Kuchengeta Kwazvo
Paunenge uine chirwere chinokanganisa chinokanganisa zvose zvehupenyu hwako, ndezvekugadzirira kubvunza "nei?" Apo zvinosvika ku fibromyalgia (FMS), tinogara tichingowedzera zvimwe uye zvidimbu zvikamu ku puzzle. Apo isu tisati tine mufananidzo wakakwana, tiri kuswedera pedyo.
Nyanzvi dziri kudzidza zvakawanda pamusoro pezvinoendesa kuFMS, asi hazvisati zvajeka kuti nei zvinhu izvi zvichiendesa kune FMS kune vamwe uye kwete mune vamwe.
Nyanzvi dzakawanda dzinofunga kuti mamiriro acho akabatanidzwa nechimiro chemazwi , chinogona kujekesa mubvunzo iwoyo.
Fibromyalgia yakaiswa mumapoka maviri: primary and secondary. Primary FMS ndiyo yakawanda uye inonziwo "idiopathic" FMS, zvinoreva kuti ine chikonzero chisingazivikanwi. Secondary FMS inosanganiswa nezvimwe zvinokonzera kusarwa kwenguva isingaperi.
# 1 - Primary (Idiopathic) Fibromyalgia
Zvinokonzerwa nezvinokonzera FMS yepamusoro zvinosanganisira kusakanganiswa muuropi uye mahomoni, kushungurudzika kusingaperi kwepabonde, mupfungwa nemagariro evanhu, uye kusagadzikana kwemisungo. Kutsvakurudza kuri kutarisa mune dzimwe nzira dzakawanda, uye kubudirira kwakasiyana.
Ubongo neHormonal Zvisakanaka
Zvidzidzo zvinoratidza, neFMS, zvikamu zvehutano hwako hwehutano hunosangana nemarwadzo ekurwadziwa zvinoshanda zvakasiyana nevamwe vanhu. Izvi zvinonzi central sensitization .
Vatsvakurudzi vanoziva kuti vanhu vane FMS vanogona kuva nezvakawanda zvakasiyana muhutachiona hwavo, hutachiona uye huropi-makemikari basa, asi havana chokwadi kana izvi zvikonzero zve fibromyalgia kana kuti zvinokonzerwa nekurwadziwa uye kushungurudzika pamutambo wepakati mukuru.
Zvimwe kuchinja kwemuviri muuropi zvakawanikwa, zvakare.
Vanhu vane FMS vangave vasina kukanganisa mune ipi zvayo inotevera:
- Serotonin : low levels
Serotonin inokanganisa kurara kwako, kurwadziwa kwepamusoro uye manzwiro ekugara zvakanaka. Kuderera kwakadzika kunobatanidza kuora mwoyo , migraine , uye kushungurudzika kwemajeri, iyo yose inogara ichiitika kune vanhu vane FMS.
- Melatonin : mazinga akaderera
Zvimwe zvidzidzo zvinoratidza kutora zvinokonzera melatonin zvinogona kuderedza maitiro ekurwadziwa, kuvandudza kurara uye kubatsira kuderedza zviratidzo zvekuora mwoyo kuvanhu vane FMS. Zvisinei, zvimwe zvidzidzo zvakaratidza zvishoma kana kuti hazvina kubudirira. - Norepinephrine & Dopamine : low levels
Kuderera kwe norepinephrine kunogona kutungamirira pakurasikirwa kwekucherechedza, kusuruvara kwepfungwa , kuora mwoyo, nekusava nehanya. Mumuviri wako unoshandisa norepinephrine kuumba dopamine, uye pasi dopamine inoguma nekurwadziwa kwemasumbu, kuwedzera kusanganisa kusagadzikana, uye matambudziko-ane chokuita-kufamba (kureva, kudengenyeka, kusava nemari, kusagadzikana.) - Glutamate & GABA : kunze kwekuenzanisa
Basa raGlutamate nderokuita masero ako europi akafukidzwa. Zvinokosha pakudzidza uye mamwe mamiriro ezvinhu anoda kufunga nokukurumidza. Basa reGABA nderokurwisa glutamate uye kuvhara uropi hwako. Mune FMS, tsvakurudzo inoratidza kuti mazinga e glutamate akakwirira zvikuru maererano neGABA, iyo inogona kutungamirira pakuwedzeredza uye kunyange rufu rwemasero europi. - Kushungurudzika mahomoni: pasi mazinga
Kukanganisa mune mahomoni ekudzvinyirira cortisol uye norepinephrine inoita kuti muviri wako usingakwanisi kurarama nemagariro epfungwa kana mupfungwa. (Kunyanya kushungurudzika kunosanganisira kutapukira kana kuita basa rakaoma.) - IGF-1 kukura hormone: pasi mashoma
Iyi hormone inokurudzira pfupa nemisimba kukura. Kuderera kwakadzika kunobatana nematambudziko ekufunga, pasi pesimba, musimba unoshaya kusagadzikana kwechando. Iyi nhamba inogona kuva chiratidzo cheFMS pane chinangwa.
