Mu fibromyalgia , chizungulire, kuchepa kochepa, ndi kugwa ndi madandaulo ambiri. Kwa anthu ena, iwo amakhumudwa pang'ono kuti nthawi zina amamera. Kwa ena, iwo akhoza kukhumudwitsa kwambiri ndikupweteka nthawi zonse.
Kugwa, makamaka kugwa kawirikawiri, ndi vuto lalikulu. Chinthu chotsiriza chomwe mukuchifuna mukakhala kale mukumva kupweteka ndikudzipweteka nthawi zonse.
Kugwa mobwerezabwereza kapena kuchepetsa mavuto kungapangitsenso kuopa kugwa.
Kuopa kumeneko kungakuchititseni mantha kuti mukhalebe olimba, ngakhale mutayesetsa. Malinga ndi kafukufuku wa Clinical Rheumatology, anthu 73 pa anthu 100 alionse amene ali ndi fibromyalgia amaopa kuchita zinthu zolimbitsa thupi, ndipo pafupifupi 75 peresenti amakhala ndi mavuto.
Kugonjera ndi zochepa zozizwitsa komanso zotsatira za zizindikilo za chizungulire ndi kuchepa kwabwino. Mu chikhalidwe ichi, mavuto ndi kugwa kwa mavuto angakhalenso ofanana ndi kusintha kwa momwe timayendera.
Ndiye n'chifukwa chiyani fibromyalgia imakhudza mavutowa? Ndipo tingachite chiyani za iwo?
Fibromyalgia ndi Chizungulire
Mu fibromyalgia, chizungulire nthawi zambiri chimabwera pamene iwe uyamba kuima. Ziri zofanana ndi kumverera kwa "kuthamangira mutu" kuchokera pamene iwe ukuimirira mofulumira kwambiri, komabe izo zingakhoze kuchitika nthawi iliyonse yomwe iwe upita kukagona kapena kukhala pansi. Kuyamba kwadzidzidzi kwa chizungulire kungakupangitseni kuyenda, kuyenda, kapena kukupangitsani kugwa kapena kufooka.
Chizunguliro ndi kutaya mtima mu chikhalidwe ichi zingakhale zomangirizidwa ku gulu linalake, malinga ndi kafukufuku wa 2017 wofalitsidwa mu European Journal of Pain . Kuwonjezera pa chizungulire ndi kutaya mtima, kachigawo kakang'ono kameneka kanali ndi ululu wopweteka kwambiri komanso zizindikiro zosiyana siyana kuphatikizapo kusokonezeka kwa chidziwitso ("furo fog"), chikhodzodzo chosasunthika, chiwindi, ndi matenda osapuma.
Kafukufuku amasonyeza kuti chizindikirochi chimachokera ku mphamvu yodzitetezera (ANS), yomwe imatchedwa dysautonomia . ANS ikukhudzidwa ndi ntchito zovuta zambiri m'thupi lanu, kuphatikizapo kuthamanga kwa mtima, kuthamanga kwa magazi, kupuma kwa thupi, kutentha kwa thupi, kuchepa kwa thupi, ndi kuchepa.
Chizungulidwe chochokera ku dysautonomia chikhoza kutchedwa kusagwirizana , orthostatic hypotension, kapena postural orthostatic tachycardia syndrome (POTS). Zofunikira, izi zimatanthauza kuti mtima ndi ubongo sizilankhulana bwino.
Chimene chiyenera kuchitika ndi chakuti pamene inu mukuyimira pa bodza kapena malo omwe mukukhala, ANS imapanga mphamvu ya magazi kuti muteteze mphamvu yokoka ndikusunga magazi okwanira mu ubongo wanu. Ndi dysautonomia, izi sizikuchitika monga ziyenera kukhalira. M'malo mwake, kuthamanga kwa magazi kungatheke pamene mukuyima, ndipo zotsatira zake ndizozunguza kapena kuunika. Mu POTS, kuthamanga kwa mtima kumawonjezereka pamene kuthamanga kwa magazi kudumpha.
Chizungulire chikhoza kugwirizanitsidwa ndi mtima, kuwona masomphenya, kuwonjezeka kwa chifuwa, kupweteka pachifuwa, ndi mtundu wofooka wotchedwa vasovagal syncope.
Sikuti aliyense amene ali ndi chizungulire cha fibromyalgia amalephera. Mufukufuku wa 2008, ochita kafukufuku amanena kuti chizunguliro ndi mapiritsi zimakhala zofala kwambiri kusiyana ndi kudodometsa.
Amanenanso kuti POTS ndi imodzi mwa zizindikiro zowonjezereka za fibromyalgia zomwe zimawonedwa panthawi ya kuyesedwa kwa tebulo, zomwe zimayesa momwe mungayankhire kusintha.
