Fibromyalgia

Fibromyalgia wani yanayi ne wanda mutum ke fama da ciwo na dogon lokaci wanda ake yada shi cikin jiki. Ciwon yana yawan haɗuwa da gajiya, matsalolin bacci, wahalar tattara hankali, ciwon kai, damuwa, da damuwa.

Mutanen da ke da fibromyalgia na iya kasancewa da taushi a cikin gidajen, jijiyoyi, jijiyoyi, da sauran kyallen takarda.

Ba a san musabbabin hakan ba. Masu bincike sunyi tunanin cewa fibromyalgia saboda matsalar yadda tsarin kulawa na tsakiya ke aiwatar da ciwo. Matsaloli da ka iya haifar ko sanadarin fibromyalgia sun haɗa da:

• Raunin jiki ko na motsin rai.
• Rashin amsawar ciwo mara kyau: Yankuna a cikin ƙwaƙwalwar da ke kula da ciwo na iya amsawa daban a cikin mutanen da ke fama da fibromyalgia.
• Rikicin bacci.
• Kamuwa da cuta, kamar ƙwayar cuta, duk da cewa babu wanda aka gano.

Fibromyalgia ya fi zama ruwan dare ga mata idan aka kwatanta da na maza. Mata masu shekaru 20 zuwa 50 sun fi kamuwa da cutar.

Ana iya ganin yanayi masu zuwa tare da fibromyalgia ko kuma suna da alamomi iri ɗaya:

• Dogon wuya (mai ɗorewa) wuya ko ciwon baya
• Ciwon gajiya na dogon lokaci (na kullum)
• Bacin rai
• Hypothyroidism (rashin maganin thyroid)
• Cutar Lyme
• Rashin bacci

Yaduwa da yawa shine ainihin alamar fibromyalgia. Fibromyalgia ya bayyana kasancewa cikin kewayon mummunan ciwo mai yaɗuwa, wanda zai iya kasancewa a cikin 10% zuwa 15% na yawan jama'a. Fibromyalgia ya faɗi a ƙarshen ƙarshen tsananin zafi da sikelin rashin daidaito kuma yana faruwa a cikin 1% zuwa 5% na yawan jama'a.

Babban fasalin fibromyalgia shine ciwo mai tsanani a cikin shafuka da yawa. Waɗannan rukunin yanar gizon sune kai, kowane hannu, kirji, ciki, kowace ƙafa, babba baya da kashin baya, da ƙananan baya da kashin baya (gami da gindi).

Ciwo na iya zama mai sauƙi zuwa mai tsanani.

• Yana iya jin kamar ciwo mai zurfi, ko soka, zafi mai zafi.
• Yana iya jin kamar yana zuwa ne daga ɗakunan, kodayake mahaɗan ba su da tasiri.

Mutanen da ke da fibromyalgia sukan tashi da ciwon jiki da taurin kansu. Ga wasu mutane, ciwo yana inganta da rana kuma yana ƙara muni da dare. Wasu mutane suna jin zafi duk tsawon yini.

Pain zai iya zama mafi muni tare da:

• Motsa jiki
• Yanayin sanyi ko damshi
• Tashin hankali da damuwa

Yawancin mutane da ke fama da fibromyalgia suna da gajiya, yanayin baƙin ciki, da matsalolin bacci.Mutane da yawa suna cewa ba za su iya yin barci ko yin barci ba, kuma suna jin gajiya idan suka farka.

Sauran cututtukan fibromyalgia na iya haɗawa da:

• Ciwon hanji na rashin ciwo (IBS) ko amsawar gastroesophageal
• Waƙwalwar ajiya da matsalolin natsuwa
• Nutsuwa da ƙujewa a hannu da ƙafa
• Rage ikon motsa jiki
• Tashin hankali ko ciwon kai na ƙaura

Don bincika ku tare da fibromyalgia, tabbas kuna da aƙalla watanni 3 na ciwo mai yaɗuwa tare da ɗaya ko fiye na masu zuwa:

• Matsaloli na ci gaba da bacci
• Gajiya
• Tunani ko matsalolin ƙwaƙwalwa

Ba lallai ba ne ga mai ba da sabis na kiwon lafiya ya samo maki mai laushi yayin gwaji don yin ganewar asali.

Sakamako daga gwajin jiki, gwajin jini da na fitsari, da gwajin hoto hoto ne na yau da kullun. Ana iya yin waɗannan gwaje-gwajen don yin sarauta da wasu yanayi tare da alamun bayyanar. Nazarin numfashi yayin bacci za a iya yinsa don gano ko kana da wani yanayi da ake kira cutar bacci.

