Fibromyalgia

Fibromyalgia chiitiko umo munhu ane kurwadziwa kwenguva refu uko kunopararira mumuviri wese. Marwadzo anowanzo sunganidzwa nekuneta, matambudziko ekurara, kunetseka kuisa pfungwa, kutemwa nemusoro, kushushikana, uye kusagadzikana.

Vanhu vane fibromyalgia vanogona zvakare kuve nehunyoro mumajoini, mhasuru, tendon, uye zvimwe zvakapfava zvinyama.

Chikonzero hachizivikanwe. Vatsvagiri vanofunga kuti fibromyalgia inokonzerwa nedambudziko nemabatirwo epakati etsinga ekurwadziwa. Zvinogona kukonzera zvikonzero zve fibromyalgia zvinosanganisira:

• Kushungurudzika mumuviri kana mupfungwa.
• Kusanzwisisika kwekutambudzika kupindura: Nzvimbo dziri muuropi dzinodzora kurwadziwa dzinogona kuita zvakasiyana muvanhu vane fibromyalgia.
• Kukanganiswa kwekurara.
• Utachiona, senge hutachiona, kunyangwe hazvo pasina kuzivikanwa.

Fibromyalgia inowanzoitika kune vakadzi kana ichienzaniswa nevarume. Vakadzi vane makore makumi maviri kusvika makumi mashanu vanobatwa zvakanyanya.

Aya anotevera mamiriro anogona kuonekwa ne fibromyalgia kana ane zvakafanana zviratidzo:

• Yenguva refu (isingaperi) mutsipa kana kurwadziwa kumashure
• Yenguva refu (isingaperi) kuneta chirwere
• Kushungurudzika
• Hypothyroidism (isingashandi thyroid)
• Chirwere cheLyme
• Matambudziko ekurara

Kurwadziwa kwakapararira ndicho chiratidzo chikuru che fibromyalgia. Fibromyalgia inoratidzika kunge iri mune dzakasiyana maronda asingagumi akapararira, anogona kunge aripo mu10% kusvika 15% yehuwandu hwevanhu. Fibromyalgia inowira pamucheto wekupedzisira wekutambudzika kwakanyanya uye kusagadzikana kuyera uye kunoitika mu1% kusvika 5% yehuwandu hwevanhu.

Iyo yepakati ficha ye fibromyalgia kusingaperi kurwadziwa munzvimbo dzakawanda. Aya masosi ndiwo musoro, ruoko rwese, chipfuva, dumbu, gumbo rimwe nerimwe, yekumusoro kumashure uye musana, uye yezasi musana uye musana (kusanganisira magaro).

Iwo marwadzo anogona kunge ari munyoro kusvika mukukutu.

• Inogona kunzwa sekurwadziwa kwakadzika, kana kubaya, kurwadziwa kunopisa.
• Inogona kunzwa sekunge iri kubva kumajoini, kunyangwe iwo majoini asina kukanganiswa.

Vanhu vane fibromyalgia vanowanzo muka nemarwadzo emuviri uye kuomarara. Kune vamwe vanhu, kurwadziwa kunovandudzika mukati mehusiku uye kunowedzera kuwedzera husiku. Vamwe vanhu vanorwadziwa zuva rese.

Marwadzo anogona kuwedzera zvakanyanya ne:

• Chiitwa chemuviri
• Mamiriro ekunze anotonhora kana manyoro
• Kufunganya uye kushushikana

Vazhinji vanhu vane fibromyalgia vane kuneta, kushushikana kwepfungwa, uye matambudziko ekurara. Vanhu vazhinji vanoti havakwanise kurara kana kuramba vakarara, uye vanonzwa kuneta pavanomuka.

Zvimwe zviratidzo zve fibromyalgia zvinogona kusanganisira:

• Irritable bowel syndrome (IBS) kana gastroesophageal reflex
• Matambudziko ekurangarira nekufungisisa
• Unhu uye kurira mumaoko nemakumbo
• Akadzora kugona kurovedza muviri
• Kukakavara kana migraine misoro

Kuti uonekwe uine fibromyalgia, iwe unofanirwa kunge wakave nemwedzi mitatu yekupararira kwakapararira nechimwe kana zvimwe zvinotevera.

• Kuenderera mberi matambudziko nekurara
• Kuneta
• Kufunga kana ndangariro matambudziko

Hazvina basa kuti mupi wezvehutano awane mapointeti panguva yebvunzo kuti aongororwe.

