Tus Sau: Joan Hall
Hnub Kev Tsim: 1 Lub Ob Hli Ntuj 2021
Hloov Hnub: 23 Lub Kawm Ob Hlis Ntuj 2024
Anonim
Fibromyalgia | Symptoms, Associated Conditions, Diagnosis, Treatment
Daim Duab: Fibromyalgia | Symptoms, Associated Conditions, Diagnosis, Treatment

Fibromyalgia yog ib yam mob uas tus neeg muaj mob ntev ntev uas kis mus thoob plaws lub cev. Qhov mob feem ntau cuam tshuam rau kev qaug zog, teeb meem pw tsaug zog, tsis tuaj yeem nyuaj, mob taub hau, ntxhov siab thiab ntxhov siab.

Cov neeg muaj mob fibromyalgia kuj tseem yuav muaj kev sib tw hauv cov pob qij txha, cov leeg, leeg, thiab lwm cov nqaij mos.

Cov ua tsis paub. Cov kws tshawb nrhiav xav tias fibromyalgia yog vim muaj teeb meem nrog yuav ua li cas lub hauv nruab nrab cov hlab ntsha hauv cov txheej txheem mob. Cov ua rau los yog chiv ntawm fibromyalgia muaj xws li:

  • Kev raug mob rau lub cev lossis siab ntsws.
  • Kev tsis hnov ​​mob txawv txav: Thaj chaw hauv lub hlwb uas tswj kev hnov ​​mob tuaj yeem hloov txawv ntawm cov neeg mob fibromyalgia.
  • Pw tsaug zog cuam tshuam.
  • Kev kis, xws li tus kabmob, txawm hais tias tsis muaj leejtwg nrhiav tau.

Tus mob fibromyalgia ntau dua rau poj niam raws li piv rau txiv neej. Cov poj niam hnub nyoog 20 txog 50 feem ntau cuam tshuam.

Cov xwm txheej hauv qab no tuaj yeem pom nrog fibromyalgia lossis muaj cov tsos mob zoo sib xws:

  • Ntev (mob ntev) caj dab lossis mob nraub qaum
  • Ntev (mob ntev) qaug zog cov tsos mob
  • Kev Nyuaj Siab
  • Hypothyroidism (tsis zoo li lub qog)
  • Lyme kab mob
  • Pw tsis tsaug zog

Kev mob dav yog qhov tsos mob tseem ceeb ntawm fibromyalgia. Tus mob Fibromyalgia zoo li muaj nyob hauv ntau cov kev mob, uas yuav muaj nyob hauv 10% mus rau 15% ntawm cov pej xeem. Fibromyalgia ntog deb kawg ntawm qhov mob hnyav thiab mob ntev thiab tshwm sim hauv 1% mus rau 5% ntawm cov pej xeem.


Lub hauv paus tseem ceeb ntawm fibromyalgia yog mob mob rau ntau qhov chaw. Cov chaw no yog lub taub hau, txhua sab caj npab, lub hauv siab, lub plab, txhua ceg, sab qaum thiab sab nraub qaum, thiab sab nraub qaum thiab nraub qaum (suav nrog lub pob tw).

Qhov mob yuav mob sib khuav mus rau qhov hnyav.

  • Tej zaum nws yuav zoo li mob hnyav, lossis pob tw pob, mob qhov muag.
  • Nws yuav zoo li nws yog los ntawm cov pob qij txha, txawm hais tias cov pob qij txha tsis cuam tshuam dab tsi.

Cov neeg mob fibromyalgia nyiam sawv nrog lub cev mob thiab txhav. Rau qee cov neeg, mob ib puag ncig thaum nruab hnub thiab haj yam ua rau hmo ntuj. Qee tus neeg mob lub neej tag hnub.

Qhov mob yuav mob heev ntxiv nrog:

  • Lub cev qoj ib ce
  • Cov huab cua txias lossis ntub
  • Kev ntxhov siab thiab kev ntxhov siab

Feem ntau cov tib neeg mob fibromyalgia muaj kev nkees, kev ntxhov siab, thiab pw tsaug zog. Coob leej hais tias lawv tsis tuaj yeem pw lossis tsaug zog tau zoo, thiab lawv yuav nkees thaum lawv tsim los.

