Isifo seFibromiyalji: Iimpawu zaso, Izizathu kunye noLawulo lwayo

Yintoni iFibromiyalji?

IFibromiyalji sisifo esingapheliyo nesinzima semithambo ethambileyo, esibonakaliswa ziintlungu ezisasazeke kwiindawo ezahlukeneyo zomzimba ixesha elide. Le meko ayipheleli kuphela kwiintlungu zomzimba; ukudinwa, ukuphazamiseka kokulala, ukudideka kwengqondo kunye notshintsho lwemeko yengqondo nako kungavela. Nangona ixhaphake ngakumbi phakathi kwabafazi, ifumaneka kwipesenti encinci yabantu abadala kwihlabathi liphela, kwaye ixhaphake ngakumbi kubafazi. Nangona unobangela ochanekileyo wefibromiyalji ungakacaci, kucingelwa ukuba kudibana izinto zemfuza kunye nezendalo.

Yintoni iSindromu yeFibromiyalji?

IFibromiyalji sisifo esingapheliyo esaziwa ngeentlungu ezisasazeke emzimbeni, ukwanda kobuthathaka kwiindawo ezithile zomzimba kunye neempawu zokudinwa ngokubanzi. Iimpawu zesi sindromu zihlala zixhomekeke kumntu; oko kukuthi, azinakuboniswa ngokuthe ngqo ngeemvavanyo zophando. Ngenxa yoko, esi sifo sihlala sidideka nezinye izifo kwaye ukufunyanwa kwaso kungalibaziseka.

Zeziphi Izizathu Ezinokwenzeka zeFibromiyalji?

Akukabikho sizathu sinye esichongiweyo esibangela iFibromiyalji; kodwa uphando oluninzi lubonise abanye abachaphazelekayo:

• Iintsholongwane ezidlulileyo: Kuphawuleke ukuba iFibromiyalji inokuvela emva kwezinye iintsholongwane zevirus okanye zebhaktiriya.

• Ukuthambekela kwemfuza: Kucingelwa ukuba abantu abanembali yosapho yeFibromiyalji banokuba semngciphekweni ophezulu.

• Umonakalo womzimba okanye wengqondo: Ukwenzakala okukhulu okanye uxinzelelo lwengqondo olunzulu lunokubangela iFibromiyalji.

• Uxinzelelo oluqhubekayo: Uxinzelelo olude lunokuchaphazela inkqubo ye-hormone kwaye lube negalelo ekuveleni kwesifo.

• Iimpawu zobuntu: IFibromiyalji ixhaphake ngakumbi kubantu abathambileyo nabagqibeleleyo.

Iithiyori ezithile zithi ingqondo kunye nenkqubo yemithambo-luvo yehla umda wentlungu kwaye umntu uba buthathaka ngakumbi kwiintlungu. Le meko ibangela ukuba neziphumo ezingaqhelekanga zibe yintlungu ekuhambeni kwexesha.

Iintlungu zeFibromiyalji Zibonakala Njani?

Ukuhamba kwesifo kuyahluka kumntu nomntu. Ngamanye amaxesha, kunokubakho ukwanda kwentlungu (ixesha loxinzelelo). Kule mihla, intlungu kunye nokudinwa kuba mandundu ngakumbi. Ngexesha loxinzelelo, kunokubakho ukwanda kweengxaki zokulala, iingxaki zokugaya ukutya (umzekelo i-reflux), ukuvuvukala ezandleni nasezinyaweni, kunye nokungaphatheki kakuhle kwezinye iindawo zomzimba.

Zeziphi Iimpawu zeFibromiyalji?

Uphawu oluphambili lweFibromiyalji yintlungu yemisipha esasazeke kwaye ehlala ixesha elide. Kodwa esi sifo asibangeli kuphela intlungu. Ezinye iimpawu eziqhelekileyo zezi:

• Ukudinwa okuhlala okanye okuqhubekayo

• Ukungaphumli nangona ulele

• Iintlungu zentloko

• Uxinzelelo lwengqondo okanye uloyiko

• Ubunzima bokugxila (“inkungu yengqondo”)

• Intlungu esezantsi esiswini

• Ukungaphatheki kakuhle xa uphefumla

• Ukungqongqoza ezindlebeni

• Ukudinwa ngokukhawuleza xa usebenza

KwiFibromiyalji, ubuthathaka kwiindawo ezithile zomzimba (umzekelo ngasemva kwentloko, emagxeni, emathangeni, emadolweni nasezindololwaneni) kwakuthathwa njengophawu oluphambili lokufunyanwa kwesifo. Namhlanje, ezi ndawo azisetyenziswa zodwa ekufunyanweni kwesifo.

Ngubani Okumngciphekweni Wokuphuhlisa iFibromiyalji?

Yisifo esixhaphake ngakumbi kubafazi kunakwabantu besilisa. Ukuba kukho imbali yosapho yeFibromiyalji, umngcipheko unyuka. Kwakhona, inokuvela kunye nezinye izifo ezizimeleyo ezifana ne-lupus okanye i-rheumatoid arthritis.

