N'chifukwa Chiyani Akazi Amadziwika Kwambiri?
Kusamba kwa msambo. Mimba. Kusamba kwa nthawi. Fibromyalgia . Matenda otopa nthawi zonse . Kodi ali ndi chiyanjano chotani? Akazi. Inde, zitatu zoyambirira ndizozimene akazi alili. Koma, ngakhale kuti anthu angathe kukhala ndi fibromyalgia (FMS) kapena matenda otupa (CFS kapena ME / CFS ), amayi amawamasula kwambiri.
N'chifukwa Chiyani Akazi Amadziwika Kwambiri ndi Fibromyalgia & Chronic Fatigue Syndrome?
Kuti mudziwe chifukwa chake, ofufuza akuyang'ana:
- Mahomoni
- Ubongo wamakono
- Kuteteza thupi kumthupi ndi kutupa
- Genetics
N'zotheka kuti maudindo amtundu wa chikhalidwe amathandizira gawo.
Kusiyana kwa Hormonal
Poyang'ana kusiyana kwa magulu, ndizomveka kuyamba ndi mahomoni. "Mahomoni, monga estrogen ndi testosterone, amakhudzidwa kwambiri ndi kayendedwe kabwino ka mitsempha, omwe amachititsa kuzindikira komanso kutulutsa ululu," anatero katswiri wina wothandizira ululu Mark Peckman, DO. Kuphatikiza pa FMS ndi ME / CFS, akuti izi zingathandize kufotokoza chifukwa chake amayi amatha kudwala matenda a mitsempha ya m'magazi , kumutu kwa mutu komanso matenda opweteka .
Kafukufuku amasonyeza kuti testosterone, hormone yamphongo, imathandiza kuthetsa kutopa kwa minofu. Akatswiri amanena kuti mapuloteni ena amagwira ntchito ndi testosterone kukonzanso minofu pambuyo poyesera. Akazi ali ndi testosterone yaing'ono, kotero amakhala ndi kutopa kwambiri. Phunziroli linasonyezanso kuti amuna amatetezedwa ku chiyanjano pakati pa kutopa ndi ululu.
Kafukufuku wina wasonyeza kusiyana pakati pa amuna ndi akazi pa cortisol yodetsa nkhaŵa imene ochita kafukufuku amanena kuti ali ochepa mu FMS ndi ME / CFS. Izi zimapangitsa thupi kukhala lopweteka kwambiri ndi nkhawa, kaya thupi kapena maganizo. (Kupsinjika maganizo kumaphatikizapo matenda, kuwonjezera mphamvu, ngakhale kudzuka m'mawa.)
Mu phunziro la UCLA lomwe silinagwirizane ndi FMS ndi ME / CFS, ofufuza anapeza kuti akazi omwe ali m'banja losasangalala ali ndi ufulu wowomboledwa kwa cortisol poyerekeza ndi akazi okondwa okwatirana. Amtundu wa cortisol, komabe, sanagwirizane ndi kukhutirana m'banja. Izi zingathandize kufotokozera chifukwa chikhalidwe cha cortisol ndi chofala kwambiri kwa amayi.
Chikhalidwe ndi Ubongo Makempyuta
Kafukufuku wa sukulu wa Swedish ku Sweden anasonyeza kuti dongosolo la serotonin la ubongo limagwira ntchito mosiyana pakati pa abambo ndi amai. (Serotonin ndi matenda a ubongo , ogona, nkhawa, ndi kukhumudwa, ndipo akatswiri amanena kuti ndizochepa mu FMS ndi ME / CFS.)
Ofufuzawa anawonetsa kuti amayi mwachibadwa ali ndi mapuloteni ambiri a serotonin ndi mapuloteni ochepa omwe amachititsa serotonin kubwerera m'maselo a mitsempha omwe amatulutsa kachilomboko (njira yotchedwa kubwezeretsa).
Mankhwala ambiri omwe amawalembera FMS ndi ME / CFS amachepetsa kubwezeretsa (SSRIs ndi SNRIs), ndipo ochita kafukufuku amanena kuti izi zingatithandize kumvetsa chifukwa chake abambo ndi amai amachitapo kanthu mosiyana ndi mankhwalawa. Amanenanso kuti mankhwalawa ayenera kuyesedwa pa amuna ndi akazi mosiyana, komanso kwa amayi onse asanabadwe komanso atatha.
Phunziroli linasonyeza kusiyana kwa serotonin-kusiyana pakati pa akazi omwe amachititsa ndipo samalandira zizindikiro za PMS , mosasamala nthawi ya mweziwo, kutanthauza kuti ubongo wa PMS sungayankhire bwino ngakhale kutuluka kwa mahomoni.
