I-Fibromyalgia yisifo esingapheli esibonakala ubuhlungu obubanzi futhi sihambisana nokukhathala, ukucindezeleka, ukuphazamiseka kokulala, ukukhubazeka kwengqondo, nokuphazamiseka kokugaya nokugaya. Isifo esingaqondakali kahle lapho izibonakaliso zobuhlungu ezicutshungulwa ubuchopho kubonakala sengathi zinyanyiswa, zikhulisa ukuzwa kwemizwa emisipha kanye nezicubu ezithambile.
Ngenxa yokuthi ayikho izivivinyo zokuqinisekisa lesi sifo, i-fibromyalgia kufanele itholwe ngokungafaki ezinye izimbangela ezikhona. Ukwelashwa kungahle kuhileleke ekunciphiseni ubuhlungu bezinhlungu, izidakamizwa zokucindezeleka, ukwelashwa ngokomzimba, ukuzinakekela, nemithi emisha efana neLyrica (pregabalin) evunyelwe ngokukhethekile ukuphatha i-fibromyalgia.
Izimpawu
I-Fibromyalgia ingaphezu nje kwama-muscle aches nobuhlungu obuhlangene. Kuphikisana, ubuhlungu obubanzi obukwazi ukuhamba emzimbeni emagagasi, okwenza izinzwa zichazwe, ziveze, zikhukhume noma zigwaye. Ngisho nezinguquko ezincane zokushisa noma ukucindezelwa (kufaka phakathi ukuthinta) kungabangela ukungakhululeki.
Ngenkathi abanye abantu begcina izimpawu ezinjalo ezingaguquki, ezinye zizobhekana nezikhathi zokwehliswa okunye okuhambisana nezikhathi zemisebenzi yezifo ( ama-flares ). Ngaphandle kobuhlungu, i-fibromyalgia ihlotshaniswa nezimpawu ezikhombisa ukuthi zikhona izimpawu ezithinta izinhlaka eziningi.
Zihlanganisa:
- Ukukhathala , ngokuvamile okungapheliyo, kuthinta abagulayo abane kwabahlanu
- Izimpawu zesisindo nezokuhlanganyela ezifana nezidumbu ze-muscle, ubuthakathaka bemisipha, nobuhlungu bomhlathi
- Izimpawu ezicatshangelwayo ezifana nokulahlekelwa ukuhlushwa, ukudideka, kanye "nobuchopho"
- Izinkinga zokulala ezifana nokulala okuphukile, ukulala nokuqala ukulala
- Izimpawu ze-neurosensory ezifana ne-vertigo, i-migraine, noma ubuzwe bokukhanya, umsindo noma iphunga
- Izimpawu zomzimba ezifana nesifo sohudo, ukuqothulwa, ukubhubhisa noma ukuchithwa
- Izimpawu zase-Urinary kuhlanganise ubuhlungu besisu, ubuhlungu ngesikhathi sokuchama, noma isifiso sokuvuthwa njalo
- Izimpawu zengqondo ezifana nokucindezeleka, ukuguquka kwesimo sengqondo, noma ukuhlaselwa kwesibindi
- Izimpawu zokuzala ezinjengezikhathi ezibuhlungu, ubuhlungu be-pelvic, noma ukuyeka ukuya esikhathini ngaphambi kwesikhathi
Ukulahlekelwa izinwele okwesikhashana, izinhliziyo zenhliziyo, kanye ne-overgrowth yezincubu (lipomas) nazo zingenzeka.
Izimbangela
Akekho owazi ngempela ukuthi yini ebangela i-fibromyalgia. Ihlanganiswe eceleni kwezifo ezifanayo, ezifana nesifo esingapheliyo sokukhathala (CFS) kanye nesifo sofuba esiyingozi (IBS) , okukholakala ukuthi kubangelwa ukusabela ngokweqile kwesistimu yezinzwa zomphakathi kuya kwesinye isikhathi.
Nakuba i-fibromyalgia namuhla ibhekwa njenge-syndrome yomphakathi wezokwelapha, kukhona impikiswano yokuthi ingabe isifo esithile (ngokomzimba) noma esithonywa ukucindezeleka kwangaphandle-njengokucindezeleka, ukukhathazeka nezinkinga zokulala- okungenzeka ukwandisa umbono wezinhlungu noma uthinte ngokuqondile umsebenzi wezinzwa.
Kulesi sigaba, asikwazi nje. Lokho esikwaziyo ukuthi izici ezithile ezingozini zingase zande izinkinga zokuthola i-fibromyalgia.
Phakathi kwazo:
- Abesifazane banamaphesenti ayisishiyagalolunye kufana nokuba ne-fibromyalgia kunamadoda. Kunconywe ukuthi ukwehla ku- estrogen ngesikhathi sokuya esikhathini (ikakhulukazi noma lapho kuqala ukuphuma esikhathini kungase kubangele izimpawu kwabanye besifazane.
