Ama-apula ku-apula, noma ama-apula kuya kuma-oranges?
Uyini umehluko? Udaba lwe-syndrome engapheliyo ukukhathala ngokumelene ne-fibromyalgia kubangele abantu abaningi, kuhlanganise nodokotela, abantu abanezinkinga, nomndeni nabangane abazikhathalelayo.
Abanye odokotela baphatha i- fibromyalgia (ebizwa nangokuthi i-fibromyalgia syndrome, noma i-FMS) nokugula okungapheliyo (i-CFS, ebizwa nangokuthi i-myalgic encephalomyelitis, noma i- ME / CFS ) ngokwehlukile, kuyilapho abanye bakholelwa ukuthi empeleni kuyisifo esifanayo-noma okungenani ukuhluka kwayo .
Ngokusho kwe-Arthritis Foundation, ucwaningo lubonisa ukuthi phakathi kwamaphesenti angama-50 no-70 abantu abane-diagnostic eyodwa nabo bavumelana nemigomo yomunye. Lokhu kungenxa yezizathu ezimbalwa:
- ukufana kwabo
- ukuhlangana okukhulu phakathi kwabo (okusho abantu abanezimo zombili)
- ukuntuleka kokuhlolwa kwegazi okucacile noma izikrini zokuzihlola
Nakhu ukubheka ukufana nokungafani kwalezi zifo ezimbili.
Ukufana: Izimpawu
I-FMS ne-ME / CFS yaziwa ukuthi inezinombolo eziningi ezifanayo. Zihlanganisa:
- ukukhathala
- ubuhlungu obuhlala njalo
- ukulala okungapheli
- ukucabangela (ukucabanga nokucabanga) noma ubunzima bokukhumbula
- ukuzondeka nokusebenza kahle (ukunyakaza okunamandla)
Izimbangela eziningi zampawu zifana, futhi, njenge:
- ukucindezeleka (ngokomzimba noma kwengqondo)
- ukulimala
- ukugula okunzima
- ukulala okungaphezu kwalokho-okuvamile
- ukuzama
Baxhunyaniswe nemibandela eminingi ejwayelekile yokubambisana, kufaka phakathi:
- ukukhathazeka kanye / noma ukucindezeleka
- izimpawu zesifo sofuba esiswini (njengokubhubhisa, isifo sohudo, kanye / noma ukuqotshwa)
- ikhanda elingenasifo
- isifo se-temporomandibular joint (TMJ)
Kungani kufana? Inkolelo evelele yizici ezivamile eziyisisekelo. Oyinhloko phakathi kwalabo ukuhlukunyezwa kwamakhemikhali amaningi obuchopho okuthiwa ama-neurotransmitters .
Kule minyaka, abacwaningi bavele ngezigaba ezihlukahlukene ze-FMS, ME / CFS, kanye nezimo ezifanayo, njengezimo eziphuzayo ze-somatic syndromes, izifo eziningi zesistimu, ukuphazamiseka kwe-neuroimmune, nezinkinga ze-neuroendocrineimmune.
Muva nje, okwamanje elinye igama liye ladlalwa futhi libonakala livunywa ngokwengeziwe ngumphakathi wezokwelapha "yi- syndrome yokuzwela phakathi ," noma i-CSS.
I-CSS inezici eziyinhloko ezivamile-zonke zibandakanya izinhlelo eziphakathi kwezinzwa eziye zazwela kakhulu ezintweni ezithile. Kuye ngesimo, bangase bazizwele ukuthinta , izinga lokushisa , ukudla okunye, amakhemikhali / iphunga , umsindo, ukukhanya , kanye nezinye izinto eziphilayo. Zonke izimo ezithintekayo ezibalwe ngenhla ziwela ngaphansi kwalesi sigaba sesambulela, njengabanye abaningana.
Umehluko: Izimpawu
Ukungafani kwezibonakaliso kuvamise ukuthi kunezinga lezinga elingaphezu kokuhlukaniswa okuphelele. Ngokwesibonelo, uphawu oluyinhloko eM ME / CFS lukhathala, kanti uphawu oluyinhloko lwe-FMS lubuhlungu. Nokho, zombili izimo zingase zihilele kokubili ukukhathala nobuhlungu.