IFibromiyalji Ifunyanwa Njani?

Kumgangatho wokufunyanwa kweFibromiyalji, uphawu oluphambili yintlungu yomzimba esasazeke kwaye ehlala ubuncinane iinyanga ezintathu kwaye engenakuchazwa ngenye imbangela yezonyango. Okwangoku, akukho mvavanyo yegazi ethile ebonisa iFibromiyalji. Oogqirha basebenzisa iimvavanyo ezifana nezigazi okanye ezokubonisa imifanekiso ukukhupha ezinye izifo.

Ulawulo lweFibromiyalji: Yintoni Enokwenziwa?

Indlela yokunyanga ijolise ekulawuleni iimpawu kunye nokuphucula umgangatho wobomi bomntu. Ngokuqhelekileyo, ukusetyenziswa kwamayeza, utshintsho kwindlela yokuphila kunye nonyango olongezelelweyo kuhlalutshwa kunye.

Unyango Lwamayeza

• Amayeza okunciphisa intlungu: Oogqirha banokucetyisa amayeza alula okunciphisa intlungu kwiintlungu ezithambileyo. Kumaxesha oxinzelelo, amayeza anamandla angasetyenziswa ixesha elifutshane kwaye ngokulawulwa.

• Amayeza okunciphisa uxinzelelo lwengqondo: Angasetyenziswa ekunciphiseni ubuthathaka bentlungu nakulawulo lwemeko yengqondo kunye nokuphazamiseka kokulala.

• Amayeza okunyanga i-epilepsy: Ingakumbi amayeza afana ne-gabapentin kunye ne-pregabalin abonakalise ukuba anefuthe lokunciphisa intlungu ngokusebenzisa inkqubo yemithambo-luvo. La mayeza kufuneka asetyenziswe phantsi kolawulo logqirha ngenxa yeempembelelo ezinokubakho.

Iindlela Ezongezelelweyo kunye noTshintsho kwiNdlela yoBomi

Iindlela ezininzi zonyango zingaba nefuthe elihle kunyango lweFibromiyalji:

• Unyango lomzimba kunye nokubuyiselwa kwemisebenzi yomzimba

• Iindlela zokuphumla ezifana ne-acupuncture, yoga, umthandazo okanye unyango lomzimba

• Ukutya okusempilweni nokulinganiselayo

• Iinkqubo zokuzilolonga ezilula, rhoqo kwaye zihlala ixesha elide (umzekelo ukuhamba, ukubaleka emanzini, ukuqhuba ibhayisekile)

• Ukwenza imeko efanelekileyo kunye nemikhwa yokulala esemgangathweni

Iinkqubo Zokuzilolonga kunye neNdima yeMisebenzi yoMzimba

Ukuzilolonga kubalulekile kunyango lweFibromiyalji. Imisebenzi efanelekileyo nenomlinganiselo, eyilwe ngokukodwa kumntu, yomeleza imisipha, inyusa amandla kwaye inceda ekunciphiseni intlungu kunye nokudinwa. Ingakumbi imisebenzi ye-aerobic (ukuhamba, ukuqhuba ibhayisekile), imithambo yokolula elula kunye nemithambo yokuqinisa imisipha iyacetyiswa. Kufuneka kuqale ngemisebenzi elula, emfutshane, kwaye ixesha lonyuswe kancinci kancinci. Ukuzilolonga ngokugqithisileyo kungaphucula iimpawu; ngenxa yoko, kunceda ukufumana inkxaso yobungcali kumsebenzi womzimba.

Zeziphi Iindlela Zokuthintela iFibromiyalji?

Nangona indlela yokuthintela ngokupheleleyo iFibromiyalji ingekaziwa, ezi ndlela zilandelayo zicetyiswa ukukhusela umgangatho wobomi kunye nokunciphisa iimpawu:

• Ukuphuhlisa imikhwa yokulala esemgangathweni kunye nokuqhelekileyo

• Ukuphepha ikhofi eninzi kunye nezinto ezivuselela umzimba

• Ukulawula uxinzelelo kunye nokusebenzisa iindlela zokuphumla

• Ukulandela isidlo esisempilweni

• Ukuzilolonga rhoqo

• Ukusebenzisa iindlela zokuphumla ezifana nomyalezo okanye ishawa eshushu

• Ukugcina ubudlelwane boluntu kunye nemisebenzi yomntu siqu isebenza

Kufuneka Uthethe Nabaphi Iingcali ngeFibromiyalji?

Kulawulo lweFibromiyalji, indlela enezakhono ezininzi icetyiswa, ngakumbi kwi-rheumatology, unyango lomzimba kunye nokubuyiselwa kwemisebenzi yomzimba. Inkxaso kwicandelo le-psychiatry kunye ne-psychology inendima ebalulekileyo kulawulo lweempawu. Iingcali zonyango lomzimba kunye neengcali zomsebenzi zinokunika iingcebiso malunga nokuzilolonga kunye nokuhamba.

