ʻO Fibromyalgia

ʻO Fibromyalgia kahi ʻano i loaʻa i ke kanaka ka ʻeha lōʻihi laha ʻia i loko o ke kino. Hoʻohui pinepine ʻia ka ʻeha i ka luhi, nā pilikia hiamoe, ka paʻakikī e noʻonoʻo, ʻeha ke poʻo, kaumaha, a me ka hopohopo.

Hiki i nā poʻe me fibromyalgia ke loaʻa ka palupalu i nā hono, nā mākala, nā uaua, a me nā mea palupalu ʻē aʻe.

ʻAʻole ʻike ʻia ke kumu. Manaʻo nā kānaka noiʻi pili ka fibromyalgia i kahi pilikia me ka hana ʻana o ka ʻōnaehana kikowaena i ka ʻeha. ʻO nā kumu kūpono a i ʻole nā ​​kumu o fibromyalgia e hoʻopili ai:

• Ka hōʻeha kino a ʻeha paha.
• Ka pane ʻeha maʻamau: ʻO nā wahi i ka lolo e kaohi i ka ʻeha e hana ʻokoʻa i nā poʻe me fibromyalgia.
• Nā haunaele hiamoe.
• ʻO ka maʻi, e like me ka maʻi, ʻaʻole naʻe i ʻike ʻia.

ʻOi aku ka maʻamau o Fibromyalgia i nā wahine ke hoʻohālikelike ʻia i nā kāne. Hoʻopilikia nui ʻia nā wahine 20 a 50 mau makahiki.

ʻIke ʻia nā kūlana aʻe me fibromyalgia a i ʻole loaʻa nā ʻano like.

• Ka lōʻihi lōʻihi (mau) a ʻeha hoʻi
• Luhi wā lōʻihi (mau) luhi
• Kaumaha
• Hypothyroidism (underactive thyroid)
• Maʻi Lyme
• Nā maʻi hiamoe

ʻO kaʻeha ākea ka hōʻailona nui o fibromyalgia. Aia ʻo Fibromyalgia i loko o kahi pae o ka ʻeha laha mau loa, a aia paha ma 10% a 15% o ka lehulehu. Hāʻule ʻo Fibromyalgia ma ka wēlau o kēlā ʻeha o ka ʻeha a me ka laulā mau ʻana a hiki i 1% a 5% o ka lehulehu.

ʻO ke hiʻohiʻona waena o fibromyalgia ka ʻeha mau ma nā pūnaewele he nui. ʻO kēia mau pūnaewele ke poʻo, kēlā me kēia lima, ka umauma, ka ʻōpū, kēlā me kēia wāwae, ke kua i luna a me ka iwi kuamoʻo, a me ka ʻaoʻao i lalo a me ka iwi kuamoo (me nā puʻupuʻu).

Māmā ka ʻeha a ʻeha loa paha.

• ʻIke paha ia e like me ka ʻeha hohonu, a i ʻole ka ʻeha ʻana, ʻeha ʻā ʻana.
• ʻIke paha ia e hele mai ana mai nā hono, ʻoiai ʻaʻole pili ka hono.

ʻO ka poʻe me fibromyalgia e ala aʻe me ka ʻeha o ke kino a me ka ʻoʻoleʻa. No kekahi poʻe, hoʻomaikaʻi ka ʻeha i ke ao a ʻinoʻino i ka pō. He ʻeha kekahi poʻe i ka lā holoʻokoʻa.

E māhuahua paha ka ʻeha me:

• ʻOihana hoʻoikaika kino
• Anuanu a pulu hoʻi ke aniau
• Ka pīhoihoi a me ke koʻikoʻi

ʻO ka hapa nui o nā poʻe me ka fibromyalgia he luhi, naʻau kaumaha, a me nā pilikia hiamoe. ʻLelo ka poʻe he nui ʻaʻole hiki ke hiamoe a hiamoe paha, a luhi lākou ke ala lākou.

