Sakamakon ganewar asali zai fara ne ta ban da duk sauran mawuyacin
Fibromyalgia wata cuta ce mai wuya don ganewa. Saboda ba a fahimta sosai ba, babu wani ra'ayi mai mahimmanci game da matakan da za a iya amfani dashi don yin ganewar asali. Bugu da ƙari, koda kuwa kuna da alamun cutar-ciki har da ciwo mai tsanani da cike da wahala da kuma gwaje-gwaje na hoto zai kasance daidai da al'ada.
Wannan ba don bayar da shawarar cewa baku da lafiya.
Abin sani kawai ba mu fahimci irin yadda cutar ke aiki ba ko dalilin da yasa kwakwalwa ke nuna kuskuren sakonni daga jiki.
Saboda wannan, hanyar da za mu iya tabbatar da cewa kana da fibromyalgia ne ta hanyar yin amfani da abin da ake kira ganewar asali na wariya. Wannan matsala ce wadda likita za ta yi nazari da kuma kawar da dukkanin abubuwan da ke tattare da bayyanar cututtuka. Abin sani kawai ta hanyar cirewa wasu da ake zargi, ɗayan ɗayan, za mu iya tabbatar da cewa ku, a gaskiya, da fibromyalgia.
Matsalar Magana
Saboda babu gwajin da za a tabbatar da fibromyalgia , likitanku dole ne ku dogara kan komitin alamun bayyanar don yin ganewar asali. Sakamakon ganewar asali zai kasance mai kula da shi ta hanyar likita na likita wanda aka sani da likitan ilimin lissafi wanda ke kwarewa a cututtukan ƙwayoyin cuta da nakasar kamfanoni . Masu bincike da magunguna na iya ma wasu lokuta suna da kwarewa don kulawa da kimantawa.
An kafa ma'auni don ganewar asali daga Cibiyar Rheumatology na Amirka (ACR) a shekara ta 1990 sannan kuma an sabunta shi a shekara ta 2010 don bada izini don ƙarin hanyar da za'a iya ganowa. A yau, maimakon bincikar cutar da tarihin da wurin da ake ciwo, sababbin hanyoyin sunyi la'akari da mahimman bayanai guda uku:
- Ta yaya zubar da ciwo yake da kuma yadda za ka fuskanci cututtuka na cutar
- Ko dai bayyanar cututtuka sun ci gaba a wannan matakin na akalla watanni uku
- Ko babu sauran bayani game da bayyanar cututtuka
Don tabbatar da ganewar asali, likita za ta yi amfani da tsarin da ya fi dacewa da ake kira Ƙarar Cibiyar Bincike na Fifa na Fiji na Furotin wanda ke dauke da gwajin da ake kira labaran ciwo mai tsanani (WPI) da kuma wani da ake kira sikashin ƙwayar cuta (SS).
Yayinda ake amfani da tsarin ACR da yawa, yana da masu tayar da hankali wadanda suka yi imani cewa fibromyalgia ba za a kimanta shi ba ne a matsayin cututtuka (ta jiki) amma daya daga cikin abubuwan da ke tattare da tunanin mutum da kuma matsalolin psychosocial.
Binciken Bincike
Kafin gwada halin yanzu bayyanar cututtuka , likita zai buƙaci ware duk wata cuta ko cuta wanda ya kasance daidai da alamun bayyanar da halaye. Dangane da kewayon bayyanar cututtuka da ke da (digestive, urinary, psychological, da dai sauransu), lissafin zai iya zama mai yawa.
Daga cikin yiwuwar:
- Addison cuta
- Alcoholism
- Tsarin halitta osteoarthritis
- Guillain-Barre ciwo
- Hypothyroidism
- Hyperparathyroidism
- Ciwon damuwa da rashin lafiya (IAD)
- Lupus
- Cutar Lyme
- Malignancies
- Multiple sclerosis (MS)
- Myasthenia gravis (MG)
- Polymyalgia rheumatica
- Ƙungiyar damuwa ta ƙwaƙwalwar ƙwaƙwalwa (PTSD)
- Rheumatoid arthritis
- Schwartz-Jampel ciwo
- Scleroderma
Kalubale a bincikar fibromyalgia shine wasu lokuta zasu iya kasancewa tare da fibromyalgia kuma suna da irin wadannan alamu. Alal misali, idan aka gano maganin arthritis ko barcin barci , zancen ganewar zai iya bayyana wasu mabuɗin bayyanar da kake fuskantar amma ba wasu.
