Hari mu gitondo cyo ku wa Gatandatu gishyushye, maze nsanga ndimo ndeba mu maduka meza yo ku isoko ry’abahinzi ryo mu mpera z’icyumweru. Ubwo nashimishwaga n’ibyo bihingwa bishya, nabonye Sarah, umuntu twari tuziranye kuva mu gace k’iwacu. Yasaga n’unaniwe cyane, yikubita ku bitugu no mu mugongo ubwo yagendaga buhoro buhoro yerekeza ku iduka ricuruza icyayi cy’umwimerere.
“Sarah, hashize igihe kinini! Umeze ute?” Naramubajije, negera nseka cyane.
Yarebye hejuru, atunguwe ariko yishimiye kumbona. “Dr. Priya! Ndimo… ndabyihanganira. Ariko mu by’ukuri, maze igihe nhanganye n’ubu bubabare buhoraho ku mubiri wanjye wose. Birananiza, kandi ni cyo kintu kibi kurusha ibindi? Nta muntu usa n’usobanukiwe ibyo ndimo.”
Nateze amatwi neza Sarah ubwo yavugaga ibimenyetso bye. Naramubajije nti “Ese hari ibizamini wakorewe vuba aha?”
Sarah yafashe umutwe. “Yego, muganga wanjye yankoreye ibizamini byinshi by’amaraso ndetse ananyohereza kwa muganga w’inzobere . Ariko raporo zose zagarutse nk’uko bisanzwe. Bambwiye ko ari stress gusa.”
Nyuma yo kumva inkuru ye no gusuzuma raporo ze zisanzwe n'iperereza, naravuze buhoro nti “Bisa nkaho dushobora kuba turimo kureba indwara ya fibromyalgia . Ariko reka turebere hamwe byose mu buryo burambuye kugira ngo tubisobanukirwe neza.”
Fibromyalgie ni iki?
Fibromyalgia ni indwara y'ububabare idakira ifata ingingo zoroshye z'umubiri, nk'imitsi, imitsi ipfutse, n'imitsi . Akenshi itera ububabare bukabije kuva mu ijosi kugeza mu mavi. Mu bihe byashize, yakunze kwitwa fibrositis cyangwa rubagimpande yoroshye.
Ubushakashatsi buherutse gukorwa bwerekana ko indwara ya fibromyalgia yibasira abantu bagera kuri 2-4% ku isi, abagore bakaba bayibasira cyane. Nk’uko ubushakashatsi bwasohotse mu kinyamakuru Journal of Pain Research bubigaragaza, abagore bafite amahirwe akubye inshuro esheshatu yo kurwara fibromyalgia kurusha abagabo.
Ikintu cyihariye muri iyi ndwara ni uko imara amezi atatu, bivuze ko imara imyaka myinshi idakira. Nubwo itera ububabare, ntabwo ishyira ubuzima mu kaga.
Impamvu ni iyihe?
Impamvu nyayo itera fibromyalgia ntabwo izwi. Ariko, tuzi ko hari ibintu bimwe na bimwe bikorerwa mu mitsi yo hagati bizenguruka mu ngingo zoroshye bigatuma zumva ububabare. Nta ndwara ikomeye, imvune, cyangwa ikindi cyangiritse cyihishe gitera ikibazo.
Hashobora kandi kuba hari imiterere y’uturemangingo, bivuze ko ishobora kugaragara mu miryango. Ubushakashatsi bwakozwe n’Ikigo cy’Igihugu cy’Ubuzima (NIH) bwerekana ko abantu bafite amateka ya fibromyalgia mu muryango wabo bashobora kurwara iyi ndwara ubwabo.
Ni nde urwara fibromyalgia?
Indwara ya Fibromyalgia ishobora kugaragara ku bantu b’ingeri zose, ariko ikunze kugaragara ku bantu bakuru bari hagati y’imyaka 30 na 60. Igishimishije ni uko ifata abagore inshuro esheshatu kurusha abagabo.
