So wowɔ nhama a ɛyɛ den wɔ wo ntini mu? Momma yɛnka Myofascial Pain Syndrome ho asɛm!

Ɛnnɛ yɛbɛka ntini mu yaw bi a ɛyɛ yaw a nnipa pii nya ho asɛm, nanso ɛtɔ mmere bi a ɛyɛ den sɛ yɛbɛkyerɛ nea ɛyɛ ankasa. Nnuruyɛfo frɛ no myofascial pain syndrome, anaa wɔ Borɔfo kasa mu no, ``Myofascial Pain Syndrome.'' Ebia woate saa din yi, anaasɛ ebia w'ankasa woanya ɛyaw a ɛte sɛɛ. Momma yɛnhwɛ nea ɛyɛ, nea enti a ɛba, sɛnea yebehu, ne sɛnea yebenya ahotɔ afi mu.

Dɛn ne Myofascial Pain Syndrome?

Sɛ yɛbɛka no tiawa a, ɛyɛ ɛyaw a enni sabea a efi wo ntini ne ntini a ɛyɛ tratraa a wɔfrɛ no fascia a atwa ho ahyia no ho hyew. "Myo" kyerɛ ntini, na "fascial" kyerɛ ntini a wɔfrɛ no fascia.

Susuw borɔdɔma bi ho hwɛ. Akutu no ho nhwi te sɛ yɛn honam ani. Pulp a ɛwɔ mu no yɛ yɛn ntini. Wɔfrɛ saa ntini fitaa teateaa a atwa saa aduru no ho ahyia no fascia. Saa fascia yi twa yɛn ntini nhama, ntini ankorankoro, ne ntini akuw nyinaa ho hyia na ɛkata so. Enti, sɛ saa ntini ahorow yi ne fascia a atwa ho ahyia no sɛe na ɛyɛ hyew wɔ ɔkwan bi so a, myofascial ɛyaw yi ba.

Nnipa dodow no ara te ɛyaw yi nka wɔ nipadua no fã pɔtee biako, nanso ɛtɔ mmere bi a ebetumi aka mmeae pii (nanso mpɛn pii no ɛwɔ nipadua no fã koro).

Tebea yi abu so dɛn?

Eyi yɛ tebea a abu so kɛse ankasa sen sɛnea ebia wubesusuw. Sɛnea aduruyɛ ho abenfo kyerɛ no, nnipa dodow no ara mu bɛyɛ 85% benya saa tebea yi wɔ wɔn asetra mu bere bi. Ɛno kyerɛ sɛ nnipa du biara mu bɛyɛ baawɔtwe benya bi.

Ɛyaw yi te nka dɛn?

Ɛnyɛ obiara a ɔwɔ myofascial pain syndrome na ɔwɔ sɛnkyerɛnne koro. Ebetumi ayɛ soronko wɔ onipa biara ho. Ɛtɔ mmere bi a, ɛyaw no tumi ba mpofirim na emu yɛ den. Mmere foforo nso, ebetumi ayɛ ɛyaw a ɛyɛ kusuu, ɛyɛ yaw, anaa ɛyɛ yaw a ɛtra hɔ kyɛ.

Nsɛnkyerɛnne titiriw a wobetumi ahu ne:

