Back Clinic Fibromyalgia Team. Matenda a Fibromyalgia (FMS) ndi matenda ndi matenda omwe amachititsa kupweteka kwa minofu ndi mafupa m'magulu, minofu, tendon, ndi zina zofewa m'thupi lonse. Nthawi zambiri amaphatikizidwa ndi zizindikiro zina monga matenda a temporomandibular joint disorder (TMJ/TMD), matenda a m'mimba, kutopa, kukhumudwa, nkhawa, chidziwitso, komanso kusokonezeka kwa kugona. Mkhalidwe wowawa komanso wosamvetsetsekawu umakhudza pafupifupi atatu kapena asanu peresenti ya anthu aku America, makamaka amayi.
Kuzindikira kwa FMS kungakhale kovuta, chifukwa palibe mayeso enieni a labu kuti adziwe ngati wodwalayo ali ndi vutoli. Malangizo amakono amanena kuti matenda akhoza kupangidwa ngati munthu ali ndi ululu wochuluka kwa miyezi itatu, popanda vuto lachipatala. Dr. Jimenez akukambirana za kupita patsogolo kwa chithandizo ndi kasamalidwe ka matenda opwetekawa.
Kwa anthu omwe ali ndi fibromyalgia, kodi kuphatikiza kutema mphini monga gawo la chithandizo chophatikizira kungathandize kuchepetsa ululu?
Introduction
Dongosolo la musculoskeletal limathandizira kuti minofu, minyewa, ndi minyewa yamitundumitundu ikhale yosunthika ndikukhazikika kukakamiza koyima. Kumtunda ndi kumunsi kumagwirira ntchito limodzi, zomwe zimapangitsa kuti wolandirayo azitha kuyenda popanda kumva kuwawa ndi kusamva bwino. Komabe, anthu ambiri adakumanapo ndi zowawa, kaya ndi zowawa kwambiri kapena zosatha, panthawi ina m'miyoyo yawo. Pamene thupi likulimbana ndi ululu, chizindikiro choyankhira kuchokera ku ubongo chidzasonyeza komwe kuli ululu, zomwe zimayambitsa kupweteka kwa minofu. Kufikira pamenepo, chitetezo chamthupi chidzayamba kuchiritsa malo okhudzidwa mwachibadwa. Komabe, munthu akakhala ndi matenda a autoimmune, thupi limakhudzidwa popanda chifukwa, zomwe zimapangitsa kuti chitetezo chamthupi chitulutse ma cytokines otupa ku maselo athanzi komanso minofu. Izi zikachitika, zimatha kusokoneza moyo wawo ndikupangitsa kumva zowawa kwa minofu ndi mafupa, kukakamiza anthu kupeza chithandizo. Nkhani ya lero ikugogomezera kwambiri za kugwirizana pakati pa minofu ndi mafupa a fibromyalgia komanso momwe chithandizo chamankhwala monga acupuncture chingathandizire kuchepetsa zizindikiro zopweteka zomwe zimayambitsidwa ndi fibromyalgia. Timalankhula ndi azithandizo azachipatala ovomerezeka omwe amagwiritsa ntchito zidziwitso za odwala athu kuti apereke chithandizo chamankhwala acupuncture kuti achepetse chiopsezo chokhudzana ndi fibromyalgia. Timadziwitsanso ndikuwatsogolera odwala momwe mankhwala osiyanasiyana angathandizire kuchepetsa zizindikiro zowawa zokhudzana ndi fibromyalgia. Timalimbikitsa odwala athu kuti afunse othandizira awo azachipatala mafunso ovuta komanso ofunikira okhudzana ndi zowawa zomwe akukumana nazo kuchokera ku fibromyalgia. Dr. Jimenez, DC, akuphatikiza mfundozi monga ntchito ya maphunziro. chandalama.
The Musculoskeletal System & Fibromyalgia
Kodi mwakhala mukukumana ndi kunjenjemera m'manja, miyendo, mapazi, ndi manja? Kodi mumamva kuti minofu ndi mafupa anu atsekedwa ndikukhala owuma nthawi zonse m'mawa? Kapena kodi mwakhala mukukumana ndi zowawa zosakayikitsa m'thupi lanu zomwe zikukhudza zochita zanu za tsiku ndi tsiku? Zambiri mwazizindikiro zokhala ngati zowawazi zimagwirizanitsidwa ndi matenda omwe amadziwika kuti fibromyalgia. Fibromyalgia nthawi zambiri imadziwika ndi kufalikira kwamphamvu kwa minofu ndi mafupa omwe amalumikizidwa ndi matenda a neurosensory. Anthu omwe ali ndi fibromyalgia adzakhala ndi zizindikiro zowawa za musculoskeletal kuchokera ku kuuma kwa minofu ndi mafupa mpaka kutopa ndi kupweteka kwa myofascial. (Siracusa et al., 2021) Izi ndichifukwa choti mitsempha ya vagus mu parasympathetic autonomic nervous system imakhala munjira ya "nkhondo kapena kuthawa", zomwe zimapangitsa anthu ambiri kukhala okhudzidwa kwambiri komanso kumva zowawa zokulirapo. Izi zimakakamiza minofu ya minofu musculoskeletal system kupanga tinthu tating'onoting'ono tating'onoting'ono tating'onoting'ono tating'onoting'ono tating'onoting'ono toyambitsa matenda. Izi zimapangitsa kuti pathophysiology ya minofu ikhale njira yoyamba yomwe imayambira kuyambika kwa zizindikiro zokhudzana ndi fibromyalgia. (Geel, 1994) Tsoka ilo, fibromyalgia ndizovuta kuzindikira pamene comorbidities zinthu zimayamba kugwirizana ndipo zimatha kutenga nawo mbali pa matenda a autoimmune.
Fibromyalgia ndi chikhalidwe cha autoimmune chomwe chimapangitsa kuti munthu azimva kupweteka komanso kuphatikizira mfundo zingapo zachifundo m'malo enaake a thupi, zomwe zimayambitsa kupweteka kosalekeza kwa minofu ndi mafupa. Anthu ambiri omwe ali ndi ululu wopweteka kwambiri wa musculoskeletal sadziwa njira yoyenera yosamalira chifukwa imayambitsa zowawa, kulumala, ndi moyo wabwino. (Lepri et al., 2023) Popeza kuti fibromyalgia imagwirizanitsidwa ndi ululu wa minofu ndi mafupa, imatha kuphatikizidwa ndi matenda a myofascial pain popeza onsewa amadziwika ndi chifundo cha minofu. (Gerwin, 1998) Komabe, pali mankhwala ambiri omwe alipo kuti achepetse zowawa za fibromyalgia ndikuthandizira kubwezeretsa moyo wa munthu.