- Ubudala buyisici. Naphezu kokubhekwa njengesifo esithinta abesifazane basemuva-menopausal, i-fibromyalgia ivame ukutholakala ukuthi iphakathi kweminyaka engu-20 no-50 (nakuba izimpawu ngokuvamile zikhula eminyakeni eminingana ngaphambi).
- Ukucindezeleka kubonakala kunciphisa izimpawu ze-fibromyalgia. Uma kuhambisane nezinkinga zokulala, umbono wezinhlungu uyaqhubeka njengoba usengozini yokukhathala nokucindezeleka.
- I-Genetics nayo ikholelwa ukuthi iyisici. Ucwaningo lwamanje lubonisa ukuthi ukuba nomzali noma umntakwethu nge fibromyalgia kwandisa ingozi ngamaphesenti angama-28 ngenkathi isihlobo sesibili sezinga eliphakamisa ngamaphesenti angu-19.
Ukuxilongwa
Ngaphandle kwebhulegi noma ukuhlolwa kwe-imaging okukwazi ukuxilonga lesi sifo, i-fibromyalgia ingagcinwa kuphela ngokufaka zonke ezinye izimbangela zezimpawu zakho. Kuyinkambo yokucindezela okufanele iqondwe yi- rheumatologist noma, ngokuhlukile, i-neurologist noma uchwepheshe jikelele ohlangene ne-fibromyalgia noma ezinye izifo ezithinta izicubu.
Ngo-2010, i-American College of Rheumatology (ACR) ivuselele izindlela zabo zokuxilonga nge-fibromyalgia, kucatshangelwa ukusatshalaliswa kobuhlungu, ubuhlungu bobuhlungu, nokubona kwesiguli ubuhlungu nezinye izimpawu.
Imigomo ye-ACR ihlanganisa ukuhlolwa okubheka amaphuzu amabili:
- Owokuqala, obizwa ngokuthi inkomba yezinhlungu ezandakazekayo (WPI) , unikeza iphuzu elilodwa kwezingxenye zomzimba ezingu-19 oziboné ubuhlungu (amaphuzu angu-19 angaphezulu).
- Owesibini obizwa ngokuthi ubukhulu be-symptom (SS) , unikezela ku-0 kuya ku-3 amaphuzu-0 okusho ukuthi akukho izimpawu eziya ku-3 ezichaza izimpawu ezinzima-izimpawu ezine zesifo (ngamaphuzu angu-12).
Ukuze utholakale nge fibromyalgia, kuzodingeka ukwanelise lezi zimo ezintathu ezilandelayo:
- Kumele ube ne-WPI yezingu-7 noma ngaphezulu nge-SS score ye-5 noma ngaphezulu, noma, i-WPI ye-3 kuya ku-6 ne-SS score ye-9 noma ngaphezulu.
- Kumele ube nalezi zimpawu okungenani izinyanga ezintathu.
- Akumele kube khona enye incazelo yezokwelapha ngezimpawu zakho.
Ukwelapha
Ayikho iphilisi elilodwa elingaphatha i- fibromyalgia noma uqinisekise ukuxolelwa okuqhubekayo kwezimpawu. Kulokhu, kuzodingeka uthathe indlela ehlukahlukene, engabandakanya ngaphezulu kwe-counter (i-OTC) nemithi yokwelashwa, ukwelashwa ngokomzimba kanye nokweluleka, izindlela zokuphila zokuphila, kanye nokwelashwa okuhambisanayo.
Ngenxa yokuthi ayikho amacala amabili e-fibromyalgia afanayo, ukwelashwa kungahlukahluka komuntu oyedwa kuya kwesinye.
Imithi Nezokwelashwa
Imithi ngokuvamile iyinhloko yokwelapha. Ukuzikhethela kwezidakamizwa kuncike ekutheni izinhlobo nezinkinga zezimpawu zakho. Phakathi kwazo:
- U-OTC ubuhlungu bukhululeka njenge-Tylenol (i-acetaminophen) kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID) njengo-Advil (ibuprofen) noma i-Aleve (naproxen) anganikeza ukuphumula okwesikhashana kwezinhlungu ezincane. Isisu sithukuthele futhi ukwanda kwengcindezi yegazi kuvamile kuma-NSAID.
- Ukuphulukisa ubuhlungu be-prescription ezifana ne- Celebrex (celecoxib) noma i- Voltaren (i-diclofenac) buhlala isikhathi eside kepha kungabangela isicucu, isisu, isisu, ubuhlungu besisu, izilonda, nesifo sobindi.
- Ama-anti-depressants anganciphisa ubuhlungu nokukhathala ngenkathi ephakamisa imizwelo ngokukhulisa amazinga we- serotonin . I- cymbalta (duloxetine) ne- Savella (i-milnacipran) bayavunyelwa ukuphatha i-fibromyalgia futhi, ngenkathi esebenzayo, ingabangela ukuhlukunyezwa, ikhanda, ukuqothulwa, ukulala nokusila.
