Ese imitsi yawe ifite imitsi ifunganye? Reka tuvuge kuri Syndrome y'ububabare bwa Myofascial!

Uyu munsi tugiye kuvuga ku bwoko bw'ububabare bw'imitsi bubabaza abantu benshi, ariko rimwe na rimwe biragoye kumenya neza icyo ari cyo. Abaganga babyita myofascial pain syndrome, cyangwa mu Cyongereza, ``Myofascial Pain Syndrome.'' Ushobora kuba warumvise iri zina, cyangwa wenda nawe ubwawe warigeze kugira ubu bubabare. Reka turebe icyo ari cyo, impamvu bubaho, uko wabumenya, n'uko wabukira.

Indwara y'ububabare bwa myofascial ni iki?

Muri make, ni ububabare buhoraho buterwa no kubyimba kw'imitsi yawe n'ingingo ntoya yitwa fascia iyikikije. "Myo" yerekeza ku mitsi, naho "fascial" yerekeza ku ngingo yitwa fascia.

Tekereza ku icunga. Igishishwa cy'icunga kimeze nk'uruhu rwacu. Icunga ry'imbere ni imitsi yacu. Urwo rurerure rw'umweru rurerure rukikije iyo mpumyi rwitwa fascia. Iyi fascia izenguruka kandi igatwikira imitsi yacu yose, imitsi imwe imwe, n'amatsinda y'imitsi. Rero, iyo iyi mitsi n'ururenda ruyikikije byangiritse kandi bikagira ububabare mu buryo runaka, ubu bubabare bwa myofascial bubaho.

Abantu benshi bumva ubu bubabare mu gice kimwe cy'umubiri, ariko rimwe na rimwe bushobora kugira ingaruka ku bice byinshi (ariko akenshi ku ruhande rumwe rw'umubiri).

Iki kibazo gikunze kugaragara gute?

Mu by’ukuri iyi ni indwara ikunze kugaragara cyane kurusha uko wabitekereza. Nk’uko abahanga mu by’ubuvuzi babivuga, hafi 85% by’abaturage muri rusange bazarwara iyi ndwara mu gihe runaka mu buzima bwabo. Ibyo bivuze ko abantu umunani kuri icumi bazayirwara.

Ubu bubabare bumeze bute?

Si abantu bose bafite indwara y’ububabare bwa myofascial bafite ibimenyetso bimwe. Bishobora gutandukana bitewe n’umuntu. Hari igihe ububabare bushobora kugaragara mu buryo butunguranye kandi bugakomera. Hari n’igihe, bushobora kuba ububabare budakomeye, bubabaza cyangwa bubabaza buguma inyuma.

Ibimenyetso by'ingenzi bishobora kugaragara ni ibi bikurikira:

• Ububabare bushobora kuba butandukanye: bushobora kuba ububabare budakomeye, ububabare bukabije, ububabare bukabije, cyangwa ububabare bukabije.
• Ingingo zitera indwara: Iki ni cyo kimenyetso gikunze kugaragara cyane cy’iyi ndwara. Uzabona uduce duto, dufite ibibyimba, cyangwa uduce duto ku ruhu rwawe. Ibi byitwa ingingo zitera indwara. Utu duce dushobora kubabaza gukoraho cyangwa gukanda. Hari igihe no guhagarara gusa bishobora kubabaza. Uko indwara ikomeza, izi ngingo zitera indwara zigenda zikura.
• Inyama ziba zoroshye kandi zoroshye: zishobora kumva zibabaza nubwo waba uzikozeho.
• Imitsi iracika intege: Ushobora kumva udafite imbaraga nk'izo wari ufite mbere.
• Kugabanuka k'urugero rw'imikorere: Urugero, ushobora kudashobora kuzunguruka urutugu rwawe rwose.

Hari igihe abantu barwaye indwara y’ububabare bwa myofascial bashobora kugira izindi ngorane z’ubuzima, nko:

• Umutwe
• Kubura ibitotsi cyangwa ibibazo byo gusinzira (Gusinzira nabi)
• Guhangayika
• Guhangayika
• Ihungabana
• Kumva unaniwe igihe cyose (Umunaniro)

Ese hari ubwoko bw'ingingo zitera ikibazo?

