El Paso, TX. Udokotela weChiropractor, uDkt Alex Jimenez uphathe izinhlobo eziningi zokulimala nezimo. UDkt. Jimenez uyazi izimbangela zangempela ze fibromyalgia futhi uqonda izinketho ezingcono kakhulu okufanele umuntu azithathe ukuze azuze ukukhululeka okuphelele ebuhlungwini babo, ukukhathala nokungakhululeki.

Yini:

I-Fibromyalgia yisifo esibonakala ngokusakazeka kobuhlungu be-musculoskeletal. Lobu buhlungu buhambisana nokukhathala, ukulala, inkumbulo, nezinkinga zemizwa. Abacwaningi bakholelwa ukuthi ikhulisa imizwa ebuhlungu ngokuthinta indlela ubuchopho obucubungula ngayo izimpawu zobuhlungu.

Izimpawu zingaqala ngemva kokutheleleka, ukuhlukumezeka ngokomzimba, ukuhlinzwa, noma ukucindezeleka kwengqondo. Kwezinye izimo, izimpawu zinqwabelana kancane kancane ngokuhamba kwesikhathi kungabikho noyedwa obangela isenzakalo.

Abesifazane ukuthuthukisa i-fibromyalgia ngaphezu kwamadoda. Abantu abaningi abane-fibromyalgia nabo banokukhathazeka, ukudangala, i-irritable bowel syndrome, ukuphazamiseka kwe-temporomandibular joint (TMJ), kanye nokucindezeleka kwekhanda.

Alikho ikhambi le-fibromyalgia, kodwa izinhlobonhlobo zemithi zingasiza ukulawula izimpawu. Ukuzivocavoca, ukuphumula, nokunciphisa ukucindezeleka nakho kungasiza.

Izimpawu:

Izimpawu ze-fibromyalgia zihlanganisa:

• Izinkinga zokuqonda: Uphawu oluvame ukubizwa ngokuthi "i-fibro-fog" luphazamisa ikhono lokugxila, ukunaka nokugxilisa ingqondo.
• Ukukhathala: Abantu abane-fibromyalgia bavame ukuvuka bekhathele, nakuba belele isikhathi eside. Ukulala kuvame ukuphazanyiswa ubuhlungu, futhi abaningi abane-fibromyalgia banezinye izinkinga zokulala, okungukuthi, i-restless leg syndrome futhi ubuthongo zokuphelelwa umoya.
• Ubuhlungu obusabalele: Ubuhlungu obuhlobene ne-fibromyalgia buvame ukuchazwa njengobuhlungu obungapheli obuqhubekayo obuqhubeka izinyanga ezintathu. Ukuze kubhekwe njengento evamile, ubuhlungu kufanele buvele ezinhlangothini zombili zomzimba wakho nangaphezulu nangaphansi okhalweni lwakho.

I-Fibromyalgia ivame ukuhlangana nezinye izimo ezibuhlungu:

Izimo Ezikhona:

Umuntu angase abe nezimo ezimbili noma ngaphezulu zobuhlungu obungapheli obukhona:

• Ukuphathwa yikhanda
• Isinye Esithukuthele
• Engaphathekile wamathumbu syndrome
• I-Migraine Headaches
• Ukuqina Kwasekuseni
• Izikhathi Ezibuhlungu Zokuya esikhathini
• I-Raynaud's Syndrome
• Ukunwaya/Ukuba ndikindiki Ezandleni nasezinyaweni
• I-TMJ� (Isifo Esihlangene Se-Temporomandibular)

Akwaziwa ukuthi lezi zinkinga zinembangela efanayo yini.

Izinkinga: Fibromyalgia

Odokotela abazi ukuthi yini ebangela i-fibromyalgia, kodwa ngaphezu kwalokho kuhilela izici ezihlukahlukene ezisebenza ndawonye. Lokhu kungaba:

• Ufuzo I-Fibromyalgia ijwayele ukugijima emindenini; kungase kube khona izinguquko ezithile zofuzo ezenza umuntu abe sengozini yokuthola lesi sifo.
• Izifo Ezinye izifo zibonakala zivusa noma zibhebhethekise i-fibromyalgia.
• Ukuhlukumezeka Emzimbeni Noma Ngokomzwelo I-Fibromyalgia ngezinye izikhathi ingabangelwa ukuhlukumezeka ngokomzimba, njengengozi yemoto.
• Ukucindezeleka Kwengqondo kungase futhi kubangele isimo

Ososayensi balinganisela ukuthi kuthinta abantu baseMelika abayizigidi ezi-5 abaneminyaka eyi-18 noma ngaphezulu. Phakathi kwamaphesenti angu-80 no-90 alabo abaxilongwa ngabesifazane. Nokho, amadoda kanye nezingane bangaba nalesi sifo. Iningi litholakala phakathi neminyaka ephakathi.

