Fibromyalgia ndi matenda aakulu omwe amaphatikizidwa ndi kupweteka kofala pakati pa minofu, matope, mitsempha, kutopa, ndi zizindikiro zambiri za thupi. Mfundo zachilendo ndizomwe zimakhala zopweteka kapena zosavuta pakakhala kupanikizika, makamaka pa khosi, mapewa, kumtunda, kumtunda, kumutu, kumbuyo, m'chiuno, ndi ntchafu.
Anthu omwe ali ndi fibromyalgia angakhalenso ndi zizindikiro zina ndi zina, monga kugona osabwerera , matenda a m'mimba , kupweteka kwa mutu, matenda a TMJ , nkhawa, kupsinjika maganizo , matenda a miyendo yopanda phokoso , kupweteka kapena kupsinjika m'manja ndi miyendo, kusasamala bwino, kupweteka kwa msambo , kuwonjezera kutsekemera kwa fungo, phokoso, kuwala kowala ndi kukhudza.
Malingana ndi American College of Rheumatology, fibromyalgia imakhudza anthu 3 mpaka 6 miliyoni ku United States. Fibromyalgia ndi yofala kwambiri kwa amayi, makamaka pakati pa zaka 30 ndi 50.
Zitsamba ndi Zowonjezera za Fibromyalgia
Pakadali pano, chithandizo cha sayansi cha chidziwitso chakuti mankhwala aliwonse angathe kuchiza fibromyalgia akusowa.
1) S-adenosylmethionine (SAMe)
S-adenosylmethionine (SAMe) ndi chigawo chomwe chimapezeka mwachibadwa m'thupi. Ndikofunikira kuti kagwiritsidwe ntchito ka chitetezo cha m'thupi chitetezedwe bwino, maselo osokoneza bongo, otchedwa serotonin, norepinephrine, ndi dopamine, cartilage ndi DNA.
Maphunziro angapo oyambirira amasonyeza kuti SAMe angathandize ndi fibromyalgia. Kafukufuku wochepa wopindulitsa kawiri kawiri adafufuza zotsatira za S-adenosylmethionine (SAMe) kapena placebo mwa anthu 17 omwe ali ndi fibromyalgia, omwe 11 mwa iwo anali ndi kupsinjika maganizo. Chiwerengero cha malonda achikondi chinachepa pambuyo pa SAMe koma osati malo. Kusokonezeka maganizo, monga kuyesedwa ndi miyeso iwiri yoyesa, kumapindulitsa pambuyo pa SAMe koma osati maloboti.
Mu phunziro lina lapachifuwa, anthu 44 omwe ali ndi fibromyalgia anatenga 800 mg S-adenosylmethionine tsiku kapena placebo. Pambuyo pa masabata asanu ndi limodzi, panali kusintha kwakukulu kwa chiwerengero cha ululu, kutopa, kuuma kwa m'mawa, maganizo, ndi ntchito zachipatala. Maphunziro a malingaliro, mphamvu ya minofu, ndi malingaliro (kuyesedwa ndi Beck Depression Inventory) sizinali bwino kwambiri ndi SAMe kuposa placebo.
Komabe, kafukufuku wina wamabuku awiri omwe anali opusa sanafanane ndi SAMe (600 mg pa tsiku) omwe amagwiritsidwa ntchito mkati mwawo kapena mkati mwa anthu 34 okhala ndi fibromyalgia. Pambuyo masiku khumi, panalibe kusiyana kwakukulu mu mfundo zachifundo.
SAMe ingayambitse kudzikweza, kamwa kouma, ndi kusowa tulo. Kawirikawiri, anthu amatha kutsegula m'mimba, kutsekemera, kupweteka mutu, ndi chizungulire.
Anthu omwe ali ndi matenda ochititsa munthu kusinthasintha maganizo sayenera kutengera SAMe, chifukwa zingathe kuwononga zizindikiro za manic. Anthu omwe akumwa mankhwala a mankhwalawa (omwe amatchulidwa ku matenda a Parkinson) ayenera kupewa SAMe. Anthu omwe amadwala matendawa sagwiritse ntchito SAMe asanafunse dokotala wawo. Chitetezo cha SAMe mwa amayi omwe ali ndi pakati kapena osamwitsa kapena ana osakhazikika sadakhazikitsidwe.
2) Magesizi
Magnesium ndi mchere wopezeka mu zakudya monga masamba obiriwira, mtedza, mbewu, ndi mbewu zonse komanso zakudya zowonjezera zakudya.
Magnesium amafunika kwa machitidwe opitirira 300 a zamoyo. Magnesium, pamodzi ndi malic acid (asidi a zipatso omwe amapezeka mwa maapulo mwachibadwa) kawirikawiri amaperekedwa kwa anthu omwe ali ndi fibromyalgia chifukwa onsewa amafunika kuti magetsi azikhala ndi mawonekedwe a adenosine triphosphate (ATP). Komabe, kafukufuku wina wa anthu 97 anapeza kuti palibe mgwirizano pakati pa ma magnesium ndi fibromyalgia.