• Ɛyaw no betumi ayɛ ahorow ahorow: ebetumi ayɛ ɛyaw a ɛyɛ kusuu, ɛyaw a ɛyɛ mmerɛw, ɛyaw a ɛyɛ sekan, anaa ɛyaw a ɛbɔ denneennen.
• Nneɛma a ɛkanyan: Eyi ne tebea yi ho sɛnkyerɛnne a ɛtaa ba. Wubehu mmeae nketenkete, a ɛyɛ kurukuruwa, anaa ntini wɔ wo honam ani. Wɔfrɛ eyinom sɛ trigger points. Saa mmeae yi betumi ayɛ yaw sɛ wode wo nsa bɛka anaasɛ wobɛmia so. Ɛtɔ mmere bi mpo a, sɛ obi gyina hɔ kɛkɛ a, ebetumi ayɛ yaw. Bere a tebea no kɔ so no, saa nneɛma a ɛkanyan no yi taa yɛ kɛse.
• Honam no yɛ mmerɛw na ɛyɛ mmerɛw: ebia ɛbɛyɛ te sɛ nea ɛyɛ yaw bere mpo a wode wo nsa ka no.
• Ntini yɛ mmerɛw: Ebia wobɛte nka sɛ wunni ahoɔden a na wunya no.
• Sɛnea wotumi keka wo ho no so tew: Sɛ nhwɛso no, ebia wuntumi nkyinkyin wo mmati so koraa.

Ɛtɔ da bi a, nnipa a wɔwɔ myofascial pain syndrome nso betumi anya akwahosan ho haw afoforo te sɛ:

• Tipaeɛ
• Dae a wontumi nna anaa nna ho haw (Nna a enye) .
• Ɔbrɛ
• Brɛ
• Hahaahayɔ
• Ɔbrɛ a wɔte nka bere nyinaa (Ɔbrɛ) .

So nneɛma ahorow bi wɔ hɔ a ɛkanyan obi?

Yiw, nneɛma ahorow pii wɔ hɔ a ɛkanyan obi. Ma yɛnhwɛ nea wɔyɛ:

1. Active trigger point: Eyi ne "active" no. Mpɛn pii no, ɛwɔ ntini bi mu. Sɛ womia so a, ɛyɛ yaw, anaasɛ ɛyaw no betumi atrɛw akɔ ntini no nyinaa mu.

2. Latent trigger point: Eyi yɛ "dormant", a ɛkyerɛ sɛ ɛte sɛ nea woada. Nanso ebetumi abɛyɛ nnam, a ɛkyerɛ sɛ ɛbɛyɛ nnam, bere biara.

3. Secondary trigger point: Eyi ba wɔ ntini no fã soronko bi sen active trigger point no. Ɛtɔ mmere bi a, nneɛma a ɛkanyan ade a ɛyɛ nnam ne nea ɛto so abien no nyinaa betumi ayɛ ɔfe bere koro mu, na ɛde ɛyaw aba.

4. Satellite trigger point: Wɔde eyi yɛ adwuma efisɛ ɛwɔ beae bi a trigger point foforo aka.

Dɛn na ɛde myofascial yaw ba?

Nnuruyɛfo da so ara rebɔ mmɔden sɛ wobehu nea enti a ɛda adi sɛ nnipa binom benya myofascial ɛyaw sen afoforo ankasa. Nanso, nneɛma atitiriw kakraa bi wɔ hɔ a wosusuw sɛ ɛde eyi ba:

• Ntini mu apirakuru: Fa no sɛ mpofirim ara wokɔɔ sɛ worekɔma biribi a emu yɛ duru so na woabobɔw wo ho wɔ ntini bi so, anaasɛ wopirapira ntini bi bere a woredi agumadi. Ntini no mu opira a ɛte saa no betumi ayɛ ade biako nti a eyi ba.
• Nkankyee a wɔtaa yɛ: Sɛ nhwɛso no, sɛ woyɛ ade koro no ara bere tenten, te sɛ hama a wobɛbɔ mpɛn pii anaasɛ wobɛkyerɛw wɔ kɔmputa so keyboard so a, ebetumi de nhyɛso aba ntini a ɛka ho no so.
• Gyinabea a ɛnsɛ: Sɛ yegyina, yɛtra ase, anaa yɛyɛ adwuma wɔ baabi a ɛnteɛ a, ebetumi de nhyɛso a ɛho nhia aba ntini ahorow bi so na ama yɛanya tebea yi.

