Hapana anoziva chinokonzera kuti fibromyalgia, uye iyo ichokwadi chisingadikanwi kuvanhu vane mamiriyoni mana vanotenda kuti vari kutambura nechirwere chiri muUnited States Vamwe masayendisiti vakaratidza kuti fibromyalgia "chirwere chinokonzera kukurudzira" umo masero emasero muuropi uye rwonzi rwomusipiresi rwuri hyper-reactive kana kuti inhibitory systems inoshandiswa kugadzirisa kushandiswa kwezvirwere zvinorwadza hazvisi kushanda.
Vamwe, zvakadaro, vanotenda kuti fibromyalgia haisi chirwere chepanyama (muviri) asi chinotungamirirwa zvakanyanya-kana mune zvimwe zviitiko zvakare-nekupfungwa kwepfungwa. Izvi zvinoratidza kuti fibromyalgia chirwere chakasiyana-siyana umo zvimwe zviratidzo zvinogona kunge zviri mugumisiro wehutachiona hwehutachiona hutsika, asi vamwe (sezvakaita kurara kana mafungiro) zvinogona kukurudzira kana kukanganisa kupararira kusingaperi kwatinoona se fibromyalgia.
Hapana munhu anokwanisa kutaura zvakasimba panguva iyi. Zvatinoziva ndezvokuti zvimwe zviitiko zvinogona kukuisa pahuwandu hwehutano hwe fibromyalgia, kusanganisira hutano, makore, pfungwa dzepfungwa, uye genetics.
Gender
Kutaura zvinyorwa, vakadzi vanowanikwa nepamapfumbamwe kazhinji yekuwana fibromyalgia kupfuura varume. Kunyange zvazvo chikonzero chezvi hachisi zvachose chakajeka, mahomoni ezvepabonde anotenda kuti anotamba basa rinokosha kwete kwete kugoverwa kwechirwere asi kutengesa uye kuoma kwezviratidzo .
Izvi zvinoratidzwa mune chikamu nekudzidza kwe 2017 kwakabudiswa mumagazini yeGynecology uye Endocrinology iyo yakaratidza kuti zviratidzo zvehutachiona hwe fibromyalgia zvinowanzoenderana nekutanga kwezviratidzo zvekutanga. Kutaura zvazviri, vakadzi vane chirwere chakakura chemaintermenstrual syndrome (PMS) vaive nemakumi makumi maviri kana makumi maviri emikana yakawanda yekuve nemafungiro emagetsi e-fibromyalgia anopisa kupfuura vakadzi vane vana vaduku vasina zviratidzo zveMDC vainge vasisina mungozi yehosha.
Mimwe mamiriro ezvinhu anoita seanopindirana nekutanga kwekuguma kwemwedzi umo mahomoni anodonha zvinoshamisa. Izvo zvinotsigirazve basa reestrogen muyclic fibromyalgia inopisa maererano nemazinga eestrogen inodonha panguva yokutanga kwemwedzi. Uye, kwete isrogen chete asi testosterone, zvakare.
Izvi zvinoratidza kuti testosterone, iyo hormone yemurume, inogonawo kuita basa mukuvandudzwa kwezviratidzo zve fibromyalgia mune varume . Kunyange zvazvo kutsvakurudza kuri kushayikwa, chidzidzo che2010 kubva kuYunivhesiti yeNebraska Medical Centre chakaratidza kuti kupera kunoramba kuripo mumatunhu e testosterone sekunge munhu ane makore akaenzaniswa nekuwedzera muhuwandu uye hutsinye hwehutano hwehutachiona hunoenderana nehutumbromyalgia.
Vamwe vatsvakurudzi vanoratidza kuti chiyero che fibromyalgia pakati pevanhu chinogona kunge chave chakakwirira kwazvo kudarika kufungidzirwa, zvikurukuru sezvo varume vasingakwanisi kutsvaga kurapwa kwehurombo husingaperi huri nani kupfuura vakadzi.
Age
Vanhu vazhinji vanofunga kuti fibromyalgia ndiyo chirwere chinokonzera vakadzi vanonzi post-menopausal (maonero anonyanya kutungamirirwa nekutengeswa kweTV izvo zvinenge zvichitura vakadzi mumakore avo makumi mashanu nemakumi matanhatu sevanotambura). Ichokwadi, fibromyalgia inowanzowedzera panguva yekuberekwa kwemukadzi kwemukadzi uye inonyanya kuongororwa pakati pemakore makumi maviri nemakumi mashanu.
Kazhinji, njodzi inowedzera kuwedzera sezvaunokutakura iwe. Kunyange zvazvo njodzi yakawanda ye fibromyalgia iri pakati peviri nezana nezana, inowedzera kusvika kusvika masere kubva muzana nenguva yaunosvika makumi masere.
