fibromyalgia
Ithimba le-Back Clinic Fibromyalgia. I-Fibromyalgia syndrome (FMS) yisifo nesifo esibangela ubuhlungu obusabalele bemisipha emalungeni, emisipha, emathanjeni, nakwezinye izicubu ezithambile emzimbeni wonke. Ivamise ukuhlanganiswa nezinye izimpawu ezifana ne-temporomandibular joint disorders (TMJ/TMD), i-irritable bowel syndrome, ukukhathala, ukucindezeleka, ukukhathazeka, izinkinga zengqondo, nokuphazamiseka kokulala. Lesi simo esibuhlungu nesingaqondakali sithinta cishe amaphesenti amathathu kuya kwayisihlanu abantu baseMelika, ikakhulukazi abesifazane.
Ukuxilongwa kwe-FMS kungase kube nzima, njengoba kungekho ukuhlolwa kwelebhu ethile ukuze kutholakale ukuthi isiguli sinesifo. Iziqondiso zamanje zithi ukuxilongwa kungenziwa uma umuntu enezinhlungu ezisabalele isikhathi esingaphezu kwezinyanga ezintathu, ngaphandle kwesimo sezempilo esingaphansi. UDkt. Jimenez uxoxa ngentuthuko ekwelapheni nasekuphathweni kwalesi sifo esibuhlungu.
by UDkt Alex Jimenez I-Acupuncture Therapy , Ubuhlungu obungapheliyo , fibromyalgia , fibromyalgia , Ukwelashwa , I-Viscerosomatic Reflex
Kubantu ababhekene ne-fibromyalgia, ingabe ukufaka i-acupuncture njengengxenye yokwelashwa okuhlanganisayo kungasiza ekudambiseni izinhlungu?
Isingeniso
Uhlelo lwe-musculoskeletal lusiza imisipha ehlukahlukene, ama-tendon, nemigqa ukuthi ihambe ngenkathi iqinisa ingcindezi eqondile. Amaphethelo angaphezulu naphansi asebenza ndawonye, okwenza umsingathi akwazi ukuhamba ngaphandle kokuzwa ubuhlungu nokungakhululeki. Kodwa-ke, abantu abaningi baye babhekana nobuhlungu, kungakhathaliseki ukuthi bukhulu noma obungapheli, ngesikhathi esithile ekuphileni kwabo. Lapho umzimba ubhekene nobuhlungu, isignali yokuphendula evela ebuchosheni izobonisa lapho ubuhlungu butholakala khona, okubangela ubuhlungu bemisipha. Kulelo qophelo, amasosha omzimba azoqala ukuphulukisa indawo ethintekile ngokwemvelo. Kodwa-ke, lapho umuntu enesifo esizimele, umzimba uzothinteka ngaphandle kwesizathu, okubangela ukuthi amasosha omzimba akhulule ama-cytokine avuthayo kumaseli anempilo kanye nezakhiwo zemisipha. Uma lokhu kwenzeka, kungathinta izinga lempilo yabo futhi kubangele ukuzwa okubuhlungu ohlelweni lwe-musculoskeletal, okuphoqa abantu ukuba bafune ukwelashwa. Isihloko sanamuhla sigxile ekuhlobaneni phakathi kwesistimu ye-musculoskeletal kanye ne-fibromyalgia nokuthi ukwelapha okufana nokutshopa kungasiza kanjani ekunciphiseni izimpawu ezinjengobuhlungu ezibangelwa i-fibromyalgia. Sikhuluma nabahlinzeki bezokwelapha abagunyaziwe abasebenzisa ulwazi lweziguli zethu ukuze banikeze ukwelashwa kwe-acupuncture ukuze kwehliswe amaphrofayili engcuphe agqagqene ahlobene ne-fibromyalgia. Siphinde sazise futhi siqondise iziguli ukuthi izindlela zokwelapha ezahlukahlukene zingasiza kanjani ekunciphiseni izimpawu ezinjengobuhlungu ezihlobene ne-fibromyalgia. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene imibuzo eyinkimbinkimbi nebalulekile mayelana nezimpawu ezifana nobuhlungu ezibhekana nazo ku-fibromyalgia. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer .
I-Musculoskeletal System & Fibromyalgia
Ingabe ubulokhu uzwa ukuntweza ezingalweni, emilenzeni, ezinyaweni nasezandleni? Ingabe uyayizwa imisipha namalunga akho evaleleka futhi uzizwa eqinile njalo ekuseni? Noma ingabe ubulokhu ubhekene nobuhlungu obungangabazeki emzimbeni wakho obuthinta isimiso sakho sansuku zonke? Eziningi zalezi zimpawu ezinjengobuhlungu zihlotshaniswa nesifo esizimele esibizwa ngokuthi i-fibromyalgia. I-Fibromyalgia ivame ukubonakala ngobuhlungu obungapheli obuvamile be-musculoskeletal obuhlotshaniswa nokuphazamiseka kwe-neurosensory. Abantu abane-fibromyalgia bazoba nezimpawu zobuhlungu be-musculoskeletal kusuka emisipha nokuqina kwamalunga kuya ekukhathaleni nasezinhlungwini ze-myofascial. (Siracusa et al., 2021) Lokhu kungenxa yokuthi i-vagus nerve ohlelweni lwezinzwa oluzimele lwe-parasympathetic ikwimodi “yokulwa noma yokundiza” engaguquki, ebangela abantu abaningi ukuthi bazwele kakhulu futhi bezwe imizwa ebuhlungu ekhulisiwe. Lokhu kuphoqa imicu yemisipha ohlelweni lwe-musculoskeletal ukuba yakhe amaqhuqhuva amancane aziwa ngokuthi ama-trigger points ezicutshini ezithambile. Lokhu kubangela i-muscle pathophysiology njengendlela eyinhloko exhumanisa ukuqala kwezimpawu eziphathelene ne-fibromyalgia. ( Geel, 1994 ) Ngeshwa, i-fibromyalgia iyinselele yokuxilonga lapho izici ze-comorbidities ziqala ukudlulana futhi zingadlala indima kulesi sifo esizimele.
I-Fibromyalgia yisimo sokuzivikela komzimba esikhulisa ukuzwela komuntu ezinhlungwini kuyilapho kufaka phakathi amaphuzu amathenda amaningi ezindaweni ezithile zomzimba, okubangela ubuhlungu obungapheli obuhlala njalo bemisipha. Abantu abaningi ababhekene nobuhlungu obungapheli be-musculoskeletal abayazi indlela efanele yokunakekela njengoba idala umthelela omubi ebuhlungu, ukukhubazeka, kanye nezinga lempilo. ( Lepri et al., 2023 ) Njengoba i-fibromyalgia ihlotshaniswa nobuhlungu be-musculoskeletal, ingahlanganiswa nesifo sobuhlungu be-myofascial kusukela kokubili kubonakaliswa ukuzwela kwemisipha. ( Gerwin, 1998 ) Kodwa-ke, kunezinhlobo eziningi zokwelapha ezitholakalayo zokunciphisa imiphumela ebuhlungu ye-fibromyalgia nokusiza ukubuyisela izinga lokuphila lomuntu.
Ukusuka Ekuvuvukeni Kuya Ekuphulukiseni- Ividiyo
VIDEO
Ingabe uzwa ubuhlungu bemisipha nobumnene ezindaweni ezihlukahlukene zomzimba wakho? Ingabe uzwa ukuqina kwemisipha nokuqina kwamalunga emaphethelweni akho aphezulu naphansi? Noma ingabe uzwa umuzwa wokuba ndikindiki noma uluma ezingalweni, ezandleni, emilenzeni nasezinyaweni? Abantu abaningi ababhekana nalezi zinkinga ezifana nobuhlungu babhekene nesifo esizimele esibizwa ngokuthi i-fibromyalgia. I-Fibromyalgia iyinselele yokuphazamiseka kwe-autoimmune ukuxilonga. Kodwa-ke, izimpawu zivame ukuhlotshaniswa nobuhlungu bemisipha. Lokhu kungenza abantu abaningi behlise izinga lempilo yabo. I-Fibromyalgia ingabangela umzimba ukuthi uzwe ubuhlungu obukhulu futhi ingabangela ukuvuvukala okungapheli kwamalunga. Kodwa-ke, ezinye izindlela zokwelapha azihlinzeki, azibizi kakhulu, futhi zingasiza ekunikezeni ukukhululeka kobuhlungu abantu abaningi abafanele. Ividiyo engenhla ichaza ukuthi izindlela zokwelapha ezihlukahlukene ezingahlinzeki zingasiza kanjani ekunciphiseni imiphumela yokuvuvukala nobuhlungu emzimbeni ngokusebenzisa izindlela zokwelapha ezihlukahlukene ezingahlanganiswa ukuze kuncishiswe izimpawu ezinjengobuhlungu be-fibromyalgia.