Hiki i nā ʻōuli ʻē aʻe o fibromyalgia ke hoʻopili ʻia:

• ʻO ka maʻi huhū huhū (IBS) a i ʻole reflex gastroesophageal
• Nā pilikia hoʻomanaʻo a me ka noʻonoʻo
• Numbness a me ke kani ʻana i nā lima a me nā wāwae
• Hoʻoemi i ka hiki ke hoʻoikaika kino
• Hoʻopilikia a i ʻole migraine poʻo

E ʻike ʻia me fibromyalgia, pono ʻoe i 3 mau mahina o ka ʻeha ākea me hoʻokahi a ʻoi paha o kēia mau mea:

• Nā pilikia e mau nei me ka hiamoe
• Ka luhi
• Nā pilikia e noʻonoʻo a hoʻomanaʻo paha

ʻAʻole pono ia no ka mea mālama ola e ʻike i nā kiko palupalu i ka wā o ka hoʻokolohua e hana ai i kahi hōʻailona.

Nā hualoaʻa mai ka hoʻāʻo kino, nā hoʻokolohua koko a me ka mimi, a me nā hoʻāʻo kiʻi ʻana he maʻamau. Hana ʻia paha kēia mau hoʻāʻo e kāpae i nā kūlana ʻē aʻe me nā ʻōuli like. Hiki ke hana ʻia nā noiʻi ʻana i ka hanu ʻana i ka wā hiamoe e ʻike inā he maʻi kou i kapa ʻia he sleep apnea.

ʻO ka fibromyalgia ka mea maʻamau i kēlā me kēia maʻi rheumatic a hoʻopīpī i nā diagnoses a me nā lāʻau. Loaʻa kēia mau maʻi i:

• Rheumatoid arthritis
• ʻO Osteoarthritis
• ʻO Spondyloarthritis
• ʻO ka lupus erythematosus ʻōnaehana

ʻO nā pahuhopu o ka mālama ʻana e kōkua i ka hōʻoluʻolu i ka ʻeha a me nā hōʻailona ʻē aʻe, a e kōkua i ke kanaka e kū i nā ʻōuli.

Pili paha ka ʻano mua o ka mālama ʻana:

• Hoʻoikaika kino
• Polokalamu hoʻoikaika kino a hoʻoikaika kino
• Nā hana kōkua koʻikoʻi, e like me ka massage māmā a me nā ʻano hoʻomaha

Inā ʻaʻole holo pono kēia mau hana, hiki i kāu mea hoʻolako ke kuhikuhi i kahi antidepressant a i ʻole relant muscle. I kekahi manawa, kōkua nā hui pū ʻana o nā lāʻau.

• ʻO ka pahuhopu o kēia mau lāʻau e hoʻomaikaʻi i kou hiamoe a kōkua iā ʻoe e hoʻomanawanui i ka ʻeha.
• Pono e hoʻohana ʻia ka lāʻau lapaʻau me ka hoʻoikaika kino a me ka hoʻomaʻamaʻa lawena.
• ʻO Duloxetine (Cymbalta), pregabalin (Lyrica), a me milnacipran (Savella) nā lāʻau i ʻae ʻia no ka mālama ʻana i ka fibromyalgia.

Hoʻohana ʻia nā lāʻau ʻē aʻe e mālama i ke ʻano, e like me:

• Nā lāʻau lapaʻau anti-hopu, e like me gabapentin
• ʻO nā antidepressants ʻē aʻe, e like me amitriptyline
• Hoʻomaha hoʻomaha kaʻiʻo, e like me cyclobenzaprine
• Nā mea hōʻeha ʻeha, e like me tramadol

Inā loaʻa iā ʻoe kahi apnea moe, kahi mea i kapa ʻia ʻo ke kaomi ʻana o ke ala ea maikaʻi (CPAP) e kuhikuhi ʻia ai.

ʻO ka cognitive-behavioral therapy kahi mea nui o ka lāʻau. Kōkua kēia therapy iā ʻoe e aʻo pehea e:

• Hana me nā manaʻo maikaʻi ʻole
• E mālama i ka diary o ka ʻeha a me nā ʻōuli
• Hoʻomaopopo i ka mea e ʻoi aku ai kou mau ʻōuli
• E ʻimi i nā hana leʻaleʻa
• Kau palena

Kōkua pū kekahi me ka hoʻomaʻamaʻa komplementary a me nā koho ʻokoʻa. Pākuʻi ʻia kēia mau mea:

• ʻO Tai chi
• Yoga
• Acupuncture

Kōkua pū nā pūʻulu kākoʻo.

