Ingabe Lihlukile Ku-Fibromyalgia?
Ubuhlungu bemvelo bubangelwa ukucindezeleka okungavamile emisipha. Isimo esingapheli esithinta i-fascia (izicubu ezixhumene nazo ezihlanganisa imisipha). Le syndrome yobuhlungu ingadideka nge-fibromyalgia futhi ingahamba nayo. Ngokungafani ne-fibromyalgia, ubuhlungu be-myofascial buvame ukuvela kumaphuzu okuqala, ngokuphambene namaphuzu wethenda , futhi ngokuvamile akukho ubuhlungu obubanzi, obujwayelekile.
Imisipha Ethintekayo Ngezinhlungu Zamanzi
Ezinye izimbangela zobuhlungu be-myofascial zihlanganisa ukungezwani, ukuphazamiseka, noma ukukhathala kwemisipha evumela umuntu ukuba ahlaziye, okuthiwa imisipha yama-masticatory. Ukwehla kwamazinyo nokuqhafaza komhlathi kuhlobana nobuhlungu be-myofascial futhi kungaholela enhlokweni yekhanda.
Kuvamile ukuba ubuhlungu be-myofascial bukhawule ukunyakaza komhlathi futhi kuthinte imisipha entanyeni, emuva nangenhlombe. Empeleni, lobu buhlungu bungathinta noma yisiphi isisipha samathambo emzimbeni. Akukhawulelwanga emisipha ye-mastication (ukuhlafuna).
Ukuqaphela Ukuhlupheka Kwemvelo
Udokotela wakho angase ahlole ubuhlungu be-myofascial emva kokuhlolwa komzimba kubonisa amaphuzu okuqala. Ukuthola amaphuzu okuqakathekile kubalulekile ku-diagnostic. Ama-X-ray awawusizo ekuhloleni ubuhlungu be-myofascial. Ukuqaliswa kobuhlungu be-myofascial kungaba nzima ngokulandela ukulimala noma okungahleliwe okulandela ukungahambi kahle noma ukusebenzisa ngokweqile imisipha.
Lesi yisimo esivamile. Njengoba kuqhathaniswa nokuthi abantu abangu-14,4% base-United States abanobuhlungu obukhulu obungama-musculoskeletal, cishe kulinganiselwa ukuthi ama-21% kuya kwezi-93% eziguli ezikhalaza ubuhlungu besifunda empeleni zinobuhlungu be-myofascial.
Ukwelashwa Kwezinhlungu Zamanzi
Ubuhlungu bemvelo abubhekwa njengengozi kodwa bungathinta kakhulu izinga lokuphila. Ukwelashwa kubalulekile futhi kungafaka:
- abalindi bemilomo ukuvimbela amazinyo
- ubucwebe, ama-brace, noma ama-sling
- imithi kuhlanganise nezinsiza zokulala , ama-NSAID, iTylenol
- i-botox injection ukuze kukhululwe umsizi we-muscle
Ukwelashwa ngokomzimba, ukuphumula, kanye ne-biofeedback kungabuye ibe izindlela eziwusizo zokwelapha ubuhlungu be-myofascial. Ngokuthakazelisayo, ngisho noma kungalashwa, iziguli eziningi ze-myofascial pain syndrome ziyeke ukuba nezibonakaliso eminyakeni emibili noma emithathu.
Ukuhlukunyezwa Kwemvelo Ye-Fibromyalgia
Ukukhathala nobuhlungu obubangelwa izifo ze-musculoskeletal (muscle and bone) yiyona imbangela ehamba phambili yokuvakashelwa kwemitholampilo emhlabeni jikelele.
I-Fibromyalgia iyinkimbinkimbi engapheli noma ehlala isikhathi eside i-musculoskeletal disorder ebonakala ngothando, ubuhlungu nokungahambi kahle kwezinye izingxenye zomzimba, noma amaphuzu amathenda. Lolu buhlungu luholela ezinkingeni zokulala kanye nokuphathwa ikhanda nokukhathala. I-Fibromyalgia ibangela ubuhlungu obubanzi, futhi ochwepheshe basikisela ukuthi i-fibromyalgia yenzeka ngoba ukucubungula ubuhlungu akuvamile kulabo abanalesi simo. Ngokuqondile, imiphumela evela ocwaningweni lwezocwaningo ibonisa ukuthi abantu abane-fibromyalgia baye bakhula amazinga e-glutamate ohlelweni lwezinzwa zomphakathi. I-glutamate yi-neurotransmitter ye-excitatory, okubonakala ukuthi lapho ikhona emazingeni anyukile ixhunyaniswa nobuhlungu be-fibromyalgia.
Impikiswano enkulu ikhona mayelana nokuthi ubuhlungu be-myofascial bungaba isifo esihlukile se-fibromyalgia noma i-subtype ye-fibromyalgia.
Umehluko owodwa phakathi kwalezi zimo ezimbili kuba khona kwamaphuzu okuqala. Kubantu abanezinhlungu ze-myofascial, i-palpation noma ukuthinta amaphuzu athile athile (okuchazwe nangokuthi "ama-taut bands") angabangela umuntu ukuba aphume ebuhlungu. Ngokuphawula, la maphuzu athola amahlandla ngezinye izikhathi nawo abangela "ukugxuma amaphuzu."
Ukubheke phambili, ucwaningo olwengeziwe luzodingeka lwenziwe ngokucacile ukuhlolisisa ubudlelwane obunenkani phakathi kobuhlungu be-myofascial kanye ne-fibromyalgia.
Imithombo:
Ubuhlungu be-Myofascial. Isikhungo Sezifo. I-Arthritis Foundation. Kufinyelelwe ngo-12/4/2007.
I-Myofascial Pain Syndrome. I-Merck Manual. Novemba 2005.
http://www.merck.com/mmpe/sec08/ch097/ch097g.html