Palibe amene amadziwa zomwe zimayambitsa fibromyalgia, ndipo izi ndizovuta kwa anthu mamiliyoni anayi omwe amakhulupirira kuti akudwala matendawa ku US Asayansi ena amanena kuti fibromyalgia ndi "matenda oyambitsa mphamvu" omwe maselo a ubongo ndi ubongo Mtsempha wa msana ndi wokhazikika kapena wodzitetezera makonzedwe omwe amachititsa kuti kupweteka kwa zizindikiro zopweteka kusagwire ntchito.
Ena, panthawiyi, amakhulupirira kuti fibromyalgia si matenda enieni (thupi) koma omwe amachititsa zambiri-kapena nthawi zina zambiri-ndi maganizo a maganizo. Izi zikusonyeza kuti fibromyalgia ndi matenda omwe amachititsa kuti zizindikiro zina zikhale chifukwa cha machitidwe osokonezeka a mitsempha, pamene ena (monga kugona kapena maganizo) akhoza kukopa kapena kukopa kupweteka kosautsa komwe timawazindikira monga fibromyalgia.
Palibe amene anganene motsimikiza pazomweyi. Chimene tikudziwa ndi chakuti zinthu zina zingakuchititseni kuti mukhale ndi chiopsezo cha fibromyalgia, kuphatikizapo amuna, zaka, zovuta za maganizo, ndi ma genetic.
Gender
Poyankhula mwachidule, amayi amakhala ndi mwayi wokwanira kuti athe kupeza fibromyalgia kuposa amuna. Ngakhale kuti izi sizimveka bwino, amakhulupirira kuti mahomoni ogonana amagwira ntchito yaikulu osati kugawa kokha kwa matenda koma kuchuluka kwa zizindikiro .
Izi zikuwonetseredwa mu gawo la kafukufuku wa 2017 wofalitsidwa m'magazini yotchedwa Gynecology and Endocrinology yomwe inasonyeza kuti zizindikiro za matenda a fibromyalgia zimapezeka makamaka pamayambiriro a zizindikiro zoyamba kutsogolo. Ndipotu, amayi omwe ali ndi matenda oopsa kwambiri (PMS) amakhala ndi mwayi wopitirira maulendo 20 omwe amakhala ndi mavitamini a fibromyalgia kuposa azimayi omwe ali ndi zizindikiro zazing'ono kapena za PMS omwe sakhala ndi chiopsezo cha matendawa.
Matenda ena amawoneka kuti akugwirizana ndi kuyamba kwa kusamba kumene mahomoni adzagwa modabwitsa. Izi zikugwirizanitsa ntchito ya estrojeni mu cyclic fibromyalgia flares monga momwe mazira a estrogen akugwa panthawi yomwe amayamba kusamba. Ndipo, osati estrogen okha koma testosterone, komanso.
Izi zikusonyeza kuti testosterone, hormone yamphongo, ikhozanso kuthandizira pa chitukuko cha zizindikiro za fibromyalgia mwa amuna . Ngakhale kufufuza sikukusowa, phunziro la 2010 kuchokera ku University of Nebraska Medical Center linasonyeza kuti kuchepa kwapang'onopang'ono m'maseŵera a testosterone monga munthu wa zaka zikuwonetsedwa ndi kuwonjezeka kwafupipafupi ndi kulemera kwake kwa ululu wa musisumbu wosiyanasiyana wa fibromyalgia.
Ofufuza ena amanena kuti kuchuluka kwa fibromyalgia pakati pa amuna kungakhale kwakukulu kwambiri kusiyana ndi kuyerekezera, makamaka popeza amuna sangathe kupeza chithandizo chakumva kupweteka kwachibadwa kuposa akazi.
Zaka
Anthu ambiri amaganiza kuti fibromyalgia ndi matenda omwe amachititsa amayi omwe amatha kumwa mankhwalawa (maganizo omwe amachitidwa makamaka ndi malonda a TV omwe amachititsa kuti amayi azikhala ndi zaka 50 kapena 60 ngati odwala). Ndipotu, fibromyalgia imayamba nthawi zambiri pakubereka kwa amayi ndipo nthawi zambiri amapezeka kuti ali pakati pa zaka 20 ndi 50.
Kawirikawiri, chiwopsezo chikuwonjezeka pamene mukukula. Ngakhale kuti chiopsezo cha fibromyalgia chiri pakati pa awiri peresenti ndi 4 peresenti, icho chidzawonjezeka kufika pafupifupi asanu ndi atatu peresenti panthawi yomwe mutembenuka zaka 80.
Pomwe zikunenedwa, nthawi zina zingatenge zaka zambiri zowawa zowonjezereka zikudziwika kuti ndi fibromyalgia. Ndipotu kafukufuku wopangidwa ndi a Dipatimenti ya Rheumatology ku King's College London, ya 2010, inafotokoza kuti kumatenga zaka 6.5 kuchokera pa kuyamba kwa zizindikiro kuti adziwe kuti matendawa ndi otsimikizika.
Kawirikawiri, fibromyalgia imatha kuyambitsa ana ndi achinyamata mwachidziwitso cha matenda osokoneza ubongo (JFMS) omwe amadziwika kuti ana a fibromyalgia syndrome .
