Kodi Fibromyalgia Zizindikiro Zotani?

Chizindikiro Chogwirizana Chogwirizana ndi Fibromyalgia

Fibromyalgia ndi matenda aakulu omwe amachititsa mabala ndi ululu wambirimbiri omwe amapezeka m'madera osiyanasiyana - makamaka minofu , matumbo, ndi minofu. Nthaŵi zina amatchedwa mitsempha ya rheumatism kapena rheumatic syndrome. Mosiyana ndi matenda ena a nyamakazi ndi a rheumatic , fibromyalgia sichigwirizana ndi kuwonongeka kwa mgwirizano kapena kupunduka kwa mgwirizano.

Kutulukira kwa fibromyalgia kungaphatikizepo kuunika kwapadera kwa mfundo zachifundo. Popeza kuti zochitika zapaleshoni zamakono sizizindikira kuti fibromyalgia, zizindikiro zachifundo zakhala mbali ya njira yothandizira. Kodi mfundo zachikondi ndi ziti?

Kuzindikira Fibromyalgia

Malingana ndi momwe matenda a fibromyalgia akuyendera (zochokera ku American American Rheumatology Diagnostic Criteria for Rheumatology 1990), wodwala ayenera:

• kupweteka kwafala m'zigawo zonse zinayi za thupi kwa miyezi itatu
• mfundo khumi ndi zisanu ndi zinayi (18) zapadera

Mfundo zachikondi ndi malo enieni pa thupi (ndime 18 zotsatizana pa malo 9 a m'midzi) zomwe zimagwirizana kwambiri ndi kukhudza (digiti palpation) pofufuza ndi dokotala. Malo okwana 9 omwe ali m'misasa ndi awa:

• Low Cervical Region: (kutsogolo kwa khosi) kumbali yapakati pazitsulo zozungulira pakati pa C5-C7.
• Mphukira Wachiwiri: (kutsogolo kwa chifuwa) pamagulu awiri owononga ndalama.

• Occiput: (kumbuyo kwa khosi) pa suboccipital miscle insertions.
• Matenda a Trapezius : (kumbuyo kwa phewa la m'mapewa) pakatikati pa malire apamwamba.
• Supraspinatus Muscle: (mbali yamapewa) pamwamba pa malire apakati a msana.
• Epicondyle yotsatira: ( mphika wa m'mbali) 2 cm distal ku epalondyle lateral.
• Ulemu: (kumapeto kumbuyo) kumtunda wakumtunda wamadzulo.

• Trochanter Wamkulu: (kumbuyo kwa mchiuno) pambuyo pa kutchuka kwakukulu.
• Khala: (malo a bondo) pa mafuta ochepa omwe ali pakati pamzere wofanana.

Pogwiritsa ntchito digito, wodwalayo amafunsidwa ngati palpation ili yopweteka. Yankho loti "inde" kuchokera kwa wodwala ndilo lingaliro lokhalo lomwe limayesedwa kukhala lolimbikitsa. Kuwonjezera pa kulumikiza kwa digito, kafukufuku wamakono angathe kuchitidwa ndi dolorimetry (chida chogwiritsira ntchito kupirira kulekerera).

Komabe, mu 2010, American College of Rheumatology inakonza zoti pakhale njira zatsopano zogwiritsira ntchito fibromyalgia. Zolemba zoyambirira zotsatiridwa zimasonyeza kuti kafukufuku wamtunduwu amachotsedweratu pofuna kusakaniza WPI (kupweteka kwakukulu) ndi SS (kukula kwa zizindikiro). Panali mavuto omwe ali ndi malingaliro achikondi pokhala ndikuganizira za matenda a fibromyalgia. Ndipotu, kumafuna luso lochita kafukufuku wamaphunziro abwino. Komanso, kafukufuku wamakono sanali othandiza pofufuza zotsatira za chithandizo. Madokotala ena adapewa kuunika kwachidziwitso ndipo adayang'anitsitsa zozizwitsa zina (mwachitsanzo, mavuto ogona, oiwala, malingaliro, ndi kuchepa kwa ntchito zokhudzana ndi ntchito za tsiku ndi tsiku). Zotsatira za phunziroli zasonyeza kuti njira zowonjezeredwa zinkatha kuzindikira 88% ya odwala fibromyalgia amene anakomana ndi akuluakulu a American College of Rheumatology kuti apeze matenda a fibromyalgia.

• Mafunso: Kodi Mungakhale ndi Fibromyalgia?

Mfundo Zachifundo ndi Mfundo Zowononga - Zili Zofanana?

Mfundo zachikondi ndi mfundo zoyambira ndizo ziwiri zomwe zimagwiritsidwa ntchito mosiyana - koma kodi zimagwirizana? Zojambulazo zimakhala zosiyana kwambiri ndi zigoba zazing'ono zomwe zimagwiritsidwa ntchito ndi mtundu wa ululu. Komabe, malingaliro abwino ndi malo achikondi omwe amapezeka mu minofu, kugwirizana kwa miseche-tendon, bursa, kapena mafuta. Mfundo zachikondi ndizofala kwambiri pamene zimagwirizanitsidwa ndi fibromyalgia. Zolemba za Trigger nthawi zambiri zimakhala zosavomerezeka ndipo nthawi zambiri zimagwirizanitsidwa ndi matenda a myofascial syndrome .

N'zotheka kuti zonsezi zichitike pamodzi.

_Zotsatira:

_{Kalasi ya American of Rheumatology Zowonongeka Zowonongeka kwa Fibromyalgia ndi Kuyeza kwa Chizindikiro Chowopsa. Wolfe F. et al. Matenda a Nyamakazi ndi Kafukufuku. May 2010.
https://www.rheumatology.org/Portals/0/Files/2010_Preliminary_Diagnostic_Criteria.pdf}

_{Fibromyalgia. Mmene Mungapangire Phunziro Loyenera. Tsamba 740. Kelley's Bookbook of Rheumatology. Kusindikiza Kwachisanu ndi Chinayi. Elsevier. Inapezeka pa 11/27/2015.}

_{Fibromyalgia, Joseph J. Biundo, MD. Merck Manual, February 2013.
http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/bursa-muscle-and-tendon-disorders/fibromyalgia}

_{Mfundo Zopatsa Malangizo a Fibromyalgia.Awagwiritsa Ntchito Kuti Awataya? Kupenda mwachidule kwa kutsutsana. Harth ndi Nielson. Magazini ya Rheumatology.
https://jrheum.com/subscribers/07/05/914.html}

_{Yambani mfundo ndi zolemba zazithunzi: chimodzimodzi? Kodi mankhwala opangira jekeseni amathandiza? Borg-Stein J. et al. Makanema a Rheumatic Disease a North America. May 1996.
http://www.ncbi.nlm.nih.gov/pubmed/8860801}