I-Fibromyalgia: izimpawu nokuphathwa. Ukwelashwa kwe-fibromyalgia ngamakhambi abantu

I-Fibromyalgia yi-pathology eboniswa ubuhlungu obungapheli emisipha kanye namalunga. Lesi sifo siphinde sabizwa ngokuthi i-fibrositis. Kubhekene nokukhathazeka nokucindezeleka, ukulala kahle, umuzwa wokukhathala njalo nokuphazanyiswa kwamathumbu.

I-Etiology

I-syndrome ye-fibromyalgia ibhaliswe kaningi phakathi kwabesifazane abaneminyaka engu-40-55 ubudala. Emadodeni, lesi sifo sitholakala kancane kakhulu - ngamacala angu-16% kuphela. Izinzwa ezibuhlungu ku-fibromyalgia zinamandla okushabalalisa futhi ziphinde zivele, zifuduka kuwo wonke umzimba, ngakho-ke ukuxilongwa kunzima. Kulokhu, i-fibromyalgia kubantu abadala iyinto evamile, njengoba intsha nezingane zihlupheka ngenxa yalesi sifo kakhulu, nakuba zingase zibe nezinhlungu ngezikhathi ezithile emisipha noma emathanjeni.

Izimbangela zalesi sifo aziwa. Ngokuvamile kuvela ezigulini ezine-arthritis ezihambelanayo. Izici ezicasulayo ziyizimo ezicindezelayo ezingapheli, izimo eziqine kakhulu nezicindezelayo. Kwezinye izimo, ukutholakala kwezakhi zofuzo ku-fibromyalgia kungalandelwa.

Izici ze-fibrositis

Ngaphambi kwalokho kwacatshangwa ukuthi i-fibromyalgia yisimo se-pathological of etiology esivuthayo, kodwa namuhla lezi zicabango ziphikisiwe, ngoba azikho izimpawu zokuvuvukala noma ukubonakaliswa kwe-arthritis. Ukuziqhenya kwalesi sifo ukuthi iziguli zibhaliswe ngezinga eliphansi le-hormone yokukhula. Lokhu kungabonakala ukuthi i-fibromyalgia iyaphazamisa isigaba sokulala okujulile, okungukuthi phakathi nalesi sikhathi i-pituitary gland iyakwazi ukuhlanganisa le nhlanganisela ye-hormonal.

Kumele futhi uqaphele ukuthi iziguli ezine-fibromyalgia zizwa ubuhlungu ngisho nasenzweni sokweqisa, ngokuvamile okungeke kubonakale kubuhlungu. Ngaphezu kwalokho, iziguli zinesisindo esiphakeme sama-neurotransmitters (okuthiwa i-substance P), kanye nezici zokukhula ku-cerebrospinal fluid (cerebrospinal fluid). Uma ufunda uhlobo lobuhlungu, ungacabanga ukuba khona kwe-hypersensitivity kwisistimu yezinzwa zomphakathi, kanye nokubona okubuhlungu kwezinto ezibuhlungu.

Futhi, ezigulini ezitholakala nge-fibromyalgia, izimbangela zazo ezingaziwa, umlando unesifo esibuhlungu ngokomzimba noma sengqondo noma isifo esiyinkimbinkimbi esithathelwanayo. Futhi banenani elincanyana lokuhamba kancane kwe-eyeballs ngesikhathi sokulala, okuholela ekuzizwa unobuthakathaka noma ekuvusweni okuvela emini.

Umtholampilo

Lapho i-fibromyalgia iqala, izimpawu zalesi sifo zihlanganisa lezi zimpawu ezilandelayo:

• Ukukhathala okusheshayo kwemisipha;

• "ihansi iqhuma emzimbeni";

• ukuphazamiseka kokulala;

• ukukhathala okujwayelekile;

• ikhanda njalo;

• Izifo ze-Temporomandibular ngendlela yobunzima ebusweni nasezindaweni zomhlathi, kanye nokuhlaselwa ezindlebeni.

Iziguli nazo zinokungalingani emkhakheni wezingqondo. Ngakho-ke, uma kukhona i-fibromyalgia, izimpawu zalesi sifo zingabandakanya inkumbulo embi , ukukhathazeka kokukhathazeka nokuphazamiseka ngokomzwelo, okuvame ukuchazwa ngokuthi ukucindezeleka.