I-Acupuncture Yehlisa Ubuhlungu be-Fibromyalgia
Uma kuziwa ekwelapheni i-fibromyalgia nokunciphisa izimpawu ezinjengezinhlungu, abantu abaningi bazofuna izindlela zokwelapha ezingahlinzeki ukuze baphathe futhi bathuthukise izimpawu ezihambisana ne-fibromyalgia. I-acupuncture ingasiza ekudambiseni izimpawu ezinjengobuhlungu ezithinta umzimba futhi inciphise amaphuzu e-myofascial trigger ahlotshaniswa ne-fibromyalgia. Njengoba i-acupuncture yaqala eShayina, ingenye yezindlela zokwelapha ezithandwayo ezishukumisa izinzwa ezingahlinzeki; ama-acupuncturists aqeqeshwe kakhulu asebenzisa amasu ahlukahlukene ukuze afake futhi asebenzise izinaliti ezinhle ukuze ashukumise amaphuzu athile e-anatomic trigger emzimbeni ukuze abuyisele ibhalansi emzimbeni. ( U-Zhang & Wang, 2020 ) Kubantu ababhekene nobuhlungu be-fibromyalgia, i-acupuncture ingahlanganiswa nezinye izindlela zokwelapha njengengxenye yohlelo lokwelapha lomuntu siqu. I-acupuncture isiza ukuthuthukisa ubuhlungu bemisipha obubangelwa i-fibromyalgia.
Ukwengeza, i-acupuncture ingasiza ekulawuleni umsebenzi we-somatosensory womzimba futhi inciphise izimpawu zokuqina kwemisipha ngenkathi ithuthukisa izinga lempilo yomuntu. ( U-Zheng no-Zhou, 2022 ) I-Fibromyalgia yisifo esingelapheki esizimele esingathinta isimiso semisipha futhi singabangela ubuhlungu obungabekezeleleki kubantu abaningi ngokuphazamisa izinga lokuphila komuntu. Uma kuhlanganiswe nezinye izindlela zokwelapha, i-acupuncture inganikeza umphumela omuhle obalulekile ekulawuleni i-fibromyalgia futhi ithuthukise izinga lokuphila lomuntu. ( U-Almutairi et al., 2022 )
Okubhekwayo
Almutairi, NM, Hilal, FM, Bashawyah, A., Dammas, FA, Yamak Altinpuluk, E., Hou, JD, Lin, JA, Varrassi, G., Chang, KV, & Allam, AE (2022). Ukusebenza kwe-Acupuncture, i-Intravenous Lidocaine, kanye nokudla ekuphathweni kweziguli ezine-Fibromyalgia: Ukubuyekezwa Okuhlelekile kanye Nokuhlaziywa Kwe-Meta Yenethiwekhi. Ukunakekelwa kwezempilo (Basel) , 10 (7). doi.org/10.3390/healthcare10071176
Geel, SE (1994). I-fibromyalgia syndrome: i-musculoskeletal pathophysiology. I-Semin Arthritis Rheum , 23 (5), i-347-353. doi.org/10.1016/0049-0172(94)90030-2
Gerwin, RD (1998). Ubuhlungu be-Myofascial kanye ne-fibromyalgia: Ukuxilongwa nokwelashwa. J Back Musculoskelet Rehabil , 11 (3), i-175-181. doi.org/10.3233/BMR-1998-11304
I-Lepri, B., Romani, D., Stoari, L., & Barbari, V. (2023). Ukuphumelela Kwemfundo Yobuhlungu I-Neuroscience Ezigulini ezinobuhlungu obungapheli be-Musculoskeletal kanye ne-Central Sensitization: Ukubuyekezwa Okuhlelekile. I-Int J Environ Res Health yomphakathi , 20 (5). doi.org/10.3390/ijerph20054098
Siracusa, R., Paola, RD, Cuzzocrea, S., & Impellizzeri, D. (2021). I-Fibromyalgia: I-Pathogenesis, Izindlela, Ukuxilongwa Nezinketho Zokwelashwa. Int J Mol Sci , 22 (8). doi.org/10.3390/ijms22083891
U-Zhang, Y., & Wang, C. (2020). I-acupuncture kanye nobuhlungu obungapheli be-Musculoskeletal. I-Curr Rheumatol Rep , 22 (11), i-80. doi.org/10.1007/s11926-020-00954-z
U-Zheng, C., & Zhou, T. (2022). Umthelela We-acupuncture Ezinhlungwini, Ukukhathala, Ukulala, Umsebenzi Womzimba, Ukuqina, Impilo Enhle, Nokuphepha ku-Fibromyalgia: Ukubuyekezwa Okuhlelekile kanye Nokuhlaziywa Kwe-Meta. J Pain Res , 15 , I-315-329. doi.org/10.2147/JPR.S351320
Disclaimer
by UDkt Alex Jimenez I-Chiropractic , Izimo zenziwe , fibromyalgia , fibromyalgia , Impilo , Ukwelashwa , I-Viscerosomatic Reflex , Ubuhle
Isingeniso
Lapho izinkinga ezifana izifo ezizenzekelayo qala ukuthinta umzimba ngaphandle kwesizathu, kungaholela ezinkingeni ezingapheli kanye nezimo ezingase zithinte imisipha ehlukahlukene nezitho ezibalulekile ezibangela ukweqa amaphrofayili engcuphe kumsingathi. Umzimba ungumshini oyinkimbinkimbi ovumela i izivikeli mzimba ukukhulula ama-cytokines avuthayo endaweni ethintekile lapho umuntu enezinhlungu ezinzima noma ezingapheli. Ngakho-ke lapho umuntu enesifo esizimele njenge-fibromyalgia, singathinta ikhwalithi yempilo yakhe ngenkathi sikhulisa imizwa ebuhlungu ezimpilweni zabo. uhlelo lwemisipha . Isihloko sanamuhla sigxile ku-fibromyalgia nezinhlelo zayo, ukuthi lesi sifo esizimele sihlobana kanjani ne-myofascial pain syndrome, nokuthi ukunakekelwa kwe-chiropractic kungasiza kanjani ukunciphisa izimpawu ze-fibromyalgia. Sidlulisela iziguli zethu kubahlinzeki abaqinisekisiwe abahlanganisa amasu nemithi ehlukahlukene yabantu abaningi abane-fibromyalgia kanye nezimpawu zayo ezihambisanayo, njenge-myofascial pain syndrome. Sikhuthaza futhi siyasazisa isiguli ngasinye ngokusidlulisela kubahlinzeki bezokwelapha abahlobene ngokusekelwe ekuxilongweni kwaso lapho kufaneleka. Siyaqonda ukuthi imfundo iyindlela enhle uma ubuza abahlinzeki bethu imibuzo eyinkimbinkimbi ngokwesicelo nokuqonda kwesiguli. UDkt. Jimenez, DC, usebenzisa lolu lwazi kuphela njengesevisi yezemfundo. Disclaimer
Iyini I-Fibromyalgia?
