Fibromyalgia

I-Fibromyalgia yimeko apho umntu eneentlungu zexesha elide ezisasazeka emzimbeni wonke. Intlungu ihlala inxulunyaniswa nokudinwa, iingxaki zokulala, ubunzima bokugxila, intloko ebuhlungu, uxinzelelo kunye noxinzelelo.

Abantu abane-fibromyalgia banokuba nesisa kumalungu, izihlunu, imisipha kunye nezinye izicubu ezithambileyo.

Unobangela awaziwa. Abaphandi bacinga ukuba i-fibromyalgia ibangelwa yingxaki yenkqubo ye-nervous system eqhuba iintlungu. Izizathu ezinokubakho okanye ezibangela i-fibromyalgia zibandakanya:

• Ukonzakala ngokwasemzimbeni okanye ngokweemvakalelo.
• Impendulo yeentlungu ezingaqhelekanga: Iindawo ezilawula iintlungu zinokuphendula ngokwahlukileyo kubantu abane-fibromyalgia.
• Ukuphazamiseka kokulala.
• Usulelo, njengentsholongwane, nangona kungekho namnye ochongiwe.

I-Fibromyalgia ixhaphake kakhulu kwabasetyhini xa kuthelekiswa nabesilisa. Abasetyhini abaneminyaka engama-20 ukuya kwengama-50 bachaphazeleka kakhulu.

Le miqathango ilandelayo inokubonwa nge-fibromyalgia okanye inempawu ezifanayo:

• Ixesha elide (elingapheliyo) intamo okanye iintlungu zomqolo
• Ixesha elide (elingapheliyo) lokukhathala
• Uxinzelelo
• I-Hypothyroidism (i-thyroid engasebenzi)
• Isifo seLyme
• Iingxaki zokulala

Intlungu ebanzi luphawu oluphambili lwe-fibromyalgia. I-Fibromyalgia ibonakala ngathi ikuluhlu lweentlungu ezingapheliyo, ezinokubakho kwi-10% ukuya kwi-15% yoluntu ngokubanzi. I-Fibromyalgia iwela esiphelweni sobunzima bentlungu kunye nesikali sokugula kwaye kwenzeka kwi-1% ukuya kwi-5% yoluntu ngokubanzi.

Into ephambili ye-fibromyalgia yintlungu engapheliyo kwiindawo ezininzi. Ezi ndawo ziyintloko, ingalo nganye, isifuba, isisu, umlenze ngamnye, umqolo ongaphezulu kunye nomqolo, kunye nomqolo osezantsi kunye nomqolo (kubandakanya neempundu).

Intlungu inokuba mbi kakhulu.

• Ingaziva ngathi kukuqaqanjelwa, okanye ukuhlaba, iintlungu ezivuthayo.
• Ingaziva ngathi ivela kumalungu, nangona amalungu engachaphazeleki.

Abantu abane-fibromyalgia bathambekele ekuvukeni kunye nentlungu yomzimba kunye nokuqina. Kwabanye abantu, iintlungu ziyaphucuka emini kwaye ziba mandundu ebusuku. Abanye abantu baneentlungu imini yonke.

Ubuhlungu bunokuba mandundu nge:

• Umsebenzi womzimba
• Imozulu ebandayo okanye efumileyo
• Ixhala noxinzelelo

Uninzi lwabantu abane-fibromyalgia banokudinwa, ukudakumba kunye neengxaki zokulala. Abantu abaninzi bathi abakwazi ukulala okanye ukulala, kwaye baziva bediniwe xa bevuka.

Ezinye iimpawu ze-fibromyalgia zingabandakanya:

• Isifo esichaphazelayo samathumbu (IBS) okanye i-gastroesophageal reflex
• Iingxaki zememori kunye noxinzelelo
• Ubudenge nokutswina ezandleni nasezinyaweni
• Ukwehla kwamandla okwenza umthambo
• Ukuxhatshazwa okanye iintloko zentloko

Ukuze ufumane i-fibromyalgia, kufuneka ukuba ubuncinci ubunezinyanga ezi-3 zokuqaqanjelwa ziintlungu enye okanye nangaphezulu koku kulandelayo:

• Iingxaki eziqhubekayo ngokulala
• Ukudinwa
• Iingcinga okanye imemori iingxaki

Akukho mfuneko yokuba umboneleli wezempilo afumane amanqaku ethenda ngexesha loviwo ukuze enze isifo.

Iziphumo ezivela kuvavanyo lomzimba, uvavanyo lwegazi kunye nomchamo, kunye novavanyo lokucinga kuyinto eqhelekileyo. Olu vavanyo lunokwenziwa ukulawula ezinye iimeko ezineempawu ezifanayo. Izifundo zokuphefumla ngexesha lokulala zinokwenziwa ukufumana ukuba unemeko ekuthiwa yi-sleep apnea.

I-Fibromyalgia ixhaphake kuzo zonke izifo ze-rheumatic kwaye iyanzima ukuxilonga kunye nonyango. Ezi ngxaki zibandakanya:

• Irheumatoid Arthritis
• Osteoarthritis
• I-Spondyloarthritis
• Inkqubo ye lupus erythematosus

Iinjongo zonyango kukunceda ekuthomalaliseni iintlungu kunye nezinye iimpawu, kunye nokunceda umntu akwazi ukumelana neempawu.

Uhlobo lokuqala lonyango lunokubandakanya:

• Ulungiso lwenyama
• Inkqubo yokuzilolonga kunye nokuqina
• Iindlela zokudambisa uxinzelelo, kubandakanya ukuphulula okulula kunye neendlela zokuphumla

Ukuba olu nyango alusebenzi, umboneleli wakho unokumisela umntu ukuba aphelise uxinzelelo okanye isihlunu. Ngamanye amaxesha, indibaniselwano yamayeza iluncedo.

