Fibromyalgia

Fibromyalgia ke boemo boo ho bona motho a nang le bohloko ba nako e telele bo nameng le 'mele. Bohloko hangata bo amahanngoa le mokhathala, mathata a boroko, ho thatafalloa ho tsepamisa mohopolo, ho opeloa ke hlooho, khatello ea maikutlo le matšoenyeho.

Batho ba nang le fibromyalgia le bona ba ka ba le bonolo manonyellong, mesifa, mesifa le lisele tse ling tse bonolo.

Lebaka ha le tsejoe. Bafuputsi ba nahana hore fibromyalgia e bakoa ke bothata ba hore na methapo ea methapo e sebetsana joang le bohloko. Lisosa kapa lisosa tsa fibromyalgia li kenyelletsa:

• Ho sithabela maikutlo 'meleng kapa maikutlong.
• Karabelo e sa tloaelehang ea bohloko: Libaka bokong tse laolang bohloko li ka arabela ka tsela e fapaneng ho batho ba nang le fibromyalgia.
• Likhathatso tsa boroko.
• Tšoaetso, joalo ka vaerase, leha ho se e fumanoeng.

Fibromyalgia e atile haholo ho basali ha e bapisoa le banna. Basali ba lilemo li 20 ho isa ho 50 ba amehile haholo.

Maemo a latelang a ka bonoa ka fibromyalgia kapa a na le matšoao a tšoanang:

• Molala oa nako e telele (o sa foleng) kapa bohloko ba mokokotlo
• Mokhathala oa nako e telele (o sa foleng)
• Ho tepella maikutlo
• Hypothyroidism (qoqotho e sa sebetseng)
• Lefu la Lyme
• Mathata a boroko

Bohloko bo atileng ke letšoao le ka sehloohong la fibromyalgia. Fibromyalgia e bonahala e na le bohloko bo sa foleng bo sa foleng, bo ka bang teng ho 10% ho isa ho 15% ea batho ka kakaretso. Fibromyalgia e oela qetellong ea bohloko bo boholo le ho se fole 'me e hlaha ka 1% ho ea ho 5% ea batho ka kakaretso.

Karolo e bohareng ea fibromyalgia ke bohloko bo sa foleng libakeng tse ngata. Libaka tsena ke hlooho, letsoho le leng le le leng, sefuba, mpa, leoto ka leng, mokokotlo o kaholimo le mokokotlo, le mokokotlo o ka tlase le mokokotlo (ho kenyeletsoa le marameng).

Bohloko bo ka ba bobebe ho isa boemong bo boima.

• E ka utloa eka ke bohloko bo tebileng, kapa bohloko bo hlabang, bo tukang.
• E kanna ea utloa eka e tsoa manonyellong, leha manonyeletso a sa amehe.

Batho ba nang le fibromyalgia ba tloaetse ho tsoha ka bohloko ba 'mele le ho satalla. Bakeng sa batho ba bang, bohloko boa ntlafala mots'eare mme bo mpefala bosiu. Batho ba bang ba opeloa letsatsi lohle.

Bohloko bo ka mpefala le:

• Ho ikoetlisa
• Boemo ba leholimo bo batang kapa bo mongobo
• Matšoenyeho le khatello ea maikutlo

Batho ba bangata ba nang le fibromyalgia ba na le mokhathala, ba sithabetse maikutlo ebile ba na le mathata a ho robala. Batho ba bangata ba re ha ba khone ho robala kapa ho robala, 'me ba ikutloa ba khathetse ha ba tsoha.

Matšoao a mang a fibromyalgia a ka kenyelletsa:

• Irritable bowel syndrome (IBS) kapa gastroesophageal reflex
• Mathata a ho hopola le ho tsepamisa mohopolo
• Ho ba bohatsu le ho hlohlona matsohong le maotong
• Ho fokotsa bokhoni ba ho ikoetlisa
• Matšoenyeho kapa hlooho ea hlooho ea migraine

E le hore u fumanoe u e-na le fibromyalgia, e tlameha ebe u bile le bonyane likhoeli tse 3 tsa bohloko bo atileng ka e le 'ngoe kapa tse' maloa tse latelang:

• Mathata a tsoelang pele ka boroko
• Mokhathala
• Mathata a ho nahana kapa a memori

Ha ho hlokahale hore mofani oa tlhokomelo ea bophelo a fumane lintlha tse bonolo nakong ea tlhahlobo ho etsa tlhahlobo.

