Fibromyalgia ndi matenda aakulu omwe amadziwika ndi ululu wambiri komanso amatha kutopa, kuvutika maganizo, kugona tulo, kupweteka kwa chidziwitso, ndi zizindikiro za m'mimba komanso m'mimba. Ndi matenda osamvetsetseka omwe mazunzo opangidwa ndi ubongo amawoneka ngati akunjenjemera, amachepetsa kumverera kwa ululu mu minofu ndi matenda ofewa.
Chifukwa palibe mayesero kuti atsimikizire kuti matendawa, fibromyalgia ayenera kupezedwa mwa kusaganizira zina zomwe zingayambitse. Chithandizo chingaphatikizepo kuchepetsa kupweteka kwamtundu, kupanikizika, mankhwala opatsirana, kudzidalira, komanso mankhwala atsopano monga Lyrica (pregabalin) omwe amavomerezedwa kuti athetse matenda a fibromyalgia.
Zizindikiro
Fibromyalgia ndizoposa minofu ya minofu ndi ululu umodzi. Ndikopitirirabe, kupweteka kumene kumatha kupyolera mu thupi ndi mafunde, kumayambitsa zowawa zomwe zimafotokozedwa, kupwetekedwa, kupweteka, kapena kugwa. Ngakhale kusintha kochepa kwa kutentha kapena kupanikizika (kuphatikizapo kugwira) kungayambe kusokoneza.
Ngakhale kuti anthu ena amakhalabe ndi zizindikiro zowonongeka, ena amatha kupitilira limodzi ndi nthawi ya matenda. Pambuyo pa ululu, fibromyalgia imagwirizanitsidwa ndi zizindikiro zozizwitsa zokhudzana ndi ziwalo zosiyanasiyana.
Zikuphatikizapo:
- Kutopa , kawirikawiri kosasintha, kumakhudza odwala anayi pa asanu alionse
- Zizindikiro zamagulu ndi ziwalo monga minofu ya minofu, kufooka kwa minofu, ndi ululu wa nsagwada
- Zizindikiro zozindikira monga kutaya maganizo, kusokonezeka maganizo, ndi "ubongo wa ubongo"
- Matenda ogona monga kugona tulo, kugona kumayamba, ndi kugona tulo
- Zizindikiro zokhudzana ndi ubongo monga vertigo, migraine, kapena kuzindikira kwa kuwala, phokoso, kapena fungo
- Zizindikiro za m'mimba monga kutsegula m'mimba, kudzimbidwa, kupweteka, kapena kupweteka
- Zizindikiro za kumidzi kuphatikizapo kupweteka kwa chikhodzodzo, kupweteka pa nthawi ya kukodza, kapena kukakamiza kukodza
- Maganizo a maganizo monga kupanikizika, kusinthasintha maganizo, kapena kusokonezeka maganizo
- Zizindikiro zoberekera monga nthawi zopweteka, ululu wamimba, kapena kutha msinkhu msinkhu
Kutaya tsitsi kwa kanthaŵi kochepa, kupwetekedwa mtima kwa mtima, ndi kupweteka kwapadera kwa minofu (lipomas) kungakhalenso.
Zimayambitsa
Palibe amene amadziwa chomwe chimayambitsa fibromyalgia. Zimakhala pamodzi ndi zovuta zofanana, monga matenda aakulu (CFS) ndi matenda opweteka a m'mimba (IBS) , omwe amakhulupirira kuti amachititsidwa ndi kuyankhidwa kwakukulu kwa kayendedwe kabwino ka mitsempha kuti zikhale zovuta.
Ngakhale kuti masiku ano fibromyalgia imadziwika ngati matenda achipatala, pamakhalabe mkangano wakuti kaya ndi matenda enieni (thupi) kapena omwe amachititsidwa ndi zovuta zapadera-monga kupsinjika maganizo , nkhawa, ndi mavuto ogona - zomwe zingatheke kumvetsetsa kuwona kwa ululu kapena kumakhudza mwachindunji ubongo.
Panthawiyi, sitidziwa. Chimene tikudziwa ndi chakuti zifukwa zina zomwe zingayambe kuika pangozi zingapangitse kuti munthu asagwiritsidwe ntchito ndi fibromyalgia.
Mwa iwo:
- Azimayi ali ndi zaka zisanu ndi zinayi zomwe amakonda kukhala ndi fibromyalgia kusiyana ndi amuna. Zakhala zikuperekedwa kuti kuchepa kwa estrogen pa nthawi ya kusamba (makamaka makamaka pamene akuyamba kusamba kumayambitsa zizindikiro kwa amayi ena.