PMS ndi chizoloŵezi chofala chodziwika ndi FMS ndi ME / CFS ndipo nthawi zambiri chimapangitsa zizindikiro kukhala zovuta.
Kafukufuku wosiyana amasonyeza kuti otsika kwambiri a serotonin amakhudza amuna ndi akazi mosiyana. Ochita kafukufuku amanena kuti zimapangitsa amuna kukhala opupuluma koma sachititsa kuti maganizo ena asinthe, pamene akazi amaonetsa kuwonjezeka kwa maganizo ndikukhala osamala kwambiri.
Chitetezo cha Immune, Fibromyalgia ndi Chronic Fatigue Syndrome
Amayi ambiri amapeza zinthu zomwe amakhulupirira, makamaka mbali imodzi, kuti azikhala ndi chitetezo cha mthupi. Amaphatikizapo FMS, ME / CFS, matenda a Celiac , IBS ndi ena.
Matenda ambiri a ME / CFS amakhulupirira kuti amayambitsidwa ndi matenda a tizilombo omwe amachititsa kuti chitetezo cha mthupi chitengeke bwino, mofanana ndi zomwe aliyense amakumana nazo pamene thupi lawo likulimbana ndi kachilombo.
Kusiyanasiyana ndi ME / CFS, komabe, ndikuti thupi sililetsa kulimbana. Ofufuza amanena kuti matenda ena a ME / CFS angagwirizane ndi matenda opatsirana, pamene ena angayambitsidwe ndi kachilombo kamene kamasiya kusintha kosatha mu chitetezo cha mthupi.
"Pomwe chitetezo cha mthupi chitayamba kutsegulidwa, chikhoza kutulutsa mankhwala opweteka omwe amachititsa mitundu yambiri ya ululu ndi ululu umodzi," Peckman akunena. Kenaka kutupa kungakhudze mitsempha yomwe ili pangozi.
Genetics, Gender & Fibromyalgia
Kwa nthawi yaitali akatswiri akhala akukhulupirira kuti zamoyo zomwe zimayambitsa matendawa zimathandiza kuti mukhale ndi FMS kapena ME / CFS mukakhala ndi zolakwika (kapena mwina zolakwika), monga matenda, kugonana, kapena matenda opanikizika.
Laurence Bradley, PhD wa yunivesite ya Alabama ku Birmingham akuyang'ana ngati chikhalidwe ichi cha FMS ndichikhalidwe cha amai. Akuti umboni wina umasonyeza kuti matendawa amapezeka kawirikawiri pakati pa alongo kuposa momwe amachitira pakati pa abale. Kuphunzira kwa chibadwa kumatenga abale ndi alongo abwino a amayi omwe ali ndi fibromyalgia ndikufanizira zowawa zawo ndi gulu la gulu lolamulira.
Gulu la Bradley lidzayang'anitsitsa magulu a serotonin, kuyembekezera kutsimikizira kuti anthu omwe ali ndi FMS ali ndi vuto lachibadwa limene limayang'anira kupanga serotonin.
Ngati phunziro la Bradley likutsimikizira kuti izi zimakhala zosawerengeka, amati zidzamuthandizira kumvetsa bwino FMS komanso zingathandizenso kudziwa omwe ali pachiopsezo.
Maudindo a Chikhalidwe
Akatswiri ena amaganiza kuti amuna ambiri ali ndi stoic zokhudzana ndi zizindikiro chifukwa amakhulupirira kuti kuyankhula za iwo kumawoneka ngati ofooka. Chifukwa samauza madotolo awo zomwe zikuchitika, sangathe kupezeka.
Komanso, chifukwa FMS ndi ME / CFS zimaganiziridwa kuti ndi "zodandaula zazimayi," madokotala sangakhale ochepa kuti aganizire za momwe angathere pozindikira odwala amuna.
Zotsatira:
2008 The American Physiological Society. Maumwini onse ndi otetezedwa. "Kupweteka kwa minofu kumatulutsa mwamuna koma osati ASIC3 - / - mbewa"
2008 Elsevier BV Mafulu onse amasungidwa. "Akazi Ambiri Akuvutika Maganizo Ndiponso Amuna Ambiri Ambiri Operewera ndi Ntchito Yopewera ya Serotonin"
2008 News-Medical.Net. Ufulu wonse wasungidwa. "Ubongo wa serotonin umasiyana pakati pa amuna ndi akazi"
2007 UAB Health System. Maumwini onse ndi otetezedwa. "Kupweteka Kwambiri Kwambiri Kufufuza Fibromyalgia"
2008 University of California Regents. Maumwini onse ndi otetezedwa. "Kwa akazi, mavuto okwatirana amatanthauza kupumula kochepa pavuto"