Uyini umehluko?
I-Fibromyalgia kanye nesifo se-myofascial syndrome zivame ukuhamba ndawonye. Ngenxa yokuqhuma njalo nezinye izimpawu ezifanayo, ngokuvamile ziphutha ngesimo esifanayo futhi, ngenxa yalokho, abantu bobabili ngezinye izikhathi baxilongwa kuphela futhi baphathwa ngeyodwa.
Lezo yizinkinga zangempela, ngezizathu ezintathu ezinkulu:
- Kudinga ukwelashwa okuhlukile
- Amaphuzu okuqala we-MPS angasuswa
- Ubuhlungu be-MPS bungadala i-FMS, futhi ukwehlisa ubuhlungu be-MPS kunganciphisa izimpawu ze-FMS kakhulu
Kubuye kuvame ukuthi abantu abaneminye yalezi zimo bangaphathwa kabi ngolunye, okuholela ekunakekeni okungalungile.
Abanye abacwaningi basebenzisa igama elithi " ubuhlungu obungapheli " (CMP) esikhundleni se-myofascial pain syndrome ngenxa yobufakazi ukuthi yisifo, hhayi isifo. ("I-syndrome" iqoqo lezimpawu ngaphandle kwesizathu esaziwayo.)
Sibutsetelo
Ku-MPS, imisipha kanye nezicubu ezihlangene (ezakha i-fascia) zithuthukisa lokho okubizwa ngokuthi i- trigger point (TrP). Lezi azifani nezindawo zethenda ze-FMS.
Iphuzu elibangela inkinobho encane, elinzima ongazizwa ngezinye izikhathi ngaphansi kwesikhumba sakho. Iphuzu ngokwayo lingaba buhlungu, ikakhulukazi uma ligajwa, kodwa livame ukubangela ubuhlungu kwenye indawo, ebizwa ngokuthi ubuhlungu obukhulunywe.
Cishe amaphuzu ajwayele ukwakha emva kokulimala kwezicubu futhi ngenxa yezizathu ezithile, akaphuluki kahle.
Ochwepheshe abazi ukuthi kungani umonakalo ophulukisa ngokuvamile kubantu abaningi kubangela i-TrP kwabanye. Kodwa-ke, ucwaningo lubonisa ukuthi ukulimala kwamasipha kwabanye abantu kuholela ekungajwayelekile lapho amangqamuzana omzimba ehlanganisa ama-muscle cells. Lokhu kusikisela ukuthi i-MPS yisifo se-neuromuscular.
Association
Kungani abantu abanama-MPS bevame ukuthuthukisa i-FMS engakacaci, kodwa ubufakazi obukhulayo obunikeza ubufakazi bubonisa ukuthi kwabanye abantu ubuhlungu obungapheli bungenza ushintsho kwisistimu yezinzwa eziphakathi, okuholela ekukhuthazeni okuphakathi .
Uma izinkolelo zilungile, ukwelashwa kokuqala kwe-MPS kungasiza ekuvimbeleni i-FMS.
I-ambulance ephumayo ye-FMS, i-MPS, nezinye izimo ezibandakanya ukuzwela okuphakathi yi- central syndromes yokuzwela .
Izimpawu
Ezinye izimpawu ezihlobene ne-MPS zifana nezimpawu ezihambisana ne-FMS, kanti ezinye zixhunywe kuyingxenye eyodwa kuphela.
Izimpawu ababa nazo zihlanganisa:
- Ubuhlungu obunamafutha obukhulu obuvela kumnene kuya obunzima
- Izinsizwa kanye / noma imigraines
- Ukulala okuphazamisekile
- Izinkinga zokulinganisela kanye / noma isiyezi
- Tinnitus (ukukhala ezindlebeni) nobuhlungu bendlebe
- Izinkinga zememori
- Ukuthuthumela okungaqondakali
- Izimpawu eziphuthumayo ngenxa yokucindezeleka, izinguquko / ukugqama kwesimo sezulu, nokusebenza komzimba
Izimpawu ezihambisana ne-MPS kodwa hhayi nge-FMS zifaka:
- Ubumbulu emaphethelweni
- Ukuphina noma ukuchofoza amalunga
- Uhlobo oluthile lokunyakaza kwamajoyini , ikakhulukazi umhlathi
- Umbono ophindwe kabili noma obonakalayo
- I-nasusea engaqondakali
Izimpawu ezihambisana ne-FMS kodwa hhayi nge-MPS zifaka:
- Ukukhathala
- Ukuhlaselwa kobuhlungu
- Ukuzwa kugxilile ngenxa yokweqa ngokweqile
- Ukuphefumula nokuzwela
- Ukudideka kwesikhashana nokudideka
Ukuze uthole izimpawu eziningi ze-fibromyalgia, bheka I-Monster Uhlu lwezimpawu ze-Fibromyalgia .
Ukuxilongwa
Ubuhlungu obukhulunywayo kwenza i-MPS ilukhuni kakhulu ukuxilonga nokuphatha. Ngokujwayelekile, udokotela uthi, "Kuphi ukulimala?" bese ubheka lapho ukhomba khona.
