Created at:1/16/2025
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I-Fibromyalgia yisimo esingapheli esibangela ubuhlungu obubanzi emzimbeni wakho, kanye nokuqeda amandla nezingxaki zokulala. Cabanga ngayo njengesistimu yakho yezinzwa ebanjelwe endaweni 'evuliwe', okwenza uzizwe ubuhlungu ngamandla kunokujwayelekile, ngisho nasekuthinteni okuthambile okungazange kukulimaze.
Lesi simo sithinta abantu abacishe babe ngu-2-4% emhlabeni jikelele, kanti abesifazane bahlale bekhona kakhulu kunamadoda. Nakuba i-fibromyalgia ingase izizwe icindezelayo ekuqaleni, ukuqonda ukuthi kwenzekani emzimbeni wakho kuyisinyathelo sokuqala sokululama ngokuphumelelayo nokubuyisela ikhwalithi yokuphila kwakho.
I-Fibromyalgia yisifo lapho ubuchopho bakho nomgogodla wakho uqapha khona izimpawu zobuhlungu ngendlela engafanelekile. Isistimu yakho yezinzwa iba nomona kakhulu, ikhululise izinzwa zobuhlungu futhi yenze imisebenzi yansuku zonke izizwe inselele kakhulu kunangaphambili.
Lesi simo sithinta ikakhulu imisipha yakho, izintambo, nama-ligaments, kodwa empeleni aliwonakali lezi zicubu. Kunalokho, lushintsha indlela ubuchopho bakho obuqonda ngayo izimpawu ezivela emzimbeni wakho. Lokhu kuchaza ukuthi kungani ungase uzizwe ubuhlungu obukhulu ngisho noma ukuhlolwa kwezokwelapha kungabonisi ukulimala okubonakalayo kwemisipha yakho noma amajoyinti.
I-Fibromyalgia ithatha njengesimo sobuhlungu esingapheli, okusho ukuthi yisimo sesikhathi eside esidinga ukuphathwa okuqhubekayo kunokwelashwa okusheshayo. Izindaba ezinhle ukuthi ngendlela efanele, abantu abaningi bangathuthukisa kakhulu izimpawu zabo futhi baphile impilo egcwele, esebenzayo.
Isimpawu esiyinhloko se-fibromyalgia ubuhlungu obubanzi obuthinta izindawo eziningi zomzimba wakho. Lobu buhlungu buhlale buzizwa njengokuhlunguluka okuqhubekayo, ukuvutha, noma ukukhubazeka okube khona okungenani izinyanga ezintathu.
Ake sihambe ngezimpawu ezivamile ongazihlangabezana nazo, sikhumbula ukuthi isipiliyoni sabo bonke nge-fibromyalgia sihlukile:
Abantu abaningi nabo baye bahlangabezana nezimpawu ezengeziwe ezingathinta impilo yansuku zonke kakhulu. Lokhu kungafaka phakathi izikhathi zikhanda, izinkinga zokugaya ukudla njengokungasebenzi kahle kwamathumbu, ukuzwela ekukhanyeni nasemizweni, kanye nezinguquko zemoto kufaka phakathi ukukhathazeka noma ukucindezeleka.
Ezimweni ezingavamile, abanye abantu bathuthukisa izimpawu ezingavamile njengokungakhululeki kwezinyawo, ukuzwela ekushiseni, noma ukungaziwa nokuthamba ezandleni nasezinzwani. Lezi zimpawu zingafika ziye, futhi ubukhulu bazo buhlale buhluka usuku nosuku.
Imbangela eqondile ye-fibromyalgia ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ithuthukiswa yihlanganisela yezinto ezihlupha indlela i-nervous system yakho esebenza ngayo ubuhlungu. Ubuchopho bakho ngokuyisisekelo buyaqaphela kakhulu izimpawu zokubhlungu, bukhulisa imizwa engabanga nelukuluku.