- Imithi ye-anticonvulsive ingase iphumelele nasekuphulukeleni ubuhlungu. Zihlanganisa i- Lyrica (pregabalin) , evunyelwe ukwelashwa kwe-fibromyalgia, nezinye ezifana ne- Neurontin (gabapentin) ezingase zibekwe eceleni-ilebula. Ukuvuvukala, inzuzo yesisindo, isizungu, nokulalazela phakathi kwemiphumela emibi.
Izinkinga zokulala zivame ukwelashwa ngezidakamizwa ezincane zokucindezeleka ezifana ne- Elavil (amitriptyline) kunokulala amaphilisi. Izisulu zokuzilibazisa ezifana neFlexeril (cyclobenzaprine) zingenza umsebenzi ophindwe kabili ngokunciphisa ukungezwani kwemisipha ngenkathi kusiza umuntu ukuba alale.
Ngaphezu kwemithi, udokotela wakho angabhekisela ochwepheshe ukuze banqobe izinselele ezingokomzimba noma ezingokomzwelo, kubandakanya ababelapha ngokomzimba, abahlinzeki bezemisebenzi, izifo zengqondo, noma abacebisi.
Indlela yokuphila nemithi ehambisanayo
Ukunciphisa ukucindezeleka kungenye yezinhlaka eziyinhloko zezinhlelo zokwelashwa kwe-fibromyalgia. Lokhu akubandakanyi kuphela amasu okuphumula noma izifo zomzimba, kungase kudingeke ukuba udle kangcono, usebenzise umzimba futhi ugweme izinto ezifana ne-caffeine, utshwala nokubhema . Ukwenza kanjalo ngeke kukuqinise nje kuphela, kungakhuphula isimo sakho (ikakhulukazi ukuzivivinya umzimba okubangela ukukhululwa kwe-serotonin, i-dopamine, ne-endorphins).
Ezinye izindlela ezihambisanayo zokwelapha zihlanganisa:
- Ukuguqulwa, izithombe eziqondisiwe, nokuphefumula okujulile (pranayama) ukunciphisa ukucindezeleka
- I-Yoga ne-Taichi efaka ukunyakaza okulawulwayo nokukhululwa kwezingxabano
- I-massage therapy, ikakhulukazi ifomu efana ne-Shiatsu noma i-aromatherapy massage
- Ukuphumula kwe-muscle okuqhubekayo (PMR) okugxila ukukhululwa kwengxabano ngomzimba womzimba
- I-Biofeedback engakufundisa indlela yokulawula ukucindezeleka kokuphendula
- Inambuzane yezokwelapha enganciphisa ubuhlungu, ukuphakamisa imizwelo, nokusiza ukulala kangcono
- 5-HTP (5-hydroxytryptophan), ukwesekwa kwemvelo okuvela esitshalweni sase-African Griffonia simplicifolia ngenkathi kungasiza ukuphakamisa amazinga e-serotonin
Izwi elivela
Naphezu kokuqwashiswa komphakathi, i-fibromyalgia isalokhu iyimfihlakalo kubantu abaningi, abanye babo abangase bangaba khona noma bakhombise ukuthi "konke kusekhanda lakho." Akuyona.
Ungavumeli ukucabanga okungalungile kwabanye abantu kukuvimbele ekutlhoguleni ukunakekela okudingayo. Thola ukuxhaswa kwabangani nomndeni, uvula ngokungathi nje ukuthi uzizwa kanjani kodwa uzizwa kanjani. Joyina iqembu lenkxaso yendawo noma xhumana ne-National Fibromyalgia & Chronic Pain Association ukuthola eyodwa eduze kwakho. Ukwakha uhlelo lokusekela lungakunikeza ukuzethemba nemfundo ukuba ube ngummeli wokunakekelwa kwakho.
Uma udokotela wakho engakwazi ukusiza noma ukuqonda ukukhathazeka kwakho, thola i-rheumatologist endaweni yakho ngokusebenzisa indawo ye-intanethi ehlinzekwa yi-American College of Rheumatology. Izinhlelo zokukhokhela izidakamizwa kanye nezinhlelo zokusiza isiguli nazo ziyatholakala ukusiza ukulahlekelwa izindleko zokwelashwa, uma kufanelekile.
> Imithombo:
> Bellato, E .; I-Marini, E .; Castoldi, F. et al. I-Fibromyalgia Syndrome: i-Etiology, i-Pathogenesis, i-diagnosis, ne-Treatment. Ukuphathwa Kwezinhlungu. 2012; 2012: 426130. DOI: 10.1155 / 2012/426130.
> Wolfe, F .; Clauw, D .; Ama-Fitzcharles, M .; et al. I-American College of Rheumatology indlela yokuhlola yokuthoma ye-fibromyalgia nokulinganisa kwesibindi sezimpawu. I-Arthritis Care Res. 2010; 62 (5): 600-10. I-DOI: 10.1002 / acr.20140.
> Ipaki, D. no-Lee, S. Ukuqonda okusha kwi-genetics ye-fibromyalgia. I-Korean J Intern Med . 2017; 32 (6): 984-95. I-DOI: 10.3904 / kjim.2016.207.