Ngaba iFibromyalgia ibachaphazela njani abantu basetyhini ngokwahlukileyo?

Umxholo

• Iintlungu ezinamandla zokuya exesheni kwabasetyhini abane-fibromyalgia
• Intlungu ye-fibromyalgia kunye neethenda kubafazi
• Amanqaku ethenda
• Ukonyusa iintlungu zesinyi kunye neengxaki zesisu kwabasetyhini
• Ukudinwa okungakumbi kunye neemvakalelo zokudakumba kwabasetyhini
• Ezinye iimpawu ezichaphazela abasetyhini kunye namadoda
• Nini ukubona ugqirha
• Unyango lwe-fibromyalgia

I-Fibromyalgia kubafazi

I-Fibromyalgia yimeko engapheliyo ebangela ukudinwa, iintlungu ezixhaphakileyo, kunye nokuthantamisa kuwo wonke umzimba. Imeko ichaphazela isini kunye nesini, nangona abasetyhini kunokwenzeka kakhulu ukuba baphuhlise i-fibromyalgia. Phakathi kwama-80 ukuya kuma-90 eepesenti abantu abafumana uxilongo ngabafazi, ngokweZiko leSizwe lezeMpilo.

Ngamanye amaxesha amadoda afumana ukuxilongwa okungalunganga ngenxa yokuba anokuchaza iimpawu ze-fibromyalgia ngokwahlukileyo. Abasetyhini bahlala bexela iintlungu eziphezulu kunamadoda. Izizathu ezisemva koku zinokunxulunyaniswa neehomoni, ukungafani kwamasosha omzimba, okanye iintlobo zemfuza.

Okwangoku, abaphandi abaqinisekanga ukuba kutheni abantu basetyhini benomngcipheko ophezulu wokuphuhlisa i-fibromyalgia kunamadoda. Ekuphela kwendlela yokuyivavanya kukukhuphela ngaphandle ezinye iimeko ezinokubakho.

Qhubeka ufunde ukuze uqonde indlela ezinokuthi ziziva ngayo iimpawu zabasetyhini kwi-fibromyalgia.

Iintlungu ezinamandla zokuya exesheni kwabasetyhini abane-fibromyalgia

Ixesha lokuya exesheni linokuba buthathaka okanye libe buhlungu, kuxhomekeka kumfazi. Kwingxelo yoMbutho weSizwe weFibromyalgia, abasetyhini abanemeko banamaxesha abuhlungu ngakumbi kunesiqhelo. Ngamanye amaxesha iintlungu ziguquka ngokuhamba kwazo.

Uninzi lwabasetyhini abane-fibromyalgia baphakathi kweminyaka engama-40 ukuya kuma-55 ubudala. Iimpawu ze-Fibromyalgia zinokuziva zibi ngakumbi kwabasetyhini abasemva kwe-postmenopausal okanye abahlangabezana nokuyeka ukuya exesheni.

Ukuyeka ukuya exesheni nge-fibromyalgia kunokunyusa iimvakalelo:

• ubunzima
• Ukukhathazeka
• Ubuhlungu
• ixhala

Umzimba wakho uvelisa iipesenti ezingama-40 ngaphantsi kwe-estrogen emva kokuyeka ukuya exesheni. I-Estrogen ngumdlali omkhulu ekulawuleni i-serotonin, elawula iintlungu kunye nomoya. Ezinye zeempawu ze-fibromyalgia zinokuzibonakalisa iimpawu ze-perimenopause, okanye "xa uyeka ukuya exesheni." Ezi mpawu zibandakanya:

• intlungu
• ukuthamba
• ukungabikho kokulala okusemgangathweni
• ingxaki ngememori okanye ngokucinga ngeenkqubo
• ukudakumba

Abanye abantu basetyhini abane-fibromyalgia banayo i-endometriosis. Kule meko, izicwili ezivela esibelekweni ziyakhula kwezinye iinxalenye zesinqe. I-Fibromyalgia inokwandisa ukungathandeki okubangelwa yi-endometriosis. Thetha nogqirha wakho ukuba ezi mpawu azihambi emva kokuyeka ukuya exesheni.

