Maapulo ku maapulo, kapena maapulo ku malalanje?
Kodi kusiyana kwake ndi kotani? Matenda a matenda osokoneza maganizo omwe amachititsa kuti matendawa asokonezeke ndi anthu ambiri, kuphatikizapo madokotala, anthu omwe ali ndi vutoli, ndi achibale awo komanso abwenzi omwe amawasamalira.
Madokotala ena amagwiritsa ntchito fibromyalgia (yotchedwanso fibromyalgia syndrome, kapena FMS) ndi matenda aakulu odwala (CFS, omwe amatchedwanso myalgic encephalomyelitis, kapena ME / CFS ) mosiyana, pamene ena amakhulupirira kuti alidi matenda omwewo-kapena, kusiyana kwake .
Malingana ndi Arthritis Foundation, kafukufuku amasonyeza kuti pakati pa 50 ndi 70 peresenti ya anthu omwe ali ndi matenda omwe amapezeka ndiwonso amavomerezedwa ndi enawo. Izi zikhoza kukhala chifukwa cha zifukwa zingapo:
- kufanana kwawo
- pakati pawo (kutanthauza anthu omwe ali ndi zikhalidwe ziwiri)
- kusowa koyezetsa magazi kapena zowonongeka kuti azindikire
Pano pali kuyang'ana pa kufanana ndi kusiyana kwa matenda awiriwa.
Zofanana: Zizindikiro
FMS ndi ME / CFS amadziwika kuti ali ndi zizindikiro zambiri zomwe zimagwirizana. Zikuphatikizapo:
- kutopa
- matenda opweteka ambiri
- kugona kosabwerera
- malingaliro (kuganiza ndi kulingalira) kapena zovuta za kukumbukira
- chizunguliro ndi kulephera kugwirizanitsa (kusuntha kovuta)
Zizindikiro zambiri zowonetsera zizindikiro ndizofanana, monga:
- nkhawa (thupi kapena maganizo)
- kuvulala
- matenda aakulu
- tulo toposa-nthawizonse
- kuchita khama
Amagwirizananso ndi zinthu zambiri zomwe zimagwirizanitsa, kuphatikizapo:
- nkhawa ndi / kapena kupsinjika maganizo
- zizindikiro za matenda a m'mimba (monga kubisa, kutsegula m'mimba, ndi / kapena kudzimbidwa)
- kumutu kwa mutu
- matenda a temporomandibular joint (TMJ)
Chifukwa chiyani kufanana? Lingaliro lachilendo ndilochizoloŵezi choyambira. Mmodzi mwa iwo ndi kulephera kwa mankhwala ambiri a ubongo wotchedwa neurotransmitters .
Kwa zaka zambiri, ofufuza apeza mitundu yosiyanasiyana ya FMS, ME / CFS, ndi zinthu zofanana, monga functional somatic syndromes, matenda osiyanasiyana, matenda osokoneza bongo, ndi matenda a neuroendocrineimmune.
Posachedwapa, palinso mawu ena omwe afika kale ndipo akuwoneka kuti amavomerezedwa mosavuta ndi achipatala ndi " chidziwitso chapakati ," kapena CSS.
CSS ali ndi chinthu chofunika kwambiri-zonsezi zimaphatikizapo machitidwe omwe amachititsa chidwi kwambiri ku zinthu zina. Malinga ndi chikhalidwechi, amatha kukhala okhudzidwa kukhudza , kutentha , zakudya zina, mankhwala / zonunkhira , phokoso, kuwala , ndi zinthu zina zachilengedwe. Zonsezi zomwe zikutchulidwa pamwambazi zikugwera pansi pa mawu a ambulera iyi, monganso ena ambiri.
Kusiyanasiyana: Zizindikiro
Kusiyana kwa zizindikiro kawirikawiri kumakhala kochuluka kwambiri kuposa kusiyana kwathunthu. Mwachitsanzo, chizindikiro chachikulu mwa ME / CFS ndikutopa, pomwe chizindikiro chachikulu cha FMS ndikumva ululu. Komabe, zonsezi zingaphatikizepo kutopa ndi kupweteka.