Wɔ nneɛma atitiriw a ɛde ba yi akyi no, asiane ahorow pii wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ obi benya myofascial pain syndrome no yɛ kɛse :

• Ntini a ɛyɛ mmerɛw.
• Ntini no dwumadi a enni hɔ (fa no sɛ sɛ nan bi wɔ plaster mu a, wɔmfa ntini a ɛwɔ saa nan no mu no nni dwuma. Saa na ɛte).
• Adwumayɛ anaa baabi a ɛhɔ yɛ nwini a wɔtra.
• Nkate mu nhyɛsoɔ a emu yɛ den - Wei betumi ama ntini no ayɛ den wɔ awosu mu.
• Ntini a ɛyɛ pintinn.
• Nkwammoaa mu nkwaadɔm anaa nkwaadɔm mu haw ahorow, sɛ nhwɛso no, thyroid yare anaa asikreyare a ɛde ntini mu yare ba.
• Vitamin a enni nipadua mu, titiriw vitamin D ne folate.
• Nyarewa a enni sabea.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Myofascial pain syndrome yɛ tebea a ɛtɔ mmere bi a wonhu no yiye na wobu ani gu so efisɛ ne sɛnkyerɛnne ahorow no te sɛ tebea afoforo a ɛka yɛn ntini, nnompe, ntini, anaa ntini ahorow no de kɛse.

Sɛnea ɛbɛyɛ na woahu saa tebea yi no, wo duruyɛfo no bɛhwɛ wo ntini mu wɔ nipadua mu . Wɔyɛ eyi de hwehwɛ ntini a ɛyɛ den, na afei wɔhwehwɛ saa mmeae a ɛyɛ yaw no, nea wɔfrɛ no trigger points a yɛkaa ho asɛm no. Sɛ wuhu baabi a ɛkanyan wo na wode nhyɛso ba so a, ebia wobɛte ɛyaw nka wɔ hɔ ara, anaasɛ ɛyaw no betumi akɔ akyirikyiri. Wɔfrɛ eyi ɛyaw a wɔde kɔ baabi foforo .

So sɔhwɛ titiriw bi wɔ hɔ a wɔde hu eyi?

Dabi, mprempren mogya mu nhwehwɛmu, X-ray, anaa scan pɔtee biara nni hɔ a ebetumi ahu sɛ obi anya myofascial pain syndrome. Afei nso, mpɛn pii no, tebea yi ho sɛnkyerɛnne biara nni hɔ a wotumi hu, te sɛ baabi a ɛho ayɛ fĩ, ɛho ahonhon, anaa ɔhyew a ɛnteɛ.

Nanso, ebia wo duruyɛfo bɛkamfo nhwehwɛmu ahorow bi akyerɛ wo de ahwɛ ahu sɛ wunni tebea afoforo (te sɛ ntini mu yare, sɛ nhwɛso no). Ebia wobebisa wo nsɛm bi nso afa wo yare no ho sɛnkyerɛnne ahorow ho, te sɛ:

• Ɛhe na wote ɛyaw no nka?
• Sɛ wɔka kyerɛ wo sɛ ka wo yaw no ho asɛm a, wobɛka ho asɛm dɛn (e.g., so ɛyɛ yaw, ɛrebɔ, anaasɛ ɛrebɔ)?
• Ɛyaw yi atra hɔ bere tenten ahe? Mpɛn ahe na ɛba?
• So biribi a wobɛyɛ no ma ɛyaw no so tew?
• So biribi a wobɛyɛ no ma ɛyaw no yɛ kɛse?
• So woapirapira bi nnansa yi?
• So sɛnkyerɛnne ahorow no so tew/kɔ soro wɔ mmere bi mu wɔ da no mu?
• Adwuma bɛn na woyɛ? Nkankyee bɛn na ɛsɛ sɛ woyɛ wɔ saa adwuma no mu?

