Kuchita Opaleshoni Ndi Fibromyalgia & Chronic Fatigue Syndrome

Mmene Mungapitsidwire Opaleshoni

Fibromyalgia (FMS) ndi matenda otopa ( ME / CFS ) onse awiri akhoza kuwonjezereka ndi kuvutika maganizo. Zimakhala zachilendo kwa anthu omwe ali ndi mikhalidweyi kuti azidera nkhaŵa makamaka pamene akuchitidwa opaleshoni. Nthawi zambiri amadandaula kuti matenda awo angayambe kutha, omwe angapangitse kuti asamangidwe.

Pakalipano, tili ndi chidziwitso chochepa chofufuza kafukufuku wa FMS kapena ME / CFS kapena momwe zizindikiro zathu zimakhudzira njira yowonzetsera. Komabe, ochita kafukufuku ambiri ayika pamodzi malingaliro athu kuchokera ku chidziwitso chawo cha zikhalidwe ndi zomwe adaziwona mwa odwala awo.

Akatswiriwa ndi The Fibromyalgia Information Foundation, yomwe idakhazikitsidwa ndi ofufuza a Oregon Health & Science University, ndi Charles W. Lapp, MD, amene adayambitsa bungwe la Hunter-Hopkins ku Charlotte, NC, lomwe limagwirizana ndi FMS ndi ME / CFS.

Zomwe timakumana nazo pambuyo poti opaleshoni ndizochuluka. Nazi izi zomwe zikufotokozedwa ndi akatswiri otchulidwa pamwambapa komanso zochitika zina zingapo, komanso zomwe mungachite payekha.

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Ululu Wothandizira Pambuyo

Zonse ziwiri za FMS ndi ME / CFS zimaphatikizapo hyperalgesia , zomwe zimakulitsa kupweteka. Izi zikutanthauza kuti tikhoza kumva ululu wopitirira opaleshoni kusiyana ndi anthu ambiri, choncho kuwonongeka kwakukulu.

Makamaka ku FMS, kupezeka kwa ululu wopaleshoni kungayambitse chizindikiro. Izi zimachokera ku chidziwitso chapakatikati-kuteteza thupi m'katikatikati mwa mitsempha-yomwe imatchulidwa kukhala chinthu chachikulu pazimenezi.

Ngakhale mutagona ndipo simungadziwe za ululu wa opaleshoniyo, ubongo wanu udakali ndi zizindikiro zowawa, zomwe zingachititse kuti zisamayende bwino, zomwe zingayambitse chizindikiro.

Pofuna kuthana ndi izi:

• Pemphani kuti mupatsidwe mankhwala opweteka opiate musanachite opaleshoni kuti muthe kuchepetsa zizindikiro.
• Pemphani kuti mukhale ndi mankhwala otsekemera amtundu wanu wautali omwe amagwiritsidwa ntchito pamtundu wanu.

Kuonjezerapo, mankhwala omwe amatha kupwetekedwa pambuyo pa opaleshoni sangathe kukhala olimba kapena kulola kuti ndalama zowonjezera zikhale bwino.

Chimene mungachite:

• Onani ngati papepala ya PCA, yomwe imakulolani kuti muzitha kulamulira bwino anthu opha ululu wanu, ndizotheka.
• Pemphani mankhwala opweteka kwambiri kusiyana ndi omwe akupezeka, kuchipatala chanu komanso kubwezeretsa kunyumba, ndipo pemphani kuti mutenge mankhwala owonjezera kapena awiri.

Inu adokotala simungakonde kapena kukwanitsa kudzaza zonsezi, koma zonse zomwe angathe kuchita pambaliyi zingakuthandizeni kuti muthe kuyambiranso bwino.

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Mitsempha Yoponda Kuchokera Positioning

Pa opaleshoni, thupi lanu likhoza kuikidwa mu maudindo omwe angapangitse kapena kusokoneza minofu inayake. Mwachitsanzo, mkono wanu ukhoza kutambasula pamutu panu kapena kumbali kuti mukhale ndi IV.

