Kuliphatikiza Pamodzi
Pamene muli ndi matenda olepheretsa omwe amakhudza mbali zonse za moyo wanu, ndi zachilendo kufunsa "chifukwa chiyani?" Pankhani ya fibromyalgia (FMS), nthawi zonse timaphatikizapo zidutswa zambiri. Ngakhale kuti tilibe chithunzi chonse, tikuyandikira.
Akatswiri akuphunzira zambiri za zomwe zimatsogolera ku FMS, koma sadziwa bwino chifukwa chake zinthu izi zimatsogolera FMS kwa ena osati mwa ena.
Akatswiri ambiri amakhulupirira kuti chikhalidwechi chimagwirizanitsa ndi chibadwa , chomwe chingathetse funsoli.
Fibromyalgia imagawidwa m'magulu awiri: oyambirira ndi apamwamba. Ma FMS oyambirira ndi omwe amavomerezedwa ndipo amatchedwanso "idiopathic" FMS, kutanthauza kuti ili ndi chifukwa chosadziwika. FMS yachiwiri ikugwirizana ndi zifukwa zina za ululu wosatha.
# 1 - Pachiyambi (Idiopathic) Fibromyalgia
Zomwe zimayambitsa zifukwa zapadera za FMS zimaphatikizapo zolakwika mu ubongo ndi mahomoni, kusokonezeka kwagona tulo, kuganiza kwa maganizo ndi chikhalidwe, ndi kuwonongeka kwa minofu. Kafukufuku akuyang'ananso m'njira zina zambiri, ndi zotsatira zosiyanasiyana.
Ubongo ndi Kuwonongeka kwa Hormonal
Kafukufuku akuwonetsa, ndi FMS, zigawo za dongosolo lanu lamkati la mitsempha zomwe zimagwira ndi zizindikiro zowawa zimagwira ntchito mosiyana ndi anthu ena. Izi zimatchedwa kutetezedwa pakati .
Ochita kafukufuku amadziwa kuti anthu omwe ali ndi FMS akhoza kukhala ndi zovuta zambiri m'thupi lawo, zamagetsi komanso zamaganizo, koma sadziwa ngati izi zimayambitsa matenda a fibromyalgia kapena zotsatira za ululu ndi kupsinjika maganizo pakati pa dongosolo la mitsempha.
Kusintha kwina kwa thupi mu ubongo kwapezeka, komanso.
Anthu omwe ali ndi FMS akhoza kukhala osowa mwazinthu zotsatirazi:
- Serotonin : zotsika zochepa
Serotonin imakhudza kugona kwanu, kupweteka msinkhu ndi kumverera kwabwino. MaseĊµera ochepa ali okhudzana ndi kuvutika maganizo , migraine , ndi matenda opweteka a m'mimba , zomwe zonse zimachitika nthawi zambiri kwa anthu omwe ali ndi FMS.
- Melatonin : ma level otsika
Kafukufuku wina akuwonetsa kutenga mankhwala owonjezera a melatonin amatha kuchepetsa maulendo, kupititsa tulo ndikuthandiza kuchepetsa zizindikiro za kuvutika kwa anthu omwe ali ndi FMS. Komabe, maphunziro ena asonyeza pang'ono kapena ayi. - Norepinephrine & Dopamine : magulu otsika
Mawerengero otsika a norepinephrine angapangitse kukhala osamala, kuvutika maganizo , kudandaula, ndi kusasamala. Thupi lanu limagwiritsa ntchito norepinephrine kupanga dopamine, ndipo kuchepa kwa dopamine kumayambitsa kupweteka kwa minofu, kusamvetsetsana kwakukulu, ndi mavuto okhudzana ndi kuyenda (mwachitsanzo, kunjenjemera, kusawonongeka bwino, kusokonezeka.) - Glutamate & GABA : kunja kwake
Ntchito ya Glutamate ndikutsegula maselo a ubongo. Ndikofunika kuphunzira ndi zina zomwe zimafuna kuganiza mwamsanga. Ntchito ya GABA ndikumenyana ndi glutamate ndikukhazikitsa ubongo wanu. Mu FMS, kafukufuku amasonyeza kuti ma glutamate ndi apamwamba kwambiri poyerekezera ndi GABA, zomwe zingayambitse kupambanitsa komanso ngakhale imfa ya maselo a ubongo. - Mahomoni opanikizika: otsika
Zofooka m'mahomoni opanikizika a cortisol ndi norepinephrine zimapangitsa thupi lanu kukhala losavuta kuthana ndi maganizo a m'maganizo. (Kuvutika maganizo kumaphatikizapo matenda kapena ntchito zovuta.) - IGF-1 hormone ya kukula: otsika kwambiri
Hormone imalimbikitsa kukula kwa mafupa ndi minofu. MaseĊµera ochepa ali okhudzana ndi mavuto ndi kuganiza, mphamvu zochepa, kufooka kwa minofu kusagwirizana ndi kuzizira. Mbali iyi ingakhale chizindikiro cha FMS osati chifukwa.