Ebia wo duruyɛfo bɛhwɛ sɛnea wo nantew ne sɛnea wogyina hɔ, ahwɛ sɛ ntini a ɛnkari pɛ anaa, na wahwehwɛ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ wo ntini ayɛ mmerɛw. Ebia wɔbɛsan nso abisa akwahosan ho haw afoforo a ebia ɛde myofascial yaw ba – sɛ nhwɛso no, sɛnea woda yiye ne sɛ ebia wuhyia adwennwen, dadwen, anaa adwenemhaw.

Ɔkwan bɛn so na wɔsa eyi?

Ayaresa ahorow pii wɔ hɔ a wobetumi apaw ama myofascial pain syndrome. Wobetumi akyekyɛ mu akuw atitiriw abiɛsa:

1. Ayaresa a wɔyɛ wɔ adwumayɛbea hɔ

2. Nnuru a wɔde ma

3. Aduru a wɔde sa yare wɔ fie

Ade a ɛho hia sen biara ne sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛ wowɔ myofascial pain syndrome ho sɛnkyerɛnne ahorow a, ansa na ɛyaw no mu ayɛ den. Sɛ wufi ase sa yare ansa na saa nneɛma a ɛkanyan no no aba a, hokwan a ɛwɔ hɔ sɛ wubedi nkonim no yɛ kɛse.

Ayaresa a wɔyɛ wɔ adwumayɛbea hɔ

Ɛda adi sɛ wo duruyɛfo bɛkamfo ayaresa ahorow yi pii a wɔaka abom akyerɛ wo:

• Apɔw-mu-teɛteɛ: Nea ɛka eyi ho ne sɛ wode apɔw-mu-teɛteɛ ne akwan pɔtee bi bedi dwuma de aboa ma wo ntini ahorow no ayɛ den, atrɛw, na ama ayɛ mmerɛw.
• Dry needling: Eyi hwehwɛ sɛ wɔde nnade a ɛyɛ fɛ yiye bɛhyɛ baabi a ɛkanyan no no mu. Eyi ma baabi a ɛhɔ yɛ den no so tew, ɛma mogya no kɔ soro, na ɛyaw no so tew.
• Trigger point injections: Sɛ wɔde ade di dwuma a, wɔde aduru a wɔde kum ɛyaw te sɛ lidocaine, anaa ebia steroid gu baabi a ɛkanyan no mu na ama ɛyaw no afi hɔ ntɛmntɛm.
• "Spray and stretch": Wɔ saa kwan yi so no, wɔde coolant spray petepete trigger point no so, na afei ɔyaresafo no de ne nsa trɛw nam asinasin no mu.
• Hann ayaresa a ɛba fam/laser a ɛyɛ nwini: Ɛde laser hann soronko di dwuma de kanyan nipadua no ma ɛma nnuru a ɛma ɛyaw no gyae.
• Ultrasound therapy: Ɛde nnyigyei asorɔkye di dwuma de hyɛn ntini no mu, na ɛboa ma ɛsa ntɛmntɛm na ɛyaw no so tew.
• Transcutaneous electrical nerve stimulation (TENS): Eyi hwehwɛ sɛ wode pads bɛbata wo honam ani na wode anyinam ahoɔden nsɛnkyerɛnne a ɛnyɛ den akɔ mmeae a ɛkanyan wo no. Eyi betumi atew ɛyaw so.
• Ahomegye ayaresa te sɛ acupuncture , biofeedback, ne cognitive behavioral therapy (CBT) nso boa kɛse ma nna tu mpɔn na ɛtew dadwen so.

