Zvakakosha kuti nhamba yakawanda yevanhu vanosvika mamiriyoni 27 vane hypothyroidism vanopedzisira vava kuonekwa ne fibromyalgia. Zvose zviri zviviri zvinosanganisira zviratidzo zvakawanda zvakafanana, kusanganisira kuneta, kupera, kuora mwoyo, utsi hwehuropi , uye utachiona hwakasiyana-siyana hwehutundu uye hutano hwekubatana .
Dzimwe nyanzvi dzinofunga kuti iyo yakafanana nemafungiro e hypothyroidism muUnited States, fibromyalgia ihwowo chirwere chisingagadziriswi.
Vamwe vanoti chechi yezviratidzo zve fibromyalgia zviripo zviratidzo zve hypothyroidism pachayo. Asi hapana mubvunzo kuti kune zvakawanda zvekupfuura-kati kwemamiriro maviri aya.
Kunzwisisa Fibromyalgia
Fibromyalgia inowanzonzi fibromyalgia syndrome (FMS), fibromyositis, fibrositis, uye myofibrositis. Fibromyalgia inoratidzwa nehutachiona hwakapararira uye kurwadziwa kwemisimba uye unyoro, kuneta, uye kuneta pashure pokurara uye mushure mokunge iwe uchinge washanda.
Fibromyalgia inokanganisa vakawanda sevanhu vane mamiriyoni 8 muUnited States, inowanzoitika kuvakadzi vezera rokurera. Nenzira yakawanda, fibromyalgia inorova vakadzi kanomwe kakawanda kupfuura varume.Symptoms inowanzobuda pakati pemakore 20 kusvika ku55, asi mamiriro acho ezvinhu anogonawo kuonekwa muhuduku. Pakati pevanhu vose, inofungidzirwa kuti vakawanda kusvika 3 kusvika ku6 muzana yevanhu vazhinji, kusanganisira vana, vanosangana nemirairo yepamutemo yehutano hunozivikanwa hwe fibromyalgia.
Izvi zvaizoita kuti fibromyalgia iwirire kaviri yakawanda seyerumatoid arthritis .
Fibromyalgia Symptoms
Zviratidzo zve fibromyalgia zvinosanganisira:
- Kunzwa marwadzo , kupisa, kupera, uye kuora mumuviri
- Musoro wemusoro, unyoro hwepachipfuva, kurwadziwa mushure mehenya
- Marwadzo mumutsipa, mafudzi, mapepa nemaputi
- Huru muhudyu, kumusoro kwezvigaro, kunze kwechiuno chepasi, pasi pemakumbo, uye mapepa
- Pain mumabvi uye munzvimbo ye kneecap
- Kuneta, kusazorodza , kuramba wakaneta, kuoma kwemangwanani
- Kushushikana, kugara achisimuka, kuoma kunowira vavete, kana kurara hope pakarepo
- Raynaud's phenomenon (apo maoko ako anonzwa achidziya, asina simba, kana kuti akachinja bhuruu, paanenge aiswa kuchinji chekushisa)
- Inosuruvarisa bowel syndrome, chirwere, kuvhara, kubvongodza, kupwanya
Kuongororwa kweFibromyalgia
Chirwere chekuongorora chinogadziriswa uchishandisa musangano mukuru weAmerican College weRheumatology inogadziriswa ye fibromyalgia:
____ Zvinorwadza zvakapararira kwemwedzi mitatu. Nhamo inofanira kuva kune rumwe rutivi rworuboshwe rwemuviri uye kurutivi rworudyi, uye marwadzo kumusoro uye pasi pechiuno. Cervical spine, anterior chifu, thoracic musana kana kurwadziwa kwepamusoro kunofanira kuvapo zvakare.
