Kodi Kusiyana Ndi Chiyani?
Matenda a Fibromyalgia ndi myofascial nthawi zambiri amapita pamodzi. Chifukwa cha kuchitika kawirikawiri ndi zizindikiro zina zofanana, nthawi zambiri amalingalira zofanana, ndipo chifukwa chake, anthu onse awiri amapezeka kuti ali ndi mankhwala amodzi.
Izi ndizo mavuto enieni, chifukwa cha zifukwa zazikulu zitatu:
- Amafuna chithandizo chosiyana
- Mfundo za MPS zowonongeka zingathetsedwe
- Kupweteka kwa MPS kungachulukitse FMS, ndipo kuchepetsa kupweteka kwa MPS kungathetseretu zizindikiro za FMS kwambiri
Zimakhalanso zachilendo kwa anthu omwe ali ndi zifukwa izi kuti asamvetsetse bwino ndi zina, zomwe zimaperekanso kuchipatala cholakwika.
Ofufuza ena amagwiritsa ntchito dzina lakuti " matenda aakulu " (CMP) m'malo mwa matenda a myofascial chifukwa cha umboni ndi matenda, osati matenda. ("Matenda" ndi chizindikiro cha zizindikiro popanda chifukwa chodziwika.)
Mwachidule
Mu MPS, minofu ndi tizilombo toyambitsa matenda (zomwe zimapanga fascia) zimapanga zomwe zimatchedwa trigger point (TrP). Izi sizili zofanana ndi mfundo za malonda a FMS.
Mfundo yowonongeka ndi yaing'ono, yachangu yomwe nthawi zina mumamva pakhungu lanu. Mfundo yokha ikhoza kukhala yopweteka, makamaka ikagwiritsidwa ntchito, koma nthawi zambiri imachititsa ululu kudera lina, lomwe limatchedwa kupweteka.
Gwiritsani ntchito mfundo zomwe zimachitika pambuyo povulala minofu ndipo, pazifukwa zina, sachiza bwino.
Akatswiri sadziŵa chifukwa chake kuwonongeka kumene kumachiritsa kawirikawiri mwa anthu ambiri kumayambitsa matenda ena. Komabe, kafukufuku amasonyeza kuti kuvulala kwa minofu mwa anthu ena kumabweretsa zovuta pamene maselo a mitsempha amagwirizana ndi maselo a minofu. Izi zikusonyeza kuti MPS ndi matenda a neuromuscular.
Msonkhano
Chifukwa chake anthu omwe ali ndi MPS nthawi zambiri amakhala ndi FMS, koma umboni wochulukirapo umasonyeza kuti, mwa anthu ena, kupweteka kosalekeza kukhoza kusintha dongosolo lakati la mitsempha, zomwe zimapangitsa kuti pakati pakhale mphamvu .
Ngati malingaliro ali olondola, kulandira msanga kwa MPS kungathandize kuteteza FMS.
Nthawi yotulukira ambulera ya FMS, MPS, ndi zina zofunikira zokhuza kuteteza mphamvu ndizofunikira kwambiri .
Zizindikiro
Zizindikiro zina zogwirizana ndi MPS ndizofanana ndi zizindikiro zogwirizana ndi FMS, pamene zina zimagwirizanitsidwa ndi imodzi yokha.
Zizindikiro zomwe ali nazo zimaphatikizapo:
- Ululu wofewa wochokera ku wofatsa mpaka wolimba
- Mutu ndi / kapena migraines
- Kugona kosokonezeka
- Matenda osamalitsa komanso / kapena chizungulire
- Matenda (kumalira m'makutu) ndi ululu wa khutu
- Mavuto a pamtima
- Thuku losadziwika
- Zizindikiro zoopsa chifukwa cha nkhawa, kusintha kwa nyengo, komanso kuchita masewera olimbitsa thupi
Zizindikiro zogwirizana ndi MPS koma osati ndi FMS ndizo:
- Kumveka kumapeto
- Kuponda kapena kudumpha ziwalo
- Kuyenda kochepa mmagulu , makamaka nsagwada
- Masomphenya obwerezabwereza kapena ophwanyika
- Kusambidwa kosadziwika
Zizindikiro zogwirizana ndi FMS koma osati ndi MPS ndizo:
- Kutopa
- Kupanikizika
- Kumva kukhumudwa chifukwa chokhudzidwa kwambiri
- Nthendayi ndi zowonongeka
- Kusokonezeka nthawi ndi kusokonezeka
Kuti mupeze zizindikiro zambiri za fibromyalgia, onani The Monster List of Fibromyalgia Symptoms .