Nnuru Ahorow a Wɔde Di Dwuma

Ebia wo duruyɛfo nso bɛkyerɛw nnuru te sɛ eyinom de aboa ma woadi myofascial ɛyaw ho dwuma:

• Nnuru a ɛma ɛyaw ano brɛ ase
• Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) - te sɛ ibuprofen ne naproxen.
• Ntini mu ahomegye - Eyinom boa ma ntini a ɛyɛ den no so tew.
• Steroids - Ɛtɔ da bi a wɔde ma bere tiaa bi de tew ɔfe so.
• Nnuru a ekum adwenemhaw - Wɔde eyinom ma wɔ dodow a ɛba fam mu ma ɛyaw a enni sabea na ɛma nna tu mpɔn.
• Nnuru a ɛma obi dwo betumi ama nna atu mpɔn - nanso ɛnyɛ papa sɛ wode eyinom bedi dwuma daa.

Nnuru a wɔde sa yare wɔ fie

Wɔ aduruyɛ akyi no, nneɛma pii wɔ hɔ a wubetumi asɔ ahwɛ wɔ fie na ama yare no ho sɛnkyerɛnne so atew:

• Nsukyenee ne ɔhyew:Fa nsukyenee a wɔde ahyɛ mu (simma 15-20) di dwuma na ama ɔfe ne ɔfe no so atew, ne ɔhyew a wɔde ahyɛ mu (te sɛ nsu a ɛyɛ hyew toa) na ama ntini no ayɛ mmerɛw na ama ɛyaw no so atew.
• Myofascial pain syndrome apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ a wɔde soa mu duru de hyɛ ntini no den, apɔw-mu-teɛteɛ a wɔtrɛw mu de trɛw ntini no mu, ne apɔw-mu-teɛteɛ a ɛma mframa bɔ (te sɛ nantew, mmirikatu) a wɔde ma ntini no mu mframa pa pii. Nanso, ɛsɛ sɛ wɔyɛ eyinom yiye bere a wɔakɔ oduruyɛfo anaa apɔw-mu-teɛteɛ ho ɔyaresafo nkyɛn awie no.
• Nnuru a wɔde kum ɛyaw a wɔtɔn a wɔtɔn: Paracetamol (acetaminophen) anaa NSAIDs (e.g. ibuprofen anaa naproxen). Nanso kae sɛ, sɛ worenom nnuru a wɔde kum ɛyaw anaa NSAID a wɔakyerɛw ama wo dedaw a, ɛsɛ sɛ wo ne wo duruyɛfo hwehwɛ bere nyinaa ansa na woanom eyinom aka ho.
• Akwan a wɔfa so gye wɔn ahome: yoga (ɛyɛ papa ma ntrɛwmu, ahomegye, na ɛtew adwennwen so), ahomegye apɔw-mu-teɛteɛ, ne adwennwen.
• Nsakrae a ɛba aduan mu: Ɛho hia titiriw sɛ wobɛkwati nnuan a ɛma nipadua no ho hyehye anaasɛ ɛma ɛyɛ kɛse (yɛbɛka eyi ho asɛm kakra).
• Nsu a ɛyɛ hyew a wode bɛhyɛ: Eyi betumi ama honam no ayɛ mmerɛw na ama ɛyaw no afi hɔ.
• Massage: Sɛ́ obi a wɔatete no anaa w’ankasa wo ho twitwiw mmeae a ɛyɛ yaw no betumi ama wo ho atɔ wo.

Henanom ne nnuruyɛfo a wɔsa eyi?

Nnuruyɛfo ne akwahosan ho adwumayɛfo ahorow pii wɔ hɔ a wobetumi asa myofascial pain syndrome. Ebi ne:

• Apɔw-mu-teɛteɛ ho animdefo: Eyinom yɛ nnuruyɛfo a wɔn ho akokwaw wɔ nipadua mu ayaresa ne aduruyɛ a wɔde siesie nipadua no mu.
• Ɛyaw ano aduru ho abenfo: Wɔn a wɔn ho akokwaw wɔ ɛyaw a enni sabea ayaresa mu.
• Ntini mu yare ho animdefo : Wɔn a wɔyɛ nkwaa, ntini, ne ntini a ɛka bom yɛ nyarewa ho abenfo .
• Nnompe ho animdefo: Wɔn a wɔyɛ nnompe ne nkwaa mu nyarewa ho abenfo.
• Apɔw-mu-teɛteɛ ho animdefo: Nnipa a wɔboa ma ɛyaw so tew na wɔsan de wɔn ho kɔ baabiara denam apɔw-mu-teɛteɛ ne apɔw-mu-teɛteɛ akwan afoforo so.