I-ME / CFS inamathuba amaningi okuboshwa nezibonakaliso ezinjenge-flu, kufaka phakathi:
- Umphimbo obuhlungu
- izigulane ezivuvukile
- i-fever low-grade fever
I-FMS ihlale ibandakanya ubuhlungu, kuhlanganise ne-hyperalgesia (ubuhlungu obukhulu) futhi ngesinye isikhathi i-allodynia (ubuhlungu obuvela ekuthinteni okukhanyayo).
Amacala amaningi e-ME / CFS afaka eyodwa noma zombili lezi zinhlungu zobuhlungu. Noma kunjalo, i-FMS ihilela ezinye izinhlobo zobuhlungu ezingajwayelekile eM ME / CFS.
Zombili lezi zimo zibandakanya ukusabela ngokweqile kokuzikhandla, kodwa lokhu kujulile kakhulu eM ME / CFS futhi kubizwa ngokuthi i -malaise emva kokucindezela .
Ngenkathi lezi zimo ezimbili zihlanganyela nezimo eziningi eziqhamukayo, i-FMS ixhunyaniswe nezimo eziningana zobuhlungu nezinkinga zokulala ezingabonakali zixhunywe ne-ME / CFS.
Ukufana: Ukwelashwa
Njengoba kunezimpawu ezifanayo kanye nesici esikhulu esifanayo, akumele kusimangaze ukuthi i-FMS ne-ME / CFS zivame ukuphathwa ngendlela efanayo.
Isibonelo, odokotela bahlinzeka njalo izidakamizwa ezifanayo kubo, kubandakanya:
- Ukucindezeleka kwe-SSRI / SNRI
- i-tricyclic antidepressants
- izinsiza zokulala ngodokotela
- ababulali bezinhlungu zemithi
Ezinye izinhlobo zokwelapha ezingase zinconywe kuzo zombili lezi zimo zibandakanya:
- i-acupuncture
- ukuphathwa kwengqondo yokuzicabangela ( okuphikisana kakhulu nge-ME / CFS )
- massage noma ezinye izinhlobo zomzimba
Umehluko: Ukwelashwa
Kanti, umehluko awusizo ngokweqile uma kuziwa kokwelashwa.
Ku-FMS, ukwelashwa kuhloswe ukuba kugxile kakhulu ekusizeni ubuhlungu. KuMe / CFS, ihlaziya kakhulu ukuphathwa kokukhathala. Kodwa-ke, kuvame ukufana nezidakamizwa nezinye izifo ezisiza ngazo zombili lezi zimpawu.
Omunye umehluko omkhulu wukuthi abanye odokotela bakholelwa ukuthi i-ME / CFS iboshelwe kuma-virus athile, futhi ingahle ibeke izidakamizwa ze-antiviral. Lokhu okungafani nokubusa, noma kunjalo, njengoba odokotela abaningi bengenakuqiniseka nge-viral component.
Ukufana: Ukuxilongwa
Indlela lezi zimo ezifunyanwa ngayo kungenye into efanayo. Bobabili baxilongwa ukuxoshwa , okusho ukuthi abanalo uhlobo lwezinhlolo zokuhlola abantu abazilindele.
Awekho ukuhlolwa kwegazi noma ukuskena kungakutshela ukuthi ngabe wenza (noma awunayo) abe ne-FMS noma i-ME / CFS. Esikhundleni salokho, odokotela bathembele kakhulu ezintweni ezinjengezo izimpawu onayo nezivivinyo ukulawula izimo ezibangela izimpawu ezifanayo.
Umehluko: Ukuxilongwa
Nge-ME / CFS, ukuxilongwa kokuxoshwa yilokho esinakho okuvunyelwe kabanzi. Abanye odokotela baye bahlakulela izindlela zabo zokuxilonga abazishoyo ziphumelela, kodwa akekho okuye kwafakazwa ukuthi iphumelele noma iyamukelwa umphakathi wezokwelapha.
I-FMS inezinhlobo ezimbalwa zokuhlolwa, kodwa akuzona izinhlobo zakho ezijwayelekile zokuhlolwa kwezokwelapha.
Okokuqala kuthiwa ukuhlolwa kwethenda. Ngokuyinhloko, udokotela uhlola izimpawu ezithile ezihambisana nobuhlungu ezindaweni ezithile ezungeze umzimba.