Kuchokera Kutupa mpaka Kuchiritsa- Kanema
Kodi mumamva kupweteka kwa minofu ndi chifundo m'madera osiyanasiyana a thupi lanu? Kodi mumamva kulimba kwa minofu ndi mafupa kumtunda ndi kumunsi kwanu? Kapena kodi mukumva dzanzi kapena kumva kumva kumva kumva kumva kumva kumva kumva kumva kunjenjemera m'manja, m'manja, m'miyendo, ndi kumapazi? Anthu ambiri omwe amakumana ndi zovuta ngati zowawa izi akukumana ndi vuto la autoimmune lotchedwa fibromyalgia. Fibromyalgia ndi vuto la autoimmune lomwe limatha kuzindikira. Komabe, zizindikirozo nthawi zambiri zimagwirizanitsidwa ndi kupweteka kwa minofu. Izi zitha kupangitsa kuti anthu ambiri achepetse moyo wawo. Fibromyalgia imatha kupangitsa kuti thupi lizimva kupweteka kwambiri ndipo lingayambitse kutupa kwa mafupa. Komabe, mankhwala ena sakhala opangira opaleshoni, otsika mtengo, ndipo angathandize kuchepetsa ululu womwe anthu ambiri amawayenerera. Vidiyo yomwe ili pamwambayi ikufotokoza momwe mankhwala osiyanasiyana osagwiritsa ntchito opaleshoni angathandizire kuchepetsa kutupa ndi kupweteka kwa thupi kudzera mu mankhwala osiyanasiyana omwe angaphatikizidwe kuti achepetse zizindikiro zowawa za fibromyalgia.
Acupuncture Kuchepetsa Kupweteka kwa Fibromyalgia
Pankhani yochiza fibromyalgia ndikuchepetsa zizindikiro zonga zowawa, anthu ambiri amafunafuna chithandizo chosapanga opaleshoni kuti athe kuthana ndi kusintha kwazizindikiro zomwe zimagwirizana ndi fibromyalgia. Kutema mphini kungathandize kuchepetsa zizindikiro zopweteka zomwe zimakhudza thupi komanso kuchepetsa mfundo zoyambitsa myofascial zogwirizana ndi fibromyalgia. Popeza kuti kutema mphini kunachokera ku China, ndi imodzi mwa njira zochiritsira zokondoweza zamaganizo zomwe sizimachitidwa opaleshoni; ochita opaleshoni ophunzitsidwa bwino amagwiritsira ntchito njira zosiyanasiyana kulowetsa ndi kugwiritsira ntchito singano zabwino kwambiri kuti zisonkhezere mfundo zinazake za anatomiki m’thupi kuti zibwezeretse mphamvu m’thupi. (Zhang & Wang, 2020) Kwa anthu omwe ali ndi ululu wa fibromyalgia, kutema mphini kumatha kuphatikizidwa ndi machiritso ena monga gawo la dongosolo lamankhwala lamunthuyo. Acupuncture imathandizira kupweteka kwa minofu chifukwa cha fibromyalgia.
Kuphatikiza apo, kutema mphini kungathandize pakuwongolera momwe thupi limagwirira ntchito komanso kuchepetsa zizindikiro za kuuma kwa minofu ndikukulitsa moyo wamunthu. (Zheng & Zhou, 2022) Fibromyalgia ndi matenda osachiritsika omwe amatha kusokoneza minofu ndi mafupa ndipo amatha kupweteka kwambiri kwa anthu ambiri mwa kusokoneza moyo wa munthu. Kuphatikizika ndi njira zina zochiritsira, kutema mphini kungathandize kwambiri pakuwongolera fibromyalgia komanso kukulitsa moyo wamunthu. (Almutairi et al., 2022)
Zothandizira
Almutairi, NM, Hilal, FM, Bashawyah, A., Dammas, FA, Yamak Altinpuluk, E., Hou, JD, Lin, JA, Varrassi, G., Chang, KV, & Allam, AE (2022). Kuchita bwino kwa Acupuncture, Intravenous Lidocaine, ndi Zakudya mu Utsogoleri wa Odwala ndi Fibromyalgia: Kubwereza Mwadongosolo ndi Network Meta-Analysis. Zaumoyo (Basel), 10(7). doi.org/10.3390/healthcare10071176
Geel, SE (1994). Matenda a fibromyalgia: musculoskeletal pathophysiology. Semin Arthritis Rheum, 23(5), 347-353. doi.org/10.1016/0049-0172(94)90030-2
Gerwin, RD (1998). Kupweteka kwa Myofascial ndi Fibromyalgia: Kuzindikira ndi Kuchiza. J Back Musculoskelet Rehabil, 11(3), 175-181. doi.org/10.3233/BMR-1998-11304
Lepri, B., Romani, D., Stoari, L., & Barbari, V. (2023). Kuchita bwino kwa Pain Neuroscience Education kwa Odwala Omwe Ali ndi Ululu Wosatha wa Musculoskeletal Pain ndi Central Sensitization: Kubwereza Mwadongosolo. Int J Environ Res Public Health, 20(5). doi.org/10.3390/ijerph20054098
Siracusa, R., Paola, RD, Cuzzocrea, S., & Impellizzeri, D. (2021). Fibromyalgia: Pathogenesis, Njira, Kuzindikira ndi Kusintha Njira Zochizira. Int J Mol Sci, 22(8). doi.org/10.3390/ijms22083891
Zhang, Y., & Wang, C. (2020). Acupuncture ndi Ululu Wosatha wa Musculoskeletal. Curr Rheumatol Rep, 22(11), 80. doi.org/10.1007/s11926-020-00954-z
Zheng, C., & Zhou, T. (2022). Zotsatira za Acupuncture pa Ululu, Kutopa, Kugona, Kugwira Ntchito Mwathupi, Kuuma, Umoyo Wabwino, ndi Chitetezo mu Fibromyalgia: Kuwunika Mwadongosolo ndi Kusanthula kwa Meta. J Pain Res, 15, 315-329. doi.org/10.2147/JPR.S351320
Pamene mavuto ngati zovuta zadzidzidzi yambani kukhudza thupi popanda chifukwa, zingayambitse mavuto aakulu ndi zinthu zomwe zingakhudze minofu yosiyanasiyana ndi ziwalo zofunika zomwe zimayambitsa mbiri yowopsa kwa wolandirayo. Thupi ndi makina ovuta omwe amalola chitetezo kumasula ma cytokines otupa kumalo okhudzidwa pamene munthu ali ndi ululu wowawa kwambiri kapena wopweteka. Chifukwa chake munthu akakhala ndi vuto la autoimmune monga fibromyalgia, imatha kukhudza moyo wawo ndikukulitsa zowawa m'miyoyo yawo. dongosolo la minofu. Nkhani ya lero ikugogomezera za fibromyalgia ndi machitidwe ake, momwe matendawa amagwirizanirana ndi matenda a myofascial, komanso momwe chisamaliro cha chiropractic chingathandizire kuchepetsa zizindikiro za fibromyalgia. Timatumiza odwala athu kwa ovomerezeka omwe amaphatikiza njira ndi njira zochiritsira zosiyanasiyana kwa anthu ambiri omwe ali ndi fibromyalgia ndi zizindikiro zake zogwirizana, monga matenda opweteka a myofascial. Timalimbikitsa ndi kuyamikira wodwala aliyense powatumiza kwa azithandizo ogwirizana nawo malinga ndi momwe akudwala pakafunika. Timamvetsetsa kuti maphunziro ndi njira yabwino kwambiri pofunsa opereka athu mafunso ovuta malinga ndi zomwe wodwala akufuna komanso kumvetsetsa kwake. Dr. Jimenez, DC, amangogwiritsa ntchito chidziwitsochi ngati ntchito yophunzitsa. chandalama
Kodi Fibromyalgia Ndi Chiyani?
