Calaamadaha guud ee la wadaagay Fibromyalgia
Fibromyalgia waa xaalad xanuunka joogtada ah oo ku lug leh murqaha jirka iyo xanuunka faafa - badiyaa muruqyada , tendinka, iyo unugyada isku xiran. Waxaa mararka qaarkood loogu yeeraa jajabka murqaha murqaha ama rheumatic syndrome. Si ka duwan noocyada kala duwan ee arthritis-ka iyo xaaladaha rheumatic , fibromyalgia maaha mid la xiriirta dhaawaca wadajirka ah ama isbeddel wadajir ah.
Ciladda fibromyalgia waxay ku lug yeelan kartaa baaritaanka jireed ee dhibcaha qandaraaska. Maadaama baaritaanka shaybaarka caadiga ah aan la ogaan karin fibromyalgia, dhibcaha qandho ayaa qayb ka ahaa habka ogaanshaha. Waa maxay qodobbada qandaraaska?
Diagnosing Fibromyalgia
Marka la eego shuruudaha lagu ogaanayo fibromyalgia (oo ku saleysan Heerarka Aqoonta Cilmi-baarista Rheumatology ee Rheumatology 1990), bukaanku waa inuu lahaadaa:
- xanuunka baahsan ee dhammaan afarta afartan ee jidhka ugu yaraan 3 bilood
- ugu yaraan 11 ka mid ah 18 dhibcood oo khaas ah
Meelaha qallafsani waa meelo gaar ah oo ku yaal jirka (18 dhibcood oo gaar ah 9 goobood oo labada dhinac ah) kuwaas oo si gaar ah ugu nugul dareenka taabashada (digital palpation) marka uu dhakhtarku baarayo. 9 goobood oo muruqa laba dhinac ah waa:
- Goobta ilma-galeenka ee hooseeya: (qeeybta qoorta hore) ee dhinaca dhinaca hore ee dhinacyada isdhexgalka ee geeddi-socodka is-dhexgalka ee C5-C7.
- Xorriyadda Labaad: ( cirridka hore ee caanka ah) ee kumbuyuutarka qadarka labaad.
- Dhaqdhaqaaqa: (dhabarka qoorta) ee muruqyada murqaha hoose.
- Murqaha Trapezius : (garabka bidix ee danbe) bartamaha bartamaha xadka.
- Musqusha Supraspinatus: (garabka bidix ee garabka bidix) ee ka sarreeya xudduudda saxda ah ee lafdhabarta.
- Epicondyle Lateral: ( qaanadda caanka ) 2 cm distoorka ah ee epicondyle lateral.
- Gluteal: (dhammaadka danbe) ee qiyaasta sare ee bararka.
- Tartanka Greater Trochanter: (sinta danbe) xagga danbe ee farqiga u sareeya.
- Jilibka: (jilibka) meel dhexdhexaad ah oo baraf dhexdhexaad ah ku leh qadka dhexda.
Iyadoo barbar socda ficilka, bukaanka ayaa la weydiinayaa haddii xanuunka uu xanuunaayo. Jawaabta "haa" ee bukaanka ayaa ah jawaabta kaliya ee loo arko inuu yahay mid wanaagsan. Marka laga reebo qalqalaha dijitaalka ah, baaritaanka dhibcaha qandaraaska waxaa lagu samayn karaa dolorimetry (qalab loo isticmaalo in lagu cabbiro dulqaad xanuunka).
Sanadkii 2010, si kastaba ha ahaatee, College College of Rheumatology ayaa soo jeediyay shuruudo cusub oo loogu talagalay baadhista fibromyalgia. Shuruudaha hordhaca ah ee la casriyeeyay waxay soo jeedinayaan in baaritaanka qandaraaska hirgelinta la cirib tirayo isku-darka WPI (indhaha xanuunka ballaaran) iyo SS (cabirka darran ee calaamadaha). Waxaa jiray dhibaatooyin la taaban karo oo leh qodobbada qandaraaska iyada oo diirada lagu saarayo baaritaanka fibromyalgia. Xaqiiqdii, waxay u baahan tahay xirfad si ay si haboon u sameyso baaritaanka qandaraaska. Sidoo kale, baaritaanka dhibcaha qandaraaska maaha wax faa'iido leh oo lagu qiimeeyo guusha daaweynta. Takhaatiirta qaarkood ayaa ka fogaaday imtixaanka gundhigga ah waxayna si dheeraad ah u siiyeen calaamadaha kale (tusaale, dhibaatooyinka hurdada, illoobidda, qulqulka maskaxda, iyo hoos u dhaca howlaha jireed ee la xidhiidha dhaqdhaqaaqyada maalinlaha ah ee caadiga ah). Natiijooyinka daraasada ayaa muujinaya in shuruudaha la cusbooneysiiyay ay tilmaamayaan 88% bukaanada fibromyalgia oo la kulmay jaamacadda American College of Rheumatology ee loogu talagalay baadhista fibromyalgia.
- Keysashada: Miyaad Heli kartaa Fibromyalgia?
Dhibcaha Qodobka Dhibcaha iyo Qodobada Taabashada - Miyey Isku Mid yihiin?
Dhibcaha qodobbada iyo qodobbadu waa laba ereyo oo inta badan loo isticmaalo is-beddelaad - laakiin waxay yihiin kuwo isku mid ah? Dhibcaha dhibcaha ayaa si khaas ah u ah calaamadaha lafdhabarka ah ee loo yaqaan "tissue muscles" taas oo la xiriirta jirro xanuunka loo yaqaan. Dhinaca kale, qodobbada qallafsan waa meelaha khatarta ah ee ku dhaca muruqyada, isku xirka muruqyada, bursa, ama suufka. Dhibcaha qotoda ayaa si wayn u faafa marka la xiriiro fibromyalgia. Dhibaatooyinka qallafsan ayaa caadi ahaan ku jira qaab xaddidan oo badanaa la xiriira xanuunka 'myofascial pain syndrome' .
Waa suurtogal in labadaba ay wada dhacaan.
Ilaha:
Kulliyadda Maraykanka ee Rheumatology Shaxdooyinka Shuban ee Baaritaanka Fibromyalgia iyo Cabbiraadda Calaamadaha Darajada. Wolfe F. et al. Arthritis Care iyo Research. May 2010.
https://www.rheumatology.org/Portals/0/Files/2010_Preliminary_Diagnostic_Criteria.pdf
Fibromyalgia. Sidee loo Sameeyaa Imtixaanka Geediga ee Gundhigga. Page 740. Kelley ee buugta qoraalka ee Rheumatology. Ninth Edition. Elsevier. Gaaray 11/27/2015.
Fibromyalgia, Joseph J. Biundo, MD. Tilmaamaha Merck, Febraayo 2013.
http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/bursa-muscle-and-tendon-disorders/fibromyalgia
Qodobbada Fibromyalgia Qodobbada Qandaraaska. Ma Isku Dayi Karaan? Dib u eegis kooban oo ku saabsan muranka. Harth iyo Nielson. Wargeyska Rheumatology.
https://jrheum.com/subscribers/07/05/914.html
Dhibcaha dhibcaha iyo qodobbada jaahwareerka ah: hal iyo isku mid? Daaweynta cirbadeynta ma caawisaa? Borg-Stein J. et al. Rugaha Caafimaadka ee Rheumatic ee Waqooyiga Ameerika. May 1996.
http://www.ncbi.nlm.nih.gov/pubmed/8860801