Kunyanya, kurwadziwa mune zvikamu gumi nezvitanhatu zvepakati gumi nematanhatu zvakashata zvemashoko , izvo zvinosanganisira:
____ Nzvimbo iyo mitsipa yemutsipa yakabatana nechepasi pehenya, kuruboshwe uye kurudyi makumbo (Occiput)
____ Midway pakati pemutsipa nepfudzi, kuruboshwe uye kurudyi makumbo (Trapezius)
____ Masamu kumucheto kuruboshwe uye kurudyi kumusoro kwebandauko remakumbo, kuruboshwe uye kurudyi makumbo (Supraspinatus)
____ 2 masentimita pasi pepfupa remakona pamakona ari kuruboshwe uye kuruoko rworudyi (Lateral epicondyle)
____ Kubva kuruboshwe uye kurudyi kumakumbo okunze (Gluteal)
____ Mashepa ari kuruboshwe uye akarurama (Greater trochanter)
____ Pamusoro pekumusoro uye kumabvi ekurudyi mukati
____ Mutsipa wakadzika mberi, kuruboshwe uye kurudyi (kumucheto wechidiki)
____ Kuputika kwepamusoro kwepfupa pfupa, kuruboshwe uye kurudyi (nharo yechipiri)
Fibromyalgia uye kusagadzikana kusingaperi muongorori Jacob Teitelbaum , MD, munyori weKubva Akanetseka kuenda kuAngarangariro , anotora tsanangudzo yakawanda. Anofunga kuti kana mumwe munhu akafananidza tsanangudzo ye fibromyalgia, nezviratidzo zvinosanganisira kusanzwisiswa kusina kutsanangurwa, pamwe chete nemiratidzo miviri kubva muhupombwe hweuropi, kuvhiringidzika kwehope, nyota yakawanda, kushaya muviri, uye / kana zvirwere zvinoramba zvichiitika kana zvekare kana manzwiro akafanana nemafungu, zvino chirwere chinotaridzika chinofanirwa kufungidzirwa.
The Hypothalamic Connection
Dr. Teitelbaum anotenda kuti pamucheto wehutachiona husina kunaka uye fibromyalgia inetso nekusava nekushanda kana kubviswa kwetenzi gland muuropi inonzi hypothalamus.
Anoti Dr. Teitelbaum ...
Iyi gland inodzora kurara, yako hormonal system, mutemo wekushisa, uye urongwa hwehutongi hwezvokudzivirira (semuenzaniso - ropa, ropa, uye kufamba kwezvokudya kuburikidza nemuviri wako). Ichi ndicho chikonzero iwe usingakwanisi kurara, iwe unenge usisina kutonhora, iwe unorema, uye (nokuti urombo husina kunaka hunoita kuti hutachiona huve nehutachiona) iwe unowanzoita kune dzakawanda uye zvirwere zvekare. Izvo zvinokonzera kusagadzikana pachako zvinogona kukonzera, zvichiita kuti zviratidzo zvizhinji zvivepo! Ndinofungidzira kuti zvinetso ne "energy furnaces" mumasero ako (anonzi mitochondria) kazhinji zvinokonzera kuderedza ropa.
The Thyroid Connection and T3
Kana iwe uri murwere wehutano ane zviratidzo uye zviratidzo zve fibromyalgia, iwe unofanira kufungidzira kuongororwa nemuongorori ane unyanzvi mumamiriro acho ezvinhu, ingave iyo yose yakakwana kana MD inobatanidza, internist kana rheumatologist.
Uye, kana iwe uri murwere we fibromyalgia, zvakakoshawo kukuchera zvakadzama kuti uone kana iwe une dambudziko reyerosi rinotangira iyo inogona kunge iri kuwedzera-kana kutoita-zviratidzo zvako zve fibromyalgia.
Vanhu vanowanzova nehutachiona hweTroid kuongorora kana vane utachiona hwehutachiona, asi nyanzvi yekupedzisira ye fibromyalgia Dr. John Lowe, uyo akatungamirira Fibromyalgia Research Foundation ndokunyora The Metabolic Treatment of Fibromyalgia , akabvunza zvaanodana mana " . "
- Chikonzero bedzi che utachiona husina simba zviratidzo zviratidzo zvinonzi hypothyroidism
- chete varwere vane hypothyroidism "maererano nehutano huno" inofanira kubvumirwa kushandisa utachiona hwehomoni
- the hypothyroid patient anofanira kungobvumirwa kushandisa T4 (levothyroxine) uye
- chirwere chemurwere hachifaniri kukanganisa utachiona hunokurudzira hormone (TSH).
