Kupangidwanso kwa Fibromyalgia

by Adrienne Dellwo; Yofotokozedwa ndi Grant Hughes, MD

Zimene Umboni Ukuwonetsera

Kuchulukitsa thupi kumakhala kuwonjezeka kwambiri monga chithandizo cha fibromyalgia . Chifukwa chakuti vutoli ndi lovuta, anthu nthawi zambiri amakhala okonzeka kupita kuchipatala chophatikizana ndi njira zina (CAM) kuti athe kupeza chithandizo. Kafukufuku wina (Deare) akunena kuti 20 peresenti ya anthu omwe ali ndi fibromyalgia amayesa kugwira ntchito mkati mwa zaka ziwiri zoyambirira.

Zinthu zingapo zomwe zimagwiritsidwa ntchito popanga thupi zimapangitsa kuti ife tikhale ndi vutoli:

Ali ndi chiwopsezo chotsika kwambiri,
Sichikugwirizana ndi mankhwala ena,
Ngati sikugwira ntchito, mungathe kuima - palibe njira yotsitsimula,
Ndipo tingapeze umboni wambiri wosonyeza kuti uli ndi mphamvu.

Zoonadi, umboni wosatsutsika sungagwirizane ndi umboni wa sayansi, kukusiyani ndi funso, "Kodi limagwiradi ntchito?" Kafukufuku wochuluka akusonyeza kuti izo zimatero. Komabe, pakadalibe mavuto ndi momwe njira za CAM zothandizirana - makamaka momwe amachitira opaleshoni - amaphunzira.

Zomwe Zimapangidwira: Zovuta

Maphunziro azachipatala amadalira malobos kuti ayese mankhwala ochiritsira. Malo a placebo amayenera kukhala chinthu chomwe chiribe zotsatira za mankhwala. Ngati phunziroli likuyang'ana chithandizo chomwe chimabwera pampiritsi, mwachitsanzo, ndi zophweka kuti mupatse gulu lolamulira mankhwala a shuga.

Komabe, chifukwa cha kudulidwa, izi zimabweretsa mavuto enieni. Ophunzira adzadziwa ngati wina akuyika singano m'matumba awo.

Popeza kuti miyambo yamakono imachokera ku meridians (malo opangira mphamvu padziko lonse), ofufuza agwiritsira ntchito mankhwala osokoneza bongo omwe amaphatikizapo kuika singano m'malo omwe sali meridian system.

Ofufuza ena ndi opanga opaleshoni amatsutsa kuti kuponyedwa pamadzi si malo enieni-chifukwa chakuti sitikudziwa mwa njira yomwe ntchito ikugwiritsidwira ntchito, sitingathe kunena mwatsatanetsatane kuti kuponyedwa pamadzi sikuli ndi zotsatira zofanana ndi zochitika zenizeni.

Choncho, amasonyeza kuti pamene mankhwala opangira mankhwala ndi mankhwala amtundu wambiri amachititsa zotsatira zofanana ndi mayesero, ndi chifukwa chakuti zonsezi zimakhudza thupi.

Vuto lina ndilo kuti kafukufuku wa mankhwala a CAM kawirikawiri alibe msinkhu wofanana wa sayansi monga mayesero ena a zamankhwala, zomwe zimatilepheretsa ife kudziwa kuchuluka kwa katundu kuti tiike mu zotsatira zawo.

Zofufuza za Fibromyalgia

Ochita kafukufuku ayang'ana mu mitundu yambiri ya mankhwala opangira ma acupuncture ndi acupuncture m'zaka zaposachedwapa. Izi zikuphatikizapo:

Makhalidwe apachikhalidwe,
Kujambula pang'onopang'ono (kutentha chinthu chomwe chimatchedwa moxa pafupi ndi khungu, chomwe chimatchedwanso kuti sing'anga wofunda),
Kujambula ndi kukwapula (mankhwala achi China omwe amakhudza kuyamwa),
Chosowa chosowa (kuika singano zamagetsi kapena zipsera zopanda kanthu m'madera opweteka a minofu),
Kutsekemera kwa mfundo zapachikeni,
Kupanga magetsi, komwe kumaphatikizapo kukakamiza zamagetsi zamagupoints (popanda singano).