Saboda haka, kana bukatar likitan likita wanda zai iya yin rarrabuwa.
Ra'ayin Pain Kasa
Lissafin ciwo mai tartsatsi (WPI) ya rushe jikin zuwa sassa 19, kowannensu an la'akari da bangare na haɗin kai.
Kowane an ba da kashi 1 idan kun sami ciwo a cikin wannan jikin a cikin makon da ya wuce.
WPI yana tambayarka ka kwatanta nau'in ciwon da kake da shi (kamar mai tsanani ko yadawa) ko kuma la'akari da mahimman juyayi (maɗauraran maɗaukaka) waɗanda suke amfani da su a tsakiya don ganewar asali.
Taswirar 19 da aka hada a cikin kimantawa sune (daga sama zuwa kasa):
- Dama dama
- Hagu na hagu
- Abun
- Hakan ƙafar dama
- Hagu na hagu na hagu
- Dama na dama
- Hagu na sama hagu
- Dama hannun dama
- Hagu hagu
- Upper baya
- Ƙananan baya
- Chest
- Abdomen
- Kutsaro / gurbi / babba
- Hagu / buttock / babba na hagu
- Dama na dama
- Hagu na hagu
- Ƙafar ƙafar ƙasa
- Hagu na hagu
Matsakaicin iyakar WPI shine 19.
Siffar ƙaddamar da ƙimar ƙimar
Sakamakon bayyanar cutar (SS) yana auna nau'o'in bayyanar cututtuka huɗu da aka ƙayyade a cikin ƙididdigar fibromyalgia. Kowace alamar ta zana a kan sikelin 0 zuwa 3, tare da ma'anar ma'anar babu alamar cututtuka, 1 ma'ana alamun bayyanar cututtuka, 2 ma'anar ma'anar alamomi mai mahimmanci, da ma'anar mahimmanci guda uku. Sakamakon ya dogara ne akan tsananin bayyanar cututtuka da suka faru a cikin makon da suka gabata.
Hanyoyi guda huɗu da aka kimanta a cikin sharudda sune:
- Wulo
- Tashi daga barcin barci
- Sakamakon bayyanar cututtuka (ciki har da matsalolin damuwa, rikicewa, disorientation, da fahimtar fahimtar)
- Abubuwa masu wariyar launin fata (cututtukan jiki irin su ciwo, rashin hankali, tashin zuciya, raunana, ko ciwon zuciya)
Matsakaicin iyakar a kan sikelin SS shine 12.
Tabbatar da ganewar asali
Idan babu wata bayani game da alamun bayyanarku, likitanku zai tabbatar da ganewar fibromyalgia ta hanyar tabbatar da ko kungiyoyin WPI da na SS sun hadu da ɗaya daga cikin hukunce-hukuncen ACR guda biyu don hadawa:
- A WPI kashi 7 ko fiye, tare da wani SS kashi na 5 ko fiye
- A WPI kashi 3 zuwa 6, tare da wani SS kashi na 9 ko fiye
Bayan haka, idan likita zai iya tabbatar da cewa alamun bayyanarku sun kasance a daidai wannan ko kuma irin wannan matakin na akalla watanni uku, za a tabbatar da ku a matsayin hanyar fibromyalgia.
Da zarar an tabbatar da ganewar asali, kai da likitanka za su fara fara binciken hanyoyin zaɓuɓɓuka . Wannan na iya zama wani abu mai tsawo kuma mai saurin aiki, amma wanda zai iya sanya ku a kan hanya don inganta lafiyar lafiya da ci gaba.
> 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.