Kafukufuku wamabuku awiri adawona kuti mphamvu ya magnesium (50 mg katatu patsiku) ndi katemera wa malic (200 mg katatu patsiku) mwa anthu 24 ali ndi fibromyalgia. Pambuyo pa masabata 4, kuphatikiza kwa magnesiamu / malic acid sikunapindule kwambiri kuposa placebo.
Ophunzirawo adalandira miyezi isanu ndi umodzi (6 mg) ya mlingo waukulu (300 mg magnesiamu ndi 1200 mg malic acid tsiku lililonse) kwa miyezi isanu ndi umodzi. Panthawiyi, kuphatikizaku kunachititsa kuti pakhale kupweteka kwakukulu ndi zowawa, komabe gawo ili la phunziroli linali lotsegula (onse ochita kafukufuku ndi ophunzira akudziwa kuti chithandizochi chikuyendetsedwa) ndipo osati akhungu, kotero zotsatira, podalirika, sangathe gwiritsiridwa ntchito ngati umboni wakuti kuphatikiza kunali kokwanira. Maphunziro ena amafunika.
Mlingo waukulu wa magnesium ukhoza kuyambitsa kutsekula m'mimba, kunyowa, kusowa kwa njala, kufooka kwa minofu, kupuma kovuta, kuthamanga kwa magazi, kuchepa kwa mtima, ndi chisokonezo. Ikhoza kugwirizana ndi mankhwala ena, monga osteoporosis, kuthamanga kwa magazi (calcium channel blockers), komanso mankhwala ena opha tizilombo, kupuma kwa minofu, ndi diuretics.
3) Vitamin D
Fibromyalgia ndi mabala ovuta komanso osamva omwe sagwirizana ndi matenda a fibromyalgia achita kafukufuku wina chifukwa cha kuchepa kwa vitamini D. Mwachitsanzo, phunziro lalikulu lachi German linayesa anthu 994 ndipo linapeza mgwirizano wolimba pakati pa mavitamini ochepa a Vitamini D ndi miyezo yapamwamba ndi nthawi yaitali ya mafupa onse ndi / kapena minofu ndi ululu.
Kafukufuku wofalitsidwa ku Mayo Clinic Proceedings anafufuza anthu 150 okhala ndi zowawa zosautsika komanso zosafunika kwenikweni ku Minnesota. Ofufuzawa anapeza kuti 93% mwa iwo anali ndi vitamini D. omwe sali ochepa.
Phunziro lina, mavenda a vitamini D adayesedwa ndi anthu 75 omwe anakwaniritsa American College of Rheumatology njira ya fibromyalgia. Ngakhale kuti panalibe mgwirizano pakati pa mavitamini D ndi zizindikiro za minofu, kuperewera kwa vitamini D kunagwirizanitsidwa ndi nkhawa ndi kudandaula kwa anthu omwe ali ndi fibromyalgia.
4) 5-hydroxytryptophan (5-HTP)
Choonjezera cha 5-HTP chikuganiziridwa kuti chizigwira ntchito mwa kuwonjezeka kwa magulu a neurotransmitter serotonin mu ubongo. Pali umboni wosonyeza kuti ungachepetse chiwerengero cha malingaliro achifundo kwa anthu omwe ali ndi fibromyalgia, mwinamwake mwa kuyambitsa machitidwe opweteka mu ubongo.
Kafukufuku wogwiritsidwa ntchito kawiri-khungu, wopangidwa ndi placebo anayang'ana pa 5-HTP kapena placebo mu anthu 50 omwe ali ndi fibromyalgia. Pambuyo pa masabata anayi, anthu omwe amachititsa 5-HTP anali ndi kusintha kwakukulu kwa ululu, chiwerengero cha malingaliro achifundo, kuuma, nkhawa, kutopa, ndi kugona. Zotsatirapo zinali zofatsa komanso zosakhalitsa. Kuti mudziwe zambiri, werengani Bukhu Lachiwiri la HTP.
5) Vitamini B12
Kafukufuku wina wa ku Sweden anasonyeza kuti mavitamini B12 omwe ndi otsika kwambiri mu cerebrospinal fluid ya anthu omwe ali ndi fibromyalgia ndi matenda otopa.
Azimayi khumi ndi awiri omwe adakumana ndi chiwerengero cha matenda a fibromyalgia ndi matenda olemala anaphunzira, pamodzi ndi gulu lolamulira la amayi 18 wathanzi.