Mungapeze maphunziro omwe amasonyeza zotsatira zabwino ndi ambiri mwa njirazi komanso omwe akunena kuti palibe kusintha kwa zizindikiro za fibromyalgia.

Maphunziro a mabuku omwe anafalitsidwa mu 2013 (Cao H, Deare) ndi 2014 (Yang) adagwirizana ndi izi:

Mankhwala opangira mankhwala ndi ofanana ndi omwe amawoneka ngati othandizira mankhwala a fibromyalgia poyerekeza ndi mankhwala.

Kugwiritsira ntchito mankhwala pamodzi ndi mankhwala ndi kuchita masewero olimbitsa thupi kungapangitse kupweteka kwa nthawi yayitali.
Umboni umene ukupangidwira bwino umapweteka ululu ndi kuuma mu fibromyalgia ndi khalidwe lochepa kwambiri.
Kugwiritsiridwa ntchito kwapadera kungakhale kopambana ndi chikhalidwe chapachikhalidwe cha kupweteka ndi kuuma, ubwino, kugona, ndi kutopa.
Kujambula m'matumbo kumawoneka otetezeka kwa anthu omwe ali ndi fibromyalgia.
Kujambula m'mimba sikuwonekere kuti kuchepetsa kupweteka kwambiri kusiyana ndi kuponyedwa kwa mankhwala.
Maphunziro ena ndi mapangidwe abwino ndi kukula kwakukulu kofunikira.

Kuwongolera mavitamini a matenda a rheumatic (Amezaga Urruela) kunagwirizana chimodzimodzi.

Maphunziro aumwini awonetsa kuti kupachikidwa m'mimba kungakhale ndi zotsatira zotsatirazi kwa anthu omwe ali ndi fibromyalgia:

Kuchepetsa kupweteka kochepa,
Kulimbitsa thanzi lathunthu,
Kupweteka kochepetsetsa,
Kusintha kwa dziko lonse kwa zizindikiro.

Kodi Akugwiritsiranso Ntchito?

Cholinga choyesa kugwiritsa ntchito mankhwalawa ndi monga mankhwala aliwonse, opangidwa ndi inu ndi dokotala wanu pomwe mukuyang'ana chithunzi chonse cha zizindikiro zanu ndi zina zothandizira. Kumbukirani kuti zomwe zimagwira ntchito kwa wina aliyense sizingagwire ntchito kwa onse, kotero kuti zomwe mukuzichita ndi zosiyana ndi zomwe mwamva / kuziwerenga kuchokera kwa ena ndi fibromyalgia.

Onetsetsani kuti muyang'ane ndi kampani yanu ya inshuwalansi kuti muwone ngati mankhwalawa akuphimbidwa.

_Zotsatira:

_{Ablin J, et al.} _{Zolemba zowonjezera zowonjezera ndi njira zina: eCAM.} _{2013; 2013: 485272.} _{Kuchiza kwa matenda a fibromyalgia: malingaliro a zotsatiridwa zaposachedwapa zozikidwa pazinthu zosiyana siyana zapadera komanso zolimbikitsa kwambiri za mankhwala othandizira ndi othandiza.}

_{Amezaga Urrela M, Suarez-Almazor ME.} _{Zochitika zamakono zamakono zipoti.} _{2012 Dec; 14 (6): 589-97.} _{Kujambula m'matenda pochiza matenda a rheumatic.}

_{Bastos JL, et al.} _{Journal of acupuncture ndi meridian maphunziro.} _{2013 Jun; 6 (3): 163-8.} _{Kuwombera pamapope pazithunzi zoyendetsera matenda a fibromyalgia: mndandanda wa zochitika.}

_{Birch S. Msonkhano wachitatu wa JSAM wosiyirana wa maulendo okhudza umboni.} _{June 2012. Sham yokhala ndi mankhwala si mankhwala a placebo - zotsatira ndi mavuto mufukufuku.}