Yego, hari ubwoko butandukanye bw'ingingo zitera ikibazo. Reka turebe ibyo ari byo:

1. Aho gukomeretsa umubiri: Iyi ni yo "ikora". Akenshi iba iri mu mitsi. Iyo uyikandagiyeho, irababara, cyangwa ububabare bushobora gukwirakwira mu mitsi yose.

2. Aho umuntu anyura mu buryo butihishe: Ibi ni "gusinzira", bivuze ko ari nko gusinzira. Ariko bishobora guhinduka imikorere, bivuze ko biba imikorere, igihe icyo ari cyo cyose.

3. Ingingo ya kabiri y’igitero: Ibi biba mu gace gatandukanye k’imitsi n’ingingo ya kabiri y’igitero. Hari igihe ingingo za kabiri z’igitero zishobora kubyimba icyarimwe, bigatera ububabare.

4. Aho gutera icyuma gitera amashanyarazi muri satelite: Iyi irakora kuko iherereye mu gace kagizweho n'ikindi gice cy'icyuma gitera amashanyarazi.

Ni iki gitera ububabare bwa myofascial?

Abaganga baracyagerageza kumenya impamvu abantu bamwe bashobora kugira ububabare bwa myofascial kurusha abandi. Ariko hari ibintu bike by'ingenzi bivugwa ko bishobora gutuma ibi bibaho:

• Gukomereka kw'imitsi: Tekereza ko ugiye guterura ikintu kiremereye ukagitembagaza ku mitsi, cyangwa wakomeretse imitsi mu gihe ukina siporo. Gukomereka nk'uku ku mitsi bishobora kuba imwe mu mpamvu zibitera.
• Gusubiramo: Urugero, gukora ikintu kimwe igihe kirekire, nko gukubita inyundo kenshi cyangwa kwandika kuri clavier ya mudasobwa, bishobora gushyira igitutu ku mitsi irimo.
• Guhagarara nabi: Iyo duhagaze, twicaye, cyangwa dukora mu mwanya utari wo, bishobora gushyira igitutu kidakenewe ku mitsi imwe n'imwe bigatera iyi ndwara.

Uretse izi mpamvu z'ingenzi, hari ibintu byinshi byongera ibyago byo kurwara indwara y'ububabare bwa myofascial:

• Gucika intege kw'imitsi.
• Kutagira imikorere myiza y'imitsi (tekereza iyo ukuguru kuri plaster, imitsi yo muri uko kuguru ntikoreshwa. Uko ni ko bimeze).
• Gukora cyangwa gutura ahantu hakonje.
• Imihangayiko ikomeye mu byiyumvo - Ibi bishobora gutuma imitsi ikomera mu buryo busanzwe.
• Imitsi igoranye.
• Ibibazo by’imikorere y’umubiri cyangwa imisemburo, urugero, indwara ya tiroyide cyangwa indwara z’imitsi ziterwa na diyabete.
• Kubura Vitamine, cyane cyane Vitamine D na Folate.
• Indwara zidakira.

Abaganga babimenya bate?

Indwara y’ububabare bwa myofascial ni indwara rimwe na rimwe idasuzumwa neza cyangwa ngo yirengagizwe kuko ibimenyetso byayo bisa cyane n’iby’izindi ndwara zigira ingaruka ku mitsi yacu, amagufwa, imitsi cyangwa imitsi.

Kugira ngo amenye iyi ndwara, muganga wawe azasuzuma imitsi yawe mu buryo bw'umubiri . Ibi bikorwa kugira ngo arebe aho imitsi ihagaze, hanyuma ashake aho ibabaza, ibyo twita ingingo zitera indwara twavuze. Iyo ubonye ingingo itera indwara ukayishyiraho igitutu, ushobora kumva ububabare aho ngaho, cyangwa ububabare bugakwirakwira ahantu ha kure. Ibi byitwa ububabare bwoherejwe .

Ese hari ibizamini byihariye byo kumenya ibi?

Oya, nta gipimo cy’amaraso cyihariye, X-ray, cyangwa scan ishobora gusuzuma indwara y’ububabare bwa myofascial. Nanone, ubusanzwe nta bimenyetso bigaragara by’iyi ndwara, nko gutukura, kubyimba, cyangwa ubushyuhe budasanzwe bw’agace kafashwe n’indwara.