Ingabe ubulokhu ubhekene nobuhlungu obungangabazeki obuthinta ukuphila kwakho kwansuku zonke? Ingabe uzizwa ukhathele lapho ucishe uvuke embhedeni? Noma ngabe ubhekene nenkungu yobuchopho kanye nobuhlungu emzimbeni wakho wonke? Eziningi zalezi zimpawu zihambisana nesifo esizimele esibizwa ngokuthi i-fibromyalgia. Ucwaningo lwembula ukuthi i-fibromyalgia iyisimo sokuzivikela komzimba esibonakala ngokusakazeka kobuhlungu obungapheli be-musculoskeletal obungahlotshaniswa nokuphazamiseka kwe-neurosensory okuthinta isimiso sezinzwa. I-Fibromyalgia ingathinta abantu abadala abangaba yizigidi ezi-4 eMelika futhi cishe u-2% wabantu abadala abajwayelekile. Lapho abantu abane-fibromyalgia bedlula ekuhlolweni ngokomzimba, imiphumela yokuhlolwa izobonakala ijwayelekile. Lokho kungenxa yokuthi i-fibromyalgia ingafaka amaphuzu amathenda amaningi ezindaweni ezithile zomzimba futhi ibonakale njengesimo esiyinhloko noma sesibili ngenkathi idlulela ngale kwenqubo echazayo. Ucwaningo olwengeziwe lwembula ukuthi i-pathogenesis ye-fibromyalgia ingase ihlotshaniswe nezinye izici ezingapheli ezithinta lezi zinhlelo ezilandelayo:
Ukuvuvukala Umzimba endocrine kwemizwa Amathumbu
Izimpawu
Abantu abaningi, ikakhulukazi abesifazane, bane-fibromyalgia, ebangela izimpawu zezinkinga eziningi ze-somato-visceral. Kulelo phuzu, ingavame ukudlula futhi ihambisane ne-fibromyalgia. Ngeshwa, i-fibromyalgia inselele ukuyixilonga ngoba ubuhlungu bungahlala izinyanga ezimbalwa kuya eminyakeni. Izifundo zibonisiwe ukuthi nakuba i-fibromyalgia iyinselele ukuxilonga lapho ezinye izici eziningi ezifana nezakhi zofuzo, i-immunological, kanye nezici ze-hormonal ezingase zibe nengxenye kulokhu kuphazamiseka kwe-autoimmune. Futhi, izimpawu ezengeziwe kanye nezifo ezithile ezifana nesifo sikashukela, i-lupus, izifo ze-rheumatic, ne-musculoskeletal disorder zingahlotshaniswa ne-fibromyalgia. Ezinye zezimpawu ezilandelayo abantu abaningi abane-fibromyalgia ababhekana nazo zihlanganisa:
Ukukhathala Ukuqina Kwemisipha Izinkinga Zokulala Ezingamahlalakhona Qalisa Amaphuzu Ukuba ndikindiki kanye nokuluma Amajaqamba angajwayelekile Izinkinga ze-Urinary Izinkinga zengqondo (Inkungu yobuchopho, ukulahlekelwa inkumbulo, izinkinga zokugxila)
Uhlolojikelele Lwe-Fibromyalgia-Video
VIDEO
Ingabe ubunenkinga yokulala kahle ebusuku? Ingabe uzwa ubuhlungu ezindaweni ezahlukene zomzimba wakho? Noma ngabe ubhekene nezinkinga zokuqonda njengenkungu yobuchopho? Eziningi zalezi zimpawu zihambisana nesifo esizimele esibizwa ngokuthi i-fibromyalgia. I-Fibromyalgia yisifo se-autoimmune esiyinselele ukusixilonga futhi singabangela ubuhlungu obukhulu emzimbeni. Ividiyo engenhla ichaza ukuthi ungaziqaphela kanjani izimpawu nezimpawu ze-fibromyalgia nokuthi yiziphi izimo ezihlotshaniswayo ezihlotshaniswa nalokhu kuphazamiseka kwe-autoimmune. Njengoba i-fibromyalgia ibangela ubuhlungu obusabalele we-musculoskeletal, ingathinta ngisho nezinhlelo ze-peripheral ne-central nervous. Lokhu kubangela ukuthi ubuchopho buthumele amasignali e-neuron ukuze kubangele ukwanda kokuzwela ebuchosheni nasemgogodleni, obese udlula ohlelweni lwe-musculoskeletal. Njengoba i-fibromyalgia ibangela ubuhlungu emzimbeni, ingabonisa izimpawu ezingaziwa ezingaba nzima ukuzibona futhi zingahlobene nesifo samathambo.
Ukuthi I-Fibromyalgia Ihlotshaniswa Kanjani Ne-Myofascial Pain Syndrome
Njengoba i-fibromyalgia ingahlotshaniswa nezimo ezihlukahlukene ezingapheli, enye yezinkinga ezingapheli zingafihla imiphumela ye-fibromyalgia emzimbeni: i-myofascial pain syndrome. I-Myofascial pain syndrome, ngokusho kukaDkt Travell, incwadi ye-MD, "I-Myofascial Pain Syndrome and Dysfunction," ichaza ukuthi lapho umuntu ene-fibromyalgia kubangela ubuhlungu be-musculoskeletal, isikhathi esengeziwe uma singelashwa, singathuthukisa amaphuzu okuqala emisipha ethintekile. Lokhu kubangela ukuqina kwemisipha kanye nokuthambile kwebhande le-taut muscle. Izifundo ezengeziwe ezishiwo ukuthi njengoba i-myofascial pain syndrome kanye ne-fibromyalgia zinezimpawu ezivamile zobuhlungu bemisipha, zingabangela ububele futhi zibhekise ubuhlungu ezindaweni ezihlukahlukene zomzimba. Ngenhlanhla, ukwelashwa okutholakalayo kungasiza ekunciphiseni izimpawu zobuhlungu bemisipha obubangelwa i-fibromyalgia ehambisana ne-myofascial pain syndrome.
Ukunakekelwa Kwe-Chiropractic & I-Fibromyalgia Ehlotshaniswa Nobuhlungu Be-Myofascial
Enye yezindlela zokwelapha ezitholakalayo ezingasiza ekudambiseni ubuhlungu bemisipha obuvela ku-fibromyalgia obuhambisana ne-myofascial pain syndrome ukwelashwa kwe-chiropractic. Ukwelashwa kwe-Chiropractic kuyindlela yokwelashwa ephephile, engahlaseli engasiza ekunciphiseni izimpawu zobuhlungu bomzimba kanye nokuvuvukala okuvela ku-subluxation yomgogodla. Ukunakekelwa kwe-Chiropractic kusebenzisa ukuxhaphazwa okwenziwa ngesandla kanye nemishini ukuze kulungiswe kabusha umgogodla futhi kuthuthukise ukujikeleza kwezinzwa ngenkathi kwandisa ukugeleza kwegazi emuva emalungeni nasemisipha. Uma umzimba usuphinde ulinganiswe ekwelapheni kwe-chiropractic, umzimba ungakwazi ukuphatha izimpawu kangcono futhi unciphise imiphumela ye-fibromyalgia. Ukwelashwa kwe-Chiropractic futhi kuhlinzeka ngohlelo lokwelapha olwenziwe ngokwezifiso futhi lusebenza nochwepheshe bezokwelapha abahlobene ukuze kuzuzwe imiphumela ephezulu futhi kuqinisekiswe izinga eliphezulu lempilo yomuntu ngamunye.
Isiphetho
I-Fibromyalgia ingenye yezifo ezivame kakhulu ze-autoimmune ezithinta iningi labantu futhi kungaba inselele ukuyixilonga. I-Fibromyalgia ibonakala ngobuhlungu obungapheli obuvamile be-musculoskeletal obungahlotshaniswa nokuphazamiseka kwe-neurosensory futhi kubangele izimpawu zobuhlungu emzimbeni. Abantu abane-fibromyalgia nabo babhekana nesifo sobuhlungu be-myofascial, njengoba kokubili ukuphazamiseka kubangela ubuhlungu bemisipha namalunga. Ngenhlanhla, ukwelashwa okufana nokwelashwa kwe-chiropractic kuvumela ukuxhashazwa komgogodla womzimba ukuthi uqondiswe kabusha futhi ubuyisele ukusebenza komsingathi. Lokhu kunciphisa izimpawu ezibangelwa i-fibromyalgia futhi kubangela ukuthi umuntu angabi nabuhlungu futhi asebenze ngendlela evamile.
Okubhekwayo
Bellato, Enrico, et al. "I-Fibromyalgia Syndrome: I-Etiology, I-Pathogenesis, Ukuxilongwa, Nokwelashwa." Ucwaningo Lwezinhlungu Nokwelashwa , US National Library of Medicine, 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3503476/ .
Bhargava, Juhi, noJohn A Hurley. "Fibromyalgia - Statpearls - NCBI Bookshelf." Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL) , StatPearls Publishing, 10 Oct. 2022, www.ncbi.nlm.nih.gov/books/NBK540974/ .
