Indlela I-Fibromyalgia Eyitholwa Ngayo

Ukuxilongwa kuqala ngokungafani nazo zonke ezinye izimbangela

I-Fibromyalgia yisifo esinzima ukuxilonga. Ngenxa yokuthi ayiqondakali kahle, akukho ukuvumelana okucacile ngokuthi yiziphi izinyathelo ezingasetshenziswa noma ezizosetshenziselwa ukuxilongwa. Ngaphezu kwalokho, ngisho noma unezibonakaliso zesifo-kuhlanganisa ubuhlungu obungapheliyo obukhulu futhi ukukhathala-ukutholakala kwebhu nobunikazi be-imaging kuzovame ukuvela ngokujwayelekile.

Lokhu akusikisela ukuthi awugula.

Kulula ukuthi asikaqondi ukuthi lesi sifo sisebenza kanjani nokuthi kungani ubuchopho buhlukumeza ngokucacile izibonakaliso zobuhlungu emzimbeni.

Ngenxa yalokhu, indlela kuphela esingayenza ngayo ukuthi uthola i-fibromyalgia ngokuqala lokho okubizwa ngokuthi ukuxilongwa kokukhipha. Lena inqubo yokubuhlungu lapho udokotela wakho ezobukeza khona futhi aqede zonke izimbangela zezimpawu zakho. Kuyinto kuphela ukukhipha abanye abasolwa, ngamunye, ukuthi ekugcineni singaqiniseka ukuthi wena, ngempela, une fibromyalgia.

Imfuneko Yokuthola

Ngoba akekho uvivinyo olutholakala ukuqinisekisa i- fibromyalgia , udokotela wakho kumele athembele kuphela ephaneli lakho lezimpawu ukuze uthole ukuxilongwa. Ukuxilongwa ngokuvamile kuzobhekwa ngumphathi wezokwelapha owaziwa ngokuthi yi- rheumatologist obhekene nezifo ze-musculoskeletal kanye nezifo ezizimele . Izazi ze-neurologists kanye nezisebenzi ezivamile zingase zithole nesipiliyoni ukuhlola ukuhlolwa.

I-criteria ye-diagnosis yasungulwa yi-American College of Rheumatology (ACR) ngo-1990 futhi yabuyekezwa okwesikhashana ngo-2010 ukuze ivumele indlela ewusizo yokuxilongwa. Namuhla, esikhundleni sokuthola lesi sifo umlando nendawo yobuhlungu, iziqondiso ezintsha zihlola izindlela ezintathu eziyinhloko:

1. Yeka ukuthi ubuhlungu bukhulu kangakanani nokuthi uhlangabezana kanjani nezimpawu zesifo
2. Kungakhathaliseki ukuthi izimpawu ziye zaqhubeka kuleli zinga okungenani izinyanga ezintathu
3. Kungakhathaliseki ukuthi azikho ezinye izincazelo zezimpawu

Ukuqinisekisa ukuxilongwa, udokotela uzosebenzisa uhlelo oluthile oluthiwa yi- ACR Fibromyalgia Diagnostic Criteria efaka ukuhlolwa okubizwa ngokuthi inkomba yokusabalalisa evamile (WPI) kanye nomunye obizwa ngokuthi isilinganiso se-SS.

Ngenkathi uhlelo lwe-ACR luvame ukusetshenziswa, lunabaphikisi balo abakholelwa ukuthi i-fibromyalgia akufanele ihlolwe njengesifo somzimba (somzimba) kodwa esinye sezimo ezingokwengqondo nokucindezeleka kwengqondo nakho kuhlolwe.

Ukuxilongwa kwe-Exclusionary

Ngaphambi kokuhlola izimpawu zamanje, udokotela wakho kuzodingeka akhiphe noma yisiphi isifo noma isifo esinezimpawu nezici ezifanayo. Kuye ububanzi bezimpawu onayo (ukugaya ukudla, ukugaya, ukugula kwengqondo, njll), uhlu lungaba lukhulu kakhulu.

Phakathi kwamathuba:

• Isifo se-Addison
• Utshwala
• I-osteoarthritis ejwayelekile
• I-Guillain-Barre syndrome
• I-Hypothyroidism
• Hyperparathyroidism
• Ukugula ukukhathazeka kwesifo (IAD)
• Lupus
• Isifo se-Lyme
• Ukuhlukunyezwa
• I-Multiple Sclerosis (MS)
• I-Myasthenia gravis (MG)

• I-polymyalgia rheumatica
• I-post-traumatic stress disorder (PTSD)
• I-rheumatoid arthritis
• I-Schwartz-Jampel syndrome
• Scleroderma

Inselele ekuhloleni i-fibromyalgia yilezi ezinye izimo ezingase zibe khona nge fibromyalgia futhi zibe nezibonakaliso ezifanayo noma ezigqamile. Ngokwesibonelo, uma i-arthritis noma i- apnea yokulala ifunyanwa , ukuxilongwa kungase kuchaze ezinye zezibonakaliso ezibalulekile ozibonayo kodwa hhayi ezinye.