Iziguli nazo zikhononda ngokuzondeka, ukwethula isisu esiswini, ikakhulukazi uma kwenziwa i-palpation. Ngezinye izikhathi kungase kube ne-hyperthermia isikhathi eside ngaphandle kwesizathu esicacile. Ngaphezu kwalokho, iziguli ezine-fibromyalgia zijwayele izifo ze-catarrhal futhi ziqaphele ukuqina kwamajoyini amahora ekuseni (emva kokuvusa).

Kumele kuqashelwe ukuthi inkinga yesifo ikhona. Ukubonakaliswa kwe-fibromyalgia kungabonwa iminyaka eminingi, kushintsha kancane ngaphansi kwethonya lezici ezithile zangaphandle. Izinzwa zobuhlungu, njengomthetho, unomlingiswa ohlala njalo, njenge-asymmetric noma jikelele. Uma ubuhlungu bufinyelela ezingeni elibucayi, bese ukhuluma ngesiphepho "fibrositic".

Isici se-syndrome yesifo ku-fibromyalgia

Lapho i-fibromyalgia itholakala, izimpawu zalesi sifo ngamacala angu-100% zihlanganisa ubuhlungu. Inezici ezithile:

• ubuhlungu ohlelweni lwe-musculoskeletal luyasakazeka futhi lukwazi ukuhlala ngaphezu kwezinyanga eziyisithupha;

• Ngokuvamile ukugula okungapheliyo ku-fibromyalgia kuhlangene nezimpawu zezinye izifo;

• ubuhlungu buhambisana nokuphazamiseka okuzimele kanye nezinguquko kumkhakha wengqondo.

Lapho i-fibromyalgia iqala, izimpawu zingase zihlanganise nokugcinwa komzimba emzimbeni, ukucasuka kwamathumbu, ukuphazamiseka kwesiguli, ukuphazamiseka kwamathambo nezinye izifo. Ukubonakaliswa kwemitholampilo kuleso simo ngasinye kungumuntu ngamunye futhi kudinga ukuxilongwa ngokucophelela.

Kumele kuqashelwe ukuthi ubuhlungu buvela ezingxenyeni ezahlukene zomzimba futhi kungagxila ezinhlangothini zombili. Ngokuvamile, ukuzwa kwezinhlungu kutholakala endaweni entanyeni, amahlombe nesifuba, okungukuthi, engxenyeni engenhla ye-trunk. Izindawo ezinokuzwela okukhulu zibonakala endaweni ecacile yokwenza indawo. Ngakho-ke, uma kukhona i-fibromyalgia, amaphuzu we-soreness angasebenza njengomgomo ocacile wokuxilonga.

Amaphuzu we-Tender (TP) - amaphuzu abuhlungu e-fibromyalgia

I-TRs yizinqubo ezibalulekile zanamuhla ekutholeni i-fibromyalgia, nakuba iziguli zingacabangi ukuthi zikhona. La maphuzu abonakala ngezakhiwo ezilandelayo:

• Ukuze ube nokuzwa okubuhlungu, kunzima ukucindezela kancane;

• Uma ukubeletha kukhona ubuhlungu, okwenzeka esigulini ngokuzenzekelayo;

• I-TP ifakwe ezindaweni ezichazwe ngokucacile, ngakho-ke kukhona amamephu aqondile alawa masayithi.

Kumele kuqashelwe ukuthi inani eliqondile le-TP alingaziwa, nakuba lihambisana nokuqina kwemibonakaliso yemitholampilo. Indawo ejwayele ukutholakala kwamaphuzu abuhlungu kuyisimo sensipho, intamo, umsila womuthi we-trapezium, okunamathiselwe kwesibeletho sesibili ku-sternum, ingxenye engxenyeni yehlombe, izintambo, kanye ne-fat pad pad esifundeni semadolo.

Naphezu kokuba khona kwe-TP, ama-algic syndromes ahlukahlukene awakhiwe ngokuhlukile awakhiwe ngeziguli ezine-fibromyalgia. Ngakho-ke, ubuhlungu abukwazi ukubonakala kuphela emisipha, kodwa futhi emgodini noma enhliziyweni, okuyinto eyenza ukuxilongwa kunzima. Ngaphezu kwalokho, ukuhlaselwa okwesaba okuvamile, isifo se-hyperventilation, ukulahlekelwa kokuqonda, ukuguqula i-neuropathies.