Gerwin, R D. "Ubuhlungu be-Myofascial kanye ne-Fibromyalgia: Ukuxilongwa Nokwelashwa." Ijenali ye-Back and Musculoskeletal Rehabilitation , I-US National Library of Medicine, 1 Jan. 1998, pubmed.ncbi.nlm.nih.gov/24572598/ .
Simons, DG, kanye no-LS Simons. Ubuhlungu be-Myofascial kanye nokungasebenzi kahle: I-Trigger Point Manual: Vol. 2:Amaphethelo Aphansi . UWilliams noWilkins, ngo-1999.
Siracusa, Rosalba, et al. "I-Fibromyalgia: I-Pathogenesis, Izindlela, Ukuxilongwa Nezinketho Zokwelashwa." I-International Journal of Sciences Molecular , I-US National Library of Medicine, 9 Apr. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8068842/ .
Disclaimer
by UDkt Alex Jimenez I-Chiropractic , fibromyalgia , fibromyalgia , Umuthi Osebenzayo , Ukwelashwa , I-Viscerosomatic Reflex , Ubuhle
Isingeniso
Wonke umuntu uke wabhekana nobuhlungu obukhulu noma obungapheli esikhathini esithile ekuphileni kwabo. Impendulo yomzimba isitshela abaningi bethu lapho ubuhlungu butholakala khona futhi ingashiya umzimba ubuhlungu izivikeli mzimba iqala ukuphulukisa indawo ethintekile. Lapho iziyaluyalu like izifo ezizimele qala ukuhlasela umzimba ngaphandle kwesizathu, yilapho-ke izinkinga ezingapheli neziyaluyalu ziqala ukunqwabelana kumaphrofayili engcuphe kwezinye izinkinga ezahlukahlukene ezithinta izicubu nezitho zomzimba. Izifo ezizimele ezifana ne-fibromyalgia zingathinta umzimba womuntu; nokho, zingahlotshaniswa nezindaba ezahlukahlukene ezithinta umzimba. Isihloko sanamuhla sibheka i-fibromyalgia, ukuthi ithinta kanjani uhlelo lwe-musculoskeletal, nokuthi ukunakekelwa kwe-chiropractic kusiza kanjani ukuphatha i-fibromyalgia emzimbeni. Sithumela iziguli kubahlinzeki abaqinisekisiwe abasebenza ngokukhethekile ekwelashweni kwemisipha ukuze basize labo abane-fibromyalgia. Futhi siqondisa iziguli zethu ngokubhekisela kubahlinzeki bethu bezokwelapha abahlobene ngokusekelwe ekuhloleni kwabo uma kufaneleka. Sithola ukuthi imfundo iyisixazululo sokubuza abahlinzeki bethu imibuzo enokuqonda. UDkt. Alex Jimenez DC unikeza lolu lwazi njengensizakalo yezemfundo kuphela. Disclaimer
Iyini I-Fibromyalgia?
Ingabe uke wabhekana nobuhlungu obukhulu obusakazeka wonke umzimba wakho? Ingabe unenkinga yokulala futhi uzizwa ukhathele nsuku zonke? Ingabe uhlangabezana nenkungu yobuchopho noma okunye ukuphazamiseka kwengqondo? Eziningi zalezi zinkinga ziyizimpawu nezimo ze-fibromyalgia. I-Fibromyalgia ichazwa njengesimo esingapheli esibonakala ngokusakazeka kobuhlungu be-musculoskeletal. Izimpawu ezinjengokukhathala, ukuphazamiseka kwengqondo, nokuphindaphinda izimpawu ze-somatic kuvame ukugqagqana futhi kuhambisane nalesi sifo. Cishe amaphesenti amabili kuya kwayisishiyagalombili emhlabeni wonke ahlushwa i-fibromyalgia, futhi ithinta abesifazane ngaphezu kwabesilisa. Ngokudabukisayo, i-fibromyalgia iyinselele ukuyixilonga, futhi ubuhlungu bungahlala izinyanga ezimbalwa kuya eminyakeni. Ezinye zezimpawu eziyinhloko ukuthi i-fibromyalgia eyenzayo emzimbeni ihlanganisa:
Ukuqina kwemisipha nokuqina kwamalunga Ukuzwela okujwayelekile Insomnia Ukungasebenzi kwengqondo Izinkinga zemizwelo
I-Fibromyalgia ingase ihlotshaniswe nezifo ezithile ezifana nesifo sikashukela, i-lupus, izifo ze-rheumatic, kanye nesifo se-musculoskeletal.
Ithinta Kanjani Isistimu Ye-Musculoskeletal?
Isistimu ye-musculoskeletal emzimbeni inamaqembu amathathu emisipha: yamathambo, inhliziyo, nemisipha ebushelelezi ehlinzeka ngemisebenzi ehlukene ehambisana nendlela umzimba ohamba ngayo. Abantu abane-fibromyalgia bazothola imizwa ebuhlungu ekhulisiwe ethinta ubuchopho babo nomgogodla ukuze bacubungule ubuhlungu kanye namasignali angenabuhlungu okungenzeka ahlotshaniswe nesifo se-musculoskeletal. Izakhiwo ze-neural ezivela ebuchosheni ziba yi-hyper-reactive kunoma yiziphi izicubu ezithambile eziseduze nomgogodla, ezaziwa ngokuthi i-segmental facilitation. Lezi zinguquko ezenzeka ezicutshini ezithambile zibizwa ngokuthi ama-trigger points, futhi uma zitholakala emisipha, zibizwa ngokuthi "i-myofascial" trigger points. Ucwaningo lwembula ukuthi i-pathophysiology ye-musculoskeletal dysfunction ingabhekwa njengesibili kuya kokungavamile okuphakathi kokuguqulwa kobuhlungu okuhambisana ne-fibromyalgia.
Uhlolojikelele Lwe-Fibromyalgia-Video
VIDEO
Ingabe ubulokhu uzwa ubuhlungu obukhulu ezindaweni ezahlukene zomzimba wakho? Ingabe ubulokhu ukhathele usuku lonke? Noma ingabe isimo sakho sengqondo sehle ngokuzumayo? Lezi yizimpawu zokuthi une-fibromyalgia, futhi ividiyo engenhla inikeza umbono wokuthi iyini i-fibromyalgia. I-Fibromyalgia ichazwa njengesifo esingelapheki okunzima ukusixilonga. Ucwaningo lwembula ukuthi i-fibromyalgia kungenzeka ukuthi ichazwe njengokuphazamiseka kwengqondo okubangela ukukhuliswa okubuhlungu kanye ne-nociceptors yezinzwa eziba yi-hypersensitive. Ngakho-ke lokhu kusho ukuthini, futhi isimiso sezinzwa sithinteka kanjani yi-fibromyalgia? Isistimu yezinzwa ine- Emaphakathi futhi amasistimu we-peripheral . I-peripheral system inengxenye eyaziwa ngokuthi i- isistimu yezinzwa ye-autonomic elawula ukusebenza komzimba ngokuzenzakalelayo. Isistimu ye-autonomic iqukethe amasistimu angaphansi amabili: i onozwela futhi i-parasympathetic izinhlelo. Kubantu abane-fibromyalgia, isimiso sezinzwa esinozwela, esinikeza impendulo "yokulwa noma indiza", sihlala sisebenza, okwenza isimiso sezinzwa se-parasympathetic, esinikeza impendulo "yokuphumula nokugaya", ukuba ingasebenzi emzimbeni. Izindaba ezinhle ukuthi abantu abane-fibromyalgia kanye nezimpawu ezihambisana nayo bangathola ukukhululeka ngokwelashwa.