> Maselo a homocysteine ​​m'magazi amtunduwu anali opitirira katatu m'mayi omwe anali ndi fibromyalgia ndi matenda otopa matenda oyerekeza poyerekeza ndi gulu lolamulira. Maselo a vitamini B12 omwe amatha kukhala ndi madzi ochepa kwambiri amakhala ochepa mwa anthu 7 mwa anthu 12 aliwonse omwe ali ndi fibromyalgia ndi matenda otopa.
6) Cream Capsaicin
Capsaicin (wotchulidwa kuti cap-SAY-tchimo) ndi mankhwala othandizira mu tsabola. Zimaganizidwa kuti zikhalitse kanthawi kochepa.
Akagwiritsidwa ntchito pakhungu, khungu la capsaicin lapezedwa kuti liwononge katundu P, matenda a ubongo omwe amachititsa ululu, zomwe zimachititsa munthu kumva ululu. Anthu omwe ali ndi fibromyalgia apezeka kuti ali ndi zigawo zapamwamba P.
Kafukufuku wina anafufuza mmene capsaicin imathandizira mu fibromyalgia. Ophunzirawo anagwiritsa ntchito 0.025% capsaicin kirimu kanayi patsiku. Pambuyo pa masabata 4, adachepetsa ululu. Kuti mudziwe zambiri kuphatikizapo zotsatirapo ndi nkhawa, pewani tsamba la Capsaicin Cream Factory .
Kugwiritsa Ntchito Zachilengedwe Zachilengedwe za Fibromyalgia
Chifukwa cha kusowa thandizo lafukufuku, ndiposachedwa kuti athe kupereka njira yothetsera njira yothetsera matenda a fibromyalgia. Kuonjezerapo, zowonjezereka sizinayesedwe kuti zikhale zotetezeka komanso chifukwa chakuti zakudya zowonjezera zakudya zimakhala zosavomerezeka, zomwe zilipo zingakhale zosiyana ndi zomwe zanenedwa palemba.
Komanso kumbukirani kuti chitetezo cha mankhwala opatsirana mwa amayi apakati, amayi oyamwitsa, ana, ndi omwe ali ndi matenda kapena omwe akumwa mankhwala sanakhazikitsidwe. Mukhoza kupeza njira zogwiritsira ntchito zowonjezeretsa apa , koma ngati mukuganiza za kugwiritsa ntchito njira zina zopititsira patsogolo mankhwala, lankhulani ndi wothandizira wanu woyamba. Kudzisamalira komanso kupewa kapena kuchepetsa kusamalidwa kosatha kungakhale ndi zotsatira zoopsa.
> Zotsatira:
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> Caruso I, Sarzi Puttini P, Cazzola M, Azzolini V. Kawiri-Khungu Kuphunzira kwa 5-Hydroxytryptophan ndi Placebo mu Chithandizo cha Matenda Oyambirira a Fibromyalgia. J Int Med Res. 18.3 (1990): 201-209.
> Erkal MZ, Wilde J, Bilgin Y, Akinci A, Demir E, > Bodeker > RH, Mann M, Bretzel RG, Stracke H, Holick MF. Kukula kwa Vitamini D, Kuchepa kwa Hyperparathyroidism ndi Mafupa Ambiri Opangidwa M'thupi ku Turkey Osamukira ku Germany: Kudziwa Zowopsa. Osteoporos Int. 17.8 (2006): 1133-1140.
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> Tavoni A, Vitali C, Bombardieri S, Pasero G. Kuunika kwa S-Adenosylmethionine ku Primary Fibromyalgia. Phunziro la Crossover Lachiwiri-Khungu. Am J Med. 83.5A (1987): 107-110.
> Volkmann H, Norregaard J, Jacobsen S, Danneskiold-Samsoe B, Knoke G, Nehrdich D. Phunziro Loyamba Lopanda Khungu, Lamulo Loyang'aniridwa ndi Malo Omwe Amakhala ndi Odwala Amene Ali ndi Fibromyalgia. Scand J Rheumatol. 26.3 (1997): 206-211.
> Wahner-Roedler DL, Elkin PL, Vincent A, JM Thompson, O TH, Loehrer LL, Mandrekar JN, Bauer BA. Kugwiritsa Ntchito Njira Zochiritsira Zochiritsira ndi Odwala Omwe Amatchulidwa Pulogalamu Yopereka Chithandizo cha Fibromyalgia ku Pulogalamu Yophunzitsa Zapamwamba. Mayo Clin Proc. 80.1 (2005): 55-60.
Zomwe zili pa tsambali zimapangidwa pazinthu zophunzitsira zokha ndipo sizilowetsamo malangizo, matenda kapena chithandizo ndi dokotala wololedwa. Sichikutanthauza kubisa zonse zomwe zingatheke, kuyanjana kwa mankhwala, zochitika kapena zovuta. Muyenera kupeza chithandizo chamankhwala mwamsanga pa nkhani iliyonse yathanzi ndikufunsani dokotala musanagwiritse ntchito mankhwala osakaniza kapena kusintha kwa regimen yanu.