Njengalokhu, udinga umhlengikazi onolwazi okwazi ukwenza izihlukaniso ezicashile.

Inkomba Yezinhlungu Ebanzi

Inkomba yezinhlungu ezandakazekayo (WPI) iphula umzimba phansi ezingxenyeni ezingu-19, ngayinye ebhekwa njengendawo yokuzibandakanya.

Ngamunye unikezwa amaphuzu we-1 uma uke wabhekana nobuhlungu kuleso sigaba somzimba phakathi nesonto elidlule.

I-WPI ikucela ukuba ubonise uhlobo lobuhlungu obunalo (njengobunzima noma obukhulu) noma ucabangele amaphuzu amathenda (amaphuzu okubangela ubuhlungu) ayevame ukuba phakathi kwe-diagnostic.

Izingosi ezingu-19 ezibuhlungu ezifakwe ekuhloleni yizo (kusukela phezulu kuya phansi):

• Umhlathi
• Umhlathi wesobunxele
• Umkhumbi
• Ibhande lokugqeba kwesokudla
• Ibhande elibheke ngakwesobunxele
• Ingalo engaphezulu kwesokudla
• Ingalo engaphezulu engakwesokunxele
• Ingalo ephansi kwesokudla
• Ingalo engezansi engakwesokunxele
• Phezulu emuva
• Yehlisa emuva
• Isifuba
• Isisu
• I-hip / umuthi / ithanga eliphezulu
• I-hip / i-buttock / ithanga elingenhla
• Umlenze ongaphezulu ongakwesokudla
• Umlenze ongaphezulu ongakwesokunxele
• Umlenze ophansi kwesokudla
• Umlenze ophansi ongakwesokunxele

Amaphuzu aphezulu we-WPI angama-19.

Isilinganiso se-Scale Severity Scale

Isilinganiso sokuqina (SS) silinganisa izibonakaliso ezine ezicatshangwa ezichazwe ekuhlungulweni kwe-fibromyalgia. Isibonakaliso ngasinye senziwa ngezinga lika-0 kuya kwezingu-3, ​​ne-0 asisho izimpawu, 1 kusho izimpawu ezincane, 2 ezichaza izimpawu ezilinganisiwe, kanti 3 zikhombisa izimpawu ezinzima. Le score isekelwe ngobukhulu bezimpawu ezenzeke ngesonto elidlule.

Izimpawu ezine ezihlolwe kulezi zindlela ziyi:

• Ukukhathala
• Ukuvuka ekulaleni kungabuyiselwa
• Izimpawu ezicatshangelwayo (kufaka phakathi inkathazo yokugxila, ukudideka, ukuphazamiseka nokuqonda okungaqondakali)
• Izimpawu zesimiso somzimba (ukuzwa ngokomzimba njengokubuhlungu, isizungu, isicashu, ukuphazamiseka, noma izinkinga zesisu)

Isikali esiphezulu esilinganisweni se-SS sinama-12.

Ukuqinisekisa ukuxilongwa

Uma kungekho enye incazelo yezibonakaliso zakho ezitholakala, udokotela wakho uzoqinisekisa ukuthi i-fibromyalgia ixilongwa ngokusungula ukuthi ngabe izikolo zakho ezihlangene ze-WPI nezi-SS zihlangabezana noma yiziphi ezimbili ze-ACR criteria zokufaka:

• Isaphulelo se-WPI esingu-7 noma ngaphezulu, kanye nesilinganiso se-SS esingu-5 noma ngaphezulu
• I-WPI score of 3 kuya 6, kanye nesigaba SS of 9 noma ngaphezulu

Ngemuva kwalokho, uma udokotela engakwazi ukuthola ukuthi izimpawu zakho zikhona ezingeni elifanayo noma elifanayo okungenani izinyanga ezintathu, uzotholakala ngokusemthethweni ukuthi une-fibromyalgia.

Uma ukuxilongwa kuqinisekisiwe, wena nodokotela wakho ungaqala ukuhlola ukhetho lwezokwelapha . Lokhu kungase kube yinkqubo ende futhi eqhubekayo, kodwa eyodwa engakubeka emgwaqweni ukuze uthole ukubuyiswa kwesifo esingcono nakakhulu sezempilo.

> Imithombo:

> Bellato, E .; I-Marini, E .; Castoldi, F. et al. I-Fibromyalgia Syndrome: i-Etiology, i-Pathogenesis, i-diagnosis, ne-Treatment. Ukuphathwa Kwezinhlungu. 2012; 2012: 426130. DOI: 10.1155 / 2012/426130.

> Wolfe, F .; Clauw, D .; Ama-Fitzcharles, M .; et al. I-American College of Rheumatology indlela yokuhlola yokuthoma ye-fibromyalgia nokulinganisa kwesibindi sezimpawu. I-Arthritis Care Res. 2010; 62 (5): 600-10. I-DOI: 10.1002 / acr.20140.