Vamwe Vanhu Vane Zvimwe Zviitiko Panguva imwe chete
Fibromyalgia uye rheumatoid arthritis zvose zviripo zvinorwadza mamiriro ezvinhu. Nezvo zvinhu zviviri zvichiita kuti uwedzere kurwadziwa, zvakaoma kuziva kuti unganyatsokwanisa sei.
- Unogona Here Kuva neFibromyalgia?
- Unogona Kuva neArthritis Here?
Vanhu vane sei fibromyalgia uye rheumatoid arthritis vanoziva sei mamiriro ezvinhu ari kunyanya kukonzera marwadzo avo akawanda? Ndezvipi zvinhu kana maitiro anosiyanisa pakati pemamiriro maviri aya?
Ndeipi nzira yakanakisisa yekurapa vanhu vane fibromyalgia uye rheumatoid arthritis? Takabvunza Scott J. Zashin, MD, purofesa wechipatimendi wepiriniki muYunivhesiti yeTexas Southwestern Medical School, Division of Rheumatology, muDallas, Texas.
Zviratidzo Zvinoparadzanisa Fibromyalgia Kubva kuRheumatoid Arthritis
Maererano naDkt. Zashin, "Kana vanhu vachigunun'una nekurwadziwa kwemaoko pakati pemamwe zviratidzo, somuenzaniso, zvingave zvakaoma kusiyanisa rheumatoid arthritis kubva kune fibromyalgia Kune nzira dzakasiyana-siyana dzokusiyanisa.Kutanga, rheumatoid arthritis haisi inowanzobatanidzwa pamwe chete DIP ( sangano rinoparadzanisa rekati rembambo kana kuti magumo ekupedzisira ari pedyo nezvipikiri) saka kana pane unyoro ipapo, kufungidzirwa kwe fibromyalgia kunogona kufarirwa kana zvichida osteoarthritis. Chechipiri, fibromyalgia haina kubatana nekudzivirira kwekubatana iyo inowanzoitika nehutamuid arthritis, kunyange varwere ve fibromyalgia vanowanzonyunyutira kuti mafundo avo "anzwe" akadzora.
Kunyunyuta kwepakuvara kwepamuviri kwakapararira kunowanzofanirwa nefibromyalgia tender points kunogonawo kufanana ne fibromyalgia uye kwete rheumatoid arthritis. "
Mazano Okurapa Kwevanhu Vane Zviitiko Zvose
Dr. Zashin akapfuurira "Nzira yakanakisisa yekurapa kune varwere vane fibromyalgia uye rheumatoid arthritis ndeyokutanga kubata chirwere cherumatoid arthritis, sezvo rheumatoid arthritis inowanzobatanidzwa nekubatana kwekubatana nekuremara.
Kuenderera mberi kwekuwedzera kwerhumatori arthritis nekudzivirira kusagadzikana kwekugadzirisa kusingaperi ndiko kunonyanya kukosha. "
"Kana rheumatoid arthritis inonyatsochengetedzwa zvichienderana nekuongororwa kwekubatana , pamwe chete nezviyero zvekuputika , zvakadai se sedimentation rate uye C-reactive protein (CRP), asi murwere achiri kukonzera kurwadziwa uye kuneta, basa re fibromyalgia rinofanira kufungwa Kurapa, munyaya iyi, inofanira kuisa pfungwa pakuvandudza kunaka kwehope kuburikidza nokuzorora kwekuwedzera nekuita zvekuita zvepabonde.Kubata kwepabonde kunofanira kubudiswa kunze, kana zviratidzo zvekuneta zvichinyanya kukosha. Mishonga inoshandiswa fibromyalgia inofanira kuonekwa, kusanganisira tricyclic vanodzvinyirira, serotonin reuptake inhibitors (SSRI), uye gabanergic mishonga seNeurontin (gabapentin) kana Lyrica (pregabalin) , "maererano naDkt Zashin.
Pakati peimwe mishonga inogona kushandiswa, Cymbalta (duloxetine HCl) ndiyo yekutanga serotonin-norepinephrine reuptake inhibitor iyo yakaratidza kuderedza marwadzo mukati mevarwere ve fibromyalgia. Savella (milnacipran) , serotonin yakasarudzwa uye norepinephrine inonzi reuptake inhibitor, inowedzera norepinephrine uye basa rerootonin muuropi.
Shoko Rinobva
Maererano neNIAMS (National Institute of Arthritis uye Musculoskeletal uye Skin Diseases), inofungidzirwa kuti fibromyalgia inokanganisa mamiriyoni mashanu evaAmerica vane makore 18 kana kupfuura.
Kunyange zvazvo chero munhu angakanganiswa ne fibromyalgia, 80 kusvika ku90 muzana yevaya vanoonekwa vane chirwere chevakadzi. Rheumatoid arthritis inokanganisa vanhu vane mamiriyoni mashanu eUnited States. Kunyange zvazvo chero munhu anogona kuwedzera rheumatoid arthritis, inobata kaviri kusvika katatu vakadzi kupfuura varume.
NIAMS inotaurawo kuti vanhu vane zvirwere zvakasiyana-siyana, zvakadai se rheumatoid arthritis, systemic lupus erythematosus , kana kuti ankylosing spondylitis inoita sokuti inogona kunge ine fibromyalgia zvakare. Uyezve, apo huwandu hwerhumatoid arthritis inoratidzika kunge huchienda kune vanhu vakwegura, vatsvakurudzi vakacherechedza kuti iri kuwira kune vechidiki.
Kunyange zvazvo mishonga inorwadza inoshandiswa kurapa zvose fibromyalgia uye rheumatoid arthritis, mamwe mishonga ichasiyana. Izvozvo zvakati, kuchinja mararamiro anosanganisira kushanda muviri uye maitiro akanaka ekurara zvechokwadi anobatsira zvose. Hapana humwe hunodikanwa hwekudya hunokurudzira huri mamiriro maviri, asi kudya kudya kwakanaka, kwakakwana hakugoni kukuvadza. Zvokudya zvinopesana nokuvhiringidza zvingava chimwe chinhu kwauri kuti uedze.
> Sources:
> Zvinyorwa pamusoro pehutano: Rheumatoid Arthritis. NIAMS. February 2016.
> Mibvunzo nemhinduro Pamusoro peFibromyalgia. NIAMS. July 2014.
> Kelley's Textbook of Rheumatology. Ninth edition. Elsevier