Amahomoni, i-Chemistry Brain, Sleep
Amapayipi angamadoda kuphela amaphesenti angu-10 alabo abathintekayo abane-fibromyalgia, futhi ucwaningo lubonisa ukuthi banezimpawu ezihlukile kunabesifazane. Kodwa kungani?
Impendulo yalokho ingase ilele emzimbeni womuntu. Amahomoni amantombazane adlala indima ebaluleke kakhulu ekuhlangenwe nakho kobuhlungu, futhi umehluko emakhemikhali ebuchopho nokulala kungadlala kuwo, futhi.
Ukuhlukana Kwama-Hormonal
Umehluko obala kakhulu phakathi kwe-fibromyalgia emadodeni ngokumelene nabesifazane yi-hormonal.
Kwabesifazane, ama-flares avame ukuboshwa ekujikelezeni kokuya esikhathini , futhi izenzakalo ze-hormone ezifana nokuya esikhathini sokuqala noma i-hysterectomy zingabangela izimpawu.
Ngokuqinisekile, amadoda ayinayo imicimbi ye-hormonal ebonakalayo. Kuze kube manje, izifundo zokuhlola ukushintshashintsha kwama-hormonal abesilisa noma ukungavamile kwe-fibromyalgia akukaze kwenziwe, ngakho asazi ukuthi iyiphi indima, uma ikhona, la mahomoni ayidlala. Ngokuvamile, sinakho ubufakazi bokuthi ama-hormone abesilisa abathinta ubuhlungu ngezindlela ezithile.
I-testosterone, i-hormone eyinhloko yamadoda, kucatshangwa ukuthi idlala indima ebalulekile uma kuziwa ebuhlungu ngokujwayelekile. Ucwaningo lubonisa ukuthi lungasiza ekuvimbeleni ukukhathala kwemisipha futhi, ngokuhambisana neprotheyini ethile, kungasiza ukulungisa imisipha ngemva kokuzivocavoca. Amahomoni angamadoda angathinta nezinye izinqubo eziphilayo ezihlobene nokukhathala nobuhlungu.
Siphinde sazi ngokuhlukana okuphathelene nobulili ku-hormone yokucindezeleka i-cortisol, okuyinto ucwaningo olubonisa ukuthi luphansi kwe-fibromyalgia.
Ucwaningo olulodwa olushicilelwe kwi- Health Psychology ngo-2008 lwabonisa ukuthi amazinga e-cortisol ayehlukile kwabesifazane abashadile abajabulayo kunabalingani babo abangashadile ngesikhathi amadoda engabonakali noma yikuphi ukungezwani okusekelwe enjabulweni yomshado. Abacwaningi bacacise ukuthi lokhu kungachaza ukuthi kungani izimo ezibandakanya i-cortisol encane inamathuba amaningi kubantu besifazane.
I-Brain Chemistry
Ubuchopho besilisa nabesifazane abufani. Omunye umehluko ongathonya ukuthi yi-fibromyalgia efana nobunikazi ngayinye yi-neurotransmitter (isithunywa samakhemikhali) se- serotonin .
I-Serotonin ikholelwa ukuthi idlala indima ebalulekile ku-fibromyalgia. Izindawo zalo zethonya zihlanganisa ubuhlungu, ukulala, ukukhathazeka nokucindezeleka. Olunye ucwaningo lubonisa ukuthi uhlelo lwe-serotonin lusebenza ngokuhlukile emadodeni kunabesifazane.
Ucwaningo olwenziwa ngo-2008 lwanyatheliswa ku- Neuroimage lubonise ukuthi amadoda anama-receptors ambalwa (amaseli ebuchopho asabela kulo) kunabesifazane. Kodwa-ke, inqubo yokuvuselelwa kabusha- okungukuthi "ngokuphindaphindiwe" ngakho-ke i-neurotransmitter ingasetshenziswa futhi-ingase iphumelele nakakhulu emadodeni.
