Ukuba Nokuhlinzwa Nge-Fibromyalgia & Isikhathi Sokukhathala Syndrome

Indlela Yokuthola Ukuhlinzwa

I-Fibromyalgia (i-FMS) ne- syndrome yokukhathala okungapheli ( ME / CFS ) kokubili ingakhungelwa ukuhlukunyezwa ngokomzimba. Kuvamile ukuthi abantu abanezimo babekhathazeke ngokukhethekile lapho bebhekene nokuhlinzwa. Ngokuvamile bakhathazekile ukuthi isimo sabo (s) kungenzeka siphume ngemuva kwalokho, okungase kube nzima ukuphola.

Kuze kube manje, sinolwazi oluncane olususelwe ekucwaningweni ngomthelela wokuhlinzwa ku-FMS noma i-ME / CFS noma ukuthi izimpawu zethu zithinta kanjani inqubo yokutakula. Kodwa-ke, umbhangqwana wabacwaningi baye bahlanganisa izincomo kithi ngokusekelwe ngolwazi lwabo ngezimo nokuthi yini abaye bayibona ezigulini zabo.

Lezi zinhloli yi-The Fibromyalgia Information Foundation, eyasungulwa abacwaningi e-Oregon Health & Science University, noCharles W. Lapp, MD, owasekela i-Hunter-Hopkins Centre eCharlotte, NC, ngokukhethekile kwi-FMS ne-ME / CFS.

Izinkinga ezithile esizobhekana nazo emva kokuhlinzwa ziningi. Nakhu okushiwo ochwepheshe okukhulunywe ngenhla kanye nokunye okubhekayo, kanye nokuthi ungenzani ngalunye.

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Ubuhlungu bokuthunyelwe okuthunyelwe

Kokubili i-FMS kanye ne-ME / CFS ihlanganisa hyperalgesia , okuyi-amplification of the pain. Lokhu kusho ukuthi cishe sizohlupheka kakhulu emva kokuhlinzwa kunabantu abaningi, ngakho-ke ukukhululeka okukhulu.

Ikakhulukazi ku-FMS, ukutholakala nje kobuhlungu bokuhlinzwa kungabangela ukuphazamiseka kwesifo. Lokhu kubangelwa ukuzwela okuphakathi- ukungena kwemvelo ngaphakathi ohlelweni lwezinzwa oluphakathi-oluchazwa ukuthi luyisici esikhulu salezi zimo.

Ngisho noma uzobe ulele futhi ngeke uqaphele ubuhlungu bokuhlinzwa, ubuchopho bakho buzobe buqhutshwa ngamabonakaliso obuhlungu, okungahle kwenzeke ngaphezulu, okungabangela ukuphazamiseka kwesibonakaliso.

Ukusiza ukuphikisana nalokhu:

• Cela ukunikezwa imithi ye-opiate ngaphambi kokuhlinzwa ukusiza ekunciphiseni ukusebenza kwezimpawu.
• Cela ukuthi ube nokusebenza kwama-anesthetic wendawo asetshenziswa isikhathi eside ekusetshenzisweni kwakho.

Ngaphezu kwalokho, imiyalelo ejwayelekile yemithi yokuhlunguphazwa kwe-post-op ingase ingabi namandla ngokwanele noma ivumele ukugcwalisa okwanele ukuze uthole ukubuyiswa.

Ongakwenza:

• Bheka ukuthi i-PCA pump, evumela ukuthi ulawule ngokuphepha ababulali bakho, kungenzeka.
• Cela imishanguzo enamandla kakhulu kunalokho ejwayelekile, kokubili ukuhlala esibhedlela kanye nokubuyisela ekhaya, futhi ucele ukugcwaliswa okunye noma amabili.

Wena udokotela angase angazimisele noma akwazi ukugcwalisa zonke lezi zicelo, kodwa konke abangakwenza ngalezi zindlela kungakusiza ukuthi uzuze ekutheni uphumelele ngendlela engcono.

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Isisindo Sobunzima kusuka ku-Positioning

Ngesikhathi sokuhlinzwa, umzimba wakho ungafakwa ezikhundleni ezingase zithinte noma zenze imisipha ethile. Isibonelo, ingalo yakho ingahle isetwe phezu kwekhanda lakho noma kuhlangothini ukuze ubeke i-IV.

