Matambudziko Anokosha Anopfuura Makore Anopfuura 400
Iwe dzimwe nguva unonzwa fibromyalgia inonzi "fad diagnosis" kana "chirwere chitsva," asi chokwadi ndechekuti fibromyalgia haisi kureva itsva. Iine mazana emakore ezvakaitika kare, ane zita rakawanda rinoshandura uye rakarashirwa mazano munzira.
Kunyange zvazvo isina nguva dzose kugamuchirwa nevechiremba, uye kubvumwa kwaro kusati kwasi kwese, fibromyalgia yakasvika nzira yakareba uye tsvakurudzo yezvino inoramba ichipa uchapupu hwokuti ichokwadi chaihwo chirwere chepanyama.
Nhoroondo yakawanda inowanzotaurwa kare ye fibromyalgia inobva pamapeji 2004 nevatsvakurudzi Fatma Inanici uye Muhammad B. Yunus. Iyi nhoroondo yakabatanidzwa kubva mubasa ravo pamwe nemashoko matsva kubva mumakore gumi adarika.
Dzokera Kumutambo - 1592-1900
Pakutanga, vanachiremba vakanga vasina tsanangudzo dzakasiyana dzemamiriro ose ekurwadziwa atinoziva nhasi. Tsanangudzo uye mazwi echirevo akatanga zvishoma uye zvishoma nezvishoma zvakaderedzwa.
Muna 1592, chiremba wechiFrazil Guillaume de Baillou akaudza izwi rokuti "rheumatism" kurondedzera kurwadziwa kwemasisloskeletal iyo haina kubva pakukuvara. Iri raiva izwi rakazara raizodai raisanganisira fibromyalgia uye arthritis nezvimwe zvirwere zvakawanda. Pakupedzisira, vanachiremba vakatanga kushandisa "muscular rheumatism" pamamiriro ezvinhu anorwadza ayo, kufanana ne fibromyalgia, asina kukonzera kuora.
Makore mazana maviri gare gare, tsanangudzo dzakanga dzichiripo dzakanga dzisinganzwisisiki. Zvisinei, muna 1815, chiremba wechiremba wokuScotland William Balfour akacherechedza hutundu hwemashutu akabatana uye akafananidza kuti kuputika kunogona kunge kuri shure kwezvose zvinokonzera marwadzo uye kurwadziwa.
Akanga ariwo wokutanga kutsanangura zvinyorwa zvetsitsi (izvo zvichange zvichishandiswa kufungidzira fibromyalgia .)
Makumi mashomanana gare gare, chiremba wechiFrench Francios Valleix akashandisa izwi rokuti "neuralgia" kurondedzera zvaaifunga kuti zvairehwa marwadzo kubva pamakumbo ekutenderera achifamba pamwe chete nemitsipa. Mamwe mafungiro ezuva racho aisanganisira kusagadzikana kwepfungwa kuguma kana matambudziko nemisungo pachavo.
Muna 1880, nyanzvi yezvechirwere cheAmerican George William Beard yakashandura mashoko neurasthenia uye myelosthenia kurondedzera marwadzo akapararira pamwe nekuneta uye kushungurudzika kwepfungwa. Akatenda kuti mamiriro ezvinhu akonzerwa nekudzvinyirira.
1900 - 1975
Zvisikwa zvemashoko mazhinji chaiwo zvakaputika mukati mekutanga kwezana remakore rechi20. Mazita akasiyana-siyana ehutachiona-hutano hwakafanana akabatanidzwa:
- myogeloses
- musungo kuoma
- fibrositis
Fibrositis, yakaumbwa muna 1904 neBritish yeurologist neurologist Sir William Gowers, ndiyo yakabatanidzwa. Zviratidzo Gowers zvinotaurwa zvicharatidzika sezvizivikanwe kune avo vane fibromyalgia:
- kurwadziwa kwepfungwa
- kunzwisiswa kumanikidziro
- kuneta
- kurara kuvhiringidzika
- kunzwisisika kunotonhora
- kuwedzera kwezviratidzo nemusuru kudarika-kushandisa
Sekurapa, akarayira majekesiti ecocaine, sezvo cocaine yakashandiswa semishonga sechirwere chepachikafu.
Mune maitiro, "fibro" zvinoreva chibvumirano chinobatanidza uye "itis" zvinoreva kuvhiringidza. Nenguva isipi Gowers achitaura zita racho, mumwe mutsvakurudzi akabudisa chidzidzo ichiita sechisimbisa vazhinji maGowers maonero pamusoro pemigadziro yekuputika mumamiriro ezvinhu. Izvi zvakabatsira kusimbisa izwi rokuti fibrositis mumutauro wekunze. Zvinoshamisa, izvi zvimwe kutsvakurudza zvakazoonekwa kuti hazvina kukodzera.