Intlungu ye-fibromyalgia kunye neethenda kubafazi

Intlungu ye-fibromyalgia eyandisiweyo ihlala ichazwa njenge-ache enzulu okanye engacacanga eqala kwimisipha kwaye ikhanye kwamanye amalungu omzimba. Abanye abantu banazo izikhonkwane kunye neenaliti zokuziva.

Ukuchongwa kwe-fibromyalgia, iintlungu kufuneka zichaphazele onke amalungu omzimba wakho, kumacala omabini kubandakanya amacandelo aphezulu kunye asezantsi. Intlungu inokuza idlule. Kungaba kubi kwezinye iintsuku kunabanye. Oku kunokwenza ukuba kube nzima ukucwangcisela imisebenzi yemihla ngemihla.

Yintoni enomdla kukuba amadoda nabasetyhini bafumana iintlungu ze-fibromyalgia ngokwahlukileyo. Zombini ezi ngxelo zifumana inqanaba elinamandla leentlungu ngexesha elithile. Kodwa amadoda ngokubanzi athambekele ekuxeleni iintlungu ezisezantsi kunabafazi. Abasetyhini banamava ngaphezulu "kokukhathaza kakhulu" kunye nexesha elide leentlungu. Intlungu ye-Fibromyalgia ihlala yomelele kubafazi kuba i-estrogen inciphisa ukunyamezelana kwentlungu.

Amanqaku ethenda

Ukongeza kwintlungu ebanzi, i-fibromyalgia ibangela amanqaku ethenda. Ezi ziindawo ezithile ezijikeleze umzimba, zihlala zikufuphi namalungu akho abuhlungu xa ecinezelwe okanye echukumisiwe. Abaphandi bafumanise amanqaku eethenda ali-18. Ngokomndilili, abasetyhini baxela ubuncinci amanqaku amabini ethenda kunamadoda. La manqaku ethenda akwanobuntununtunu kwabasetyhini. Unokufumana iintlungu kwezinye okanye zonke ezi ndawo:

• umva wentloko
• indawo phakathi kwamagxa
• phambi kwentamo
• umphezulu wesifuba
• ngaphandle kwengqiniba
• umphezulu namacala esinqe
• Ngaphakathi emadolweni

Amanqaku ethenda anokuvela nakwindawo yethanga. Intlungu eqhubekayo kwaye ihlala ngaphezulu kweenyanga ezintandathu ibizwa ngokuba yintlungu engapheliyo ye-pelvic kunye nokungasebenzi kakuhle (CPPD). Ezi buhlungu zinokuqala ngasemva ze zihle ziye emathangeni.

Ukonyusa iintlungu zesinyi kunye neengxaki zesisu kwabasetyhini

I-Fibromyalgia ingenza mandundu eminye imiba enxulumene ne-CPPD, enje ngesifo sesibindi (IBS) kunye neengxaki zesinyi. Uphando lubonisa ukuba abantu abane-fibromyalgia kunye ne-IBS banamathuba aphezulu okuphucula i-cystitis, okanye isifo esibuhlungu sesinyi (PBS). Phantse iipesenti ezingama-32 zabantu abane-IBS banayo i-PBS. Izifundo zibonisa ukuba i-IBS ixhaphake kakhulu kwabasetyhini. Ama-12 ukuya kuma-24 ekhulwini kwabasetyhini banayo, ngelixa ama-5 ukuya kuma-9 ekhulwini kumadoda ane-IBS.

