Maonero eFibromyalgia Anozivikanwa

Kuongororwa kunotanga nekusiya zvinhu zvose zvinokonzera

Fibromyalgia chirwere chakaoma kuongorora. Nemhaka yokuti hainzwisisiki zvakanyanya, hapana chibvumirano chakajeka chekuti zvii zvingashandiswa kana kuti zvinofanira kushandiswa kuti zviongororwe. Uyezve, kunyange kana iwe une zvirwere zvechirwere-kusanganisira marwadzo akawandisa asingagumi uye kuneta-kunowanikwa maitiro uye mazano ekufungidzira zvinowanzoonekwa zvakakwana.

Izvi hazvirevi kuti hausi kurwara.

Zvinongova kuti hatisati tanzwisisa kuti chirwere chacho chinoshanda sei kana kuti nei uropi huri kunyatsonzwisisa marwadzo ekurwadziwa kubva mumuviri.

Nemhaka yeizvi, nzira chete yatinokwanisa kusimbisa kuti iwe une fibromyalgia ndeyokutanga pane zvinonzi kusangana kwekuregererwa. Iyi ndiyo nzira inorwadza iyo chiremba wako achaongorora uye kubvisa zvose zvinokonzera zviratidzo zvako. Ndizvo chete nokudzikisa kunze kwechimwe chinokanganisika, chimwe nechimwe, kuti tinokwanisa pakupedzisira kusimbisa kuti iwe, chaizvoizvo, une fibromyalgia.

Zviratidzo Zvokuziva

Nemhaka yokuti hapana chiyero chinowanikwa kusimbisa fibromyalgia , chiremba wako anofanira kuvimba chete pamakamuri ako ezviratidzo kuti uongorore. Kuongororwa kunowanzove kutarisirwa nenyanzvi yezvokurapa inozivikanwa se rheumatologist inonyanya kurwara zvirwere zve musculoskeletal uye autoimmune disorders . Neurologists uye vashandi vanogonawo dzimwe nguva vane ruzivo rwekutarisira kuongorora.

Nzira yekuongorora iyi yakagadzirwa neAmerican College of Rheumatology (ACR) muna 1990 uye yakarongedzwa zvishoma muna 2010 kubvumira nzira yakanakisisa yekuongorora. Nhasi, panzvimbo yekuona kuti chirwere ichi nhoroondo uye nzvimbo yemarwadzo, mitsva inotungamirira inoongorora zvitatu zvinokosha:

1. Iyo yakapararira sei marwadzo uye kuti unoona sei zviratidzo zvechirwere
2. Pasinei nokuti zviratidzo izvi zvakaramba zviripo panguva iyi kwemwedzi mitatu
3. Pasinei nokuti hakuna imwe tsanangudzo yezviratidzo

Kuti asimbise kuongororwa, chiremba achashandisa maitiro-based system anonzi ACR Fibromyalgia Diagnostic Criteria iyo inosanganisira kuongororwa kunonzi yakawanda marwadzo index (WPI) uye imwe inonzi chiratidzo chekuoma (SS) scale.

Kunyange zvazvo ACR system inowanzoshandiswa, inoshandisa vadzidzisi vayo vanofunga kuti fibromyalgia haifaniri kuongororwa sehosha chaiyo (yepanyama) asi iyo iyo pfungwa dzepfungwa uye pfungwa dzepfungwa dzakagadziriswa zvakare.

Exclusionary Diagnosis

Usati waongorora zviratidzo zvemazuva ano, chiremba wako aizoda kubvisa chero chirwere kana chirwere chinoratidza zviratidzo zvakafanana uye maitiro. Zvichienderana nehuwandu hwezviratidzo zvaunenge uine (kudya, kudya, kukanganisa, zvepfungwa, nezvimwewo), urongwa hunogona kuva hwakawandisa.

Pakati pezviitiko:

• Addison chirwere
• Kunwa doro
• Generalized osteoarthritis
• Guillain-Barre syndrome
• Hypothyroidism
• Hyperparathyroidism
• Kurwara kuzvidya mwoyo chirwere (IAD)
• Lupus
• Chirwere cheRyme
• Malignancies
• Multiple sclerosis (MS)
• Myasthenia gravis (MG)

• Polymyalgia rheumatica
• Post-traumatic stress disorder (PTSD)
• Rheumatoid arthritis
• Schwartz-Jampel syndrome
• Scleroderma

Dambudziko pakutsvaga fibromyalgia ndedzimwe mimwe mitemo inogona kuwanzobatana ne fibromyalgia uye ine zviratidzo zvakafanana kana zvinoputika. Somuenzaniso, kana arthritis kana chirwere chekurara chinoratidzika, chirwere chinogona kujekesa zvimwe zvechiratidzo chikuru chauri kuwana asi kwete vamwe.

