Momwe Fibromyalgia Amadziwira

Matendawa amayamba kupatulapo zifukwa zina zonse

Fibromyalgia ndi matenda ovuta kudziwa. Chifukwa sichimvetsetsedwa bwino, palibe chidziwitso chodziwika kuti ndi njira ziti zomwe zingagwiritsidwe ntchito kuti zidziwitsidwe. Komanso, ngakhale muli ndi zizindikiro za matendawa-kuphatikizapo ululu wambiri ndi kutopa-mayesero a lab ndi ma imaging omwe amapezeka nthawi zambiri amawonekera bwino.

Izi sizikutanthauza kuti simukudwala.

Zimangokhala kuti sitikumvetsa momwe matendawa amagwirira ntchito kapena chifukwa chake ubongo umasokoneza zizindikiro zowawa kuchokera m'thupi.

Chifukwa chaichi, njira yokhayo yomwe tingatsimikizire kuti muli ndi fibromyalgia ndiyo kuyamba zomwe zimatchedwa matenda a kusalidwa. Izi ndizopweteka kwambiri zomwe dokotala wanu adzayang'ane ndikuchotseratu zifukwa zonse zomwe zimayambitsa zizindikiro zanu. Ndikutulutsa anthu ena omwe amawakayikira, kuti tikhoza kutsimikizira kuti muli ndi fibromyalgia.

Zotsatira Zoganizira

Chifukwa palibe mayeso oti athe kutsimikizira kuti fibromyalgia , dokotala wanu ayenera kudalira kokha pa zizindikiro zanu kuti mudziwe. Kafukufukuyu amatha kuyang'aniridwa ndi katswiri wa zachipatala wotchedwa rheumatologist yemwe amadziwika kwambiri ndi matenda a minofu ndi zovuta zapadera . Akatswiri a zachipatala ndi odwala nthawi zina amakhalanso ndi mwayi woyang'anira kuwunika.

Njira yothetsera matendayo inakhazikitsidwa ndi American College of Rheumatology (ACR) mu 1990 ndipo kenaka inasinthidwa mwamsanga mu 2010 kuti athe kupeza njira zowonjezera zowunikira. Masiku ano, mmalo mozindikira kuti matendawa ndi mbiri komanso malo omwe amamva kupweteka, malangizo atsopano akuyang'ana njira zitatu izi:

1. Kodi ululu umakula bwanji komanso momwe mumayendera zizindikiro za matendawa?
2. Kaya zizindikirozo zapitirirabe pamlingo uwu kwa miyezi itatu
3. Kaya palibe zifukwa zina za zizindikiro

Pofuna kutsimikizira kuti ali ndi matenda otani, dokotalayo adzagwiritsa ntchito mapulogalamu otchedwa ACR Fibromyalgia Diagnostic Criteria omwe akuphatikizapo kuunika komwe kumatchedwa "WPI" (WPI) komanso wina wotchedwa Symity (SS).

Ngakhale kuti njira ya ACR imagwiritsidwa ntchito kwambiri, imakhala ndi osokoneza omwe amakhulupirira kuti fibromyalgia sayenera kuyesedwa ngati matenda enieni (physically) koma imodzi yomwe zimagwirizanitsa maganizo ndi maganizo a maganizo.

Kugonjetsa Osadziwika

Musanayambe kuwona zizindikiro zamakono, dokotala wanu ayenera kuchotsa matenda kapena matenda omwe ali ndi zizindikiro ndi makhalidwe omwewo. Malingana ndi kuchuluka kwa zizindikiro zomwe muli nazo (kuchepetsa kudya, kuyamwa, kumaganizo, ndi zina zotero), mndandanda ukhoza kukhala wochuluka kwambiri.

Zina mwazochitika:

• Addison matenda
• Kumwa mowa
• Oseoarthritis wambiri
• Matenda a Guillain-Barre
• Hypothyroidism
• Hyperparathyroidism
• Matenda ovutika maganizo (IAD)
• Lupus
• Matenda a Lyme
• Malignancies
• Multiple sclerosis (MS)
• Myasthenia gravis (MG)

• Polymyalgia rheumatica
• Matenda a post-traumatic stress (PTSD)
• Matenda a nyamakazi
• Matenda a Schwartz-Jampel
• Scleroderma

Vuto lofufuza matenda a fibromyalgia ndilokuti zinthu zina zimakhalapo ndi fibromyalgia ndipo zimakhala ndi zizindikiro zofanana. Mwachitsanzo, ngati nyamakazi kapena matenda obwera chifukwa cha kugona akupezeka, matendawa akhoza kufotokozera zina mwazizindikiro zazikulu zomwe mukukumana nazo koma osati ena.