Ariko, muganga wawe ashobora kukugira inama yo gupima kugira ngo arebe neza ko nta zindi ndwara ufite (urugero nka rubagimpande). Ashobora kandi kukubaza ibibazo bijyanye n'ibimenyetso byawe, nka:

• Ubabara wumva he?
• Uramutse usabwe gusobanura ububabare bwawe, wabusobanura ute (urugero, ni ukubabara, gukubita, cyangwa gukubita)?
• Ubu bubabare bumaze igihe kingana iki? Bubaho kangahe?
• Ese gukora ikintu icyo ari cyo cyose bigabanya ububabare?
• Ese gukora ikintu icyo ari cyo cyose byongera ububabare?
• Ese hari imvune wagize vuba aha?
• Ese ibimenyetso biragabanuka/byiyongera mu masaha amwe n'amwe y'umunsi?
• Ni ubuhe bwoko bw'akazi ukora? Ni ubuhe bwoko bw'ingendo ugomba gukora muri ako kazi?

Muganga wawe ashobora kugenzura uko ugenda n'uko uhagaze, akagenzura niba imitsi idakora neza, akanareba ibimenyetso by'uko imitsi idafite imbaraga. Ashobora kandi kukubaza ibindi bibazo by'ubuzima bishobora kuba bigira uruhare mu kubabara kwa myofascial - urugero, uko uryama neza ndetse niba ufite stress, guhangayika, cyangwa kwiheba.

Ibi bivurwa bite?

Hari uburyo butandukanye bwo kuvura indwara y’ububabare bwa myofascial. Bushobora kugabanywamo ibyiciro bitatu by’ingenzi:

1. Uburyo bwo kuvura mu biro

2. Imiti

3. Imiti yo mu rugo

Igikuru ni ukubonana na muganga vuba bishoboka niba ufite ibimenyetso bya myofascial pain syndrome, mbere yuko ububabare burushaho kwiyongera. Iyo utangiye kuvurwa mbere yuko ibyo bintu bitera indwara bitangira, amahirwe yo gutsinda aba menshi.

Uburyo bwo kuvura mu biro

Muganga wawe ashobora kukugira inama yo gukoresha uburyo butandukanye bwo kuvura:

• Ubuvuzi bw'umubiri: Ibi bikubiyemo gukoresha imyitozo ngororamubiri n'ubuhanga bwihariye kugira ngo bifashe gukomeza, kunagura no kuruhuka imitsi yawe.
• Gutera urushinge rwumutse: Ibi bikubiyemo gushyira urushinge ruto cyane mu gice cy’urushinge. Ibi bigabanya ubukana bw’aho hantu, byongera amaraso atembera, kandi bigabanya ububabare.
• Inshinge z'imitsi: Hakoreshejwe urushinge, umuti ugabanya ububabare, nka lidocaine, cyangwa se steroid, ushyirwa mu gice cy'imitsi kugira ngo ugabanye ububabare vuba.
• "Shyira hanyuma urambure": Muri ubu buryo, spray ikoreshwa mu gukonjesha iterwa ku gice cy'inyama, hanyuma umuvuzi arambura igice cy'inyama n'intoki.
• Uburyo bwo kuvura hakoreshejwe urumuri rwo hasi/Lazeri ikonje: Ikoresha imirasire yihariye ya laser kugira ngo ikangure umubiri kurekura imiti igabanya ububabare.
• Ubuvuzi bwa Ultrasound: Bukoresha amajwi kugira ngo bwinjire mu mubiri, bugafasha kwihutisha gukira no kugabanya ububabare.
• Gukangura imitsi y'amashanyarazi ikoresheje amashanyarazi (TENS): Ibi bikubiyemo gushyira udupapuro ku ruhu rwawe no kohereza ibimenyetso by'amashanyarazi bifite ingufu nke ku ngingo zitera. Ibi bishobora kugabanya ububabare.
• Uburyo bwo kuruhuka nka acupuncture , biofeedback, na cognitive behavioral therapy (CBT) nabyo bigira uruhare runini mu kunoza ibitotsi no kugabanya imihangayiko.