ME / CFS imakhala yomangirizidwa ndi zizindikiro zofanana ndi chimfine, kuphatikizapo:
- chikhure
- zotupa zotupa
- malungo otsika kwambiri
FMS nthawizonse imaphatikizapo zopweteka, kuphatikizapo hyperalgesia (kupweteka kwambiri) ndi nthawi zina zovuta zapadera (ululu wochokera ku kuwala kokha).
Milandu yambiri ya ME / CFS imaphatikizapo imodzi kapena mitundu yonse ya ululu, komanso. Komabe, FMS imaphatikizapo mitundu ina ya ululu yomwe sumafala mu ME / CFS.
Zonsezi zimaphatikizapo kuchita zinthu mopweteka kwambiri, komabe izi zimakhala zovuta kwambiri ku ME / CFS ndipo imatchedwa post-exertional malaise .
Ngakhale kuti zinthu ziwirizi zikugwirizana ndi zinthu zambiri, FMS imagwirizanitsa ndi zowawa zambiri komanso zovuta za kugona zomwe siziwoneka kuti zikugwirizana ndi ME / CFS.
Zofanana: Chithandizo
Ndi zizindikiro zoterezi ndi zofanana, siziyenera kudabwitsa kuti FMS ndi ME / CFS nthawi zambiri zimachitidwa chimodzimodzi.
Mwachitsanzo, madokotala amapereka mankhwala omwewo kwa iwo, kuphatikizapo:
- SSRI / SNRI olekerera
- tricyclic zowonongeka
- mankhwala osowa mankhwala
- opha kupweteka kwa mankhwala
Mitundu ina ya mankhwala omwe angapangidwe pazinthu zonsezi ndi izi:
- kuwombera
- chidziwitso cha khalidwe labwino (chomwe chiri chovuta kwambiri kwa ME / CFS )
- kusisita kapena mtundu wina wa thupi
Kusiyanasiyana: Chithandizo
Apanso, kusiyana sikokwanira pankhani ya chithandizo.
Mu FMS, chithandizo chimakhala chachikulu kwambiri pa kupumula kwa ululu. Mu ME / CFS, imatanthawuza zambiri zokhudza kutopa. Komabe, nthawi zambiri mankhwalawa ndi mankhwala omwe amathandiza ndi zizindikiro zonsezi.
Kusiyana kwakukulu kwakukulu ndikuti madokotala ena amakhulupirira kuti ME / CFS imamangiriridwa ku ma virus ena, ndipo amatha kupereka mankhwala osokoneza bongo. Izi ndi zosiyana ndi ulamuliro, komabe, monga madokotala ambiri sakhulupirira kuti chigawo chokhala ndi vutolo.
Zofanana: Kuzindikira
Momwe zikhalidwezi zimapezedwera ndi kufanana kwina. Zonsezi zimapezeka kuti zimakhala zosasunthika , zomwe zikutanthauza kuti alibe mtundu wa mayesero omwe anthu amawayembekezera.
Palibe kuyezetsa mwazi kapena kujambulira kungakuuzeni ngati mukuchita (kapena musakhale) ndi FMS kapena ME / CFS. Mmalo mwake, madokotala amadalira kwambiri zinthu monga zomwe ziri ndi zizindikiro zomwe muli nazo ndi kuyesa kuti zithetse zizindikiro zomwe zimayambitsa zizindikiro zomwezo.
Kusiyanasiyana: Kudziwa
Ndi ME / CFS, chidziwitso cha kuchotsedwa ndizo zonse zomwe tiri nazo zomwe zimavomerezedwa. Akatswiri ena adzipanga njira zawo zowunikira zomwe amati ndi zothandiza, koma palibe chomwe chinatsimikiziridwa kuti chiri chogwira ntchito kapena chovomerezedwa ndi achipatala.
FMS ili ndi mayesero angapo, koma siyeso ya mtundu wanu wa mayeso a zamankhwala.
Yoyamba imatchedwa kuyesedwa kwa mfundo zachonde. Kwenikweni, dokotala amayang'ana zizindikiro zina zomwe zimaphatikizapo ululu pamalo enaake ozungulira thupi.