Momwemo, mukufunikira katswiri wodziŵa bwino ntchito yokhoza kupanga zosiyana zachinsinsi.

Chiwerengero Chowawa Chofala

Mndandanda wa kupweteka kwapadera (WPI) umathyola thupi pansi mu magawo 19, omwe aliwonse amaonedwa kuti ndi mbali yochita nawo mbali.

Aliyense amapatsidwa chiwerengero cha 1 ngati munamva ululu mu gawo la thupi sabata lapitalo.

WPI ikukufunsani kuti muwonetse mtundu wa ululu umene munali nawo (monga wovuta kapena wofala) kapena kulingalira mfundo zovuta (zowawa zopweteka) zomwe zimakhala zofunikira pa matendawa.

Malo opweteka okwana 19 omwe akuphatikiziridwa ndi (kuchokera pamwamba mpaka pansi):

• Udzu wamphongo
• Tsamba lakumanzere
• Khosi
• Makhalidwe abwino
• Lumikiza kumanja
• Dzanja lakumwamba
• Kumanzere kumanja
• Dzanja lakufupi
• Dzanja lamanzere lakumanzere
• Kumbuyo kumbuyo
• Pansi kumbuyo
• Chifuwa
• Mimba
• Chiuno / katundu / chiuno
• Mzere wa kumanzere / katundu / chiuno
• Kumanja kumtunda
• Kumanzere kumtunda
• Mgugu wakutsogolo
• Kumanzere kumbuyo kwa mwendo

Mapiritsi apamwamba a WPI ndi 19.

Chizindikiro Chowopsa Kwambiri

Chizindikiro cholimba (SS) scale chikuyesa zizindikiro zinayi zomwe zimatanthawuzira kufotokozera matenda a fibromyalgia. Chizindikiro chilichonse chili ndi chiwerengero cha 0 mpaka 3, ndipo 0 chimatanthauza zizindikiro, 1 zimatanthauza zizindikiro zofatsa, 2 zikutanthauza zizindikiro zolimbitsa thupi, ndi 3 zikutanthauza zizindikiro zazikulu. Zotsatirazo zimachokera pa kuopsa kwa zizindikiro zomwe zachitika sabata lapitalo.

Zizindikiro zinayi zomwe zimayesedwa pazimenezi ndizo:

• Kutopa
• Kusuka mu tulo sikunabwerere
• Zizindikiro zamaganizo (kuphatikizapo vuto lalikulu, chisokonezo, kusokonezeka, ndi kumvetsa zolakwika)
• Zizindikiro zamantha (kumverera thupi monga ululu, chizungulire, kunyowa, kupweteka, kapena matenda a m'mimba)

Mapiritsi apamwamba pa SS ndi 12.

Kutsimikizira Kuzindikira

Ngati palibe chidziwitso china cha zizindikiro zanu zingapezeke, dokotala wanu angatsimikize kuti matenda a fibromyalgia ndi otsimikizira ngati maphunziro anu a WPI ndi SS akukumana ndi chimodzi mwa njira ziwiri za ACR zolembera:

• Chiwerengero cha WPI cha 7 kapena kuposa, pamodzi ndi chiwerengero cha SS cha zisanu kapena zisanu
• Chiwerengero cha WPI cha 3 mpaka 6, pamodzi ndi chiwerengero cha SS cha 9 kapena kuposa

Pambuyo pake, ngati dokotala atha kutsimikizira kuti zizindikiro zanu zakhalapo pamlingo umodzi kapena womwewo kwa miyezi itatu, mutha kuona kuti muli ndi fibromyalgia.

Ngati matendawa atsimikiziridwa, inu ndi dokotala mungayambe kufufuza njira zamankhwala . Izi zikhonza kukhala nthawi yaitali komanso yayitali, koma imodzi yomwe ingakuike pamsewu kuti mukhale ndi thanzi labwino komanso lokhalitsa .

> Zotsatira:

> Bellato, E ;; Marini, E .; Castoldi, F. et al. Fibromyalgia Syndrome: Etiology, Pathogenesis, Kuzindikira, ndi Chithandizo. Kupweteka Kwambiri. 2012; 2012: 426130. DOI: 10.1155 / 2012/426130.

> Wolfe, F .; Clauw, D .; Mahatchi, M .; et al. The American College of Rheumatology yoyamba kafukufuku wa fibromyalgia ndi kuyerekezera kwa chidziwitso cha mphamvu. Matenda Osamalira Matenda a Nyamakazi. 2010; 62 (5): 600-10. DOI: 10.1002 / acr.20140.