Kufufuza Kugwirizana
Kuphatikizana Kwambiri ndi Fibromyalgia
Zizindikiro za fibromyalgia zingagwirizane ndi matenda omwe amadzimadzimadzimadzi ndi matenda ena a nyamakazi amachititsa kuti zikhale zovuta kudziwa. Zizindikiro za fibromyalgia nthawi zambiri zimagwirizanitsidwa ndi zizindikiro zina zomwe zimagwira ntchito pamodzi. Chifukwa cha fibromyalgia chimaonedwa ngati chovuta monga momwe akufotokozera zachipatala.
Chifukwa chenichenicho cha fibromyalgia sichikudziwika bwino koma njira zomwe zanenedwa zikuphatikizapo:
- kumvetsa kupweteka kwachilendo
- matenda ogona
- zovuta zachilendo zozungulira pakati pa zinthu zakuthambo
- mitsempha yosalala, yopangidwira kapena yogwira ntchito
Zanenenso zanenedwa kuti kuphatikizana kosagwirizana (JH) kungagwirizane ndi matenda a fibromyalgia.
- Mafunso: Kodi Mungakhale ndi Fibromyalgia?
Kodi Kuphatikizana Kwambiri N'kutani?
Kuphatikizana komweku kumatanthauzidwa kuti "kuwonjezeka kwakukulu kwa kayendedwe kazing'ono zing'onozing'ono kuposa momwe zimakhalira." Kuwoneka bwino (onani fanizo) ndilofala pakati pa atsikana komanso kumawoneka pafupifupi 5% mwa anthu akuluakulu okalamba. Pamene zizindikiro za minofu zimapezeka mwa anthu osakanikirana popanda vuto lina lililonse la matenda a rheumatological, limatchedwa "hypermobility syndrome". Kuphatikizana komweku kumakhalanso ndi matenda omwe amatchedwa Ehlers-Danlos syndrome (EDS) omwe amadziwika ndi kufooka kwa matenda a thupi.
Phunzirani: Kuphatikizana Kwambiri ndi Fibromyalgia
Mu kafukufuku wolembedwa m'buku la Journal of Rheumatology, mgwirizano pakati pa kugwiritsidwa ntchito pamodzi ndi fibromyalgia yoyamba unkafufuzidwa. Gulu lophunzirali linali ndi odwala 88 (onse azimayi, zaka zapakati pazaka 34) ali ndi ululu wambiri wodwala omwe amapezeka kuti ali ngati fibromyalgia ndi 90 zowononga thanzi labwino (onse aakazi, zaka zapakati pazaka 36).
Kupatulapo pa phunziroli:
- odwala ali ndi vuto lina lililonse la rheumatological kapena systemic disorder.
- odwala ali ndi matenda ena opweteka kapena nyamakazi.
- aliyense amene adalandira mankhwala.
Odwalawo sanapeze kuti ali ndi matenda a fibromyalgia ndi a rheumatologist asanayambe kuphunzira ndipo sanapangidwe mankhwala a fibromyalgia.
Njira Yophunzira
Odwala onse anavomerezedwa chifukwa cha kupweteka kwapitirira kwa miyezi itatu. Odwala ndi olamulira anali poyamba kuyang'aniridwa ndi rheumatologist. Odwalawo adayesedwa kwambiri ndi odwala ena awiri (omwe anachititsidwa khungu ku kuyesa koyambirira) pofuna kutsimikiza mtima kwa fibromyalgia komanso kusagwirizana.
Fibromyalgia inayesedwa kwa odwala onse pofunsa mafunso omwe amapezekapo omwe amadwala matendawa. Iwo anapezeka kuti ali ndi fibromyalgia ngati anakumana ndi American College of Rheumatology (ACR) zoyenera kuti zikhale ndi mtundu wa fibromyalgia. Kuwongolera mofanana kunkawoneka kuti kulipo mwa odwala ochotsedwa ndi Beighton kusinthidwa kwa Carter ndi Wilkinson zoyenera kuti azikhala osagwirizana.
Zotsatira Zophunzira
Odwala makumi asanu ndi limodzi mphambu zisanu ndi chimodzi mwa odwala 88 omwe ali ndi ululu wambiri wofanana ndi fibromyalgia anapeza njira ya ACR ya fibromyalgia.
Odwala omwe ali ndi fibromyalgia kapena osayanjananso amawayerekezera ndi maulendo omwe sagwirizana. Nthawi zambiri zomwe zimagwirizanitsa ndizo:
- 8% mwa odwala omwe ali ndi fibromyalgia.
- 6% mwa odwala popanda fibromyalgia.
Kuphatikizana komweku kunadziwikiranso pakati pa odwala khumi ndi awiri (32) omwe ali ndi fibromyalgia omwe sanafanane ndondomeko ya ACR. Kukhalapo kwa mgwirizano wosagwirizana kunali kofala kwambiri mu gulu lino kusiyana ndi kulamulira.
Zomwe Mumaphunzira
Kusonkhana pakati pa fibromyalgia ndi kuphatikizana kosagwirizana sikukumvetsetsa kwathunthu. Kuphatikizana kwabwino kumayambitsa wodwala arthralgia kwa odwala chifukwa chogwiritsa ntchito molakwa kapena kugwiritsira ntchito mopitirira muyeso ziwalo zogonana.
Deta kuchokera pa phunziro ili linasonyeza:
- Izi zimakhala zodandaula za fibromyalgia zomwe zimawonekera makamaka kwa odwala omwe anakwaniritsa zofunikira za ACR.
- Odwala ena omwe amaonetsa zizindikiro za fibromyalgia kuchipatala koma sagwirizana ndi zizindikiro za ACR akhoza kukhala ndi chidziwitso chosadziwika monga fibromyalgia.
Zomwe zinagwirizanitsa poyamba zinkapezeka mu rheumatology mabuku mu 1967. Masiku ano, kugwirizanitsa bwino kumamveka bwino komanso kumadziwika kwambiri. Komabe, kufufuza kwina ndi kufufuza n'kofunikanso kuti mudziwe zambiri za kugwirizana pakati pa mgwirizano wosagwirizana ndi fibromyalgia.
Chitsime:
Kuphatikizana kwapadera ndi Fibromyalgia yapamwamba: A Clinical Enigma, Journal of Rheumatology, July 2000 (27: 1774-6)