Kodi mwakhala mukukumana ndi zowawa zosakayikitsa zomwe zikukhudza moyo wanu watsiku ndi tsiku? Kodi mumatopa pamene simukudzuka pabedi? Kapena mwakhala mukulimbana ndi chifunga cha ubongo ndi zowawa pathupi lanu lonse? Zambiri mwazizindikirozi zimakumana ndi vuto la autoimmune lotchedwa fibromyalgia. Kafukufuku akuwonetsa kuti fibromyalgia ndi chikhalidwe cha autoimmune chomwe chimadziwika ndi kufalikira kwamphamvu kwa minofu ndi mafupa omwe amatha kulumikizana ndi matenda a neurosensory omwe amakhudza dongosolo lamanjenje. Fibromyalgia imatha kukhudza akulu akulu 4 miliyoni ku America komanso pafupifupi 2% ya anthu akuluakulu. Anthu omwe ali ndi fibromyalgia akamayezetsa thupi, zotsatira zake zimawoneka ngati zabwinobwino. Izi ndichifukwa choti fibromyalgia imatha kuphatikiza mfundo zingapo zachifundo m'malo enaake amthupi ndikuwonetsetsa ngati choyambirira kapena chachiwiri pomwe ikupitilira kupitilira momwe amafotokozera. Maphunziro owonjezera amawulula kuti pathogenesis ya fibromyalgia imatha kulumikizidwa ndi zinthu zina zosatha zomwe zimakhudza machitidwe awa:
Kutupa
Chitetezo chamthupi
Endocrine
Neurological
Matumbo
Zizindikiro zake
Anthu ambiri, makamaka amayi, ali ndi fibromyalgia, yomwe imayambitsa zizindikiro za ma somato-visceral angapo. Mpaka pano, nthawi zambiri imatha kuphatikizika ndikutsagana ndi fibromyalgia. Tsoka ilo, fibromyalgia ndizovuta kuzindikira chifukwa ululu ukhoza kukhala kwa miyezi ingapo mpaka zaka. Kafukufuku wasonyeza kuti ngakhale fibromyalgia ndizovuta kuzindikira pamene zinthu zina zambiri monga majini, immunological, ndi mahomoni amatha kutenga nawo gawo pazovuta za autoimmune. Komanso, zizindikiro zowonjezera ndi matenda enaake monga matenda a shuga, lupus, matenda a rheumatic, ndi matenda a musculoskeletal amatha kugwirizanitsidwa ndi fibromyalgia. Zina mwazizindikiro zotsatirazi zomwe anthu ambiri a fibromyalgia amakumana nazo ndi izi:
kutopa
Kuuma kwa Minofu
Nkhani Zakugona Kwambiri
Zoyambitsa
Kumva dzanzi ndi kumva kumva kulasalasa
Kupweteka kwa msambo kwachilendo
Nkhani zaku Urinary
Nkhani Zachidziwitso (Chifunga Chaubongo, Kutayika kwa Memory, Nkhani Zokhazikika)
Chidule cha Fibromyalgia-Video
Kodi mwakhala mukuvutika kuti mugone bwino? Kodi mumamva kupweteka m'madera osiyanasiyana a thupi lanu? Kapena mwakhala mukukumana ndi zovuta zachidziwitso ngati chifunga chaubongo? Zambiri mwazizindikirozi zimagwirizana ndi matenda a autoimmune omwe amadziwika kuti fibromyalgia. Fibromyalgia ndi matenda a autoimmune omwe ndi ovuta kuwazindikira ndipo amatha kupweteka kwambiri thupi. Vidiyo yomwe ili pamwambayi ikufotokoza momwe mungazindikire zizindikiro ndi zizindikiro za fibromyalgia ndi zomwe zimagwirizana ndi matenda a autoimmune. Popeza fibromyalgia imayambitsa kupweteka kwa minofu ndi mafupa ambiri, imatha kukhudza zotumphukira ndi zapakati zamanjenje. Izi zimapangitsa kuti ubongo utumize zizindikiro za neuron kuti ziwonjezere kukhudzidwa kwa ubongo ndi msana, zomwe zimadutsana ndi minofu ndi mafupa. Popeza fibromyalgia imayambitsa kupweteka kwa thupi, imatha kuwonetsa zizindikiro zosadziwika zomwe zingakhale zovuta kuzizindikira ndipo zingakhale zokhudzana ndi nyamakazi.
