Kurwara Kusingaperi Syndrome vs. Fibromyalgia: Chii chakasiyana?

Apples to Apples, or Apples to Oranges?

Chii chakasiyana? Nyaya yekusagadzikana kwehutano syndrome vs. vs. fibromyalgia inobata vanhu vazhinji, kusanganisira vanachiremba, vanhu vane dambudziko iri, uye mhuri neshamwari dzinovatarisira.

Vamwe vanachiremba vanotora fibromyalgia (inonziwo fibromyalgia syndrome, kana FMS) uye isingaverengeki fatigue syndrome (CFS, iyo inonziwo myalgic encephalomyelitis, kana ME / CFS ) zvakasiyana, asi vamwe vanofunga kuti chaizvoizvo chirwere chimwechete-kana, zvichida, kuchinja kwayo .

Maererano neArthritis Foundation, tsvakurudzo inoratidza kuti pakati pe50 ne70 muzana yevanhu vane chirwere chimwe chete vanofanirwawo nechinangwa cheimwe. Izvozvo zvingave zvakakonzerwa nezvikonzero zvishoma:

1. kufanana kwavo
2. chinhu chikuru pakati pavo (kureva vanhu vane zvinhu zvose zviri zviviri)
3. kushayikwa kwekutsvaga kuongororwa ropa kana zviyero zvekuzviongorora

Heino tarisa kuenzana nekusiyana kwezvirwere izvi zviviri.

Kufanana: Zviratidzo

FMS uye ME / CFS dzinozivikanwa kuva nezvimwe zviratidzo zvinowirirana. Dzinosanganisira:

• kuneta
• chisingagumi marwadzo akapararira
• asingabatsiri kurara
• kugadzirisa (kufunga uye kufunga) kana zvinetso zvekuyeuka
• dhimoni uye kusaremara kubatana (kushambadza kwakasimba)

Zvizhinji zviratidzo zvinokonzera zvinofanana, zvakare, zvakadai se:

• kushungurudzika (mumuviri kana mupfungwa)
• kuipa
• acute chirwere
• kunyanya-kudarika-nguva dzose
• kushingaira

Izvo zvinosanganiswawo nezvimwe zvinhu zvakafanana zvinowirirana, kusanganisira:

• kuzvidya mwoyo uye / kana kuora mwoyo
• kunotsamwisa zvirwere zvehutachiona zvirwere (zvakadai sokubvisa, chirwere, uye / kana kubatwa)
• chronic headaches
• temporomandibular joint syndrome (TMJ)

Sei zvakafanana? Dzidziso yakakosha ndiyo inowanikwa pasi payo. Mutungamiri pakati pevaya ndiko kukanganisa kwemakemikari akawanda anonzi neurotransmitters .

Kwemakore, vatsvakurudzi vakauya nemhando dzakasiyana-siyana dzeFMS, ME / CFS, uye mamiriro akafanana, akadai soshanda se somatic syndromes, zvirwere zvakawanda zvezvirwere, neuroimmune disorders, uye neuroendocrineimmune matambudziko.

Munguva pfupi ichangopfuura, rimwe shoko rinowanikwa uye rinoratidzika kuti riri nyore nyore kugamuchirwa nehutano hwehutano i " central sensitivity syndrome ," kana CSS.

ICSS ine chinhu chinokosha pakufanana-iyo yose inobatanidza hurumende dzenheyo dzakagadzikana zvikuru kune zvimwe zvinhu. Zvichienderana nemamiriro acho ezvinhu, vangave vane hanya kugunzva , kutonhora , zvimwe zvokudya, makemikari / kunhuhwira , ruzha, chiedza , uye zvimwe zvezvakatipoteredza. Zvose izvi zvinoputika zviri pamusoro apa zvinowira pasi peshoko iri remuraira, sezvinoita vamwe vanoverengeka.

Kusiyana: Zviratidzo

Kusiyana kwezviratidzo kune dzimwe nguva kune imwe nyaya yepamusoro pane kuparadzana zvakakwana. Semuenzaniso, chiratidzo chakanyanya muna ME / CFS ndechokuneta, asi chiratidzo chikuru cheFMS chinorwadza. Zvisinei, zvose izvi zvinogona kusanganisira zvose kuneta uye kurwadziwa.

