KwakuyiMgqibelo ekuseni epholile, futhi ngazithola ngibhekabheka ezitolo ezikhazimulayo emakethe yabalimi yangempelasonto. Njengoba ngangijabulela imikhiqizo emisha, ngaphawula uSarah, umuntu engimaziyo wakudala ovela endaweni. Wayebukeka ekhathele, ehlikihla amahlombe akhe kanye nomhlane njengoba ehamba kancane eya esitolo esithengisa itiye elingokwemvelo.
“Sarah, sekudlule isikhathi eside! Unjani?” Ngabuza, ngisondela ngimomotheka ngemfudumalo.
Waphakamisa amehlo, emangele kodwa ejabule ukungibona. “Dkt. Priya! Ngiyakwazi… ukubhekana nakho. Kodwa ngokweqiniso, bengilokhu ngilwa nalobu buhlungu obungapheli, obuhlala bungikhathaza umzimba wonke. Kuyakhathaza, futhi ingxenye embi kakhulu? Akekho obonakala eqonda ukuthi ngibhekene nani.”
Ngalalela ngokucophelela njengoba uSarah echaza izimpawu zakhe. “Ingabe kukhona ukuhlolwa okwenziwe muva nje?” ngabuza.
USarah wanqekuzisa ikhanda. “Yebo, udokotela wami wenza izivivinyo eziningana zegazi waze wangithumela kuchwepheshe . Kodwa yonke imibiko yabuya ngendlela evamile. Bangitshele ukuthi ukucindezeleka nje.”
Ngemva kokuzwa indaba yakhe nokubukeza imibiko yakhe evamile kanye nophenyo, ngathi ngobumnene, “Kuzwakala sengathi kungenzeka sibheka i -fibromyalgia . Kodwa ake sixoxe ngakho konke ngokuningiliziwe ukuze siqonde kahle.”
Kuyini i-Fibromyalgia?
I-Fibromyalgia isifo sobuhlungu esingamahlalakhona esithinta izicubu ezithambile zomzimba, njengemisipha, imisipha embozwe yizinsini, kanye nemisipha . Ngokuvamile ibangela ubuhlungu obusakazekile kusukela entanyeni kuya emadolweni. Esikhathini esidlule, yayivame ukubizwa ngokuthi i-fibrositis noma i-rheumatism yezicubu ezithambile.
Ucwaningo lwakamuva lubonisa ukuthi i-fibromyalgia ithinta cishe u-2-4% wabantu bomhlaba wonke, kanti abesifazane bathinteka ngokungalingani. Ngokusho kocwaningo olushicilelwe kuyi- Journal of Pain Research , abesifazane banamathuba aphindwe kasithupha okuthola ukuthi bane-fibromyalgia kunabesilisa.
Isici esiyingqayizivele salesi simo ukuthi sihlala isikhathi eside, okusho ukuthi sihlala okungenani izinyanga ezintathu futhi ngokuvamile sihlala iminyaka eminingi. Naphezu kokungakhululeki esikubangelayo, asisongeli impilo.
Iyini Imbangela?
Imbangela eqondile ye-fibromyalgia ayaziwa. Kodwa-ke, siyazi ukuthi amakhemikhali athile akhiqizwa ohlelweni lwezinzwa oluphakathi ajikeleza ezicutshini ezithambile futhi azenze zizwele kakhulu imizwa yobuhlungu. Akukho sifo esibi esifihliwe, ukulimala, noma omunye umonakalo obangela inkinga.
Kungase kube nokuthambekela kwezakhi zofuzo, okusho ukuthi kungangena emindenini. Ucwaningo olwenziwe yiNational Institute of Impilo (NIH) lubonisa ukuthi abantu abanomlando womndeni we-fibromyalgia banamathuba amaningi okuba nalesi simo ngokwabo.
Ubani Othola I-Fibromyalgia?
I-Fibromyalgia ingenzeka kuzo zonke izinhlobo zabantu, kodwa ivame kakhulu kubantu abadala abaneminyaka ephakathi kuka-30 no-60. Ngokuthakazelisayo, ithinta abesifazane izikhathi eziyisithupha kaningi kunabesilisa.
