Anthu Ena Ali ndi Zomwe Zili Pamodzi Panthawi imodzi
Fibromyalgia ndi nyamakazi ya nyamakazi ndizopweteka kwambiri. Ndi zinthu ziwiri zomwe zimapangitsa kuti muvutike, zimakhala zovuta kudziwa momwe mungayendetsere bwino.
- Kodi Mungakhale ndi Fibromyalgia?
- Kodi Mukhoza Kukhala ndi Matenda a Arthritis?
Kodi anthu omwe ali ndi matenda amtundu wa fibromyalgia ndi a rhumatine amadziwa bwanji kuti amachititsa kuti azivutika kwambiri? Ndi zifukwa kapena zikhalidwe ziti zomwe zimasiyanitsa pakati pa zikhalidwe ziwirizi?
Kodi njira yabwino kwambiri yothandizira anthu omwe ali ndi matenda a fibromyalgia ndi nyamakazi? Tinapempha Scott J. Zashin, MD, pulofesa wothandizira pulogalamu ya yunivesite ya Texas Southwestern Medical School, Division of Rheumatology, ku Dallas, Texas.
Zizindikiro Zimene Zimasiyanitsa Fibromyalgia Kuchokera ku Matenda a Nyamakazi
Malinga ndi Dr. Zashin, "Pamene anthu akudandaula chifukwa cha zizindikiro zina, monga zimakhala zovuta kusiyanitsa nyamakazi ya mafupa a fibromyalgia." Pali njira zingapo zosiyanitsira. Choyamba, nyamakazi ya nyamakazi sizimaphatikizapo mgwirizano wa DIP ( Ngati pali chikondi pamenepo, matenda a fibromyalgia angayamikiridwe kapena mwina osteoarthritis. Chachiwiri, fibromyalgia sichigwirizana ndi kutupa pamodzi komwe kumachitika ndi matenda a nyamakazi, ngakhale kuti odwala fibromyalgia amadandaula nthawi zambiri. kuti ziwalo zawo "zimve" zatupa.
Kudandaula kwa kupweteka kwa thupi kwakukulu komwe kumagwirizanitsidwa ndi zizindikiro za fibromyalgia zachifundo zingakhalenso zofanana ndi fibromyalgia osati mankhwala a nyamakazi. "
Malangizo Ochiza Anthu Amene Ali ndi Zonsezi
Dr. Zashin anapitiriza "Njira yabwino kwambiri yothandizira odwala omwe ali ndi matenda a nyamakazi ndi a rhumum ndi oyamba kudwala matenda a nyamakazi, popeza matenda a nyamakazi amayamba kugwirizanitsidwa ndi kufooka ndi kulemala.
Kuchepetsa kuchepa kwa nyamakazi ya nyamakazi ndi kuteteza kuwonongeka kwa mgwirizano kwamuyaya ndikofunika. "
"Ngati nyamakazi ya nyamakazi imayang'aniridwa bwino pogwiritsa ntchito kafukufuku wothandizana nawo , komanso kuyeza kwa kutupa , monga mlingo wa sedimentation ndi protein yodalirika (CRP), koma wodwala akudandaulabe za ululu ndi kutopa, ntchito ya fibromyalgia iyenera kuganiziridwa Kuchiza, pakadali pano, kuyenera kuganizira kuti munthu azigona mokwanira kupuma mokwanira komanso kuchita masewero olimbitsa thupi. Kugonana kwapadera kumafunika kutayika, ngati zizindikiro za kutopa ndizofunikira kwambiri. Mankhwala ogwiritsidwa ntchito ku fibromyalgia ayenera kuganiziridwa, kuphatikizapo tricyclic antidepressants, serotonin reuptake inhibitors (SSRI), ndi mankhwala ochizira matenda monga Neurontin (gabapentin) kapena Lyrica (pregabalin) , "adatero Dr. Zashin.
Zina mwa mankhwala omwe angagwiritsidwe ntchito, Cymbalta (duloxetine HCl) inali yoyamba yoteteza serotonin-norepinephrine inhibitor yomwe inatsimikiziridwa kuchepetsa kupweteka kwa odwala fibromyalgia. Savella (milnacipran) , serotonin yosankha ndi norepinephrine yomwe imatulutsa kachilomboka, imapangitsa norepinephrine ndi ntchito ya serotonin mu ubongo.
Mawu Ochokera
Malingana ndi NIAMS (National Institute of Arthritis ndi Musculoskeletal ndi Matenda a Khungu), akuti chiwerengero cha fibromyalgia chimakhudza mamiliyoni asanu Achimereka a zaka 18 kapena kuposerapo.
Ngakhale aliyense atha kukhudzidwa ndi fibromyalgia, 80 mpaka 90 mwa anthu 100 alionse omwe ali ndi vutoli ndi amayi. Matenda a nyamakazi amawononga pafupifupi anthu mamiliyoni 1.5 a ku United States. Ngakhale aliyense atha kukhala ndi nyamakazi ya nyamakazi, imakhudza akazi ambiri kuposa amuna.
NIAMS imanenanso kuti anthu omwe ali ndi matenda enaake a chifuwa, monga nyamakazi ya rhumum, systemic lupus erythematosus , kapena ankylosing spondylitis amaoneka kuti amakhala ndi fibromyalgia. Komanso, pamene kuchuluka kwa nyamakazi ya nyamakazi ikuoneka kuti ikupita kwa anthu achikulire, ofufuza awona kuti akupita pansi kwa achinyamata.
Ngakhale mankhwala opweteka amagwiritsidwa ntchito pochizira matenda a fibromyalgia ndi nyamakazi, mankhwala ena amasiyana. Izi zinati, kusintha kosintha moyo komwe kumaphatikizapo kuchita masewera olimbitsa thupi komanso makhalidwe abwino ogona adzathandiza onse awiri. Palibe malingaliro enieni oyenera okhudzana ndi zinthu ziwirizi, koma kudya zakudya zathanzi, sizingakupweteke. Chakudya chotsutsa-zotupa chingakhale chinthu chomwe mungayesere.
> Zotsatira:
> Zolemba Zaumoyo pa Zaumoyo: Chifuwa cha Matenda a Chifuwa. NIAMS. February 2016.
> Mafunso ndi Mayankho Pa Fibromyalgia. NIAMS. July 2014.
> Kelley's Textbook of Rheumatology. Kusindikiza kwachisanu ndi chinayi. Elsevier