Izinto eziningi zingase zifake isandla ekuthuthukiseni i-fibromyalgia, futhi ngokuvamile kuyihlanganisela kunokuba yimbangela eyodwa:
Kwezinye izimo ezingavamile, i-fibromyalgia ingase ithuthukiswe ngemuva kokubangela okuthile njengezidakamizwa ezithile, ukushintsha kwamahomoni phakathi kwesikhathi sokuqeda, noma ngisho nokucindezeleka okukhulu komzimba noma kwengqondo. Into ebalulekile okumele uyicabange ukuthi i-fibromyalgia akuyona into oyibangele noma obungayivimba.
Ucwaningo lubonisa ukuthi abantu abana-fibromyalgia banamanani ashintshile emakhemikhali athile ebuchosheni, kuhlanganise i-serotonin, i-dopamine, ne-norepinephrine, ezisiza ekulawuleni ubuhlungu, isimo sengqondo, nokulala. Lokhu kungalingani kwamakhemikhali kusiza ekuchazeni ukuthi isimo sithinta izici eziningi kangaka zendlela ozizwa ngayo.
Kufanele ucabange ukuya kudokotela uma uhlushwa ubuhlungu obukhulu izinyanga ezingaphezu kwezintathu, ikakhulukazi uma buthinta imisebenzi yakho yansuku zonke noma ukulala. Ukuxilongwa kwasekuqaleni nokuphathwa kungenza umehluko omkhulu ekulawuleni izimpawu zakho ngokuphumelelayo.
Nawa ama-situations athile lapho kufanele uhlele i-appointment nodokotela wakho:
Kufanele ufunuke ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezinzima njengezinhlungu zikhanda ezinzima, ukushintsha okukhulu kwesimo sengqondo, noma uma ubuhlungu bakho bukhulu kakhulu ngokuzumayo. Nakuba lokhu kungelona isimo esiphuthumayo ngokuvamile, kudinga ukuhlolwa ngokushesha ukuze kuvinjwe ezinye izimo.
Ungalindi kuze kube yilapho izimpawu zakho zingakutholi uma ufuna usizo. Abantu abaningi abane-fibromyalgia bathola ukuthi ukungenelela kwasekuqaleni kuholela emiphumeleni emihle yesikhathi eside kanye nokuphila okuhle kakhulu.
Izici ezithile zingandisa amathuba akho okukhula i-fibromyalgia, yize ukuba nalezi zici ezingezinhle akusho ukuthi uzokuthola ngokuqinisekile lesi simo. Ukuqonda lezi zici kungakusiza wena nodokotela wakho ukuthi nihlose ingozi yenu futhi nicabange ngokufanele.
Imikhawulo evamile kakhulu ifaka:
Amanye ama-risk factors angavamile kodwa aphawuleka afaka ukuba nezinye izimo ze-autoimmune, ukuhlushwa ukulimala komzimba okuphindaphindayo, noma ukuba nomlando wokukhathazeka noma ukucindezeleka. Isimo sokulala nokungalingani kwamahomoni kungase futhi kuhlanganyele engcupheni yakho.
Kubalulekile ukukhumbula ukuthi ukuba nalezi zinto ezingozi akuqondi ukuphila kwakho. Abantu abaningi abanazo izinto eziningi ezingozi abazange bakhule i-fibromyalgia, kanti abanye abanazo izinto ezimbalwa ezingozi bayenza. Impendulo yomzimba wakho ngokukhethekile ekucindezelekeni, i-genetics, nezinto ezingqongileko konke kudlala indima.
Nakuba i-fibromyalgia ingabi yingozi ekuphileni futhi ayibangeli ukulimala okungapheli emiphini yakho noma ezinhlangothini, ingabangela izinhlanganisela eziningi eziqeda ikhwalithi yokuphila kwakho. Ukuqonda lezi zinkinga ezingase zenzeke kukusiza ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuvimba noma ukuziphatha kahle.
Izinhlanganisela ezivamile ongahlangabezana nazo zifaka:
Ezimweni ezingavamile, abanye abantu bathuthukisa izinkinga ezinzima kakhulu njengokuhlunguluka kwekhanda okuhlala njalo, isifo se-temporomandibular joint disorder (TMJ), noma isifo se-irritable bowel syndrome. Lezi zimo zingakwandisa inselele yokuphila ne-fibromyalgia.