ME / CFS inonyanya kusungirirwa zviratidzo zvakadai semaperembudzi, kusanganisira:

• huro inorwadza
• kubvunda glands
• kazhinji pasi-gwara fever

FMS nguva dzose inosanganisira kurwadziwa, kusanganisira hyperalgesia (kurwadziwa kwakanyanya) uye dzimwe nguva tactile allodynia (marwadzo kubva pachiedza).

Zviitiko zvakawanda zve ME / CFS zvinosanganisira imwe kana kuti zvose zvemhando idzi dzemarwadzo, zvakare. Zvisinei, FMS inosanganisira mamwe marwadzo asina kufanira mu ME / CFS.

Zvose zviri zviviri zvinosanganisira kunyanya kuitika pakuedza, asi izvi zvinowanikwa zvakanyanya muna ME / CFS uye inonzi post-exertional malaise .

Kunyange zvazvo mamiriro maviri aya ane zviitiko zvakawanda zvinopesana, FMS inobatanidza nehutano hwemamiriro ezvinhu uye matambudziko ekurara asingaoneki akabatanidzwa ne ME / CFS.

Kufananidza: Kurapa

Nezviratidzo zvakadai zvakafanana uye chimwe chinhu chakanyanya kufanana, hazvifaniri kushamiswa kuti FMS ne ME / CFS dzinowanzobatwa nenzira imwechete.

Somuenzaniso, vanachiremba vanowanzopa mishonga imwechete kwavari, kusanganisira:

• SSRI / SNRI zvinodzvinyirira
• tricyclic antidepressants
• mishonga yekurara
• mishonga inouraya muurayi

Mamwe marudzi emishonga inogona kukurudzirwa zvose izvi zvinosanganisira:

• acupuncture
• kukanganisa maitiro therapy (iyo inonyanya kukakavara nokuda kwe ME / CFS )
• kunyorera kana mamwe maitiro emagetsi

Kusiyanisa: Kurapa

Zvakare, kusiyana hakusi kwakanyanyisa kana pane zvekurapa.

MuFMS, kurapwa kunowedzera kuisa pfungwa pakununurwa kunorwadza. Mune MES / CFS, inowedzera kunyanya kuratidzira kutora. Zvisinei, inowanzova yemishonga imwechete uye mamwe marapirwo anobatsira nezvose izvi zviratidzo.

Chimwe chikuru chakasiyana ndechokuti vamwe vanachiremba vanotenda ME / CFS yakasungirwa kune mamwe mavharusi, uye inogona kupa mishonga yemishonga inorwisa maitiro. Izvi zvakasiyana nehutongi, asi, sezvo vazhinji vanachiremba vasingagutsikana nehutachiona hwechikamu.

Kufanana: Kuziva

Nzira iyo mitemo iyi inowanikwa kune imwe kufanana. Vose vari vaviri vanoongororwa kusunungurwa , izvo zvinoreva kuti havana hutachiona hwekuongororwa kwevanhu vauya kutarisira.

Hapana kuongorora ropa kana kuverenga kunogona kukuudza kana iwe (kana kuti usingaiti) uine FMS kana ME / CFS. Pane kudaro, vanachiremba vanovimba zvikuru nezvinhu zvakadai sezviratidzo zvaunacho uye kuedza kuti uite kunze kwezvinhu zvinokonzera zviratidzo zvakafanana.

Kusiyana: Kuziva

Ne ME / CFS, kuongororwa kwekuregererwa ndeyezvose zvatinazvo zvakagamuchirwa. Vamwe vashandi vakagadzira nzira dzavo dzekuongorora dzinoti dzinobudirira, asi hapana chakaonekwa kuti chinoshanda kana kuti chinogamuchirwa nevechiremba.

FMS inosangana nemiedzo miviri, asi haisi yero yako yemhando yekurapa mishonga.

Yokutanga inonzi chirongwa chekwereti. Chaizvoizvo, chiremba anotarisa zvimwe zviratidzo zvinosangana nemarwadzo kune dzimwe nzvimbo dzakapoteredza muviri.