Fibromyalgia abu ne na yau da kullun a cikin kowace cututtukan rheumatic kuma yana rikitar da bincike da magani. Wadannan rikice-rikicen sun hada da:

• Rheumatoid amosanin gabbai
• Osteoarthritis
• Spondyloarthritis
• Tsarin lupus erythematosus

Manufofin magani shine don taimakawa jin zafi da sauran alamun, da kuma taimakawa mutum ya jimre da alamun.

Nau'in magani na farko na iya ƙunsar:

• Jiki na jiki
• Motsa jiki da motsa jiki shirin
• Hanyoyin taimako-damuwa, gami da yin tausa da dabarun shakatawa

Idan waɗannan jiyya ba suyi aiki ba, mai ba da sabis ɗinku na iya ba da umarnin maganin antidepressant ko mai kwantar da tsoka. Wani lokaci, hada magunguna suna taimakawa.

• Makasudin waɗannan magunguna shine don inganta bacci da kuma taimaka muku da kyau haƙuri da zafi.
• Ya kamata a yi amfani da magani tare da motsa jiki da halayyar ɗabi'a.
• Duloxetine (Cymbalta), pregabalin (Lyrica), da milnacipran (Savella) su ne magunguna waɗanda aka yarda da su musamman don magance fibromyalgia.

Sauran magunguna ana amfani dasu don magance yanayin, kamar:

• Magungunan rigakafi, kamar gabapentin
• Sauran antidepressants, kamar amitriptyline
• Abubuwan shakatawa na tsoka, kamar su cyclobenzaprine
• Masu rage radadin ciwo, kamar su tramadol

Idan kana da cutar bacci, za'a iya bada umarnin na'urar da ake kira mai ci gaba da tasirin iska (CPAP).

Therapywarewar-halayyar halayya muhimmin ɓangare ne na jiyya. Wannan farfadowa yana taimaka maka koya yadda ake:

• Yi ma'amala da mummunan tunani
• Rike littafin tarihin ciwo da alamomi
• Gane abin da ke sa alamunku suka fi muni
• Nemi ayyuka masu daɗi
• Sanya iyaka

Andarin da sauran maganin na iya zama da taimako. Waɗannan na iya haɗawa da:

• Tai chi
• Yoga
• Acupuncture

Kungiyoyin tallafi na iya taimakawa.

Abubuwan da zaku iya yi don taimakawa kula da kanku sun haɗa da:

• Ku ci abinci mai kyau.
• Guji maganin kafeyin.
• Yi kyakkyawan aikin bacci don haɓaka ƙimar bacci.
• Motsa jiki a kai a kai. Fara tare da motsa jiki mai ƙarancin ƙarfi.

Babu wata hujja da ke nuna cewa opioids suna da tasiri wajen maganin fibromyalgia, kuma karatuttukan sun ba da shawarar yiwuwar illa mara kyau.

Ana ƙarfafa komawa zuwa asibiti tare da sha'awa da ƙwarewa a cikin fibromyalgia.

Fibromyalgia cuta ce ta dogon lokaci. Wani lokaci, alamun suna inganta. Wasu lokuta, ciwo na iya zama mafi muni kuma ya ci gaba har tsawon watanni ko shekaru.

Kira mai ba ku sabis idan kuna da alamun fibromyalgia.

Babu sanannun rigakafin.

Fibromyositis; FM; Fibrositis

• Fibromyalgia

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Borg-Stein J, Brassil ME, Borgstrom SHI. Fibromyalgia. A cikin: Frontera, WR, Azurfa JK, Rizzo TD, eds. Mahimmancin Magungunan Jiki da Gyarawa. 4th ed. Philadelphia, PA: Elsevier; 2019: chap 102.

Clauw DJ. Fibromyalgia da cututtukan da suka shafi .In: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 91.

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López-Solà M, Woo CW, Pujol J, et al. Zuwa ga sa hannun neurophysiological don fibromyalgia. Jin zafi. 2017; 158 (1): 34-47. PMID: 27583567 pubmed.ncbi.nlm.nih.gov/27583567/.

Wu YL, Chang LY, Lee HC, Fang SC, Tsai PS. Rikicin bacci a cikin fibromyalgia: meta-bincike na binciken-kula da harka. J Psychosom Res. Shawarwari. 2017; 96: 89-97. PMID: 28545798 pubmed.ncbi.nlm.nih.gov/28545798/.