Fibromyalgia

Fibromyalgia ndimkhalidwe womwe munthu amakhala nawo kupweteka kwakanthawi komwe kumafalikira mthupi lonse. Ululu nthawi zambiri umalumikizidwa ndi kutopa, mavuto ogona, kuvuta kuyang'ana, mutu, kukhumudwa, ndi nkhawa.

Anthu omwe ali ndi fibromyalgia amathanso kukhala achikondi pamagulu, minofu, minyewa, ndi ziwalo zina zofewa.

Choyambitsa sichikudziwika. Ochita kafukufuku amaganiza kuti fibromyalgia imabwera chifukwa cha vuto la momwe dongosolo lamanjenje limathandizira kupweteka. Zomwe zingayambitse kapena zoyambitsa fibromyalgia ndi izi:

• Kusokonezeka kwa thupi kapena kukhumudwa.
• Yankho lowawa kwachilendo: Magawo muubongo omwe amawongolera kupweteka amasiyana mosiyana ndi anthu omwe ali ndi fibromyalgia.
• Kusokonezeka kwa tulo.
• Matenda, monga kachilombo, ngakhale palibe amene amadziwika.

Fibromyalgia imafala kwambiri mwa akazi poyerekeza ndi amuna. Amayi azaka 20 mpaka 50 amakhudzidwa kwambiri.

Zinthu zotsatirazi zitha kuwonedwa ndi fibromyalgia kapena zimakhala ndi zofananira:

• Khosi lalitali (losatha) khosi kapena kupweteka kwa msana
• Kutopa kwanthawi yayitali (kwanthawi yayitali)
• Matenda okhumudwa
• Hypothyroidism (chithokomiro chosagwira ntchito)
• Matenda a Lyme
• Matenda ogona

Kupweteka komwe kumafalikira ndi chizindikiro chachikulu cha fibromyalgia. Fibromyalgia imawoneka ngati ili ndi zowawa zingapo zomwe zimafala, zomwe zimatha kupezeka mu 10% mpaka 15% ya anthu wamba. Fibromyalgia imagwera kumapeto kwenikweni kwa kupsinjika kwa ululu ndi kukula kwa matenda ndipo amapezeka mu 1% mpaka 5% ya anthu wamba.

Chofunika kwambiri cha fibromyalgia ndi kupweteka kwakanthawi m'malo angapo. Masambawa ndi mutu, mkono uliwonse, chifuwa, pamimba, mwendo uliwonse, kumtunda kwakumbuyo ndi msana, komanso kumbuyo ndi msana (kuphatikiza matako).

Ululu ukhoza kukhala wofatsa mpaka woopsa.

• Zingamveke ngati kupweteka kwambiri, kapena kupweteka kwakuthwa, koyaka.
• Ikhoza kumverera ngati ikubwera kuchokera kumalo, ngakhale kuti ziwalozo sizikukhudzidwa.

Anthu omwe ali ndi fibromyalgia amakonda kudzuka ndi kupweteka kwa thupi komanso kuuma. Kwa anthu ena, kupweteka kumakula bwino masana ndikukula usiku. Anthu ena amamva zowawa tsiku lonse.

Ululu ukhoza kukulirakulira ndi:

• Kuchita masewera olimbitsa thupi
• Nyengo yozizira kapena yonyowa
• Kuda nkhawa komanso kupsinjika

Anthu ambiri omwe ali ndi fibromyalgia ali ndi kutopa, kukhumudwa, komanso kugona tulo. Anthu ambiri amati sangathe kugona kapena kugona, ndipo amamva kutopa akauka.

Zizindikiro zina za fibromyalgia zitha kuphatikizira izi:

• Matenda owopsa am'mimba (IBS) kapena gastroesophageal reflex
• Mavuto okumbukira ndi kukumbukira
• Dzanzi ndi kumva kulasalasa m'manja ndi m'mapazi
• Kuchepetsa mphamvu zolimbitsa thupi
• Kupanikizika kapena mutu waching'alang'ala

Kuti mupezeke ndi fibromyalgia, muyenera kuti munakhala ndi miyezi itatu yopwetekedwa ndi chimodzi kapena zingapo zotsatirazi:

• Mavuto omwe amapezeka ndi kugona
• Kutopa
• Kulingalira kapena kukumbukira mavuto

Sikoyenera kuti wothandizira zaumoyo apeze mfundo zachifundo panthawi yoyezetsa kuti adziwe matenda ake.

