Ingabe I-Fibromyalgia Ibathinta Kanjani Abesifazane Ngokuhlukile?

-Delile

• Ubuhlungu obuqinile bokuya esikhathini kwabesifazane abane-fibromyalgia
• Ubuhlungu obukhulu be-fibromyalgia namaphoyinti amathenda kwabesifazane
• Amaphoyinti amathenda
• Ukwanda kobuhlungu besinye kanye nezinkinga zamathumbu kwabesifazane
• Ukukhathala okuningi nemizwa yokudangala kwabesifazane
• Ezinye izimpawu ezithinta abesifazane nabesilisa
• Ukubonana nodokotela nini
• Ukwelashwa kwe-fibromyalgia

I-Fibromyalgia kwabesifazane

I-Fibromyalgia yisimo esingelapheki esidala ukukhathala, ubuhlungu obusakazekile, nobumnene emzimbeni wonke. Lesi simo sithinta bobabili abesilisa nabesifazane, yize abesifazane besengozini enkulu yokuthuthukisa i-fibromyalgia. Phakathi kwamaphesenti angama-80 kuya kwangu-90 abantu abathola ukuxilongwa ngabesifazane, ngokusho kweNational Institutes of Health.

Kwesinye isikhathi abesilisa bathola ukuxilongwa okungafanele ngoba bangachaza ngokuhlukile izimpawu ze-fibromyalgia. Abesifazane bavame ukubika ubuhlungu obukhulu kakhulu kunabesilisa. Izizathu ezingemuva kwalokhu zingahle zihlobene namahomoni, ukwehluka kwamasosha omzimba, noma izakhi zofuzo.

Noma kunjalo, abacwaningi abaqiniseki ukuthi kungani abesifazane benengozi enkulu yokuthuthukisa i-fibromyalgia kunamadoda. Ukuphela kwendlela yokuyihlolela ukukhipha ezinye izimo ezingenzeka.

Funda ukuze ufunde ukuthi izimpawu ze-fibromyalgia zingazizwa kanjani ngabesifazane.

Ubuhlungu obuqinile bokuya esikhathini kwabesifazane abane-fibromyalgia

Amajaqamba enkathi yokuya esikhathini angaba mnene noma abe buhlungu, kuya ngomuntu wesifazane. Embikweni weNational Fibromyalgia Association, abesifazane abanesimo banezikhathi ezibuhlungu kakhulu kunokujwayelekile. Kwesinye isikhathi ubuhlungu buyaguquguquka ngomjikelezo wabo wokuya esikhathini.

Iningi labesifazane abane-fibromyalgia baphakathi kweminyaka engama-40 kuye kwengama-55 ubudala. Izimpawu ze-Fibromyalgia zingazizwa zimbi kakhulu kwabesifazane abase-postmenopausal noma ababhekene nokunqamuka kokuya esikhathini.

Ukunqamuka kokuya esikhathini nge-fibromyalgia kungakhulisa imizwa ye:

• ubuhlanya
• ubuhlungu
• ubuhlungu
• ukukhathazeka

Umzimba wakho ukhiqiza amaphesenti angama-40 ngaphansi kwe-estrogen ngemuva kokunqamuka kokuya esikhathini. I-Estrogen ngumdlali omkhulu ekulawuleni i-serotonin, elawula izinhlungu nemizwelo. Ezinye izimpawu ze-fibromyalgia zingabonisa izimpawu zesikhathi sokunqamuka, noma "ezungeze ukuya esikhathini." Lezi zimpawu zifaka:

• ubuhlungu
• ububele
• ukungabi nokulala kwekhwalithi
• inkinga ngememori noma ngokucabanga ngezinqubo
• ukudana

Abanye besifazane abane-fibromyalgia nabo bane-endometriosis. Kulesi simo, izicubu ezivela esibelethweni ziyakhula kwezinye izingxenye zokhalo. I-Fibromyalgia nayo ingakhuphula ukungakhululeki okubangelwa yi-endometriosis. Khuluma nodokotela wakho uma lezi zimpawu zingapheli ngemuva kokuya esikhathini.