Ubwoko bw'imiti

Muganga wawe ashobora kandi kukwandikira imiti nk'iyi igufasha kugabanya ububabare bwa myofascial:

• Imiti igabanya ububabare
• Imiti igabanya ubushyuhe itari iya steroide (NSAIDs) - nka ibuprofen na naproxen.
• Imitsi iruhura imitsi - Iyi mitsi ifasha kugabanya imitsi igoramye.
• Steroids - Rimwe na rimwe zitangwa igihe gito kugira ngo zigabanye ububyimbirwe.
• Imiti igabanya ububabare - Iyi itangwa ku rugero ruto ku bubabare budakira no kunoza ibitotsi.
• Imiti igabanya ububabare ishobora kongera ubuziranenge bw'ibitotsi - ariko si byiza kuyikoresha buri gihe.

Imiti yo mu rugo

Uretse ubuvuzi, hari ibintu byinshi ushobora kugerageza mu rugo kugira ngo ugabanye ibimenyetso:

• Urubura n'ubushyuhe:Koresha udupaki tw'urubura (mu gihe cy'iminota 15-20) kugira ngo ugabanye ububyimbirwe n'ibibyimba, kandi ukoreshe udupaki tw'ubushyuhe (nk'icupa ry'amazi ashyushye) kugira ngo worohereze ingirangingo kandi ugabanye ububabare.
• Imyitozo ngororamubiri yo mu bwoko bwa Myofascial pain syndrome: Imyitozo yo gukomeza imitsi, gukora imyitozo yo kunanura imitsi, n'imyitozo ngororamubiri yo gukora aerobic (nk'amaguru, kwiruka) kugira ngo imitsi itange umwuka mwinshi. Ariko, ibi bigomba gukorwa neza nyuma yo kugisha inama muganga cyangwa umuganga w'umubiri.
• Imiti igabanya ububabare itangwa na muganga: Parasetamol (acetaminophen) cyangwa NSAID (urugero: ibuprofen cyangwa naproxen). Ariko wibuke ko niba usanzwe ufata imiti igabanya ububabare cyangwa NSAID, ugomba kujya kwa muganga mbere yo kuyifata.
• Uburyo bwo kuruhuka: yoga (ifasha mu kunanura imitsi, kuruhuka no kugabanya imihangayiko), imyitozo yo guhumeka, no gutekereza cyane.
• Guhindura imirire: Ni ngombwa cyane cyane kwirinda ibiryo bitera cyangwa byongera ububabare mu mubiri (tuzabivugaho gato).
• Kwinika mu mazi y'akazuyazi: Ibi bishobora gutuma inyama zibohoka kandi bigakuraho ububabare.
• Massage: Massage ahantu hababaza, haba hakoreshejwe umuntu wabyigiye cyangwa wowe ubwawe, ishobora gutanga ubutabazi.

Ni bande baganga bavura ibi?

Hari abaganga benshi batandukanye ndetse n'abatanga serivisi z'ubuvuzi bashobora kuvura indwara y'ububabare ya myofascial. Bamwe muri bo barimo:

• Abaganga b'imitsi: Aba ni abaganga b'inzobere mu buvuzi bw'imitsi n'ubuvuzi bwo kuvura indwara ziterwa n'imitsi.
• Inzobere mu kuvura ububabare: Abahanga mu kuvura ububabare budakira.
• Abaganga b'indwara za rubagimpande: Inzobere mu ndwara z'ingingo, imitsi n'ingingo zihuza ingingo.
• Abaganga b'amagufwa: Inzobere mu ndwara z'amagufwa n'ingingo.
• Abavuzi b'umubiri: Abantu bafasha kugabanya ububabare no gusubiza umubiri mu buryo bwo gukora imyitozo ngororamubiri n'ubundi buryo bw'umubiri.

Ese ibi bishobora kwirindwa ko bitabaho?