Izici zokuxilongwa kwe-fibromyalgia

Kuze kube manje, azikho ukuhlolwa okuqondile noma ukuhlolwa okuzosiza ukukhomba lesi sifo. Banikezwa kuphela ukukhipha ezinye izifo. Ukuxilongwa kwenziwa ngesisekelo se-anamnesis nokuhlolwa ngokomzimba. Kungukuthi ukuhlonza amaphuzu athile obuhlungu kanye nokungabikho kwezinye izifo ukuthi i-fibromyalgia ingatholakala.

Kubalulekile ukukhumbula ukuthi izifo eziningi zinesifo sempilo efana ne-fibromyalgia syndrome:

• i-hypothyroidism;

• Ukuntuleka kwevithamini D;

• ukungasebenzi kahle kwezingqungquthela ze-parathyroid, ezihambisana nokwanda kwezinga le-calcium;

• i-polymyositis noma omunye umonakalo emicimbini yemisipha;

• Izifo zamathambo;

• i-oncopathology;

• izifo ezithathelwanayo.

Njengomthetho, ukukhipha ezinye izilonda, izinga lamahomoni e-thyroid, i- alkaline phosphatase, i- creatine phosphokinase, kanye ne-ESR, i-pro-protein esebenzayo, i-antinuclear factor kanye ne-sialic acid inqunywa. Nge-fibromyalgia, lezi zikhombisi zingaphakathi.

Yiziphi izindlela zokuthola ukuxilongwa okulungile?

I-Fibromyalgia ingacatshangwa ezimweni ezilandelayo:

1. Isiguli sinezinhlungu ezihlukahlukene futhi ezilinganayo, ezivela ngokuzenzekelayo futhi zinomuntu ongapheli (ezinyangeni ezingu-6 noma ngaphezulu).

2. Inhlolovo yembula amaphuzu angu-11 okubuhlungu avela kumaphuzu avamile angu-18, ajwayelekile e-fibromyalgia.

3. Ukungabi nampawu kwanoma yikuphi ukugula okuyisisekelo.

Kumele kuqashelwe ukuthi ekwenzeni imitholampilo, akunakwenzeka njalo ukuthola lezi zindlela, kodwa ziqondiswa ochwepheshe uma behlonza. Ngaphezu kwalokho, ukuhlanganiswa kwezinkinga zokucindezeleka nokubuhlungu okungapheli emisipha nakho kucatshangelwa. Ngokuvamile ukuphazamiseka kwengqondo kubhekwa njengomphumela wesifo sobuhlungu obuhlala njalo.

Ngesikhathi sokuxilongwa kwe-fibromyalgia, ezinye izimo eziningi zempilo zembulwa. Njengomthetho, ngesikhathi esifanayo kukhona ukucindezeleka, ukuphazamiseka kwe-bulimia nokuphazamiseka kokulala, isifo esingenangqondo esingavamile. Futhi unake izinga le-serotonin, elikulesi sifo liyancipha.

I-Fibromyalgia nokuya esikhathini

Ngemva kweminyaka engu-45 emzimbeni wesifazane, izinguquko ezingenakuzikhethela ziqala, okubandakanya ukunciphisa izinga lama hormone ocansi, kanye nokuvimba umsebenzi wama-ovari. Kule nkathi, umsebenzi wezitho nezinhlelo kuguqulwa ngokusebenza, futhi ubuhlobo phakathi kwe-hypothalamus, i-pituitary gland nama-ovari buphazamiseka.

Ngokujwayelekile, ukubonakaliswa kokunqamuka kwesikhashana kujwayelekile, nakuba kungaba nezici ezihlukile, ngoba imvelo ngayinye iphendula ngokuhluleka kwe-hormone ngendlela yayo. Isibonakaliso esivame kakhulu sokuya esikhathini sokushisa sishisa kakhulu. Ziyizwa ngokungazelelwe kokushisa ebusweni, entanyeni nasesikhumeni endaweni, kuhambisane nemilpitations, ukujuluka ngokweqile nokukhishwa kwesikhumba.

Kumele kuqashelwe ukuthi azikho izindlela ezicacile zokuxilonga lapho ukuphela kwesikhathi sokuzala kungatholakala khona. I-Fibromyalgia ekunqopheni kokuya esikhathini ijwayelekile, njengoba abesifazane besweleka ukulala nokuhlunguphaza emzimbeni wonke. Ngaphezu kwalokho, abanomzwelo ngokomzwelo, ngakho-ke isifo se-symptomatology yalesi sifo sisho ngaphezulu.