Ubuhlungu obukhulu be-fibromyalgia namaphoyinti amathenda kwabesifazane

Ubuhlungu be-fibromyalgia e-Amplified buvame ukuchazwa njenge-ache ejulile noma engathandeki eqala emisipheni futhi ikhanye kwezinye izingxenye zomzimba. Abanye abantu futhi banezikhonkwane nezinaliti ukuzwa.

Ngokuxilongwa kwe-fibromyalgia, ubuhlungu kufanele buthinte zonke izingxenye zomzimba wakho, ezinhlangothini zombili kubandakanya izingxenye ezingaphezulu nezingezansi. Ubuhlungu bungafika budlule. Kungaba kubi kwezinye izinsuku kunezinye. Lokhu kungenza kube nzima ukuhlela imisebenzi yansuku zonke.

Okuthakazelisayo ukuthi abesilisa nabesifazane babhekana nobuhlungu be-fibromyalgia ngokuhlukile. Yomibili le mibiko ibhekene nobunzima obukhulu besikhathi esithile. Kepha abesilisa bebonke bavame ukubika ubuhlungu obuphansi kunabesifazane. Abesifazane babhekana nokuhlukumezeka okungaphezulu kakhulu nobude obude bezinhlungu. Ubuhlungu be-Fibromyalgia buvame ukuqina kwabesifazane ngoba i-estrogen inciphisa ukubekezelelana kobuhlungu.

Amaphoyinti amathenda

Ngaphezu kobuhlungu obandile, i-fibromyalgia ibangela amaphuzu amathenda. Lezi yizindawo ezithile ezizungeze umzimba, imvamisa eduze kwamalunga akho abuhlungu uma ucindezelwa noma uthintwa. Abaphenyi bathole amaphuzu amathenda angaba ngu-18. Ngokwesilinganiso, abesifazane babika okungenani amaphuzu amabili ethenda ngaphezulu kwabesilisa. La maphuzu wamathenda abuye azwele kakhulu kwabesifazane. Ungabuzwa ubuhlungu kwezinye noma kuzo zonke lezi zindawo:

• emuva kwekhanda
• indawo ephakathi kwamahlombe
• ngaphambili entanyeni
• ngaphezulu kwesifuba
• ngaphandle kwezindololwane
• phezulu nezinhlangothi zezinqulu
• ingaphakathi lamadolo

Amaphoyinti amathenda angavela futhi endaweni yangasese. Ubuhlungu obuqhubekayo futhi buhlala isikhathi esingaphezu kwezinyanga eziyisithupha bubizwa ngokuthi ubuhlungu obungapheli be-pelvic nokungasebenzi (CPPD). Lezi zinhlungu zingaqala ngemuva bese zehla ngamathanga.

Ukwanda kobuhlungu besinye kanye nezinkinga zamathumbu kwabesifazane

I-Fibromyalgia ingenza ezinye izinto zibe zimbi kakhulu ezihlobene ne-CPPD, njenge-irritable bowel syndrome (IBS) nezinkinga zesinye. Ucwaningo lukhombisa ukuthi abantu abane-fibromyalgia ne-IBS banethuba eliphakeme lokuthuthukisa i-cystitis yangaphakathi, noma i-bladder syndrome (PBS) ebuhlungu. Abantu abangamaphesenti angama-32 abane-IBS nabo bane-PBS. Ucwaningo lukhombisa ukuthi i-IBS ibuye ivame kakhulu kwabesifazane. Amaphesenti angaba ngu-12 kuya kwangu-24 abesifazane anayo, kuyilapho amaphesenti angama-5 kuya kwangu-9 kuphela amadoda ane-IBS.