Malingaliro ochepetsa vutoli ndi awa:

• Kupempha kuti dzanja lanu liyike pafupi ndi thupi lanu ngati zingatheke
• Funsani ngati mutakhala ndi phokoso lamakono mumphuno kapena pakamwa panu pakapita nthawi, ndipo ngati mukutero, pemphani kuvala kolala ya khosi yofewa kuti muchepetse khosi lanu kuti mutengeke

Kumbukirani kuti malo ena sangakhale otheka, malingana ndi mtundu wa opaleshoni.

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Selo Kutha

Malingana ndi Hunter-Hopkins Center, ME / CFS nthawi zina imaphatikizapo makilogalamu otsika a magnesiamu ndi potaziyamu m'maselo awo, zomwe zingayambitse ziwalo zosagwirizana ndi mtima pamene mukudwala.

Zothetsera izi zikuphatikizapo:

• Kukhala ndi magulu a seramu magnesium ndi potaziyamu amayang'anitsitsa bwino chisanachitike opaleshoni kotero kuti mukhale ndi nthawi yowonjezera ngati pakufunikira
• Kulimbana ndi zofooka zilizonse kudzera mu zakudya ndi zowonjezereka
• Onetsetsani kuti mumapeza magnesiamu ndi potasiyamu mutatha opaleshoni

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Kutaya madzi m'thupi

Hunter-Hopkins akunena kuti mabuku otsika a plasma ndi zina za ME / CFS angasonyeze kufunikira koti asamayambe opaleshoni. Kutaya madzi m'thupi kungayambitse mavuto ndi vasovagal syncope (chizunguliro ndi kutaya mtima chogwirizana ndi kutsika kwa magazi).

Yankho la izi ndi lodziwika bwino:

• Onetsetsani kuti mwasungunuka bwino musanachite opaleshoni.
• Onetsetsani kuti mukhale hydrated pambuyo pa opaleshoni.

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Zomwe Zimayendera Mankhwala

Anthu omwe ali ndi mikhalidwe imeneyi nthawi zambiri amakhudzidwa ndi mankhwala, kuphatikizapo anesthesia ndi zotupa za minofu zomwe zingagwiritsidwe ntchito pa opaleshoni.

Fibromyalgia Information Foundation imanena kuti minofu yopumula succinylcholine ingayambitse kupweteka kwa myalgia (kupweteka kwa minofu). Nkhanizi zikhoza kukuvutitsani kuti mupeze.

Kuchotsa vuto ili:

• Lankhulani ndi dokotala wanu za mankhwala omwe angakuvutitseni, kuphatikizapo chidziwitso chilichonse chodziwika, zowawa ndi zotsatirapo.
• Kambiranani za mankhwala omwe angakuthandizeni kwambiri kuti muchepetse ululu wopita kuntchito.
• Ngati muli ndi vuto la mankhwala osokoneza bongo, funsani ngati mankhwala otsekemera a histamine angagwiritsidwe ntchito ndikukambirana njira zomwe zingatheke.

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Kusiyiratu mankhwala osokoneza bongo

Ambiri a ife ndi FMS ndi ME / CFS timadalira mankhwala osokoneza bongo komanso zakudya zowonjezera kuti tizitha kupirira zizindikiro zathu. Malingana ndi chikhalidwe cha opaleshoniyi, mungapemphedwe kuti musiye mankhwala kapena mankhwala anu onse.

Kusiyiratu mankhwala kungakhale chinthu chowopsya, chifukwa kungatanthauze kuti muli ndi zizindikiro zisanachitike opaleshoni.

Palibe zambiri zoti muchite pa izi-ngati mwauzidwa kuti musiye kutenga zinthu zina, ndiko kuteteza thanzi lanu.

Kuchepetsa mavuto ndi izi:

• Lankhulani ndi dokotala mwamsanga momwe mungathere ndi mankhwala omwe mumalandira komanso ngati mukuyenera kuwasiya musanachite opaleshoni, komanso ngati pali njira yotsalira.
• Pezani momwe mwamsanga mutatha opaleshoni mungayambe kutenga zinthu kachiwiri.
• Ngati n'kotheka, yesetsani kuchepetsa nthawi yanu panthawi yomwe mukupita kuchipatala musanachite opaleshoni kotero kuti mulibe nkhawa kwambiri m'thupi lanu.