Ukwelapha i-MPS, wena nodokotela wakho kudingeka uhlole izimpawu zakho bese uthola ukuthi iziphi izinkomba zakho zokuqala.
Udokotela wakho angathola amaphuzu okuqala ngokuzizwa noma ngokusekelwe ezimpawu. Izivivinyo ezifana ne-magnétique resonance elastography kanye nezicubu ze-biopsy zingabonisa ukungalingani ku-TrPs, kodwa izindima zabo ekuhloleni ama-MPS azikacaci.
Ngokuphambene nalokho, akukho ukuhlolwa noma ukuskena kwembula okungavamile kwezicubu lapho abantu abane-FMS bezwa ubuhlungu.
Ukwelapha
Unezinketho eziningi zokwelapha i-MPS:
- I-Trigger-Point Injections: Udokotela ufaka inaliti ngokuqondile ku-TrP noma ezindaweni eziningana nxazonke ukuze akhiphe ama-taut bands. Udokotela angase ajobe imishanguzo yokukhulula ubuhlungu, njenge-corticosteroids noma i-lidocaine. (Qaphela: abanye odokotela bakholelwa ukuthi i-corticosteroids ingasondeza izimpawu ze-fibromyalgia.) Uma kungekho mithi esetshenziswayo, ibizwa ngokuthi isidingo esincane.
- Ukwamukela umzimba : Ukukhishwa kwe-Acupuncture ngumkhuba wamaShayina wasendulo ofana nesidingo esisodwa. Ngenkathi izifundo zokusetshenziswa kwazo ku-MPS zinqunyelwe ukuthi zithembisa, futhi iziguli eziningi kanye nodokotela babika imiphumela emihle.
- Ukwelashwa Kwemvelo: Uhlobo oluthile lwezokwelapha olubizwa nge-spray-and-stretch luvame ukwelapha i-MPS. Uchwepheshe wezokwelapha uqondisa wena ngokusebenzisa izivivinyo zokwelula ngenkathi uphonsela into ephazamisayo emisipha yakho. Udokotela angase futhi asebenzise izindlela ezithile zokusikhipha umzimba ukuze akhulule imisipha yakho kanye ne-TrPs. Ngaphezu kwalokho, udokotela angasebenza nawe ezintweni ezifana nokuhleleka okungahle kwenzeke ku-MPS.
- Imithi: Izidakamizwa ezivamile ze-MPS zibandakanya izidakamizwa ezingavumeli ukuvuvukala (ama-NSAID) afana ne-Aleve (naproxen) noma izidakamizwa ezisuselwa ku-ibuprofen njenge-Advil ne-Motrin, nama-anti-depressants we-tricyclic njenge-amitriptyline, doxepin, ne-nortriptyline.
Ukwelapha kwe-MPS ngokumelene nokwelapha kwe-FMS
Nalapha futhi, kukhona okunye okungafaniyo kodwa futhi kubaluleke kakhulu. Ukwelashwa okusetshenziselwa kokubili i-MPS ne-FMS kufaka:
- I-Acupuncture
- Ukwelashwa kwezempilo (nakuba kunamafomu ahlukene)
- I-Tricyclic antidepressants (nakuba i-SSRI / SNRI izidakamizwa zokucindezeleka ziba zivame kakhulu kwi-FMS)
Ucwaningo lubonisa ukujova okuphazamisa amaphuzu akuphumelelanga ekunciphiseni amaphuzu amathenda e- fibromyalgia, kanti ama-NSAID awaphumelelanga ekuphatheni ubuhlungu be-FMS.
Abaningi bezintambo ze-fibromyalgia batusa izindlela ezihlukahlukene zokulashwa.
Ukubhekana
Ngokungafani okuphawulekayo ezimpawu zabo, ukuxilongwa kanye nokwelapha, kucacile ukuthi i-fibromyalgia ne-syndrome ye-myofascial akuyona into efanayo. Noma kunjalo, kungaba nzima kakhulu ukuthola ukuthi yisiphi isimo esibangela ubuhlungu lapho umuntu enabo bobabili.
Ngokusebenza kokubili ngokwakho kanye nodokotela wakho kanye / noma ochwepheshe wezinto zomzimba, ungakwazi ukubona ukuthi udalephi amaphuzu nokuthi ungcono kanjani ukuwaphatha ngaphandle kokukhulisa i-fibromyalgia yakho. Ukunciphisa ubuhlungu be-myofascial kungase kuthulise izimpawu zakho ze-fibromyalgia, ngakho-ke ungabona inzuzo kabili.
Imithombo:
I-Biologicalchanical Clinic. 2008 Jun; 23 (5): 623-9. Epub 2008 Feb 21. "Amandla we-magnetic resonance elastography ukuhlola ama-taut bands."
Schmerz. 2003 Dec; 17 (6): 419-24. "Ukuxilongwa kanye nokwelapha kwamaphuzu e-myofascial trigger points."