Izingozi Zezingozi

Izici zengozi zihlanganisa:

• Ubulili bomuntu ngamunye: I-Fibromyalgia itholakala kakhulu kwabesifazane kunabesilisa
• I-Ankylosing spondylitis (i-arthritis yomgogodla)
• Umlando Womndeni: Amathuba amaningi okuthuthukisa i-fibromyalgia uma isihlobo sinalesi simo
• rheumatoid arthritis
• I-Systemic lupus erythematosus (evame ukubizwa ngokuthi i-lupus)

Izinkinga

Ubuhlungu nokuntuleka kokulala okuhlobene ne-fibromyalgia kungaphazamisa ikhono lomuntu lokusebenza ekhaya noma emsebenzini. Ukukhungatheka kokubhekana nalesi simo esingaqondi kahle kungabangela ukucindezeleka nokukhathazeka.

Ososayensi bakholelwa ukuthi ukushukumisa izinzwa ngokuphindaphindiwe yikho okwenza ubuchopho bushintshe. Lolu shintsho lubandakanya ukwanda okungavamile kwamazinga amakhemikhali abonisa ubuhlungu (ama-neurotransmitters). Ngakho-ke, ama-receptors ezinhlungu ebuchosheni athuthukisa inkumbulo yobuhlungu futhi azwele, yingakho esabela ngokweqile kumasignali ezinhlungu.

Sifo

Ukuxilongwa kwe-fibromyalgia kungenziwa uma umuntu enezinhlungu ezisabalele isikhathi esingaphezu kwezinyanga ezintathu. Lokhu akunasimo sezempilo esicashile esingadala izinhlungu.

Izivivinyo zegazi

Ngeshwa, akukho ukuhlolwa kwelebhu ukuqinisekisa ukuxilongwa; udokotela angase afune ukukhipha noma yiziphi ezinye izimo ezingase zibe nezimpawu ezifanayo. Ukuhlolwa kwegazi kungase kuhlanganise:

• Gcwalisa inani legazi
• Ukuhlolwa kwe-peptide ye-citrullinated ye-cyclic
• Isilinganiso sedimentation se-Erythrocyte
• Isici se-rheumatoid
• Ukuhlolwa kokusebenza kwegilo

Ukwelashwa:

Ukwelashwa kuhlanganisa kokubili imithi nokuzinakekela. Okugcizelelwa kakhulu ekunciphiseni izimpawu kanye nokwenza ngcono impilo jikelele. Akukho ukwelashwa okusebenzayo kuzo zonke izimpawu. Uhlobo lokwelashwa oludingekayo luzoncika ezimpawu. Isibonelo, udokotela angase anikeze isinqamuli sokucindezeleka ukuze sinciphise ubuhlungu futhi sibhekane nokucindezeleka. Uma ukhathazekile noma unenkinga yokulala, uhlelo lokuzivocavoca lungasiza.

Imithi

Imithi ingasiza ekunciphiseni ubuhlungu futhi ithuthukise ukulala. Imithi ejwayelekile ihlanganisa:

• Ama-Antidepressants: I-Duloxetine (Cymbalta) kanye ne-milnacipran (Savella) ingasiza ekudambiseni ubuhlungu nokukhathala. Udokotela angase anikeze i-amitriptyline noma i-cyclobenzaprine ephumuza imisipha ukusiza ukukhuthaza ukulala.
• Imithi elwa nokuquleka: Imithi eklanyelwe ukwelapha isithuthwane ingaba usizo ekwehliseni izinhlobo ezithile zobuhlungu. I-Gabapentin (i-Neurontin) ngezinye izikhathi iyasiza ekwehliseni izimpawu, kuyilapho i-pregabalin (i-Lyrica) yayiwumuthi wokuqala ogunyazwe i-Food and Drug Administration ukwelapha lesi simo.
• Izidambisi zinhlungu: Ukunciphisa ubuhlungu be-over-the-counter okungukuthi, i-acetaminophen (i-Tylenol, abanye), ibuprofen (i-Advil, i-Motrin IB, abanye), noma i-naproxen sodium (i-Aleve), ingasiza. Udokotela angase asikisele isidambisi sobuhlungu esivela kudokotela njenge-tramadol (Ultram). Izidakamizwa azilulekwa, ngoba zingaholela ekuthembeleni futhi zingase zenze ubuhlungu bube bubi nakakhulu.