- Ukalamba ndi chinthu china. Ngakhale kuti akuonedwa kuti ndi matenda okhudza amayi omwe amatha kumwa mankhwalawa, fibromyalgia kawirikawiri imapezeka kuti ili pakati pa zaka 20 ndi 50 (ngakhale kuti zizindikiro zimakhala zaka zingapo patsogolo).
- Kupanikizika kumawoneka kuti kumachepetsa zizindikiro za fibromyalgia. Mukaperedwa ndi vuto la kugona, malingaliro a ululu amakula kwambiri monga momwe chiopsezo cha kutopa ndi kupsinjika maganizo.
- Genetics amakhulupirira kuti ndi chinthu. Kafukufuku wamakono akusonyeza kuti kukhala ndi kholo kapena mchimwene wokhala ndi fibromyalgia kumawonjezera chiopsezo chanu poyerekezera ndi 28 peresenti pamene kukhala ndi wachiwiri wam'kalasi akukweza ndi 19 peresenti.
Kudziwa
Popeza mulibe labu kapena mayesero otha kufotokoza matendawa, fibromyalgia ikhoza kutsimikiziridwa pokhapokha ngati palibe zifukwa zina zomwe zimayambitsa zizindikiro zanu. Ndi njira yopweteka yomwe imafunika kuyang'aniridwa ndi rheumatologist kapena, mwachangu, katswiri wa zamagulu kapena wodwala amene ali ndi matenda a fibromyalgia kapena matenda ena ophwanya mafupa.
Mu 2010, American College of Rheumatology (ACR) inayambitsanso njira zawo zogwiritsira ntchito fibromyalgia, kuganizira kugawidwa kwa ululu, nthawi ya ululu, ndi momwe wodwalayo amamvera ululu ndi zizindikiro zina.
Zotsatira za ACR zimaphatikizapo kufufuza kochokera m'magulu awiri:
- Yoyamba, yotchedwa " index" yofala kwambiri (WPI) , imapereka mfundo imodzi pa gawo limodzi la magawo 19 omwe munamva ululu (chifukwa cha mapepala 19).
- Yachiŵiri imatchedwa chizindikiro chachangu (SS) scale , imapereka 0 mpaka 3 mfundo-0 kutanthauza zizindikiro kuti 3 zikutanthauza zizindikiro zazikulu-pa zizindikiro zinayi zomwe zimayendera matenda (chifukwa cha zigawo 12).
Kuti mudziwe kuti muli ndi fibromyalgia, muyenera kukwaniritsa zinthu zitatu zotsatirazi:
- Muyenera kukhala ndi WPI ya 7 kapena kuposerapo ndi mphambu ya SS yokwana 5 kapena kuposerapo, kapena, WPI ya 3 mpaka 6 ndi SS peresenti ya 9 kapena kuposa.
- Muyenera kukhala ndi zizindikirozi kwa miyezi itatu.
- Sitiyenera kukhala chifukwa china chachipatala cha zizindikiro zanu.
Chithandizo
Palibe lipiritsi imodzi yomwe imatha kugwiritsa ntchito fibromyalgia kapena kuonetsetsa kuti chikhululukiro cha zizindikiro zimakhalapobe. Pachifukwachi, mufunika kutenga njira zambiri, zomwe zingaphatikizepo zowonjezereka (OTC) ndi mankhwala a mankhwala, mankhwala opatsirana ndi uphungu, njira zamoyo, komanso mankhwala othandizira.
Chifukwa chakuti palibe maulendo awiri a fibromyalgia omwe ali ofanana, mankhwala amatha kusiyana ndi munthu mmodzi.
Mankhwala ndi Zochiritsira
Mankhwala ndiwo msana wa mankhwala. Kusankha mankhwala osokoneza bongo makamaka kumadalira mtundu ndi kuuma kwa zizindikiro zanu. Mwa iwo:
- Zowawa za OTC zimachepetsa monga Tylenol (acetaminophen) ndi mankhwala osakanikirana ndi anti-inflammatory (NSAIDs) monga Advil (ibuprofen) kapena Aleve (naproxen) angapereke mpumulo wafupipafupi wa zowawa zazing'ono. Mimba imakhumudwa ndipo kuwonjezeka kwa magazi kumakhala kofala ndi NSAIDs.
- Mankhwala ochotsera mankhwala monga Celebrex (celecoxib) kapena Voltaren (diclofenac) amakhala otha msinkhu koma amatha kupweteka, chizungulire, kupweteka m'mimba, zilonda zam'mimba, ndi chiwindi cha chiwindi.