Momwe Fibromyalgia Imagwirizanirana Ndi Myofascial Pain Syndrome
Popeza fibromyalgia imatha kugwirizana ndi matenda osiyanasiyana, chimodzi mwazovuta kwambiri zimatha kubisa zotsatira za fibromyalgia m'thupi: myofascial pain syndrome. Myofascial pain syndrome, malinga ndi buku la Dr. Travell, MD, "Myofascial Pain Syndrome and Dysfunction," imatchula kuti pamene munthu ali ndi fibromyalgia imayambitsa kupweteka kwa minofu, nthawi yowonjezereka ngati sichikuchiritsidwa, ikhoza kukhala ndi mfundo zoyambitsa minofu yomwe imakhudzidwa. Izi zimayambitsa kuuma kwa minofu ndi kufewa mu gulu la minofu ya taut. Maphunziro owonjezera atchulidwa kuti popeza myofascial pain syndrome ndi fibromyalgia zimakhala ndi zizindikiro zowawa za minofu, zimatha kuyambitsa chifundo ndikufotokozera ululu kumalo osiyanasiyana a thupi. Mwamwayi, mankhwala omwe alipo angathandize kuchepetsa zizindikiro zowawa za minofu zomwe zimayambitsidwa ndi fibromyalgia yokhudzana ndi matenda a myofascial pain syndrome.
Chiropractic Care & Fibromyalgia Yogwirizana ndi Myofascial Pain
Chimodzi mwazinthu zomwe zilipo zomwe zingathandize kuchepetsa kupweteka kwa minofu kuchokera ku fibromyalgia yokhudzana ndi matenda a myofascial pain syndrome ndi chiropractic therapy. Thandizo la Chiropractic ndi njira yotetezeka, yosagwiritsa ntchito mankhwala yomwe ingathandize kuchepetsa zizindikiro za ululu wa thupi ndi kutupa kuchokera ku subluxation ya msana. Chisamaliro cha Chiropractic chimagwiritsa ntchito kuwongolera kwamanja ndi makina kuti agwirizanenso ndi msana ndikuwongolera kufalikira kwa mitsempha pomwe akuwonjezera kuthamanga kwa magazi kubwerera kumagulu ndi minofu. Thupi likangosinthidwanso kuchokera ku chithandizo cha chiropractic, thupi limatha kuyendetsa bwino zizindikiro ndikuchepetsa zotsatira za fibromyalgia. Thandizo la Chiropractic limaperekanso dongosolo lachidziwitso lachidziwitso ndikugwira ntchito ndi akatswiri odziwa zachipatala kuti akwaniritse zotsatira zapamwamba ndikuwonetsetsa kuti munthu akhale ndi moyo wabwino kwambiri.
Kutsiliza
Fibromyalgia ndi imodzi mwazovuta zomwe zimakhudzidwa kwambiri ndi autoimmune zomwe zimakhudza anthu ambiri ndipo zimatha kukhala zovuta kuzizindikira. Fibromyalgia imadziwika ndi kufalikira kwamphamvu kwa minofu ndi mafupa omwe amatha kulumikizana ndi matenda a neurosensory ndikuyambitsa zizindikiro zowawa m'thupi. Anthu omwe ali ndi fibromyalgia amakhalanso ndi matenda a myofascial pain syndrome, chifukwa mavuto onsewa amachititsa kupweteka kwa minofu ndi mafupa. Mwamwayi, mankhwala monga chithandizo cha chiropractic amalola kuti msana wa msana ugwirizanenso ndikubwezeretsanso ntchito kwa wolandirayo. Izi zimachepetsa zizindikiro zomwe zimayambitsidwa ndi fibromyalgia ndipo zimapangitsa kuti munthu asamve ululu komanso azigwira ntchito moyenera.
Zothandizira
Bellato, Enrico, et al. "Fibromyalgia Syndrome: Etiology, Pathogenesis, Matenda, ndi Chithandizo." Kafukufuku Wopweteka ndi Chithandizo, US National Library of Medicine, 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3503476/.
Bhargava, Juhi, ndi John A Hurley. "Fibromyalgia - Statpearls - NCBI Bookshelf." Mu: StatPearls [Intaneti]. Chilumba cha Treasure (FL), StatPearls Publishing, 10 Oct. 2022, www.ncbi.nlm.nih.gov/books/NBK540974/.
Gerwin, R D. "Myofascial Pain and Fibromyalgia: Diagnosis and Treatment." Journal of Back and Musculoskeletal Rehabilitation, US National Library of Medicine, 1 Jan. 1998, anayankha.
Simons, DG, ndi LS Simons. Kupweteka kwa Myofascial ndi Kuwonongeka: Buku la Trigger Point: Vol. 2:Malo Otsika. Williams & Wilkins, 1999.
Siracusa, Rosalba, et al. "Fibromyalgia: Pathogenesis, Mechanisms, Diagnosis and Treatment Options Update." International Journal of Molecular Sciences, US National Library of Medicine, 9 Apr. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8068842/.
Aliyense wakhala akukumana ndi ululu wopweteka kapena wopweteka nthawi ina m'miyoyo yawo. Yankho la thupi limatiuza ambiri a ife kumene ululu uli ndipo akhoza kusiya thupi zilonda monga chitetezo amayamba kuchiritsa malo okhudzidwawo. Pamene zovuta ngati matenda oponderezedwa Yambani kuukira thupi popanda chifukwa, ndiye kuti mavuto aakulu ndi zovuta zimayamba kugwirizana ndi mbiri ya chiopsezo pazovuta zina zosiyanasiyana zomwe zimakhudza minofu ndi ziwalo. Matenda a autoimmune monga fibromyalgia amatha kukhudza thupi la munthu; komabe, amatha kulumikizidwa ndi zinthu zosiyanasiyana zomwe zimakhudza thupi. Nkhani ya lero ikuyang'ana za fibromyalgia, momwe imakhudzira dongosolo la minofu ndi mafupa, komanso momwe chisamaliro cha chiropractic chimathandizira kusamalira fibromyalgia m'thupi. Timatumiza odwala kwa othandizira ovomerezeka omwe ali ndi chithandizo chamankhwala a musculoskeletal kuti athandize omwe ali ndi fibromyalgia. Timawongoleranso odwala athu potengera azachipatala omwe timalumikizana nawo potengera momwe amayezera pakafunika. Timapeza kuti maphunziro ndi njira yothetsera kufunsa opereka athu mafunso ozindikira. Dr. Alex Jimenez DC amapereka chidziwitso ichi ngati ntchito yophunzitsa yekha. chandalama
Kodi Fibromyalgia Ndi Chiyani?