Ukwelashwa kwe-fibromyalgia

Lapho i-fibromyalgia iqala, izimpawu kanye nokwelashwa kuxhomeke kwenkambo ethile ye-pathology, kodwa ukwelashwa okuphumelelayo kakhulu kuyinhlanganisela yamasu ezemithi kanye namasiko angewona amakhemikhali.

Njengomthetho, iziguli zithiwa i-tricyclic antidepressants, ezenza ngcono ukulala, ukunciphisa ubuhlungu be-muscle nokuqeda ukukhathala. Ngokuvamile inhloso yokwelapha isebenzisa i- "Amitriptyline" ne "Doxepin", kanye ne "Lyrics" noma "Neurontin". Ngaphezu kwalokho, izidakamizwa ezandisa ukuxilongwa kwe-serotonin ne-norepinephrine (uSimbalta, Savello), izidakamizwa ezingezona izifo ezivuvukala, ama-analgesics angasetshenziswa.

Phakathi kwezinqubo ezingekho zezokwelapha zokwelapha, ukusikhipha umzimba, ukuhlinzeka nge-acupuncture nokusebenzisa imithi yokwelashwa kusetshenzisiwe. Kuwusizo iziguli ukuba zibhukude (i-hydrotherapy), uhambe, ugibele ibhayisikili, usebenzise ukuvivinya umzimba. Ukunakwa kudonsela ekuthuthukiseni ubuthongo. Iziguli kufanele futhi zigweme izimo ezicindezelayo ezingabangela ukukhushulwa komtholampilo.

Uma i-fibromyalgia itholakale, ukwelashwa ngamakhemikhali abantu kuveza nemiphumela emihle. Njengomthetho, i-adaptogens yemvelo isetshenziselwa ukuvuselela umkhuhlane kanye nomsebenzi wezicubu zomzimba (ukumnika umvini we-magnolia, i-ginseng yase-Chinese, i-wort yase-St. John's).

I-Phytotherapy iyasiza ekunciphiseni ukudakwa, ine-antibacterial and anti-virus, futhi idala nomphumela wokuqeda. Amagciwane, ngokuvamile asetshenziselwa ukwelashwa kwe-fibromyalgia, oxidize i-pyruvic ne-lactic acid-izidakamizwa ezinkulu zokukhathala.

Kumele kuqashelwe ukuthi imithi yamagciwane kufanele ithathwe ngaphansi kokuqondiswa okuqinile kodokotela. Isilinganiso esifanele kuphela singathuthukisa ukuthanda, ukuthula futhi ukugqugquzela umsebenzi osebenzayo womzimba.

Ukudla nge-fibromyalgia

Kuze kube manje, azikho izimiso ezicacile zokudla okunomsoco kule sifo, kodwa kunezinto ezinconywa ukunciphisa ukudla kweziguli:

• I-Aspartame, evame ukutholakala kumnandi. Kuthiwa ukuthi le nhlanganisela iqhubekisela phambili ukubonakaliswa kwemitholampilo ye-fibromyalgia, ngoba ivuselela ukusabela kwama-receptor ebuhlungu.

• Izithako zokudla okunomsoco, okufaka i-glutamine sodium ne-nitrate, ngoba zibeka phambili ukwanda kwezinhlungu zesifo.

• Ama-carbohydrates alula - iziguli zeluleka ukuba zikhawulelwe ukusetshenziswa kweshukela nesinkwa.

• I-caffeine. Uma i-fibromyalgia ingayiphuzi ikhofi, itiye, ushokoledi amaningi. Uma zilinganiselwe, isimo seziguli sithuthuka nje ngesonto nje.

• Izidakamizwa ezihlukahlukene eziqukethe imvubelo kanye ne-gluten.

• Ososayensi bakholelwa ukuthi imikhiqizo yobisi kunoma yikuphi okuqukethwe kwamafutha kungathinta kakhulu ukushintsha kwe-fibromyalgia.

• Nightshade - pepper, amazambane, utamatisi nesitshalo seqanda. Le mikhiqizo ingasondeza kokubili i-arthritis ne-fibrositis.

Uma i-fibromyalgia iqala, izimpawu kanye nokwelashwa kwalesi sifo kuncike ekugulweni kwenqubo yokugula kanye nokutholakala kwezifo ezithintekayo. Njengoba ukuxilongwa kanye nokwelashwa okufika ngesikhathi, ukuphawula kweso kuhle.