Dr. Lowe aifanira kupikisa pfungwa idzi dzepfungwa sechikamu chekuedza kwake kwenguva refu kuti adzidze zvakawanda nezvehutachiona husingagadziriswi fibromyalgia. Chigumisiro chaive chirongwa chekurapa kubva pane zvaakawana kuti zviratidzo zvisina kugadziriswa zvine chokuita nekubata hypothyroidism uye fibromyalgia zviripo uchapupu hwekusatorwa kana kutapurirwa hypothyroidism , kana kuti kusarura kushandiswa kwemasero kumhomoni yekemikari.
Chimwe chinhu chakasiyana nedzidziso yaDrwe's theory ndechokuziva kwake kuti murwere ane kushandiswa kwemasero anogona kunge akazara zvakakwana kutenderera utachiona hwehomoni asi ane zviratidzo uye zviratidzo zve hypothyroidism. Asi akawana, zvisinei, kubva pakukurukurirana kwake nemamwe vatsvakurudzi ve fibromyalgia / CFS, avo vakawanda vasingazivi nzira dzakadaro dzinogona. Akati:
Kwavari, kana murwere ane chirwere chechidiki cheTSH , uye kunyanya kana zvirwere zvemuurwere zvisingafadzi nekugadzirisa dhiyo yeT4 (levothyroxine), chirwere chake hachigoni kuwirirana nenzira ipi neipi yehomoni yeHroid. Ongororo yekutsvaga yesayenzi, zvisinei, yakaratidza kutenda uku kuva kwenhema.
Kana uine autoimmune hypothyroidism , hazvina kufanana kukura zviratidzo zvekare zve fibromyalgia zvakadai sekurwadziwa kwemasumbu / majoka, aches, uye kuvhiringidzika kwehope. Maererano naDr. Lowe, vanachiremba vanowanzowanzoona zviratidzo zvitsva kana zvakashata sehumwe uchapupu hwokuti pane imwezve mamiriro ezvinhu akadai se fibromyalgia kuwedzera kune chinetso chetachiona chisingatauriki . Dr. Lowe, zvisinei, akashandura icho icho sehuchapupu hwokuti murwere akanga ari kuratidza uchapupu hwehutsika hwe hypothyroidism :
Sezvo utachiona hwehutori hwehutachiona hwuchiwedzera, huwandu hwemasukisi hunobatanidzwa uye kuoma kwezviitiko zvinoguma zvinowedzera. Murwere anowanzoona kushayikwa kwekuwedzera sekuwedzera kwenhamba yezviratidzo zvekuoma kwakanyanya. Muzviitiko zvakawanda, varwere vakadaro vanongoda kuwedzerwa chirwere chakakwana kana utachiona hwetachiona kuti uwane zviratidzo zvose.
Dr. Lowe aidavira kuti kuomerera kwakasimba kune izvo zvinonzi "mararamiro akaenzana" hazviratidze kana murwere ane zvakakwana kutenderera T3 (iyo inoshandiswa nehutorio hormone pamasero emasero, iyo inobudiswa muchikamu chetachiona, uye chikamu nekushandurwa yeT4 hormone kusvika kuT3) kuchengetedza chimiro chemasabolism mumasero. Kutsvakurudza kwake kwakaratidza kuti kuchengeteka asi kuchengetedzeka kwaiwanzobudirira pakugadzirisa matambudziko ehutano akabatanidzwa ayo ane hanya zvikuru. T4 kusvika kuT3 kutendeuka kunogona kukanganisa, saka chokwadi chokuti murwere ane chimiro chechidimbu cheTSH hachirevi kuti mishonga yake yemetabolism inowanzoitika.