Sarah yafashe umutwe ubwo nasobanuraga. Yagize ati: “Ibyo birumvikana. Mama yari afite ikintu nk’icyo.”
Ubushakashatsi bwerekana ko hafi 90% by'abarwayi ba fibromyalgia ari abagore. Impamvu nyayo y'iri tandukaniro ry'igitsina ntiramenyekana neza, ariko itandukaniro ry'imisemburo rishobora kugira uruhare.
Ibimenyetso Bisanzwe ni ibihe?
Ibimenyetso bya fibromyalgia bishobora gutandukana bitewe n'umuntu ndetse no umunsi ku wundi. Dore ibimenyetso bisanzwe:
- Kubabara mu bice bigaragara ku mashusho, cyane cyane mu ijosi, mu bitugu no mu mugongo.
- Ubukana muri ibi bice.
- Ububabare ku duce duto two muri utwo duce twitwa 'trigger points', tworoshye kuyikoraho.
- Umunaniro — kumva unaniwe buri gihe.
- Ingorane zo gusinzira .
- Uburyo amarangamutima atera ikibazo.
Icyitonderwa: Igipimo cy'ububabare kiratandukanye bitewe n'umuntu ku giti cye kandi ku muntu ku giti cye gishobora guhinduka umunsi ku wundi.
Neretse Sarah imbonerahamwe y'ingingo zisanzwe zo kubabara mu mitsi ya fibromyalgia. Namusobanuriye nti: “Aha niho ushobora kumva umerewe nabi cyane.”
Ni ibihe bintu byongera ubwiyongere bw'imyitwarire?
Hari ibintu bimwe na bimwe bishobora gutuma ibimenyetso bya fibromyalgia birushaho kuba bibi:
- Guhangayika .
- Umunaniro n'akazi kenshi .
- Guhura n'ubushuhe n'ubukonje .
- Gukora ibikorwa byinshi cyane .
Sarah yasunikiye agira ati “Nari mfite stress nyinshi mu kazi vuba aha, kandi mbona ububabare burushaho kwiyongera mu minsi y’imvura.”
Ubushakashatsi bwakozwe mu 2019 mu kinyamakuru cya Rheumatology International bwagaragaje ko imihindagurikire y’ikirere, cyane cyane ubukonje n’ubushuhe, ishobora kongera ibimenyetso bya fibromyalgia ku barwayi benshi.
Outlook ni iki?
Nubwo indwara ya fibromyalgia ikabije cyangwa igihe kirekire, ishobora gutuza. Hari abantu bamwe bashobora gukira mu buryo butunguranye. Abandi bakunze kugira ibibazo byo kubabara no kumva bameze neza igihe kirekire, ndetse n'imyaka myinshi.
Nubwo fibromyalgia ibabaza, ntabwo ishyira ubuzima mu kaga. Uburyo bwiza umurwayi ashobora kwihanganira ni ukuyifata nk'uko imitsi ihora ivuza mu matwi, ikaba iri inyuma ariko ntigaragara cyane iyo umuntu ahugiye mu bintu bishimishije.
Nahumurije Sarah nti “Ntabwo uri wenyine muri ibi. Icy'ingenzi ni ukubyitwaramo neza no gushaka uburyo bwo kwirangaza.”
Ubuvuzi ni iki?
Nta muti w’ubumaji wa fibromyalgia ubaho, ariko uburyo butandukanye bwo kuvura bushobora gufasha mu kuvura ibimenyetso neza.
Ingamba zo Kwifasha
Gushishikariza umuntu kwiyitaho ni ingenzi mu kuvura indwara ya fibromyalgia. Dore inama zimwe na zimwe:
- Menya ibintu bishobora gutera stress, umunaniro, n'imihindagurikire y'ikirere, hanyuma ugerageze kubyirinda.
- Shyira umuti ushyushye ukoresheje ubwogero bushyushye, douche, cyangwa udupaki two gushyushya kugira ngo ugabanye imitsi igoramye.