• Injongo yala mayeza kukuphucula ukulala kwakho kunye nokukunceda ukunyamezela iintlungu.
• Amayeza kufuneka asetyenziswe kunye nokuzilolonga kunye nokuziphatha kunyango.
• I-Duloxetine (iCymbalta), i-pregabalin (i-Lyrica), kunye ne-milnacipran (i-Savella) ngamayeza avunyiweyo ngokukodwa kunyango lwe-fibromyalgia.

Amanye amayeza asetyenziselwa ukunyanga le meko, njenge:

• Amachiza okulwa nokubanjwa, afana ne-gabapentin
• Ezinye i-anti-depressants, ezinje nge-amitriptyline
• Ukuphumla kwezihlunu, njengecyclobenzaprine
• Ukuthomalalisa iintlungu, ezinje nge-tramadol

Ukuba ulala ne-apnea, kunokuconjululwa isixhobo esibizwa ngokuba siqhubeka noxinzelelo lomoya (CPAP).

Unyango lwe-Cognitive-yokuziphatha luyinxalenye ebalulekileyo yonyango. Olu nyango lukunceda ufunde ukuba:

• Jongana neengcinga ezingakhiyo
• Gcina idayari yeentlungu kunye neempawu
• Yazi into eyenza ukuba iimpawu zakho zibe mandundu
• Funa imisebenzi eyonwabisayo
• Beka imida

Unyango olongezelelweyo kunye nolunye unyango lunokuba luncedo. Oku kunokubandakanya:

• Tai chi
• Yoga
• Unyango

Amaqela enkxaso nawo anokunceda.

Izinto onokuzenza ukunceda ukuzikhathalela zibandakanya:

• Yitya ukutya okunezondlo.
• Gwema i-caffeine.
• Ziqhelanise nendlela elungileyo yokulala ukuphucula umgangatho wokulala.
• Zilolonge rhoqo. Qala ngokwenza umthambo okwinqanaba elisezantsi.

Akukho bungqina bokuba ii-opioids ziyasebenza kunyango lwe-fibromyalgia, kwaye izifundo ziphakamise iziphumo ezinokubakho ezimbi.

Ukuthunyelwa kwikliniki kunye nomdla kunye nobuchule kwi-fibromyalgia kuyakhuthazwa.

I-Fibromyalgia sisifo sexesha elide. Ngamanye amaxesha, iimpawu ziyaphucuka. Ngamanye amaxesha, iintlungu zinokuba mandundu kwaye ziqhubeke iinyanga okanye iminyaka.

Tsalela umnikezeli wakho ukuba unempawu ze-fibromyalgia.

Akukho sithintelo saziwayo.

Fibromyositis; FM; Fibrositis

• Fibromyalgia

UArnold LM, uClauw DJ. Imiceli mngeni yokuphumeza izikhokelo zonyango lwe-fibromyalgia kunyango lwangoku. Ipostgrad Med. Ngo-2017; 129 (7): 709-714. IINKCUKACHA: 28562155 pubmed.ncbi.nlm.nih.gov/28562155/.

UBorg-Stein J, uBrassil ME, uBorgstrom HE. Fibromyalgia. Ku: Frontera, WR, Isilivere JK, Rizzo TD, ii-eds. Iimfuno zoNyango loMzimba kunye noVuselelo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2019: isahl. 102.

UClauw DJ. I-Fibromyalgia kunye nee-syndromes ezinxulumene noko .In: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 91.

UGilron I, uChaparro LE, uTu D, et al. Umdibaniso we-pregabalin kunye ne-duloxetine ye-fibromyalgia: ityala elilawulwa ngokungahleliwe. Intlungu. Ngo-2016; 157 (7): 1532-1540. IINKCUKACHA: 26982602 pubmed.ncbi.nlm.nih.gov/26982602/.

IGoldenberg DL. Ukuchonga i-fibromyalgia njengesifo, ukugula, urhulumente, okanye uphawu? Ukunyamekelwa kweArthritis Res (Hoboken). Ngo-2019; 71 (3): 334-336. IINKCUKACHA: 30724034 pubmed.ncbi.nlm.nih.gov/30724034/.

ULauche R, uCramer H, uHäuser W, uDobos G, uLanghorst J.Ukujongwa ngokuchanekileyo kokuphononongwa koncedo olongezelelekileyo nolunye unyango kunyango lwe-fibromyalgia syndrome. Ubungqina obusekwe kwi-Evid-based Complement Altern. 2015; Ngo-2015: 610615. ikhonkco: 10.1155 / 2015/610615. IINKCUKACHA: 26246841 pubmed.ncbi.nlm.nih.gov/26246841/.

U-López-Solà M, Woo CW, uPujol J, et al. Isiseko Ukusalela utyikityo lwe-neurophysiological ye-fibromyalgia. Intlungu. Ngo-2017; 158 (1): 34-47. IINKCUKACHA: 27583567 pubmed.ncbi.nlm.nih.gov/27583567/.

Wu YL, Chang LY, Lee HC, Fang SC, Tsai PS. Ukuphazamiseka kokulala kwi-fibromyalgia: uhlalutyo lweemeta zophononongo lolawulo lwamatyala. J Ingqondo yePsychosom. Ngo-2017; 96: 89-97. IINKCUKACHA: 28545798 pubmed.ncbi.nlm.nih.gov/28545798/.