Khungu Loyamba Pa Zovuta Zambiri
Kukhala ndi matenda oyambitsa mutu - monga migraine kapena mutu wachisoni- ndizolemetsa mokwanira. Mwatsoka, ambiri ammutu amavutika ndi matenda ena. Matenda amodzi omwe amamva ululu ndi kutopa - wotchedwa fibromyalgia - nthawi zina amakhala pamodzi ndi matenda osokonezeka mutu. Kumvetsetsa kugwirizana kumeneku kungakhudze momwe mumayendera zizindikiro zanu, komanso momwe dokotala wanu amachitira.
Kodi Fibromyalgia ndi chiyani?
Fibromyalgia (FM) ndi matenda omwe amachititsa kuti anthu azivutika kwambiri, komanso kuti asatope kwambiri. Odwala matenda a fibromyalgia amanena kuti amawoneka ngati ali ndi chifuwa kapena "akuvulazidwa konse."
Kodi Fibromyalgia Amadziwika Bwanji?
Malinga ndi 2010 American College of Rheumatology kapena ACR , fibromyalgia ndi matenda aakulu osadziwika chifukwa cha izi:
- Mndandanda wa Zowawa Zambiri (WPI) ≥ 7 ndi Symptom Severity (SS) mlingo wa msinkhu woposa 5 OR WPI 3-6 NDI msinkhu wa SS ≥ 9.
- Zizindikiro sizikufotokozedwa ndi matenda ena.
Mndandanda wa ululu wofala (WPI) umayikidwa ndi dokotala ndi mzere wa mapiritsi kuchokera ku 0-19, malinga ndi chiwerengero cha malo omwe wodwala amamveketsa ululu pa sabata lapitalo (mwachitsanzo, lamba lamanzere, lamba lamanja, lachiuno, ). Chiwerengero cha Symptom Severity (SS) ndi chiwerengero cha pakati pa 0-12 chomwe chimaphatikizapo kuchuluka kwa zizindikiro zitatu (kutopa, kudzuka osabweretsedwe m'mawa, zizindikiro zamaganizo), kuphatikizapo zizindikiro za thupi kapena "thupi".
Inde, dokotala wanu adzalonga zochitika zina zamankhwala zomwe zingayambitsenso kupweteka kwa minofu monga: matenda a chithokomiro, nyamakazi ya nyamakazi , kuvutika maganizo, kapena kupweteka kwa myopathies.
Poganizira za thupi, odwala angakhale ndi malo ochepa kwambiri a minofu, koma kawirikawiri amatha kuganizira za matenda a ubongo.
Mayeso a Laboratory omwe adalangizidwa ndi adokotala nthawi zambiri amakhala ochilendo komanso osaganizira za matenda omwe amatha kufanana ndi fibromyalgia. Kuwonjezera pa kupweteka kwa minofu ndi kutopa, zizindikiro zina zomwe zimawoneka za fibromyalgia zikuphatikizapo:
- Kusokonezeka maganizo, makamaka kupsinjika maganizo ndi nkhawa
- Kugona movutikira (mwachitsanzo "Ndikumva nditatopa ngakhale nditagona tulo usiku wonse.")
- Kutayika kwa Memory
- Kutsutsana-Mtundu Wamutu
Anthu ena omwe ali ndi fibromyalgia amadwala matenda ena okhudza ululu monga:
- Matenda owopsa a m'mimba
- Kupweteka kwa m'mimba
- Matenda owopsa a chikhodzodzo omwe amadziwika kuti interstitial cystitis
Kodi Pali Kugwirizana pakati pa Fibromyalgia ndi Kumutu?
Inde. Mu kafukufuku wina m'magazini a Journal of Headache and Pain , omwe ali ndi mutu 889 omwe ali ndi mutu, 20% anali ndi fibromyalgia - kuphatikizapo 35% ndi mutu wa mutu wachisokonezo ndi 44% okhala ndi mutu wopweteka .
