Izivivinyo ze-Tender-point ayiseyona yodwa indlela yokuthola i- fibromyalgia - i-American College of Rheumatology iye yamukela okwesikhashana izindlela zokuthola ukuthi isimo siyini futhi ukukala ubunzima bezimpawu.
Izindlela zokuthola izidakamizwa odokotela ezazisetshenziswa zazisungulwa ngo-1990. Uma ezinye izimbangela zezimpawu eziqedile zaqedwa, ukuxilongwa kwakusekelwe kuphela ebuhlungu.
Kwakudingeka kube nhlangothi zombili zomzimba, kokubili ngenhla nangaphansi kwesigqoko, eceleni kwe-axial skeleton (ikhanda, umphimbo, isifuba, umgogodla), futhi okungenani ezindaweni ezingu-18 eziqondene naso emzimbeni okuthiwa amaphuzu amathenda . Izimpawu kumele zibe khona okungenani izinyanga ezingu-3.
Ukuhlolwa kwe-tender-point bekulokhu kungqubuzana ngezizathu eziningana. Okokuqala, ekuqaleni kwakuhloswe njengesiqu semfundo yezifo, hhayi njengethuluzi lokuxilonga. Okwesibili, i-subjective ngoba incike ekuhluphekeni okubikwa kwesiguli. Okwesithathu, ngoba izimpawu ziguquke kakhulu, inani lamaphuzu wethenda lingahluka kakhulu kusuka kokuhlolwa okuya kwesinye.
Kuze kube sinevivinyo lokuxilonga esisekelwe kubakaki begazi noma ukucabanga, cishe ngeke sibe nokuhlolwa okuphelele kokuxilongwa. (Lokhu kuyiqiniso ngezifo eziningi, ikakhulukazi izinzwa zezinzwa.) Noma kunjalo, abacwaningi bakholelwa ukuthi bavele ngento esebenza kangcono - bathi ngenkathi ebheka iqembu labagulayo be-fibromyalgia ngaphambili, i-tender-point exam I-75% ilungile, ngenkathi i-criteria yabo ibanjwe yi-88% yesikhathi.
Izimpawu ezintsha zokuxilonga
I-criteria entsha igcina izidingo ezinye izimbangela ezikhishwa ngaphandle nokuthi izimpawu kumelwe ziqhubeke okungenani izinyanga ezingu-3. Zihlanganisa nezindlela ezimbili zokuhlola, inkomba yobuhlungu esakazekayo (WPI) kanye nesilinganiso sezinga lesisindo (SS) .
I-WPI ihlaziya izindawo ezingu-19 zomzimba futhi uthi lapho ubuhlungu khona ngesonto eledlule.
Uthola iphuzu eli-1 endaweni ngayinye, ngakho-ke amaphuzu angu-0-19.
Ngokwesilinganiso se-SS esikalini, isiguli sigcina izimpawu ezithile esikalini sika-0-3. Lezi zimpawu zihlanganisa:
- Ukukhathala
- Ukuvuka kungaphenduli
- Izimpawu ezingqondweni
- Izimpawu zesimiso (ngokomzimba) ngokujwayelekile (njengezinsizwa, ubuthakathaka, izinkinga zesifuba, isicashu, isizungu, ukunganaki / ukulinganisa, ukulahlekelwa izinwele)
Izinombolo ezinikezwe ngamunye zifakiwe, ngokuphelele kwezingu-0-12.
Le ngxenye elandelayo iyathandeka kakhulu kimi. Esikhundleni sokufuna amaphuzu aqinile kunoma ngayiphi, kunezinye izimo eziguquguqukayo ezakhiwe ngaphakathi, eziqaphela ukuthi i-fibromyalgia isithinta sonke ngokuhlukile, nokuthi izimpawu zingashintsha.
Ukuze uthole ukuxilongwa udinga i-EITHER:
- I-WPI yezinga elingenani le-7 ne-SS okungenani okungu-5, OR
- I-WPI yezinga lesi-3-6 no-SS okungenani okungenani 9.
Lokho okukwenzayo kuvumela abantu abanezindawo ezimbalwa ezibuhlungu kodwa izimpawu ezinzima ezizofunyanwa.
Okunye okuthandayo engikuthandayo ngalokhu ukuthi ekugcineni kuhlanganisa izimpawu zengqondo! Kwabaningi bethu, "i- fibro fog " iyanciphisa noma ikhubaza ngisho nakakhulu kunokubuhlungu, kodwa izinqubo zakudala azizange zikhulume. Ubuye uqaphele umehluko phakathi kokukhathala "nokuvuka kungaqabuki," engikholelwa ukuthi ukuhlukaniswa okungaziwa ngaphansi komphakathi wezokwelapha.
Inothi elisheshayo mayelana "nezimpawu zobumnyama": ngokuqondile, kusho izinto eziyinkimbinkimbi. Leli gama lithole i-rap embi emphakathini we-fibromyalgia ngoba isetshenziselwe ukukhombisa ukuthi izimpawu zethu ziwumphumela wokubambisana, okusho ukuthi "ukubonakaliswa ngokomzimba kokugula kwengqondo." Kodwa-ke, igama elithi somatic alisho ukuthi isisekelo sengqondo.
Isihloko esiphelele mayelana ne-criteria entsha asikatholakali mahhala ku-intanethi, kepha i-PDF yesithasiselo kufaka phakathi lezi zindlela. Iluhlu lwezindawo ezibuhlungu ze-WPI kanye nohlu olude lwezimpawu ze-somatic ezingacatshangwa. Kulapha:
- Isithasiselo A: Imigomo yokuhlola ye-Fibromyalgia
Uma ungatholakali noma uhlolwe ngephutha, ungase uthande ukuthatha lokho kudokotela wakho. Qiniseka ukuthi umtshele ukuthi ivela e-American College of Rheumatology futhi yanyatheliswa ku- Arthritis Care & Research .