Kodi munamvapo zowawa zosautsa zomwe zimafalikira thupi lanu lonse? Kodi mumavutika kugona komanso kutopa tsiku lililonse? Kodi mumakumana ndi chifunga chaubongo kapena kusokonezeka kwina kwa chidziwitso? Zambiri mwazinthuzi ndi zizindikiro ndi mikhalidwe ya fibromyalgia. Fibromyalgia imafotokozedwa monga matenda aakulu omwe amadziwika ndi kufalikira kwa minofu ndi mafupa. Zizindikiro monga kutopa, kusokonezeka kwa chidziwitso, ndi kangapo zizindikiro za somatic nthawi zambiri zimadutsana ndikutsagana ndi vutoli. Pafupifupi awiri kapena asanu ndi atatu mwa anthu XNUMX aliwonse padziko lapansi ali ndi matenda a fibromyalgia, ndipo amakhudza akazi kuposa amuna. Chomvetsa chisoni n'chakuti, fibromyalgia ndizovuta kuzindikira, ndipo ululu ukhoza kukhala miyezi ingapo mpaka zaka. Zina mwa zizindikiro zazikulu zomwe fibromyalgia imachita m'thupi ndi izi:
Kulimba kwa minofu ndi mafupa
Kuzindikira kwakukulu
kusowa tulo
Kuzindikira kwanzeru
Matenda a maganizo
Fibromyalgia imathanso kulumikizidwa ndi matenda enaake monga shuga, lupus, matenda a rheumatic, ndi matenda a minofu ndi mafupa.
Kodi Zimakhudza Bwanji Musculoskeletal System?
Minofu ndi minofu m'thupi ili ndi magulu atatu a minofu: chigoba, mtima, ndi minofu yosalala yomwe imapereka ntchito zosiyanasiyana zogwirizana ndi momwe thupi limayendera. Anthu omwe ali ndi fibromyalgia adzamva zowawa zokulirapo zomwe zimakhudza ubongo ndi msana wawo kuti zithetse ululu ndi zizindikiro zosapweteka zomwe zingagwirizane ndi matenda a minofu ndi mafupa. Mitsempha yochokera ku ubongo imakhala yogwira ntchito kwambiri ku minofu iliyonse yofewa yomwe ili pafupi ndi msana, yotchedwa segmental facilitation. Zosintha izi zomwe zimachitika ku minofu yofewa zimatchedwa trigger points, ndipo ngati zili mu minofu, zimatchedwa "myofascial" trigger points. Kafukufuku akuwonetsa kuti pathophysiology ya kukanika kwa minofu ndi mafupa imatha kuonedwa kuti ndi yachiwiri mpaka yapakati pazovuta za kusinthasintha kwa ululu komwe kumakhudzana ndi fibromyalgia.
Chidule cha Fibromyalgia-Video
Kodi mwakhala mukumva kuwawa koopsa m'malo osiyanasiyana a thupi lanu? Kodi mwakhala mukutopa tsiku lonse? Kapena maganizo anu anazilala modzidzimutsa? Izi ndizizindikiro zosonyeza kuti muli ndi fibromyalgia, ndipo vidiyo yomwe ili pamwambapa ikuwonetsa mwachidule zomwe fibromyalgia ndi. Fibromyalgia imatanthauzidwa ngati matenda aakulu omwe ndi ovuta kuwazindikira. Kafukufuku akuwonetsa kuti fibromyalgia ndi zotheka kufotokozedwa ngati vuto lachidziwitso lomwe limayambitsa kukulitsa zowawa ndi ma nociceptors omwe amakhala hypersensitive. Ndiye izi zikutanthauza chiyani, ndipo dongosolo lamanjenje limakhudzidwa bwanji ndi fibromyalgia? Mitsempha yamanjenje ili ndi pakati ndi zotumphukira machitidwe. Dongosolo la zotumphukira lili ndi gawo lomwe limadziwika kuti autonomic mantha dongosolo zomwe zimayang'anira ntchito za thupi mwangozi. The autonomic system imakhala ndi magawo awiri: the wachifundo ndi parasympathetic machitidwe. Kwa anthu omwe ali ndi fibromyalgia, dongosolo lamanjenje lachifundo, lomwe limapereka yankho la "nkhondo kapena kuthawa", limagwira ntchito nthawi zonse, zomwe zimapangitsa kuti mitsempha ya mitsempha ya parasympathetic, yomwe imapereka "mpumulo ndi kugaya" kuyankha, kusagwira ntchito m'thupi. Nkhani yabwino ndiyakuti anthu omwe ali ndi fibromyalgia ndi zizindikiro zake zofananira amatha kupeza mpumulo mwa kulandira chithandizo.
Chiropractic Care & Fibromyalgia
Ngakhale sipanakhalepo mankhwala a fibromyalgia pano, chithandizo chilipo kuti athe kuyang'anira ndikusintha zizindikiro zokhudzana ndi fibromyalgia ndi chisamaliro cha chiropractic. Chisamaliro cha Chiropractic chingathandize kuthetsa ululu wa fibromyalgia pokonza mosamalitsa kusamvetsetsana kwa msana kapena kusinthasintha mwa kusintha kwa msana ndi kusintha kwa thupi. Kafukufuku akuwonetsa kuti mphamvu ya chisamaliro cha chiropractic kwa odwala fibromyalgia imathandizira kupititsa patsogolo kayendedwe kawo kumadera a khomo lachiberekero ndi lumbar la msana. Chisamaliro cha Chiropractic chingathandize kusintha kusinthasintha kwawo, kuchepetsa ululu wawo, komanso kugona bwino. Anthu omwe ali ndi fibromyalgia ayenera kumvetsetsa kuti njira zambiri zothandizira kupweteka sizidalira mankhwala. Chisamaliro cha Chiropractic ndi chofatsa komanso chosasokoneza. Zitha kukhala zothandiza kwa anthu omwe akufuna kuwongolera zochitika zawo ndikukhala ndi chithandizo cha chiropractic monga gawo lofunikira pakuwongolera moyo wawo wabwino.
Kutsiliza
Fibromyalgia ndi matenda aakulu omwe amakhudza dongosolo la minofu ndi mafupa poyambitsa kuuma kwa minofu ndi mafupa, kukhudzidwa kwakukulu, ndi zina zomwe zimagwirizanitsidwa ndi vutoli. Anthu omwe ali ndi fibromyalgia adzalongosola zowawa zawo kukhala zosapiririka chifukwa cha mitsempha mu dongosolo lachifundo kukhala hyperactive ndi wachifundo kukhudza. Mwamwayi, chithandizo chamankhwala monga chisamaliro cha chiropractic chingathandize kuchepetsa ululu wa fibromyalgia kupyolera mu kusintha kwa msana ndi kusintha kwamanja. Chisamaliro cha Chiropractic kwa anthu omwe ali ndi fibromyalgia chingathandize kusintha kayendedwe kawo komanso kusinthasintha komanso kuchepetsa ululu wawo popanda kugwiritsa ntchito mankhwala. Kuphatikizira chisamaliro cha chiropractic ngati chithandizo cha fibromyalgia kungakhale kofunikira pakuwongolera moyo wamunthu.