Potsiriza, mu kafukufuku wina mu Neurology, omwe akuwongolera chiwerengero cha migraine, 35.6% mwa odwala omwe anasinthika migraine anali ndi fibromyalgia ndipo 22% ndi episodic migraine anali ndi fibromyalgia.
Zotsatirazi ndizomwe zimayambitsa kugwirizana kapena kugwirizana pakati pa mutu ndi fibromyalgia. Izi zikunenedwa, kumbukirani mgwirizano sizikutanthauza kuti matenda amodzi amachititsa enawo.
Mutu onse ndi fibromyalgia ndizovuta kwambiri - kotero chikhalidwe chenicheni cha mgwirizano pakati pawo sichidziwikiratu panthawiyi.
Ndani Ali Wowonjezereka Kuvutika Kuchokera ku Matenda Akumutu Powonjezera ku Fibromyalgia?
Kukhalapo kwa matenda opweteka kumutu kwa munthu amene ali ndi fibromyalgia ndizotheka ngati munthu ali ndi misinkhu yambiri ya mutu ndipo ali ndi minofu yozungulira pamphuno. Nkhawa ndi mavuto ogona angapangitse anthu okhala ndi fibromyalgia kukhala ndi mutu.
Chithunzi chachikulu
Sizowoneka kuti anthu omwe amavutika ndi fibromyalgia amakhalanso ndi vuto lakumutu komanso molakwika.
Ngati muli ndi zonsezi, dokotala wanu akhoza kupanga dongosolo lanu la mankhwala kuti muzitha kuchiza matenda onsewa. Khalani otetezeka mu chisamaliro chanu chaumoyo.
Zotsatira
de Tommaso M et al. Mankhwala omwe amachititsa opweteka omwe ali ndi fibromyalgia comorbidity. J Mutu wa Mutu. Dec 2011; 12 (6): 629-638.
Ifergane G, Buskila D, Simiseshvely N, Zeev K, & Cohen H. Kuchuluka kwa matenda a fibromyalgia odwala matenda a migraine. Cephalalgia . 2005; 26: 451-456
Marcus DA, Bernstein C, & Rudy TE. Fibromyalgia ndi mutu: matenda opatsirana pogwiritsa ntchito matenda a migraine monga mbali ya matenda a fibromyalgia. Clin Rheumatol. 2005 Nov; 24 (6): 595-601.
Matenda a Mease P. Fibromyalgia: kubwereza kafukufuku wathandizira, matenda a pathogenesis, zotsatira zake, ndi mankhwala [kutulutsidwa kofalitsidwa kumapezeka mu J Rumumatol Suppl. 2005; 32: 2063]. J Rheumatol Suppl. 2005; 75: 6-21. - Onani zambiri pa: http://www.rheumatologynetwork.com/fibromyalgia/new-and-modified-fibromyalgia-diagnostic-criteria#sthash.pDSLAz72.dpuf
Peres MF, Young WB, Kaup AO, Zukerman E, ndi Silberstein SD. Fibromyalgia ndi wamba pa odwala omwe amasinthidwa kukhala ndi migraine. Neurology . 2001; 57: 1326-1328
Tommaso M et al. Fibromyalgia comorbidity m'mutu wamutu. Cephalalgia . 2009; 29: 453-464.
Wolfe F et al. Maphunziro a Fibromyalgia ndi amphamvu kwambiri pa maphunziro a zachipatala ndi matenda ena: kusintha kwa ACR Preliminary diagnostic criteria for Fibromyalgia. J Rheumatol. 2011; 38: 1113-1122.
KUDZIZIRANI: Zomwe zili pa tsamba ili ndi zolinga za maphunziro okha. Sitiyenera kugwiritsidwa ntchito ngati choloweza m'malo mwa chisamaliro cha munthu wodwala wovomerezeka. Chonde funsani dokotala wanu kuti apeze matenda ndi chithandizo cha chilichonse chokhudza zizindikiro kapena matenda .