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Matenda Enanso: Kugonana Kwapakati

Palibe gulu la akatswiri limene limatchula izi, koma kafukufuku amasonyeza kuti FMS ndi ME / CFS zonse zimagwirizanitsidwa ndi matenda obongoletsa obettive , zomwe zimakuchititsani kusiya kupuma pamene mukugona. Kugonana ndi vuto la kugona kungakhale vuto lalikulu pamene mukudwala matenda osokoneza bongo.

Yankho:

• Ngati muli ndi vuto la kugona, onetsetsani kuti mukambirane ndi adokotala ngati mukufunikira kubweretsa makina anu a C-PAP kapena chipangizo china chomwe mumagwiritsa ntchito.
• Onetsetsani kuti mukhale nawo pamodzi ndikusonkhanitsa musanachitike.

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Mavuto Ena: Machiritso Ochepa

Machiritso nthawi zambiri amawoneka kuti ndi ochedwa, choncho ndi kwanzeru kukhala okonzekera njira yayitali ya machiritso. Chizindikiro chowopsa chingatalikitse nthawi yomwe imatengera kuti mukhale bwino.

Zoyenera kuchita:

• Dziwani musanachite opaleshoni yemwe adzakusamalirani.
• Konzani nthawi yoyenera ya ntchito, kuphatikizapo nthawi yochuluka yomwe dokotala akuganiza kuti mukufunikira, ngati n'kotheka.
• Gwiritsani ntchito china chilichonse chomwe mungafunike kuti mukonzekere .
• Pumula ndi kulola thupi lanu nthawi ndi mphamvu zomwe zikufunikira kuchiritsa.
• Katemera akachiritsidwa bwino, Ma Fibromyalgia Information Foundations amalankhula mosamala ndikugwira ntchito yokonzanso minofu.
• Funsani dokotala wanu ngati mungapindule ndi chithandizo chamankhwala kuti muthe kuchira ndipo, ngati zili choncho, mupeze wodwala wodwalayo.

Mawu Ochokera

Zingakhale zowopsya kuti muchitire opaleshoni yokha, ndipo makamaka pamene mukuda nkhawa kuti izi zidzapangitsa FMS yanu kapena ME / CFS kukhala yovuta kwa nthawi yaitali.

Pomwe mukupanga chisankho kuti musakhale ndi opaleshoni, nkofunika kukhala ndi mfundo zonse ndikupanga chisankho chodziwa bwino za thanzi lanu.

Lankhulani ndi dokotala wanu ndi dokotala wa opaleshoni ndikuyezerani zochepa za opaleshoniyo motsutsana ndi zotsatira zowonjezera chifukwa chosakhala nacho. Pamapeto pake, ndiwe amene akuyenera kukhala ndi zotsatira zake.

Ngati mantha akukuvutani kuti musankhe mogwirizana ndi zowona, mungafunike kulingalira kuyankhula ndi mlangizi wathanzi kuti athetse maganizo anu. Mungathenso kutenga zotsatirazi:

• Malangizo kwa Odwala Fibromyalgia Amene Ali ndi Kusankha Opaleshoni, kuchokera ku Fibromyalgia Information Foundation
• Malangizo kwa Anthu Amene Ali ndi Kutopa Kwambiri Kwambiri Syndrome Poyembekezera Anesthesia kapena Opaleshoni, kuchokera ku Hunter-Hopkins Center

> Zotsatira:

> Ferre A. Kufooka kwa matenda ndi matenda okhudza kugona: maubwenzi ochipatala ndi mavuto ozindikira. Neuroglia. 2016 Feb 11. pii: S0213-4853 (16) 00010-4. lembani: 10.1016 / j.nrl.2015.11.019.

> Marvisi M, Bazarini L, Mancini C, Ramponi S, Marvisi C. Fibromyalgia nthawi zambiri amakhala ndi vuto la kugona tulo komanso amachitapo kanthu pa mankhwala a CPAP. Magazini ya ku Ulaya ya mkati mankhwala. 2015 Nov; 26 (9): e49-50. lembani: 10.1016 / j.ejim.2015.06.010.