Mu fibromyalgia , chizuru, kusaenzana kwakashata, uye kuwira ndezvokunyunyuta zvinojairika. Kune vamwe vanhu, ivo vanovhiringidzika zvishoma kuti zvinomera pane imwe nguva. Mune vamwe, vanogona kukuvadza zvakanyanya uye kutungamirira kukuvadzwa nguva dzose.
Kuwa, uye kunyanya kuwira kakawanda, inguva yakaoma. Chinhu chekupedzisira chamunoda kana iwe uchitotambudzika nguva dzose ndechokuti uzvikuvadze nguva dzose.
Zvinetso zvinowira pasi kana kuenzanisa zvinogona kutungamirira kune kutya kwekuwa.
Kutya uku kunogona kuita kuti utye kuramba uchingoshanda, kunyange mukati mekukwanisa kwako. Maererano nekuongorora muKliniki Rheumatology, 73 muzana yevanhu vane fibromyalgia vane kutya kuita basa, uye vanenge 75 muzana vane matambudziko nekuenzanisa.
Kuwa hakuna chiratidzo chiduku uye zvimwe zvinoguma zvezviratidzo zvechezzinesi uye urombo husina kunaka. Mumamiriro ezvinhu aya, matambudziko uye kuenzanisa zvinogonawo kuenderana nekuchinja kwatinofamba.
Saka nei fibromyalgia inosanganisira matambudziko aya? Uye chii chatingaita pamusoro pavo?
Fibromyalgia uye Utsi
Mu fibromyalgia, chirwere chinowanzoitika paunotanga kumira. Izvozvo zvakafanana nekunzwa kwe "musoro kumhanya" kubva paunomira nekukurumidza, chete zvinogona kuitika chero nguva yaunobva pakurara pasi kana kugara pasi pakamira. Iko kusvikika kwechimbichimbi kunogona kukuita kuti uende pamakumbo ako, kumhanya-mhanya, kana kunogona kuita kuti iwe uwe kana kupera.
Kutambudzika uye kupera simba mune izvi zvinogona kusungirirwa kune rimwe boka duku, maererano nekuongorora kwe 2017 kwakabudiswa muEuropean Journal of Pain . Mukuwedzera kune chizoro uye kupera simba, chikamu ichi chaivawo nehutachiona hwakakura uye pamwe nezviratidzo zvakasiyana-siyana pamwe nemamiriro ezvinhu akaputika kusanganisira cognitive dysfunction ("fibro fog"), chikafu chinosuruvarisa, chikafu, uye kusagadzikana kwemakumbo syndrome.
Kutsvakurudza kunoratidza kuti chiratidzo ichi chinokonzerwa nekusavhiringidza kwehutongi hwehurumende (ANS), iyo inonzi dysautonomia . IAS inobatanidzwa nemabasa akawanda anokosha mumutumbi wako, kusanganisira kutengesa kwemwoyo, kurwara kweropa, kuputika kwemuviri, kutonhora kwemuviri, metabolism, uye digestion.
Uturu hunokonzerwa neDysautonomia kunogona kunzi hutano husina kuvhiringidzika , hutachiona hwehutano hwakanaka, kana kuti postural orthostatic tachycardia syndrome (POTS). Chaizvoizvo, zvinhu izvi zvinoreva kuti mwoyo neuropi hazvitaurirane zvakanaka.
Chii chinofanira kuitika ndechokuti kana iwe ukasimuka kubva pakureva kana nzvimbo yakagara, anS anowedzera ropa rako kuti urwise kukurira uye kuchengetedza ropa rakakwana muuropi yako. Ne dysautonomia, izvi hazviitiki sezvinofanira. Pane kudaro, ropa rinogona kudonha paunomira, uye mugumisiro uhuzheni kana kuchena-musoro. MuPOTS, mutambo wemwoyo unomhanyisa sezvo ropa rinodonha.
Chizivi chinogona kunge chichibatanidza nemapapiro emwoyo, maonero asina kunaka, kuwedzera kwekupisa, kuora kwemapfupa, uye chirwere chokudarika chinonzi vasovagal syncope.
Haasi munhu wese ane chirwere chinokonzera fibromyalgia chinopera simba, zvakadaro. Mune chidzidzo che2008, vatsvakurudzi vanotaura kuti chirwere chezuru uye mapapita zvaive zvakajairika kudarika kupera.
Vanotaurawo kuti POTS yakanga iri imwe yezviratidzo zvakanyanya kufanana ne-fibromyalgia iyo yaiona panguva yekutsvaga-tafura yekuyera, iyo inofanidza mhinduro yako kune kuchinja munzvimbo.
