Matšoao a Tloaelehileng a Kopantsoeng le Fibromyalgia
Fibromyalgia ke boemo bo sa foleng bo sa foleng bo amanang le mahlaba le mesifa e jele setsi-haholo-holo ea mesifa , mekhoa e metle le liphatsa tse nyenyane. Ka linako tse ling ho thoe ke mesifa ea rheumatism kapa rheumatic syndrome. Ho fapana le mefuta e meng ea ramatiki le maemo a rheumatic , fibromyalgia ha e amahanngoa le tšenyo e kopanetsoeng kapa ho senyeha ha kopane.
Ho fumanoa ha fibromyalgia ho ka kenyelletsa tlhahlobo ea 'mele bakeng sa lintlha tse bonolo. Kaha liteko tsa laboratori tse tloaelehileng ha li bone fibromyalgia, lintlha tsa bonolo li bile karolo ea mokhoa oa ho hlahloba. Lintlha tse bonolo ke life?
Ho lemoha Fibromyalgia
Ho ea ka mekhoa ea ho hlahloba fibromyalgia (e thehiloeng ho The American College ea Rheumatology Diagnostic Criteria for Rheumatology 1990), mokuli o tlameha ho ba le:
- ho ba le bohloko bo atileng likarolong tsohle tse 'nè tsa' mele bonyane likhoeli tse 3
- bonyane lintlha tse 11 tse tobileng tse bonolo
Lintlha tse nang le litelu ke libaka tse tobileng 'meleng (libaka tse 18 tse tobileng libakeng tse 9 tsa mahareng) tse ikhethang haholoanyane ho ea ho tšoara (digital palpation) ha ho hlahlojoa ke ngaka. Libaka tse 9 tsa maqhubu a linaha tse peli ke:
- Karolo e tlase ea Cervical: (pele molala sebakeng) sebakeng se ka hare ho libaka tse kenang lipakeng tsa mekhoa e phallelang ea C5-C7.
- Leqhoa la Bobeli: (ka pel'a sefuba) ka lihlopha tsa bobeli tsa theko ea lichelete.
- Occiput: (ka morao molala) ho kenya mesifa ea suboccipital.
- Sefuba sa Trapezius : (karolong e ka morao ea lehetla) bohareng ba moeli o ka holimo.
- Supraspinatus Muscle: (sebaka sa mahetla) holimo moeling o ka hare ho mokokotlo oa mokokotlo.
- Epicondyle ea morao-rao: (sebaka sa boraro ) 2 cm distal ho epicondyle lateral.
- Khanya: (ka morao qetellong) karolong e ka holimo ea quadrant ea marako.
- Trochanter e Khōlō: (letheka le ka morao) kamora ho hlahella ho hoholo holimo.
- Knee: (sebakeng sa lengole) sefateng sa mafura se pakeng tsa moeli o kopane.
Ka palpation ea digital, mokuli o botsoa hore na palpation e bohloko. Karabo ea "e" e tsoang ho mokuli ke karabelo feela eo ho nkoang e le ntle. Ntle le palpation ea digital, tlhahlobo ea lintlha tsa bonolo e ka etsoa ka dolorimetry (seletsa se sebelisetsoang ho lekanya ho mamellana ho bohloko).
Leha ho le joalo, ka 2010, American College of Rheumatology e ile ea batla tlhahiso e ncha ea ho hlahloba fibromyalgia. Mekhoa e hlakileng ea pele e fana ka tlhahiso ea hore tlhahlobo ea lintlha tsa tefo e felisoe e le hore ho be le motsoako oa WPI (index e kholo ea bohloko) le SS (boholo ba matšoao). Ho ne ho e-na le mathata a tlhaho a nang le lintlha tse bonolo ho tsejoa ka ho hlahlojoa ha fibromyalgia. Ha e le hantle, ho hloka bokhoni ba ho etsa tlhahlobo ea lintlha tse bonolo hantle. Hape, tlhahlobo ea lintlha tsa tefo ha ea ka ea thusa ho hlahloba katleho ea phekolo. Lingaka tse ling li ile tsa qoba ho hlahloba ntlha ea bonolo 'me tsa ela hloko matšoao a mang (mohlala, mathata a ho robala, ho lebala, ho tsuba kelellong le ho fokotsa mosebetsi o amanang le mesebetsi e tloaelehileng ea letsatsi le leng le le leng). Liphello tsa thuto li senoletse hore lits'ebetso tse ntlafalitsoeng li ile tsa khona ho fumana bakuli ba 88% ba bakuli ba fibromyalgia ba ileng ba kopana le litekanyetso tsa khale tsa Amerika tsa Rheumatology bakeng sa ho hlahloba fibromyalgia.
- Lipotso: Na u ka ba le Fibromyalgia?
Lintlha Tse Bonolo le Lintlha Tsa Trigger - Na li Tšoana le Tsona?
Lintlha tse bonolo le lintlha tsa trigger ke mantsoe a mabeli a atisang ho sebelisoa ka tsela e sa tšoaneng - empa na a tšoana ka tsela e tšoanang? Lintlheng tsa mefuta-futa li tšoana le liphatsa tse nang le matheba a marang-rang (li-fibers) tse amanang le mokhoa oa ho utloa bohloko. Ka lehlakoreng le leng, lintlheng tse bonolo ke libaka tsa bonolo tse hlahang mesifa, mokokotlo oa mesifa-tete, bursa kapa pathe ea mafura. Lintlha tse bonolo li atile haholo ha li amana le fibromyalgia. Lintlha tsa Trigger li tloaelehile ka mokhoa o thibetsoeng 'me hangata li amahanngoa le lefu la bohloko la myofascial .
Hoa khoneha hore ka bobeli li hlahe hammoho.
Lisebelisoa:
Koleji ea Amerika ea Rheumatology Litsela tsa Tlhahlobo ea Pele ho Fibromyalgia le Tekanyo ea Matšoao a Matšoao. Wolfe F. et al. Tlhokomelo ea Ramatiki le Lipatlisiso. May 2010.
https://www.rheumatology.org/Portals/0/Files/2010_Preliminary_Diagnostic_Criteria.pdf
Fibromyalgia. Tsela ea ho etsa Tlhahlobo ea Tender Point. Leqephe la 740. Kelley's Textbook ea Rheumatology. Khatiso ea Borobeli. Elsevier. E fihlile ka 11/27/2015.
Fibromyalgia, Joseph J. Biundo, MD. Merck Manual, February 2013.
http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/bursa-muscle-and-tendon-disorders/fibromyalgia
Litlhahiso tsa Litlhahiso tsa Fibromyalgia.Ua li Sebelisa ho li Lahla? Tlhaloso e khutšoanyane ea phehisano. Harth le Nielson. Journal ea Rheumatology.
https://jrheum.com/subscribers/07/05/914.html
Litlhaku le lintlha tsa bonolo: e le 'ngoe? Na phekolo ea kalafo e thusa? Borg-Stein J. et al. Li-Rheumatic Disease Clinic tsa North America. May 1996.
http://www.ncbi.nlm.nih.gov/pubmed/8860801