Ukuyiqeda Kanye
Uma unesifo esilimazayo esithinta zonke izici zokuphila kwakho, kuvamile ukubuza ukuthi "kungani?" Uma kuziwa ku- fibromyalgia (i-FMS), sinezela njalo izingcezu eziningi nakakhulu ku-puzzle. Ngenkathi singakabi nesithombe esiphelele, sisondela.
Ochwepheshe bafunda okuningi mayelana nokuthi yini eholela ku-FMS, kodwa ayikacaci ukuthi kungani lezi zinto ziholela ku-FMS kwezinye futhi hhayi kwabanye.
Ochwepheshe abaningi bakholelwa ukuthi lesi simo sihlotshaniswa nesimo sezinto ezifuywayo , okungahle kuvele lowo mbuzo.
I-Fibromyalgia ihlelwe yaba yizigaba ezimbili: okuyisisekelo nesekondari. I-FMS eyinhloko iyona evame kakhulu futhi ibizwa nangokuthi "idiopathic" ye-FMS, okusho ukuthi inesizathu esingaziwa. I-FMS yesibili ihlotshaniswa nezinye izimbangela zobuhlungu obungapheliyo.
# 1 - I-Fibromyalgia eyinhloko (Idiopathic)
Izimbangela ezilindelekile ze-FMS eyinhloko zifaka izinto ezingavamile ebuchosheni namahomoni, ukuphazamiseka okungapheli kokulala, izimo ezingokwengqondo nezenhlalakahle, kanye nokungahleleki kwemisipha. Ucwaningo luphinde lubheke kwezinye izindlela eziningi, ngempumelelo ehlukahlukene.
Ubuchopho & Ukungahleleki Kwe-Hormonal
Izifundo zibonisa, nge-FMS, izingxenye zesistimu yakho yezinzwa zomphakathi ezibhekana nezibonakaliso zobuhlungu zisebenza ngokuhlukile kwabanye abantu. Lokhu kuthiwa ukuzwela okuphakathi .
Abacwaningi bayazi ukuthi abantu abane-FMS bangabhekana nokungajwayelekile okuningi emisebenzini yabo ye-hormonal, metabolic and brain-chemical, kodwa abaqiniseki ukuthi lezi zimbangela ze-fibromyalgia noma umphumela wobuhlungu nokucindezeleka ohlelweni lwezinzwa zomphakathi.
Ezinye izinguquko zomzimba ebuchosheni zitholiwe, futhi.
Abantu abane-FMS bangase babe nokungajwayelekile kunoma yikuphi okulandelayo:
- I-Serotonin : amazinga aphansi
I-Serotonin ithinta umjikelezo wakho wokulala, izinga lobuhlungu kanye nemizwa yenhlalakahle. Amazinga aphansi ahlotshaniswa nokucindezeleka , i- migraine , ne- syndrome eyathukuthela , konke okuvame ukuvela kubantu abane-FMS.
- I-Melatonin : amazinga aphansi
Ucwaningo oluthile lubonisa ukuthatha izithako ze-melatonin kunganciphisa amazinga obuhlungu, ukuthuthukisa ukulala nokusiza ukunciphisa izimpawu zokucindezeleka kubantu abane-FMS. Noma kunjalo, ezinye izifundo zibonise kancane noma akukho ngcono. - I-Norepinephrine & Dopamine : amazinga aphansi
Amazinga aphansi we-norepinephrine angabangela ukulahlekelwa ukuphaphama, ingqondo yengqondo , ukucindezeleka nokunganaki. Umzimba wakho usebenzisa i-norepinephrin ukudala i-dopamine, futhi imiphumela ephansi ye-dopamine ebuhlungu besisu, ukuhluleka okuqhubekayo kokuqonda, nezinkinga ezihlobene nokunyakaza (isib. Ukuthuthumela, ukulinganisela okungalungile, ukuhlushwa.) - I-Glutamate & GABA : ngaphandle kokulinganisela
Umsebenzi we-glutamate ukuthola amaseli akho obuchopho aguqulwe. Kubalulekile ekufundeni nakwezinye izimo ezidinga ukucabanga okusheshayo. Umsebenzi we-GABA ukulwa nokugulamate nokuqeda ubuchopho bakho. Ku-FMS, ucwaningo lubonisa ukuthi amazinga e-glutamate aphakeme kakhulu maqondana ne-GABA, engabangela ekugqibeleni ngisho nokufa kwamangqamuzana obuchopho. - Ukucindezeleka amahomoni: amazinga aphansi
Ukwehluleka kwama-hormone okucindezeleka i-cortisol ne-norepinephrin kwenza umzimba wakho ungakwazi ukubhekana nokucindezeleka kwengqondo noma ngokomzimba. (Ukucindezeleka ngokomzimba kuhlanganisa ukutheleleka noma umsebenzi okhuni.) - I-IGF-1 i-hormone yokukhula: amazinga aphansi
Le hormone ikhuthaza ithambo kanye namasipha ukukhula. Amazinga aphansi ahlotshaniswa nezinkinga zokucabanga, amandla aphansi, ubunzima bemisipha ukungabekezelelani kubanda. Leli zinga liba umaka we-FMS kunokuba imbangela.