Izindaba ezinhle ukuthi izinhlupheko eziningi zingathintelwa noma ziphathwe ngokwelashwa okulungile nokwesekwa. Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo nokugcina ubuhlobo nabangane nomndeni kungakusiza ukugwema izinkinga eziningi ezinjalo.
Ngeshwa, ayikho indlela eyiqiniso yokuvimbela ngokuphelele i-fibromyalgia njengoba izimbangela zayo eziqondile zingaziwa ngokuphelele. Noma kunjalo, ungathatha izinyathelo zokunciphisa ingozi yakho futhi mhlawumbe ulibambezele ukuqala kwalo uma unesifo.
Nazi izindlela ezingakusiza ukunciphisa ingozi yakho:
Uma unezihlobo ezina-fibromyalgia noma ezinye izinto ezingozi, ukugxila kulezi zindlela zokuvimbela kuba kubaluleke kakhulu. Nakuba ungakwazi ukushintsha i-genetics yakho, ungathinta indlela umzimba wakho obuphendula ngayo ekucindezelekeni futhi ugcine impilo yakho yonke.
Khumbula ukuthi ngisho noma uthola i-fibromyalgia naphezu kwamandla akho, lezi zindlela ezifanayo zempilo ziyoba zibalulekile ekulawuleni izimpawu zakho nasekugcineni ikhwalithi yempilo yakho.
Ukuhlola i-fibromyalgia kungaba inselele ngoba ayikho i-test eyodwa engakuqinisekisa lesi simo. Kunalokho, udokotela wakho uzosebenzisa ukuxuba kwezimpawu zakho, ukuhlolwa komzimba, nokususa ezinye izimo ukuze enze ukuxilonga.
Inkqubo yokuxilonga ngokuvamile ihlanganisa izinyathelo eziningi. Okokuqala, udokotela wakho uzothatha umlando wezokwelapha onemininingwane, ebuza ngezindlela zakho zobuhlungu, ikhwalithi yokulala, amazinga okukhathala, nanoma yiziphi ezinye izimpawu ozibonile. Bazofuna ukwazi ukuthi uke waba nezimpawu isikhathi esingakanani nokuthi yini eyenza zibe ngcono noma zimbi.
Ngesikhathi sokuxilongwa komzimba, udokotela wakho angase ahlole amaphuzu abuthakathaka - izindawo ezithile emzimbeni wakho ezinobunzima kakhulu ngokucindezela. Nakuba ukuhlolwa kwamaphuzu abuthakathaka kungadingeki njalo ekuxilongweni, kusengaba nolwazi oluwusizo mayelana nesimo sakho.
Udokotela wakho cishe uzokwenza ukuhlolwa kwegazi ukuze akhiphe ezinye izimo ezingabangela izimpawu ezifanayo. Lokhu kungafaka ukuhlolwa kwe-rheumatoid arthritis, i-lupus, izinkinga ze-thyroid, noma ukushoda kwevithamini. Imivimbo ivame ukuba yinto eqondile kubantu abane-fibromyalgia, okwenza kusize ekuqinisekiseni ukuxilongwa.
Ukuze uthole ukuxilongwa kwe-fibromyalgia, uvame ukudinga ukuba nobuhlungu obukhulu ezindaweni eziningi zomzimba wakho okungenani izinyanga ezintathu, kanye nezinye izimpawu ezibonakalayo njengokukhathala nezingxaki zokulala. Udokotela wakho angase asebenzise nemibuzo ukuhlola ubukhulu bezimpawu zakho kanye nethonya lazo ekuphileni kwakho kwansuku zonke.
Ukwelashwa kwe-fibromyalgia kugxile ekuphatheni izimpawu zakho nokuthuthukisa ikhwalithi yempilo yakho kunokwelapha isimo. Indlela ephumelela kakhulu ivame ukuhlanganisa imithi, ukushintsha indlela yokuphila, kanye nezindlela ezahlukahlukene ezihambelana nezidingo zakho ezithile.
