Chiratidzo Chinowanzobatanidzwa neFibromyalgia
Fibromyalgia chirwere chisingaperi chisingabatanidzi chinosanganisira kupararira musculoskeletal aches uye marwadzo - zvikurukuru yemasumbu , tete, uye maitiro anobatana. Iko dzimwe nguva kunonzi muscular rheumatism kana rheumatic syndrome. Kusiyana nedzimwe mhando dzeArthritis uye rheumatic conditions , fibromyalgia haina kubatana nekubatana kwekubatana kana kubatana kwekubatana.
Kuongororwa kwe fibromyalgia kunogona kusanganisira kuongorora kwemuviri kune zvinyorwa zvinyoro. Sezvo nguva dzose maitiro e laboratori haaone fibromyalgia, hutete hunove huri chikamu chekuongorora chirwere. Ndezvipi zvinyorwa zvorudo?
Kuongororwa Fibromyalgia
Maererano nenzira yekuongororwa ye fibromyalgia (yakabva paAmerican College yeRheumatology Diagnostic Criteria yeRheumatology 1990), murwere anofanira kuva:
- kupararira kwakapararira mumativi ose mana emuviri kwemwedzi mitatu
- zvimwe zvikamu gumi nematanhatu zvepakati gumi nematanhatu zvakashata zvishoma
Tender mapepa inonyanya nzvimbo panzvimbo yemuviri (18 mapepa anonyanya kuitika munharaunda gumi nematanhatu) ayo anonyanya kutarisa kumubata (digital palpation) pakuongororwa nachiremba. Aya mapfumbamwe ematunhu anokwana mairi:
- Low Cervical Region: (front neck neck area) panzvimbo yepakati pezvikamu zvepakati pezvinotenderera zveC5-C7.
- Rubhu rweChipiri: (pamberi pebhokisi nzvimbo) pamisangano yechipiri inodhura.
- Occiput: (kumashure kwemutsipa) pane suboccipital muscle insertions.
- Trapezius Muscle : (mushure wepafudzi remukati) mukati mepakati pepamusoro.
- Supraspinatus Muscle: (fudzi repafudzi) kumusoro kwemuganhu wepakati wemusana.
- Pakupedzisira Epicondyle: (elbow area) 2 cm distal kusvika pane epicondyle lateral.
- Kubwinya: (kumucheto kwemashure) kumusoro kwepamusoro quadrant yemabako.
- Greater Trochanter: ( kuruka shure) shure kwechirongwa chikuru chekudarika.
- Knee: (nzvimbo yebvi) panzvimbo yemafuta yepakati yakanyanyisa kusvika kune imwe mutsara.
Neine digital palpation, murwere anobvunzwa kana palpation inorwadza. Mhinduro ye "hongu" kubva kumurwere ndiyo chete inopindurwa inofadza. Kunze kweropa palpation, nyanzvi yekuongorora nyuchi inogona kuitwa ne dolorimetry (chiridzwa chinoshandiswa kuongorora kushungurudzika kwekutambudzika).
Muna 2010, zvisinei, American College of Rheumatology yakaronga nzira yekuvandudza fibromyalgia. Aya maitiro anotsanangurwa anongoratidzira anoratidza kuti nyanzvi yepamusoro yekuongorora inofanira kubviswa mukuda kwekusanganiswa kweWPI (yakazara marwadzo index) uye SS (kukurira kwechiratidzo chezviratidzo). Pakanga pane matambudziko ehupenyu nehutano hunova hutachiona hwehutumbromyalgia kuongororwa. Zvechokwadi, inoda unyanzvi hwokuita nhepfenyuro yepamusoro nyanzvi zvakanaka. Uyewo, nyanzvi yekuongorora nyanzvi yakanga isingakoshi pakuongorora kubudirira kwerapa. Vamwe vanachiremba vakarega hutori hunoongorora uye vakanyatsoteerera kune zvimwe zviratidzo (semuenzaniso, matambudziko ekurara, kukanganwa, kufungisisa kwepfungwa, uye kuderera kwemuviri wehupenyu maererano nezvinoitwa zvezuva nezuva). Zvidzidzo zvidzidzo zvakaratidza kuti nzira yakarongedzwa yakakwanisa kuziva 88% yevigromyalgia varwere vakasangana nevakuru veAmerican College yeRheumatology chirongwa chekuongorora hutabromyalgia.
- Quiz: Unogona Here Kuva neFibromyalgia?
Tender Points uye Matambudziko Akutonga - Ndizvo Zvakadaro Here?
Tender mapeji uye pfungwa dzekutora mazwi maviri anowanzoshandiswa zvakasiyana-siyana - asi anofanana here? Trigger pfungwa dzinofananidzira zvipfeko zvinoputika mumatavi ematanda (maitiro emasikironi) anobatanidzwa nemuenzaniso wekutambudzika. Kune rumwe rutivi, ruzivo rwepfundo ndidzo dzounyoro hunoitika musumbu, musumbu-tendon connection, bursa, kana mafuta pad. Mafungiro emhando dzakasiyana-siyana zvinowanikwa paanobatanidzwa ne fibromyalgia. Trigger points inowanzo muitiro wakavharidzirwa uye kazhinji inobatanidza ne myofascial pain syndrome .
Zvinogona kuti zvose zviitike pamwechete.
Sources:
American College yeRheumatology Preliminary Diagnostic Criteria for Fibromyalgia uye Kuyera kwechiratidzo Chiremera. Wolfe F. et al. Arthritis Care and Research. May 2010.
https://www.rheumatology.org/Portals/0/Files/2010_Preliminary_Diagnostic_Criteria.pdf
Fibromyalgia. Nzira Yokuita Tender Point Ongororo. Peji 740. Kelley's Textbook yeRheumatology. Ninth Edition. Elsevier. Yakasvika 11/27/2015.
Fibromyalgia, Joseph J. Biundo, MD. The Merck Manual, February 2013.
http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/bursa-muscle-and-tendon-disorders/fibromyalgia
IFibromyalgia Tender Points.Uvashandise Kuti Vasiye? Kukurukurwa kwenguva pfupi kwepikisano. Harth naNielson. Journal of Rheumatology.
https://jrheum.com/subscribers/07/05/914.html
Trigger mapepa uye mapepa mapepa: rimwe chete? Ko kurapa kwejojo kunobatsira here? Borg-Stein J. et al. Rheumatic Disease Makliniki eNorth America. May 1996.
http://www.ncbi.nlm.nih.gov/pubmed/8860801