- Izinto P : amazinga aphezulu
Into P iyisithunywa sezemikhali ohlelweni lwezinzwa ezihlotshaniswa nobuhlungu bokubona. Uma unomningi kakhulu, ubuchopho bakho buthola izibonakaliso eziningi zobuhlungu. Abantu abane-FMS bangaba nezikhathi eziphindwe kathathu umthamo ojwayelekile emthonjeni wabo wamagogasi. - Ukubona okungavamile ubuhlungu: amazinga aphezulu emisebenzi
Ezinye izifundo kanye nokuhlola kobuchopho kubonisa ukuthi iziguli ze-fibromyalgia zinomsebenzi omkhulu kakhulu ezingxenyeni zobuchopho nasesimweni esiyinhloko sezinzwa esenza ubuhlungu.
Abacwaningi bazama ukuqonda lokho okushiwo yizinto ezingavamile nokuthi lolu lwazi lungabangela kanjani ukwelashwa.
Ukuphazamiseka Okungapheli Ukulala
Ukuphazamiseka kokulala kanye ne-fibromyalgia kuyahamba futhi kunesandla, kanti abanye ochwepheshe bakholelwa ukuthi ukuphazamiseka kokulala kuqala.
Abantu abane-FMS banamaphesenti angaphezu kwesilinganiso semisipha yezinyawo ezingenakuphumula, ukuphazamiseka kwesikhashana sokuhamba komzimba (PLMD) nokukhathazeka okuphefumula okuhlobene nokulala njengokufana ne- apnea yokulala .
Ezinye izinkinga zokulala ze-FMS zingaxhunyaniswa namazinga wamakhemikhali wesistimu wesistimu serotonin ne-melatonin, okusiza ukulawula imijikelezo yokulala nokuvuka.
Imiphumela Yengqondo Nezenhlalo
Ngokusho kocwaningo, abantu abaneFMS banamathuba amaningi kunokuba abanye baye babhekana nokuhlukumeza ngokomzwelo nangokomzimba okunzima. Lokhu kusikisela ukuthi ukucindezeleka kokucindezeleka emva kokuthungatha (PTSD) noma ukucindezeleka okungapheli kungabamba iqhaza elikhulu ekuthuthukiseni i-FMS kwabanye abantu.
Ubufakazi bubonisa ukuthi ukucindezeleka kanye ne-PTSD empeleni kuholela ekushintsheni ebuchosheni, mhlawumbe kusukela ekude isikhathi eside ekucindezelekeni kwama-hormone.
Ukungahleleki Kwemisipha
Nakuba lezi zinto zingenakuhlolwa ehhovisi lakho noma ekliniki, olunye ucwaningo luye lwabonisa ukuthi abantu abane-FMS banezinhlobo ezintathu zemisipha engavamile:
- I-biochemical
Ezinye iziguli ze-FMS zinamazinga aphansi amakhemikhali e-muscle-cell aqinisekisa ukuthi une-calcium eyanele emisipha yakho. Uma amazinga aphansi, imisipha ihlala ingena esikhundleni sokuphumula. - Ukugeleza kwesakhiwo kanye negazi
Abacwaningi bathole abantu abane-FMS abanamapilasi amaningi amancane (imithambo emincane yegazi). Lokhu kungase kusho ukuthi imisipha yakho ayitholi okwanele igazi elicebile oksijeni noma amanye amakhemikhali odinga ukusebenza kahle kwemisipha. - Kusebenza
Ochwepheshe abazi ukuthi kungani lokhu kuwukuthi ucabange ukuthi ubuhlungu nokucindezeleka kwalesi sifo ngokwayo kungalimaza ukusebenza kwemisipha.
# 2 - I-Fibromyalgia yesibili
I-fibromyalgia yesibili ibonakala ngemuva noma ngokuhambisana nezinye izinkinga zezokwelapha, ngokuvamile okukodwa kokulandelayo:
- Ukulimala ngokomzimba, ikakhulukazi entanyeni
- I-ankylosing spondylitis (i-arthritis echaphazela umgogodla)
- Ukuhlinzwa
- Isifo se-Lyme (May angabangela i-FMS ngisho nangemva kokuba uLyme aphathwe)
- I-Hepatitis C (ezinye izifundo zithinta kule nhlangano)
- I-Endometriosis
- Ezinye izimo ezibandakanya ukuzwela okuphakathi
- Ezinye izimbangela zobuhlungu obungapheli
Uma kukhona esinye isimo emsebenzini, singenza odokotela kube inselelo yangempela uma kuziwa ekuhloleni iFMS yesibili. Okokuqala, kungaba nzima ukuhlunga ukuthi yisiphi isimo esibangela izimpawu. Okwesibili, i-FMS ibhekwa njengokuxilongwa kokuxoshwa ngoba noma yini eguquguqukayo kufanele ilashwe ngaphambi kokuba udokotela angayihlola.
Uma usola ukuthi une-FMS ngaphezulu kwesinye isimo, khuluma nodokotela wakho. Ukukhulumisana okuhle kuvame ukhiye we-diagnosis.
> Imithombo:
> de Zanette SA, et al. BMC Pharmacy & Toxicology. 2014 Jul 23; 15: 40. I-melatonin analgesia ihlotshaniswa nokuthuthukiswa kwesistimu yezinhlungu zokumisa ubuhlungu ekupheleni kwe-fibromyalgia: isigaba sesibili, isivivinyo esilawulwayo, esingenasici, esine-double-dummy.