Iro kurwadziwa kwatinonzwa ne fibromyalgia uye kusingaperi kuneta kwechirwere kubva kurudzi rwehutano hwehuipi hunonzi neuropathy? Icho chirevo chave chiripo kwemakore anoverengeka-mushure mezvose, marwadzo edu akafanana-asi ari kugadzirisa rubatsiro rwakawanda sezvo vatsvakurudzi vanowana humwe uchapupu.
Tsvakurudzo yekutanga yakataurwa pamusangano wegore negore weAmerican Academy of Neurology muToronto inoratidza kuti vazhinji vedu vane mamiriro aya ane chimwe chinhu chinonzi small fiber neuropathy-kusagadzikana mune zviduku zvine mutsara, izvo zviri pedo nechepamusoro peganda rako kubata pamwe nekutambudzika nekushisa kunzwa.
( Kutonhora kutora chiratidzo chakakurumbira che fibromyalgia uye chisingagumi kuneta chirwere.)
Muchidzidzo ichi, vatsvakurudzi vakatora ganda revanhu kubva kune vanhu makumi matatu vaive ne fibromyalgia, chisingagumi kuneta, syndrome syndrome, kana kusanganiswa kwezvirwere izvi, pamwe chete neboka rinodzora. Pakati pevanhu vane mamiriro ezvinhu anorwadza, biopsies yakaratidza kuti 13 kwavari, kana 43%, yakanga ine uchapupu hwuduku fiber neuropathy.
(Icho chikamu chikuru, chokwadi, asi kupa huwandu hwemhando shomanana yevanhu 30 chete, haisi kugumira.Asi, asi, kuvimbisa zvakakwana kutungamirira kudzidzo huru munguva yemberi.)
Dhiyabhorosi Devanshi Gupta, muongorori anotungamirira, vanoti vanachiremba vanofanira kuongorora zvishoma zvirwere zveuropathy kuburikidza neganda biopsies kune varwere vane zviratidzo zvinotevera:
- Sharp, kupfura kurwadziwa,
- Orthostatic hypotension,
- Autonomic zviratidzo,
- Ganda rinoshandura rakabatana nekunetseka kwemasero,
- Incontinence,
- Kuita zvepabonde kusagadzikana,
- Kana zvimwe zviratidzo zveuropathic.
Zvisinei, vamwe vanachiremba vanotaura kuti ganda rehuputi haritenderi zvakakwana uye rinofanira kungoshandiswa kusimbisa kuongororwa kunobva pakuongorora uye nhoroondo.
Iwe ungangodaro ucherechedza huwandu hwezviratidzo zvakanyorwa pamusoro apa se fibromyalgia uye zvirwere zvisingaiti zvirwere zvirwere zviratidzo, kusanganisira marwadzo, orthostatic hypotension (ropa rinodonha pamusoro pekumira izvo zvinoita kuti uchinetseke), uye zviratidzo zvekuzvidzivirira.
Kuonekwa kwezviratidzo kunogona kuita kuti zvive zvakaoma kufungidzira zviduku zvinyorwa zveuropathy zvichienderana nezviratidzo uye kuongororwa chete, saka biopsy inogona kuva yakakosha pakutsigira kuongororwa mukati medu kudarika vanhu vakawanda.
Pfungwa
Uhu humwe uchapupu hunowedzera kutsigira dzidziso yokuti izvi zvigaro, kana kuti zvimwe boka guru revanhu, vane chirwere chepfungwa. Kuwanda kwemarwadzo ekurwadziwa kwemasuru, kusanzwisisika kwehutano hwenheyo, uye kusagadzikana kwemanyoka kupindura zvose zvinoreva kuti kutungamira, sezvinorevawo kuti vazhinji vedu vanobatsirwa nemishonga inotarisirwa neuropathy, yakadai seLyrica (pregabalin) neNeurontin (gabapentin). Kutsvaga zviduku zvinyorwa zveuropathy zvinogona kubatsira vanachiremba kuziva kuti ndiani wedu angangopindura kune marudzi aya emishonga.
Saka kana tsvakurudzo iyi yakarurama uye iri pasi pechikamu chedu tine rudzi urwu rweuropathy, zvinorevei kune isu tose? Ichi ndicho chinhu chingadikanwa kuti chiongororwezve, asi kuongorora kuchave kwakajeka kana vachigona kubvisa chikamu nediki fiber neuropathy. Tinoziva kuti hatisi vose zvakafanana, uye kana tikanyanya kunyatsogadziriswa, tinokurumidza kuwana mhinduro chaiyo kumibvunzo yedu yakawanda.
Kunobva:
Gupta D, Harney J. Small fiber neuropathy yakaratidza mukurwadziwa syndromes. Chikwangwani chinotarisirwa pamusangano wegore negore weAmerican Academy of Neurology; 2010 Apr 10-17; Toronto, Ontario.