- Thupi P : miyezo yapamwamba
Thupi P ndi mankhwala amtundu wa mchitidwe wamanjenje wokhudzana ndi ululu woganiza. Ngati muli ndi zochuluka kwambiri, ubongo wanu umakhala ndi zizindikiro zambiri zopweteka. Anthu omwe ali ndi FMS akhoza kukhala ndi katatu kawirikawiri mumtsempha wawo. - Kulingalira kosayembekezereka: zochitika zapamwamba
Kafukufuku wina ndi machitidwe a ubongo amasonyeza kuti odwala fibromyalgia ali ndi ntchito zambiri m'madera a ubongo ndi pakatikati a mitsempha omwe amachititsa ululu.
Ochita kafukufuku akuyesetsa kuti amvetsetse kuti zovutazi zikutanthauzanji ndi momwe chidziwitso ichi chingapangitse mankhwala.
Kusokonezeka Kwambiri Kwogona
Kusokoneza tulo ndi fibromyalgia zimayenda ndi manja, ndipo akatswiri ena amakhulupirira kuti kusokonezeka m'tulo kumabwera koyamba.
Anthu omwe ali ndi FMS ali ndipamwamba kuposa kuchuluka kwa matenda osabisala , kusokonezeka kwa miyendo nthawi ndi nthawi (PLMD) ndi matenda okhudzana ndi kupuma monga kugona tulo .
Mavuto ena ogona a FMS angagwirizanitsidwe ndi zigawo za mankhwala amanjenje serotonin ndi melatonin, zomwe zimathandiza kuyendetsa kugona ndi kukomoka.
Zotsatira za Maganizo ndi Zagwirizano
Malingana ndi kafukufuku, anthu omwe ali ndi FMS amakhala ovuta kuposa ena kuti adzidzimva kwambiri. Izi zikusonyeza kuti vuto lotha kupwetekedwa ndi matenda pambuyo pake (PTSD) kapena kupsinjika maganizo kosatha kungathandize kwambiri pakukula kwa FMS kwa anthu ena.
Umboni umasonyeza kuti kupanikizika ndi PTSD kwenikweni kumapangitsa kusintha kwa ubongo, mwina kuchoka kwa nthawi yaitali ku mahomoni opanikizika.
Misampha yoipa
Ngakhale kuti zinthu izi sizingayesedwe ku ofesi kapena kuchipatala cha dokotala, kafukufuku wina wasonyeza kuti anthu omwe ali ndi FMS ali ndi mitundu itatu ya minofu yosafunika:
- Zachilengedwe
Odwala ena a FMS ali ndi zigawo zochepa za maselo-maselo omwe amatsimikizira kuti muli ndi calcium yokwanira mu minofu yanu. Pamene miyeso ili yochepa, minofu imakhalabe yogwirizana m'malo mokhala osangalala. - Zomwe zimayendera komanso magazi
Ochita kafukufuku apeza kuti anthu omwe ali ndi FMS ali ndi mitsempha yambiri yamagazi. Izi zikhoza kutanthauza kuti minofu yanu sipeze magazi okwanira okosijeni kapena mankhwala ena omwe mukufunikira kuti minofu ikhale yabwino. - Zimagwira ntchito
Akatswiri sakudziwa chifukwa chake izi zimangoganizira kuti ululu ndi nkhawa za matendawa zimapweteketsa minofu.
# 2 - Secondary Fibromyalgia
Chipangizo cha fibromyalgia chachiwiri chikuwoneka pambuyo kapena pothandizana ndi mavuto ena azachipatala, kawirikawiri chimodzi mwa izi:
- Kuvulaza thupi, makamaka pamutu
- Ankylosing spondylitis (nyamakazi imene imakhudza msana)
- Opaleshoni
- Matenda a Lyme (Mayake ayambitse FMS ngakhale pambuyo pa Lyme atachiritsidwa)
- Hepatitis C (kafukufuku wina amamveka pa gulu ili)
- Endometriosis
- Zochitika zina zokhudzana ndi kumva mphamvu
- Zina zomwe zimayambitsa kupweteka kosatha
Pomwe pali vuto lina kuntchito, lingapangitse madotolo kukhala chovuta kwambiri pakudziwa FMS yachiwiri. Choyamba, zingakhale zovuta kuthetsa chikhalidwe chomwe chikuyambitsa zizindikiro. Chachiwiri, FMS imatengedwa kuti ikudziwika kuti ndi yotsekedwa chifukwa chirichonse chomwe chingasinthidwe chiyenera kuchiritsidwa dokotala asanadziwe.
Ngati mukuganiza kuti muli ndi FMS pamwamba pa vuto lina, lankhulani ndi dokotala wanu. Kulankhulana bwino nthawi zambiri ndikofunika kwambiri kuti munthu azindikire bwino.
> Zotsatira:
> de Zanette SA, et al. BMC zamagetsi ndi mankhwala oopsa. 2014 Jul 23, 15: 40. Malatonin analgesia ikugwirizanitsidwa ndi kupititsa kwa kutsika kwazomwe zimapweteketsa machitidwe a fibromyalgia: chiyeso chachiwiri, chokhazikika, chachiwiri, choyesedwa.