Fibromyalgia shine cututtukan da ke fama da ciwon da ke fama da ciwo mai tsanani kuma tare da gajiya, damuwa, damuwa da barci, rashin tausin zuciya, da ciwon kwari da urinary. Wannan matsalar rashin fahimta ne wanda sakonnin ciwo da kwakwalwa ke sarrafawa ya zama ƙari, yana ƙarfafa jinin jin zafi a cikin tsokoki da kayan kyakyawa.
Saboda babu gwaje-gwaje don tabbatar da cutar, dole ne a bincikar fibromyalgia ta hanyar ban da sauran abubuwan da zai yiwu. Jiyya na iya shawo kan matsaloli masu zafi, antidepressants, farfadowa na jiki, kulawa da kai, da kuma magunguna kamar su Lyrica (pregabalin) musamman sun yarda da magance fibromyalgia.
Cutar cututtuka
Fibromyalgia yana da ƙari fiye da ƙwayar tsoka da haɗin gwiwa. Yana da ci gaba, mummunan ciwo wanda zai iya motsawa cikin jiki a cikin raƙuman ruwa, haifar da sautin da aka kwatanta da sutura, rarrabawa, mai tsanani, ko matsakaici. Ko da sauyawa canje-canje a cikin zazzabi ko matsa lamba (ciki har da touch) na iya jawo rashin tausayi.
Duk da yake wasu suna kula da matakan da suka dace daidai da bayyanar cututtuka, wasu za su sami lokacin gyarawa tare da lokaci na ayyukan cututtuka ( flares ). Bayan jin zafi, fibromyalgia yana da alaƙa da wata alama wadda ta shafi tsarin kwayoyin halitta.
Sun hada da:
- Dama , yawanci na yau da kullum, yana shafi hudu daga kowane mutum biyar
- Muscle da hadin gwiwa bayyanar cututtuka kamar su tsofaffin ƙwayoyin cuta, rauni na tsoka, da kuma ciwo ta jaw
- Sakamakon bayyanar cututtuka irin su asarar maida hankali, disorientation, da "kwakwalwa kwakwalwa"
- Abun barci irin su barci barci, barci, da rashin barci
- Ƙwararrakin kwakwalwa irin su vertigo, migraine, ko farfadowa zuwa haske, sauti, ko ƙanshi
- Gastrointestinal bayyanar cututtuka irin su zawo, constipation, bloating, ko cramping
- Magungunan urinary ciki har da ciwon mafitsara, zafi a lokacin urination, ko kuma daɗaɗɗen gaggawa don urinate
- Masanan kimiyya kamar cututtukan zuciya, halayyar yanayi, ko tashin hankali
- Hoto bayyanar cututtuka irin su lokaci mai raɗaɗi, ciwo mai tsanani, ko wanda ba a taɓa yin jima'i ba
Rashin haushi na lokacin kwanciyar hankali, ƙwaƙwalwar zuciya, da zubar da jini na nama (lipomas) na iya faruwa.
Dalilin
Babu wanda ya san abin da ke haifar da fibromyalgia. An rutsa shi tare da irin wannan cuta, irin su ciwo na gajiya mai tsanani (CFS) da ciwo na jijiyar jiji (IBS) , wanda ake zaton ana haifar da mummunar amsawa daga tsarin kulawa ta tsakiya har zuwa matsalolin al'ada.
Yayinda fibromyalgia a yau an gane shi azaman ciwo ne ta hanyar likita, har yanzu akwai wata muhawara game da ko dai wata cuta ce ta jiki (ta jiki) ko wanda wanda ke damuwa da matsalolin waje - kamar damuwa , damuwa, da matsalolin barci - abin da zai iya inganta halayyar jin zafi ko tasiri mai zurfi na aikin neurological.
A wannan mataki, ba mu sani ba. Abin da muka sani shi ne cewa wasu matsalolin haɗari na iya kara yawan rashin samun fibromyalgia.
Tsakanin su:
- Mata sau tara sun fi son fibromyalgia fiye da maza. An nuna cewa ragewa a cikin estrogen a lokacin haila (musamman ko a farkon maciji na iya haifar da bayyanar cututtuka a wasu mata.
- Shekaru ma wani abu ne. Duk da la'akari da cututtukan da suka shafi mata masu matsanancin mata, fibromyalgia ne mafi yawancin lokuta da aka gano a tsakanin shekarun 20 zuwa 50 (ko da yake akwai alamun bayyanar yawancin shekaru da yawa).
- Matsalar tana nuna alamar fibromyalgia. Yayinda yake tare da matsalolin barci, an kara fahimtar ciwo kamar yadda hadarin gajiya da damuwa.
- Haka kuma an yi amfani da Genetics a matsayin factor. Binciken na yau da kullum ya nuna cewa samun iyaye ko danginku tare da fibromyalgia ya kara yawan haɗarin ku ta hanyar kashi 28 cikin dari yayin da ke da digiri na biyu ya kawo shi da kashi 19.
Sanin asali
Ba tare da wani gwaji ko gwaji wanda ya iya gano cutar ba, za a iya tabbatar da fibromyalgia ta hanyar ban da duk wasu dalilai masu yiwuwa na bayyanar cututtuka. Yana da matukar tasiri wanda ya kamata a kula da shi daga likitan ilimin lissafi ko, a madadin, wani likitan ne ko likita na gaba da fibromyalgia ko wasu cututtuka masu haɗuwa.
A shekara ta 2010, Kwalejin Kwalejin Rheumatology na Amurka (ACR) ta sabunta ka'idodin binciken su na fibromyalgia, sunyi la'akari da rarraba ciwo, tsawon lokacin zafi, da kuma tunanin mutum game da ciwo da sauran cututtuka.
Ka'idodin ACR sun haɗa da ƙididdiga guda biyu:
- Na farko, wanda ake kira labaran ciwo mai tsanani (WPI) , yana ba da aya ɗaya ga kowane ɓangaren jiki 19 da ka sha wahala (na iyakar maki 19).
- Na biyu da ake kira ƙananan ƙwayar cuta (SS) , yana sanya 0 zuwa 3 maki-0 ma'anar babu alamar cututtuka ga ma'anar 3 ma'anar alamun bayyanar cututtuka - a kowane nau'i hudu na alamun bayyanar cututtuka (don aƙalla maki 12).
Don a bincikar da fibromyalgia, za ku buƙaci ku cika wadannan yanayi uku:
- Dole ne ku sami WPI na 7 ko fiye tare da kashi SS ko 5 ko fiye ko, a madadin haka, WPI na 3 zuwa 6 da kashi SS na 9 ko fiye.
- Dole ne ka kasance da waɗannan bayyanar cututtuka na akalla watanni uku.
- Dole ne babu wata bayanin likita don bayyanar cututtuka.
Jiyya
Babu kwayar kwayar cutar daya da za ta iya magance fibromyalgia ko tabbatar da dakatar da bayyanar cututtuka. Don haka, kuna buƙatar ɗaukar matakan da yawa, wanda zai iya haɗawa da magunguna (OTC) da magungunan maganin magungunan magani, farfadowa na jiki da kuma shawarwari, hanyoyin halayen rayuwa, da kuma hanyoyin magance matsalolin.
Saboda babu lokuta biyu na fibromyalgia daidai, magani na iya bambanta daga mutum daya zuwa gaba.
Magunguna da magani
Magunguna ne yawanci kashin baya na farfadowa. Hanyoyin magungunan sun dogara ne akan nau'ikan da kuma mawuyacin bayyanar cututtuka. Tsakanin su:
- Sauran maganganu na OTC kamar Tylenol (acetaminophen) da kwayoyi masu kare cututtuka (NSAIDs) kamar Advil (ibuprofen) ko Aleve (naproxen) na iya samar da jinkirin ɗan gajeren lokaci. Cutar baƙin ciki da karuwa da karfin jini yana na kowa tare da NSAIDs.
- Sauran maganin jinƙan maganganu irin su Celebrex (celecoxib) ko Voltaren (diclofenac) suna da dindindin kuma zai iya haifar da tashin zuciya, da damuwa, da ciwo na ciki, da ulcers, da kuma haɗari hanta.
- Magungunan antidoppress na iya sauƙaƙe zafi da gajiya yayin da suke bunkasa yanayi ta hanyar tarin matakan serotonin . Ana ba da izinin amfani da antidpressors Cymbalta (duloxetine) da Savella (milnacipran) don magance fibromyalgia kuma, yayin da tasiri, na iya haifar da motsa jiki, ciwon kai, da maƙarƙashiya, rashin barci, da kuma rashin hankali.
- Magungunan anticonvulsive na iya zama mahimmanci wajen magance ciwo. Sun hada da Lyrica (pregabalin) , wanda aka yarda don maganin fibromyalgia, da sauransu kamar Neurontin (gabapentin) wanda za'a iya tsarawa-lakabin. Kusawa, riba mai yawa, rashin hankali, da kuma lalata suna cikin sakamako mai yiwuwa.
Ana magance matsalolin barci tare da magungunan antiopressyline na low-dose kamar Elavil (amitriptyline) maimakon barci. Masu shakatawa kamar na Flexeril (cyclobenzaprine) na iya yin nauyin abu biyu ta hanyar haɓaka ƙuƙwalwar muscle yayin taimakawa mutum barci.
Baya ga magunguna, likitanku na iya komawa ga kwararru don taimakawa wajen shawo kan kalubale na jiki ko na kullun, ciki har da masu kwantar da hankali, masu aikin likita, masu likita, ko masu bada shawara.
Salon da kuma Kayan Gida
Gyagwar ƙarfafawa yana daga cikin bangarori na farko na kowane shirin maganin fibromyalgia. Wannan ba wai kawai ya shafi shakatawa ko ƙwarewar jiki ba, yana iya buƙatar ku ci abinci mafi kyau, motsa jiki, da kuma guje wa abubuwa kamar caffeine, barasa, da shan taba . Yin haka ba kawai zai karfafa ka ba, zai iya bunkasa yanayinka (musamman aikin da ke haifar da sakin saro din, dopamine, da endorphins).
Sauran hanyoyin magancewa sun hada da:
- Gyarawa, zane-zane, da kuma numfashi mai zurfi (pranayama) don rage damuwa
- Yoga da Taichi wanda ya hada da ƙungiyoyi masu sarrafawa da kuma sakin tashin hankali
- Massage far, musamman siffofi kamar Shiatsu ko aromatherapy tausa
- Maganin ci gaba na muscle (PMR) wanda ke mayar da hankali ga sakin jiki daga jiki
- Biofeedback wanda zai iya koya maka yadda za a magance matsalar damuwa
- Maganin likita wanda zai iya rage ciwo, haɓaka yanayi, kuma ya taimake ka barci mafi alhẽri
- 5-HTP (5-hydroxytryptophan), wani ƙarin halitta wanda ya samo asali daga tsirrai na simplicifolia na Afirka wanda zai iya taimaka wajen tada matakan serotonin
Kalma Daga
Duk da fadakar da jama'a, fibromyalgia ya zama abin ban mamaki ga mutane da yawa, wasu daga cikinsu suna shakkar wanzuwarsa ko kuma suna cewa "dukkanku ne." Ba haka bane.
Kada ka bari wasu mutane marasa fahimta su hana ka neman kulawa da kake bukata. Nemi goyon baya daga abokai da iyali, buɗewa game da ba kawai abin da kuke ji ba amma yadda kuka ji. Yi tarayya da ƙungiyar talla ta gida ko tuntuɓi Ƙungiyar Ƙungiyar Fibromyalgia & Chronic Pain don ganowa kusa da ku. Gina tsarin tallafi zai iya ba ka tabbacin da ilimi don zama mai bada shawara don kula da kanka.
Idan likita ba zai iya taimakawa ko fahimtar damuwa ba, sami likitan ilimin lissafi a yankinka ta wurin mai binciken yanar gizon da Cibiyar Rheumatology ta Amirka ta bayar. Drug co-biya da shirye-shiryen taimako na haƙuri suna samuwa don taimakawa wajen kare kudin magani, idan ya cancanci.
> Sources:
> Bellato, E; Marini, E; Castoldi, F. et al. Fibromyalgia Ciwo: Etiology, Pathogenesis, Bincike, da kuma Jiyya. Ra'ayin Raɗaɗi. 2012; 2012: 426130. DOI: 10.1155 / 2012/426130.
> Wolfe, F .; Clauw, D .; Fitzcharles, M .; et al. Kwalejin Kwalejin Rheumatology na Amurka da ke kan ka'idodin bincike akan fibromyalgia da kuma lura da tsananin rashin lafiya. Maganin Arthritis Care Res. 2010; 62 (5): 600-10. DOI: 10.1002 / acr.20140.
> Park, D. da kuma Lee, S. Sabon fahimtar jinsunan fibromyalgia. Korean J Intern Med . 2017; 32 (6): 984-95. DOI: 10.3904 / kjim.2016.207.