Ukuthola iphethini yesignesha kuyisihluthulelo
Ingabe ukutholakala okusekelwe kuma-high-tech scan scans kuhlinzeka indlela entsha yokuthola uphinde uphathe i- fibromyalgia ? Abacwaningi baseNyuvesi yaseColorado Boulder bathi kungenzeka.
Kwaphela amashumi eminyaka, abacwaningi baye bafuna okuthile emizimbeni yethu ukuthi bangayibonisa futhi bathi, "Niyabona lokho? Yilokho okwenza i-fibromyalgia." Lokho into ethile ayizange ibe nzima, noma kunjalo.
Ngokuqinisekile, sivame ukuba nokusebenza kabi ezindaweni eziningi, kodwa hhayi ngendlela eyingqayizivele ehambisana nesiguli esisodwa kuya kwesinye.
Uma kungeyona eyingqayizivele futhi engaguquki, kungasiza ukuqondisa izinqumo zesifo sokuxilonga, kodwa ayikwazi ukuzimela njengethuluzi lokuxilonga. Ngenxa yokuthi izidakamizwa ezaziwayo nezintambo ze-fibromyalgia ziyahlukahluka kakhulu, futhi ngenxa yokuthi eziningi zazo ziyizici zezinye izifo, sishiye izivivinyo zokuhlola okuncane kakhulu kunalokho.
Ukusesha Amaphethini
Lapho izinzwa zakho (ukubona, iphunga, ukuzwa, njll) zithumela ulwazi ebuchosini bakho, izindawo ezithile zobuchopho zisebenza. Uhlobo lwe-scan engqondweni olubizwa ngokuthi i- functional magnetic resonance imaging (fMRI) ingabona ukuthi yiziphi izindawo ezihilelekile ekucubunguleni lolo lwazi. Ngokungafani ne-MRI ejwayelekile, ehlinzeka kuphela ngesifinyezo sobuchopho, i-fMRI ibonisa ukuthi lo msebenzi ushintsho kanjani ekuphenduleni okwenzekayo.
Ngokusho kocwaningo luka-2016 olwanyatheliswa encwadini ye- Pain , ngokusebenzisa i-fMRI, abacwaningi bathi bangakwazi ukubikezela i-fibromyalgia ngamaphesenti angama-93 enemba.
Lokhu kungenxa yamaphethini omsebenzi oqhubekayo abawabona ebuchosheni.
Ukuze bathole la maphethini, bathatha abantu abangu-37 abane-fibromyalgia nabantu abangu-35 abanempilo futhi bawaveza ngezindlela ezahlukene ngesikhathi se-fMRIs. Lezi zici zihlanganisa izithombe, umsindo, ukuthinta, nokucindezela okubuhlungu.
Lokho kwenza abacwaningi babone ukuthi ubuchopho buphendule kanjani futhi buqhathanise amaphethini ebuchopho obuchotshoziwe be-fibromyalgia kulabo beqembu lokulawula.
Lokho abakutholile kwakunguchungechunge lwamaphethini ama-neurological amathathu ahlanganiswe nobuhlungu bokucindezeleka obuchaza isimo.
Kulungile-amaphethini athile okusebenza kobuchopho abonisa i-fibromyalgia. Kungumfanekiso udokotela angakusho futhi athi, "Yilokho okushiwo i-fibromyalgia."
Ngokuqondile, abacwaningi baphawula impendulo enkulu kulokho ucwaningo olwaluvele lubizwa ngokuthi iSignature ye-Paurologic Pain. Lokhu akusiyo isilinganiso se-fibromyalgia-esithile, noma kunjalo.
Kulokho ababiza khona umaka we-FM, ubuhlungu obunzima buhlanganiswe nezimpendulo ezingavamile ezindaweni eziningi zobuchopho, kufaka phakathi:
- i-insula / operculum, ehlangene nokuhlanganiswa kwezinzwa (impendulo ephakeme)
- izifunda ze-prefrontal eziphakathi, ezibandakanya izinqubo zokuzibonakalisa (ukuphendula okuphakeme)
- i-latal frontal cortex, ehilelekile ekunyanyeni okuzithandela, ulimi, kanye nezibalo (impendulo ephansi)
Izisusa ezingenabuhlungu zaxhunyaniswa nokungajwayelekile kwezinye izifunda ezingaphezulu.
Izimpendulo zazibaluleke nakakhulu kubantu ababika ukuqina okukhulu kwesibonakaliso, futhi.
Impembelelo ku-Diagnostics
Lokhu kuyisibonelo odokotela, iningi labo libhekene nokuhlonza lesi simo.
Kodwa-ke, kubaluleke ngisho nakakhulu iziguli, oye wavame ukuphikisana nobuchwepheshe bezokwelapha nabangane nomndeni ngokuqondile ngoba akukho scan noma ukuhlolwa kwegazi ukuqinisekisa ukuxilongwa.
