Sizwa sonke isikhathi ukuthi kunzima ukuxilonga i- fibromyalgia ngoba iyafana nezinye izimo eziningi. Enye yalezi zimo ezifanayo i-polymyalgia rheumatica (PMR).
Kungenzeka ukuthi i-PMR ingasetshenziswa kabi njenge-fibromyalgia (noma i-vice versa), noma ukuthi noma yikuphi isimo singahle sishaywa indiva kumunye umuntu otholwe omunye.
Lezi zimo ezimbili, zihlukile kakhulu futhi zidinga ukwelashwa okuhlukile.
Ukwazi izimpawu zombili kungakusiza uqaphele ukuthi ungaba nesimo esisha noma esingatholakali okufanele sidluliselwe.
Iyini i-Polymyalgia Rheumatica?
I-PMR yisifo sokuvuvukala okukholelwa ukuthi sizenzekelayo. Kubonakala cishe kuphela kubantu abangaphezu kuka-65. Odokotela bangase bangakucabangi nanoma ubani ongeyena isakhamuzi esiphezulu.
Phakathi kwabantu asebekhulile kunama-50, cishe amaphesenti angu-0.5 ane-PMR, okwenza kube yisifo esingavamile. (Ukukuqhathanisa, imiphumela ye-fibromyalgia phakathi kwamaphesenti amabili nesine abantu base-US.) Ucwaningo olwenziwa ngo-2014 ku- Rheumatology International luphakamisa ukuthi i-PMR ingaba khona cishe ngamaphesenti amathathu abantu abane-fibromyalgia. Uma kuyiqiniso, kuzokwenza kube okujwayelekile kakhulu kuleli qembu kunabantu abaningi.
I-PMR ngokuvamile ibangela ubuhlungu be-muscle nokuqina ezinxenyeni ezithile zomzimba, kufaka phakathi:
- Amahlombe
- Umkhumbi
- Izingalo eziphezulu
- I-Hips
- Izintambo
- Amathanga
- Ngezinye izikhathi izigqoko, izinwele, noma amadolo
Ukuqina kunzima kakhulu njalo ekuseni, lapho kunganciphisa kakhulu ikhono lokwenza imisebenzi eyisisekelo njengokuphuma embhedeni nokugqoka.
I-PMR ingafaka ezinye izimpawu, njenge:
- Ukukhathala
- I-low-grade fever
- Ukulahlekelwa kwesifiso
- UMalaise (umuzwa jikelele wokungahloni)
- Ukucindezeleka
Uma lesi sifo sihlasela, izimpawu zivame ukufika ngokushesha.
Indlela i-PMR ne-Fibromyalgia ehlukile ngayo
Ake sibheke ulwazi olungenhla, ukhomba iphuzu, ukuqhathanisa lezi zimo ezimbili.
- I-PMR ihilela ukuvuvukala okuhlangene nokwehla komzimba. I-Fibromyalgia ingase ihilele ukuvuvukala kwe-fascia (ungqimba oluncane lwezakhi ezixhumayo ezizungeze imisipha nezitho,) kodwa ukuvuvukala okungenani okuphansi kunalokho okutholakala ku-PMR.
- I-PMR inezici zesifo esizimele. I-Fibromyalgia ayitholakali njengesifo esizimele kodwa kukhona ubufakazi bokuthi okungenani ama-subgroups angabandakanya ukuzimela .
- I-PMR itholakale kuphela kubantu abangaphezu kuka-65. I- Fibromyalgia ivame kakhulu kubesifazane abaneminyaka yobudala. (Nokho, kungenzeka ukuthi noma ubani ahlakulele isimo.)
- I-PMR ibangela ubuhlungu nokuqina ezinxenyeni ezithile zomzimba. I-fibromyalgia ibangela ubuhlungu obubanzi. Abanye abantu bangase babe namaphethini athile obuhlungu, kodwa lokhu kuhluka kakhulu komuntu oyedwa kuya kwesinye.
- Ubuhlungu be-PMR nokuqina kunzima nakakhulu ekuseni. Abanye, kodwa hhayi bonke, abantu abane-fibromyalgia bangase babe nezimpawu ezithile eziveziwe kakhulu ekuseni . Kodwa-ke, abaningi banokuhlupheka okubuhlungu kakhulu kusihlwa noma ebusuku.
- I-PMR ingafaka ukukhathala, i-low-grade fever, ukulahlekelwa isifiso sokudla, i-malaise nokucindezeleka. I-fibromyalgia ihilela ukukhathala futhi ingafaka ukucindezeleka. I-fever, ukulahlekelwa ukudla, kanye ne-malaise azibhekwa njengezimpawu ze-fibromyalgia. ( Isikhathi eside ukukhathala kwesifo kuvamile kubantu abano-fibromyalgia, futhi kungabandakanya ukushisa nokugula.)
- I-PMR ivame ukufika ngokushesha. Ezinye izimo ze-fibromyalgia zifika masinyane kanti ezinye zibandakanya ukuzwakalisa kancane kwezimpawu.
Izwi kusuka
Ayikho i-test eyodwa yegazi engahlolisisa i-PMR. Odokotela bacubungula ububanzi obugcwele bezimpawu kanye ne-test test ebizwa nge- sedimentation (noma "sed") . Izinga eliphakeme eliphakeme liwuphawu lokuvuvukala. (Kwabantu abane-fibromyalgia, isilinganiso se-sed sejwayelekile kuvamile noma siphakanyisiwe kancane.)
I-PMR ivame ukuphathwa nge-steroids futhi ingavame ukulawulwa kahle. Abanye abantu abane fibromyalgia bangase bangabekezeleli i-steroids, kodwa lokhu akuyona inkinga yonke.
Qinisekisa ukuthi uzoxoxa ngezinketho zokwelapha, nanoma yimiphi imiphumela emibi ozwayo, nodokotela wakho ukuze anqume ukwelashwa okungcono kakhulu kuwe.
Kungasiza futhi ukuba ufunde kabanzi mayelana ne- PMR nokuthi ingaba nomthelela kanjani empilweni yakho.
Imithombo:
I-Caro XJ, i-Winter EF. I-arthritis ne-rheumatology. 2014 Jul; 66 (7): 1945-54. Ubufakazi be-fidalal nerve fibre mass in common fibromyalgia: impilweni kanye ne-immunologic.
I-Caro XJ, i-Winter EF, i-Dumas AJ. I-rheumatology. 2008 Feb; 47 (2): 208-11. I-subset yeziguli ze-fibromyalgia ziye zathola ukusikisela kwesifo sokuphefumula esingapheliyo sokudonswa kwe-polyneuropathy futhi sibonakale siphendula ku-IVIg.
Docken, uWilliam P, MD. I-American College of Rheumatology. I-Polymyalgia Rheumatica. Wonke Amalungelo Agodliwe. Kufinyelelwe: May 2016.
I-Haliloglu S, et al. I-Rheumatology international. 2014 Sep; 34 (9): 1275-80. I-Fibromyalgia kwiziguli ezinezinye izifo ze-rheumatic: isandulela nobuhlobo nemisebenzi yesifo.
I-Liptan, GL. I-Journal of bodywork kanye nokunyakaza kwemithi. 2010 Jan; 14 (1): 3-12. UFascia: Isixhumanisi esingekho ekuqondeni kwethu nge-pathology ye-fibromyalgia.