Imithi udokotela wakho angase ayibhale ihlanganisa:
Ukwelashwa okungeyona imithi kuvame ukuba kubalulekile njengale mithi ebhaliwe yi dokotela. I-physiotherapy ingakunceda ufunde imizamo emnene kanye nezinqubo zokululamisa umzimba ezinciphisa ubuhlungu futhi zithuthukise ukuqina komzimba. I-Cognitive behavioral therapy ikufundisa amasu okubhekana nobunzima futhi ikusiza ukulungisa noma yiziphi izinkinga zemodi ezihlobene nobuhlungu obuhlala njalo.
Ukwelashwa okunye okunjengoku-acupuncture, ukwelashwa ngokumassage, kanye nokunakekelwa kwe-chiropractic kungase futhi kunikeze impumuzo kwabanye abantu. Nakuba ubufakazi besayensi buhlukahlukene kulezi zindlela, abantu abaningi bayazithola ziwusizo njengengxenye yohlelo oluphelele lokwelashwa.
Ezimeni ezingavamile lapho ukwelashwa okuvamile kungasebenzi kahle khona, udokotela wakho angase acabangele izindlela ezikhethekile njengokuqhafaza amaphuzu okuqala noma ukudlulisela odokotela abakhethekile ekwelapheni ubuhlungu ukuze bathole ukwelashwa okuthuthukile.
Ukuphathwa ekhaya kudlala indima ebalulekile ekulawuleni izimpawu ze-fibromyalgia futhi kungabaluleka njengokwelashwa kwezokwelapha. Ukuthola uhlelo oluhambisana nendlela yakho yokuphila nokulandelwa njalo kwamasu akusiza ukuzizwa kangcono kuyisihluthulelo.
Nawa amasu okuqondisa ekhaya aqinisekisiwe:
Abantu abaningi bathola ukuthi ukugcina idayari yezimpawu kubasiza ukuthi baqonde izinto ezibangela izimpawu kanye nezingqophamlando zesimo sabo. Ungase uqaphele ukuthi imisebenzi ethile, ukushintsha kwesimo sezulu, noma izehlakalo ezikhathazayo zivame ukwenza izimpawu zakho zibe zimbi, okuvumela ukuthi uhlele ngokufanele.
Ukudala inethiwekhi yokusekela kubalulekile ngokulinganayo ekuphatheni kwekhaya. Lokhu kungafaka amalungu omndeni aqiqonde isimo sakho, abangane ongakhuluma nabo ngezinselele, noma amaqembu okusekela ku-inthanethi lapho ungaxhumana khona nabanye abane-fibromyalgia.
Ukulungiselela ukubona udokotela wakho kungakusiza uqinisekise ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi unikeze umhlinzeki wakho wezinsizakalo zezempilo ulwazi oluyimfuneko ukuze akusize ngokuphumelelayo. Ukulungiselela okuhle kuvame ukubangela ukuxilongwa kangcono nokucwaninga kokwelashwa.
Ngaphambi kokubona udokotela wakho, buza ulwazi olubalulekile mayelana nezimpawu zakho. Bhala phansi ukuthi ubuhlungu bakho beqale nini, yiziphi izingxenye zomzimba wakho ezithintekayo, nokuthi izimpawu zakho zinzima kangakanani ngesilinganiso se-1-10. Qaphela noma yiziphi izingqophamlando oziqaphelayo, njengezikhathi zosuku lapho izimpawu zibi kakhulu noma imisebenzi ebangela ukuqhuma.
Letha uhlu oluphelele lwazo zonke izidakamizwa ozithathayo njengamanje, kufaka phakathi izidakamizwa ezingaphezu kokukhawulelwa, izongezelelo, kanye nezinongo zomuthi. Faka imithamo nokuthi uthatha yini imithi njalo. Futhi, bhala noma yikuphi ukwelashwa okuye kwazama esikhathini esidlule nokuthi kwakusiza yini noma cha.
Lungiselela uhlu lwemibuzo okumele uyibuze udokotela wakho. Ungase ufune ukwazi ngezinketho zokwelapha, ukushintsha kwendlela yokuphila okungasiza, noma ukuthi i-fibromyalgia ingathinta kanjani imisebenzi yakho yansuku zonke. Unganqikazi ukubuza nganoma yini ekukhathazayo noma okungakuqondi.