USarah wanqekuzisa ikhanda njengoba ngangichaza. “Kunengqondo lokho. Umama wayenento efanayo,” kusho yena.
Ucwaningo lubonisa ukuthi cishe ama-90% eziguli ezine-fibromyalgia ngabesifazane. Isizathu esiqondile salokhu kungalingani kobulili asikacaci, kodwa umehluko wama-hormone ungadlala indima.
Yiziphi Izimpawu Ezivamile?
Izimpawu ze-fibromyalgia zingahluka kumuntu nomuntu ngisho nangosuku nosuku. Nazi izimpawu ezivamile:
- Ubuhlungu ezindaweni eziboniswe kumadayagramu, ikakhulukazi intamo, amahlombe kanye nomhlane.
- Ukuqina kulezi zindawo.
- Ubuhlungu ngamabala kulezi zindawo ezibizwa ngokuthi 'izindawo ezibangela ubuhlungu,' ezizwela kakhulu uma zithintwa.
- Ukukhathala — umuzwa wokukhathala oqhubekayo.
- Ubunzima bokulala .
- Ukusabela ngokomzwelo enkingeni.
Qaphela: Izinga lobuhlungu liyahlukahluka kumuntu nomuntu futhi kumuntu ngamunye lingashintsha usuku nosuku.
Ngambonisa uSarah umdwebo wamaphuzu avamile obuhlungu be-fibromyalgia. “Lezi yizindawo lapho ungase uzizwe ungakhululekile khona,” ngachaza.
Yiziphi Izinto Ezibangela Ukucindezeleka?
Izici ezithile zingenza izimpawu ze-fibromyalgia zibe zimbi kakhulu:
- Ukucindezeleka .
- Ukukhathala nokusebenza ngokweqile .
- Ukuchayeka emswakama nasemakhazeni .
- Umsebenzi oweqile .
USarah wabubula, “Bengilokhu ngicindezelekile kakhulu ngomsebenzi muva nje, futhi ngiyabona ukuthi ubuhlungu buba bubi kakhulu ngezinsuku zemvula.”
Ucwaningo lwango-2019 kumagazini i -Rheumatology International luthole ukuthi izinguquko zesimo sezulu, ikakhulukazi izimo ezibandayo nezimanzi, zingakhulisa izimpawu ze-fibromyalgia enanini elikhulu leziguli.
Iyini i-Outlook?
Naphezu kobunzima noma ubude bokungakhululeki, i-fibromyalgia ihlale inamandla okuphumula. Ukululama okuzenzakalelayo kungenzeka kwabanye abantu. Abanye bavame ukuba nezimo eziphuthumayo ezihambisana nokuzizwa kahle isikhathi eside, ngisho neminyaka.
I-Fibromyalgia, nakuba ingakhululekile, ayisongeli impilo. Indlela enhle yokuthi isiguli sibhekane nayo ukuyibheka njenge-tinnitus (ukukhala njalo ezindlebeni) yemisipha, ekhona ngemuva kodwa engabonakali kakhulu lapho umuntu ehlala ematasa futhi ephazanyiswa izinto ezithakazelisayo.
Ngaqinisekisa uSarah, “Awuwedwa kulokhu. Isihluthulelo ukuphatha kahle nokuthola izindlela zokuziphazamisa.”
Iyini Ukwelashwa?
Ayikho ikhambi elimangalisayo le-fibromyalgia, kodwa izindlela ezahlukene zokwelapha zingasiza ekuphatheni izimpawu ngempumelelo.
Izinyathelo Zokuzisiza
Ukukhuthaza ukuzinakekela kubalulekile ekuphatheni i-fibromyalgia. Nazi ezinye izeluleko:
- Thola izinto ezibangela ukucindezeleka, ukukhathala, kanye nokushintsha kwesimo sezulu, bese uzama ukuzigwema.