Nā mea hiki iā ʻoe ke hana e kōkua e mālama iā ʻoe iho e hoʻopili:

• ʻAi i ka papaʻai kaulike maikaʻi.
• Hōʻalo i ka caffeine.
• E hoʻomaʻamaʻa i kahi papa hana hiamoe maikaʻi e hoʻomaikaʻi i ka maikaʻi o ka hiamoe.
• Hoʻomaʻamaʻa pinepine. E hoʻomaka me ka hoʻoikaika haʻahaʻa.

ʻAʻohe mea hōʻike e maikaʻi nā opioids i ka mālama ʻana i ka fibromyalgia, a ua hōʻike nā noiʻi i nā hopena maikaʻi ʻole.

Paipai ʻia ke kuhikuhi ʻana i kahi keʻena lapaʻau me ka hoihoi a me ka mākaukau ma fibromyalgia.

ʻO Fibromyalgia kahi maʻi lōʻihi lōʻihi. I kekahi manawa, hoʻomaikaʻi nā ʻōuli. I nā manawa ʻē aʻe, e ʻeha paha ka ʻeha a hoʻomau no mau mahina a mau makahiki paha.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o fibromyalgia.

ʻAʻohe pale e ʻike ʻia.

Fibromyositis; FM; ʻO Fibrositis

• ʻO Fibromyalgia

ʻO Arnold LM, ʻo Clauw DJ. Nā pilikia i ka hoʻokō ʻana i nā kulekele lapaʻau fibromyalgia i ka hana olakino o kēia manawa. ʻO Postgrad Med. 2017; 129 (7): 709-714. PMID: 28562155 pubmed.ncbi.nlm.nih.gov/28562155/.

ʻO Borg-Stein J, Brassil ME, ʻo Borgstrom HE. ʻO Fibromyalgia. I: Frontera, WR, kālā JK, Rizzo TD, nā hua. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 102.

ʻO Clauw DJ. Fibromyalgia a me nā syndrome e pili pū ana .In: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 91.

ʻO Gilron I, Chaparro LE, Tu D, et al. ʻO ka hui pū ʻana o ka pregabalin me duloxetine no ka fibromyalgia: kahi hoʻāʻo ʻana i hoʻomalu ʻia. ʻEha. 2016; 157 (7): 1532-1540. PMID: 26982602 pubmed.ncbi.nlm.nih.gov/26982602/.

ʻO Goldenberg DL. Ke hōʻoia nei i ka fibromyalgia ma ke ʻano he maʻi, kahi maʻi, kahi mokuʻāina, a i ʻole kahi ʻano? Hoʻolālā Hoʻolaha Hoʻolaha (Hoboken) 2019; 71 (3): 334-336. PMID: 30724034 pubmed.ncbi.nlm.nih.gov/30724034/.

Lauche R, Cramer H, Häuser W, Dobos G, Langhorst J. He ʻōnaehana ʻōnaehana o nā loiloi no nā mea kōkua kōkua a me nā mea ʻē aʻe i ka mālama ʻana i ka maʻi fibromyalgia. Hōʻike Hou-Hoʻohui Hoʻohui Med. 2015; 2015: 610615. hana: 10.1155 / 2015/610615. PMID: 26246841 pubmed.ncbi.nlm.nih.gov/26246841/.

López-Solà M, Woo CW, Pujol J, et al. I kahi hōʻailona neurophysiological no fibromyalgia. ʻEha. 2017; 158 (1): 34-47. PMID: 27583567 pubmed.ncbi.nlm.nih.gov/27583567/.

Wu YL, Chang LY, Lee HC, Fang SC, Tsai PS. Nā haunaele hiamoe ma fibromyalgia: kahi meta-analysis o nā hoʻopaʻa ʻana i nā hihia. ʻO J Psychosom Res. 2017; 96: 89-97. PMID: 28545798 pubmed.ncbi.nlm.nih.gov/28545798/.