Liphetho tsa tlhahlobo ea 'mele, liteko tsa mali le moroto le liteko tsa litšoantšo li tloaelehile. Liteko tsena li ka etsoa ho laola maemo a mang a nang le matšoao a tšoanang. Ho ka etsoa lipatlisiso tsa ho phefumoloha nakong ea boroko ho fumana hore na o na le boemo bo bitsoang ho koaleha moea ka nakoana borokong.

Fibromyalgia e tloaelehile lefung le leng le le leng la rheumatic mme e thatafatsa litlhahlobo le kalafo. Mathata ana a kenyelletsa:

• Ramatiki ea ramatiki
• Osteoarthritis
• Spondyloarthritis
• Sesebelisoa sa lupus erythematosus

Morero oa kalafo ke ho thusa ho kokobetsa bohloko le matšoao a mang, le ho thusa motho ho sebetsana le matšoao.

Mofuta oa pele oa kalafo o ka kenyelletsa:

• Phekolo ea 'mele
• Lenaneo la ho ikoetlisa le ho ikoetlisa
• Mekhoa ea ho imolla khatello ea maikutlo, ho kenyelletsa mekhoa e bobebe ea ho silila le ho phomola

Haeba litlhare tsena li sa sebetse, mofani oa hau a ka boela a fana ka moriana o loantšang khatello ea maikutlo kapa oa mesifa. Ka linako tse ling, metsoako ea meriana ea thusa.

• Morero oa meriana ena ke ho ntlafatsa boroko le ho u thusa ho mamella bohloko.
• Meriana e lokela ho sebelisoa hammoho le kalafo ea boikoetliso le boits'oaro.
• Duloxetine (Cymbalta), pregabalin (Lyrica), le milnacipran (Savella) ke meriana e lumelloang ka kotloloho bakeng sa ho phekola fibromyalgia.

Meriana e meng le eona e sebelisetsoa ho alafa boemo bo joalo ka:

• Lithethefatsi tse khahlanong le ho inkela, tse kang gabapentin
• Mefuta e meng ea ho imeloa kelellong, joalo ka amitriptyline
• Li-relaxation tsa mesifa, tse kang cyclobenzaprine
• Ho kokobetsa bohloko, joalo ka tramadol

Haeba u na le bothata ba ho koaleha moea ka nakoana borokong, u ka fuoa sesebelisoa se bitsoang khatello e tsoelang pele ea moea (CPAP).

Phekolo ea kelello le boits'oaro ke karolo ea bohlokoa ea kalafo. Phekolo ena eu thusa ho ithuta ho:

• Sebetsana le menahano e mebe
• Boloka tlaleho ea bohloko le matšoao
• Lemoha se etsang hore matšoao a hau a mpefale
• Batla lintho tse thabisang
• Ipehele meeli

Phekolo e tlatsanang le e meng e ka thusa. Tsena li ka kenyelletsa:

• Tai chi
• Yoga
• Phekolo ea matsoho

Lihlopha tsa tšehetso le tsona li ka thusa.

Lintho tseo u ka li etsang ho thusa ho itlhokomela li kenyelletsa:

• Ja lijo tse leka-lekaneng.
• Qoba k'hafeine.
• Itloaetse mokhoa o motle oa ho robala ho ntlafatsa boleng ba boroko.
• Ikoetlise khafetsa. Qala ka boikoetliso bo tlase.

Ha ho na bopaki ba hore li-opioid li sebetsa hantle kalafong ea fibromyalgia, mme lithuto li bontšitse litlamorao tse ka bang teng.

Ho fetisetsoa tleliniking ka thahasello le boiphihlelo ho fibromyalgia hoa khothaletsoa.

Fibromyalgia ke lefu la nako e telele. Ka linako tse ling, matšoao a ntlafala. Ka linako tse ling, bohloko bo ka mpefala mme ba tsoela pele ka likhoeli kapa lilemo.

Bitsa mofani oa hau haeba u e-na le matšoao a fibromyalgia.

Ha ho na thibelo e tsebahalang.

Fibromyositis; FM; Fibrositis

• Fibromyalgia

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DJ ea Clauw. Fibromyalgia le li-syndromes tse amanang le tsona. Ho: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 91.

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Wu YL, Chang LY, Lee HC, Fang SC, Tsai PS. Mathata a ho robala ka fibromyalgia: tlhahlobo ea meta ea lithuto tsa taolo ea linyeoe. J Psychosom Res. 2017; 96: 89-97. PMID: 28545798 phatlalalitsoe.ncbi.nlm.nih.gov/28545798/.