- Kora uburyo bwo kuruhuka nka yoga, tai chi, no gutekereza cyane.
- Shyiramo ibintu bishimishije nk'ibyo kwishimisha cyangwa ibikorwa bitera ibyishimo.
- Kurikiza gahunda y'imyitozo ngororamubiri kugira ngo imitsi ikomeze gukora no kugabanya gukomera.
- Gerageza ubuvuzi bushingiye ku mazi , bukubiyemo imyitozo ngororamubiri mu mazi ashyushye.
Sarah yabajije ati: “Ese hari indyo yihariye ngomba gukurikiza?”
Nasubije nti: “Nta ndyo yihariye kandi ihamye ihari. Ariko kwirinda ibintu bibangamira gusinzira, nka kafeyine na inzoga, ni byiza.”
Gahunda zo Gushyigikira
Abantu benshi barwaye fibromyalgia bungukirwa no kujya mu itsinda ry’abaterankunga cyangwa kwiyandikisha muri gahunda yo kuvura indwara zigenzurwa zirimo kugenda n’amaguru, koga no kugendera ku igare.
“Hari abaganga b’inararibonye mu gukorana n’abarwayi ba fibromyalgia,” nongeyeho. “Ni ingirakamaro kugira umuryango wo gufasha.”
Umuti
Nubwo nta muti n'umwe uvura fibromyalgia, abaganga bashobora gutanga imiti yo kuvura ibimenyetso. Iyi miti ishobora kuba ikubiyemo:
- Imiti igabanya ububabare .
- Imiti igabanya ubukana bw'indwara zo kwiheba .
- Imiti igabanya ububabare buterwa n'imitsi ifasha mu kugabanya ububabare buterwa n'imitsi.
Ubushakashatsi bwakozwe mu 2020 bwasohotse mu kinyamakuru The Lancet bwagaragaje ko guhuza imiti ivura indwara z’imitsi n’imiti igabanya ubukana bw’imitsi bitera indwara zo mu mutwe byazamuye cyane ubuzima bw’abarwayi ba fibromyalgia.
Sarah yasaga n'aho aruhutse. “Ibi bimpa icyizere. Nzagerageza rwose ibi bitekerezo.”
Ibibazo Bikunze Kubazwa Ku Bijyanye na Fibromyalgia
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Ni iki gitera fibromyalgia?
Impamvu nyayo itera fibromyalgia ntiramenyekana, ariko bikekwa ko iterwa n’ihindagurika ry’ibinyabutabire mu mitsi yo hagati, bigatuma umubiri urushaho kumva ububabare.
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Ese fibromyalgia ishobora gukira?
Nta muti uhari wo kuvura indwara ya fibromyalgia, ariko iyo ivuwe neza, abantu benshi bashobora kugabanya ibimenyetso by’indwara zabo cyane.
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Ni ibihe bimenyetso bya fibromyalgia?
Ibimenyetso bisanzwe birimo ububabare bukabije bw'umubiri, umunaniro, imihangayiko yo gusinzira, no guhangayika mu byiyumvo.
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Ese fibromyalgia ikunze kugaragara cyane ku bagore?
Yego, indwara ya fibromyalgia ikunze kugaragara ku bagore inshuro esheshatu kurusha ku bagabo, akenshi ikaba igaragara hagati y’imyaka 30 na 60.
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Ni gute indwara ya fibromyalgia ipimwa?
Indwara ya Fibromyalgia ipimwa binyuze mu gusuzuma ibimenyetso, harimo no kuba hari ingingo zoroshye mu bice bimwe na bimwe by'umubiri.
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Ni ubuhe buryo bwo kuvura fibromyalgia buhari?
Ubuvuzi burimo ingamba zo kwifasha, gahunda zo gushyigikira, n'imiti nka imiti igabanya ububabare, imiti igabanya ubudahangarwa, n'imiti igabanya ihungabana.
