Izimpawu ezifanayo kodwa ukuxilongwa okuyingqayizivele
I-Multiple Sclerosis (MS) kanye ne-fibromyalgia ibelana nezimpawu eziningi. Ngokwesibonelo, ukucindezeleka kuyisifo esivamile kulezi zimo zombili futhi kungase kube umphumela wesifo soqobo ngokwayo, umphumela wokuba nesifo esinjalo esilimazayo, noma okuncane kokubili.
Ezinye izimpawu ezivame ukuhlanganyela zifaka:
- Ukukhathala
- Ubuhlungu
- Ukuphazamiseka kokulala
- Izinkinga zengqondo
- Izikhwehlela kanye nemigraines
- Izinkinga zesibindi nesibindi
- Umthelela omubi ekwenzeni izinga lokuphila kanye nekhono lokwenza imisebenzi yansuku zonke
Lokhu kutholakala ngezimpawu kungase kudibanise ukuxilongwa kwe-fibromyalgia ne-multiple sclerosis, ikakhulukazi kumuntu ovele ephila nalezi zimo. Ngamanye amazwi, kunengqondo ukuthi odokotela, kanye nabantu abaphila nale sifo ngokwabo, ngokwemvelo bangacabanga ukuthi lezi zimpawu ziyingxenye yokuxilongwa kwangempela futhi banqikaze ukuphenya ngokuqhubekayo.
Isimo se-Fibromyalgia ne-Multiple Sclerosis
I-fibromyalgia ivame kakhulu kune- multiple sclerosis , njengoba kulinganiselwa ukuthi amaphesenti ayisithupha kuya kwayishumi kubantu base-US bane fibromyalgia. Ngokuphambene, i-MS ithinta amaphesenti angaphansi kuka-10 alolo nani noma abantu abangaba ngu-400 000 base-US.
Lokho kusho ukuthi ukuhlanganiswa okuhlangene phakathi kwe-fibromyalgia kanye ne-MS yokubuyisela emuva (uhlobo oluvame kakhulu lwe -MS ) ukuthi lezi zifo zombili zivame kakhulu kubafazi, nakuba amadoda nabantwana bangakhula nabo.
Ukuxilongwa kwe-Fibromyalgia ne-Multiple Sclerosis
Nakuba kungekho ukuhlolwa kwegazi ukuze kutholakale ngokucacile ukuthi i-fibromyalgia noma i-multiple sclerosis, kunezinqubo eziqondile ezisetshenziswa udokotela ukuqinisekisa ukuthi umuntu unesimo ngempela. Lezi zici zisiza kakhulu ukuvimbela ukuhlaselwa okungaqondakali, okungahle kumonakalise umuntu.
Noma kunjalo, inqubo yokuxilonga ingaba yinselele kwabanye abantu, njengoba izimpawu zomtholampilo zingase zenzeke.
I-Fibromyalgia ithola ukuthi uma umuntu ehlangana nenye yezinkomba ezimbili:
- I-Score Index Yezinhlungu Ebanzi kakhulu okungu-7 noma ngaphezulu kanye ne-Symptom Severity Scale Score engama-5 noma ngaphezulu OK
- I-Score Yomsindo Wamabala Omhlaba Omkhulu we-Pain Score 3 kuya ku-6 kanye ne-Symptom Severity Scale Score eyisi-9 noma ngaphezulu.
Izinga lobubanzi be-WPI (i-WPI) ezilinganiselwe kusuka ku-0 kuya ku-19 futhi lusekelwe kwinani lamasayithi umuntu abika ubuhlungu ngesonto elidlule. Isibonelo, ubuhlungu emlenzeni ophansi ongakwesokunxele, umlenze ophansi ophansi, isisu, isisu esikwesokunxele, nomlenze wesobunxele uzoba amaphuzu amahlanu.
Isibalo sezinga le-Symptom Severity (SS) yisilinganiso samanani amakhulu (kusuka ku-0 kuya ku-3) kwezibonakaliso ezine ezilandelayo: ukukhathala, ukuvuka okungapheli, izimpawu zokuqaphela, nokulinganiswa kwamanani amaningi ("body") 0 kuya ku-12.
Ukutholakala kwezifo eziningi ze-sclerosis kuncike kakhulu ekubeni khona kwezilonda ebuchosheni noma emthonjeni wokugcoba, njengoba kubonakala kwi-MRI scan. I-MS ingabuye itholakale imitholampilo, okusho ukuthi umuntu unezibonakaliso ezenzeka ngezikhathi ezahlukene (okungenani inyanga eyodwa ngaphandle) nasezingxenyeni ezahlukene zobuchopho, intambo yomgogodla noma i-optic nererve (okungenani izindawo ezimbili ezihlukene).
Esinye salezi ziqephu (okuthiwa ubuyisela emuva) kufanele siqinisekiswe ngokuhlolwa kwegazi, ne-MRI, noma ukuhlolwa okubizwa ngokuthi yizinto ezibukwayo ezibonakalayo (uma kunezinkinga zombono).
Lapho eqinisekisa ukuxilongwa kwe-MS, i-neurologist nayo izofuna ukulawula ezinye izifo ezingalingisa i- MS ngaphandle kwe-fibromyalgia. Lokhu kungase kusho ukukwenza ukuhlolwa kwegazi kanye / noma ukukhishwa kwe-lumbar.
Izwi elivela
Njengoba kunikezwe ukutholakala kwezimbonakaliso eziningi zalezi zifo, kanye namaphrofayli afanayo engozini kanye nezinselele zokuxilonga, kungenzeka ukuthi kukhona abantu abane-MS kanye ne-fibromyalgia, noma lowo uphazamisa omunye.
Uma ukhathazekile ngalokhu, kunengqondo ukucela ukudluliselwa ku- rheumatologist (noma i-neurologist yezimpawu ze-MS) ukuthola ulwazi olwengeziwe nemibono yesibili.
Lokhu kusho ukuthi kubalulekile ukuqonda ukuthi isimo esisodwa asikubeka engozini yokuba nomunye-okusho ukuthi uthola ukuthi une fibromyalgia, akusho ukuthi unethuba eliphakeme lokuthuthukisa i-MS (futhi ngokuphambene nalokhu).
Ayikho ikhambi yezifo, kodwa kukhona imithi yokwelapha izimpawu eziningi. Ku-MS, imishanguzo yokuguqula izifo ingenza i-MS yakho ingaqhubeki futhi.
Okubalulekile lapha ukuthi kuwufanele isikhathi sakho nomzamo wokuqhubeka ubuza imibuzo futhi uhlale usebenza ekufuneni impilo enhle kanye nempilo engcono.
Imithombo:
I-National Fibromyalgia Association. (2016). I-FM Fact Sheet.
UTommaso, M., et al. (2009). I-Fibromyalgia comorbidity kumakhanda oyinhloko. I-Cephalalgia. 29: 453-464.
UTullman, MJ (2013). Sibutsetelo se-epidemiology, ukuxilongwa, nokuguqulwa kwezifo ezihlobene ne-multiple sclerosis. Umagazini waseMelika Wokunakekelwa Okuphethwe, Feb; 19 (2 Suppl): S15-20.
> Wolfe F et al. I-American College of Rheumatology indlela yokuhlola yokuthoma ye-fibromyalgia nokulinganisa kwesibindi sezimpawu. I-Arthritis Care Res 2010; 62: 600-10.