- Substance P : high levels
Chinhu P ndechekemikari nhume mumutambo wenheyo unobatanidzwa nekunzwa kurwadziwa. Kana uine zvakawanda, uropi hwako hunowana zviratidzo zvakawanda zvekunzwa. Vanhu vane FMS vanogona kusvika kusvika katatu chiyero chinowanikwa mumvura yavo yesipinha. - Kuipa kunorwadza kwemaonero: high activity levels
Zvimwe zvidzidzo uye kuongororwa kweuropi zvinoreva varwere ve fibromyalgia vane basa rakawandisa mune zvikamu zveuropi uye nepakati yenheyo yehurongwa inobata marwadzo.
Vatsvakurudzi vari kushanda kuti vanzwisise kuti izvo zvisiri izvo zvinorevei uye kuti ruzivo urwu runogona kutungamirira sei kurapwa.
Kurara Kusingaperi Kunetseka
Kurara kunokanganisa uye fibromyalgia kuenda uye ruoko, uye dzimwe nyanzvi dzinofungidzira kuvhiringidzika kwekurara kunouya kutanga.
Vanhu vane FMS vane hupamhi kupfuura huwandu hwehutachiona hwemutsipa wemakumbo , chirwere chemazuva chinokonzera kushungurudza (PLMD) uye zvinetso zvekufema zvine chokuita nehope zvakadai sokurara kwepabonde .
Zvimwe zvinetso zvehope zveFMS zvinogona kuenzaniswa nehuwandu hwemagandanga-system makemikari serotonin uye melatonin, iyo inobatsira kuronga kurara-uye-kumuka maitiro.
Mafungiro epfungwa nehupfumi
Maererano nekuongorora, vanhu vane FMS vane mikana yakawanda kudarika vamwe vakatarisana nekushungurudzika mupfungwa uye mumuviri. Izvi zvinoratidza kuti shure-kunetseka kunetseka kwepfungwa (PTSD) kana kusingaperi kushungurudzika kunogona kuita basa rakanyanya mukusimudzirwa kweFMS mune vamwe vanhu.
Uchapupu hunoratidza kuti kushungurudzika uye PTSD chaizvoizvo zvinotungamirira kuchinjuko muuropi, zvichida kubva kune nguva refu kwenguva refu kune mahomoni anokonzera.
Tsvina Dzakaipa
Kunyange zvazvo zvinhu izvi zvisingakwanisi kuongororwa kuhofisi yechiremba kana kliniki, kumwe kutsvakurudza kwakaratidza kuti vanhu vane FMS vane marudzi matatu emisungo isina kunaka:
- Biochemical
Vamwe vane chirwere cheFMS vane uwandu hwehutachiona-masero emakemikari anoita kuti uve nechokwadi chokuti une calcium yakakwana mumisumbu yako. Kana maitiro ari pasi, mishonga inoramba ichibvumirana panzvimbo pokuzorora. - Kurongeka uye kubuda kweropa
Vatsvakurudzi vakawana vanhu vane FMS vane zvikuru masikati capillaries (midziyo miduku yeropa). Izvi zvinogona kureva kuti mishonga yako haina kuwana kukwana ropa rakakwana-oksijeni kana mamwe maitiro aunoda mushutu hwakanaka. - Inoshanda
Nyanzvi hazvizivi kuti sei ichi chiri kungofungidzira kuti kurwadziwa nekudzvinyirira kwechirwere pachako zvinogona kukuvadza misi inoshanda.
# 2 - Secondary Fibromyalgia
Secondary fibromyalgia inoratidzika mushure mekunge kana pamwe nemamwe matambudziko ezvehutano, kazhinji chimwe cheizvi:
- Kukuvadzwa mumuviri, kunyanya kumutsipa
- Ankylosing spondylitis (arthritis inobata musana)
- Surgery
- Chirwere cheLyme (May inotanga FMS kunyange pashure peLyme yave ichirapa)
- Hepatitis C (zvimwe zvidzidzo zvinobatsira panguva iyi)
- Endometriosis
- Mamwe mamiriro ezvinhu anosanganisira senzwi
- Zvimwe zvinokonzera kurwadziwa kusingaperi
Kana pane imwe mamiriro ekushanda, inogona kupa vanachiremba matambudziko chaiwo kana zvasvika pakutsvaga FMS yechipiri. Kutanga, zvinogona kuva zvakaoma kuronga kuti chii chinokonzera zviratidzo zvipi. Chechipiri, FMS inofungidzirwa kuongororwa kwekuregererwa nokuti chero chipi zvacho chinogona kuchinjwa chinofanira kurapwa chiremba asati aongorora.
Kana iwe uchifungidzira uri neFMS pane imwe mamiriro ezvinhu, taura nachiremba wako. Kukurukurirana kwakanaka kazhinji chinhu chinokosha pakubudirira kuongororwa.
> Sources:
> de Zanette SA, et al. BMC pharmacology & toxicology. 2014 Jul 23; 15: 40. Melatonin analgesia inobatanidza nekuvandudzika kwekudzikira kunetseka kwekutambura-modulating system mu fibromyalgia: chikamu chechipiri, randomized, double-dummy, chengetedzwa.