Enye indlela yokuxilonga ihilela isethi yezimpawu kanye nezimpendulo zohlu lwababuzo. Ucwaningo lubonisa ukuthi zombili izindlela zisebenza kahle ekuhloleni i-FMS futhi zihlukanise nezimo ezifanayo.
Ukufana: Imibono
Imibono yizindaba ezibalulekile kulezi zimo. Bobabili baye babhekana nokungabaza okukhulu emphakathini wezokwelapha, umphakathi womthetho, nomphakathi omkhulu.
Ngisho nangemva kwamashumi eminyaka uphenyo lwezekwelapha, usengathola odokotela nabanye abasebenzi bezempilo abangakholelwa "kokubili noma kokubili. Lokhu kungabangela ukwelashwa okunganele futhi, ezimweni ezimbi kakhulu, ngisho nokuzonda nokuhleka usulu kumuntu ogulayo.
Abahluleli abangakholelwa kubo bangaphika izimangalo zomshuwalense wokukhubazeka kwezenhlalakahle . Ngezindaba zesehlukaniso nezokugcina, lezi zinkinga ziye zasetshenziselwa ukusekela izimangalo zomngane womuntu ukuthi umuntu ogulayo "uyaphambuka" noma "ukuhlukumeza."
Imishado eminingi, ubuhlobo obunothando, ubungane, kanye nezibopho zomndeni ziye zabhujiswa ngokungaqondani noma ukungakholelwa ku-FMS noma i-ME / CFS.
Umehluko: Imibono
Umehluko emibonweni ikhule ngokuhamba kwesikhathi. Babevame ukuba cishe ngezinyawo ezifanayo. Kwabe sekufika imvume ye-FDA yesidakamizwa sokuqala se-FMS, i- Lyrica (pregabalin) ngonyaka ka-2007. Lokhu kwaba nomthelela omuhle esimweni.
Kusukela ngaleso sikhathi, i-FMS iye yamukelwa ngokweqile ngokwemithi, ngokomthetho, nasemphakathini kunalokho. Lokhu sekuqale ukwenza izinto zibe lula kulabo abanakho.
Ngokudabukisayo, i-ME / CFS ayinayo imithi e-FDA eyamukelwa yona, ngakho-ke ngenkathi ingaphansi kwesigqila kunaleyo eyayikhona, ukuzuza kuye kwaba kancane kakhulu futhi kuncane kakhulu.
Igama elithi "isifo esingapheli syndrome" kukholakala ukuthi yisisusa esikhulu sale nkinga ngoba kubonakala sengathi umuntu ukhathele nje futhi udinga ukunqamuleka okuhle. Yingakho abanye abacwaningi, iziguli, kanye namaqembu okukhuthaza baye baqhubezela ukuba "ME" bengeze egameni futhi banethemba lokuthi ngelinye ilanga lizofaka "i-CFS" ngokuphelele.
Umbiko omkhulu wezokwelapha owashicilelwa ngo-2015 ungasiza ukulinganisa i-ME / CFS kulabo abasolisayo. Ingxenye ebaluleke kunazo zonke ukuthi ihlonipha ngokomzimba i-ME / CFS njengesifo esikhundleni se-syndrome . Kuhlala kubonakala ukuthi umphumela wesikhathi eside walokho uzoba yini.
Ingabe Izinto Ezihlukile?
Eqinisweni, abanye ochwepheshe bathi umehluko phakathi kwalezi zimo ezimbili cishe akunandaba nhlobo.
Kungani? Ngokuyinhloko ngoba ukwelashwa kuyafana kakhulu. Uma ukuxilongwa A kanye nokuxilongwa B kubangela ukwelashwa okufanayo, kunendaba yini ukuthi unayo?
Njengoba sifunda kabanzi mayelana nabo, noma kunjalo, umehluko ungase ukhule kakhulu. Uma izikwelapha zihlukanisa ngokuhamba kwesikhathi, ngokususelwa ekungakalungi emzimbeni kunokuba kube nezimpawu, singaphelela ngemithi eyenza kangcono kakhulu noma enye.
Kuze kube yileso sikhathi, sizobalwa njengento efanayo ngokuhlukile futhi sizobhekana nesimo esifanayo: siphila ngesifo esingapheli esingakhubazekayo, futhi sifuna ukwelashwa okusiza ukwehlisa izimpawu zethu eziningi (ezifanayo).