Kumvetsetsa ana aamuna a Fibromyalgia

by Adrienne Dellwo; Yofotokozedwa ndi Grant Hughes, MD

N'zosadabwitsa koma N'zotheka Ana & Achinyamata

Mwachidule

Fibromyalgia (FMS) ndi matenda aakulu omwe nthawi zambiri amapezeka mwa amayi omwe ali ndi zaka zokalamba. Komabe, aliyense angathe kutero-ndipo izi zikuphatikizapo ana ndi achinyamata.

Kwa ana, matendawa amatchedwa matenda a ana a fibromyalgia (JFMS). Mwinanso mutha kukumana ndi matenda a achinyamata a primary fibromyalgia. "Choyambirira," pambaliyi, amatanthauza kuti sizimaphatikizapo matenda ena a rheumatologic monga nyamakazi kapena lupus.

Ngati ikugwirizana ndi matenda ena, fibromyalgia imatchedwa "yachiwiri."

Sitikudziwa zambiri zokhudza JFMS, ndipo madokotala ambiri samadziwa kuti achinyamata angathe kukhala ndi vutoli. Komabe, tikuphunzira zambiri nthawi zonse komanso kuzindikira ndi kuvomereza kudera la zamankhwala kukukwera.

Zimwopsya kuganiza kuti mwana wanu ali ndi JFMS kapena kuti apeze kuti ali nawo. Kumbukirani kusunga mfundo zochepa:

JFMS si matenda osatha
Njira zamankhwala zamakono zilipo
ndi chithandizo chabwino ndi kasamalidwe, mwana wanu akhoza kukhala moyo wamphumphu

Musanayang'ane mfundo zenizeni za JFMS, nkofunika kuti mumvetsetse bwino FMS.

Mu FMS, dongosolo lamanjenje limaipitsa ponena za ululu. Amakweza zizindikiro zopweteka komanso zizindikiro zosonyeza kuti siziyenera kukhala zopweteka kwambiri .

Chifukwa zopweteka sizimachokera ku mgwirizano kapena minofu yeniyeni, ikhoza kupita kulikonse mu thupi nthawi iliyonse.

Ululu ukhoza kusuntha kuchokera kudera lina kupita kumalo ena, kukhala nthawi zonse, kapena zonse. Kukhazikika kumatha kusinthasintha kwambiri.

Mitundu yonse ya FMS ingaphatikizepo zizindikiro zambiri zomwe zimakhala zosiyana kwambiri. Kwa anthu ena, zizindikiro zikhoza kukhala zosagwirizana, koma zina zimabwera ndi kupita.

Zimakhala zachilendo kuona zizindikiro zamoto (nthawi zozizwitsa) ndi zochotsera (nthaŵi zomwe zizindikiro zimachepetsedwa kapena palibe.)

Ngakhale kuti FMS yakhala ikuchiritsidwa ndi a rheumatologists, monga ofufuza apeza zinthu zambiri zamaganizo, ayamba kuchitidwa ndi odwala matenda a ubongo.

FMS imakhudzanso chitetezo cha mthupi ndi mahomoni. Izi zimayambitsa zizindikiro zambiri zomwe zingawonekere kuti sizikugwirizana ndi wina ndi mzake ndipo zingayambitse matendawo kukhala odabwitsa.

Zizindikiro

Zizindikiro zoyambirira za JFMS ndizo:

Kufalikira ndi chifundo
Kutopa
Kugona kosasangalatsa
Kuuma kwa Mmawa
Mutu
Nkhawa
Minofu yamphamvu

Zizindikiro zochepa zomwe zingagwirizane ndizi:

Matenda ozindikira , kuphatikizapo kuika maganizo (otchedwa "fibro fog")
Chizunguli / kuunika

Milandu yambiri ya JFMS imaphatikizapo zinthu zowonongeka. Nthaŵi zina amasokonezeka chifukwa cha zizindikiro za JFMS koma angafunikire kupezeka ndi kuchitidwa mosiyana. Zinthu zomwe zimagwirizanitsa ndizo:

Kusokonezeka maganizo
Matenda owopsa a m'mimba (IBS)
Matenda ogona (osakhala ogona osabwerera), makamaka matenda obisala , matenda osapumitsa miyendo, ndi matenda osokonezeka mwendo nthawi ndi nthawi

Zifukwa ndi Zoopsa

JFMS sizimawoneka bwino. Ochita kafukufuku amayerekezera kuti pakati pa ana awiri ndi awiri a ana a sukulu angakhale nawo.