Kuyaduduza nalabo abasanda kutholakala, abangase bazibuze ukuthi udokotela uqinisile noma uma kukhona okungahambi kahle nabo.
Ukuba nalokhu okusho ukuthi kuzokwenza umehluko omkhulu kuwo wonke umuntu ohilelekile.
"Nakuba ochwepheshe bezinhlungu eziningi beqalile izinqubo zokutholwa kwe-fibromyalgia, ilebula lomtholampilo ayichazi ukuthi kwenzekani ngegazi futhi akubonakali ngokugcwele ukuhlupheka kweziguli," kusho uTor Wager, umqondisi weCU Boulder's Cognitive and Affective Control Laboratory , ekukhululweni kwezindaba.
"Amandla ezinyathelo zobuchopho ezinjengezo esizikhulumile lapha ukuthi angasitshela okuthile mayelana nokungaqondakali okwehlukile okuholela ekuhluphekeni komuntu.
Lokhu kungasisiza bobabili ukuthi sibone i-fibromyalgia yalokho okuyiyo - isifo se-central system yesisindo - futhi siyiphathe kahle, "esho.
Impact on Treatment
Bese kufika umbuzo wokwelapha. Njengamanje, sinamaphilisi athile asebenzayo-kodwa hhayi wonke-abantu abane-fibromyalgia.
Odokotela abaningi bakholelwa ukuthi lesi sifo sakhiwa ngamagqumyana amaningana, okunye okudinga ukwelashwa okuhlukile. Kodwa lezo zingxenye ezincane azichazwa kahle okwamanje, ngakho-ke ngamunye wethu kufanele azame ngemithi ehlukene kuze kube yilapho sibona ukuthi yini esebenza kithi. Kuyindlela ehlala isikhathi eside, evame ukukhungatheka, evame kakhulu ukuthi ingaba yingozi futhi idangele.
Kodwa lokhu kungaba yisinyathelo sokuqala sokushintsha lokho.
"Ithimba lamathuluzi lingasiza ekuqapheliseni iziguli ezingaphansi kwesiguli, okungase kubalulekile ukulungisa ukhetho lwezokwelapha ngesisekelo somuntu siqu," kusho umlobi oholayo, u-Marina Lopez-Sola.
Ngenxa yokuthi izimpendulo zazikhulu kubantu abagulayo, zinganika odokotela indlela enengqondo yokutshela indlela zokwelapha kahle ngayo, futhi.
Kubalulekile ukukhumbula, noma kunjalo, ukuthi lezo zingenzeka, impikiswano yesikhathi eside yalolu cwaningo. Ngaphambi kokuba noma yini ishintshe emphakathini wezokwelapha, sizodinga izifundo eziningi eziningana eziqinisekisa lezi zitholakele. Lokho kuthatha isikhathi.
Okubalulekile Ngokushesha
Ngabantu abangaphezu kuka-70 abahlanganyeli, asikwazi ukulindela odokotela ukuthi baqale ukuphuthumayo iziguli ze-fibromyalgia eziya ku-fMRI ukuze zibheke lezi zindlela, noma zibe nezincomo zokwelashwa eziqondene nezinkampani eminyakeni embalwa elandelayo.
Lesi sifundo sinokubaluleka okusheshayo, noma kunjalo. Okokuqala, linikeza abacwaningi into yokwakha. Lokhu kuya kokubili ukuxilongwa kanye nokwelashwa.
Ngaphandle kwalokhu, kusiza ngokuqhubekayo ukugunyaza lesi sifo. Zonke izici zobufakazi bokuphila esizitholayo, ikakhulukazi lezo ezilula ukubona, kusiza ukunciphisa ukungabaza ochwepheshe bezokwelapha.
Kuyinto futhi esingayibonisa kubangane bethu, umndeni, abaphathi, njll ukuwasiza bona babone ukuthi yebo, siyagula ngempela.
Kulabo abaphila ne-fibromyalgia, ucwaninga olunjengalokhu lungavumela. Liphinde ikhombise abacwaningi abaqhubekela phambili, abahlinzeka ngethemba ngisho noma kungashintshi isikhathi esifushane. Kwabaningi, kuyasiza ukwazi ukuthi lesi simo sithathwa ngokungathí sina nokuthi izinto zizoqhubeka ziba ngcono kithi.
> Umthombo:
> Lopez-Sola M, Woo CW, uPoljol J, et al. Kuye Isignesha Neurophysiological for Fibromyalgia. Ubuhlungu. 2016 Aug 31. [I-Epub ngaphambi kokuphrinta.]
> Ukukhishwa kwezindaba. IYunivesithi yaseColorado iBoulder. Ngo-Okthoba 17, 2016. Isiginesha se-Neural for Fibromyalgia May May Diagnosis, Treatment.
> Wager RD, Atlas LY, Lindquist MA, et al. Isibonakaliso se-FMRI-Based Based Neurologic of Pain Physical. I-New England Journal of Medicine. 2013 Apr 11; 368 (15): 1388-97.