Fibromyalgia

I-Fibromyalgia yisifo esiqinisekisiwe ngubuhlungu obukhulu bemisipha nethambo, obuhambisana nokuqeda amandla, ukulala okungekuhle, ukungakhumbuli kahle nezinkinga zemoto. Abacwaningi bakholelwa ukuthi i-fibromyalgia iyakhuluphula imizwa ebuhlungu ngokuthinta indlela ubuchopho bakho nomgogodla wakho ecipha imiyalezo ebuhlungu nekungeyona ebuhlungu.

Izimpawu zivame ukuqala ngemva komcimbi, njengokulimala komzimba, ukuhlinzwa, ukutheleleka noma ukucindezeleka okukhulu kwengqondo. Kwezinye izimo, izimpawu ziyaqongelela kancane kancane ngokuhamba kwesikhathi ngaphandle kwesenzakalo esisodwa esibangela lokho.

Abesifazane banesilinganiso esiphezulu sokuthola i-fibromyalgia kunabesilisa. Abantu abaningi abane-fibromyalgia nabo banezinhlungu zikhanda, izifo ze-temporomandibular joint (TMJ), i-irritable bowel syndrome, ukukhathazeka nokucindezeleka.

Nakuba ayikho imithi yokwelapha i-fibromyalgia, izinhlobo eziningi zemithi zingasiza ekulawuleni izimpawu. Ukuzivocavoca, ukuphumula nezindlela zokunciphisa ukucindezeleka nazo zingasiza.

Izimpawu zokuqala ze-fibromyalgia zifaka phakathi:

• Ubuhlungu obukhulu. Ubuhlungu obuhambisana ne-fibromyalgia ngokuvamile buchazwa njengokuhlunguluka okuqhubekayo okungathandeki okuhlale iinyanga ezintathu okungenani. Ukuze kubhekwe njengobukhulu, ubuhlungu kufanele bube ngakwesobunxele nangakwesokudla somzimba wakho futhi phezulu nangaphansi kwesinqe sakho.
• Ukukhathala. Abantu abane-fibromyalgia ngokuvamile baphakama bekhatele, yize bebika ukuthi balele isikhathi eside. Ukulala ngokuvamile kuphazanyiswa yubuhlungu, futhi abaningi abagulayo abane-fibromyalgia banezinye izifo zokulala, njenge-restless legs syndrome ne-sleep apnea.
• Ubunzima bokuqonda. Isimpawu evame ukubizwa ngokuthi "ukukhathazeka kwe-fibro" yonakalisa ikhono lokugxila, ukunaka nokugxila emisebenzini yengqondo.

I-Fibromyalgia ngokuvamile ihambisana nezinye izimo, ezifana:

• I-irritable bowel syndrome
• I-Chronic fatigue syndrome
• I-Migraine nezinye izinhlobo zezinhlungu zikhanda
• I-Interstitial cystitis noma i-painful bladder syndrome
• I-Temporomandibular joint disorders
• Ukukhathazeka
• Usizi
• I-Postural tachycardia syndrome

Abacwaningi abaningi bakholelwa ukuthi ukukhuthaza okuphindaphindayo kwezinzwa kubangela ukushintsha kwengqondo ne-spinal cord yabantu abane-fibromyalgia. Lesi shintsho sihilela ukwanda okungavamile amazinga ezinto ezithile ezingqondweni ezibonisa ubuhlungu.

Ngaphezu kwalokho, abamukeli bokuhlungu bengqondo kubonakala sengathi bathuthukisa uhlobo oluthile lokukhumbula ubuhlungu futhi baqale ukuba nomuzwa, okusho ukuthi bangaphezu kokwenza ngokweqile izibonakaliso ezibuhlungu nezingabikho ubuhlungu.

Kungenzeka kunezinye izinto eziningi eziholela ekushintsheni, okuhlanganisa:

• I-Genetics. Ngenxa yokuthi i-fibromyalgia ithambekele ekubeni emindenini, kungenzeka kube khona ukuguqulwa okuthile kwe-genetic okungakwenza ube sengozini enkulu yokuthuthukisa lesi sifo.
• Ukutheleleka. Ezinye izifo zibonakala zibangela noma zenza i-fibromyalgia ibe nzima.
• Imicimbi yomzimba noma yozwela. I-Fibromyalgia ngezinye izikhathi ingabangelwa yisenzakalo somzimba, njengengozi yemoto. Ukuhlupheka kwengqondo okungapheli kungase futhi kubangele lesi simo.