So wobetumi asiw eyi ano na amma?

Ebia ɛnyɛ bere nyinaa na yebetumi asiw myofascial pain syndrome ano koraa, efisɛ nneɛma bi a ɛde ba no yɛ nea yentumi nyɛ ho hwee. Nanso, nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so:

• Kura nna mu ahotew a ɛfata mu: Fa yɛ wo su sɛ wobɛda na woasɔre bere koro mu da biara.
• Tew w’adwennwen so: Di adwennwen ho dwuma denam nneɛma te sɛ adwennwen, yoga, ne anigyede ahorow so.
• Yɛ apɔw-mu-teɛteɛ daa:Ma nam a wɔayam no nyɛ den na ɛnyɛ nea ɛyɛ mmerɛw.
• Bɔ wo ho ban fi ntini mu opira a wubetumi asiw ano ho: Sɛ nhwɛso no, so bag a wokura no mu yɛ duru dodo? So ɛyɛ nhyɛso a wode reto wo mmati ntini so? Sɛ worema adesoa a emu yɛ duru so a, fa ɔkwan a ɛfata di dwuma.
• Fa akwan a wɔfa so gye w’ahome di dwuma.
• Di aduan a ɛkari pɛ a ahoɔden wom: Di nhabannuru, nnuaba, atoko, mpataa, ne ngodua ngo a ɛyɛ foforo pii, titiriw Mediterranea aduan no.
• Nom nsu pii: Anyɛ yiye koraa no, nom nsu nkuruwa 8 da biara.

Nea ɛho hia: Nnuan bi wɔ hɔ a ɛma ɔfe yɛ kɛse wɔ nipadua no mu. Sɛ ɔfe kɔ soro a, myofascial ɛyaw nso kɔ soro. Enti, bɔ mmɔden sɛ wobɛtwe wo ho afi nnuan yi ho:

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* Nnuan a wɔayam (e.g. French fries, patties).

* Nufusu mu nnuan (nufusu, kyiisi, yogurt) - Eyinom ma ɔfe kɔ soro ma ebinom, nanso ɛnyɛ obiara.

* Carbohydrates a wɔayɛ no yiye ne nnuan a wɔde esiam a wɔayam ayɛ (nnuan a wɔde yɛ paanoo, paanoo fitaa, pasta, anɔpaduan mu aburow, pizza).

* Margarine, nhabannuru mu ngo bi (te sɛ nnuadewa ngo).

* Nnuan ne anonne a asikre pii wom (nsã a ɛyɛ dɛ, anonne a ɛyɛ dɛ, keeki, bisket).

* Nam kɔkɔɔ a wɔtaa di (nantwinam, mprako nam, abirekyi nam, ne nea ɛkeka ho).

* Nnuan a wɔde yɛ aduan dɛdɛ ne nneɛma a wɔde ka aduan ho (wobetumi ahu eyinom wɔ nneɛma a wɔkyerɛ sɛ asikre nnim, aduan mu anonne a ahoɔdennuru nnim, nnuaba a wɔasiesie, ice cream, ne ahwiesa mu).

* Nam a wɔasiesie (hot dogs, soseji, nam a wɔayam).

Hwɛ wo kitchen shelves ne fridge mu. Sɛ nnuan bi wɔ hɔ a ebetumi ama myofascial ɛyaw ho sɛnkyerɛnne akɔ soro a, bɔ mmɔden sɛ wobɛtew so anaasɛ wubeyi afi hɔ nkakrankakra. Sɛ ɛyɛ den sɛ wobɛyɛ eyinom nyinaa prɛko pɛ a, ɛnyɛ hwee. Yi aduan biako fi hɔ bere koro mu, na yɛ eyi nkakrankakra, bere a wo ho tɔ wo no.