Mumakore ekuma1930, kufarira kunowedzera mumarwadzo emasumbu akatumidzwa kubva kutete / matanho mapikicha uye matanho emitambo iyi yakatanga kuonekwa.
Majojo emunharaunda emagetsi anesimba anoramba achiitwa kurapwa.
Fibrositis yakanga isiri kuonekwa kuonekwa kare kare. Bhuku ra1936 rakataura kuti fibrositis yakanga iri iyo yakajairika yakawanda yehutachiona husingaperi rheumatism. Izvo zvakare yakati, muBritain, iyo yakaverengera 60 muzana yeinishuwarenzi zvirwere zverheumatic disease.
Uyewo munguva iyoyo, pfungwa yekutambudzwa kwemasumbu yakaratidza kuburikidza nekutsvakurudza. Chidzidzo chekurwadziwa kwakataurira kurwadziwa kwakadzika uye hyperalgesia (ainzwa kurwadziwa kwakanyanya) uye angave ari wekutanga kuti aratidze kuti nheyo yepamusoro yenheyo yakabatanidzwa mumamiriro ezvinhu.
Kuwedzeresa, pepa rinotora marwadzo uye marwadzo anorwadza anotaura izwi rokuti " myofascial pain syndromes " nokuda kwekunzwa marwadzo.
Vatsvakurudzi vakaratidza kuti kupararira kwose kwe fibrositis kunogona kubva kune mumwe munhu ane zviitiko zvakawanda zvemyofascial pain syndrome.
Hondo Yenyika II yakaunza hutsva hutsva apo vanachiremba vakaziva kuti masoja ainyanya kunge ane fibrositis. Nemhaka yokuti havana kuratidza zviratidzo zvekuputika kana kushaya muviri, uye zviratidzo zvakaonekwa zvakabatana nekudzvinyirira uye kuora mwoyo, vatsvakurudzi vakanyora kuti "psychogenic rheumatism." Bhuku ra1937 rakaratidza kuti fibrositis yaiva "isingarapiki chepfungwa dzepfungwa." Nokudaro, kukakavadzana kunoramba kuripo pakati penyama nepfungwa kwakaberekwa.
Fibrositi yakaramba ichiwana kugamuchirwa, kunyange zvazvo vanachiremba vaisagona kubvumirana pamusoro pacho chaizvo. Muna 1949, chitsauko pamusoro pemamiriro ezvinhu chakaonekwa mune zvakanyatsoonekwa rheumatology text book rinonzi Arthritis uye Allied Conditions . Rinoti, "[T] pano haagoni kugona kuva nekusava nechokwadi pamusoro pehupo hwemamiriro ezvinhu akadaro." Yakataura nezvezvikonzero zvakakonzerwa zvinokonzera, kusanganisira:
- utachiona
- kushungurudza kana basa
- weather factors
- kushungurudzika kwepfungwa
Kunyange zvakadaro, tsanangudzo dzakanga dzisinganzwisisiki-mashes ayo isu iye zvino tava kuziva sekusanganisira marudzi akasiyana-siyana akasiyana-siyana ekurwadziwa. Kazhinji vaisanganisira kuneta, kuora musoro, uye kugadzikana mupfungwa, asi kurara kwakanyanya kwakanga kusina kutaurwa.
Tsanangudzo yekutanga ye fibrositis iyo inofanana chaizvo nezvatinoziva nhasi se fibromyalgia yakauya muna 1968. Mutsvaga wepeji Eugene F. Traut akati:
- female predominance
- kuzvirumbidza uye kuoma
- kuneta
- headaches
- colitis
- kushaya kurara
- kuva "kushushikana kunetseka"
- nyanzvi dzakanzwisisika dzakawanikwa nokuongorora mumuviri
- chinhu chinokosha mupfungwa-mumuviri
Pamwe nekurwadziwa kwakawanda, akaziva dzimwe nzvimbo dzepamatunhu dzakaonekwa dzakajairika, kusanganisira izvo isu iye zvino tava kuziva se carpal tunnel syndrome. Akataura nezve "zvikamu zvakasiyana-siyana zvepelinusisis," izvo zvaungave uchiziva kubva kunezvino maitiro ekuongorora: marwadzo mune axial skeleton (mapfupa emusoro, mapofu, chifuva uye musana) uye mumakumbo mana emutumbi.