Zothandizira
Bhargava, Juhi, ndi John A Hurley. "Fibromyalgia - Statpearls - NCBI Bookshelf." Mu: StatPearls [Intaneti]. Chilumba cha Treasure (FL), StatPearls Publishing, 1 Meyi 2022, www.ncbi.nlm.nih.gov/books/NBK540974/.
Blunt, KL, et al. "Kugwira Ntchito kwa Chiropractic Management of Fibromyalgia Patients: A Pilot Study." Journal of Manipulative and Physiological Therapeutics, US National Library of Medicine, 1997, anayankha.
Geel, S E. "The Fibromyalgia Syndrome: Musculoskeletal Pathophysiology." Seminar mu Arthritis ndi Rheumatism, US National Library of Medicine, Apr. 1994, anayankha.
Maugars, Yves, et al. "Fibromyalgia ndi Associated Disorders: Kuchokera Kupweteka mpaka Kuvutika Kwambiri, kuchokera ku Subjective Hypersensitivity to Hypersensitivity Syndrome." malire, Frontiers, 1 Julayi 2021, www.fmentin.ograin/org/articles ,10.3389/fmed.2021.666914/ nontl.
Siracusa, Rosalba, et al. "Fibromyalgia: Pathogenesis, Mechanisms, Diagnosis and Treatment Options Update." International Journal of Molecular Sciences, MDPI, 9 Apr. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8068842/.
Fibromyalgia ndi vuto lomwe limayambitsa ululu m'thupi lonse. Zimayambitsa vuto la kugona, kutopa, ndi kupsinjika maganizo / maganizo. Zimakhudza akuluakulu pafupifupi mamiliyoni anayi ku United States. Anthu omwe ali ndi Fibromyalgia amakonda kumva ululu. Izi zimatchedwa kusintha kwachilendo / kusintha kwa malingaliro opweteka. Kafukufuku pakali pano akutsamira ku dongosolo lamanjenje la hyperactive monga chimodzi mwa zifukwa zomveka.
Zizindikiro ndi Zogwirizana nazo
Anthu omwe ali ndi fibromyalgia / fibromyalgia syndrome / FMS akhoza kukhala ndi:
kutopa
Nkhani zogona
litsipa
Kukhazikika, Mavuto a Memory, kapena Fibro Fog
stiffness
Zolemba pamalonda
ululu
Kumva dzanzi ndi dzanzi m'manja, mikono, miyendo, ndi mapazi
Kulimbikitsa kwapakati zikutanthauza kuti dongosolo lapakati la mitsempha, lopangidwa ndi ubongo ndi msana, limapanga ululu mosiyana komanso momveka bwino. Mwachitsanzo, anthu omwe ali ndi Fibromyalgia amatha kutanthauzira zolimbikitsa zakuthupi, monga kutentha, kuzizira, kupanikizika, ngati kumva kupweteka. Njira zomwe zimayambitsa kusintha kwa ululu zikuphatikizapo:
Kusagwira bwino kwa chizindikiro cha ululu
Ma receptor opioid osinthidwa
Kuwonjezeka kwa mankhwala P
Kuwonjezeka kwa ntchito mu ubongo kumene zizindikiro zowawa zimatanthauziridwa.
Kulephera kwa Chizindikiro cha Ululu
Pamene chisonkhezero chowawa chikumveka, ubongo umapereka chizindikiro cha kutuluka kwa endorphin, mankhwala opha ululu achilengedwe omwe amalepheretsa kutumiza zizindikiro za ululu. Anthu omwe ali ndi Fibromyalgia akhoza kukhala nawo dongosolo loletsa ululu lomwe limasinthidwa ndi/kapena silikugwira ntchito moyenera. Palinso kulephera kuletsa kubwerezabwereza. Izi zikutanthawuza kuti munthuyo amangokhalira kumverera ndi kukumana ndi zokopa ngakhale akuyesera kuziletsa, kutanthauza kulephera muubongo kusefa zidziwitso zosafunikira.
Ma Opioid Receptors Osinthidwa
Kafukufuku wapeza kuti Anthu omwe ali ndi fibromyalgia ali ndi chiwerengero chochepa cha opioid receptors mu ubongo. Ma opioid receptors ndi pomwe ma endorphins amamanga kuti thupi lizitha kuwagwiritsa ntchito pakafunika. Pokhala ndi zolandilira zocheperako, ubongo sumva bwino kwambiri ndi ma endorphins, komanso mankhwala opweteka a opioid monga:
Hydrocodone
Acetaminophen
Oxycodone
Acetaminophen
Kuwonjezeka kwa mankhwala P
Anthu omwe ali ndi fibromyalgia apezeka kuti ali ndi milingo yayikulu zinthu P mu cerebrospinal madzimadzi awo. Mankhwalawa amamasulidwa pamene kusonkhezera kowawa kumadziwika ndi maselo a mitsempha. Mankhwala P amakhudzidwa ndi kupweteka kwa thupi, kapena pamene kumverera kumasintha kukhala ululu. Kuchuluka kwa zinthu P kumatha kufotokozera chifukwa chake kuchuluka kwa ululu kumakhala kochepa mwa anthu omwe ali ndi fibromyalgia.
Kuwonjezeka kwa Ntchito mu Ubongo
Mayesero a ubongo, monga maginito a resonance imaging kapena MRI, asonyeza kuti fibromyalgia imagwirizanitsidwa ndi zochitika zambiri za ubongo zomwe zimatanthauzira zizindikiro zowawa. Izi zitha kutanthauza kuti zizindikiro zowawa zikuchulukirachulukira m'malo amenewo kapena kuti zizindikiro zowawa zikukonzedwa molakwika.
Chiropractic imayang'ana kwambiri thanzi la thupi lonse. 90% yapakati mantha dongosolo amadutsa msana. Mphuno ya vertebral yolakwika imatha kuyambitsa kusokoneza ndi kukwiya kwa mitsempha. Fibromyalgia ndi chikhalidwe chokhudzana ndi kusokonezeka kwa mitsempha; Chifukwa chake, kusinthasintha kulikonse kwa vertebral kumapangitsa kuti zikhale zovuta komanso kukulitsa zizindikiro za fibromyalgia. Mwa kusintha ma vertebrae olakwika amatulutsa kupsinjika kwa msana ndi mitsempha ya msana. Ichi ndichifukwa chake anthu omwe ali ndi fibromyalgia akulimbikitsidwa kuti awonjezere chiropractor ku gulu lawo lazaumoyo.
