ze-fibromyalgia.
Ukuvama
Ngokusho kweNational Fibromyalgia Association, cishe amaphesenti angu-5 kuya kwangu-7 aseMelika athathwe yi-fibromyalgia.
Abesifazane yizobulili ezithintekile kakhulu, nakuba amadoda nabantwana nabo bangaba ne-fibromyalgia. Zonke izinhlanga zithinteka isimo.
Amaqiniso engeziwe
- Izimpawu zokuqothula nezinye izimo ze-rheumatic kwenza ukuthi ukuhlonza i-fibromyalgia kunzima.
- Abantu asebevele benesifo se-rheumatic ezifana ne-lupus, i- rhumatoid arthritis , noma i- spondylitis e-ankylosing engozini enkulu yokuthuthukisa i-fibromyalgia.
- Izinga lomsebenzi, isikhathi sosuku, amaphethini esimo sezulu, amaphethini okulala, nokucindezeleka konke kungathinta ubuhlungu be-fibromyalgia nezinye izimpawu. Ukuqaphela amaphethini athile kungakusiza ukuphatha i-fibromyalgia.
- Ukuphazamiseka kokukhathala noma ukulala kubangelwa amaphesenti angu-90 weziguli ze-fibromyalgia.
- Ucwaningo olwengeziwe luqhubeka nokutadisha indima yezakhi zofuzo, ukucindezeleka kwemvelo, nokuhlukunyezwa ngokomzimba.
Imithombo
I-Fibromyalgia. I-Arthritis Foundation. http://www.arthritis.org/conditions/DiseaseCenter/Fibromyalgia/fibromyalgia.asp
I-Fibromyalgia. I-American College of Rheumatology. http://www.rheumatology.org/public/factsheets/fibromya_new.asp?aud=pat
Mayelana ne-Fibromyalgia. I-National Fibromyalgia Association. http://www.fmaware.org/fminfo/brochure.htm