- Sebenzisa ukwelashwa ngokushisa usebenzisa amabhavu ashisayo, amashawa, noma amaphakethe okushisa ukuze unciphise ukuqina kwemisipha.
- Zibandakanye ezindleleni zokuphumula ezifana ne-yoga, i-tai chi, nokuzindla.
- Faka izinto eziphazamisayo ezijabulisayo njengezinto zokuzilibazisa noma imisebenzi eletha injabulo.
- Landela uhlelo lokuzivocavoca ukuze ugcine imisipha isebenza futhi unciphise ukuqina.
- Zama i-hydrotherapy , ehilela ukuzivocavoca emanzini afudumele.
USarah wabuza, “Ingabe kukhona ukudla okukhethekile okufanele ngikulandele?”
“Akukho ukudla okukhethekile okuqinisekisiwe,” ngiphendula. “Kodwa ukugwema izinto eziphazamisa ubuthongo, njenge-caffeine notshwala, kuyalulekwa.”
Izinhlelo Zokusekela
Abantu abaningi abane-fibromyalgia bayazuza ngokujoyina iqembu lokusekela noma ukubhalisa ohlelweni lokuvuselela oluqondisiwe oluhlanganisa ukuhamba, ukubhukuda, kanye nokugibela ibhayisikili.
“Kukhona abelaphi abanolwazi lokusebenza neziguli ezine-fibromyalgia,” nganezela. “Kuyasiza ukuba nomphakathi wokusekela.”
Imithi
Nakuba kungekho muthi owodwa wokwelapha i-fibromyalgia, odokotela banganikeza imithi yokulawula izimpawu. Lokhu kungafaka:
- Imithi yokuqeda ubuhlungu .
- Imithi yokucindezeleka .
- Imithi yokulwa nokuquleka esiza ekunciphiseni ubuhlungu obuhlobene nezinzwa.
Ucwaningo lwango-2020 olwanyatheliswa kuyi- The Lancet lubike ukuthi inhlanganisela yokwelashwa ngokomzimba kanye nemithi yokucindezeleka ephansi ithuthukise kakhulu ikhwalithi yokuphila kweziguli ezine-fibromyalgia.
USarah wabonakala ekhululekile. “Lokhu kunginika ithemba. Ngizozama nakanjani lezi ziphakamiso.”
Imibuzo Evame Ukubuzwa Mayelana ne-Fibromyalgia
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Yini ebangela i-fibromyalgia?
Imbangela eqondile ye-fibromyalgia ayaziwa, kodwa kukholakala ukuthi ihilela ukungalingani kwamakhemikhali ohlelweni lwezinzwa oluphakathi, okwenza umzimba uzwele kakhulu ubuhlungu.
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Ingabe i-fibromyalgia ingelapheka?
Akukho ukwelashwa kwe-fibromyalgia, kodwa ngokuphathwa kahle, abantu abaningi banganciphisa kakhulu izimpawu zabo.
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Ziyini izimpawu ze-fibromyalgia?
Izimpawu ezivamile zifaka phakathi ubuhlungu bomzimba obusakazekile, ukukhathala, ukuphazamiseka kokulala, kanye nokucindezeleka ngokomzwelo.
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Ingabe i-fibromyalgia ivame kakhulu kwabesifazane?
Yebo, i-fibromyalgia ivame kakhulu ngokuphindwe kasithupha kwabesifazane kunakwabesilisa, ngokuvamile ivela phakathi kweminyaka engama-30 nengama-60.
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I-fibromyalgia itholakala kanjani?
I-Fibromyalgia itholakala ngokuhlolwa kwezimpawu zemitholampilo, okuhlanganisa nokuba khona kwamaphuzu athambile ezindaweni ezithile zomzimba.
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Yiziphi izindlela zokwelapha ezitholakalayo ze-fibromyalgia?
Ukwelashwa kufaka phakathi izindlela zokuzisiza, izinhlelo zokusekela, kanye nemithi efana nemithi yokunciphisa izinhlungu, imithi yokucindezeleka, kanye nemithi yokulwa nokuquleka.