Clauw, Daniel J et al. "Sayansi ya Fibromyalgia." Mayo Clinic proceedings vol. 86,9 (2011): 907-11. doi:10.4065/mcp.2011.0206
Cohen H. Zotsutsana ndi zovuta mu fibromyalgia: ndemanga ndi malingaliro. The Adv Musculoskelet Dis. 2017 May;9(5):115-27.
Garland, Eric L. "Kukonza zowawa mu dongosolo la mitsempha yaumunthu: kuwunika kosankha kwa njira za nociceptive ndi biobehavioral." Chisamaliro choyambirira vol. 39,3 (2012): 561-71. doi:10.1016/j.pop.2012.06.013
Mtengo wa Goldenberg DL (2017). Pathogenesis ya fibromyalgia. Schur PH, (Ed). Zaposachedwa. Waltham, MA: UpToDate Inc.
Kamping S, Bomba IC, Kanske P, Diesch E, Flor H. Kusasinthika kwamtundu wa ululu ndi chikhalidwe chabwino cha maganizo mwa odwala fibromyalgia. Ululu. 2013 Sep; 154 (9): 1846-55.
Ma antibodies odana ndi nyukiliya ndi mapuloteni achilendo omwe amatha kupezeka m'magazi ngati munthu ali ndi lupus. Dokotala adzafuna kuona ngati magazi ali ndi mapuloteni kuti athetse lupus.
Magazi
Poyang'ana kuchuluka kwa magazi a munthu, dokotala azitha kuyambitsa zina zomwe zingayambitse kutopa kwambiri monga kuchepa kwa magazi m'thupi.
Erythrocyte sedimentation rate - ESR
An kuyesa kwa erythrocyte sedimentation rate imayesa kuchuluka kwa maselo ofiira a magazi pansi pa chubu choyesera. Kwa anthu omwe ali ndi matenda a nyamakazi monga nyamakazi ya nyamakazi, chiwopsezo cha sedimentation ndichokwera kwambiri. Maselo ofiira amagwera pansi mofulumira. Zimenezi zikusonyeza kuti m’thupi muli kutupa.
Rheumatoid factor - kuyesa kwa RF
Kwa anthu omwe ali ndi vuto lotupa ngati nyamakazi ya nyamakazi, mlingo wapamwamba wa rheumatoid factor ukhoza kudziwika m'magazi. Kuchuluka kwa RF sikutsimikizira kuti ululu umayamba chifukwa cha nyamakazi, koma kuchita kuyezetsa kwa RF kungathandize dokotala kufufuza zotheka RA matenda.
Maonekedwe a Thupi ndi Kulumikizana kwa Matenda a Shuga
Thupi limafunikira kuchuluka kwa thupi lowonda komanso misala yamafuta kuti lizigwira ntchito moyenera / moyenera komanso kukhala ndi thanzi labwino. Kuchuluka kumatha kusokonezedwa mwa anthu onenepa kwambiri komanso onenepa kwambiri chifukwa chamafuta ochulukirapo. Anthu onenepa kwambiri ayenera yang'anani kwambiri pakuwongolera kapangidwe ka thupi pochepetsa kuchuluka kwamafuta pomwe mukusunga kapena kukulitsa thupi lowonda. Maonekedwe abwino a thupi amatha kuchepetsa chiopsezo cha matenda a shuga, matenda ena okhudzana ndi kunenepa kwambiri, ndi zotsatira zabwino pa metabolism. Metabolism ndi kuphwanya zakudya zomwe zimapangitsa kuti thupi likhale ndi mphamvu, kukonzanso, ndi kukonza mapangidwe a thupi.
Thupi limaphwanya zakudya / mchere kukhala zinthu zoyambira ndikuwatsogolera komwe akuyenera kupita. Matenda a shuga ndi vuto la metabolic kutanthauza kuti amasintha momwe thupi limagwiritsidwira ntchito ndi zakudya, kotero kuti maselo amalephera kugwiritsa ntchito shuga wogayidwa kuti apeze mphamvu. Popanda insulini, shuga sangathe kulowa m'maselo, motero amangotsala pang'ono kulowa m'magazi. Pamene glucose sangathe kutuluka m'magazi, amamanga. Shuga wamagazi ochulukirapo amatha kusinthidwa kukhala triglycerides ndikusungidwa ngati mafuta. Ndi kuwonjezeka kwa mafuta ambiri, kusalinganika kwa mahomoni kapena kutupa kwadongosolo kumatha kuchitika kapena kupita patsogolo. Izi zimawonjezera chiopsezo cha matenda kapena mikhalidwe ina. Kuchulukana kwamafuta ndi shuga kumalumikizidwa ndi chiwopsezo cha: +
Matenda a mtima
Kuwonongeka kwa mitsempha
Mavuto amaso
Matenda a impso
Matenda a pakhungu
Chilonda
Matenda a shuga amathanso kuchititsa kuti chitetezo cha mthupi chilephereke. Pophatikizana ndi kusayenda bwino kwa malekezero, chiopsezo cha mabala, matenda, chingayambitse kudulidwa kwa zala, phazi / mapazi, kapena mwendo / s.
Dr. Alex Jimenez's Blog Post Chodzikanira
Kukula kwa chidziwitso chathu kumangokhala chiropractic, minofu ndi mafupa, mankhwala akuthupi, thanzi, ndi zovuta zaumoyo komanso/kapena zolemba zamankhwala, mitu, ndi zokambirana. Timagwiritsa ntchito ndondomeko zaumoyo ndi thanzi kuti tithandizire ndikuthandizira kuvulala kapena kusokonezeka kwa minofu ndi mafupa. Zolemba zathu, mitu yathu, mitu yathu, ndi zidziwitso zimakhudza zachipatala, zovuta, ndi mitu yomwe ikugwirizana ndikuthandizira mwachindunji kapena mwanjira ina momwe timagwirira ntchito.*
Ofesi yathu yayesetsa kupereka zolembedwa zochirikizira ndipo yazindikira kafukufuku wofunikira kapena maphunziro omwe akuchirikiza zolemba zathu. Timapanganso makope othandizira maphunziro a kafukufuku kuti apezeke ku board kapena kwa anthu akafunsidwa. Timamvetsetsa kuti timaphimba nkhani zomwe zimafuna kufotokozera zina za momwe zingathandizire mu ndondomeko ya chisamaliro kapena ndondomeko ya chithandizo; kotero, kuti mupitirize kukambirana nkhaniyi pamwambapa, chonde muzimasuka kufunsa Dr. Alex Jimenez kapena tilankhule nafe 915-850-0900. Wopereka (a) ali ndi Chilolezo ku Texas & New Mexico*
Zothandizira
American College of Rheumatology. Matenda a Fibromyalgia. 2013.�http://www.rheumatology.org/Practice/Clinical/Patient/Diseases_And_Conditions/Fibromyalgia/. Adafikira pa Disembala 5, 2014.