Njira ina yothandizira imakhala ndi zizindikiro pamodzi ndi mayankho a mafunso. Kafukufuku akusonyeza kuti njira zonsezi zimakhala zothandiza pakuzindikira FMS ndikuzisiyanitsa ndi zofanana.
Zofanana: Maganizo
Maganizo ndi zofunika pa izi. Onse awiri akhala akukayikakayika m'mabungwe a zachipatala, alamulo, ndi anthu onse.
Ngakhale patapita zaka makumi ambiri kafukufuku wa zachipatala, mukhoza kupeza madokotala ndi othandizira ena omwe samakhulupirira "mmodzi kapena onse awiriwo. Izi zingachititse kuti munthu asamalandire chithandizo chokwanira, komanso nthawi zambiri, ngakhale kudana ndi kunyoza kwa wodwalayo.
Oweruza omwe samakhulupirira mwa iwo akhoza kukana zokhudzana ndi Inshuwalansi ya Disability Disability Insurance . Nkhanizi zothetsa banja komanso zosamalidwa, izi zakhala zikugwiritsidwa ntchito pothandizira zonena za wokondedwa kuti munthu wodwalayo "wamisala" kapena "kusokoneza."
Maukwati osawerengeka, maubwenzi ena achikondi, mabwenzi, ndi maubwenzi apabanja awonongeka ndi kusamvetsetsana kapena kusakhulupirira mu FMS kapena ME / CFS.
Kusiyanasiyana: Maganizo
Kusiyanasiyana kwa malingaliro kwakula pakapita nthawi. Iwo ankakhala pafupi pafupi mofanana. Kenako panafika FDA kuvomereza mankhwala oyamba a FMS, Lyrica (pregabalin) mu 2007. Icho chinali ndi zotsatira zovomerezeka pamkhalidwewu.
Kuchokera nthawi imeneyo, FMS yakhala yolandiridwa kwambiri mwapamtima, mwamalamulo, komanso mmalo mwathu kusiyana ndi kale lonse. Izi zayamba kuchititsa zinthu mosavuta kwa iwo omwe ali nazo.
Chomvetsa chisoni n'chakuti, ME / CFS idakali ndi mankhwala omwe FDA imavomerezedwa, choncho ngakhale kuti sichikunyozedwa kuposa kale, zotsatirapo zakhala zochepa kwambiri komanso zochepa.
Dzina lakuti "matenda otopa matenda" amakhulupirira kuti ndilo vuto lalikulu la vutoli chifukwa zimveka ngati wina watopa kwambiri ndipo akusowa bwino. Ndicho chifukwa chake ochita kafukufuku ena, odwala, ndi magulu omalimbikitsa adakakamiza kukhala ndi "ME" kuwonjezera pa dzina ndikuyembekeza kuti tsiku lina lidzasintha "CFS" palimodzi.
Lipoti lalikulu la zachipatala lomwe linafalitsidwa mu 2015 likhoza kuthandiza MLC / CFS kuti ikhale yotsutsa anthu otsutsawo. Gawo lofunika kwambiri ndiloti linazindikira ME / CFS monga matenda mmalo mwa matenda . Zimakhalabe kuti ziwone zomwe zotsatira zake zidzatha.
Kodi Zovuta Zimasiyanasiyana?
Kwenikweni, akatswiri ena amanena kuti kusiyana pakati pa zinthu ziwirizi mwina sikulibe kanthu.
Chifukwa chiyani? Makamaka chifukwa mankhwalawa ali ofanana. Ngati matenda a A ndi ma diagnosis B amatsogolera kuchipatala chomwecho, kodi ndizofunika kuti mukhale nawo?
Pamene tikuphunzira zochuluka za iwo, komabe kusiyana kumeneku kungakule kwambiri. Ngati mankhwala amasiyana mosiyana ndi nthawi, malingana ndi zomwe zalakwika m'thupi m'malo mwa zizindikilo, tingathe kumaliza mankhwala omwe amathandiza kwambiri.
Mpaka pomwepo, tidzakhala osiyana mosiyana ndi ena ndipo tidzakhala ndi vuto lomweli: kukhala ndi matenda aakulu osokoneza, komanso kufunafuna mankhwala omwe amathandiza kuchepetsa zizindikiro zathu zofanana (zofanana).