Ukunakekelwa kweChiropractic & Fibromyalgia
Noma lingakaze libe khona ikhambi le-fibromyalgia okwamanje, ukwelashwa kuyatholakala ukuphatha nokuthuthukisa izimpawu ezihlobene ne-fibromyalgia ngokunakekelwa kwe-chiropractic. Ukunakekelwa kwe-Chiropractic kungasiza ekunciphiseni ubuhlungu be-fibromyalgia ngokulungisa ngokucophelela ukungahambi kahle komgogodla noma ukuxutshwa ngokulungiswa komgogodla kanye nokuxhaphaza umzimba ngesandla. Ucwaningo lwembula ukuthi ukuphumelela kokunakekelwa kwe-chiropractic kweziguli ze-fibromyalgia kusiza ukuthuthukisa uhla lwabo lokunyakaza ezindaweni zomlomo wesibeletho kanye ne-lumbar yomgogodla. Ukunakekelwa kwe-Chiropractic kungasiza ekuthuthukiseni ukuguquguquka kwabo, ukunciphisa amazinga abo obuhlungu, futhi babe nekhwalithi engcono yokulala. Abantu abatholakala bene-fibromyalgia kudingeka baqonde ukuthi izinketho eziningi zokulawulwa kobuhlungu azinciki emithini. Ukunakekelwa kwe-Chiropractic kumnene futhi akuhlaseli. Kungaba usizo kubantu abafuna ukulawula izimo zabo futhi babe nokwelashwa kwe-chiropractic njengengxenye ebalulekile yokuphatha inhlalakahle yabo.
Isiphetho
I-Fibromyalgia yisifo esingelapheki esithinta uhlelo lwe-musculoskeletal ngokubangela ukuqina kwemisipha nasemalungeni, ukuzwela okuvamile, nezinye izinkinga ezingapheli ezihlobene nalesi sifo. Abantu abane-fibromyalgia bazochaza ubuhlungu babo njengobungabekezeleleki ngenxa yemizwa ohlelweni lozwela i-hyperactive futhi ithenda ekuthinteni. Ngenhlanhla, ukwelashwa okufana nokunakekelwa kwe-chiropractic kungasiza ekudambiseni ubuhlungu be-fibromyalgia ngokulungiswa komgogodla kanye nokuphathwa ngesandla. Ukunakekelwa kweChiropractic kubantu abane-fibromyalgia kungasiza ukuthuthukisa uhla lwabo lokunyakaza nokuguquguquka futhi kunciphise amazinga abo ezinhlungu ngaphandle kokusebenzisa imithi. Ukufaka ukunakekelwa kwe-chiropractic njengokwelashwa kwe-fibromyalgia kungabaluleka ekulawuleni inhlalakahle yomuntu.
Okubhekwayo
Bhargava, Juhi, noJohn A Hurley. "Fibromyalgia - Statpearls - NCBI Bookshelf." Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL) , StatPearls Publishing, 1 May 2022, www.ncbi.nlm.nih.gov/books/NBK540974/ .
Blunt, KL, et al. "Ukuphumelela kokuphathwa kweChiropractic kweziguli ze-Fibromyalgia: Isifundo Somshayeli." Ijenali ye-Manipulative and Physiological Therapeutics , US National Library of Medicine, 1997, pubmed.ncbi.nlm.nih.gov/9272472/ .
Geel, S E. “I-Fibromyalgia Syndrome: I-Musculoskeletal Pathophysiology.” Izingqungquthela ze-Arthritis ne-Rheumatism , I-US National Library of Medicine, Apr. 1994, pubmed.ncbi.nlm.nih.gov/8036524/ .
Maugars, Yves, et al. "I-Fibromyalgia ne-Associated Disorders: Kusukela Ebuhlungu Kuya Ekuhluphekeni Okungapheli, kusukela ku-Subjective Hypersensitivity kuya ku-Hypersensitivity Syndrome." Imingcele , Frontiers, 1 Julayi 2021, www.frontiersin.org/articles/10.3389/fmed.2021.666914/full .
Siracusa, Rosalba, et al. "I-Fibromyalgia: I-Pathogenesis, Izindlela, Ukuxilongwa Nezinketho Zokwelashwa." I-International Journal of Sciences Molecular , MDPI, 9 Ephreli 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8068842/ .
Disclaimer
by UDkt Alex Jimenez fibromyalgia
I-Fibromyalgia yisimo esidala ubuhlungu kuwo wonke umzimba. Kubangela izinkinga zokulala, ukukhathala, nokucindezeleka kwengqondo/ngokomzwelo. Kuthinta abantu abadala abangaba yizigidi ezine e-United States. Abantu abane-Fibromyalgia bavame ukuzwela kakhulu ebuhlungu. Lokhu kubizwa ngokuthi ukucutshungulwa kokubona ubuhlungu okungavamile/okushintshile . Ucwaningo okwamanje luncike ohlelweni lwezinzwa olungasebenzi kahle njengenye yezimbangela ezizwakalayo.
Izimpawu Nezimo Ezihlobene
Abantu abane-fibromyalgia/fibromyalgia syndrome/FMS bangase babe:
Ukukhathala
Izinkinga zokulala
Ukuphathwa yikhanda
Ukugxila, Izinkinga zeMemori, noma i-Fibro Fog
Ukugubha
Amaphoyinti amathenda
Ubuhlungu
Ukuba ndikindiki kanye nokushotshozela ezandleni, ezingalweni, emilenzeni nasezinyaweni
ukukhathazeka
Ukucindezeleka
I-syndrome e-irritable syndrome
Izinkinga zokuchama
Amajaqamba angajwayelekile
I-Altered Central Pain Processing
Ukuzwela okuphakathi kusho ukuthi isimiso sezinzwa esimaphakathi, esakhiwe ubuchopho nomgogodla, sisebenza ubuhlungu ngendlela ehlukile futhi buzwela kakhulu.
Ukungasebenzi kahle kwesignali yobuhlungu
Ama-opioid receptors ashintshiwe
Ukwanda kwezidakamizwa P
Umsebenzi owandayo ebuchosheni lapho izimpawu zobuhlungu zihunyushwa khona.
Ukungasebenzi Kwesignali Yobuhlungu
Lapho kuzwakale isikhuthazo esibuhlungu, ubuchopho busho ukukhululwa kwama-endorphin, amaphilisi ezinhlungu angokwemvelo omzimba avimba ukudluliselwa kwezimpawu zobuhlungu. Abantu abane-Fibromyalgia bangaba nayo uhlelo lokuvimbela izinhlungu oluguquliwe kanye/noma olungasebenzi ngendlela efanele. Kukhona futhi ukungakwazi ukuvimba izisusa eziphindaphindayo. Lokhu kusho ukuthi umuntu uqhubeka ezizwa futhi ehlangabezana nezisusa ngisho nalapho ezama ukuzivimba, okuphakamisa ukwehluleka ebuchosheni ukuhlunga ulwazi lwezinzwa olungabalulekile.
Ama-Opioid Receptors ashintshiwe
Ucwaningo luthole lokho abantu abane-fibromyalgia banenani elincishisiwe lama-opioid receptors ebuchosheni . Ama-opioid receptors yilapho ama-endorphin ebopha khona ukuze umzimba ukwazi ukuwasebenzisa lapho kudingeka. Ngama-receptors ambalwa atholakalayo, ubuchopho abuzweli kangako kuma-endorphin, kanye nemithi yobuhlungu ye-opioid efana:
I-Hydrocodone
I-Acetaminophen
I-oxycodone
I-Acetaminophen
Izidakamizwa P Ukwanda
Abantu abane-fibromyalgia batholwe ukuthi banamazinga aphakeme into P Leli khemikhali likhishwa lapho isisusa esibuhlungu sitholwa amangqamuzana ezinzwa . Into engu-P ihileleke emngceleni wobuhlungu bomzimba, noma iphuzu lapho inzwa iphenduka ubuhlungu. Amazinga aphezulu wezinto P angachaza ukuthi kungani umkhawulo wobuhlungu uphansi kubantu abane-fibromyalgia.
Ukwandisa Umsebenzi Ebuchosheni
Ukuhlolwa kwe-brain imaging, njenge-imaging resonance magnetic noma i-MRI, kubonise ukuthi i-fibromyalgia ihlotshaniswa nomsebenzi omkhulu kunokuvamile ezindaweni zobuchopho ezihumusha izimpawu zobuhlungu. Lokhu kungasikisela lokho izimpawu zobuhlungu zingaphezu kwalezo zindawo noma ukuthi izimpawu zobuhlungu zicutshungulwa ngendlela engafanele .