Sezvo zvakadaro, iwe unoda chiremba ane ruzivo anokwanisa kuita zvisizvo zvisiri pachena.

Yakapararira Pain Index

Iyo yakazara marwadzo index (WPI) inoputsa muviri pasi muzvikamu 19, chimwe nechimwe chinonzi chimiro chekuzvibatanidza.

Chimwe nechimwe chinopiwa chikamu che 1 kana iwe wakatambura marwadzo mumuviri iwoyo muvhiki yapfuura.

IWPI inokukumbira iwe kuratidza rudzi rwekutambudzika kwawakanga uine (zvakadai sekuoma kana kupararira) kana kufunga nezvehutano hunoti (marwadzo anotora marwadzo) ayo aimbova ari pakati pekuongororwa.

Nzvimbo dzekurwadziwa 19 dzinowanikwa muongororo idzi (kubva kumusoro kusvika pasi):

• Tsamba yakarurama
• Kuruboshwe rutsva
• Neck
• Bhandi rebandauko rorudyi
• Bhandi rebhandi rebhemberi
• Kurudyi kwepamusoro
• Kuruboshwe kwepamusoro
• Yakarurama pasi
• Kuruboshwe rwokunze
• Kumusoro shure
• Kumucheto kumashure
• Chest
• Madzi
• Kurudyi / chigaro / kumusoro
• Kuruboshwe mbambo / chibage / muhudyu wepamusoro
• Kurudyi kumakumbo
• Kuruboshwe kwepamusoro
• Rutsoka rworudyi
• Kuruboshwe kwezasi

Nhamba yepamusoro yeWPI ye19.

Symptom Severity Scale

Chiratidzo chakasimba (SS) chikamu chinoongorora zviratidzo zvina zvinofanirwa kurondedzera mu fibromyalgia kuongororwa. Chiratidzo chega chega chinowanikwa pachiyero che 0 kusvika ku3, ne 0 chisingatauri zviratidzo, 1 zvinoreva zviratidzo zvinyoro, 2 zvinoreva zviratidzo zvishoma, uye 3 zvinoreva zviratidzo zvakakomba. Nhamba yacho inobva pane zvakasimba zvezviratidzo zvakaitika mukati mevhiki yapfuura.

Zviratidzo zvina zvakaongororwa mune zvinotarisirwa ndezvi:

• Kuneta
• Waking kubva kuhope haina kubhadharwa
• Zviratidzo zvekufungisisa (kusanganisira dambudziko kuisa pfungwa, kuvhiringidzika, kuora mwoyo, uye kunzwisisa kusina kunaka)
• Zviratidzo zveSomatic (manzwiro epanyama zvakadai sekurwadziwa, chirwere, kuchema, kuora mwoyo, kana chirwere chemuviri)

Nhamba yepamusoro ye SS ndiyo ye12.

Kusimbisa Kuziva

Kana pasina imwe tsananguro yezviratidzo zvako inogona kuwanikwa, chiremba wako achasimbisa fibromyalgia kuongororwa nekugadzirisa kana zvikamu zvako zvakabatana zveWPI neSS zvinosangana nechimwe chezvikamu zviviri zveAACR yekubatanidzwa:

• A WPI chikamu che 7 kana kupfuura, pamwe neS SS chikamu che 5 kana kupfuura
• A WPI chikamu che 3 kusvika ku6, pamwe chete neS SS chikamu che 9 kana kupfuura

Pashure pacho, kana chiremba anogona kugumisa kuti zviratidzo zvako zvave zviripo panguva imwe chete kana yakafanana kwemwedzi mitatu, iwe unogona kuonekwa kuti une fibromyalgia.

Kamwe chirwere ichi chichinyatsosimbiswa, iwe uye chiremba wako anogona kutanga kutarisa nzira dzokurapa . Izvi zvinogona kunge imwe nguva yakareba uye yakareba, asi imwe inogona kukuisa pamugwagwa kusvika kune hutano huri nani uye hunochengetwa zvirwere kuregererwa .

> Sources:

> Bellato, E ;; Marini, E .; Castoldi, F. et al. Fibromyalgia Syndrome: Etiology, Pathogenesis, Kuziva, uye Kurapa. Pain Res Treat. 2012; 2012: 426130. DOI: 10.1155 / 2012/426130.

> Wolfe, F .; Dura, D .; Fitzcharles, M .; et al. IAmerican College yeRheumatology inotanga kuongorora zviratidzo zve fibromyalgia uye kuenzanisa kwechiratidzo chekuoma. Arthritis Care Res. 2010; 62 (5): 600-10. DOI: 10.1002 / acr.20140.