Zombini i-PBS kunye ne-IBS zinokubangela:

• iintlungu okanye iicramps emazantsi esisu
• iintlungu ngexesha lokwabelana ngesondo
• iintlungu ngexesha lokuchama
• uxinzelelo kwisinyi
• ukwanda kwesidingo sokuchama, onke amaxesha emini

Uphando lubonisa ukuba zombini i-PBS kunye ne-IBS banezizathu ezifanayo kwi-fibromyalgia, nangona ulwalamano ngqo lungaziwa.

Ukudinwa okungakumbi kunye neemvakalelo zokudakumba kwabasetyhini

Isifundo, esapapashwa kwi-Oxford University Press, sijonge ukwenzeka koxinzelelo kumadoda nabasetyhini abane-fibromyalgia. Abaphandi bafumanise ukuba abantu basetyhini abanale meko bachaze amanqanaba aphezulu oxinzelelo kunamadoda.

Ezinye iimeko ezihlala zenzeka ecaleni kwe-fibromyalgia zinokukugcina uphapheme ebusuku. Oku kubandakanya ukungazinzi kwemilenze yesifo kunye nokuphefumla kokulala. Ukungalali ngokwaneleyo kunokuba negalelo kwiimvakalelo zokudinwa kunye noxinzelelo. Unokuziva udiniwe kwaye unengxaki yokugxila emini, nokuba uphumle ubusuku bonke. Inani elingafanelekanga lokulala linokunyusa uvakalelo lwakho kwintlungu.

Ezinye iimpawu ezichaphazela abasetyhini kunye namadoda

Ezinye iimpawu eziqhelekileyo ze-fibromyalgia zibandakanya:

• ubuntununtunu kumaqondo obushushu, ingxolo enkulu, kunye nezibane eziqaqambileyo
• ingxaki yokukhumbula kunye nokugxila, ekwabizwa ngokuba yi-fibro fog
• iintloko, kubandakanya imigraines ebangela isicaphucaphu kunye nokugabha
• ukungazinzi kwemilenze yesifo, imvakalelo eyoyikekayo, ekrelekrele emilenzeni ekuvusayo ebuthongweni
• iintlungu zomhlathi

Nini ukubona ugqirha

Thetha nogqirha wakho ukuba ezi mpawu ziphazamisa impilo yakho okanye zihambisane nezinye iimpawu ze-fibromyalgia. Akukho luvavanyo lunye lokuchonga i-fibromyalgia. Iimpawu zinokufana nezinye iimeko ezinje nge-rheumatoid arthritis (RA). Kodwa ngokungafaniyo neRA, i-fibromyalgia ayibangeli ukudumba.

Kungenxa yoko le nto ugqirha wakho eya kuthi enze uvavanyo lomzimba kwaye ayalele iimvavanyo ezininzi zokulawula ezinye iimeko.

Unyango lwe-fibromyalgia

Akukho lunyango lwe-fibromyalgia, kodwa unyango luyafumaneka. Usengakwazi ukulawula iintlungu kwaye uphile ubomi obunempilo, obusebenzayo.

Abanye abantu bayakwazi ukulawula iintlungu nge-over-the-counter (OTC) yokunciphisa iintlungu, ezinje nge-acetaminophen, ibuprofen, kunye ne-sodium ye-naproxen. Ugqirha wakho unokumisela amayeza athile ukunciphisa iintlungu nokudinwa, ukuba iziyobisi ze-OTC azisebenzi.

La machiza abandakanya:

• duloxetine (ICymbalta)
• igabapentin (Neurontin, Gralise)
• pregabalin (ILyrica)

Isifundo esivela ku-1992 sifundo sibonise ukuba abantu abathathe i-malic acid kunye ne-magnesium baxele ukuphucuka okukhulu kwintlungu yemisipha ngaphakathi kweeyure ezingama-48. Intlungu yabuya kwakhona ebantwini abathathe ipilisi ye-placebo emva kweeyure ezingama-48. Kodwa akukho zifundo zakutshanje zenziwe kolu dibaniso kunyango lwe-fibromyalgia.