Izicupha
Izici ezithile zingadala ukuqubuka. Lokhu kubandakanya:
Ukudla
Ama-hormone
Ukucindezeleka ngokomzimba
Ukuzivocavoca kakhulu
Ukungazivocavoca okwanele
Ukucindezeleka kwengqondo
Imicimbi ecindezelayo
Amaphethini okulala ashintshile
Ukwelashwa kuyashintsha
Izinguquko zokushisa
Isimo sezulu siyashintsha
Ukuhlinzwa
I-Chiropractic
I-Chiropractic igxile ekuphileni kahle komzimba wonke. Amaphesenti angama-90 emaphakathi uhlelo lwemizwa idlula emgogodleni. Ithambo le-vertebral elingaqondile lingadala ukuphazamiseka nokucasuka emithanjeni. I-Fibromyalgia yisimo esihlobene nokungasebenzi kahle kwezinzwa; ngakho-ke, noma yikuphi ukuguqulwa kwe-vertebral kuzokwenza kube nzima futhi kukhulise izimpawu ze-fibromyalgia. Ngokulungisa kabusha i-vertebrae engalungile ikhulula ukucindezeleka komgogodla kanye nempande yezinzwa zomgogodla. Kungakho abantu abane-fibromyalgia banconywa ukuthi bengeze i-chiropractor eqenjini labo lokunakekelwa kwezempilo.
Ukubunjwa komzimba
VIDEO
Okubhekwayo
Clauw, Daniel J et al. "Isayensi ye-fibromyalgia." I-Mayo Clinic proceedings vol. 86,9 (2011): 907-11. doi:10.4065/mcp.2011.0206
Cohen H. Izingxabano nezinselele ku-fibromyalgia: ukubuyekezwa kanye nesiphakamiso. I-Adv Musculoskelet Dis. 2017 Meyi;9(5):115-27.
Garland, u-Eric L. "Ukucubungula ubuhlungu ohlelweni lwezinzwa lomuntu: ukubuyekezwa okukhethiwe kwezindlela ze-nociceptive ne-biobehavioral." Ukunakekelwa okuyisisekelo vol. 39,3 (2012): 561-71. doi:10.1016/j.pop.2012.06.013
IGoldenberg DL. (2017). I-pathogenesis ye-fibromyalgia. Schur PH, (Ed). Kusesikhathini. Waltham, MA: UpToDate Inc.
I-Kamping S, i-Bomba IC, i-Kanske P, i-Diesch E, i-Flolor H. Ukuguquguquka okungalungile kobuhlungu ngesimo somzwelo esihle ezigulini ze-fibromyalgia. Ubuhlungu. 2013 Sep;154(9):1846-55.
by UDkt Alex Jimenez Ukuhlolwa kwe-Chiropractic , fibromyalgia
Ukuxilongwa kwe-fibromyalgia kuhilela inqubo yokuqeda ezinye izifo nezimo ezinezimpawu ezifanayo. Kungaba nzima ukuxilonga i-fibromyalgia. Akukho ukuhlolwa okuvamile noma ukuhlolwa udokotela angakusebenzisa ukuze ahlole ngokuqinisekile i-fibromyalgia. Inqubo yokuqeda isetshenziswa ngenxa yezinye izimo ezimbalwa ezinezimpawu ezifanayo. Lezi zihlanganisa:
rheumatoid arthritis
Isifo sokuphelelwa yisikhathi esingapheli
Lupus
Kungathatha isikhathi lapho umuntu eqala ukubona izimpawu futhi empeleni kutholakale ukuthi une-fibromyalgia, okungase kukhungathekise.. Odokotela kufanele babe ngabaseshi, basebenze kanzima ukuthola imbangela efanele yobuhlungu nezinye izimpawu. Ukuthuthukisa ukuxilongwa okufanele kuyadingeka ukuze udale uhlelo oluphelele lokwelashwa. Imibandela Yokuhlonza I-Fibromyalgia
Ubuhlungu nezimpawu ezisekelwe enanini eliphelele lezindawo ezibuhlungu
Ukukhathala
Ukungalali kahle
Izinkinga zokucabanga
Izinkinga zememori
Ngo-2010, kwanyatheliswa ucwaningo olwabuyekezwa indlela yokuxilongwa kwe-fibromyalgia ye-fibromyalgia. Imibandela emisha iyasuswa the kugcizelelwa ekuhlolweni kwamaphuzu amathenda. I-criteria ka-2010 igxile kakhulu kunkomba yobuhlungu esabalele noma i-WPI. Kunohlu lokuhlola ukuthi umuntu uzwa kuphi futhi nini izinhlungu. Le nkomba ihlanganiswe ne isikali sobukhulu bezimpawu , futhi umphumela wokuphela kuyindlela entsha yokuhlukanisa nokuthuthukisa ukuxilongwa kwe-fibromyalgia.
Inqubo Yokuxilonga
Umlando Wezokwelapha
Udokotela uzobheka i umlando ophelele wezokwelapha womuntu, ebuza nganoma yiziphi ezinye izimo ezikhona kanye nesimo somndeni/umlando wezifo .
Izimpawu Ingxoxo
Imibuzo evame ukubuzwa udokotela yilapho ibuhlungu, ibuhlungu kangakanani, ibuhlungu kangakanani, njll. Kodwa-ke, umuntu kufanele anikeze imininingwane eminingi noma eyengeziwe yezimpawu zabo . Ukuxilongwa kwe-fibromyalgia kuncike kakhulu embikweni wezimpawu, ngakho-ke kubalulekile ukucacisa nokunemba ngangokunokwenzeka. Idayari yobuhlungu, okuyirekhodi lazo zonke izimpawu ezikhona izokwenza kube lula ukukhumbula nokwabelana ngolwazi nodokotela. Isibonelo ukunikeza ulwazi ngobunzima bokulala, ngomuzwa wokukhathala isikhathi esiningi, kanye nokwethulwa kwekhanda elibuhlungu.
Ukuhlolwa Kwemvelo
Udokotela uzoshaya izandla noma afake ingcindezi encane ngezandla ezizungeze amaphuzu amathenda . Okunye Ukuhlola
Njengoba kushiwo ngaphambili izimpawu zingafana kakhulu nezinye izimo ezifana nalezi:
Udokotela ufuna ukukhipha noma yiziphi ezinye izimo, ngakho bazo-oda ukuhlolwa okuhlukahlukene. Lezi zivivinyo azikona ukuxilonga i-fibromyalgia kodwa ukuqeda ezinye izimo ezingenzeka. Udokotela anga-oda:
I-anti-nuclear antibody - ukuhlolwa kwe-ANA
Ama-anti-nuclear antibodies angamaprotheni angajwayelekile angaba khona egazini uma umuntu ene-lupus. Udokotela uzofuna ukubona ukuthi igazi linawo yini la maprotheni ukuze akhiphe i-lupus.
Inani legazi
Ngokubheka inani legazi lomuntu ngamunye, udokotela uzokwazi ukuthuthukisa ezinye izimbangela zokukhathala ngokweqile njenge-anemia.
Izinga le-erythrocyte sedimentation - ESR
An ukuhlolwa kwe-erythrocyte sedimentation rate ikala ukuthi amangqamuzana abomvu egazi awela ngokushesha kangakanani phansi kweshubhu lokuhlola. Kubantu abanesifo samathambo njenge-rheumatoid arthritis, izinga le-sedimentation liphezulu. Amangqamuzana egazi abomvu awela ngokushesha phansi. Lokhu kusikisela ukuthi kukhona ukuvuvukala emzimbeni.
I-Rheumatoid factor - ukuhlolwa kwe-RF
Kubantu abanesimo sokuvuvukala njenge-rheumatoid arthritis, izinga eliphezulu le-rheumatoid factor lingabonakala egazini. Izinga eliphakeme le-RF aliqinisekisi ukuthi ubuhlungu bubangelwa i-rheumatoid arthritis, kodwa ukwenza ukuhlolwa kwe-RF kuzosiza udokotela ukuthi ahlole ukuxilongwa okungenzeka kwe-RA.
Ukuhlolwa kwegilo
Ukuhlolwa kwegilo Inothi Lokugcina I-Fibromyalgia Diagnosis
Futhi, ukuxilonga fibromyalgia kungathatha isikhashana. Umsebenzi wesiguli uwukuba matasa ohlelweni lokuxilonga. Qiniseka ukuthi uyaqonda ukuthi imiphumela izosho ukuthini nokuthi lokho kuhlolwa okuqondile kuzosiza kanjani ukuthola imbangela yobuhlungu. Uma ungayiqondi imiphumela, qhubeka ubuza imibuzo kuze kube kuzwakala.
