I-Skinny Ngezinkinga Ezibuhlungu Ezibili
Ukuba ne- headache disorder disorder - njenge-migraine noma inhlobonhlobo yekhanda lokuhlukumezeka - inzima kakhulu. Ngeshwa, iningi labagulayo ikhanda libekezelela nezinye izifo zezokwelapha. Isimo esisodwa sezokwelapha esibonakala ubuhlungu nokukhathala - okuthiwa i-fibromyalgia - ngezinye izikhathi kuhambisana nokukhathazeka kwekhanda. Ukuqonda lokhu kuxhumano kungathinta indlela ophethe ngayo izimpawu zakho, nokuthi udokotela wakho uyakuthinta kanjani.
Kuyini i-Fibromyalgia?
I-Fibromyalgia (FM) yisimo sezokwelapha esibangela ukusabalalisa, ubuhlungu obukhulu bomzimba we-musculoskeletal nokukhathala okukhulu. Abanesifo se-fibromyalgia bavame ukuveza ukuthi banomuzwa wokuthi banomkhuhlane noma "bayalimala konke."
I-Fibromyalgia ihlolwe kanjani?
Ngokusho kwe- American American College of Rheumatology noma i-ACR criteria, i-fibromyalgia yisimo esibuhlungu esingapheli esibangela lokhu okulandelayo:
- I-Index Yezinhlungu Ebanzi (WPI) ≥ 7 NE-Symptom Severity (score) yesilinganiso ≥ 5 NOMA I-WPI 3-6 ne-SS isilinganiso sezinga ≥ 9.
- Izimpawu azichazwe ngesinye isimo sezokwelapha.
Inkomba yezinhlungu ezandayo (WPI) ibhalwa udokotela nemigqa ngamaphuzu avela ku-0-19, ngokususelwa kwinani lamasayithi isiguli esibika ubuhlungu ngesonto elidlule (isib. Ibhande elingakwesokunxele, ibhande lekunene, i-hip kwesokunxele ). Isibalo sezinga le-Symptom Severity (SS) yinombolo ephakathi kuka-0-12 efaka inani lemikhawulo yezimpawu ezingu-3 (ukukhathala, ukuvuswa okungabuyiswanga ekuseni, izimpawu zokucatshangelwa), kanye nobukhulu bezimpawu ze- somatic noma "zomzimba".
Yiqiniso, udokotela wakho uzolawula ezinye izimo zezokwelapha ezingase zibangele ubuhlungu obukhulu bomzimba obufana nesifo: isifo se-thyroid, isifo samathambo , ukucindezeleka, noma imithi ye-myopathies evuthayo.
Ekuhlolweni ngokomzimba, iziguli zingase zibe nezindawo eziningana zomzimba we-muscle, kodwa ngokuvamile zihlolwe ukuhlolwa kwegazi.
Ukuhlolwa kwelabhulali okuyalelwe udokotela wakho kuyovame ukuba yinto evamile futhi hhayi ukusikisela kwesifo sezokwelapha esingalingisa i-fibromyalgia. Ngaphandle kokuhlukunyezwa kwamasuli nokukhathala, ezinye izimpawu ezivamile ze-fibromyalgia zihlanganisa:
- Ukuphazanyiswa kwengqondo, ikakhulukazi ukucindezeleka nokukhathazeka
- Ubunzima bokulala (isib. "Ngizizwa ngikhathele ngisho nangemva kokulala ubusuku bonke.")
- I-Memory Loss
- Izintambo-Thayipha izinsizi
Abanye abantu abane-fibromyalgia nabo babhekene nezinye izimo zezokwelapha ezihlobene nobuhlungu njenge:
- I-syndrome e-irritable syndrome
- Ubuhlungu obungapheli be-pelvic
- I-syndrome ebuhlungu yesibindi eyaziwa njenge-cystitis yangaphakathi
Ingabe Kukhona Isixhumanisi Phakathi kwe-Fibromyalgia Nezinsizwa?