Izinketho Zokwelapha

Izinhlobonhlobo zezindlela zokwelapha ezihlukene zingasiza ekunciphiseni umphumela i-fibromyalgia enawo emzimbeni. Izibonelo:

• Ukululekwa: Ukukhuluma nomeluleki kungasiza ekuqiniseni ukukholelwa emakhonweni futhi kufundise amasu okubhekana nezimo ezicindezelayo.
• Ukwelapha Umsebenzi: Abelaphi bomsebenzi bangasiza ukwenza izinguquko endaweni yokusebenza noma ekwenzeni imisebenzi ebangela ukucindezeleka okuncane emzimbeni.
• Ukwelapha ngokomzimba: A i-chiropractor noma umelaphi womzimba angafundisa izivivinyo ezizothuthukisa amandla, ukuguquguquka nokuqina. Ukuzivocavoca okusekelwe emanzini nakho kungasiza.

Indlela Yokuphila Nokwelashwa Kwasekhaya

Ukuzinakekela kubalulekile.

• Zivocavoce njalo: Ukuzivocavoca kungase kukhulise ubuhlungu ekuqaleni. Kodwa ukuvivinya umzimba kancane kancane ngokuvamile kunciphisa izimpawu. Ukuzivocavoca okufanele ukuhamba, ukubhukuda, ukuhamba ngebhayisikili, nokuvivinya umzimba emanzini. Umelaphi womzimba angasiza ekuthuthukiseni uhlelo lokuzivocavoca ekhaya. Ukwelula, ukuma ngendlela efanele nokuphumula kungasiza.
• Thola Ukulala Okuningi: Ukukhathala kungenye yezimpawu eziyinhloko, ngakho ukulala ngokwanele kubalulekile. Futhi, zijwayeze imikhuba emihle yokulala, okungukuthi ukulala nokuvuka ngesikhathi esifanayo usuku ngalunye, futhi unciphise ukulala kwasemini.
• Gcina Indlela Yokuphila Enempilo: Yidla ukudla okunempilo, nciphisa ukudla okune-caffeine. Yenza okuthile okujabulisayo nokwanelisayo usuku ngalunye.
• Yenza Izinguquko Zomsebenzi Uma Kudingeka
• Zihambise: Gcina imisebenzi isezingeni elilinganayo. Ukwenza okuningi ngezinsuku ezinhle kungabangela izinsuku ezimbi kakhulu. Ukulinganisela hhayi ukuzibekela imingcele noma ukwenza okuncane kakhulu ngezinsuku ezimbi.
• Yehlisa Ingcindezi: Yenza uhlelo lokugwema ukuzikhandla ngokweqile nokucindezeleka ngokomzwelo. Vumela isikhathi usuku ngalunye sokuphumula. Lokhu kusho ukufunda ukwenqaba ngaphandle kokuba necala. Ungashintshi isimiso ngokuphelele. Abantu abashiya umsebenzi noma abayeke yonke imisebenzi benza okubi kakhulu kunalabo abahlala bekhuthele. Zama izindlela zokulawula ingcindezi, okungukuthi izivivinyo zokuphefumula okujulile kanye/noma ukuzindla.
• Thatha Imithi njengoba kunqunyiwe

Okunye Ukwelashwa

Izindlela zokwelapha ezihambisanayo nezihlukile zokulawula izinhlungu nokucindezeleka azintsha. Ezinye, njengokuzindla kanye ne-yoga, sekwenziwe izinkulungwane zeminyaka. Kodwa ukusetshenziswa kwabo sekudume kakhulu eminyakeni yamuva, ikakhulukazi kubantu abanezifo ezingapheli, njenge-fibromyalgia.

Eziningi zalezi zindlela zokwelapha zibonakala zikhulula ukucindezeleka futhi zinciphise ubuhlungu, kanti ezinye ziyamukelwa emithini evamile. Kodwa imikhuba eminingi ihlala ingenabufakazi ngoba ayizange ifundwe ngokwanele.

• I-acupuncture: Lokhu kunjalo ukwelashwa kwezokwelapha kwamaShayina okusekelwe ekubuyiseleni ibhalansi evamile yamandla okuphila ngokufaka izinaliti ezincane esikhumbeni ekujuleni okuhlukahlukene. Izinaliti zibangela izinguquko ekugelezeni kwegazi kanye namazinga ama-neurotransmitters ebuchosheni nasemgogodleni.
• I-Massage Therapy:  Ukusebenzisa amasu ahlukene okukhohlisa ukuhambisa izicubu zomzimba nezicubu ezithambile. Ukubhucunga kunganciphisa ukushaya kwenhliziyo, kuphumuze imisipha, kuthuthukise ukunyakaza kwamalunga futhi kukhulise ukukhiqizwa kwezidambisi-zinhlungu zemvelo zomzimba. Futhi kusiza ekudambiseni ukucindezeleka nokukhathazeka.
• I-Yoga ne-Tai Chi: Ukuzindla, ukunyakaza kancane, ukuphefumula okujulile, nokuphumula. Kokubili kungasiza ekulawuleni izimpawu.

El Paso Back Clinic Fibromyalgia Care & Treatment