Timamva nthawi zonse kuti n'zovuta kudziwa matenda a fibromyalgia chifukwa ndi ofanana ndi zikhalidwe zina zambiri. Chimodzi mwa zinthu zomwezo ndi polymyalgia rheumatica (PMR).
N'zotheka kuti PMR isasokonezedwe ngati fibromyalgia (kapena mosemphana ndi zina), kapena kuti chikhalidwe chilichonse chikhoza kunyalanyazidwa ndi wina yemwe ali ndi wina.
Zinthu ziwirizi ndi zosiyana kwambiri ndipo zimafuna mankhwala osiyanasiyana.
Kudziwa zizindikiro za onse awiri kungakuthandizeni kuzindikira ngati mungakhale ndi vuto latsopano lomwe simukulidziwa.
Kodi Polymyalgia Rheumatica ndi chiyani?
PMR ndi matenda opweteka omwe amakhulupirira kuti ndi ochepa. Ikuwonedwa pafupifupi mwa anthu oposa 65. Madokotala sangathe kuziganizira ngakhale aliyense yemwe si mkulu.
Mwa anthu okalamba oposa 50, pafupifupi 0,5 peresenti ali ndi PMR, omwe amawapangitsa kukhala matenda osadziwika. (Kuti ndikuyerekezereni, zotsatira za fibromyalgia pakati pa awiri ndi anayi peresenti ya anthu a ku United States.) Phunziro la 2014 mu Rheumatology International linapereka kuti PMR ikhoze kukhalapo pafupifupi atatu peresenti ya anthu omwe ali ndi fibromyalgia. Ngati izi ndizoona, zikhoza kukhala zofala kwambiri m'gulu lino kusiyana ndi anthu ambiri.
PMR kawirikawiri imayambitsa kupweteka kwa minofu ndi kuuma kwa mbali zina za thupi, kuphatikizapo:
- Mapepala
- Khosi
- Nkhondo zam'mwamba
- Njuchi
- Maphwando
- Ntchafu
- Nthawi zina mabala, mabala, kapena mawondo
Kuuma kuli pafupi nthawi zonse m'mawa, pamene kumachepetsa kwambiri kuthekera kuchita ngakhale ntchito zofunika monga kuchoka pabedi ndi kuvala.
PMR ikhoza kukhala ndi zizindikiro zina, monga:
- Kutopa
- Kutentha thupi kwambiri
- Kutaya njala
- Malaise (kumverera kosauka)
- Kusokonezeka maganizo
Pamene matendawa amatha, zizindikiro zimabwera mofulumira.
Momwe PMR ndi Fibromyalgia Zimasiyanirana
Tiyeni tiwone mfundo zomwe tazitchula pamwambapa, mfundo ndi mfundo, kuti tifanizire zochitika ziwirizi.
- PMR imaphatikizapo kuvuta ndi kupweteka kwa thupi. Fibromyalgia ingaphatikizepo kutupa kwa fascia (chochepetsetsa cha minofu yomwe imayambitsa minofu ndi ziwalo,) koma kutupa kochepa kwambiri kuposa zomwe zimapezeka mu PMR.
- PMR ili ndi zizindikiro za matenda omwe amadziwika nawo. Fibromyalgia sichidziwika kuti ndi matenda okhaokha koma pali umboni wina wosonyeza kuti magulu angapo angaphatikizepo kudziletsa .
- PMR imapezeka pakati pa anthu oposa 65. Fibromyalgia ndi yowonjezereka mwa amayi a msinkhu wobereka. (Komabe, n'zotheka kuti aliyense akhale ndi chikhalidwe.)
- PMR amachititsa ululu ndi kuuma mu mbali zina za thupi. Fibromyalgia imayambitsa ululu wambiri. Anthu ena amatha kukhala ndi zowawa zosiyana, koma izi zimasiyanasiyana kwambiri.
- Kumva ululu ndi kuuma kwa PMR ndizovuta kwambiri m'mawa. Ena, koma osati onse, anthu omwe ali ndi fibromyalgia akhoza kukhala ndi zizindikiro zomwe zimatchulidwa m'mawa kwambiri . Komabe, ambiri amamva kupweteka kwambiri madzulo kapena usiku.
- PMR ikhoza kuphatikizapo kutopa, kutentha thupi kwambiri, kusowa kwa njala, malaise ndi kuvutika maganizo. Fibromyalgia imaphatikizapo kutopa ndipo kungaphatikizepo kuvutika maganizo. Chiwindi, kusowa kwa njala, ndi malaise sizingatengedwe ngati zizindikiro za fibromyalgia. ( Matenda achilendo otenga matenda nthawi zambiri amapezeka kwa anthu omwe ali ndi fibromyalgia, ndipo amatha kuphatikizapo malungo ndi malaise.)
- PMR imabwera mofulumira. Matenda ena a fibromyalgia amadza mofulumira pamene ena akuphatikizapo kuwonjezereka kwa zizindikiro.
Mawu ochokera
Palibe vuto limodzi lokha la magazi lomwe lingathe kupeza kachilombo ka PMR. Madokotala amaganizira za zizindikiro zonse pamodzi ndi kafukufuku wa lab omwe amatchedwa sedimentation (kapena "sed") mlingo . Chiwombankhanga chokwera ndi chizindikiro cha kutupa. (Mwa anthu omwe ali ndi fibromyalgia, mlingo wa sed umakhala wabwinobwino kapena wokwera pang'ono.)
Kawirikawiri PMR imachiritsidwa ndi steroids ndipo imatha kulamuliridwa bwino. Anthu ena omwe ali ndi fibromyalgia sangathe kulekerera steroids, koma izi si vuto lonse.
Onetsetsani kuti mukambirane zosankha zamankhwala, ndi zotsatirapo zilizonse zomwe mumakumana nazo, ndi dokotala wanu kuti mudziwe njira zabwino zothandizira.
Zingathandizenso kudziwa zambiri za PMR komanso momwe zingakhudzire moyo wanu.
Zotsatira:
Caro XJ, Winter EF. Arthritis & rheumatology. 2014 Jul; 66 (7): 1945-54. Umboni wa nthendayi yosadziwika bwino ya mitsempha ya fibermyalgia: zachipatala ndi zamaganizo.
Caro XJ, Winter EF, Dumas AJ. Rheumatology. 2008 Feb; 47 (2): 208-11. Omwe ali ndi kachilombo ka fibromyalgia ali ndi zotsatira zokhudzana ndi kutupa kwapachirepa komwe kumatulutsa mphamvu ya polyneuropathy ndikuwoneka kuti akuyankhidwa ndi IVIg.
Docken, William P, MD. American College of Rheumatology. Polymyalgia Rheumatica. Maumwini onse ndi otetezedwa. Kupezeka: May 2016.
Haliloglu S, et al. Rheumatology padziko lonse. 2014 Sep; 34 (9): 1275-80. Fibromyalgia kwa odwala matenda ena a chifuwa chachikulu: kufalikira komanso kugwirizana ndi matenda.
Liptan, GL. Journal of bodywork ndi kayendetsedwe ka mankhwala. 2010 Jan; 14 (1): 3-12. Fascia: Palibe chomwe chimasowa kumvetsetsa kwathu kwa matenda a fibromyalgia.