Makore mana gare gare, zvisinei, muongorori Hugh A. Smythe akanyora chitsauko chebhuku pamusoro pe fibrositis iyo yakanga ine simba rakakura pane zvidzidzo zvenguva yemberi uye yakatungamirira kuinzi iye "sekuru vezuva ranhasi fibromyalgia." Anotendwa kuti ndiye wekutanga kurondedzera izvo chete sehuwandu hwemamiriro ezvinhu, nekudaro achizvisiyanisa kubva pamarwadzo ekurwadziwa kwerufu.
Smythe haisi kungobatanidza kurara kwakanyanya mumatsanangudzo asi akarondedzera kuti kurara kwakaita sei kune varwere uye zvakare akapa electroencephalogram isina kuparidzirwa (kuverenga kurara) zvakawanikwa izvo zvakaratidza kusagadzikana muchitambo-3 uye gumbo-4 kurara. Uyezve, akataura kuti kurara kwete kwekudzorera, kushungurudzika uye kushushikana mupfungwa zvose zvinogona kutungamirira kuzviratidzo zvakakura.
Kupfurikidza nekutsvakurudza kwakaratidza kusagadzikana kwekurara pamwe nekuratidza kuti kubatwa kwehope kunogona kutungamirira kuzviratidzo zve fibromyalgia-sezvakaita kuvanhu vane utano.
Smythe akazobatanidzwa mune chidzidzo chinonyatsotsanangurwa maratidzo emhando uye akaratidza kushandiswa kwavo mukuongorora. Yakaratidzawo kurwadziwa kusingaperi, kurara kunokanganisa, kuoma kwemangwanani , uye kuneta sezviratidzo zvinogona kubatsira kuongorora mamiriro acho ezvinhu.
1976 - Nhasi
Kunyange zvazvo vatsvakurudzi vakanga vafambira mberi zvakanaka, vakanga vasati vafumura uchapupu hwekuputika, "itis" mu fibrositis. Zita racho rakazoshandurwa kuva fibromyalgia: "fibro" inoreva zvinoshandiswa mumatavi, "ini" zvinoreva musuru, uye "algia" zvinoreva kurwadziwa.
Kunyange zvakadaro, mibvunzo yakawanda yakasara. Zvimwe zviratidzo zvakange zvisina kujeka uye zvakajairika munharaunda. Vanachiremba vakanga vachiri vasina chavanobata pamusoro peiyo fibromyalgia yaiva.
Zvadaro, chidzidzo chemasinendi chinotungamirirwa na Muhammed Yunus chakabuda muna 1981. Chakatsigira kuti kurwadziwa, kuneta uye kurara kwakanyanya kwaiwanzoonekwa kuvanhu vane fibromyalgia kupfuura mune zvidzidzo zvine utano hwakanaka; kuti nhamba yematsetse mapfupi aiva makuru zvikuru; uye kuti dzimwe dzakawanda zviratidzo zvaive zvakajairika zvakare. Izvi zviratidzo zvinowedzera:
- subjective kuzvimba
- paresthesia (asinganzwisisiki nerve sensations)
- Mamiriro ezvinhu anokanganisa akadai seanoshungurudza bowel syndrome (IBS), misoro yemusoro, uye migraines
Iyi pepa yakagadzika zvakakwana yeboka rinopindirana rezviratidzo kuti ritaure zvakananga fibromyalgia a syndrome uyewo yekutanga nzira inopupurirwa kusiyanisa avo vane fibromyalgia kubva kune vamwe.
Pfuma yekutsvakurudza kubva kare yakaratidza kuti zviratidzo izvi uye mamiriro ezvinhu akaputika ari kunyatsobatanidzwa ne fibromyalgia.
Yunus akabva atungamirira kutsvakurudza kusimbisa pfungwa yezviitiko zvakasiyana-siyana zvinopesana, kusanganisira dysmenorrhea inokosha (nguva inorwadza) pamwe ne IBS, musoro wepfungwa, uye migraine. Akabva atenda kuti kubatana kwaiva mushure mutsvina, asi mazano acho aizotanga kupa maonero ehukuru hwekusimudzira .
Kubva pane izvi, tine huwandu hwakawanda hwekutsvakurudza hwakabudiswa uye hunoitwa hunoitwa. Isu hatina mhinduro dzose, asi tadzidza kunzwisisa zviri nani zvingave zvichiitika mumitumbi yedu.
