Abanye Abantu Benazo Zombili Izimo Ngesikhathi esisodwa
I-fibromyalgia ne- arthritis ye-rheumatoid kukhona kokubili izimo ezibuhlungu ezingapheli. Ngezimo ezimbili ezinikeza ezingeni lakho lobuhlungu, kunzima ukwazi ukuthi ungayiphatha kahle kanjani.
- Ungabe Unayo I-Fibromyalgia?
- Ungabe Unayo I-Arthritis?
Abantu abanesifo se-fibromyalgia ne-rheumatoid arthritis bangakwazi kanjani ukuthi imiphi impela eyenza ubuhlungu babo bukhulu? Yiziphi izici noma izici ezihlukanisa phakathi kwezimo ezimbili?
Iyiphi inkambo yokwelashwa engcono kunazo zonke abantu abanezinhlangothi zombili ze-fibromyalgia ne-rheumatoid arthritis? Sabuza uScott J. Zashin, MD, uprofesa wothisha wesifundazwe e-University of Texas Southwestern Medical School, Division of Rheumatology, eDallas, eTexas.
Izimpawu Ezihlukanisa I-Fibromyalgia Ne-Rheumatoid Arthritis
Ngokusho kukaDkt. Zashin, "Uma abantu bekhononda ngobuhlungu besandla phakathi kwezinye izimpawu, isibonelo, kungase kube nzima ukuhlukanisa i-rhumatoid arthritis kusuka ku-fibromyalgia. Kunezindlela eziningana zokwahlukanisa. Okokuqala, i-arthritis ye-rheumatoid ayibandakanyi ukuhlanganiswa kwe-DIP ( ukuhlanganiswa kwe-interphalangeal distal noma ukuphela kokungasondeli kwezipikili) ngakho-ke uma kunesisa lapho, ukuxilongwa kwe-fibromyalgia kuyodlalwa noma mhlawumbe i-osteoarthritis. Okwesibili, i-fibromyalgia ayihlotshaniswa nokuvuvukala okuhlangene okuvame ukwenzeka nge-rheumatoid arthritis, nakuba iziguli ze-fibromyalgia zivame ukukhononda ukuthi amalunga awo "azizwa" avuvuka.
Isikhalazo sobuhlungu bomzimba obubanzi obuhambisana nama- fibromyalgia tender amaphuzu angeke ahambisane ne-fibromyalgia hhayi i-rheumatoid arthritis. "
Izincomo Zezokwelapha Zabantu Ababili Izimo
UDkt. Zashin waqhubeka "Indlela yokwelapha engcono kunazo zonke iziguli eziphethwe yi-fibromyalgia kanye ne-rheumatoid arthritis, kumele ziqale ukwelapha isifo samathambo, ngoba isifo samathambo sivame ukuhambisana nokukhubazeka okuhlangene nokukhubazeka .
Ukukhula okuqhubekayo kwe-arthritis ye-rheumatoid nokuvimbela ukulimala okuhlanganyelwe okuqhubekayo kuyona okubaluleke kakhulu. "
"Uma i-arthritis ye-rheumatoid ilawulwa kahle ngokususelwa ekuhloleni okuhlangene , kanye nezinyathelo zokuvuvukala , njengezinga lokudlulela phansi kanye neprotheyini esebenzayo ye-C (CRP), kodwa isiguli sisakhononda ngobuhlungu nokukhathala, umsebenzi we-fibromyalgia kufanele ucatshangelwe Ukwelashwa, kulesi simo, kufanele ugxile ekuthuthukiseni ikhwalithi yokulala ngokuphumula okukhulayo nokuzivocavoca. I- apnea yokulala kufanele ikhishwe, uma izimpawu zokukhathala zikhona ezibalulekile emitholampilo. Imithi esetshenziselwa i-fibromyalgia kufanele icatshangelwe, kuhlanganise ne-tricyclic anti-depressants, i-serotonin ekhethiwe i-reuptake inhibitors (i-SSRI), nemishanguzo ye-gabanergic njenge-Neurontin (gabapentin) noma iLyrica (pregabalin) , "kusho uDkt. Zashin.
Phakathi kwezinye izidakamizwa ezingasetshenziswa, i- Cymbalta (i-duloxetine HCl) yayiyi-inhibitor yokuqala ye-serotonin-norepinephrine evezwe ukunciphisa ubuhlungu ezigulini ze-fibromyalgia. I-Savella (i-milnacipran) , i-serotonin ekhethiwe kanye ne-norepinephrin ephindaphindiwe yokuguqula i-inhibitor, ikhulisa i-norepinephrine nomsebenzi we-serotonin ebuchosheni.
Izwi elivela
Ngokusho kwe-NIAMS (National Institute of Arthritis and Musculoskeletal and Skin Skin), kulinganiselwa ukuthi i-fibromyalgia ithinta abantu abayizigidi ezingu-5 baseMelika abaneminyaka engu-18 noma ngaphezulu.
Yize noma ubani engathinteka yi-fibromyalgia, amaphesenti angu-80 kuya kwangu-90 alabo abathintekayo abanesimo abesifazane. I-arthritis ye-rheumatoid ithinta abantu abayizigidi ezingu-1.5 base-US. Ngesikhathi noma ubani engakwazi ukuhlakulela isifo samathambo, sithinta abesifazane ababili kunamadodakazi amaningi kunamadoda.
I-NIAMS iphinda ithi abantu abanezifo ezithile zesifo se-rheumatic, njenge-arthritis ye-rheumatoid, i- systemic lupus erythematosus , noma i- splonyl e-ankylosing kubonakala sengathi banokuthi babe ne-fibromyalgia. Futhi, nakuba ukusabalalisa kwesifo samathambo kubonakala sengathi sikhuphuka kubantu asebekhulile, abacwaningi baye baqaphela ukuthi wehla kubantu abasha.
Nakuba imithi yokuhlunguphazwa isetshenziselwa ukwelapha kokubili i-fibromyalgia ne-rheumatoid arthritis, eminye imithi izohluka. Lokho kusho ukuthi ukuguqulwa kokuphila okubandakanya ukuvivinya umzimba kanye nemikhuba emihle yokulala ngokuqinisekile kuyosiza bobabili. Ayikho isincomo esiqondile sokudla kulezi zimo ezimbili, kodwa ukudla ukudla okunempilo, okunempilo akukwazi ukulimaza. Ukudla okungavimba ukuvuvukala kungaba yinto ongayenza.
> Imithombo:
> I-Handout Health: I-Arthritis ye-Rheumatoid. I-NIAMS. February 2016.
> Imibuzo nezimpendulo Mayelana neFibromyalgia. I-NIAMS. Julayi 2014.
> Kelley's Bookbook of Rheumatology. Umagazini wesishiyagalolunye. Elsevier