Kuenzanisa uye Matambudziko Api muFibromyalgia
Kuwedzera kune mukana wekuwa, tsvakurudzo inoratidza kuti vanhu vane fibromyalgia vanofamba zvakasiyana pane vanhu vane utano. Chimwe chekuongorora muna 2009 chakawana kuti inenge 28 muzana yevanhu vane chirwere ichi vane mararamiro asina kunaka (mararamiro ekufamba).
Mune chidzidzo che 2017 chekushanda kwekushanda, vatsvakurudzi vakati mararamiro uye kuenzanisa zvakanga zvisina kuoma mune izvi. Kusiyana kwakaisanganisira:
- kunyanya kupfupika kwemazera
- inononoka kufamba
- nzira iyo muviri unofamba nayo paunenge uchifamba
Vatsvakurudzi vakaona kuti kusava nemafungiro uye kuenzanisa kwakashata zvakanyanya kune vanhu vaiva nekurwadziwa , kusuruvara, kuneta, kuzvidya mwoyo, uye kuora mwoyo. Vakakurudzira kuti vanachiremba vaongorore mararamiro uye mafambiro evarwere vavo vane fibromyalgia kuitira kuti vawane nzira yakanakisisa yokuvandudza nekudzivirira kwekudzivirira kwavari.
Ichi chidzidzo chikamu chemuviri unowedzera wesayenzi mabhuku anoratidza kuenzanisa uye matambudziko emararamiro mumamiriro ezvinhu aya anogona kutungamirira kuwa. Kunyange zvakadaro, kuongorora nekurapa zviratidzo izvi zvingasave zvakakosha kune chiremba wako. Kana ivo vane hanya newe, iva nechokwadi chokuti unovaendesa kumusangano wako unotevera.
Kuderedza Dhimini uye Kuwira Njodzi muFibromyalgia
Kunyanya kubudirira iwe uri kurapa fibromyalgia yako, zvishoma izvi zviratidzo zvinofanira kuva dambudziko. Zvisinei, kana vachida kunyatsoteerera kana iwe wakakundikana kuwana mishonga inobatsira ye fibromyalgia, une maitiro akawanda.
Nokuda kwechizoro kubva kuPOTS, orthostatic hypotension, kana kuti kusavhiringidzika kwepakati, chiremba wako anogona kukwanisa kurapa mishonga inobatsira. Izvi zvinogona kusanganisira SSRI / SNRIs , benzodiazepines uye beta blockers . Mimwe yemishonga iyi inogona kubatsira kuderedza dzimwe zviratidzo zve fibromyalgia, pamwe-SSRIs uye SNRIs zvinowanzogadzirirwa chirwere ichi. Chiremba wako anogonawo kukurudzira mararamiro ekuchinja.
Kana iwe utsi, tsvakurudzo yakabudiswa muRheumatologic inobudisa Joint, Bone, Spine inoratidza kuti kurega kunogona kubatsira kuderedza kupera uye zvimwe zvimwe zviratidzo zve fibromyalgia.
Kana zvasvika pakuenzanisa uye kupera, chirwere chepanyama chinowanzoshandiswa. Iwe unogonawo kuda kubvunza chiremba wako kana chimwe chinhu se yoga , tai chi , kana qigong chakachengeteka kwauri.
Kusvikira iwe uwana nzira dzekuvandudza zviratidzo izvi, inobhadhara kuchenjerera. Zvinhu zvakagadziriswa zvakadai sedhaka kana kufamba-famba zvinogona kukubatsira kuchengeta iwe netsoka dzako. Kurara maitiro kunogona kunge yakachengeteka, uye ivo zvirokwazvo isarudzo iri nani kudarika kusanyanya kushanda kupfuura iwe.
> Sources:
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> Lee SS, Kim SH, Nah SS, et al. Kusvuta kunokonzera kurwadziwa uye zvinoshanda uye zvepfungwa zvinoshandiswa mu fibromyalgia. Joint, bone, musana. 2011 May; 78 (3): 259-65.
> Staud R. Autonomic kusagadzikana mu fibromyalgia syndrome: postural orthostatic tachycardia. Iye zvino rheumatology inoshuma. 2008 Dec; 10 (6): 463-6.
> Russek L, Gardner S, Maguire K, et al. Tsanangudzo yepamuchinjiro inotarisa matsime ekutya-kusangana kwevanhu pakati pevanhu vane fibromyalgia syndrome. Clinical rheumatology. 2015 Jun; 34 (6): 1109-19.
> Watson NF, Buchwalk D, Goldberg J, et al. Neurologic zviratidzo uye zviratidzo mu fibromyalgia. Arthritis uye rheumatism. 2009 Sep; 60 (9): 2839-44.
> Yim YR, Lee KE, Paruwadhi DJ, et al. Kuziva maitiro e fibromyalgia anoshandiswa nekushamba kwemasumbu: hukama nehutachiona. Magazini yeEurope yekurwadziwa. 2017 Feb; 21 (2): 374-384.