Bishobora kuba bidashoboka buri gihe gukumira burundu indwara y’ububabare bwa myofascial, kuko hari impamvu zimwe na zimwe tudashobora kuzigiraho. Ariko hari ibintu bike ushobora gukora kugira ngo ugabanye ibyago byo kurwara indwara:

• Guhorana isuku ikwiye yo gusinzira: Igire akamenyero ko kuryama no kubyuka icyarimwe buri munsi.
• Gabanya imihangayiko yawe: Gabanura imihangayiko ukoresheje ibintu nko gutekereza cyane, yoga, n'ibindi bikorwa byo kwidagadura.
• Imyitozo ngororamubiri buri gihe:Komeza ukomere kandi woroshye inyama z'inyama.
• Irinde imvune z'imitsi zishobora kwirindwa: Urugero, isakoshi ufite iraremereye cyane? Ese irimo gutera umuvuduko ku mitsi y'urutugu rwawe? Mu gihe uterura umutwaro uremereye, koresha uburyo bukwiye.
• Itoze uburyo bwo kuruhuka.
• Kurya indyo yuzuye kandi ifite intungamubiri: Kurya imboga nshya, imbuto, ibinyamisogwe, amafi, n'amavuta ya elayo, cyane cyane indyo yo mu karere ka Mediterane.
• Nywa amazi menshi: Nywa nibura ibirahuri 8 by'amazi ku munsi.

Icy'ingenzi: Hari ibiryo bimwe na bimwe byongera ububyimbirwe mu mubiri. Iyo ububyimbirwe bwiyongera, ububabare bwa myofascial nabwo buriyongera. Rero, gerageza kwirinda ibi biribwa:

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* Ibiryo bikaranze (urugero: ifiriti, uduce duto).

* Ibiryo by'amata (amata, foromaje, yawurute) - Ibi byongera ububyimbirwe kuri bamwe, ariko si kuri buri wese.

* Karubohidrati zitunganyijwe n'ibiribwa bikozwe mu ifu itunganyijwe (ibiryo byo mu ifu, umugati wera, makaroni, ibinyampeke bya mu gitondo, pizza).

* Margarine, amavuta amwe n'amwe y'ibimera (nk'amavuta y'amapamu).

* Ibyokurya n'ibinyobwa birimo isukari nyinshi (ibinyobwa bidasembuye, ibinyobwa biryoshye, keke, ibisuguti).

* Kurya inyama zitukura kenshi (inyama z'inka, ingurube, inyama z'ihene, n'ibindi).

* Ibintu biryoshye by’ubukorano n’inyongeramusaruro mu biribwa (ibi biboneka mu bicuruzwa bivuga ko bidafite isukari, ibinyobwa bidafite karori, imbuto zatetse, ice cream, na bombo).

* Inyama zatetse (hot dog, sosiso, inyama z'inyama).

Reba amabati yo mu gikoni cyawe na firigo. Niba hari ibiryo bishobora kongera ibimenyetso by'ububabare bwa myofascial, gerageza kugabanya cyangwa kubikuraho buhoro buhoro. Nta kibazo niba bigoye gukora ibi byose icyarimwe. Kuraho ibiryo kimwe icyarimwe, kandi ubikora buhoro buhoro, uko wumva umerewe neza.

Bigenda bite iyo mfite indwara y'ububabare bwa myofascial?

Ububabare bwa buri muntu – aho buri, uko bukabije – ni umwihariko, bivuze ko butandukana cyane bitewe n'umuntu ku giti cye. Hari igihe ububabare bushobora kwiyongera, kandi rimwe na rimwe bugahoraho. Kugira ngo ubuvuzi bugende neza, akenshi ni ngombwa gushaka umuganga wumva wishimye, umuntu wizeye, no gukurikiza gahunda ye yo kumuvura.

Ibi bizamara igihe kingana iki?

Igihe indwara y’ububabare ya myofascial imara kiratandukanye bitewe n’umuntu ku giti cye. Iyo ivuwe neza, ishobora koroherwa mu munsi umwe cyangwa ibiri, cyangwa se mu byumweru bike. Ariko kuri bamwe, ishobora gufata igihe kirekire. Biterwa n’uburemere bw’indwara yawe, uko witwara iyo uvuwe, ndetse n’impinduka mu mibereho yawe.

Nitwara nte?