Tikudziwa kuti JFMS imapezeka kawirikawiri m'zaka zaunyamata, ndipo atsikana amakhala oposa anyamata omwe amapezeka nawo.

Ana ambiri omwe ali ndi vutoli ali ndi mamembala apamtima omwe ali ndi FMS wamkulu, nthawi zambiri amayi awo. Chifukwa cha ichi, akatswiri akuganiza kuti pali chibadwa chogwirizanitsa koma sichiyenera kuziphwanya.

Mavuto ena a JFMS amawoneka ngati akuyambitsidwa ndi matenda, kuvulazidwa mwakuthupi, kapena kuvutika maganizo. Zina (zochepa) zingayambitsidwe mwazigawo zina zomwe zimayambitsa kupweteka kosatha. Izi zikukhulupiriridwa kuti ndi chifukwa cha kusintha kwa ubongo komwe kungayambitsenso malo omwe amakhudzidwa ndi kupweteka.

Kudziwa

Palibe kuyezetsa magazi kapena kujambulira komwe kungathe kupeza JFMS, koma dokotala wanu ayenera kuchita mayesero angapo kuti athetse zifukwa zina zomwe zingayambitse zizindikiro za mwana wanu.

Chidziwitso cha JFMS kawirikawiri chimayambira kuunika kwa thupi, mbiri ya zachipatala, ndi njira zothandizira. Mwana wanu ayenera kukhala ndi zofunikira zonse ndi zosachepera zitatu zomwe zili pansipa.

Njira zazikulu

Kupweteka kwafala kwa malo atatu kapena kuposa kwa miyezi itatu
Palibe chifukwa china cha zizindikiro
Zotsatira zoyesedwa zachizolowezi zofanana
Ululu pa zisanu ndi zisanu ndi zisanu ndi zitatu za mapepala a malonda a FMS

Zotsatira zochepa

Matenda kapena nkhawa
Kutopa
Kugona kosauka
Mutu wamutu
IBS
Zomwe zimakhala zofewa
Ululu umene waipitsidwa ndi zochitika zolimbitsa thupi
Ululu umene waipiraipira ndi kusintha kwa nyengo
Ululu umene waipitsidwa ndi nkhawa ndi nkhawa

Madokotala ena angagwiritse ntchito njira zapamwamba zowunikira za FMS , zomwe zapezeka kuti ziri zolondola kwa ana monga njira ya JFMS.

Ngati dokotala wanu sakudziwa ndi JFMS ndi momwe amapezera, mungafune kuwona katswiri. Akatswiri a zachipatala akuphunzitsidwa zambiri pakuzindikira ndi kuzindikira matendawa.

Chithandizo

Njira yothandizira njira ya JFMS ndi kuphatikiza mankhwala osiyanasiyana, ndipo nthawi zambiri imakhala ndi madokotala ambiri. Palibe chithandizo cha JFMS, kotero mankhwala akuthandizira kuchepetsa zizindikiro ndi kukonzanso ntchito.

Mankhwala ena aphunzitsidwa mwachindunji kwa JFMS, koma madokotala amagwiritsanso ntchito mankhwala omwe asankhidwa pokhapokha mu FMS wamkulu.

