'Lelapa' la mafu a amanang le 'ona
Fibromyalgia (FMS) le lefu le sa foleng la mokhathala ( ME / CFS ) ke maloetse a boima a ho khetholla. Ka bobeli li na le matšoao a mangata a matšoao a fokolang mekhoa e mengata, 'me a amahanngoa le matšoao a mangata a kelello. Ho phaella moo, hangata ba tsamaisana le ho bolaoa ha maloetse a mang-ao bongata ba bona ba leng thata ho a arola.
Joalokaha bo-rasaense ba ntse ba fumana mokhoa o mongata holim'a FMS, ME / CFS le maloetse a amanang le 'ona, lentsoe la sekhele le sebelisoang khafetsa ho le hlalosa ke bohlokong bo matla ba kutloisiso, kapa CSS.
Bafuputsi ba bang ba pheha khang ea hore lentsoe lena le lokela ho nkela melaetsa e meng, e kang lefu la sebetse la somatic , lefu lena le sa tsejoeng, le mathata a somatoform, hobane ba lumela hore CSS e nepahetse.
Central Central Sensitivity Syndrome ke eng?
Boloetse bo hlalositsoeng e le CSS bo amana le ntho e bitsoang ho matlafatsa bohareng . "Bohareng" e bolela tsamaiso ea methapo ea mantlha, e entsoeng ke boko ba hao le mokokotlo oa mokokotlo. "Sensitization" ke phello ea qetello ea ntho e entseng hore u nahanele.
Matšoao a mofuta o mong ke mofuta oa batho ba nang le kutloisiso hangata ba tloaelaneng ka ho fetisisa. Ha u kula, 'mele oa hao o na le boikutlo bo fosahetseng ba' mele ho ntho e sa khathatseng batho ba bang. Ha e le hantle, Le hoja ho utloahala ha CSS ho sa amohelehe hantle, ho kenyeletsa ho itšoara hantle ha 'mele.
Ka CSS, re ba hlokolosi ho lintho tse sebetsanoang ke tsamaiso ea methapo e meholo, e ka kenyang mabone a khanyang, molumo o lerata , monko o matla, litlolo tse thata, le khatello 'meleng.
E ka boela ea akarelletsa lijo tse itseng kapa lik'hemik'hale. Haholo-holo ho FMS, 'mele o khothatsoa ho ntho leha e le efe e sa thabiseng, e leng, serame, mocheso, tickle kapa chefo.
Ntle le FMS le ME / CFS, maemo a latelang a hlahisitsoe hore e be karolo ea lelapa la CSS:
- bohloko bo sa foleng ba mahlaba , ho akarelletsa le vulvodynia
- hlooho le migraine
- bohloko bo bohloko ba morao
- li-cystitis (senya se bohloko)
- lefu le bohloko la bowel
- multiple chemical sensitivity
- lefu la myofascial pain syndrome
- dysmorrrhea ea pele (nako e bohloko)
- lefu la maoto a se nang phomolo
- boloetse bo kopanetsoeng ba temporomandibular (TMJ)
Mathata a kelello a tloaelehile CSS hape. Phuputso e fana ka maikutlo a hore ke hobane kaofela ha tsona li kenyelletsa ho senyeha ha li-neurotransmitters tse tšoanang, le ho fokolloa ke CSS likarolong tse sa tšoaneng tsa boko ho feta ka mathata a kelello.
Maemo a kelello ao hangata a kopanang le CSS a kenyelletsa:
- ho tepella maikutlong
- boloetse bo feteletseng-bo qobelloang
- lefu la ho ferekana kelellong
- lefu la khatello ea kelello ea morao-rao
- lefu la ho tšoenyeha ka tloaelo
- tšabo ea pherekano
Likarolo tsa CSS
Li-neurotransmitters tse kenyelletsang bonyane tse ling tsa CSS li kenyelletsa:
Bohloko ba CSS bo tsoa mefuteng e sa tšoaneng e bohloko e sa tloaelehang: hyperalgesia le allodynia.