Izimbangela ezingozi ze-fibromyalgia zifaka phakathi:

• Ubulili bakho. I-Fibromyalgia ibonakala ngokukhulu kwabesifazane kunamadoda.
• Umlando womndeni. Ungase ube nethuba elikhulu lokukhula yi-fibromyalgia uma umzali wakho noma umfowenu noma udadewenu enaleli gciwane.
• Ezinye izifo. Uma une-osteoarthritis, i-rheumatoid arthritis noma i-lupus, ungase ube nethuba elikhulu lokukhula yi-fibromyalgia.

Ubuhlungu, ukukhathala, kanye nokukhuluphala kokulala okuhambisana ne-fibromyalgia kungaphazamisa ikhono lakho lokusebenza ekhaya noma emsebenzini. Ukudumazeka kokubhekana nesimo esingaziwa ngokuvamile kungabangela ukucindezeleka nokukhathazeka okuphathelene nempilo.

Esikhathini esidlule, odokotela babebheka amaphuzu angu-18 athile emzimbeni womuntu ukuze babone ukuthi mangaki awo ayebubuhlungu uma ecindezelwe ngamandla. Iziqondiso ezintsha ezivela e-American College of Rheumatology azidingi ukuhlolwa kwamaphoyinti abuthathayo.

Esikhundleni salokho, into ebaluleke kakhulu edingekayo ekuxilongeni i-fibromyalgia ubuhlungu obukhulu emzimbeni wakho okungenani izinyanga ezintathu.

Ukuze uhlangabezane nezidingo, kufanele ube nobuhlungu okungenani ezindaweni ezine kulawu mahlanu:

• Indawo eliphezulu ngakwesobunxele, kuhlanganise ihlombe, ingalo noma umgubhu
• Indawo eliphezulu ngakwesokudla, kuhlanganise ihlombe, ingalo noma umgubhu
• Indawo ephansi ngakwesobunxele, kuhlanganise isifuba, uhlombe noma umlenze
• Indawo ephansi ngakwesokudla, kuhlanganise isifuba, uhlombe noma umlenze
• Indawo ye-Axial, ehlanganisa intamo, umhlane, isifuba noma isisu

Udokotela wakho angase afune ukukhipha ezinye izimo ezingase zibe nezimpawu ezifanayo. Izivivinyo zegazi zingase zihlanganise:

• Ukubalwa kwamagazi okuphelele
• Izinga lokumila kwe-erythrocyte
• Ukuhlolwa kwe-peptide ye-cyclic citrullinated
• I-rheumatoid factor
• Izivivinyo zokusebenza kwe-thyroid
• I-anti-nuclear antibody
• I-Celiac serology
• I-Vitamin D

Uma kungenzeka ukuthi uhlupheka yi-sleep apnea, udokotela wakho angase akukhuthazele ukutadisha ubuthongo ebusuku.

Ngokuvamile, ukwelashwa kwe-fibromyalgia kuhlanganisa kokubili imithi kanye neqhinga lokuzinakekela. Ukuqiniswa kukulokhu kunciphiseni izimpawu nokuthuthukisa impilo jikelele. Akukho ukwelashwa olusebenza kuzo zonke izimpawu, kodwa ukuzama izindlela ezahlukene zokwelapha kungaba nomphumela ohlanganisiwe.

Imithi ingasiza ekuthambiseni ubuhlungu be-fibromyalgia nokuthuthukisa ubuthongo. Okukhethwa khona okuvamile kuhlanganisa:

Izindlela ezahlukene ezahlukene zingasiza ekuthambiseni umphumela we-fibromyalgia emzimbeni wakho nakubomi bakho. Isibonelo sihlanganisa:

• Imithi yokunciphisa ubuhlungu. Imithi yokunciphisa ubuhlungu ethengiswa ngaphandle kwelayisensi njenge-acetaminophen (Tylenol, nabanye), i-ibuprofen (Advil, Motrin IB, nabanye) noma i-naproxen sodium (Aleve, nabanye) ingasiza. Imithi ye-opioid ayinconywa, ngoba ingabangela imiphumela emibi enkulu nokuwohloka futhi izokwenza ubuhlungu bube bukhulu ngokuhamba kwesikhathi.