- Kudetsa nkhaŵa kumachepetsa kupweteka ndi kutopa pamene kuli kukweza maganizo mwakulera mazinga a serotonin . Cymbalta (duloxetine) ndi Savella (milnacipran) amavomerezedwa kuti athetse matenda a fibromyalgia ndipo, pokhala ogwira ntchito, angayambitse kupweteka, kumutu, kudzimbidwa, kusowa tulo, ndi chizungulire.
- Mankhwala a antiticonvulsive angathandizenso kuthana ndi ululu. Amaphatikizapo Lyrica (pregabalin) , yomwe imavomerezedwa kuti ayambe kulandira fibromyalgia, ndi zina zotero za Neurontin (gabapentin) zomwe zikhoza kulamulidwa. Kutupa, phindu lolemera, chizungulire, ndi kugona ndi chimodzi mwa zotsatira zotheka.
Matenda a tulo amachiritsidwa ndi mankhwala ochepetsa kupweteka kwa mankhwala monga Elavil (amitriptyline) m'malo mogona mapiritsi. Minofu yotsekemera monga Flexeril (cyclobenzaprine) ikhozanso kugwira ntchito ziwiri mwa kuchepetsa vuto la minofu pothandiza munthu kugona.
Kuwonjezera pa mankhwala, dokotala wanu akhoza kutchula akatswiri kuti athe kuthana ndi zovuta za thupi kapena zamaganizo, kuphatikizapo opaleshoni, othandizira opaleshoni, asing'anga, kapena alangizi.
Moyo ndi Zothandizira Zowonjezera
Kupanikizika kwapanikizi ndi chimodzi mwa magawo oyambirira a ndondomeko iliyonse ya mankhwala a fibromyalgia. Izi sizikuphatikizapo njira zotsitsimula kapena mankhwala a maganizo, zingakhale zofunikira kuti mudye bwino, kuchita masewera olimbitsa thupi, komanso kupewa zinthu monga caffeine, mowa, ndi kusuta . Kuchita zimenezi sikudzangokulimbikitsani, kungakuthandizeni kuti mukhale ndi nkhawa (makamaka kuchita masewera olimbitsa thupi omwe amachititsa kuti kutulutsidwa kwa serotonin, dopamine, ndi endorphins).
Njira zina zothandizira mankhwala ndizo:
- Kusinthira, kutsogolera, ndi kupuma (pranayama) kuti athetse nkhawa
- Yoga ndi Taichi yomwe imaphatikizapo kayendetsedwe ka kayendetsedwe kake ndi kutulutsa mkangano
- Kuchulukitsa mankhwala, makamaka opangira mankhwala ngati Shiatsu kapena aromatherapy massage
- Kupuma msanga (PMR) komwe kumayambitsa kumasulidwa kwa thupi ndi gawo la thupi
- Biofeedback yomwe ingakuphunzitseni momwe mungathetsere vutoli
- Chimanga cha mankhwala chomwe chingachepetse kupweteka, kukweza maganizo, ndi kukuthandizani kugona bwino
- 5-HTP (5-hydroxytryptophan), chowonjezera chachilengedwe chochokera ku chomera cha African Griffonia simplicifolia pamene chingathandize kumanga ma serotonin
Mawu Ochokera
Ngakhale kuti anthu ambiri akuzindikira, fibromyalgia sichikudziwika kwa anthu ambiri, omwe ena amakayikira kuti kulipo kapena amati "zonsezo zili mmutu mwanu." Sizili choncho.
Musalole malingaliro olakwika a anthu ena kukulepheretseni kupeza chisamaliro chomwe mukufunikira. Pezani chithandizo kuchokera kwa abwenzi ndi abanja, kutsegulira osati zomwe mumamva komanso momwe mumamvera. Gwiritsani ntchito gulu lothandizira lanu kapena kambani ndi National Fibromyalgia & Chronic Pain Association kuti mupeze pafupi ndi inu. Kukhazikitsa dongosolo lothandizira kungakupatseni chidaliro ndi maphunziro kuti mukhale woyimira mulandu wanu.
Ngati dokotala sakhoza kuthandizira kapena kumvetsa nkhawa zanu, funsani katswiri wa matenda odwala matendawa muderalo kudzera mu malo opezeka pa intaneti omwe amaperekedwa ndi American College of Rheumatology. Kulipira mankhwala osokoneza bongo komanso mapulogalamu othandizira odwala amathandizanso kupeputsa mtengo wa chithandizo, ngati akuyenera.
> 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.
> Park, D. ndi Lee, S. Zatsopano zogwirizana ndi chibadwa cha fibromyalgia. Korea J Intern Med . 2017; 32 (6): 984-95. DOI: 10.3904 / kjim.2016.207.