Ukuvimbela kanye nokwelashwa kwe-fibromyalgia
Singakwazi yini ukuvimbela i-fibromyalgia?
Imbangela ye-fibromyalgia ayikahlonzwa ngokusemthethweni, ayikho indlela yokuyivimba iyabonakala.
Ake sikhulume kuphela ukuthi kunconywa ukuthi ungabi nesisindo esiningi, ngoba sigcizelela ubuhlungu emalungeni nasemisipha.2. Bala inkomba yesisindo somzimba wakho (BMI) kanye nomugqa okhalo lwakho.
Yiziphi izindlela zokwelapha ze-fibromyalgia?
Okwamanje akukho ukwelashwa okuqinisekisiwe okusemthethweni kwe-fibromyalgia. Umuthi ungasiza kuphela ukuphatha ubuhlungu kangcono. Nakuba kungekho ukwelashwa okwaziwayo ukwelapha i-fibromyalgia, kukhona ukwesekwa.
Izidakamizwa ezinconyiwe
Ngoba kusekuncane esikwaziyo mayelana nezinqubo ezithintekayo fibromyalgia, lo ukwelashwa ezinikezwa iziguli zisekelwe ekuvinjweni kwezinqubo ezihilelekile ebuhlungu nokuphazamiseka kokulala.
Ukunciphisa ubuhlungu, omunye wemiphumela emihle kakhulu utholakala ngeTramadol. I ama-analgesics noma amaphilisi ezinhlungu anamandla, njenge-morphine, anciphisa ubuhlungu, kodwa ngokusobala awanakusetshenziselwa isikhathi eside. I-Tramadol (i-Ralivia®, i-Zytram®), evela emndenini wama-opiates (njenge-morphine), ikhonjiswe ukuthi iyasebenza ezivivinyweni ezimbalwa zakamuva ezenziwe ezigulini ezine-fibromyalgia. Kunconywa ukwelashwa kwe-fibromyalgia ngochwepheshe abaningi, bebodwa noma kuhlanganiswe ne-acetaminophen. Kodwa-ke, lo muthi kufanele usetshenziswe kuphela njengesixazululo sokugcina, lapho ezinye izindlela zokwelapha zibonakala zingasebenzi. Ukusetshenziswa kwayo kufanele kwenziwe ngaphansi kokuqondisa okuqinile kukadokotela ngenxa yengozi yokuncika.
The izidakamizwa ezingezona ukuvuvukala (ama-NSAID), isibonelo i-ibuprofen (efana ne-Advil® noma i-Motrin®), i-naproxen ne-acetaminophen (i-Tylenol®) ngezinye izikhathi isiza ukunciphisa ubuhlungu bemisipha nokuqina. Ukusebenza kwabo kuyehluka kumuntu nomuntu. Ziwusizo ikakhulukazi lapho i-fibromyalgia ibonakala kumuntu onesifo sokuvuvukala, njenge-rheumatoid arthritis. Ku-fibromyalgia "elula", abavamile ukunconywa.
Isexwayiso. Ngokuhamba kwesikhathi, ukusetshenziswa kwezidakamizwa ezifana nama-NSAID kungabangela imiphumela emibi kakhulu: ubuhlungu besisu nokopha, izilonda zesisu, ukulimala kwezinso nomfutho wegazi ophezulu.
Qaphela ukusetshenziswa kabi kwamaphilisi ezinhlungu. Izidambisi zinhlungu zisetshenziswa kakhulu abantu abane-fibromyalgia. Ngokuvamile awasebenzi, okuholela ekutheni iziguli zizisebenzise ngendlela engafanele, ngemithamo ephezulu kanye nezinhlanganisela zemithi ehlukene. Qaphela! Izidambisi zinhlungu kanye nama-anti-inflammatories anemiphumela engemihle engaba yingozi, ikakhulukazi esikhathini eside. Njalo funa iseluleko kudokotela wakho noma usokhemisi ngaphambi kokusebenzisa noma yimuphi umuthi. |
Ukubuyisela a ukulala okubuyisela, uma ukuphazamiseka kokulala kungaphambili futhi uma kwenzeka kuba nesizinda se-anxio-depressive, singasebenzisa amaphilisi okucindezeleka e-IRS ngemithamo eqine ngohhafu njengasesimweni se-depressive syndrome.
Konke lokhu antidepressant, njengomthamo ophansi we-serotonin reuptake inhibitors yizindlela zokwelapha ezisetshenziswa kakhulu ze-fibromyalgia. Zinomphumela ezinhlungwini eziningi ezingapheli, kuhlanganise nezinhlungu ze-fibromyalgia, ngakho-ke zivame ukusetshenziswa ngisho nalapho kungabikho ukucindezeleka. Ngaphezu kwalokho, bandisa inani le-serotonin ebuchosheni. Kodwa-ke, amazinga aphansi e-serotonin ahlobene hhayi kuphela nokucindezeleka, kodwa futhi migraines, izifo zokugaya nokukhathazeka, okuphakathi kwezimpawu ze-fibromyalgia.
Ukuvimbela nokwelashwa kwe-fibromyalgia: qonda konke ku-2 min
I-Amitryptiline (Élavil®) isetshenziswa kubantu abane-fibromyalgia njengesidambisi sezinhlungu kanye nemiphumela yayo ekuphazamisekeni kokulala nokukhathala. Ukwelashwa okuvame ukusetshenziswa kakhulu, ekungeneleleni kokuqala 68. I i-duloxetine (Cymbalta®) ingasetshenziswa futhi, njengoba kungase kusetshenziswe i-fluoxetine (i-Prozac®) noma i-moclobemide, evame ukungezwa njengokwelashwa okwengeziwe. Ekugcineni, enye i-antidepressant, i-milnacipran, ibonise imiphumela ethembisayo ngokumelene ne-fibromyalgia futhi ihlolwe eCanada.