• Imithi yokulwa nokucindezeleka. I-Duloxetine (Cymbalta) ne-milnacipran (Savella) zingasiza ekuthambiseni ubuhlungu nokuqeda amandla okuhambisana ne-fibromyalgia. Udokotela wakho angancoma i-amitriptyline noma i-cyclobenzaprine yokululamisa imisipha ukuze usize ekukhuthazeni ubuthongo.

• Imithi yokulwa nokuhlushwa yi-seizure. Imithi eyenzelwe ukwelapha isifo se-epilepsy ivame ukuba usizo ekuthambiseni izinhlobo ezithile zobuhlungu. I-Gabapentin (Neurontin) ngezinye izikhathi iyasiza ekuthambiseni izimpawu ze-fibromyalgia, kuyilapho i-pregabalin (Lyrica) yayiyilona thimba lokuqala eligunyaziwe yi-Food and Drug Administration ukwelapha i-fibromyalgia.

• Ukwelashwa komzimba. I-physical therapist ingakufundisa imizamo ezokuthuthukisa amandla akho, ukuqina nokuhlala isikhathi eside. Imizamo esekwe emanzini ingasiza kakhulu.

• Ukwelashwa komsebenzi. I-occupational therapist ingakusiza ukwenza izinguquko endaweni yakho yokusebenza noma indlela osebenza ngayo imisebenzi ethile ezokwenza kube lula emzimbeni wakho.

• Ukubonisana. Ukukhuluma nomxhumanisi kungasiza ekuqiniseni ukukholelwa kwakho emakhono akho nokukufundisa amasu okusingatha izimo ezibuhlungu.

Ukukhathalela kwakho kubalulekile ekuphatheni i-fibromyalgia.

• Ukuphathwa kokucindezeleka. Yenza uhlelo lokuqeda noma ukunciphisa ukusebenza ngokweqile nokucindezeleka komzwelo. Zinike isikhathi nsuku zonke sokuphumula. Lokho kungasho ukufunda ukuthi ungathi cha ngaphandle kokuzisola. Kodwa zama ukungashintshi ilungiselelo lakho ngokuphelele. Abantu abayeka umsebenzi noma bayeka yonke imisebenzi bathambekele ekwenzeni okubi kunelabo abahlala bekhona. Zama amasu okuphathwa kokucindezeleka, njengokuphefumula okujulile noma ukucamngca.
• Ukuhlanzeka kokulala. Ngenxa yokuthi ukukhathala ingenye yezingxenye eziyinhloko ze-fibromyalgia, ukulala kahle kubalulekile. Ngaphezu kokunikeza isikhathi esanele sokulala, sebenzisa imikhuba emihle yokulala, njengokuya ekulolweni nokuphakama ngesikhathi esifanayo nsuku zonke nokulinganisela ukulala emini.
• Zivocavoca njalo. Ekuqaleni, ukuzivocavoca kungandisa ubuhlungu bakho. Kodwa ukukwenza kancane kancane futhi njalo kuvame ukunciphisa izimpawu. Ukuzivocavoca okufanele kungafaka ukuhamba, ukubhukuda, ukuqhubela ibhayisikili kanye ne-aerobics yamanzi. Uchwepheshe wezokwelapha angakusiza ukuba wenze uhlelo lokuzivocavoca ekhaya. Ukuthambisa, isimo esihle somzimba kanye nokuzivocavoca kokupumula kusiza futhi.
• Ziqondanise. Gcina umsebenzi wakho uqondile. Uma wenza okuningi ezinsukwini zakho ezinhle, ungaba nezinsuku eziningi ezimbi. Ukulinganisela kusho ukungagcini ngokweqile ezinsukwini zakho ezinhle, kodwa ngokufanayo kusho ukungazikhawuleli noma ukwenza okuncane kakhulu ezinsukwini lapho izimpawu zikhula khona.
• Gcina indlela yokuphila enempilo. Dla ukudla okunempilo. Ungasebenzisi imikhiqizo yotshwala. Linganisela ukusetshenziswa kwe-caffeine. Yenza okuthile okuthokozisayo futhi okuhlangabezana nsuku zonke.