Sɛ mewɔ myofascial pain syndrome a, dɛn na ɛba?

Obiara yaw – baabi a ɛwɔ, sɛnea emu yɛ den – yɛ soronko, a ɛkyerɛ sɛ ɛsono kɛse wɔ onipa biara mu. Ɛyaw betumi ayɛ kɛse ɛtɔ mmere bi a, na ɛtɔ mmere bi a ɛkɔ so daa. Sɛ ayaresa no bɛyɛ yiye a, mpɛn pii no ɛho hia sɛ wunya oduruyɛfo a wote nka sɛ wo ho tɔ no, obi a wowɔ ne mu ahotoso, na wudi wɔn nhyehyɛe a wɔde hwɛ so no akyi.

Eyi bɛkɔ so akosi ahe?

Bere tenten a myofascial pain syndrome di no gu ahorow wɔ onipa biara mu. Sɛ wɔsa no yiye a, mpɛn pii no, wotumi fi hɔ wɔ da koro anaa nnanu, anaa adapɛn kakraa bi mpo mu. Nanso ebinom fam no, ebetumi agye bere tenten. Egyina sɛnea wo tebea no mu yɛ den, sɛnea woyɛ w’ade wɔ ayaresa ho, ne asetra mu nsakrae a woyɛ so.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ́ wo ne myofascial pain syndrome bɛtra ase no betumi ayɛ den wɔ nea eye sen biara mu, na nea enye koraa no, ebetumi ayɛ yaw koraa. Ɛno nti na ɛho hia paa sɛ wohwɛ wo ho yiye. Di wo duruyɛfo ayaresa nhyehyɛe no akyi pɛpɛɛpɛ. Afei nso, sɔ ofie nnuru bi hwɛ (te sɛ apɔw-mu-teɛteɛ a yɛadi kan aka ho asɛm, nsakrae a yɛyɛ wɔ aduan mu, nsu a ɛyɛ hyew a wɔde bɛhyɛ mu, ne aduru a wɔde twitwiw nipadua no). Ebia ebehia sɛ wosɔ hwɛ kakra na woahu nea ɛyɛ adwuma ma wo ne nea ɛma wo yaw no so tew. Sɛ ade biako ankɔ yiye a, mma w’abam mmu, sɔ biribi foforo hwɛ.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ ɛyaw a ɛkɔ so wɔ wo nipadua no fã pɔtee bi a ɛrenkɔ (ɛbɛyɛ papa ansa na nneɛma a ɛkanyan wo no aba) a, yɛ nhyehyɛe kɔ oduruyɛfo nkyɛn. Wo duruyɛfo betumi ahwɛ wo yare no ho sɛnkyerɛnne ahorow, ayɛ nhwehwɛmu ahorow de ayi tebea afoforo afi hɔ, na wayɛ ayaresa nhyehyɛe a ɛfata wo.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Ɛyɛ adwene pa sɛ wobɛba a woasiesie wo ho sɛ wubebisa nsɛm te sɛ eyinom bere a worekɔ wo duruyɛfo nkyɛn no, sɛnea ɛbɛyɛ a wubetumi anya nsɛm a wuhia nyinaa:

• "Oduruyɛfo, nnuru bɛn na ebetumi aboa wɔ myofascial ɛyaw a mewɔ yi ho?"
• "Wosusu sɛ ɛyɛɛ dɛn na minyaa myofascial pain syndrome?"
• "So mewɔ asiane mu sɛ menya tebea afoforo a ɛyɛ yaw wɔ eyi mu?"
• "Dɛn ne m'ayaresa nhyehyɛe? Ɛbɛboa me dɛn?"
• "So ɛsɛ sɛ mekɔ ɛyaw ano aduru ho ɔbenfo nkyɛn?"
• "Dɛn na metumi ayɛ wɔ fie na ama me ho atɔ me ntɛmntɛm?"
• "Ɛnkyɛ dɛn na ɛsɛ sɛ meba bɛhwɛ wo bio? Dɛn na worehwehwɛ saa bere no?"