Izidakamizwa eziphuza ukuphuza i-reuptake zivame ukushiwo i-fibromyalgia. Zibizwa nge-SSRIs (i-serotonin reuptake inhibitors ekhethiwe) noma i-SNRIs (i-serotonin-norepinephrin reuptake inhibitors. Izidakamizwa ezimbili ezivunyelwe kulo mqathango yi-SNRIs: i- Cymbalta (duloxetine) ne- Savella (i-milnacipran) .
Ngenxa yokungafani kobulili ohlelweni lwe-serotonin, odokotela abathile baye basikisela ukuthi lezi zidakamizwa zihlolwe amadoda nabesifazane ngokwehlukana. Lokhu akukenzekanga okwamanje, kodwa sinokufakaza kobuningi bokuthi amadoda nabesifazane basabela ngokuhlukile kulezi zigaba zemithi.
Ucwaningo oluhlukile olushicilelwe kwi- Biological Psychiatry ngo-2007 lubonise ukuthi ukwehlisa amazinga e-serotonin womzimba akuthinti amadoda nabesifazane ngendlela efanayo. Kwabesifazane, kubangele ukuhlakulela isimo sengqondo nokwandisa ukuziphatha okuqaphayo. Amadoda ayengenayo imizwa yashintsha nhlobo kodwa yaba nempumputhe, abacwaningi bathi.
Lezi zinhlobo zokungafani, esingaziqondi ngokugcwele, zingenza i-fibromyalgia ibe nzima ukubona odokotela abajwayele ukubona izinkinga zemizwelo ezigulini zabo ze-fibromyalgia.
Ingabe Ukulala Kubaluleke Kakhulu Kwabesilisa?
Ucwaningo olushicilelwe ngo-2012 ku- Psicothema lubukeka ukuhlukana kobulili emigqonyeni emikhulu ye-fibromyalgia, kuhlanganise nobuhlungu, ukulala, ukukhathala, ukukhathazeka kwengqondo, ukucindezeleka ngokomzwelo, nokusebenza.
Abacwaningi bathola ukuthi ikhwalithi yokulala yayiyindlela engcono kakhulu yokwenza ubuhlungu emadodeni kodwa hhayi kwabesifazane.
I-Fibromyalgia iyaziwa ukuthi ihilela ukulala okungavamile futhi ijwayele ukubhekene nokukhathazeka okukodwa noma ngaphezulu kokulala nokulala okungapheli . Lolu cwaningo lubonisa ukuthi ukuhlonza nokuphatha izinkinga zokulala kungabaluleke nakakhulu kubantu.
Ukuqonda ukuhluka
Kuze kube manje, asinalo ulwazi olwanele lokuqonda ngokungafani umehluko wesipiliyoni sabantu besilisa nabesifazane. Njengoba sifunda kabanzi, kokubili mayelana nalesi simo nokuhlukana kobulili ngokujwayelekile, cishe sizofunda okuningi.
Kuze kube yileso sikhathi, kubalulekile ukuqwashisa ukuthi amadoda angenza futhi athole i-fibromyalgia.
> Imithombo:
Burnes LA, futhi. al. I-American Journal of Physiology. 2008 Apr; 294 (4): R1347-55 Ukukhathala kwemisipha okuthuthukisiwe kwenzeka emadodeni kodwa hhayi abesifazane ASIC3 - / - amagundane.
Jovanovic H, et. al. I-NeuroImage. 2008 Feb 1; 39 (3): 1408-19. Ukuhlukana kocansi ku-serotonin 1A receptor kanye ne-serotonin transporter ebopha ebuchosheni bomuntu obulinganiselwe yi-PET.
Saxbe DE, Repetti RL, Nishina A. Ezempilo Psychology. 2008 Jan; 27 (1): 15-25. Ukwaneliseka emshadweni, ukuvuselelwa emsebenzini, kanye ne-cortisol ye-diurn phakathi kwamadoda nabesifazane.
Walderhaug E, et. al. Psychiatry yezinto eziphilayo. 2007 Sep 15; 62 (6): 593-9. Imiphumela ehlangene yobulili kanye no-5-HTTLPR ngombono nokungahambi kahle ngesikhathi sokunciphisa i-tryptophan kubantu abanempilo.