Kubana n'indwara y'ububabare bwa myofascial bishobora kugorana cyane, kandi mu gihe kibi cyane, bishobora kubabaza cyane. Niyo mpamvu ari ngombwa kwiyitaho neza. Kurikiza gahunda yo kuvura ya muganga wawe neza. Nanone, gerageza imiti imwe n'imwe yo mu rugo (nk'imyitozo twavuze mbere, guhindura imirire, kwinika mu mazi ashyushye, no gukanda). Ushobora gukenera kugerageza gato kugira ngo ushake icyakugirira akamaro n'icyakugabanya ububabare. Niba hari ikintu kidakora, ntucike intege, gerageza ikindi.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ububabare budashira mu gice runaka cy'umubiri wawe kitazashira (byaba byiza mbere yuko ingingo zitera indwara zitangira), fata gahunda yo kubonana na muganga. Muganga wawe ashobora gusuzuma ibimenyetso byawe, gukora ibizamini kugira ngo amenye izindi ndwara, no gushyiraho gahunda yo kuvura ikubereye.

Ni ibihe bibazo ngomba kubaza muganga?

Ni byiza kuza witeguye kubaza ibibazo nk'ibi igihe ugiye kwa muganga wawe, kugira ngo ubone amakuru yose ukeneye:

• "Muganga, ni iyihe miti ishobora gufasha ubu bubabare bw'umutima mfite?"
• "Utekereza ko narwaye indwara y'ububabare bw'umutima ite?"
• "Ese ndi mu kaga ko kurwara izindi ndwara zibabaza hamwe n'ibi?"
• "Gahunda yanjye yo kuvurwa ni iyihe? Izamfasha ite?"
• "Ese ngomba kubonana n'inzobere mu kuvura ububabare?"
• "Ni iki nakora mu rugo kugira ngo numve meze neza vuba?"
• "Nzagaruka kugusura vuba ryari? Urashaka iki noneho?"

Ni irihe tandukaniro riri hagati y'ububabare bwa myofascial na fibromyalgia?

Ushobora kuba warigeze kumva aya mazina abiri mbere. Ububabare bwa myofascial na fibromyalgia rimwe na rimwe bishobora kuba bisa. Byombi bifite ingingo zitera ububabare (cyangwa utudomo tworoshye). Ariko izi ni indwara ebyiri zitandukanye.

Itandukaniro nyamukuru ni:

Ububabare bwa myofascial bukunze kuba ahantu hamwe cyangwa, iyo hari utudomo twinshi, akenshi buba ku ruhande rumwe rw'umubiri.

Ububabare bwa fibromyalgia bukwirakwira hose mu mubiri.

Abantu barwaye fibromyalgia bashobora guhura n'ibi bikurikira:

• Ahantu hashobora kwibasirwa cyane (hatandukanye gato n'aho haterwa uduce duto).
• Ubusanzwe ububabare umubiri wose.
• Umunaniro ni ukugera ku ndunduro ikomeye kandi ikunze kugaragara.
• Indwara zo gusinzira.
• Kurwara umutwe kenshi.
• Ibibazo byo mu gifu nka IBS (indwara yo kurakara mu mara).
• Kumva ibindi byiyumvo mu mubiri wose, nko kubyimba, kubyimba, gushishwa n'udushinge, no gucika intege.

Buri wese agira ububabare runaka mu gihe runaka mu buzima bwe. Ariko niba ubu bubabare budashoboka cyangwa bubangamiye imirimo yawe ya buri munsi igihe kirekire, ni cyo gihe cyo gushaka ubufasha kwa muganga. Ku bw'amahirwe, ubwoko bwinshi bw'ububabare, harimo n'ububabare bwa myofascial, bushobora kugabanuka cyangwa bukavaho iyo habayeho ubuvuzi bukwiye no guhindura imibereho.

Ikintu cy'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Rero, indwara y’ububabare bwa myofascial ni indwara ishobora kubabaza cyane rimwe na rimwe. Niba ufite ububabare busanzwe bujyana n’imitsi yawe ifunganye, menya ko ari bwo bubabare.

Witinya! Niba ushaka inama z'abaganga vuba kandi ugatangira ubuvuzi bukwiye, bishobora kugenzurwa cyane, ndetse wenda bigakira. Kwita ku miterere yawe, imyitozo ngororamubiri, imirire, n'ubuzima bwo mu mutwe bishobora kugufasha cyane gukuraho ubu bubabare. Wibuke ko utari wenyine, kandi hari ubufasha!

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