I-InBody
VIDEO
Ukwakheka komzimba kanye nokuxhumana nesifo sikashukela
Umzimba udinga ibhalansi yesisindo somzimba omncane kanye nesisindo samafutha ukuze usebenze kahle/ngokufanele futhi ugcine impilo yonke. Ibhalansi ingaphazamiseka kubantu abakhuluphele nabakhuluphele ngenxa yamafutha amaningi. Abantu abakhuluphele ngokweqile kufanele gxila ekuthuthukiseni ukwakheka komzimba ngokunciphisa inqwaba yamafutha ngenkathi ugcina noma ukhulisa isisindo somzimba omncane. Isifo sikashukela isifo sikashukela okusho ukuthi ishintsha indlela umzimba osebenzisa ngayo imisoco, ngendlela yokuthi amangqamuzana angakwazi ukusebenzisa i-glucose egayiwe ukuze abe namandla. Ngaphandle kwe-insulin, i-glucose ayikwazi ukungena emangqamuzaneni, ngakho igcina ihlala egazini. Lapho i-glucose ingakwazi ukuphuma egazini, iyanqwabelana. Wonke ushukela wegazi oweqile ungaguqulwa ube yi-triglycerides futhi ugcinwe njengamafutha. Ngokunyuka kwesisindo samafutha, ukungalingani kwe-hormone noma ukuvuvukala kwesistimu kungenzeka noma kuqhubeke. Lokhu kwandisa ingozi yezinye izifo noma izimo. Ukunqwabelana kwamafutha nesifo sikashukela kuhlotshaniswa nengozi eyengeziwe yoku:
Ukuhlaselwa yinhliziyo
Umonakalo wezinzwa
Izinkinga zamehlo
Isifo sezinso
Izifo zesikhumba
Stroke
Isifo sikashukela singabangela ngisho namasosha omzimba ukuba angasebenzi. Uma kuhlanganiswe nokungahambi kahle kwegazi emaphethelweni, ingozi yezilonda, izifo, ingaholela ekunqunyweni kwezinzwane, unyawo / izinyawo, noma umlenze / imilenze.
Umusho wokuzihlangula we-Blog Post kaDkt. Alex Jimenez
Ububanzi bolwazi lwethu bukhawulelwe ku-chiropractic, musculoskeletal, imithi yenyama, impilo enhle, nezindaba ezibucayi zezempilo kanye/noma izindatshana zemithi esebenzayo, izihloko, nezingxoxo. Sisebenzisa amaphrothokholi asebenzayo ezempilo nokuphila ukuze selaphe futhi sisekele ukunakekelwa kokulimala noma ukuphazamiseka kwesistimu ye-musculoskeletal. Okuthunyelwe kwethu, izihloko, izihloko, kanye nemininingwane ihlanganisa izindaba zomtholampilo, izinkinga, nezihloko ezihlobene nezisekela ngokuqondile noma ngokungaqondile ububanzi bethu bomtholampilo.*
Ihhovisi lethu lenze umzamo ophusile wokuhlinzeka ngezingcaphuno ezisekelayo futhi likhombe ucwaningo olufanele noma izifundo ezisekela okuthunyelwe kwethu. Senza futhi amakhophi ocwaningo olusekelayo atholakale ebhodini noma emphakathini uma uwacela. Siyaqonda ukuthi sihlanganisa izindaba ezidinga incazelo eyengeziwe yokuthi ingasiza kanjani ohlelweni oluthile lokunakekela noma inqubo yokwelapha; ngakho-ke, ukuze uqhubeke uxoxa ngendaba engenhla, sicela ukhululeke ukubuza uDkt Alex Jimenez noma usithinte ku-915-850-0900. Abahlinzeki (abahlinzeki) Abanelayisense e-Texas naseNew Mexico*
Okubhekwayo
I-American College of Rheumatology. I-Fibromyalgia. 2013.�http://www.rheumatology.org/Practice/Clinical/Patients/Diseases_And_Conditions/Fibromyalgia/. Ifinyelelwe ngoDisemba 5, 2014.
Ukuhlala neFibromyalgia:� I-Mayo Clinic Proceedings. �(June 2006) �Ukuthuthukiswa Kwezimpawu Ze-Fibromyalgia Ngokutshopa: Imiphumela Yesivivinyo Esilawulwa Ngokungahleliwe��www.sciencedirect.com/science/article/abs/pii/S0025619611617291
Yiziphi Izimpawu Ezivamile Ze-Fibromyalgia Futhi Zibangela Kanjani Ubuhlungu Emuva?:� I-Clinical Biomechanics. �(Julayi 2012) �Amandla okusebenza, amandla emisipha kanye nokuwa kwabesifazane abane-fibromyalgia��www.sciencedirect.com/science/article/abs/pii/S0268003311003226
by UDkt Alex Jimenez fibromyalgia
fibromyalgia kuyisimo se-musculoskeletal esihlanganisa izimpawu zobuhlungu nokukhathala okungenza ukuxilongwa kube inselele. Ngokwelashwa kwe-chiropractic, abantu ngabanye bangathola ukukhululeka ebuhlungu, ukukhathala, ukuvuvukala, futhi bathuthukise izinga lempilo yabo. Abantu ababhekene ne-fibromyalgia futhi befuna izimpendulo kufanele bacabangele ukubonisana nodokotela we-chiropractor ukuze banqume ukuthi yiziphi izindlela zokwelapha ezizohlinzeka ngezinzuzo eziningi. Ukwelashwa kungaba yinselelo enkulu ngaphandle kwezinkinga ezicacile eziwumsuka. Lokhu kuvame ukuholela ekukhungathekeni lapho uzama ukwakha uhlelo lokwelapha olusebenzayo. �
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fibromyalgia
I-Fibromyalgia ibonakala nge:
Ubuhlungu bomzimba nobuhlungu
Amaphuzu amathenda emisipha
Ukukhathala okujwayelekile
Izinkinga ezihambisanayo zihlanganisa :
Ukuphathwa yikhanda
ukukhathazeka
Ukucindezeleka
Izinkinga zokulala
Ukuhlushwa okumpofu
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Kukholakala ukuthi i-fibromyalgia ibangela ubuchopho nomgogodla ukuthi udlulise amasignali akhulisiwe/asabela ngokweqile . Ukusabela okweqile kwezindlela ze-neural emgogodleni nasemzimbeni kudala ubuhlungu obungapheli . Yilapho amathuluzi athile okuxilonga okuhlola izimpawu, imbangela/izizathu eziwumsuka, kanye nokuthuthukiswa kokwelashwa kuyadingeka. Izinto eziyingozi zihlanganisa :
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Ukwelashwa
Ukwelashwa kwe-Fibromyalgia okuphumelela kakhulu kuhlanganisa ukulungiswa kwendlela yokuphila . Lokhu kuvame ukufaka:
Ukuzivocavoca ngobumnene
Ukulungiswa kokudla okunomsoco
Ukucindezeleka ukuphathwa
Ukwelapha okuqondayo
Ukwelashwa kobuhlungu obungapheli, ukuvuvukala, namandla aphansi kuhlanganisa:
Ukwelashwa kwe-Massage
Ukwelapha ngokomzimba
Imithi
I-acupuncture
Ukwelashwa kweChiropractic
Ama-Chiropractors anenzuzo enkulu yokubhekana nalezi zimpawu. �
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I-Chiropractic Therapeutics
I-Chiropractic Therapeutics iyindlela yokwelapha ephephile, emnene, engahlaseli engasiza ekudambiseni ubuhlungu bomzimba nokuvuvukala. Izinketho zifaka:
Ukulungiswa kabusha komgogodla
Ukwelapha ngokomzimba/ukubhucunga ukuze kuthuthukiswe ukujikeleza kwemizwa
Ukukhohlisa
Ukwelashwa kwezicubu ezithambile Ukuqeqeshwa kwezempilo
Nini umzimba ulinganisela ungakwazi ukulawula kangcono izimpawu ngenxa yokuthuthukiswa kokujikeleza kwezinzwa. Ukwelashwa kwasekhaya kungabandakanya:
Ukuzivocavoca
Welulekela
Ukwelashwa okushisayo
Ukwelashwa kweqhwa
Ithimba lezokwelapha eligcwele elihlanganisa udokotela, umelaphi womzimba, i-massage Therapist, kanye ne-chiropractor ingasetshenziswa ukukhulisa imiphumela nokuqinisekisa izinga eliphezulu lempilo.