Kufambira mberi kunokosha kunosanganisira:
- 1984 - Kutanga kokutanga kwakabudisa kubatanidza kuwedzera kwehutachividgia kuwanda kune avo vane rheumatoid arthritis
- 1985 - Kutanga kuongorora kudzidza kwevana vechidiki fibromyalgia kwakabudiswa
- 1986 - Zvinodhaka zvinokonzera serotonin uye norepinephrine zvakatanga kuratidzwa kuti zvinobudirira
- 1990 - American College yeRheumatology inogadza hutano hwekuongorora hutano hwakapararira uye unyoro muzvikamu zvinenge gumi nezvitanhatu zvepakati gumi nematanhatu zvakasarudzwa, naizvozvo kuenzanisa zvido zvekutsvaga kutsvaga pasi rose
- 1991 - Fibromyalgia Impact Questionnaire yakagadzirirwa vanachiremba kuti vaongorore basa
- 1992 - Kuwana hutachiona hwekukura-hormone
- 1993 - Zvidzidzo zvinoratidza hukuru hwekusimudzira uye HPA axis (kushungurudza dambudziko) zvisingaiti
- 1994 - Chivimbiso chezvinhu zvakakwirira P (chirwere chinorwadza) mu cerebrospinal fluid
- 1995 - Kudzidza kwekutanga kweUnited States kunoratidzira fibromyalgia muzvikamu zviviri zvevanhu
- 1995 - Kutanga SPECT (kufungidzira zvepfungwa) kuratidza kusawanda kweropa-kutenderera maitiro muuropi
- 1999 - Kutanga kokutanga kuratidzira maitiro ezvinyorwa zvinotsanangura kuti nei zvichiitika mumhuri
- 2000 - Kudzokorora kweuchapupu mari mari iyo inonzi central sensitization syndromes
- 2005 - American Pain Society inotanga mirayiridzo yekutanga yekurapa kurwadziwa kwe fibromyalgia
- 2007 - Lyrica (pregabalin) inotanga kurapwa kweDAA-yakagamuchirwa muUnited States ( Cymbalta (duloxetine) uye Savella (milnacipran) yakatevera, muna 2008 uye 2009, zvakafanana
- 2010 - American College of Rheumatology inoburitsa dzimwe nzira dzekuongorora dzinoshandisa mibvunzo kune zvinyorwa zvichemo
Kutsvakurudza kwakaenderera mberi kugadzirisa izvi zvakawanikwa pamwe nekuratidza zvitsva zvinogona kuitika uye nzira. Imwe magwaro anoramba aripo ekubvunzurudza anosanganisira:
- kuvhiringidzika kwefascia : tsvakurudzo yepamusoro yakaratidza kuti marwadzo akapararira zve fibromyalgia angangodaro ari kuvhiringidza, asi mumutambo wakanyanya muviri wakazara wehutano hunonzi fiscia
- mishonga yakanyanya pamidziyo yeropa : chidzidzo chikuru-chakabudiswa chinoratidza kupisa kwakanyanya uye kurwadziwa-kunzwa nerve mumutambo wekufamba
- zviduku-fiber neuropathy : e kubatanidza kutsvakurudza kuri kuratidza kuti dzimwe nhavo dzakasarudzika dzinogona kukuvara
- immune system kusagadzikana: mamwe mitsara yekutsvakurudza ari kuratidza basa risina kujairika mumuviri wezvirwere zvinogona kuratidza kusagadzikana kwemajoni emagetsi ekugadzirisa kana kuti autoimmunity , kana kuti zvinogona kugadziriswa zvinoshandiswa se serotonin
Vanotsvakurudza vanoverengeka vari kushanda kuti vadzike maboka e fibromyalgia, vachifunga kuti ndicho chinhu chinokosha pakuputsa zvirongwa zvepasi uye mishonga yakanakisisa. Dzimwe kurapwa nguva dzose dziri pasi pekutsvakurudza, uye chinangwa chikuru chave chichiratidza nekugadzirisa chinangwa chekutsvaga zvidzidzo zvakadai sekuongorora ropa kana kuongorora.
Shoko Rinobva
Kunyange zvazvo fibromyalgia ichiri kusati yawana kubvumwa kwepasi rose munharaunda yezvokurapa, iri pedyo kupfuura kare. Sezvo kutsvakurudza kuri kuramba kuchiratidza kuti ndeyechokwadi uye yepanyama, izvi zvinowanikwa kubudirira. Iko kunobatsira avo vedu kuburikidza nayo kuwana ruzivo, ruremekedzo, uye, kunyanya kukosha, nzira dzakanaka dzokurapa kuitira kuti tikwanise kudzorera ramangwana redu.
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