Chii chakasiyana?
Fibromyalgia uye myofascial pain syndrome inowanzoenda pamwechete. Nemhaka yekuwanzopfuura uye dzimwe zviratidzo zvakafanana, ivo vanowanzokanganiswa nemamiriro ezvinhu akafanana uye, semugumisiro, vanhu vane mavari dzimwe nguva vanoongororwa chete uye vanorapwa kune rimwe.
Iko ihwo matambudziko chaiwo, nokuda kwezvikonzero zvitatu zvikuru:
- Vanoda kurapwa kwakasiyana
- VaPMS vanotora pfungwa dzinogona kubviswa
- Upfu hweMPS hunogona kuwedzera FMS, uye kuderedza marwadzo ePSM kunogona kudzivisa zviratidzo zveFMS zvakajeka
Zvinowanzonziwo vanhu vane imwe yemamiriro ezvinhu aya kuti vasazivikanwa nemumwe, izvo zvinotungamirira kune kurapa kwakashata.
Vamwe vatsvakurudzi vanoshandisa zita rokuti " chronic myofascial pain " (CMP) panzvimbo yemyofascial pain syndrome nekuda kwehupatidzo iyo chirwere, kwete chirwere. (A "syndrome" inongoratidzwa zviratidzo zvisingazivikanwe chikonzero.)
Overview
MuPMS, masumbu uye maitiro anobatana (izvo zvinoumba fascia) kukura izvo zvinonzi chegger point (TrP). Izvo hazvisi zvakafanana neFMS mapepa mapepa.
Chinhu chinokonzera chiduku chiduku chiduku, icho iwe unogona dzimwe nguva kunzwa pasi peganda rako. Iko pachayo inogona kuva inorwadza, kunyanya kana yakagadzirwa, asi inowanzokonzera marwadzo kune imwe nzvimbo, inonzi kunorwadziwa kunorwadza.
Trigger inotarisa inowanzoita mushure mokunge maronda akakuvara uye, nokuda kwechimwe chikonzero, haapore zvakanaka.
Nyanzvi haazive kuti sei kukanganisa kunoporesa kazhinji kuvanhu vazhinji kunokonzera TPP mune vamwe. Zvisinei, zvidzidzo zvinoratidza kuti kukuvadzwa kwemishumo kune vamwe vanhu kunotungamirira kune kusagadzikana apo masero emagetsi anonamatira kumasero masero. Izvi zvinoratidza kuti MPS inorwara neuromuscular.
Association
Chikonzero nei vanhu vane MPS vachiwanzogadzira FMS zvisati zvajeka, asi humwe huri huri huno huchapupu hunoratidza kuti, mune vamwe vanhu, kurwadziwa kusingaperi kunogona kuchinja kuhutachiona hwehutano hwehutano, hunoita hukuru hwekusimudzira .
Kana mafungiro akarurama, kurapwa kwekutanga kweMPS kunogona kubatsira kudzivirira FMS.
Izwi remaambura rinowanzobuda reFMS, MPS, uye mamwe mamiriro ezvinhu anosanganisira kusimbisa hukuru hukuru hwekunzwisisika syndromes .
Zviratidzo
Zvimwe zviratidzo zvinosangana nePMS zvakafanana nezviratidzo zvinosangana neFMS, asi vamwe vanobatanidzwa kune imwe chete.
Zviratidzo zvavari pamwe zvinosanganisira:
- Utano hwakanyanyisa hunobva kubva kune unyoro kusvika kune wakaoma
- Musoro wemusoro uye / kana migraines
- Kurara kunetseka
- Kuenzanisa matambudziko uye / kana chirwere
- Tinnitus (kurira munzeve) uye kurwadziwa kwe nzeve
- Matambudziko ekuyeuka
- Kusatsanangurwa kusuruvara
- Zviratidzo zvinokonzera nemhaka yekuzvidya mwoyo, kuchinja / kudarika mumamiriro ekunze, uye kuita basa
Zviratidzo zvinosangana nePMS asi kwete neFMS zvinosanganisira:
- Unhu mumagumo
- Popping kana kudhonza majoints
- Chikamu chiduku chekufamba muzvibatanidza , kunyanya musaya
- Kudzokorodzwa kana kusvibiswa
- Ndisina kufungidzirwa
Zviratidzo zvinosangana neFMS asi kwete nePMS zvinosanganisira:
- Kuneta
- Kutyisa kunorwisa
- Kunzwa kushungurudzika nekuda kwekunzwa kunonoka
- Kurwisana nekunzwa
- Periodic kuvhiringidzika uye kuora mwoyo
Kune dzimwe zviratidzo zve fibromyalgia, ona The Monster List ye Fibromyalgia Symptoms .