Kokubili i-PBS ne-IBS kungadala:

• ubuhlungu noma amajaqamba esiswini esingezansi
• ubuhlungu ngesikhathi sokuya ocansini
• ubuhlungu ngesikhathi uchama
• ingcindezi esinyeni
• isidingo esengeziwe sokuchama, zonke izikhathi zosuku

Ucwaningo luphakamisa ukuthi zombili i-PBS ne-IBS zinezimbangela ezifanayo kwi-fibromyalgia, yize ubudlelwano ngqo bungaziwa.

Ukukhathala okuningi nemizwa yokudangala kwabesifazane

Ucwaningo, olushicilelwe ku-Oxford University Press, lubheke ukwenzeka kokudangala emadodeni nakwabesifazane abane-fibromyalgia. Abaphenyi bathole ukuthi abesifazane abanesimo babike amazinga aphezulu kakhulu okucindezeleka kunabesilisa.

Ezinye izimo ezivame ukwenzeka eceleni kwe-fibromyalgia zingakugcina uphapheme ebusuku. Lokhu kufaka phakathi i-syndrome yemilenze engenakuphumula kanye ne-apnea yokulala. Ukuntuleka kokulala kungaba nomthelela emizweni yokukhathala nokudangala. Ungazizwa ukhathele futhi unenkinga yokugxila emini, noma ngabe uphumule ngokugcwele ebusuku. Inani lokulala elingalungile nalo lingakhuphula ukuzwela kwakho ebuhlungwini.

Ezinye izimpawu ezithinta abesifazane nabesilisa

Ezinye izimpawu ezivamile ze-fibromyalgia zifaka:

• ukuzwela kumaconsi okushisa, imisindo ephezulu, namalambu akhanyayo
• unenkinga yokukhumbula nokugxila, okubizwa nangokuthi i-fibro fog
• ukuphathwa yikhanda, kufaka phakathi imigraines edala isicanucanu nokuhlanza
• isifo semilenze esingenakuphumula, umuzwa osabisayo, okhukhulayo emilenzeni ekuvusa ebuthongweni
• ubuhlungu bomhlathi

Ukubonana nodokotela nini

Khuluma nodokotela wakho uma lezi zimpawu ziphazamisa inhlalakahle yakho noma zihambisana nezinye izimpawu ze-fibromyalgia. Asikho isivivinyo esisodwa sokuxilonga i-fibromyalgia. Izimpawu zingafana nezinye izimo ezifana ne-rheumatoid arthritis (RA). Kodwa ngokungafani ne-RA, i-fibromyalgia ayibangeli ukuvuvukala.

Kungakho udokotela wakho ezokwenza ukuhlolwa ngokomzimba bese e-oda izivivinyo eziningi ukukhipha ezinye izimo.

Ukwelashwa kwe-fibromyalgia

Alikho ikhambi le-fibromyalgia, kepha ukwelashwa kuyatholakala. Usengakwazi ukuphatha ubuhlungu futhi uphile impilo enempilo, esebenzayo.

Abanye abantu bayakwazi ukuphatha izinhlungu ngokunciphisa izinhlungu ezingaphezulu kwe-the-counter (OTC), njenge-acetaminophen, ibuprofen, ne-naproxen sodium. Udokotela wakho angakunikeza imithi ethile yokunciphisa ubuhlungu nokukhathala, uma izidakamizwa ze-OTC zingasebenzi.

Le mithi ihlanganisa:

• i-duloxetine (iCymbalta)
• i-gabapentin (Neurontin, Gralise)
• pregabalin (eLyrica)

Ucwaningo oluvela ocwaningweni luka-1992 lukhombisile ukuthi abantu abathathe i-malic acid ne-magnesium babike ukuthuthuka okukhulu ezinhlungwini zemisipha kungakapheli amahora angama-48. Ubuhlungu babuye babuya kubantu abathathe iphilisi le-placebo ngemuva kwamahora angama-48. Kepha alukho ucwaningo lwakamuva olwenziwe kule nhlanganisela yokwelashwa kwe-fibromyalgia.