Yebo. Kwesinye isifundo se- Journal of Headache and Pain , kwezihloko ezingu-889 ezinezinsizwa, 20% nazo zaba ne-fibromyalgia - kuhlanganise no-35% ngezinhlobonhlobo zezintambo kanye no-44% ezinezinsizwa ezingapheli ezinhlobonhlobo .
Ekugcineni, kwesinye isifundo se- Neurology, okubhekiswe kubantu base-migraine, u-35.6% weziguli ezine- migraine eshintshiwe yayine-fibromyalgia kanti i-22% ne-episodic migraine yayine-fibromyalgia.
Le miphumela ibonisa ukuxhumanisa okuhle noma ubudlelwano phakathi kwekhanda kanye ne-fibromyalgia. Lokho kushiwo, khumbula ukuxhumana akusho ukuthi isimo esisodwa sezokwelapha sibangela enye.
Zombili izinwele kanye ne-fibromyalgia yizifo eziyinkimbinkimbi - ngakho isimo esiqondile sokuxhumana phakathi kwazo akucaci ngalesi sikhathi.
Ubani Okungenzeka Kakhulu Ukuhlupheka Kwe-Headache Disorder ekungezeni ku-Fibromyalgia?
Ukuba khona kwesifo sekhanda kumuntu onokuthi i-fibromyalgia kungenzeka kakhulu uma umuntu enenhloko enkulu yezinsizwa futhi enesisindo somzimba esizungeze isikhumba. Izinkinga zokukhathazeka nezinkinga zokulala zingase zenze abantu babe ne-fibromyalgia ukuthuthukisa ikhanda.
Isithombe esikhulu
Akuyona into engavamile kubantu abahlukunyezwa yi-fibromyalgia ukuba nabo babe nesifo sekhanda futhi ngokufanayo.
Uma unayo kokubili, udokotela wakho angase ahlele uhlelo lwakho lwezokwelapha ukuze aphathe kahle kokubili izimo zezokwelapha. Hlala usebenza ngokunakekelwa kwezempilo.
Imithombo
de Tommaso M et al. Izici zomtholampilo zeziguli ezikhanda ikhanda nge-fibromyalgia comorbidity. I-J Headache Pain. Dec 2011; 12 (6): 629-638.
Ifergane G, Buskila D, Simiseshvely N, Zeev K, & Cohen H. Ukusabalalisa kwe-fibromyalgia syndrome ezigulini ze-migraine. I-Cephalalgia . 2005; 26: 451-456
UMarcus DA, uBernstein C, noRudy TE. I-fibromyalgia nekhanda: isifundo se-epidemiological esisekela i-migraine njengengxenye ye-fibromyalgia syndrome. I-Clin Rheumatol. 2005 Nov; 24 (6): 595-601.
I-Mease P. Fibromyalgia syndrome: ukubuyekezwa kwesethulo somtholampilo, i-pathogenesis, izinyathelo zomphumela, kanye nokwelapha [ukukhishwa okushicilelwe kuvela ku-J Rheumatol Suppl. 2005; 32: 2063]. J Rheumatol Suppl. 2005; 75: 6-21. - Bona okuningi ku: http://www.rheumatologynetwork.com/fibromyalgia/new-and-modified-fibromyalgia-diagnostic-criteria#sthash.pDSLAz72.dpuf
Peres MF, Young WB, Kaup AO, Zukerman E, no-Silberstein SD. I-fibromyalgia ivame kakhulu kwiziguli ezine-migraine eguqulwe. I-Neurology . 2001; 57: 1326-1328
Tommaso M et al. I-Fibromyalgia comorbidity kumakhanda oyinhloko. I-Cephalalgia . 2009; 29: 453-464.
U-Wolfe F et al. Izibalo ze-Fibromyalgia kanye nezilinganiso eziqine kakhulu zezifundo zemitholampilo kanye ne-epidemiological: ukuguqulwa kwe-ACR Pregnination Criteria Criteria for Fibromyalgia. J Rheumatol. 2011; 38: 1113-1122.
QAPHELA: Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .