Yana da muhimmanci cewa yawan mutanen da aka kiyasta kimanin mutane miliyan 27 da hypothyroidism sun ƙare har ma an gano su tare da fibromyalgia. Dukkanin sharuɗɗa sun shafe alamun bayyanar cututtuka, ciki har da gajiya, rashin ciwo, damuwa, ƙwaƙwalwar ƙwaƙwalwar ajiya , da ƙananan digiri na tsoka da haɗin gwiwa .
Wasu masana sunyi la'akari da cewa irin wannan mafi yawan lokuta na hypothyroidism a {asar Amirka, fibromyalgia kuma wata cuta ne.
Wasu sunyi zaton cewa ƙungiyar fibromyalgia alamun su ne ainihin alamun cututtuka na hypothyroidism kanta. Amma babu wata tambaya cewa akwai kyawawan halaye na giciye tsakanin yanayin biyu.
Fahimtar Fibromyalgia
Fibromyalgia kuma an san shi da ciwo na fibromyalgia (FMS), fibromyositis, fibrositis, da myofibrositis. Fibromyalgia yana da haɗin gwiwa da cike da tsoka da tausayi, da gajiya, da kuma ciwo bayan barci da kuma bayan kunyi aiki na jiki.
Fibromyalgia tana shafar kusan mutane miliyan 8 a Amurka, wanda ya faru musamman a mata masu haihuwa. Gaba ɗaya, fibromyalgia ta buge mata sau bakwai sau da yawa fiye da maza.Daga lokuta yawanci sukan kasance a tsakanin shekarun 20 zuwa 55, amma yanayin zai iya ganowa a lokacin yaro. Daga cikin dukan mutanen, an kiyasta cewa yawancin mutane 3 zuwa 6 bisa dari na yawan jama'a, ciki har da yara, sunyi la'akari da ka'idoji don tabbatar da asalin fibromyalgia.
Wannan zai haifar da fibromyalgia sau biyu kamar yadda ake kama da ilimin cututtuka na rheumatoid .
Fibromyalgia maganin cututtuka
Wasu alamun bayyanar fibromyalgia sun hada da:
- Jin zafi , ƙonawa, zafi, da ciwo cikin jiki
- Ciwon kai, taushi na ɓacin rai, ciwo a baya na kwanyar
- Pain a cikin wuyansa, kafada, karamar kafada da kuma alƙalai
- Pain a cikin kwatangwalo, saman buttocks, a waje da ƙananan ƙananan, ƙananan kwalliya, da ƙashin ƙugu
- Pain a gwiwoyi da gwiwoyi
- Rashin wahala, barci mai ban tsoro , tadawa gajiya, tsakar dare
- Rashin damuwa, sau da yawa tashin hankali, wahala na barci, ko barci kwanan nan
- Hanyar Raynaud (inda hannayenka suka ji sanyi, ƙidayar, ko kuma suna shuɗi, lokacin da aka nuna su zuwa canjin yanayi)
- Sashin ciwo mai jiji, cututtuka, ƙwaƙwalwar ƙafa, magudi, damuwa
Sanin asalin Fibromyalgia
An tabbatar da ganewar asali ta hanyar amfani da ka'idojin Rheumatology na Jami'ar Amirka game da fibromyalgia:
____ Jin zafi mai yawa don akalla watanni 3. Ya kamata ciwo ya kasance a gefen hagu na jiki da gefen dama, da kuma ciwon zafi a sama da kasa. Cine na katako, kirji na baya, dajiyar thoracic ko ciwon baya baya dole ne ya kasance.
Bugu da ƙari, ciwo a cikin akalla 11 daga 18 wasu shafukan yanar gizo na musamman , waɗanda suka haɗa da:
____ Yankin da ƙuƙƙun wuyansa suka haɗa zuwa tushe na kwanyar, hagu da dama (Hakan)
____ Midway tsakanin wuyansa da kafada, hagu da dama (Trapezius)
____ Musamman a gefen hagu da dama na kafar kafada, hagu da dama (Supraspinatus)
____ 2 centimeters a ƙasa a gefen kafa a gefen hagu da dama (Magungunan farfadowa na tsakiya)
____ Hagu na hagu da dama na sama (Gluteal)
____ Kasusuwa na hagu da dama (Mafi magungunan magunguna)
____ A saman hagu da dama a kan ciki
____ Ƙananan wuyan a gaban, hagu da dama (Ƙananan ƙwararru)
____ Edge na ƙashin ƙananan ƙashi, hagu da dama (Ƙungiya ta biyu)
Fibromyalgia da kuma tsohuwar gwagwarmaya Yakubu Teitelbaum , MD, marubucin Daga Fatigued to Fantastic , yana karɓar fassarar karin ladabi. Ya yi imanin cewa idan wani yayi daidai da bayanin fibromyalgia, tare da bayyanar cututtuka ciki har da gajiya mai laushi, tare da wasu alamu biyu daga cikin kwakwalwar kwakwalwa, damuwa na barci, ƙishirwa da ƙishirwa, ciwon zuciya, da / ko ci gaba ko ciwon zuciya ko jijiyar zuciya. Dole ne a yi la'akari da ganewar asali.
Harkokin Hypothalamic
Dokta Teitelbaum ya yi imanin cewa a cikin magungunan ciwon karoid da fibromyalgia shine matsala tare da dysfunction ko murkushe gland shine a hymberhalamus.
Dokta Teitelbaum ...
Wannan gland shine kula da barci, tsarin tsarin hormonal, tsari na zafin jiki, da tsarin kulawa na jiki (misali - karfin jini, zub da jini, da motsi abinci ta wurin jinjinka). Wannan shine dalilin da yasa ba za ku iya barci ba, kuna da ƙananan zazzabi, ku sami nauyi, kuma (saboda rashin barci yana haifar dasfunction na rigakafi) ku kasance mai yiwuwa zuwa ƙwayoyin cuta da yawa. Halin da ake yi na hypothalamic da kanta zai iya sabili da haka, sa mafi yawan alamun bayyanar! Ina tsammanin cewa matsaloli tare da "karfin wutar lantarki" a cikin kwayoyinku (wanda ake kira mitochondria) yakan haifar da maye gurbin hypothalamic.
Haɗin Thyroid da T3
Idan kun kasance mai maganin thyroid wanda yake da alamu da bayyanar cututtuka na fibromyalgia, ya kamata ku yi la'akari da gwadawa da kwarewa a cikin yanayin, ko dai cikakke ne ko kuma MD wanda ya dace da shi, likitan kwaminisanci ko masanin kimiyya.
Kuma, idan kun kasance mai haƙuri na fibromyalgia, yana da kyau yin digiri da zurfi don sanin idan kana da matsala mai maganin thyroid wanda zai iya ba da gudummawa ga-ko ma haddasawa - alamun ka fibromyalgia.
Mutane yawanci suna da gwajin karoid TSH don gane idan suna da rashin maganin maganin thyroid, amma likitan fibromyalgia Dr. John Lowe, wanda ke jagorantar Fibromyalgia Research Foundation da ya rubuta The Metabolic Treatment of Fibromyalgia , ya yi tambaya game da abin da ya kira "shari'ar" endocrinology " . "
- Iyakar abin da ke haifar da hormone rashi bayyanar cututtuka shine hypothyroidism
- kawai marasa lafiya da hypothyroidism "bisa ga sakamakon lab" ya kamata a halatta yin amfani da hormone thyroid
- dole ne a yarda da hypothyroid haƙuri don amfani da T4 (levothyroxine) da kuma
- da masu haƙuri na sashi kada ya rage da thyroid stimulating hormone (TSH) matakin.
Dokta Lowe ya kalubalanci wadannan tsinkaye a matsayin wani ɓangare na ƙoƙarinsa na tsawon lokaci don ƙarin koyo game da fibromyalgia. Sakamakon ya zama yarjejeniyar maganin bisa ga bincikensa cewa bayyanar cututtukan da ba a warware su ba tare da maganin hypothyroidism da fibromyalgia ne ainihin shaidar da ba a gurfanar da su ba ko kuma sun sha wahala ga hypothyroidism , ko kuma tsayayyar tantanin salula na jikin ka.
Wani muhimmin al'amari game da tunanin Dr. Lowe ya fahimci cewa mai haƙuri tare da juriya na cellular yana iya daidaitawa ta al'ada ta hanyar juyayi na karamar rigakafi amma suna da alamun bayyanar cututtuka da alamun hypothyroidism. Ya gano, duk da haka, daga tattaunawarsa da wasu masu bincike na fibromyalgia / CFS, yawanci basu san irin waɗannan hanyoyin ba. Ya ce:
A gare su, idan mai haƙuri yana da ƙwayar TSH daidai , kuma musamman idan bayyanar cutar ba ta inganta tare da maye gurbin T4 (levothyroxine), yanayinsa ba zai yiwu a danganta shi ta kowace hanya zuwa hormone thyroid ba. Binciken kimiyya na baya-bayan nan, duk da haka, ya nuna wannan imani ya zama ƙarya.
Idan kana da hypothyroidism na autoimmune , yana da mahimmanci don bunkasa wasu alamun fibromyalgia na musamman irin su ciwon haɗari / haɗin gwiwa, hauka, da damuwa da barci. A cewar Dokta Lowe, likitoci na al'ada sunyi la'akari da sababbin alamun bayyanar da ke nuna cewa akwai sauran yanayin kamar fibromyalgia ban da matsalar matsalar karoid . Dr. Lowe, duk da haka, ya fassara cewa a matsayin shaida cewa mai haƙuri yana nuna alamar rashin jin dadin hypothyroidism :
Yayinda rashin raunin hormone na kawo ya raguwa, adadin ƙwayar takalma da kuma tsananin sakamakon sakamakon alamun ya karu. Mai haƙuri yana jin dadin rashin raguwa kamar yadda yawancin bayyanar cututtuka na tsanani ya karu. A mafi yawancin lokuta, irin wannan marasa lafiya kawai suna buƙatar safiyar dacewa ko nau'i na hormone thyroid don warkewa daga duk alamun su.