Hyperalgesia e nka bohloko bo tloaelehileng linthong tseo motho e mong le e mong a li nkang e le bohloko (leoto le robehileng, leino le nang le tšoaetso, joalo-joalo) le ho etsa hore le mpe haholo. Hangata ho bitsoa "ho fetola molumo" oa bohloko. Sena se etsa hore ho be le lintho tse kang ho tsoa likotsi, ho buuoa le mehloli e sa foleng ea bohloko haholo-holo e fokolisang.
Allodynia e etsa hore u utloe bohloko ho lintho tse sa lokelang ho u utloisa bohloko, tse kang lesela la ho senya letlalo, kapa letsoho la hao le phomola lehlakoreng la hao ha u robala.
Allodynia e ka etsa hore liaparo tsa hau li be bohloko esita le ha li se li le thata haholo, kapa li etsa hore u se ke ua thabela ho kopa. E fetola liphihlelo tse tloaelehileng ka liphihlelo tse bohloko, tseo hangata ho bolelang ho etsa liphetoho tse kholo bophelong ba hau ho fokotsa.
Mekhoa e meng e khethiloeng ea CSS e kenyelletsa:
- ho ruruha kapa ho tsoa tsamaisong ea methapo
- tsamaiso ea methapo ea boithaopo e ikemetseng
- ho se sebetse ha axisisi ea HPA , e leng karolo ea 'mele ea khatello ea' mele
Ho Phekola Syndromes ea Bohlokoa ba ho Utloisisa
Matšoao a fapaneng le mekhoa e fapaneng ea CSS e 'ngoe le e' ngoe e hloka mokhoa o tloaelehileng oa phekolo, empa ka kakaretso, CSS e mengata e atisa ho arabela mefuta e meng ea phekolo, haholo-holo ho imeloa kelellong (e thusang ho lokisa lefu la methapo ea mali), ho ikoetlisa , CBT).
Leha ho le joalo, hoa lokela ho hlokomeloa hore batho ba nang le ME / CFS ba nahane ka ho khetheha ha ho tluoa tabeng ea boikoetliso, 'me CBT ke phekolo e kholo haholo bakeng sa boloetse bona, haholo-holo ha e kopaneloa ka ho ikoetlisa ka lichelete.
Le hoja maemo ana a lumela hore ke a amanang, ke habohlokoa ho fumana hore e mong le e mong o fumanoa a bile a tšoaroa hantle. Etsa bonnete ba hore u buisana le ngaka ea hau ka matšoao afe kapa afe ao ho bonahalang eka ha a amana le liteko tsa hau tsa hona joale.
Lentsoe ho
Sehlopha sa CSS ke litaba tse molemo ho rona kaofela ka maemo ana. E bolela phetoho e ntle ea hore na mafu ana a utloisisoa joang le ho nkoa ke sechaba sa bongaka. Ke sona seo re se hlokang ha ho tluoa tabeng ea ho etsa lipatlisiso tsa lipatlisiso, e leng ho lebisang tlhokomelong e molemo le kalafo.
> Mehloli:
Chong YY, Ng BY. Annals ea sekolo sa bongaka, Singapore. 2009 Nov; 38 (11): 967-73. Likarolo tsa Clincal le tsamaiso ea lefu la fibromyalgia.
Mayer TG, et al. Ho ikoetlisa bohloko. 2012 Apr; 12 (4): 276-85. Ts'ebetso le nts'etsopele ea psychometric ea tlhahiso ea bohareng ba ts'ebeliso.
Smith HS, Barkin RL. Koranta ea Amerika ea therapeutics. 2010 Jul-Aug; 17 (4): 418-39. Fibromyalgia syndrome: puisano ea lefu lena le pharmacotherapy.
Smith HS, Harris R, Clauw D. Ngaka ea bohloko. 2011 Mar-Apr; 14 (2): E217-45. Fibromyalgia: ho na le bothata ba ho sebetsana le bothata bo lebisang bothateng bo rarahaneng ba lefu le tloaelehileng.
Yunus MB. Li-Seminar ka ramatiki le rheumatism. 2008 Jun; 37 (6): 339-52. Sensitivity Central syndrome: pharadimi e ncha le lihlopha tsa lihlopha tsa li-fibromyalgia le maemo a kopantsoeng, le bothata bo amanang le lefu le ho kula.