Kudziwa
Kupweteka kobwerezabwereza kumapangitsa MPS kukhala kovuta kuti azindikire ndi kuchiza. Kawirikawiri, dokotala amati, "Kumapweteka kuti?" ndiyeno nkuyang'ana kumene mukulozera.
Pofuna kuthandizira MPS, iwe ndi dokotala wanu muyenera kufufuza zozizwitsa zanu ndikudziwe komwe malo anu oyambira ali.
Dokotala wanu angapeze mfundo zowonongeka mwakumverera kapena zochokera ku zizindikiro. Mayesero monga magnetic resonance elastography ndi chiwopsezo cha minofu angasonyeze kuti sizinali zolakwika mu TrPs, koma ntchito zawo pakupeza MPS sizikuwoneka bwino.
Mosiyana ndi zimenezi, palibe mayeso kapena mawonekedwe omwe amasonyeza zovuta zomwe zimapezeka m'magazi kumene anthu omwe ali ndi matenda a FMS amavutika.
Kuchiza
Muli ndi njira zingapo zothandizira MPS:
- Zowonongeka Zowonongeka : Dokotala amaika singano mwachindunji ku TrP kapena m'malo angapo kuzungulira izo kuti awamasulire magulu amtundu. Dokotala akhoza kuyambitsa mankhwala ochepetsa ululu, monga corticosteroids kapena lidocaine. (Zindikirani: madokotala ena amakhulupirira kuti corticosteroids ingawononge zizindikiro za fibromyalgia.) Ngati palibe mankhwala ogwiritsidwa ntchito, amatchedwa osowa osowa.
- Kujambula m'mimba : Kuchita masewera olimbitsa thupi ndizochita zachiyankhulo zachikale zomwe zimafanana ndi osowa. Pamene maphunziro a ntchito yake mu MPS ali ochepa omwe akulonjeza, ndipo odwala ambiri ndi odokotala amavomereza zotsatira zabwino.
- Thandizo lachilengedwe: Mankhwala apadera otchedwa spray-and-stretch amavomereza kuti apeze MPS. Wodwala wakuthupi amatsogoleretsa mwazizoloŵezi zowonongeka pamene akupopera chinthu chopweteka pa minofu yanu. Wothandizira angagwiritsenso ntchito njira zina zamisala kuti amasule minofu yanu ndi TrPs. Kuwonjezera apo, wothandizira angagwire nawe ntchito pazifukwa zosayenera zomwe zingapangitse MPS.
- Mankhwala: Mankhwala osokoneza bongo a MPS ndi mankhwala osagwiritsidwa ntchito ndi mankhwala osokoneza bongo (NSAIDs) monga Aleve (naproxen) kapena mankhwala okhudza ibuprofen monga Advil ndi Motrin, ndi tricyclic mankhwala opatsirana monga amitriptyline, doxepin, ndi nortriptyline.
Matenda a MPS vs. Matenda a FMS
Pano kachiwiri, pali zochitika zina komanso zosiyana kwambiri. Mankhwala ogwiritsidwa ntchito kwa MPS ndi FMS ndi awa:
- Kupangidwanso
- Thandizo lachipatala (ngakhale mwa mitundu yosiyanasiyana)
- Tricyclic anti-depressants (ngakhale SSRI / SNRI kupsinjika maganizo kukufala kwambiri kwa FMS)
Kafukufuku amasonyeza jekeseni zamagetsi sizingathandize kuthetsa ululu wa fibromyalgia, ndipo ma NSAID sagwira ntchito pochiza ululu wa FMS.
Akatswiri ambiri amtundu wa fibromyalgia amalimbikitsa njira zosiyanasiyana zochiritsira.
Kulimbana
Chifukwa chosiyana kwambiri ndi zizindikiro zawo, matenda ndi matenda, zimawoneka kuti matenda a fibromyalgia ndi matenda a myofascial si ofanana. Komabe, zingakhale zovuta kudziwa kuti ndi chiani chomwe chimayambitsa kupweteka pamene munthu ali ndi zonsezi.
Pogwira ntchito payekha komanso ndi dokotala wanu / kapena wodwalayo, mungathe kudziwa komwe mwayambitsa mfundo ndi momwe mungaperekere popanda kuwonjezera fiber yanu ya fibromyalgia. Kuthetsa ululu wa myofascial kungathetseretu zizindikiro zanu za fibromyalgia, kotero mutha kuona kupindula kawiri.
Zotsatira:
Maphunziro a zachipatala. 2008 Jun; 23 (5): 623-9. Epub 2008 Feb 21. "Mphamvu ya magnetic resonance elastography kuyesa magulu amtundu."
Schmerz. 2003 Dec; 17 (6): 419-24. "Kuzindikira ndi chithandizo chamankhwala a myofascial trigger points."