Maererano naDr. Lowe, rumwe ruongorori rwakaratidza kuti kuchinjwa kwemasero ehomoni, masero anochengetedza TSH mukati mehutano hwakanaka, anorayira varwere 'high cholesterol' zvinyoro zvishoma, asi TSH-suppressive dosages yakaderedza mazinga zvakanyanya.
Vakawanda vakaparidzirwa nhepfenyuro uye zvidzidzo zvedu zvinoratidza kuti tish level haigoni kuwirirana nekuedzwa kwakasiyana-siyana kwemashuga metabolism. Dr. Lowe anofunga kuti izvi zvinokosha nokuti kuita mishonga yemasabolism inofanirwa kuve iyo chinangwa chemishonga yose ne hypothyroid varwere. Apo iyo hypothyroid murwere inongorongerwa kuyerwa kweT4 iyo inochengetedza TSH mukati mehutano hwakanaka , kuongororwa kunobudisa uchapupu hwekusagadzikana kwemasababolism mumatanda akawanda.
Vamwe vatsvakurudzi vanoderedza utachiona hwemaprojoni panzvimbo iyo inogona kurapa zvirwere zve fibromyalgia kana CFS. Maererano naDr. Lowe, zvakadaro, "kushandurwa" sezvinotsanangurwa nevanotsvakurudza havawanzoshanda nokuti kushandiswa kunoreva kushandiswa kweT4 chete kuchengetedza TSH mukati memazera ose . Aifunga kuti zvakanga zvisina kukwana kuti vasunungure vakawanda vanorwara nehana yezvirwere.
Akatendawo kuti kufunga kuti kuchinja kwemaitiro eT4 ndiyo chete nzira inogamuchirwa inotadzisa vamwe vatsvakurudzi kuti vaone chinokonzera varwere vakawanda ve fibromyalgia vakanga vasingakwanisi kugadzirisa utachiona hwehutori hwemashupu. Dr. Lowed anotenda kuti kusanganiswa kweT4 uye T3 kazhinji kunoshanda zviri nani kudarika T4 chete ne hypothyroid varwere , uye mune dzimwe nguva T3 oga akashanda zvakanaka. Dr. Lowe akawana kuti apo hypothyroid varwere vaibatwa neT4 kutanga, zvishoma nezvishoma kuwedzera muyero, kana iyo isina kupa zvipo zvakawanda kana chero zvachose, varwere vakashandurwa kuT3.
T4 ndoga isarudzo yakashata kune vakawanda hypothyroid fibromyalgia varwere, uye hazvina maturo kuvarwere ve fibromyalgia vane masero ekuchengetedzwa kwehomoni yehomoni. Vazhinji vevarwere, vanoita inenge 44 kubva muzana yehutano hwehutano hwemagetsi maererano nekudzidza kwedu, inobatsira chete kubva kumadhora makuru eT3. Ndivo vashomanana ve hypothyroid fibromyalgia varwere vanogadziriswa zvakajeka nekushandiswa kweT4 voga.
Shoko kubva
Kana uine hypothyroidism ane zviratidzo zvinoratidza kuti fibromyalgia, kana iwe une fibromyalgia, ungada kufunga kuona chiremba ane unyanzvi mumamiriro ose maviri, uyo anovaona seine humwe hutano huripo. Chinhu chakanaka chokutanga chekuwana muchengeti akarurama pane mawebsite eZimbabwe Fibromyalgia Association uye National Fibromyalgia & Chronic Pain Association
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> Lowe, John. "Mishonga yeMetabolic yeFibromyalgia." McDowell Publishing Company; 2000.
> Nishioka K, et al. "Kupararira kwakanyanya kwekunopesana neTSH receptor antibody mu fibromyalgia syndrome." Int J Rheum Dis. 2017 Jun; 20 (6): 685-690. doi: 10.1111 / 1756-185X.12964. Epub 2016 Nov 30.
> Selmi C et al. "Musangano wegore re2013 ACR: ziso reziso rinoona autoimmunity muna 2015." Autoimmun Rev. 2015 Jul; 14 (7): 622-32. doi: 10.1016 / j.autrev.2015.03.003. Epub 2015