Kusamalitsa Ndiponso Kuthetsa Mavuto mu Fibromyalgia
Kuwonjezera pa kuthekera kwa kugwa, kafukufuku akusonyeza kuti anthu omwe ali ndi fibromyalgia amayenda mosiyana kusiyana ndi anthu abwino. Kafukufuku wa chaka cha 2009 adapeza kuti pafupifupi 28 peresenti ya anthu omwe ali ndi matendawa ali ndi khalidwe losazolowereka.
Mu kafukufuku wa 2017 wogwira ntchito, ochita kafukufuku adanena kuti kulemera ndi kulephera kunali kovuta kwambiri mu chikhalidwe ichi. Kusiyana kunaphatikizapo:
- kwambiri mwachifupi mzere kutalika
- kuyenda mofulumira
- momwe thupi limayendera poyenda
Ochita kafukufuku ananena kuti kusiyana kwakukulu ndi kusamvana kunali koipitsitsa kwa anthu omwe anali ndi ululu , kuuma, kutopa, nkhawa, ndi kuvutika maganizo. Iwo adalimbikitsa kuti madokotala aone ngati odwala awo ali ndi fibromyalgia kuti apeze njira yabwino yowonetsera ndi kubwezera.
Phunziroli ndi mbali ya zolemba zambiri za sayansi zomwe zikuwonetsa mavuto ndi zovuta zomwe zimayambitsa kugwa. Komabe, kufufuza ndi kuchiza zizindikirozi sikungakhale kofunika kwa dokotala wanu. Ngati akudandaula, onetsetsani kuti muwabweretsere ku msonkhano wanu wotsatira.
Kulepheretsa Chizungulire ndi Kuwonongeka mu Fibromyalgia
Mukamapambana kwambiri mukuchiza fibromyalgia yanu, zochepazi zikhale zovuta. Komabe, ngati akufunikira kusamalidwa kwambiri kapena simunathe kupeza mankhwala ogwiritsira ntchito fibromyalgia, muli ndi njira zingapo.
Kwa chizunguliro kuchokera ku POTS, hypotension orthostatic, kapena hypotension hypothesis, dokotala wanu akhoza kulangiza mankhwala omwe amathandiza. Izi zingaphatikize SSRI / SNRIs , benzodiazepines ndi beta blockers . Zina mwa mankhwalawa zingathandize kuchepetsa zizindikiro zina za fibromyalgia, komanso SSRIs ndi SNRIs zomwe zimaperekedwa kwa matendawa. Dokotala wanu angathenso kulangiza kusintha kwa moyo.
Ngati mumasuta fodya, kafukufuku wofalitsidwa mu nyuzipepala ya rheumatologic, Joint, Bone, Spine akusonyeza kuti kuchoka kungathandize kuchepetsa kutaya komanso zizindikiro zina za fibromyalgia.
Pokhudzana ndi kuchepetsa thupi, kupatsirana thupi ndi mankhwala ochiritsira. Mwinanso mukufuna kufunsa dokotala ngati chinachake monga yoga , tai chi , kapena qigong chili bwino kwa inu.
Mpaka mutapeza njira zowonetsera zizindikiro izi, zimayenera kusamala. Zida zothandizira monga ndodo kapena walker zingakuthandizeni kuti muyambe kuyenda. Kuchita masewera olimbitsa thupi kungakhale njira yabwino kwambiri, ndipo iwo ndi abwino koposa kukhala osagwira ntchito kuposa momwe mungakhalire.
> Zotsatira:
> Costa ID, Gamundi A, Miranda JG, et al. Ntchito zowonongeka zothandizira odwala fibromyalgia. Malire mu ubongo wa munthu. 2017 Jan 26; 11:14.
> Lee SS, Kim SH, Nah SS, et al. Kusuta kumakhudza ululu komanso ntchito zamaganizo komanso zamaganizo mu fibromyalgia. Ophatikizana, fupa, msana. 2011 May; 78 (3): 259-65.
> Staud R. Autonomic matenda opatsirana mu fibromyalgia: postural orthostatic tachycardia. Zochitika zamakono zamakono zipoti. 2008 Dec; 10 (6): 463-6.
> Russek L, Gardner S, Maguire K, ndi al. Kafukufuku wofufuza magawo omwe amachititsa anthu omwe ali ndi matenda a fibromyalgia. Kachipatala. 2015 Jun; 34 (6): 1109-19.
Watson Watson, Buchwalk D, Goldberg J, et al. Zizindikiro za matenda a neurologic mu fibromyalgia. Arthritis ndi rheumatism. 2009 Sep; 60 (9): 2839-44.
> Yim YR, Lee KE, Park DJ, et al. Kudziwa magulu a fibromyalgia pogwiritsa ntchito masamu: kugwirizana ndi mitundu ya matenda. Magazini ya ku Europe ya ululu. 2017 Feb; 21 (2): 374-384.