Fibromyalgia: Natna thup leh a enkawl dan chanchin

Zirtawpni zing khawvar hlim tak a ni a, weekend farmer’s market-a dawr nung tak takte chu ka tlawh kual vel a. Thlai thar chhuah ka en lai chuan veng atanga ka hriat hlui Sarah-i chu ka hmu ta a. A chau hmel hle a, a kekawrte leh a hnungzang chu a hrual a, zawi zawiin organic tea hralhna stall lam pan chuan a kal ta a.

“Sarah, kum tam tak a liam tawh!Engtin nge i awm?” Ka zawt a, nuihzat hmel zet hian ka rawn hnaih a.

A han hawi chho a, mak ti hle mahse min hmuh chuan a lawm hle. “Dr. Priya! I’m... managing. Mahse, dik tak chuan ka taksa pum puiah he natna khirh tak, na tak tak hi ka tuar chhuak vek a. A hahthlak a, a pawi ber chu? Ka thil tawn hi tumahin an hrethiam lo niin a lang.”.

Sarah-i'n a symptoms a sawi lai chu ngun takin ka ngaithla a . “Tun hnaiah test i nei tawh em?” Ka zawt a.

Sarah chuan a lu a bu nghat a. “Ni e, ka GP chuan thisen test vawi tam tak a nei a, specialist hnenah pawh min refer a . Mahse report zawng zawng chu a normal leh vek a. Stress chauh a ni tih min hrilh a ni .”

A chanchin ka hriat hnu leh a report leh chhui chianna pangngai ka thlirlet hnu chuan zawi zawiin, “ Fibromyalgia kan en mai thei niin a lang.Mahse, uluk taka kan hriat theih nan engkim hi chipchiar takin han thlir ila,” ka ti a.

Fibromyalgia hi eng nge ni?

Fibromyalgia hi natna khirh tak a ni a, taksa peng nem tak tak, taksa ruh, taksa ruh khuhna leh ruh (ligaments) te a nghawng a ni. A tlangpuiin kawr atanga khup thlengin natna zau tak a thlen thin . Tun hma chuan fibrositis emaw soft-tissue rheumatism emaw tia vuah a ni fo thin.

Tun hnaia zirchianna hrang hrangah chuan fibromyalgia hian khawvel mipui 2-4% vel a nghawng a, hmeichhiate chu a tlukpui lo hle. Journal of Pain Research -a zirchianna tihchhuahah chuan hmeichhiate hi mipa aiin fibromyalgia vei an nih theihna chu a let ruk zetin an tam zawk a ni.

He natna danglam bik chu a chronic nature a ni a, chu chu thla thum tal a awm tihna a ni a, a tlangpuiin kum tam tak chhung on leh off a ni tihna a ni. Harsatna a thlen nasa hle chung pawhin nunna atana hlauhawm a ni lo.

Eng nge A Chhan?

Fibromyalgia awm chhan dik tak hi hriat a la ni lo. Mahse, central nervous system-a chemical thil siam ṭhenkhat chu soft tissue-ah a kal a, natna hriatnaah a sensitive hle tih kan hria. Buaina thlentu natna khirh tak, hliam, chhiatna dang thup a awm lo.

Genetic predisposition a awm thei bawk a, chu chu chhungkaw hrang hrangah a kal thei tihna a ni. National Institute of Hrisel (NIH)-in zirchianna a neihah chuan chhungkaw history-a fibromyalgia nei tawhte chuan anmahni ngeiin he natna hi an vei tam zawk tih a tarlang.

Fibromyalgia hi tuin nge vei?

Fibromyalgia hi mi chi hrang hrangah a awm thei a, mahse puitling kum 30 leh 60 inkarah a tam zawk a, ngaihnawm tak chu mipa aiin hmeichhia a let ruk zetin a vei tam zawk.

Sarah chuan ka hrilhfiah lai chuan a lu a bu nghat a. “Chu chu awmzia a nei.Ka nu pawhin chutiang bawk chu a nei ve bawk a ni,” a ti a.

Research atanga a lan dan chuan fibromyalgia vei zinga 90% vel chu hmeichhia an ni. Hetianga hmeichhia leh mipa inthlauhna awm chhan dik tak hi hriat chian a la ni lo a, mahse hormone danglamna hian hmun a chang thei a ni.

A Symptoms tlangpui chu engte nge ni?

Fibromyalgia symptoms hi mi hrang hrangah leh nitin pawh a inang lo thei. Heng a lan chhuah dan tlangpui chu hetiang hi a ni:

• Diagram-a tarlanna hmun, a bik takin kawr, kekawrte leh hnungzang natna leh natna te .
• Heng hmunah te hian stiffness a awm .
• Heng hmuna ‘trigger points’ an tih, khawih pawha sensitive tak tak awmna hmuna natna .
• Chauhna —chau tih hriat rengna.
• Mut harsatna nei .
• Buaina avanga rilru lam thil (emotional reactions) te.