Lwm cov tsos mob ntawm fibromyalgia tuaj yeem suav nrog:

  • Chim siab plob tsis so tswj syndrome (IBS) los sis plab hnyuv reflex
  • Cov teeb meem nco thiab ua kom pom tseeb
  • Loog thiab tingling hauv tes thiab taw
  • Tsis tshua muaj peev xwm qoj ib ce
  • Mob taub hau lossis mob tob hau

Txhawm rau kuaj mob nrog fibromyalgia, koj yuav tsum muaj tsawg kawg yog 3 lub hlis ntawm kev mob mob nrog ib lossis ntau yam hauv qab no:


  • Pheej muaj teeb meem nrog kev pw tsaug zog
  • Nkees
  • Kev xav lossis nco teeb meem

Nws tsis yog qhov tsim nyog rau tus kws kho mob pom cov ntsiab lus sib tw thaum lub sij hawm kuaj mob kom paub tseeb.

Cov txiaj ntsig tau los ntawm kev kuaj lub cev, kuaj ntshav thiab tso zis, thiab ntsuas cov duab yog qhov qub. Cov kev sim no tuaj yeem ua tiav los txiav tawm lwm yam kev mob uas muaj cov tsos mob zoo sib xws. Kev tshawb fawb ntawm kev ua pa thaum pw tsaug zog yuav ua kom paub yog tias koj muaj ib tus mob hu ua pw tsaug zog apnea.

Fibromyalgia muaj ntau nyob rau txhua txhua tus kab mob rheumatic thiab ua rau mob mob pheej tshuaj thiab kho mob. Cov kev tsis zoo no suav nrog:

  • Kev mob caj dab
  • Kab mob hauv
  • Spondyloarthritis
  • Txheej txheem lupus erythematosus

Lub hom phiaj ntawm kev kho mob yog pab daws qhov mob thiab lwm cov tsos mob, thiab pab tus neeg kho nrog cov tsos mob.

Thawj hom kev kho mob yuav muaj:

  • Kev kho lub cev
  • Kev tawm dag zog thiab tawm dag zog
  • Txoj kev ntxhov siab-suav nrog kev qhia kom zaws thiab ua kom ib ce ntaug

Yog tias cov kev kho mob no tsis ua haujlwm, koj tus kws kho mob kuj tseem yuav sau ntawv tawm tsam tshuaj tiv thaiv kev ntxhov siab lossis ua kom cov leeg ua kom zoo. Qee zaum, kev sib xyaw ua ke ntawm cov tshuaj muaj txiaj ntsig.


  • Lub hom phiaj ntawm cov tshuaj no yog txhawm rau txhim kho koj txoj kev pw tsaug zog thiab pab koj thev taus zoo dua.
  • Cov tshuaj yuav tsum tau siv nrog kev tawm dag zog thiab kev kho tus cwj pwm.
  • Duloxetine (Cymbalta), pregabalin (Lyrica), thiab milnacipran (Savella) yog cov tshuaj uas tau pom zoo tshwj xeeb rau kev kho mob fibromyalgia.

Lwm yam tshuaj siv los kho tus mob, xws li:

  • Tshuaj tiv thaiv qaug dab peg, xws li gabapentin
  • Lwm yam tshuaj tiv thaiv kab mob, xws li amitriptyline
  • Ua rau cov leeg ua so, xws li cyclobenzaprine
  • Kev tiv thaiv kab mob, xws li tramadol

Yog tias koj tau pw tsaug zog apnea, ib qho cuab yeej hu ua kev ua pa txuas ntxiv mus rau hauv lub cev (CPAP).

Kev txawj ntse-kev coj tus cwj pwm yog qhov tseem ceeb ntawm kev kho. Qhov kev kho mob no pab koj kawm paub:

  • Nrog rau kev xav tsis zoo
  • Khaws qhov ntawv sau txog mob thiab tsos mob
  • Pom txog dab tsi ua rau koj cov tsos mob hnyav ntxiv
  • Nrhiav kev ua si kom lom zem
  • Teeb txwv

Muab lwm yam tshuaj los siv kuj yuav pab tau thiab. Cov no suav nrog:

  • Tai chi
  • Yoga
  • Kev Siv Tshuaj Tua Tsiaj

Cov pab pawg txhawb kuj tseem yuav pab tau.