Kukhala ndi Fibromyalgia:�Mayo Clinic Proceedings.�(June 2006) �Kupititsa patsogolo Zizindikiro za Fibromyalgia Ndi Acupuncture: Zotsatira za Mayesero Olamulidwa Mwachisawawa��www.sciencedirect.com/science/article/abs/pii/S0025619611617291Kodi Zizindikiro Zodziwika za Fibromyalgia Ndi Chiyani Ndipo Zimayambitsa Bwanji Kupweteka Kwamsana?:�Clinical Biomechanics.�(July 2012) �Kukhoza kugwira ntchito, mphamvu za minofu ndi kugwa kwa amayi omwe ali ndi fibromyalgia��www.sciencedirect.com/science/article/abs/pii/S0268003311003226
Kuwonjezeka kwa minofu ndi njira yabwino yowonjezeretsera thupi komanso kulimbikitsa chitetezo cha mthupi. Kafukufuku amasonyeza kuti akuluakulu akuluakulu omwe ali ndi chigoba chachikulu amakhala ndi chiwerengero chowonjezeka cha maselo a chitetezo m'magazi. Izi zikusonyeza kuti minofu ndi chitetezo cha m'thupi zimagwirizana.
Minofu ikagwiritsidwa ntchito, ma myokines amamasulidwa. Awa ndi mapuloteni amtundu wa mahomoni omwe amalimbitsa chitetezo cha mthupi chomwe chimathandiza kuteteza matenda. Kafukufuku wina anasonyeza zimenezo kuchita masewera olimbitsa thupi nthawi zonse kumawonjezera kutulutsidwa kwa T lymphocytes/T maselo. Kuchita masewera olimbitsa thupi pafupipafupi kumathandizanso kuchepetsa chiopsezo chokhala ndi matenda osatha monga mtundu wa 2 shuga, kunenepa kwambiri, khansa zosiyanasiyana, komanso matenda amtima.
Dr. Alex Jimenez's Blog Post Chodzikanira
Kukula kwa chidziwitso chathu kumangokhala chiropractic, minofu ndi mafupa, mankhwala akuthupi, thanzi, ndi zovuta zaumoyo komanso/kapena zolemba zamankhwala, mitu, ndi zokambirana. Timagwiritsa ntchito ndondomeko zaumoyo ndi thanzi kuti tithandizire ndikuthandizira kuvulala kapena kusokonezeka kwa minofu ndi mafupa. Zolemba zathu, mitu yathu, mitu yathu, ndi zidziwitso zimakhudza zachipatala, zovuta, ndi mitu yomwe ikugwirizana ndikuthandizira mwachindunji kapena mwanjira ina momwe timagwirira ntchito.*
Ofesi yathu yayesetsa kupereka zolembedwa zochirikizira ndipo yazindikira kafukufuku wofunikira kapena maphunziro omwe akuchirikiza zolemba zathu. Timapanganso makope othandizira maphunziro a kafukufuku kuti apezeke ku board kapena kwa anthu akafunsidwa. Timamvetsetsa kuti timaphimba nkhani zomwe zimafuna kufotokozera zina za momwe zingathandizire mu ndondomeko ya chisamaliro kapena ndondomeko ya chithandizo; kotero, kuti mupitirize kukambirana nkhaniyi pamwambapa, chonde muzimasuka kufunsa Dr. Alex Jimenez kapena tilankhule nafe 915-850-0900. Wopereka (a) ali ndi Chilolezo ku Texas & New Mexico*
Zothandizira
Schneider, Michael et al. �Chiropractic management of fibromyalgia syndrome: kuwunika mwadongosolo mabuku.��Journal of manipulative and physiological Therapeutics�vol. 32,1, 2009 (25): 40-10.1016. doi:2008.08.012/j.jmpt.XNUMX
Akatswiriwa amaphunzitsidwa kuzindikira ndi kuchiza matenda amisala/malingaliro. Dokotala wanu angakuthandizeni kudziwa chomwe chili chabwino kwa inu.
Alangizi othandizira ovomerezeka amafuna digiri ya master mu upangiri ndipo amavomerezedwa kuti azindikire ndikuchiza matenda amisala ndi malingaliro.
Akatswiri a zamaganizo amaonedwa ngati gulu lapadera la akatswiri amisala omwe si adokotala. Ali ndi udokotala ndipo amavomerezedwa kuti athetse mavuto amalingaliro pogwiritsa ntchito njira zochiritsira monga chidziwitso-makhalidwe mankhwala.
Psychiatrists ndi madokotala omwe ali ndi chilolezo cholembera mankhwala kuthandiza kuvutika maganizo ndi nkhawa, pamodzi ndi matenda ambiri a maganizo.
Kuwonjezera mmene matendawa amakhudzira mkhalidwe wamaganizo ndi malingaliro a munthu kungawononge kwambiri moyo wawo. Kuzindikira pamene kupweteka sikuli kokha mwakuthupi kumakhala kovuta. Chifukwa chake kukhazikitsa msonkhano wa telemedicine/kanema ndi katswiri wazamisala kungathandize kuthana ndi kupsinjika kwamaganizidwe komwe kumabwera ndi fibromyalgia. Ngakhale kwa omwe safuna mankhwala kukaonana ndi akatswiri azamisala kungakhale kopindulitsa kwambiri.
Mutha poyeralankhulani za zochitika zokhudzana ndi fibromyalgia, momwe zimakhudzira banja lanu, ndi zina,� zomwe zimachiritsira zokha. Musazengereze kupempha thandizo kwa katswiri wa zamaganizo. Cholinga chake ndikukuthandizani kuti mukhale bwino, kuphunzitsidwa njira zodzithandizira nokha komanso kukhala ndi moyo wabwino.
