I-Fibromyalgia

I-Fibromyalgia yisimo lapho umuntu enezinhlungu zesikhathi eside ezisakazeka emzimbeni wonke. Ubuhlungu buvame ukuxhunyaniswa nokukhathala, izinkinga zokulala, ubunzima bokugxila, ikhanda, ukucindezeleka nokukhathazeka.

Abantu abane-fibromyalgia bangabuye babe nesisa emajoyini, emisipheni, emisipheni, nakwezinye izicubu ezithambile.

Isizathu asaziwa. Abaphenyi bacabanga ukuthi i-fibromyalgia ingenxa yenkinga yokuthi uhlelo oluphakathi lwezinzwa lucubungula kanjani ubuhlungu. Izimbangela ezingenzeka noma izimbangela ze-fibromyalgia zifaka:

• Ukuhlukumezeka ngokomzimba noma ngokomzwelo.
• Ukuphendula kobuhlungu okungavamile: Izindawo ebuchosheni ezilawula ubuhlungu zingasabela ngokuhlukile kubantu abane-fibromyalgia.
• Ukuphazamiseka kokulala.
• Ukutheleleka, okufana negciwane, noma kungekho okutholakele.

I-Fibromyalgia ivame kakhulu kwabesifazane uma kuqhathaniswa nabesilisa. Abesifazane abaneminyaka engama-20 kuya kwengama-50 bathinteka kakhulu.

Izimo ezilandelayo zingabonakala nge-fibromyalgia noma zibe nezimpawu ezifanayo:

• Intamo yesikhathi eside (esingapheli) noma ubuhlungu beqolo
• Isifo sokukhathala sesikhathi eside (esingapheli)
• Ukucindezeleka
• I-Hypothyroidism (i-thyroid engasebenzi)
• Isifo seLyme
• Izinkinga zokulala

Ubuhlungu obusakazekile uphawu oluyinhloko lwe-fibromyalgia. I-Fibromyalgia ibonakala ingezinhlobonhlobo zezinhlungu ezingapheli ezigcwele, ezingaba khona ku-10% kuya ku-15% wabantu bonke. I-Fibromyalgia iwela ekugcineni kwalesi silinganiso sobunzima nobunzima futhi yenzeka ku-1% kuya ku-5% wabantu bonke.

Isici esiphakathi se-fibromyalgia ubuhlungu obungapheli kumasayithi amaningi. Lezi zingosi yinhloko, ingalo ngayinye, isifuba, isisu, umlenze ngamunye, iqolo elingaphezulu nomgogodla, nomhlane ongezansi nomgogodla (kufaka phakathi izinqa).

Ubuhlungu bungaba buthakathaka buze bube bukhulu.

• Kungazwakala njengobuhlungu obujulile, noma ubuhlungu bokugwazwa, obuvuthayo.
• Kungazizwa sengathi kuvela emajoyintini, yize amalunga engathinteki.

Abantu abane-fibromyalgia bavame ukuvuka ngobuhlungu bomzimba nokuqina. Kwabanye abantu, izinhlungu ziyathuthuka emini futhi ziba zimbi kakhulu ebusuku. Abanye abantu banezinhlungu usuku lonke.

Ubuhlungu bungaba buhlungu kakhulu nge:

• Umsebenzi womzimba
• Isimo sezulu esibandayo noma esimanzi
• Ukukhathazeka nokucindezeleka

Iningi labantu abane-fibromyalgia linokukhathala, imizwa yokudangala nezinkinga zokulala. Abantu abaningi bathi abakwazi ukulala noma ukulala, futhi bazizwa bekhathele lapho bevuka.

Ezinye izimpawu ze-fibromyalgia zingafaka:

• I-irritable bowel syndrome (IBS) noma i-reflex gastroesophageal
• Izinkinga zememori nokugxila
• Ukuba ndikindiki nokushosheka ezandleni nasezinyaweni
• Ukwehlisa ikhono lokuzivocavoca umzimba
• Ukungezwani noma ukukhanda ikhanda

Ukuze utholakale une-fibromyalgia, kufanele ngabe ubunezinyanga okungenani ezi-3 zobuhlungu obusakazeke kokukodwa noma ngaphezulu kokulandelayo:

• Izinkinga eziqhubekayo ngokulala
• Ukukhathala
• Izinkinga zokucabanga noma zememori

Akudingekile ukuthi umhlinzeki wezokunakekelwa kwempilo athole amaphuzu amathenda ngesikhathi sokuhlolwa ukuze enze ukuxilongwa.