Kuziva
Utano hwakanyanya hunoita hunoita kuti MPS isanyanya kunyanya kuongorora nekurapa. Kazhinji, chiremba anoti, "Rinokuvadza kupi?" uye ipapo unotarisa kwaunofunga.
Kuchengeta MPS, iwe uye chiremba wako unoda kuongorora zviratidzo zvako uye uone kuti chii chinotora pfungwa dzako.
Chiremba wako anogona kuwana tsananguro dzehutano kuburikidza kana kunzwa zvichibva pane zviratidzo. Miedzo yakadai semagnetic resonance elastography uye biopsy yemaviri inogona kuratidza kusagadzikana muTP, asi mabasa avo mukuona kuti MPS haisi pachena.
Kusiyana neizvi, hapana muedzo kana kupenya kunoratidza kusagadzikana mumatumbu apo vanhu vane FMS vanonzwa marwadzo.
Mishonga
Iwe une nzira dzakasiyana-siyana dzokurapa MPS:
- Trigger-Point Injections: Chiremba anoisa nenyuchi zvakananga kuTrP kana munzvimbo dzakasiyana-siyana pedo naro kuti asunungure mapoka ematare. Chiremba anogona kuvhara mishonga inoremedza kurwadza, yakadai se corticosteroids kana lidocaine. (Cherechedza: vamwe vanachiremba vanotenda kuti corticosteroids inogona kuwedzera zviratidzo zve fibromyalgia.) Kana pasina mishonga inoshandiswa, inonzi yakaoma inoshaya.
- Kugadziriswa : Kuchengetwa kwechiShona chiChinese chekare chinodzidzira zvakafanana nechecheche inoshayiwa. Apo zvidzidzo zvekushandiswa kwayo muPMS zvishoma ivo vari kuvimbisa, uye varwere vazhinji nevarapi vanorondedzera zvibereko zvakanaka.
- Kurapa Kwepanyama: Chirwere chinonzi "spray-and-stretch" chinowanzoshandiswa pakurapa MPS. Chiremba wepanyama anokutungamirira kuburikidza nekudzivirira maitiro apo uchitsvaira chinhu chinoshaya pamusana wako. Murapi angashandisawo dzimwe nzira dzokushambadzira kuti usununguke mishonga yako neTrPs. Mukuwedzera, mumwe mushonga anogona kushanda newe pane zvimwe zvinhu zvakadai sekusava nekusimudza mafungiro angaita kuti MPS iite.
- Mishonga: Mishonga inowanzobatanidzwa yeMPS inosanganisira mishonga isingashandisi zvinodhaka (NSAIDs) yakadai seAleve (naproxen) kana ibuprofen-based drug like Advil naMotrin, uye tricyclic zvinodhaka zvakadai seamitriptyline, doxepin, uye nortriptyline.
Mishonga yeMPS vs. Matanho eFMS
Panozve, pane zvimwe zvinobatana asiwo zvinokosha zvakasiyana. Mishonga inoshandiswa kune vose MPS neFMS inosanganisira:
- Acupuncture
- Physcial therapy (kunyange mune maitiro akasiyana)
- Tricyclic antidepressants (kunyange SSRI / SNRI zvinodzvinyirira zviri kuwedzera kune FMS)
Zvidzidzo zvinoratidza hutachiona-hutachiona majekiseni hahubudiriri pakubvumira fromromiagia fibroyalgia mapepa, uye NSAID hadzisi kushanda mukurapa marwadzo eFMS.
Nyanzvi dzakawanda dze fibromyalgia dzinokurudzira nzira dzakasiyana-siyana dzokurapa.
Kutsungirira
Nekusiyana kukuru kwezviratidzo, kuongororwa uye kurapwa, zvakajeka kuti fibromyalgia uye myofascial pain syndrome haisi mamiriro akafanana. Zvisinei, zvinogona kuva zvakaoma zvikuru kuziva kuti chii chinokonzera marwadzo apo munhu ane zvose.
Nokushanda zvose uri iwe pachako uye nachiremba wako uye / kana mupfupa wepanyama, unogona kukwanisa kuziva kuti iwe wakatanga hupi hupi uye kuti zvakanakisisa sei kuvabata pasina kuwedzera fibromyalgia yako. Kununura marwadzo emyofascial zvinogona kunyaradza zviratidzo zvako zve fibromyalgia, saka unogona kuona zvakapetwa kaviri.
Sources:
Clinical Biomechanics. 2008 Jun; 23 (5): 623-9. Epub 2008 Feb 21. "Simba re magnetic resonance elastography kuongorora zvikwata zvematare."
Schmerz. 2003 Dec; 17 (6): 419-24. "Kuongororwa uye kurapa kwemyofascial trigger points."