Ama-antidepressants anedosi ephansi abonakala eyindlela yokwelapha yesikhathi eside yobuhlungu bemisipha ku-fibromyalgia. Nokho, akuwona wonke umuntu othola ukukhululeka kulokhu.
The ama-anticonvulsants noma ama-anti-epileptics - okokuqala aklanyelwe ukwelapha isithuthwane - ayasebenza nasezinhlungwini ezingapheli. Lokhu kufaka i-gabapentin (Neurontin®), i-pregabalin (Lyrica®) ne-topiramate (Topamax®). Amanye alawa ma-anticonvulsants athuthukisa ikhwalithi yokulala (ikakhulukazi i-gabapentin, futhi ngokwezinga elincane i-pregabalin). I-Lyrica® yaze yathola, ngo-2009 eCanada, inkomba yokwelashwa kobuhlungu obuhlobene ne-fibromyalgia.
Ukuzijabulisa ngezinye izikhathi zinqunywa ukuze kube lula ukulala, kodwa ukusetshenziswa kwazo isikhathi eside ngokuvamile akunconywa odokotela (ngokwesibonelo, i-Imovane®). Ngaphezu kwalokho, izidakamizwa eziningi ezibalwe ngenhla nazo zinomphumela wokulalisa.
Ama-relaxant muscle ingasiza futhi ekudambiseni ubuhlungu. Okuwukuphela kwendlela yokuphumuza imisipha esebenzayo ye-fibromyalgia yi-Flexeril®, isenzo sayo sifana nese-amitriptyline (Laroxyl®).
Ukuze uqaphele. I-Corticosteroids (njenge-prednisone) ayizange iboniswe ukuthi iyasebenza ekwelapheni i-fibromyalgia.
Ukuphathwa okungezona izidakamizwa
Imithi iyodwa ayithuthukisi ngokwanele izinga lempilo yabantu abane-fibromyalgia. Ngakho-ke abaphathi kufanele kube multidisciplinary. izindlela ezihambisanayo, okuvumela ikakhulukazi uku Nethezeka futhi ufunde lawula ubuhlungu bakho, cishe izindlela eziphumelela kakhulu zokuphila kangcono nge-fibromyalgia namuhla. Uma ubuhlungu obukhulu, i okugeza amanzi ashisayo, ngokuzivocavoca noma ngaphandle kokuzivocavoca kwemisipha, kunganikeza nokukhululeka okusheshayo58.
I-Balneotherapy
Uma kwenzeka ubuhlungu obukhulu, i okugeza amanzi ashisayo, ngokuzivocavoca kwemisipha noma ngaphandle kwe-58, kunganikeza nokukhululeka okusheshayo. Ukunakekelwa esikhungweni sokuvuselela nge-balneotherapy, esikhungweni se-spa esinechibi lokubhukuda lamanzi ashisayo kubonise ukusebenza kahle okuthile.
Ukuvivinya umzimba nge-aerobic
Theukuzivocavoca umzimba iyingxenye ebalulekile yokwelashwa okuyisisekelo. Ibangela umzimba ukuthi ukhiqize ama-endorphin, amahomoni anikeza inhlalakahle nobuhlungu obuzolile. Izifinyezo zocwaningo eziningana6, I-7,55, kuhlanganise neshicilelwe ngo-200864, waphetha ngokuthi ukuzivocavoca kwe-aerobic okugadiwe kunciphisa izimpawu ze-fibromyalgia nokuthuthukisa ukulala nokusebenza ngokomzimba. Ukwelula nokuqinisa umzimba kucatshangwa ukuthi kuthuthukisa ezinye izimpawu, kodwa kunobufakazi obuncane balokhu.
Umuntu akumele esabe ukukhulisa ukugula kwakhe ngokuzivocavoca, ngoba fibromyalgia akuyona inkinga yemvelaphi yemisipha1. Ngaphezu kwalokho, kuyaziwa ukuthi isimo somzimba esingesihle sinomthelela ekudaleni ukukhathala nokukhathazeka. Nokho, kubalulekile ukuqala kancane kancane, nge uhlelo oluguquliwe esimweni sakhe somzimba.
The ukuzivocavoca kwe-aerobic ukuzijwayeza ku-swimming pool, okungcono emanzini ashisayo, kungaba isiqalo esihle sokubuyela esenzweni. Ngokwesivivinyo somtholampilo esi-2 esishicilelwe ngo-2006, izivivinyo zeukufaneleka kwamanzi (ukuhamba noma ukugijima emanzini, isibonelo) kuphumelela ekudambiseni ubuhlungu obubangelwa i-fibromyalgia nokuthuthukisa imizwa yenhlalakahle8,9. Kumele zijwayelane namakhono omuntu othintekile, futhi umfutho wazo kufanele ukhuliswe kancane kancane.
Izindlela zokudedela nokulawula ingcindezi nobuhlungu, njengokuphumula, i-ericksonnian hypnosis, noma ukwelapha ngomculo kuboniswe ukuthi kusebenza ngempumelelo kulesi sifo. Zikuvumela ukuthi uphile kangcono ngobuhlungu nokukhathala.
Ezengqondo
I-Psychotherapy ingaba nezinzuzo ezibalulekile kubantu abane-fibromyalgia. I ukwelashwa kokuziphatha kwengqondo (i-TCC) isebenza ngokukhethekile. Bheka isigaba se-Complementary Approaches.
Nawa amanye amathiphu avela ku-ICanada Medical Association ukukhulula izimpawu4 :
|