Imiphumela evela ekuhlolweni komzimba, ukuhlolwa kwegazi nomchamo, nokuhlolwa kwe-imaging kuvamile. Lezi zivivinyo zingenziwa ukukhipha ezinye izimo ezinezimpawu ezifanayo. Izifundo zokuphefumula ngesikhathi sokulala zingenziwa ukuthola ukuthi ngabe unenkinga ebizwa ngokuthi i-sleep apnea.

I-Fibromyalgia ivame kuzo zonke izifo ze-rheumatic futhi ihlanganisa ukuxilongwa nokwelashwa. Lezi zinkinga zifaka:

• Isifo samathambo
• I-osteoarthritis
• I-Spondyloarthritis
• Uhlelo lupus erythematosus

Izinhloso zokwelashwa ukusiza ukuqeda izinhlungu nezinye izimpawu, nokusiza umuntu abhekane nezimpawu.

Uhlobo lokuqala lwezokwelapha lungabandakanya:

• Ukwelashwa ngokomzimba
• Uhlelo lokuzivocavoca nokuqina
• Izindlela zokuqeda ukucindezeleka, kufaka phakathi amasu okukhipha umzimba nokuphumula

Uma lezi zindlela zokwelapha zingasebenzi, umhlinzeki wakho angaphinde anikeze i-anti-depressant noma i-relaxant muscle. Kwesinye isikhathi, ukuhlanganiswa kwemithi kuyasiza.

• Umgomo wale mithi ukwenza ngcono ukulala kwakho futhi kukusize ubekezelele kangcono ubuhlungu.
• Imithi kufanele isetshenziswe kanye nokuzivocavoca kanye nokwelashwa kokuziphatha.
• I-Duloxetine (i-Cymbalta), i-pregabalin (i-Lyrica), ne-milnacipran (i-Savella) yimithi evunyelwe ngokukhethekile ekwelapheni i-fibromyalgia.

Eminye imithi isetshenziselwa ukwelapha lesi simo, njenge:

• Izidakamizwa ezilwa nokubanjwa, njenge-gabapentin
• Amanye ama-anti-depressants, njenge-amitriptyline
• Ukuphumula kwemisipha, njenge-cyclobenzaprine
• Ukudambisa izinhlungu, njenge-tramadol

Uma une-apnea yokulala, kungabekwa idivaysi ebizwa nge-constant positive airway pressure (CPAP).

Ukwelashwa kwengqondo yokuziphatha kuyingxenye ebalulekile yokwelashwa. Lokhu kwelashwa kukusiza ukuthi ufunde ukuthi:

• Bhekana nemicabango engemihle
• Gcina idayari yezinhlungu nezimpawu
• Bona ukuthi yini eyenza izimpawu zakho zibe zimbi kakhulu
• Funa imisebenzi ejabulisayo
• Setha imikhawulo

Imithi yokwelapha ehambisanayo neyenye indlela ingasiza. Lokhu kungafaka:

• I-Tai chi
• I-Yoga
• Ukuthoma

Amaqembu okusekela nawo angasiza.

Izinto ongazenza ukusiza ukuzinakekela zifaka:

• Yidla ukudla okunomsoco.
• Gwema i-caffeine.
• Prakthiza inqubo enhle yokulala ukuze uthuthukise ikhwalithi yokulala.
• Vocavoca umzimba njalo. Qala ngokuvivinya umzimba osezingeni eliphansi.

Abukho ubufakazi bokuthi ama-opioid ayasebenza ekwelapheni i-fibromyalgia, futhi izifundo ziphakamise imiphumela emibi engaba khona.

Ukudluliselwa emtholampilo onentshisekelo nobungoti kwi-fibromyalgia kuyakhuthazwa.

I-Fibromyalgia yisifo sesikhathi eside. Kwesinye isikhathi, izimpawu ziyathuthuka. Ngezinye izikhathi, ubuhlungu bungaba bukhulu futhi buqhubeke izinyanga noma iminyaka.

Shayela umhlinzeki wakho uma unezimpawu ze-fibromyalgia.

Akukho ukuvimbela okwaziwayo.

I-fibromyositis; FM; I-Fibrositis

• I-Fibromyalgia

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