Imwe nzira yekuongorora inosanganisira mararamiro pamwe chete nemhinduro kumibvunzo yemibvunzo. Kutsvakurudza kunoratidza kuti maitiro ose aya anonyatsoshanda pakuongororwa kweFMS uye kuisiyanisa kubva mumamiriro akafanana.

Kufanana: Maonero

Pfungwa dzinokosha pamamiriro ezvinhu aya. Vose vakatarisana nekupokana kwakapararira munharaunda yezvokurapa, mutemo wezvemitemo, uye nharaunda yakawanda.

Kunyangwe mushure memakore makumi emakore ekutsvakurudza kwezvokurapa, iwe unogona kuwana vamwe vanachiremba nevamwe vashandi vehutano vasingatendi "mune imwe kana vose vari vaviri. Izvozvo zvinogona kutungamirira pakurapa kwakakwana uye, mumamiriro ezvinhu akaoma, kunyange kuvenga uye kuseka kune munhu anorwara.

Vatongi vasingatendi mavari vangaramba zvinoreva Social Security Disability Insurance . Mukurambana nekuchengetedza nyaya, izvi zvinoshandiswa zvakashandiswa kutsigira zvinotaurwa nemumwe wako kuti munhu anorwara "anopenga" kana "kushungurudza."

Mhuri dzakawandisa, humwe hukama hwepedyo, ushamwari, uye hukama hwemhuri dzakaparadzwa nekusawirirana kana kusatenda muFMS kana ME / CFS.

Kusiyana: Maonero

Kusiyana kwemanzwiro kwakakura kupfuura kwenguva. Vaiwanzova nechepamusoro petsoka imwechete. Zvadaro kwakauya FDA kugamuchirwa kwechirwere chekutanga cheFMS, Lyrica (pregabalin) muna 2007. Izvozvo zvaive nemigumisiro yakarurama pamamiriro acho ezvinhu.

Kubvira panguva iyoyo, FMS yakave yakagamuchirwa zvikuru nemishonga, zvepamutemo, uye zvekunamata kupfuura zvaiwanzove. Icho chakatanga kuita kuti zvinhu zvive nyore kune avo vanezvo.

Zvinosuruvarisa kuti ME / CFS haisati iine mishonga iyo FDA inobvumirwa nayo, saka kunyange zvazvo isina kuderera kupfuura yakambove iri, zvakakunda zvishoma nezvishoma uye zviduku.

Zita rokuti "chisinganzwisisiki kuora mwoyo" inonzi inokonzera dambudziko iri nokuti zvinonzwika sokuti munhu anenge aneta uye anoda kubata zvakanaka. Ndicho chikonzero vamwe vatsvakurudzi, varwere, uye mapoka ekurudzira vakamanikidza kuva "ME" yakawedzerwa kune zita uye vanotarisira kuti rimwe zuva richashandura "CFS" zvachose.

Mushumo mukuru wezvokurapa wakabudiswa muna 2015 unogona kubatsira MIT / CFS kune avo vakasara vanyengeri. Chinyanya kukosha ndechekuti yakanyoresa ME / CFS sechirwere panzvimbo yehutano . Rinoramba richionekwa kuti chii chichaitika kwenguva refu.

Unoita Matter Kusiyana Here?

Chaizvoizvo, dzimwe nyanzvi dzinotaura kuti kusiyana kweizvi mamiriro maviri aya hazvina basa nezvose izvi.

Sei? Kunyanya nokuti kurapwa kwakafanana. Kana kuongororwa A uye kuongororwa B kunotungamirira kune imwe mishonga, zvine basa here iwe waunayo?

Sezvatinodzidza zvakawanda pamusoro pavo, zvakadaro, kusiyana kunogona kukura zvakasiyana. Kana kurapwa kunoparadzanisa kwenguva, zvichibva pane zvakashata mumuviri pane pane zviratidzo, tinogona kuguma nemishonga inoshanda zvakanaka kune imwe kana imwe.

Kusvikira panguva iyoyo, isu ticharati takaita sevakasiyana zvakaenzana uye tichatarisana nemamiriro ezvinhu akafanana: kurarama nechinogona kukonzera chirwere chisingaperi, nekutsvaga kurapwa kunobatsira kuderedza zviratidzo zvedu zvakawanda (zvakafanana).