Maganizo a maganizo
Kupsinjika maganizo kungakhalenso kuchepa kwa fibromyalgia, ngakhale kuti ndi chinthu china cha nkhuku ndi dzira. Mwachitsanzo, ngakhale tikudziŵa kuti fibromyalgia nthawi zambiri imakhalapo ndi matenda okhudzana ndi nkhawa monga matenda aakulu (CFS) , kuvutika maganizo , matenda osokoneza bongo (IBS) , ndi matenda osokoneza maganizo (post-traumatic stress disorder (PTSD), sitili ndikudziwa bwinobwino momwe ubale umagwirira ntchito.
Ndizimene zili ngati PTSD, mabungwewa akuwoneka kuti akuganiza kuti zizindikiro zamaganizo zingayambitse thupi, mwinamwake (mwa kusintha ntchito za physiologic), psychosomatically , kapena onse awiri. Ndi CFS, depression, ndi IBS, chiyanjano chingakhale chachikulu-ndi-zotsatira, ndi maganizo ena maganizo ochititsa zizindikiro za thupi ndi zizindikiro zina zomwe zimayambitsa maganizo / maganizo.
Kafufuzidwe pa mitundu yosiyanasiyana ya fibromyalgia ikusonyeza kuti pangakhale magawo anayi:
- Fibromyalgia popanda vuto la maganizo
- Fibromyalgia ndi matenda ovutika maganizo
- Fibromyalgia imagwirizanitsa ndi matenda ovutika maganizo
- Fibromyalgia chifukwa cha kusokonezeka (chizoloŵezi chokumana ndi vuto la maganizo ndi zizindikiro za thupi, monga momwe zingachitikire ndi PTSD)
Mofananamo, vuto la kugona limafanana ndi fibromyalgia. Ngakhale mavuto ena ogona monga obstructive sleep apnea angakhalepo ndi fibromyalgia ndipo amachititsa kuti anthu ambiri otopa, mavuto ena ogona monga kugona akuyamba (osokoneza bongo) ndi kugona tulo amakhulupirira kuti ndi chifukwa cha neurotransmitter kusemphana pakati dongosolo lamanjenje.
Chimene timadziŵa ndi chakuti, chilichonse chomwe chimayambitsa kugona (komwe kugona kumakhala kozolowereka) ndikulumikizana mwachindunji ndi kuchepetsa zizindikiro zowawa.
Genetics
Genetics imathandizira kwambiri kuti chitukuko cha fibromyalgia chizikulirakulira, ngakhale pang'ono, ngakhale kuti sichikhoza chifukwa cha kusintha kwa jini imodzi koma kusintha kwina ndi kosasintha. Pakalipano, asayansi sayenera kutsegula kuphatikiza kwa mazana ambiri omwe amatha kupweteka kwa majini m'thupi lanu
Udindo wa ma genetic mu fibromyalgia umatsimikiziridwa mu gawo ndi kufufuza kwakukulu kwa kafukufuku wochokera ku Chonnam National Medical Hospital ku Korea zomwe zinawonetsera kuchuluka kwa chiwerengero cha cholowa pakati pa mamembala a chiwerengero choyamba ndi fibromyalgia. Kuchokera mu 1989 mpaka 2013, kuchuluka kwa kafukufuku wasonyeza kuti kukhala ndi kholo kapena m'bale wanu wokhala ndi fibromyalgia kumawonjezera chiopsezo cha matendawa paliponse kuyambira 26 peresenti mpaka 28 peresenti, pamene kukhala ndi wachiwiri wa chiwerengero cha banja kumawonjezera chiopsezo chanu pafupi 19 peresenti .
Ngakhale kuti kafukufuku akupitirira, pali umboni wina wakuti anthu omwe amatchedwa 5-HT2A receptor 102T / C polymorphism akhoza kukhala pachiopsezo cha matenda a fibromyalgia.
Zotsatira:
> Anderson, K .; Tuetken, R .; ndi Hoffman, V. Ubwenzi wokhazikika pakati pa ululu woopsa wa musculoskeletal ndi hypogonadism. Nkhani ya BMJ Rep. 2010; 2010: bcr08.2009.2152. DOI: 10.1136 / bcr.08.2009.2152.
> Choy, E .; Perrot, S .; Leon, T. et al. Kafukufuku wodwala wothandizidwa ndi matenda a fibromyalgia komanso ulendo wopita kuchipatala. Bungwe la Health Care la BMC. 2010; 10: 102. DOI: 10.1186 / 1472-6963-10-102.
> Müller, W .; Schneider, E; ndi Stratz, T. Chigawo cha matenda a fibromyalgia. Rheumatol Int. 2007; 27 (11): 1005-10. DOI: 10.1007 / s00296-007-0403-9.
> 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.
> Soyupek, F .; Aydogan, C ;; Guney, M. et al. Matenda a Premenstrual ndi fibromyalgia: kuchuluka kwa kukhalapo ndi zotsatirapo pa umoyo wa moyo. Gynec Endocrinol. 2017: 33 (7): 577-82. DOI: 10.1080 / 09513590.2017.