Iziphakamiso zokunciphisa le nkinga zifaka:

• Ukucela ukuba isandla sakho se-IV sibekwe eduze komzimba wakho uma kungenzeka
• Buza ukuthi uzoba ne-tube endotracheal ekhaleni lakho noma emlonyeni ngenkathi yenqubo, futhi uma kunjalo, ukucela ukugqoka ikolishi ephansi yentamo ukuze unciphise ingozi entanyeni yakho ibe yi-hyperextended

Khumbula ukuthi ezinye izindawo ezingahlali zingenakwenzeka, kuye ngokuthi uhlobo lohlinzekwa.

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Ukukhishwa kweselula

Ngokwe-Hunter-Hopkins Center, i-ME / CFS ngezinye izikhathi ingase ihlanganise amazinga aphansi we- magnesium ne-potassium emasethini awo, okungaholela ezingeni elingajwayelekile zezinhliziyo uma ungaphansi kwe-anesthesia.

Izixazululo kulokhu zihlanganisa:

• Ukuba namazinga we-serum magnesium ne-potassium ahlolwe kahle ngaphambi kokuhlinzwa ukuze ube nesikhathi sokubakhuthaza uma kunesidingo
• Ukubhekisela kunoma yikuphi ukungaphumeleli ngokudla nokunezela
• Qinisekisa ukuthi uthole okuningi kwe-magnesium ne-potassium ngemuva kokuhlinzwa

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Ukwehla kwamanzi

U-Hunter-Hopkins uthi amavolumu aphansi e-plasma nezinye izici ze-ME / CFS zingase zibheke isidingo sokumisa ngaphambi kokuhlinzwa. Ukwehla kwamanzi kungabangela izinkinga nge-syncope ye-vasovagal (ukuzondeka nokuphelelwa amandla okuhlobene nokucindezela kwegazi okuphansi).

Isixazululo salokhu siyabonakala:

• Qinisekisa ukuthi u-hydrated kahle ngaphambi kokuhlinzwa.
• Qinisekisa ukuthi uhlala u-hydrated ngemuva kokuhlinzwa.

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Ukuphendukela Kwemithi

Abantu abanezimo bavame ukuzwela imishanguzo, kubandakanya i-anesthesia ne-relaxant muscle engasetshenziswa ngesikhathi sokuhlinzwa.

I-Fibromyalgia Information Foundation ibonisa ukuthi i-succinylcholine ephumuzayo yemisipha ingaholela ku-myalgia postoperative (ubuhlungu besisu). Lezi zinkinga zingase zibe nzima ukutakula.

Ukuqeda le nkinga engenzeka:

• Khuluma nodokotela wakho mayelana nezidakamizwa ezingase zikukhathaze, kuhlanganise nanoma yikuphi ukwelashwa okuwaziwayo, izinzwa nemiphumela emibi.
• Xoxa ukuthi imiphi imithi engase ikufanele kakhulu emzamweni wakho wokunciphisa ubuhlungu bokuhamba ngemuva.
• Uma unezidakamizwa ezidakamizwa, buza ukuthi ngabe i-histamine-ukukhulula izifo zokubulala umzimba izosetshenziselwa futhi uxoxe ngezindlela ezingenzeka.

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Ukuyeka izidakamizwa nezithako

Iningi lethu nge-FMS ne-ME / CFS sincike emithini yemithi kadokotela kanye nezithako zokudla okunomsoco ukuphatha izimpawu zethu. Kuye ngokuthi uhlobo lohlinzekwa, ungase ucelwe ukuba unqamule amanye noma wonke ama-meds akho kanye nama-supplements.

Ukwehla ukwelashwa kungaba yinto esabekayo, ngoba kungasho ukuthi une-upswing izimpawu ngaphambi kokuhlinzwa.

Akukho okuningi okumelwe kwenziwe ngalokhu-uma utshelwe ukuthi uyeke ukuthatha izinto ezithile, ukuvikela impilo yakho.

Ukunciphisa izinkinga ngalokhu:

• Khuluma nodokotela wakho ngokushesha ngangokunokwenzeka mayelana nokuthi imiphi imishanguzo kanye nezithako ozithathayo nokuthi ngabe uzodinga ukuzishiya ngaphambi kokuhlinzwa, nokuthi ngabe kukhona inqubo yokugaya okuhilelekile.
• Thola ukuthi maduzane emva kokuhlinzwa ungaqala ukuthatha izinto futhi.
• Uma kunokwenzeka, zama ukunciphisa isimiso sakho ngesikhathi usuphelile ngaphambi kokuhlinzwa ngoba kunokucindezeleka okuncane emzimbeni wakho.