Mhedzisiro kubva kuongororo yemuviri, kuongororwa kweropa uye weti, uye bvunzo dzekufungidzira zvakajairika. Iyi bvunzo inogona kuitwa kutonga kunze mamwe mamiriro ane zviratidzo zvakafanana. Zvidzidzo zvekufema panguva yekurara zvinogona kuitwa kuti uone kana iwe uine mamiriro anonzi kuhope kufema.

Fibromyalgia yakajairika mune yega rheumatic chirwere uye inomanikidza kuongororwa uye kurapwa. Matambudziko aya anosanganisira:

• Rheumatoid arthritis
• Osteoarthritis
• Spondyloarthritis
• Systemic lupus erythematosus

Zvinangwa zvekurapa ndezvekubatsira kubvisa marwadzo uye zvimwe zviratidzo, uye kubatsira munhu wacho kurarama nezviratidzo.

Mhando yekutanga yekurapa inogona kusanganisira:

• Kurapa kwepanyama
• Exercise uye kugwinya chirongwa
• Maitiro ekudzvinyirira-kushungurudzika, kusanganisira mwenje wekusimbisa uye ekuzorodza

Kana izvi kurapwa zvikasashanda, mupi wako anogona zvakare kupa antidepressant kana mhasuru inozorodza. Dzimwe nguva, kusanganiswa kwemishonga kunobatsira.

• Chinangwa chemishonga iyi ndechekuvandudza kurara kwako uye kukubatsira zvirinani kutsungirira kurwadziwa.
• Mushonga unofanirwa kushandiswa pamwe nekurovedza muviri uye maitiro ekurapa.
• Duloxetine (Cymbalta), pregabalin (Lyrica), uye milnacipran (Savella) mishonga inogamuchirwa nenzira chaiyo yekurapa fibromyalgia.

Mimwe mishonga inoshandiswawo kurapa mamiriro, akadai se:

• Anti-kubvuta zvinodhaka, senge gabapentin
• Zvimwe zvinodzvinyirira, senge amitriptyline
• Tsvina inozorodza, senge cyclobenzaprine
• Marwadzo anodzora, senge tramadol

Kana iwe uine apnea yekurara, chigadzirwa chinonzi chinopfuurira chakanaka airway pressure (CPAP) inogona kurongerwa.

Kufungisisa-maitiro ekurapa chikamu chakakosha chekurapa. Iyi kurapa inobatsira iwe kudzidza maitiro eku:

• Bata nepfungwa dzisina kunaka
• Chengeta dhayari rekurwadziwa uye zviratidzo
• Ziva izvo zvinoita kuti zviratidzo zvako zviwedzere
• Tsvaga zviitiko zvinonakidza
• Gadza miganhu

Kuwedzeredza uye dzimwe nzira dzekurapa dzinogona zvakare kubatsira. Izvi zvinogona kusanganisira:

• Tai chi
• Yoga
• Kugadzirira

Mapoka ekutsigira anogona kubatsirawo.

Zvinhu zvaunogona kuita kuti ubatsire kuzvitarisira zvinosanganisira:

• Idya kudya kwakanyatsonaka.
• Dzivisa caffeine.
• Dzidzira yakanaka yekurara tsika yekuvandudza mhando yekurara.
• Rovedza muviri nguva dzose. Tanga neepasi-chikamu chiitwa.

Iko hakuna humbowo hwekuti maopioid anoshanda pakurapa kwefibromyalgia, uye zvidzidzo zvakaratidza kuti zvinogona kuitika mhedzisiro.

Kuendeswa kukiriniki ine ruzivo uye hunyanzvi mu fibromyalgia inokurudzirwa.

Fibromyalgia chirwere chenguva refu. Dzimwe nguva, zviratidzo zvinovandudzika. Dzimwe nguva, kurwadziwa kwacho kunogona kuwedzera uye kuenderera kwemwedzi kana makore.

Fonera mupiki wako kana iwe uine zviratidzo zve fibromyalgia.

Iko hakuna kunozivikanwa kudzivirira.

Fibromyositis; FM; Fibrositis

• Fibromyalgia

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Wu YL, Chang LY, Lee HC, Fang SC, Tsai PS. Kukanganiswa kwekurara mu fibromyalgia: meta-ongororo yenyaya-kutonga zvidzidzo. J Psychosom Res. 2017; 96: 89-97. PMID: 28545798 pubmed.ncbi.nlm.nih.gov/28545798/.