Imibuzo Ebuza Ngokuphindaphindiweyo

1. Yintoni iFibromiyalji, ingaba iyafana na ne-rheumatism yemisipha?

IFibromiyalji sisifo semithambo ethambileyo esichazwa yintlungu yemisipha esasazeke, iindawo ezibuthathaka kunye nokudinwa okungapheliyo. Igama elithi rheumatism yemisipha ligama elibanzi; iFibromiyalji sisifo esithile esingaphantsi kwesi sigaba.

2. Ingaba iFibromiyalji iyabulala?

Hayi, iFibromiyalji ayibulali. Kodwa ukuba ayinyangwanga, inokuba nefuthe elinzulu kumgangatho wobomi.

3. Ingaba iFibromiyalji iyosuleleka?

IFibromiyalji asiyosuleli. Ukuthambekela kwemfuza kunokunyusa umngcipheko, kodwa ayidluliselwa kumntu nomntu.

4. Ngubani okumngciphekweni?

Abafazi, abo banembali yosapho yeFibromiyalji kunye nabantu abanezinye izifo ze-rheumatism/autoimmune banomngcipheko ophezulu.

5. IFibromiyalji ifunyanwa njani?

Ufunyaniso lwenziwa ngokusekelwe kwiintlungu ezihlala ngaphezu kweenyanga ezintathu kunye neempawu ezingabonakali kwiimvavanyo zophando, ngokukhupha ezinye izifo ezinokwenzeka.

6. Zeziphi iimvavanyo ezenziwa kwiFibromiyalji?

Akukho mvavanyo yegazi ethile yeFibromiyalji. Iimvavanyo zegazi ezithile zinokwenziwa ukukhupha ezinye izifo.

7. Ingaba unyango lunyanga ngokupheleleyo?

Akukho nyango olupheleleyo lweFibromiyalji; kodwa iindlela ezifanelekileyo zinokulawula iimpawu kunye nokuphucula umgangatho wobomi.

8. Ingaba ukuzilolonga kuyanceda?

Ewe, imithambo ethambileyo nefanayo yokuzilolonga inceda ekunciphiseni iintlungu kunye nokudinwa, kwaye iphucula impilo iyonke.

9. Ngaba amayeza abangela uxhomekeko?

Uninzi lwamayeza asetyenziswa ngakumbi amayeza achasene neentlungu xa esetyenziswa kumlinganiselo olawulwayo phantsi kolawulo lukagqirha umngcipheko woxhomekeko uphantsi.

10. Ngaba unyango olwahlukileyo luyasebenza?

Kubonisiwe ukuba i-acupuncture, i-yoga kunye nomyinge zinokubangela ukuphumla kwabanye abaguli; kodwa le ndlela zinokwahluka ngokusekelwe kumntu.

11. Ngaba kunokwenzeka ukusebenza okanye ukwenza ezemidlalo kunye ne-fibromyalgia?

Uninzi lwabaguli, ngonyango olufanelekileyo kunye nenkxaso, banokuqhubeka nomsebenzi wabo kunye nobomi bemihla ngemihla. Imithambo yokuzilolonga kufuneka ilungele umntu ngamnye.

12. Ngaba iingxaki zokulala ziqhelekile, yintoni enokwenziwa?

Kwi-fibromyalgia umgangatho wokulala uphazamiseka rhoqo. Ukunakekela ucoceko lokulala kunye nokufumana inkxaso kugqirha xa kuyimfuneko kuyanceda.

13. Kweliphi igqirha kufuneka uye xa une-fibromyalgia?

Iingcali zeRheumatology, uNyango lwezeMidlalo kunye noVuselelo zezona zicandelo zobungcali eziphambili ekuxilongeni nasekuphatheni esi sifo.

14. Ngaba kunokwenzeka ukuzikhusela kwi-fibromyalgia?

Nangona indlela ethile yokuzikhusela ingaziwa, indlela yokuphila enempilo, ukulala rhoqo kunye nolawulo loxinzelelo kunokuthintela ukuqala okanye ukuqhubela phambili kweempawu.

15. Ngaba i-fibromyalgia ibeka umngcipheko ngexesha lokukhulelwa?

Ngokuqhelekileyo ayibangeli umngcipheko obeka ubomi emngciphekweni ngexesha lokukhulelwa; kodwa iintlungu kunye nokudinwa kunokwanda. Inkxaso efanelekileyo inokusetyenziswa phantsi kolawulo lukagqirha.

Imithombo

• Umbutho wezeMpilo weHlabathi (WHO)

• Iziko laseMelika loLawulo kunye noKhuseleko lweZifo (CDC)

• American College of Rheumatology (ACR) – Fibromyalgia: Treatment & Management Guidelines

• Mayo Clinic. "Fibromyalgia: Symptoms and causes."

• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). "Fibromyalgia Overview."

• European League Against Rheumatism (EULAR) Recommendations on the management of fibromyalgia.