Cabanga ukuthi ulethe ilungu lomndeni noma umngane oseduze ekuhambeleni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile oluxoxiwe ngesikhathi sokuvakasha futhi banikeze ukwesekwa ngesikhathi esingase sibe yingxoxo yobuhlungu mayelana nempilo yakho.
I-Fibromyalgia iyisimo sangempela, esilawuleka esithinta indlela i-nervous system yakho esebenza ngayo izimpawu zobhlungu. Nakuba ingathinta impilo yakho kakhulu, ukuqonda isimo sakho nokusebenzisana nabaphakeli bezempilo kungakusiza ukuthi ubuyisele ukulawula uphucule ikhwalithi yempilo yakho.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-fibromyalgia ayikucaci noma ayikhawuleli lokho ongakukwazi ukukufinyelela. Abantu abaningi abanesimo esinjalo baphila impilo egcwele, esebenzayo ngokuthola ukuxuba okulungile kokwelashwa nokulungiswa kwendlela yokuphila okusebenza kubo.
Impumelelo nge-fibromyalgia ivame ukuvela ekuthatheni indima ephambili ekunakekelweni kwakho. Lokhu kusho ukusebenzisana eduze neqembu lakho lezeMpilo, ukuhlala unolwazi ngesimo sakho, nokubekezela ngawe njengoba uthola ukuthi izindlela zokuphatha ezisebenza kangcono kuwe.
Khumbula ukuthi ukululama akuhlali kuqondile, futhi ungaba nezinsuku ezinhle nezinsuku ezinzima. Umgomo awukona ukususa zonke izimpawu kepha ukuzinciphise kumazinga alawuleka ukuze ukwazi ukuhlanganyela emisebenzini nasebuhlotsheni obubalulekile kuwe.
Yebo, i-fibromyalgia ngokuqinisekile iyisimo sezempilo sangempela esiqatshelwe izinhlangano ezinkulu zezokwelapha emhlabeni jikelele. Liyisifo esiyinkimbinkimbi esithinta indlela i-nervous system yakho esebenza ngayo izimpawu zobhlungu, futhi nakuba ubuhlungu bungabonakali kwabanye, bukhona kakhulu kulabo ababhekana nalo.
I-Fibromyalgia ayivame ukuba mbi kancane kancane njengezinye izimo eziningi ezingapheli. Izimpawu zabantu abaningi zihlala zinzima isikhathi eside, futhi abaningi bayathuthuka ngokwelashwa okufanele. Abanye abantu baze babone izikhathi zokukhululeka lapho izimpawu zabo zinciphisa kakhulu.
Okwamanje, ayikho imithi yokwelapha i-fibromyalgia, kodwa iyakwazi ukwelashwa kakhulu. Abantu abaningi bangazuza ekuthuthukiseni okukhulu kwezimpawu zabo ngokusebenzisa ukuxuba kwemithi, ukushintsha kwendlela yokuphila, kanye nezindlela ezahlukene zokwelapha. Ukugxila kukuphatha izimpawu ngempumelelo kunokususwa kwesimo ngokuphelele.
Yebo, ukuzivocavoca okuthambile akuyona kuphela into ephephile kodwa kunconywa kubantu abane-fibromyalgia. Imisebenzi engaqali ngamandla afana nokuhamba, ukubhukuda, noma i-yoga empeleni ingasiza ekuthambiseni ubuhlungu nokuthuthukisa izimpawu. Qala kancane bese ukhulisa amazinga wemisebenzi njengoba umzimba wakho uqala ukujwayela.
Nakuba ayikho i-fibromyalgia diet ethile, abanye abantu bathola ukuthi ukudla okuthile kungabangela ukwanda kwezimpawu kuyilapho abanye beba nomuzwa omuhle. Ukugcina ukudla okuqondayo, okunomsoco nokuhlala uthambile kungasekele impilo yakho jikelele futhi kungasiza amazinga amandla nomoya.