Nsonsonoe bɛn na ɛda myofascial ɛyaw ne fibromyalgia ntam?

Ebia woate din abien yi pɛn. Ɛtɔ mmere bi a, myofascial ɛyaw ne fibromyalgia betumi ate nka saa ara. Wɔn baanu nyinaa wɔ mmeae a ɛkanyan (anaasɛ nsensanee a ɛyɛ mmerɛw) a ɛde ɛyaw ba. Nanso eyinom yɛ tebea horow abien a ɛsono emu biara.

Nsonsonoe titiriw a ɛwɔ mu ne sɛ:

Mpɛn pii no, ɛyaw a ɛwɔ ntini no mu no wɔ baabi pɔtee bi anaasɛ sɛ nsensanee pii wɔ hɔ a, ɛtaa ba nipadua no fã koro.

Fibromyalgia ɛyaw no atrɛw wɔ nipadua no mu nyinaa.

Ebia nnipa a wɔwɔ fibromyalgia taa nya nea edidi so yi:

• Mmeae a ɛyɛ mmerɛw kɛse (ɛsono kakra wɔ mmeae a ɛkanyan no).
• Mpɛn pii no, ɛyaw wɔ nipadua no nyinaa so.
• Ɔbrɛ yɛ ɔbrɛ a emu yɛ den kɛse, na ɔtaa te nka sɛ wabrɛ.
• Dae mu haw ahorow.
• Ti a ɛtaa yɛ no yaw.
• Yafunu mu haw te sɛ irritable bowel syndrome (IBS).
• Nkate foforo a wobɛte nka wɔ nipadua no nyinaa mu, te sɛ ɔfe, ɔfe, pin ne nnade, ne akisikuru.

Obiara nya ɛyaw bi wɔ n’asetra mu bere bi. Nanso sɛ ɛyaw no yɛ nea wontumi nnyina ano, anaasɛ ɛhaw wo da biara da dwumadi bere tenten a, ɛyɛ bere a ɛsɛ sɛ wohwehwɛ mmoa fi oduruyɛfo hɔ. Nea eye ne sɛ, wobetumi atew ɛyaw ahorow dodow no ara, a myofascial ɛyaw ka ho, so anaasɛ wɔayi afi hɔ denam ayaresa a ɛfata ne asetra mu nsakrae a wɔyɛ so.

Adeɛ a ɛho hia paa sɛ wobɛkae (Take-Home Message) .

Enti, myofascial pain syndrome yɛ tebea ankasa a ɛtɔ mmere bi a ebetumi ayɛ ahometew kɛse. Sɛ wowɔ ɛyaw a ɛwɔ baabi a ɛde nhama a ɛyɛ den (trigger points) ba wo ntini mu a, hwɛ yiye.

Nha wo ho! Sɛ wohwehwɛ aduruyɛfo afotu na wufi ase sa yare ntɛm a, wubetumi adi so kɛse, na ebia wɔasa mpo. Sɛ wohwɛ sɛnea wogyina hɔ, woteɛteɛ w’apɔw mu, wudi, ne w’adwene mu akwahosan a, ebetumi aboa wo kɛse ma woayi ɛyaw yi afi hɔ. Kae sɛ ɛnyɛ wo nko ara, na mmoa nso wɔ hɔ!

` Myofascial ɛyaw, ntini mu ɛyaw, trigger points, fascia, ɛyaw a enni sabea, nipadua mu ayaresa, ɛyaw ano aduru