Note: Mi hrang hrangah natna degree a inang lo va, mimal tan chuan nitin a danglam thei bawk.

Sarah-i chu fibromyalgia natna vei typical tender points diagram ka entir a. “Hengte hi i rilru hahna ber tur hmunte chu a ni,” tiin ka hrilhfiah a.

Aggravating Factors te chu engte nge ni?

Thil engemaw tak chuan fibromyalgia symptoms a ti na zual thei a:

• Rimtawng .
• Chauhna leh hnathawh tam lutuk .
• Hmun hnim leh vawt tak takah a awm .
• Thiltih tam lutuk .

Sarah chuan a thaw halh a, “Tun hnaiah hna ka buai em em a, ruah sur niah chuan a na zual zel tih ka hmuchhuak a ni,” a ti a.

Kum 2019-a Rheumatology International journal-a zirchianna pakhatah chuan khaw lum leh vawt inthlak danglamna, a bik takin khaw lum leh vawt lutuk hian damlo tam takah fibromyalgia symptoms a tizual thei tih hmuhchhuah a ni.

Outlook chu eng nge ni?

Natna nasa tak emaw, rei tak emaw pawh ni se, fibromyalgia hian a reh thei reng a ni. Mi thenkhatah chuan mahni insiamthatna (spontaneous recovery) a awm thei. Mi dangte chuan flare-up an nei duh a, hun rei tak, kum tam tak pawh ni se, on leh off-a an rilru hahdam hun lai an nei bawk.

Fibromyalgia hi nuam lo mahse nunna atana hlauhawm a ni lo. Damlo tan a hmachhawn dan tha tak chu a taksa peng hrang hrangte tinnitus (beng a ri reng) ang deuha ngaih hi a ni a, chu chu hnung lamah a awm a, mahse thil ngaihnawm tak tak avanga buai leh ngaihtuahna tihbuai reng chuan a langsar lutuk lo.

Sarah-i chu ka ti thlamuang a, “He thilah hian nangmah chauh i ni lo, a pawimawh ber chu tha taka enkawl a, i ngaihtuahna tihbuai dan tur zawng hi a ni.”

Enkawlna chu eng nge ni?

Fibromyalgia hi magic cure a awm lo a, mahse enkawlna hrang hrang hmangin a natna lan chhuah dan chu a tha thei ang bera enkawl theih a ni.

Mahni in tanpuina tehfung

Fibromyalgia enkawlna atan hian mahni invenna fuih hi a pawimawh hle. Tips thenkhat chu hetiang hi a ni:

• Stress, hahna, leh khaw lum leh khaw vawt inthlak danglamna ang chi thil thlentu te chu hmuchhuak la , chu chu pumpelh tum ang che.
• Muscle stiffness tihziaawmna turin hot bath, shower emaw heat pack hmangin heat therapy hmang thin ang che .
• Yoga, tai chi, leh meditation ang chi chawlh hahdamna hmanruaah te inhmang rawh .
• Hobby emaw, hlimna thlen thei thiltih emaw ang chi thil tibuaitu nuam tak takte pawh telh bawk ang che .
• Exercise program zawm la , taksa ruhte chu a thawk tha thei ang a, a nghet lo thei bawk ang.
• Hydrotherapy , tui lum takah exercise neih a ngai a, chu chu enchhin rawh .

Sarah-i chuan, “Diet bik ka zawm tur a awm em?”

“Proven, special diet a awm lo,” ka chhang a. “Mahse, mut tibuai thei thil, caffeine leh zu ang chite chu pumpelh a tha.”

Programme hrang hrang tanpuina

Fibromyalgia vei tam tak chuan support group-a tel emaw, supervised rehabilitation program-a inziak lut emaw, kea kal, tui chawi, leh cycle khalh te pawh huamin an hlawkpui a ni.

“Fibromyalgia vei te nena thawhhona lama tawnhriat nei therapist an awm a ni,” ka ti bawk. “Thawpuina tur khawtlang neih hi a \angkai hle.”

Damdawi ei tur

Fibromyalgia tihdamna damdawi pakhat mah a awm loh laiin, doctor-te chuan a natna lan chhuah dan tur damdawi an pe thei a ni. Chûng zîngah chuan:

• Natna tidam thei .
• Antidepressant damdawi .
• Nerve nena inzawm natna tihziaawmna atana puitu anti-seizure damdawi .

Kum 2020-a The Lancet- a zirchianna an tihchhuahah chuan physical therapy leh antidepressant dose tlem te inkawp hian fibromyalgia vei te nunphung a tisang hle tih an tarlang.

Sarah chu a thlamuang hle niin a lang. “Hei hian beiseina min pe a, heng rawtnate hi ka lo enchhin ngei ang.”

Fibromyalgia chungchanga zawhna chhanna