Chifukwa chakuti zizindikiro zake ndi kuuma kwake zingakhale zosiyana, chithandizo chiyenera kukhala chofanana ndi munthuyo. Njira zothandizira ndizo:

mankhwala
zakudya zowonjezera
mankhwala othandizira
pulojekiti yapadera yokonzekera zochitika
chithandizo chamaganizo
magulu othandizira

Mankhwala nthawi zambiri amaphatikizapo osagwiritsira ntchito mankhwala osokoneza bongo, SSRI / SNRI omwe amadwala matendawa , otsika kwambiri tricyclic antidepressants, minofu yopumula, anti-inflammatories ndi zogonana.

Zina zowonjezera zowonjezera za FMS ndizo:

Mavitamini ambiri amagwiritsidwa ntchito pa matendawa, ndipo ena amagwiritsidwa ntchito pogwiritsa ntchito zizindikiro.

Thandizo la thupi lingathandize kutambasula ndi kulimbitsa minofu ndikupangitsa kuti minofu ikhale yabwino, zonse zomwe zingathandize kuchepetsa ululu. Ndikofunika kuti musankhe wodwala wodwala yemwe akumvetsa FMS.

Kuchita masewero olimbitsa thupi kumawoneka kuti ndi kofunika kwambiri pochiza mitundu yonse ya FMS. Komabe, ziyenera kukhala zogwirizana ndi msinkhu wokhala ndi thanzi labwino komanso zolimbitsa thupi za mwanayo. Kutalika ndi kukula kwa ntchitoyi kuyenera kuwonjezeka pang'onopang'ono kupeŵa kuyambitsa chiwonongeko cha zizindikiro.

Maganizo a khalidwe lachidziwitso (CBT) ndi mankhwala a JFMS omwe asamalidwa kwambiri ndi ofufuza. Zimaphatikizapo kuphunzitsa mwana za njira zothetsera kugonana komanso njira zothetsera vutoli, monga kuyendayenda, makhalidwe abwino ogona, ndi kutsatira njira zothandizira. Sikuti kafukufuku onse amavomereza, koma kuponderezedwa kwa maphunziro kumalongosola CBT monga chithandizo chabwino kwa JFMS.

Kafukufuku wina amasonyeza kuti pulogalamu yochita masewera olimbitsa thupi pamodzi ndi CBT ikhoza kukhala yopindulitsa kwambiri.

Magulu othandizira , makamaka omwe ali ndi zaka zoyenera, angathandize kupewa kudzipatula komanso kukhala "osiyana." Ngati mulibe magulu othandizira, mungathe kupeza pa intaneti yomwe ili yoyenera kwa mwana wanu.

Kupeza mankhwala abwino kwambiri kwa mwana ndi JFMS kumatenga nthawi ndi kuyesera. Ndikofunika kuti makolo ndi ana adziwe kuti palibe mankhwala onse omwe angagwire ntchito ndipo pangakhale zolepheretsa panjira.

Kuthamangitsani

Kuvomereza kwa ana omwe ali ndi JFMS kuli bwino kuposa akuluakulu omwe ali ndi FMS. Ana ena amachira bwino ndipo amakhala ndi zizindikiro zovuta kwambiri monga akulu. Amene amapeza ndikutsata njira zothandizira odwala / osamalidwa sangakwanitse kupeza njira zochizira patatha zaka zingapo.

Ena, ngakhale, angapitirize kukhala ndi zizindikiro pokhala akulu. N'zotheka kuti zizindikiro zimachoka makamaka, kuti abwererenso mtsogolo.

Ziribe kanthu zomwe zimachitika, ndizofunikira kukumbukira kuposa anthu ambiri omwe ali ndi FMS omwe amatsogolera, okhutira, osangalala.

Mavuto

Ana a JFMS angathe kuthana ndi mavuto ambiri chifukwa cha matenda awo. Iwo angamve ngati "osasunthika" chifukwa sali ngati anzawo ndi anzanu akusukulu. Angamve kuti ali okhaokha chifukwa ayenera kusiya ntchito zambiri. Kafukufuku amasonyeza kuti amasowa sukulu zambiri, zomwe zingachititse mavuto a maphunziro ndi nkhawa.