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Ezinye Izinkinga: I-Apnea Yokulala

Ayikho iqembu lobuchwepheshe elikhuluma ngalokhu, kodwa ucwaningo lubonisa ukuthi i-FMS ne-ME / CFS zombili zihlobene nokuphefumula okuphazamisayo kokulala , okwenza ukuba uyeke ukuphefumula ngesikhathi sokulala. I-apnea yokulala ingaba yinkinga enkulu uma u-anesthesia.

Isixazululo:

• Uma unenkinga yokulala, qiniseka ukuthi uxoxe nodokotela wakho noma ngabe uzodinga ukuletha umshini wakho we-C-PAP noma enye idivayisi oyisebenzisayo.
• Qinisekisa ukuba nayo nayo futhi uhlangane ngaphambi kwenqubo.

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Ezinye Izinkinga: Ukuphulukisa Okuphansi

Ukuphulukiswa ngokuvamile kubikwa ukuthi kuyashesha, ngakho-ke kuwukuhlakanipha ukulungele inqubo yokuphulukisa ende. I-flare yezimpawu ingakwandisa isikhathi esithatha wena ukuba uzizwe ungcono.

Okufanele ngikwenze:

• Yazi ngaphambi kokuhlinzwa ukuthi ngubani oyokukhathalela.
• Hlela isikhathi esifanele somsebenzi, kufaka phakathi isikhathi esiningi kunalokho udokotela acabanga ukuthi uzodinga, uma kungenzeka.
• Bhalisela noma yikuphi okudingayo ongakwenza ukuze ulungele ukushayela .
• Ukuphumula nokuvumela umzimba wakho isikhathi namandla okudinga ukuphulukisa.
• Uma ukuchotshozwa sekuphulukisiwe kahle, i-Fibromyalgia Information Foundations iphakamisa kahle futhi isetshenziselwa ukulungisa imisipha.
• Buza udokotela wakho ukuthi ungazuzisa yini ukwelashwa ngokomzimba ukuze usize ekutheni uphinde uthola futhi, uma kunjalo, thola umuthi osebenzayo.

Izwi elivela

Kungaba ukwesaba okukhulu ukubhekana nokuhlinzeka yedwa, futhi ngisho nakakhulu uma ukhathazekile ukuthi kuzokwenza ukuthi i-FMS yakho noma i-ME / CFS ibe yimbi kakhulu isikhathi eside.

Uma wenza isinqumo sokungena noma ukungenawo umsebenzi, kubalulekile ukuba nawo wonke amaqiniso futhi wenze isinqumo esinolwazi mayelana nokuthi yini engcono kakhulu empilweni yakho.

Khuluma nodokotela wakho nodokotela ohlinzayo futhi uhlole ukwehla kokuhlinzwa ngokumelene nemiphumela engenzeka yokungabi nalutho. Ekugcineni, nguwe okufanele uphile nalezo zimo.

Uma ukwesaba kukwenza kube nzima ukuba unqume ngokusekelwe emaqinisweni, ungase uthande ukucabangela ukukhuluma nomeluleki wezempilo yengqondo ukusiza ukulungisa imizwa yakho. Ungathatha futhi izinsiza ezilandelayo ezengeziwe:

• Isiqondiso Sabantu Ababhekene Ne-Fibromyalgia Abanikazi Abahlinzayo Abahlinzayo, kusukela ku-Fibromyalgia Information Foundation
• Iseluleko Sabantu Abanesifo Sokugula Okungahleliwe Ukulindela U-Anesthesia noma Ukuhlinzwa, ku-Hunter-Hopkins Centre

> Imithombo:

> Ferre A. Chronic Chronic tiredness and disorders: izinhlangano zomtholampilo kanye nezinkinga zokuxilonga. I-Neuroglia. 2016 Feb 11. pii: S0213-4853 (16) 00010-4. i-doi: 10.1016 / j.nrl.2015.11.019.

> I-Marvisi M, i-Bazarini L, i-Mancini C, i-Ramponi S, i-Marvisi C. i-Fibromyalgia ivame ukuphefumula ukuphazamiseka kokulala nokuphendula ukwelashwa kwe-CPAP. Umagazini waseYurophu wezokwelapha zangaphakathi. 2015 Nov; 26 (9): e49-50. doi: 10.1016 / j.ejim.2015.06.010.