Zotsatira zoyesa thupi, kuyezetsa magazi ndi mkodzo, ndi kuyerekezera kujambula ndizabwinobwino. Mayeserowa atha kuchitidwa kuti athetse mavuto ena omwe ali ndi zofananira. Kafukufuku wopuma pogona akhoza kuchitidwa kuti mudziwe ngati muli ndi vuto lotchedwa kupuma tulo.

Fibromyalgia imapezeka m'matenda aliwonse a rheumatic ndipo imayambitsa matenda ndi mankhwala. Matendawa ndi awa:

• Matenda a nyamakazi
• Nyamakazi
• Spondyloarthritis
• Njira lupus erythematosus

Zolinga zamankhwala ndikuthandizira kuthetsa ululu ndi zina, ndikuthandizira munthu kuthana ndi zizindikirazo.

Mtundu woyamba wa chithandizo ungaphatikizepo:

• Thandizo lakuthupi
• Kuchita masewera olimbitsa thupi komanso kulimbitsa thupi
• Njira zothandizira kupsinjika, kuphatikiza kutikita pang'ono komanso njira zopumulira

Ngati mankhwalawa sakugwira ntchito, omwe amakupatsani mwayi wanu amathanso kukupatsani mankhwala ochepetsa nkhawa kapena opumitsa minofu. Nthawi zina, kuphatikiza mankhwala kumathandiza.

• Cholinga cha mankhwalawa ndikuthandizira kugona kwanu ndikuthandizani kulekerera ululu.
• Mankhwala ayenera kugwiritsidwa ntchito limodzi ndi masewera olimbitsa thupi komanso machitidwe.
• Duloxetine (Cymbalta), pregabalin (Lyrica), ndi milnacipran (Savella) ndi mankhwala omwe amavomerezedwa makamaka pochiza fibromyalgia.

Mankhwala ena amagwiritsidwanso ntchito kuthana ndi vutoli, monga:

• Mankhwala oletsa kulanda, monga gabapentin
• Mankhwala ena opatsirana pogonana, monga amitriptyline
• Zotulutsa minofu, monga cyclobenzaprine
• Kuchepetsa ululu, monga tramadol

Ngati muli ndi matenda obanika kutulo, mutha kupatsidwa kachipangizo kotchedwa CPAP.

Chidziwitso chamakhalidwe ndi gawo lofunikira la chithandizo. Mankhwalawa amakuthandizani kuphunzira momwe mungachitire:

• Muzichita zinthu ndi maganizo olakwika
• Sungani zolemba zakumva zowawa ndi zisonyezo
• Zindikirani zomwe zimapangitsa kuti matenda anu aziwonjezereka
• Pezani zinthu zosangalatsa
• Ikani malire

Njira zochiritsira zochiritsira ndi zina zothandizanso zingakhale zothandiza. Izi zingaphatikizepo:

• Tai chi
• Yoga
• Kutema mphini

Magulu othandizira atha kuthandizanso.

Zinthu zomwe mungachite kuti muzisamalira nokha ndi monga:

• Idyani chakudya choyenera.
• Pewani caffeine.
• Yesetsani chizolowezi chabwino chogona kuti musinthe tulo.
• Chitani masewera olimbitsa thupi nthawi zonse. Yambani ndi masewera olimbitsa thupi otsika.

Palibe umboni woti ma opioid ndi othandiza pochiza fibromyalgia, ndipo kafukufuku wasonyeza kuti zotsatirapo zake zingakhale zoyipa.

Kutumiza kuchipatala ndi chidwi ndi ukadaulo wa fibromyalgia kumalimbikitsidwa.

Fibromyalgia ndi matenda okhalitsa. Nthawi zina, zizindikirazo zimawongolera. Nthawi zina, kupweteka kumatha kukulira ndikupitilira miyezi kapena zaka.

Itanani omwe akukuthandizani ngati muli ndi matenda a fibromyalgia.

Palibe njira yodziwika yopewera.

Fibromyositis; FM; Fibrositis

• Fibromyalgia

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Wu YL, Chang LY, Lee HC, Fang SC, Tsai PS. Kusokonezeka kwa tulo mu fibromyalgia: meta-kusanthula kwamaphunziro owongolera milandu. J Psychosom Kupuma. 2017; 96: 89-97. PMID: 28545798 adatulutsidwa.ncbi.nlm.nih.gov/28545798/.