Dokta Lowe ya yi imanin cewa tsayayyar dawwama ga abin da ake kira "al'ada na al'ada" ba ya nuna ko mai haƙuri yana da isasshen T3 (nauyin hawan gwiwar thyroid a matakin salula, wadda aka samar a cikin ɓangare ta maganin thyroid, kuma a wani ɓangare ta hanyar tuba na T4 hormone zuwa T3) don kula da al'ada ta al'ada a cikin sel. Binciken da ya yi ya nuna cewa lafiya amma maganin da ya rage ya fi sauƙi a kawar da matsalolin kiwon lafiyar da suke da alaka da su. T4 zuwa fassarar T3 zai iya zama mummunar, don haka gaskiyar cewa mai haƙuri yana da matakin TSH na yau da kullum ba ya nufin cewa tsarin jikinta na al'ada ne.
A cewar Dr. Lowe, binciken daya ya nuna cewa maye gurbin maganin hormone thyroid, maganin da ke riƙe TSH a cikin al'ada na al'ada, sau da yawa saukar da matakan cholesterol na marasa lafiya, amma TSH-suppressive dosages sun sauke matakan da muhimmanci.
Rahoton da aka buga da karatunmu sun nuna cewa matakin TSH ba ya daidaita tare da gwaje-gwaje daban-daban na metabolism nama. Dr. Lowe yana jin wannan yana da muhimmanci saboda yin metabolism nama ya kamata ya kasance burin dukan jiyya da hypothyroid marasa lafiya. Lokacin da ake hana hawan hypothyroid zuwa sashi na T4 wanda ke riƙe TSH a cikin al'ada na al'ada , jarrabawar zata haifar da alamar matsala ta nakasassu a cikin nau'ikan takalma.
Wasu masu bincike sun watsar da maye gurbin maganin hormon din a matsayin yiwuwar maganin cutar fibromyalgia ko CFS. A cewar Dr. Lowe, duk da haka, "maye gurbin" kamar yadda wadannan masu bincike suka bayyana ba sa aiki saboda maye gurbin yana nufin kawai T4 don kiyaye TSH a cikin al'ada . Ya ji cewa bai isa ya kyale mafi yawan hypothyroid marasa lafiya daga alamun su.
Har ila yau ya yi imanin cewa yin la'akari da cewa maye gurbin T4 ne kawai magani mai kyau ya hana wasu masu bincike su ga dalilin da yawancin marasa lafiya na fibromyalgia bai dace da tsarin maganin hormone na thyroid ba. Dokta Lowed ya yi imanin cewa haɗin T4 da T3 kullum suna aiki fiye da T4 kadai tare da hypothyroid marasa lafiya , kuma a wasu lokuta T3 kadai yayi aiki mafi kyau. Dr. Lowe ya gano cewa lokacin da aka kula da marasa lafiya na hypothyroid tare da T4 na farko, hankali ya karu da sashi, idan ba ta samar da dama mai yawa ko wani abu ba, an canja marasa lafiya zuwa T3.
T4 kadai shi ne wani zaɓi mara kyau ga mutane da yawa hypothyroid fibromyalgia marasa lafiya, kuma yana da amfani ga masu fibromyalgia tare da salon salula jure your hormone thyroid. Yawancin marasa lafiya, wadanda suka kasance kimanin kashi 44 cikin yawan marasa lafiya na fibromyalgia bisa ga karatunmu, suna amfani ne kawai daga manyan jigilar T3. Sai dai marasa rinjaye na marasa lafiya na hypothyroid fibromyalgia sun inganta tare da amfani da T4 kadai.
Kalma daga
Idan kana da hypothyroidism tare da bayyanar cututtuka da ke bada shawara akan fibromyalgia, ko kana da fibromyalgia, za ka iya so ka ga ganin mai aiki tare da kwarewa a cikin waɗannan ka'idodi, wanda yake ganin su suna da dangantaka mai mahimmanci. Mai kyau na farawa don gano mai aiki na gaskiya shi ne a shafukan intanet na Ƙungiyar Fibromyalgia ta kasa da Ƙungiyar Fibromyalgia & Chronic Pain.
Sources:
> Haliloglu S et al. "Fibromyalgia a cikin marasa lafiya tare da thyroid autoimmunity: kasancewa da dangantaka da cuta cuta." Clin Rheumatol. 2017 Jul, 36 (7): 1617-1621. Doi: 10.1007 / s10067-017-3556-2. Afub 2017 Feb 7.
> Lowe, John. "Aiki na Metabolic na Fibromyalgia." Kamfanin kamfanin McDowell Publishing; 2000.
> Nishioka K, et al. "Yaduwar cutar anti-TSH a cikin fibromyalgia cuta." Int J Rheum Dis. 2017 Jun; 20 (6): 685-690. Doi: 10.1111 / 1756-185X.12964. Afub 2016 Nov 30.
> Selmi C et al. "Taron shekara ta ACR ta shekara ta 2014: idon tsuntsaye kan idon basira a 2015." Autoimmun Rev 2015 Jul; 14 (7): 622-32. Doi: 10.1016 / j.autrev.2015.03.003. Afub 2015