Tej yam koj tuaj yeem ua tau los pab saib xyuas koj tus kheej suav nrog:

  • Noj zaub mov kom zoo rau lub cev.
  • Zam txhob haus caffeine.
  • Xyaum kev pw tsaug zog kom niaj hnub ua kom zoo rau kev pw tsaug zog.
  • Ib ce muaj zog tas li. Pib nrog kev qoj ib ce theem qis.

Tsis muaj pov thawj pom tias opioids ua tau zoo rau kev kho mob ntawm fibromyalgia, thiab kev tshawb fawb tau qhia tias muaj kev phiv tshuaj uas tsis zoo.

Xa mus rau lub tsev kuaj mob nrog kev txaus siab thiab kev txawj ntse hauv fibromyalgia yog kev txhawb nqa.

Fibromyalgia yog ib qho kev mob ntev mus ntev. Qee zaum, cov tsos mob txhim kho. Lwm lub sijhawm, tus mob yuav pib loj dua thiab txuas ntxiv mus rau lub hlis lossis xyoo.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm mob fibromyalgia.

Tsis muaj kev paub txog kev tiv thaiv.

Fibromyositis; FM; Fibrositis

  • Fibromyalgia

Arnold LM, Clauw DJ. Cov nqi sib tw ntawm kev ua raws li cov txheej txheem kho mob fibromyalgia hauv kev kho mob tam sim no. Hloov kho Med. 2017; 129 (7): 709-714. PMID: 28562155 pubmed.ncbi.nlm.nih.gov/28562155/.

Borg-Stein J, Brassil Kuv, Borgstrom HE. Fibromyalgia. Hauv: Frontera, WR, Nyiaj JK, Rizzo TD, eds. Qhov tseem ceeb ntawm Kev Siv Lub Cev thiab Kev Rov Kho Dua. 4 tug ed. Philadelphia, PA: Elsevier; 2019: chap 102.

Clauw DJ. Fibromyalgia thiab syndromes ntsig txog. Hauv: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Pob tsuas. 7 tus ed. Philadelphia, PA: Elsevier; 2019: chap 91.

Gilron I, Chaparro LE, Tu D, li al. Kev sib xyaw ua ke ntawm pregabalin nrog duloxetine rau fibromyalgia: kev sim txiav txim siab. Mob. 2016; 157 (7): 1532-1540. PMID: 26982602 pubmed.ncbi.nlm.nih.gov/26982602/.

Goldenberg DL. Kev kuaj mob fibromyalgia raws li ib tug kab mob, muaj mob, ib lub xeev, lossis ib qho kev ntxiag? Mob caj dab los tu Res (Hoboken). 2019; 71 (3): 334-336. PMID: 30724034 pubmed.ncbi.nlm.nih.gov/30724034/.

Lauche R, Cramer H, Häuser W, Dobos G, Langhorst J. Txheej txheem ib puag ncig kev tshuaj xyuas kom zoo thiab kho lwm txoj hauv kev kho tus mob fibromyalgia syndrome. Evid-Based Complement Alternat Med Zoo Li Qub. Xyoo 2015; Xyoo 2015: 610615. doi: 10.1155 / 2015/610615. PMID: 26246841 pubmed.ncbi.nlm.nih.gov/26246841/.

López-Solà M, Woo CW, Pujol J, li al. Rau cov ntawv neurophysiological kos npe rau fibromyalgia. Mob. 2017; 158 (1): 34-47. PMID: 27583567 pubmed.ncbi.nlm.nih.gov/27583567/.

Wu YL, Chang LY, Lee HC, Fang SC, Tsai PS. Kev pw tsaug zog tsis zoo nyob rau hauv fibromyalgia: ib qho kev soj xyuas kev tsom xam ntawm kev tshawb nrhiav tus neeg mob. J Psychosom Res. 2017; 96: 89-97. PMID: 28545798 pubmed.ncbi.nlm.nih.gov/28545798/.

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