Kuonjezerapo, iwo akhoza kukhala ndi akuluakulu m'moyo wawo omwe amafunsa ngati akudwaladi. Anthu amawawona ngati auulesi ndikuyesera kuchoka kuntchito. Zomwe zimakhudza maganizo amenewa zingakhale zofunikira ndipo zingasokoneze mphamvu ya mwanayo kuthana ndi chikhalidwe, mwakuthupi ndi m'maganizo.

Ngati mwana wanu akusowa sukulu zambiri, mungafune kufufuza zosankha monga kuphunzitsa, kusukulu, kapena kusukulu.

Pamene mwana akudwala, zimakhudza banja lonse. Kuvutitsa nkhaniyi, chifukwa FMS imayendetsa mabanja, ana ambiri omwe ali ndi JFMS ali ndi kholo ndi FMS. Zingakhale zothandiza kuti banja lonse likhale ndi uphungu kuti athetsere mavuto ndi mavuto omwe akukhudzidwa.

FMS yachinyamata motsutsana ndi FMS akuluakulu

Chifukwa tilibe zambiri zambiri zokhudza JFMS, inu ndi dokotala wanu mudzafunika kudalira zambiri zokhudza matenda akuluakulu. Amakhala ofanana kwambiri, ndi zosiyana zosiyana. Mu JFMS:

Zosowa zochepa zochepa zimayenera kuti munthu azindikire
Kugona tulo kumakhala kochuluka
Ululu umakhala wochepa
Kutsegula kwabwino kuli bwino
Kutupa kungakhale kokwera
Mankhwala ena sali oyenera kwa ana, kapena kuchepa mlingo kumafunika
Kusamala kwakukulu kumafunika kulipidwa kwa maubwenzi ndi anzako ndi achibale

Kafukufuku akusonyeza kuti ana omwe ali ndi JFMS omwe amakhalanso ndi nkhawa kapena kuvutika maganizo amakhala ndi nthawi yovuta kwambiri.

Monga kholo, nkofunika kuti muphunzire kusamalira mwana wanu ndi JFMS komanso kuwalimbikitsa iwo ndi achibale anu, ogwira ntchito kusukulu, ndi anthu ena omwe ali nawo. Kudziwa kwanu, kuthandizana, ndi chikondi zimatha kuyenda kwambiri pothandiza mwana wanu kukhala ndi matendawa.

_Zotsatira:

_{Goulart R, et al.} _{Revista brasileira de reumatologia.} _{2016 Jan-Feb; 56 (1): 69-74.} _{Maganizo a achinyamata a matenda a achinyamata a fibromyalgia: kuwerengera zolembedwa.}

_{Kashikar-Zuck S, et al.} _{Buku la Clinical of pain.} _{2016 Jan; 32 (1): 70-81.} _{Kufufuza koyenerera kwa chidziwitso chatsopano chodziŵitsa-khalidwe ndi njira yophunzitsira njira yopatsira ana kuti azisamalira ana.}

_{Tesher MS.} _{Ana akulemba.} _{2015 Jun; 44 (6): e136-41.} _{Mitundu yambiri ya fibromyalgia: njira zosiyanasiyana zochiritsira.}

_{Tenga TV, ndi al.} _{Journal za matenda.} _{2016 Feb; 169: 181-7.e1.} _{2010 American College of Rheumatology akuluakulu fibromyalgia ofunika kwa ife mu anyamata achichepere ndi achinyamata fibromyalgia.}

_{Tran ST, ndi al.} _{Kusamalira nyamakazi ndi kufufuza.} _{2016 Jun 22 [Epub patsogolo pa kusindikiza] Zotsatira zoyambirira za chidziwitso chodziwika pamtanda-khalidwe ndi njira zothandizira anthu kuti azitha kuphunzitsa ana awo kuti azitha kulumikizana.}