Ukuphenya I-Connection
I-Hypermobility Joint ne-Fibromyalgia
Izimpawu ze-Fibromyalgia zingaba nezifo ezizimele kanye nezinye izimo ze-arthritis okwenza kube nzima ukuxilonga. Izimpawu ezicacile ze-fibromyalgia ngokuvamile zihlotshaniswa nezinye izimpawu ezithintekayo nezenhloso ezenziwa ngokuhlanganiswa. Imbangela ye-fibromyalgia ibhekwa njengeyinkimbinkimbi njengoba isethulo sayo semitholampilo.
Isizathu esiqondile se-fibromyalgia namanje asiqondakali kahle kodwa izindlela eziphakanyisiwe zifaka:
- ukuzwela ubuhlungu obungavamile
- ukuphazamiseka kokulala
- amazinga angavamile okujikeleza kwezinto eziphakathi kwegazi
- imisipha yamasipha engajwayelekile, isakhiwo noma ukusebenza
Kuye kwaphakanyiswa ukuthi ukuxuba okuhlangene (JH) kungahle kuhlotshaniswe ne-pathology ye-fibromyalgia.
- Imibuzo: Ungabe Unayo I-Fibromyalgia?
Kuyini ukuxuba okuhlangene?
Ukungaxhunyiwe okuhlangene kuchazwa ngokuthi "ukunyuka okungavamile kwamajoyina amancane namakhulu kunemingcele yokunyakaza kwabo ngokomzimba". Ukuxuba okuhlangene (ukubona umdwebo) kuvamile phakathi kwabesifazane abasebasha futhi kubonakala cishe ku-5% wabantu abadala abadala abanempilo. Uma izimpawu ze-musculoskeletal zenzeka kubantu abanomshuwalense ngaphandle kokunye ukugula kwesimiso se-rheumatological, kubizwa ngokuthi "hypermobility syndrome". Ukuxuba okuhlangene nakho kuyisici sesimo sezokwelapha esibizwa ngokuthi i-Ehlers-Danlos syndrome (EDS) esibonakala ubuthakathaka bezicubu zomzimba zomzimba.
Ukufundwa: Ukuhlanganyela Okuhlanganyelwe Ne-Fibromyalgia
Esicwaningweni esibikwe kuyi-Journal of Rheumatology, ukuhlangana phakathi kokuhlanganiswa kokuxhuma kanye ne-fibromyalgia eyinhloko kwaphenywa. Iqembu labacwaningi lalineziguli ezingu-88 (bonke abesifazana, abaneminyaka engama-34 ubudala) abanezinhlungu ezitholakala emitholampilo ebizwa ngokuthi i-fibromyalgia nemithetho engu-90 enempilo (bonke abesifazane, abaneminyaka engama-36 ubudala).
Okungafakwa kulolu cwaningo kwakuyi:
- iziguli ezinamanye ama-rheumatological or systemic disorder.
- iziguli ezinanoma iyiphi enye inqubo yokuvuvukala noma i-arthritis esebenzayo.
- noma ubani oye wathola imithi.
Iziguli zazingakaze zitholwe ukuthi zine- rheumatologist ngaphambi kokuba zifundwe futhi zingazange ziphathwe nge-fibromyalgia.
Inqubo Yokufunda
Zonke iziguli zavunyelwa ngokusekelwe ebuhlungu obubanzi obuhlala isikhathi esingaphezu kwezinyanga ezintathu. Iziguli kanye nezilawuli zaqale zahlolwa yi-rheumatologist. Iziguli zathola ukuhlolwa okuningiliziwe nangokwengeziwe ngamanye odokotela ababili (abaphuthelwe ukuhlolwa kokuqala) ekunqumeni kwe-fibromyalgia nokuxuba okuhlangene.
I-Fibromyalgia yahlolwa kuzo zonke iziguli ngokubuza imibuzo mayelana nezikhalazo ezivamile ezihlobene nalesi sifo. Batholakala ukuthi bane-fibromyalgia uma behlangana ne-American College of Rheumatology (ACR) criteria yokuhlukaniswa nokuxilongwa kwe-fibromyalgia. Ukungaxhunyiwe okuhlangene kwakubhekwa njengamanje kuziguli ezisekelwe ku-Beighton ukuguqulwa kwe-Carter ne-Wilkinson yokulinganisa kokuxhuma okuhlangene.
Imiphumela Yokufundwa
Iziguli ezingamashumi ayisithupha nesithupha kweziguli ezingu-88 ezinesifo esasakazeka ekuqaleni ezafana ne-fibromyalgia zihlangabezane ne-ACR criteria ye-fibromyalgia, kanti izilawuli ezingu-6 kwezingu-90 eziphilile nazo zahlangabezana ne-ACR criteria.
Iziguli ezine-fibromyalgia noma ezingenayo nazo zazifaniswa nemvamisa ye-hypermobility ehlangene. Ukuvama kokuxhuma okuhlangene kwaba:
- 8% kuziguli ezine-fibromyalgia.
- 6% kuziguli ngaphandle kwe-fibromyalgia.
Ukungaxhunyiwe okuhlangene nakho kwaqashelwa ezigulini eziyi-10 zeziguli ezingu-32 ezine-fibromyalgia ezingazange zihlangabezane ngqo nemigomo ye-ACR. Ukuba khona kokuxhuma okuhlangene kwakuvame kakhulu kuleli qembu kunokulawula.
Isiphetho Sokufunda
Ukuhlangana phakathi kwe-fibromyalgia nokuxuba okuhlangene akuqondi ngokuphelele. Ukungaxhumani okuhlangene kungabangela i- arthralgia evamile ezigulini ngenxa yokusebenzisa kabi kabi noma ukusebenzisa ngokweqile amajoyina angama-hypermobile.
Idatha kusuka kulolu cwaningo lwakhiwe:
- Izikhalazo ezijwayelekile ze-fibromyalgia zazibhekwa ngokuyinhloko ezigulini eziye zahlangabezana nezimfuneko ze-ACR.
- Ezinye iziguli ezibonisa izimpawu ze-fibromyalgia ngemitholampilo kodwa azihlangabezani nemigomo ye-ACR kungenzeka empeleni ibe nokungaxhunyiwe okuhlangene okungaqondwanga njenge-fibromyalgia.
Ukuzibandakanya okuhlanganisiwe kuqala kuvezwe ngezincwadi ze-rheumatology ngo-1967. Namuhla, ukuxuba okuhlangene kuqondwa kangcono futhi kubonakala kabanzi. Kodwa-ke, uphenyo olwengeziwe nokucwaninga kusadingeka ukuze ufunde kabanzi mayelana nokuxhumana phakathi kokuxhuma okuhlangene kanye ne-fibromyalgia.
Umthombo:
I-Joint Hypermobility kanye ne-Fibromyalgia Eyinhloko: I-Clinical Enigma, Journal of Rheumatology, July 2000 (27: 1774-6)