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VIDEO
Imisipha kanye neSistimu Yamasosha omzimba
Ukwandisa imisipha yemisipha kuyindlela enhle yokuthuthukisa ukwakheka komzimba nokuqinisa amasosha omzimba. Ucwaningo lubonisa ukuthi abantu abadala abadala abanesisindo esikhulu semisipha yamathambo banenani elikhulayo lamangqamuzana omzimba omzimba egazini. Lokhu kukhomba ukuthi imisipha kanye namasosha omzimba zihlobene.
Lapho izicubu zisebenza, ama-myokines ayakhululwa. Lawa amaprotheni ohlobo lwama-hormone aqinisa amasosha omzimba asiza ukuvikela ezifweni. Ucwaningo lwembula lokho ukuvivinya umzimba njalo kwandisa ukukhululwa T lymphocyte /T amaseli. Ukuzivocavoca njalo kusiza ukwehlisa ubungozi bokuthola izifo ezingamahlalakhona njengesifo sikashukela sohlobo 2, ukukhuluphala, imidlavuza ehlukahlukene, kanye nezifo zenhliziyo.
Umusho wokuzihlangula we-Blog Post kaDkt. Alex Jimenez
Ububanzi bolwazi lwethu bukhawulelwe ku-chiropractic, musculoskeletal, imithi yenyama, impilo enhle, nezindaba ezibucayi zezempilo kanye/noma izindatshana zemithi esebenzayo, izihloko, nezingxoxo. Sisebenzisa amaphrothokholi asebenzayo ezempilo nokuphila ukuze selaphe futhi sisekele ukunakekelwa kokulimala noma ukuphazamiseka kwesistimu ye-musculoskeletal. Okuthunyelwe kwethu, izihloko, izihloko, kanye nemininingwane ihlanganisa izindaba zomtholampilo, izinkinga, nezihloko ezihlobene nezisekela ngokuqondile noma ngokungaqondile ububanzi bethu bomtholampilo.*
Ihhovisi lethu lenze umzamo ophusile wokuhlinzeka ngezingcaphuno ezisekelayo futhi likhombe ucwaningo olufanele noma izifundo ezisekela okuthunyelwe kwethu. Senza futhi amakhophi ocwaningo olusekelayo atholakale ebhodini noma emphakathini uma uwacela. Siyaqonda ukuthi sihlanganisa izindaba ezidinga incazelo eyengeziwe yokuthi ingasiza kanjani ohlelweni oluthile lokunakekela noma inqubo yokwelapha; ngakho-ke, ukuze uqhubeke uxoxa ngendaba engenhla, sicela ukhululeke ukubuza uDkt Alex Jimenez noma usithinte ku-915-850-0900. Abahlinzeki (abahlinzeki) Abanelayisense e-Texas naseNew Mexico*
Okubhekwayo
Schneider, Michael et al. �Ukuphathwa kweChiropractic ye-fibromyalgia syndrome: ukubuyekezwa okuhlelekile kwezincwadi.Ijenali ye-manipulative and physiological Therapeutics �vol. 32,1 (2009): 25-40. doi:10.1016/j.jmpt.2008.08.012
by UDkt Alex Jimenez fibromyalgia
Ubuhlungu be-Fibromyalgia abukho nje ngokomzimba. Around 30% kokuhlangenwe nakho kwabantu ngabanye ukucindezeleka, ukukhathazeka, noma uhlobo oluthile lokuphazamiseka kwemizwa/ukushwibeka. I-Fibromyalgia isacwaningwa uma kubangela lezi zimo noma ngokuphambene nalokho , kodwa okusobala ukuthi lapho isimo sengqondo sivumela ubuhlungu obungokomzimba, ubuhlungu bakho buba bubi nakakhulu.
Udokotela angancoma:
Umeluleki Isazi sengqondo I-Psychiatrist
Izimpawu ziyahlukahluka futhi zithinta impilo yomuntu ngezindlela ezedlula ubuhlungu bomzimba. Ukukhathala kukodwa kungaba okwanele ukushintsha indlela yokuphila ngendlela engalungile, ethinta imizwa.
Ukulawula izimpawu ngokuvamile kusho ukuthatha indlela ehlukahlukene ehlanganisa:
Imithi
Ukwelapha ngokomzimba
Psychology
Ukwelashwa kwengqondo nemizwa kungaba yingxenye yohlelo lokwelapha.
Umehluko Wokudangala Nokukhathazeka
Ukucindezeleka nokukhathazeka ngezinye izikhathi kufakwa esigabeni esifanayo. Izimpawu zingabandakanya ukucindezeleka nokukhathazeka kwenzeke ngesikhathi esisodwa kodwa akunjalo iziyaluyalu ezifanayo . Ukucindezeleka kubonakala ukudabuka okungapheli.Ezinye izinsuku zichithwa embhedeni, ezinye izinsuku/ubusuku buchithwa ukudla ngokweqile, njengokusabela ezinhlungwini. Okubaluleke kakhulu ukuqaphela ushintsho ekuziphatheni. Khuluma nodokotela wakho noma umelaphi.
ukukhathazeka imizwa yokwethuka, ukwesaba, nokukhathazeka ngokweqile. Abantu banomuzwa wokuthi inhliziyo yabo igijima okungase kudideke nenkinga yenhliziyo.
I-Fibromyalgia Depression Connection
Ukuze uqonde ukuthi i-fibromyalgia ihlobana kanjani nokudangala nokukhathazeka, futhi ubone umehluko phakathi kokudangala nokukhathazeka, nazi ezinye izimpawu.
Izimpawu zibonisa izimpawu ezihambisana kakhulu nesifo. Kodwa-ke, kungenzeka ukuthi ulale kancane kunokujwayelekile uma unokucindezeleka, kodwa uphawu oluvame kakhulu ukulala ngaphezu kokujwayelekile.
Ukuthola Uchwepheshe Wezempilo Yengqondo
Ochwepheshe bahlanganisa:
Abeluleki abangochwepheshe abanelayisensi (ama-PC) Izazi zengqondo
Izazi Zengqondo
Laba ochwepheshe baqeqeshelwe ukuxilonga nokwelapha izinkinga ezingokwengqondo/zemizwa. Udokotela wakho angasiza ekutholeni ukuthi yikuphi okungcono kakhulu kuwe.
Abeluleki abaqeqeshiwe abanamalayisense zidinga iziqu ze-master in counseling futhi zigunyazwe ukuxilonga nokwelapha ukuphazamiseka kwengqondo nemizwa.
Izazi zengqondo babhekwa njengeqembu elihlukile lochwepheshe bezempilo yengqondo okungezona odokotela. Baneziqu zobudokotela futhi bagunyazwe ukwelapha izinkinga zemizwa besebenzisa izindlela zokwelapha ezifana i-cognitive-behavioral therapy.
Odokotela bengqondo bangodokotela abanelayisensi yokunikeza imithi ukusiza ukucindezeleka nokukhathazeka, kanye nokuphazamiseka kwengqondo okuningana.
Ukwengeza umthelela lesi sifo esinawo esimweni somuntu esingokwengqondo nesomzwelo kungalimaza kakhulu izinga lokuphila kwabo. Ukuqaphela lapho ubuhlungu bungagcini nje ngokomzimba kunzima. Ngakho-ke ukumisa ingqungquthela ye-telemedicine/video nochwepheshe wezempilo yengqondo kungasiza ekubhekaneni nokucindezeleka kwengqondo okuza ne-fibromyalgia. Ngisho nakulezo ezingadingi imithi ukubona uchwepheshe wezempilo yengqondo kungaba yinzuzo enkulu.
Ungakwazi ngokusobala khuluma ngokuhlangenwe nakho okuhlobene ne-fibromyalgia , ukuthi kuwuthinta kanjani umndeni wakho, njll,� okuyindlela yokwelapha ngokwayo.
I-Peripheral Neuropathy Izimbangela & Izimpawu
VIDEO
Izinsiza ze-NCBI