Nezvo izvo zvataurwa, zvinogona kutora makore akawanda kusati kwagara kupararira kurwadziwa kunowanzoonekwa se fibromyalgia. Ichokwadi, kuongorora kwakaitwa muna 2010 kwakaitwa neDhipatimendi reRheumatology paKing's College London yakagumisa kuti zvinotora makore masere matanhatu kubva pakutanga kwezviratidzo kugamuchira kugutsikana kwechirwere ichi.
Zvishoma nezvishoma, fibromyalgia inogona kukonzera vana nevechiri kuyaruka nenzira isina uncharacteristic yechirwere chinonzi juvenile fibromyalgia syndrome (JFMS) .
Psychological Stresses
Kushushikana mupfungwa kunogona kunge kuri kukonzera chikonzero che fibromyalgia, kunyange zvazvo chiri chinhu chekudya-uye-mazai. Kunyange zvazvo tichiziva, somuenzaniso, kuti fibromyalgia inowanzoitika-inokonzerwa nezvinetso zvakakonzerwa nezvinokonzerwa nekuzvidya mwoyo sezvisingagumi kuneta (syndrome) (CFS) , kuora mwoyo , kunokanganisa bowel syndrome (IBS) , uye mushure mekutambudzika kwepfungwa (PTSD), hatisi kunyatsoziva kuti ukama hunoshanda sei.
Nemamiriro ezvinhu akaita sePTSD, sangano rinoratidzika se rinoratidza kuti zviratidzo zvepfungwa zvinogona kuita kuti muviri uite, nenzira yepamusoro (kuburikidza nekuchinja mafungiro epanyama), psychosomatically , kana maviri. NeCFS, kuora mwoyo, uye IBS, hukama hunova humwe hukonzeri-uye-humwe, nehumwe hutano hwepfungwa hunokonzera zviratidzo zvemuviri uye zvimwe zviratidzo zvemuviri zvinokonzera mupfungwa / kugona.
Kutsvakurudza mune zvakasiyana-siyana zve fibromyalgia zvinoratidza kuti pane makumi mana mazana:
- Fibromyalgia isina mamiriro ezvinhu epfungwa
- Fibromyalgia ane kushushikana-kunetseka kunoratidzika
- Fibromyalgia inobatanidza nekliniki yekuora mwoyo
- Fibromyalgia inokonzerwa nekusimbiswa (kufara kwekuona kushungurudzika kwepfungwa nemararamiro emuviri, zvakadai sekugona kuitika nePTSD)
Saizvozvowo, matambudziko ekurara anowanzobatanidzwa ne fibromyalgia. Kunyange zvazvo zvimwe zvinetso zvehope zvakadai sekudzivirira kubatwa kwepabonde zvingaita kuti zvivepo ne fibromyalgia uye zvinokonzera kuwandisa kwehutano husingagumi, zvimwe zvinetso zvekurara zvakadai sehope dzinotanga (maitiro anokonzerwa nehope) nehope dzakaputsika zvinotendwa kuti ndizvo zvinokonzerwa neurotransmitter kudzvinyirira mukati nervous system.
Zvatinoziva ndezvokuti, chero chii chinokonzera kana chiitiko, kurara kwekudzorera (umo kurara kwemaitiro kunowanzoitwa) kunobatanidza zvakananga nekuderedza zviratidzo zvinorwadza.
Genetics
Genetics inowedzera zvakajeka pakuvandudzwa kwe fibromyalgia, pamwe nechechi, kunyange zvazvo zvingave zvisingaiti nekuda kwechimiro chimwe chekuchinja kwemajini asi maitiro akawandisa uye asina kuchinja. Parizvino, masayendisiti haasati avhara kusanganiswa kubva kumazana emarwadzo anokwanisa-kutonga ma geni mumuviri wako
Basa reine genetic mu fibromyalgia rinoratidzwa mune chikamu nekuongororwa kwakazara kweongororo kubva kuChonnam National Medical Hospital muKorea iyo yakaratidza kuwedzera kwakakwana kwemafa pakati pekutanga-nhengo dzemhuri ne fibromyalgia. Kubva muna 1989 kusvika muna 2013, ruzhinji rwekutsvakurudza rwakaratidza kuti kuva nemubereki kana mukoma wako ane fibromyalgia inowedzera dambudziko rako rechirwere chero kupi zvako kubva 26 kubva kune 28 kubva muzana, kana uine chikamu chechipiri chemhuri chinowedzera dambudziko rako ne19% .
Apo kutsvakurudza kuri kupfuurira, kune humwe uchapupu hwekuti vanhu vane zvinonzi 5-HT2A mucherechedzo 102T / C kuporesa muviri kunogona kunge vari pangozi yezvirwere zve fibromyalgia.
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