_{Cao HJ, et al.} _Mayesero. _{2014 Jul 10, 15: 280.} _{Pogwiritsa ntchito kafukufuku wokonda odwala mwachisawawa kuti apitirize kufufuza njira zothandizira opangira mankhwala ndi kukwapula kwa fibromyalgia: kufufuza pulogalamu ya mayesero ochepa omwe amayendetsedwa mosavuta.}

_{Cao H, et al.} _{Zolemba zowonjezera zowonjezera ndi njira zina: eCAM.} _{2013; 2013: 362831.} _{Kutsitsimutsa mawu kwa fibromyalgia: kuwongolera mwatsatanetsatane za mayesero olamuliridwa mosavuta.}

_{Casanueva B, et al.} _{Rheumatology padziko lonse.} _{2014 Jun; 34 (6): 861-6.} _{Kusintha kwa kanthaŵi kochepa potsatira kuyamwa kwa singano kotsitsimutsa kwa malingaliro achikondi mu fibromyalgia.}

_{Deare JC, et al.} _{Mndandandanda wa The and Cochrane wa ndemanga zowonongeka.} _{2013 May 31; 5: CD007070.} _{Kujambula m'matumbo pofuna kuchiza fibromyalgia.}

_{Hadianfard MJ, Hosseinzadeh Parizi M. Nyuzipepala ya zachipatala yotchedwa Red Crescent.} _{2012 Oct; 14 (10): 631-40.} _{Mankhwala othandizira odwala matenda a fibromyalgia omwe amachititsa kuti thupi likhale lopaka poyerekeza ndi fluoxetine.}

_{Harte SE, et al.} _{Kuchiza magazi.} _{2013 Apr; 25 (2): 154-160.} _{Kumva kupweteka kwapweteka komanso kugwiritsirana pamodzi kwa glutamate ndi glutamine (glx) zimayenderana ndi mankhwala omwe amachititsa kuchipatala koma osagwiritsidwa ntchito kuchipatala kwa odwala omwe ali ndi ululu wosatha.}

_{Iannuccelli C, et al.} _{Zolemba zachipatala ndi zoyesera.} _{2012 Nov-Dec; 30 (6 Suppl 74): 112-6.} _{Chithandizo chokwanira mu fibromyalgia: kuphatikiza kwa somatic ndi mimba yodzipiritsa.}

_{Kondo T, Kawamoto M. Mankhwala othandiza anthu.} _{2014 Jan 24; 8 (1): 7.} _{Kupangidwanso ndi kusokonezeka kwa matenda opatsirana.}

_{Saad M, de Medeiros R. Kuvutika kwamtundu komanso kupwetekedwa mtima kumabwereza.} _{2013 Aug; 17 (8): 354.} _{Mankhwala othandizira matenda a fibromyalgia - njira yabwino.}

_{Kuponyedwa Mwala Kumapangidwe ndi Ubwino.} _{"Vutoli pakali pano lofufuza kafukufuku."} _{Yatumizidwa January 20, 2011. Ufulu wonse umasungidwa.}

_{Stival RS, et al.} _{Revista brasileira de reumatologia.} _{2014 Nov-Dec; 54 (6): 431-6.} _{Kujambula mkati mwa fibromyalgia: phunziro lodziŵika bwino, lolamulidwa lothandizira kumvetsa ululu.} _{[Nkhani mu Chipwitikizi;} _{zolemba zowonongeka.]}

_{Weber A, et al.} _{Journal za mankhwala othandiza komanso othandizira.} _{2015 Feb; 21 (2): 77-82.} _{Zotsatira za nyimbo zogwirizana ndi zizindikiro zogwedeza ndi zodzikongoletsera pa chithandizo cha fibromyalgia.}

_{Yang B, et al.} _{Journal za mankhwala achikhalidwe cha Chitchaina.} _{2014 Aug, 34 (4): 381-91.} _{Kuchita bwino kwa mavitamini a fibromyalgia: meta-analysis.}

Zomwe Zimapangidwira: Zovuta

Zofufuza za Fibromyalgia

Kodi Akugwiritsiranso Ntchito?

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