Fibromyalgia a me Central Sensitization: Ka Mechanism Ma hope o ka ʻeha

Manaʻo ʻia ʻo Central sensitization kekahi o nā hana nui ma hope o ka ʻeha fibromyalgia.

Akā, he aha ka sensitization waena? ʻAe, eia ka mea kōkua e wāwahi iki i nā huaʻōlelo. ʻO ke kikowaena e pili ana i ka ʻōnaehana hoʻokele waena - ʻo ia hoʻi ka lolo a me nā aʻalolo i loko o ke kuamoʻo. ʻO kēia ʻāpana o ka ʻōnaehana nerve e wehewehe a pane i nā mea hoʻoulu mai nā wahi ʻē aʻe o ke kino. ʻO ka Sensitization kahi hoʻololi mālie i ka pane ʻana o ke kino i kekahi mau mea hoʻoulu a i ʻole nā ​​​​mea. I kekahi manawa kapa ʻia maʻi ʻehaʻeha.

 

- Hoʻopili ʻia ka Fibromyalgia i kahi Pūnaehana Nervous Central Overactive

ʻO ka Fibromyalgia kahi maʻi ʻeha mau loa e hiki ke wehewehe ʻia ma ke ʻano he neurological a me ka rheumatological. Ma waena o nā mea ʻē aʻe, ua hōʻike nā haʻawina e hōʻike ana ka maʻi i ka ʻeha nui i hui pū ʻia me kekahi mau hōʻailona ʻē aʻe (1). I loko o ke aʻo ʻana a mākou e hoʻopili ai ma aneʻi, ua wehewehe ʻia ʻo ia he maʻi maʻi maʻi waena. I nā huaʻōlelo ʻē aʻe, manaʻoʻiʻo lākou ʻo ka fibromyalgia kahi maʻi ʻeha kahi o ka overactivity i loko o ka ʻōnaehana nūnū waena e alakaʻi i nā hewa i nā mīkini wehewehe ʻeha (i hoʻonui ʻia).

 

He aha ka Pūnaehana Nervous Central?

ʻO ka ʻōnaehana hoʻokele waena ka ʻāpana o ka ʻōnaehana nerve e pili ana i ka lolo a me ke kuamoʻo. He ʻokoʻa i ka ʻōnaehana nerve peripheral e pili ana i nā aʻalolo ma waho o kēia mau wahi - e like me nā lālā i waho i nā lima a me nā wāwae. ʻO ka ʻōnaehana hoʻokele waena ka ʻōnaehana hoʻomalu o ke kino no ka loaʻa ʻana a me ka hoʻouna ʻana i ka ʻike. Mālama ka lolo i ka hapa nui o nā hana kino - e like me ka neʻe ʻana, ka noʻonoʻo, ka hana ʻōlelo, ka ʻike a me ka noʻonoʻo. Ma waho aʻe o kēia, aia iā ia ka mana o ka ʻike, ka lohe, ka naʻau, ka ʻono a me nā ʻala. ʻO ka ʻoiaʻiʻo, hiki i kekahi ke noʻonoʻo i ka spinal cord he ʻano 'extension' o ka lolo. ʻO ka pili ʻana o ka fibromyalgia i ka oversensitization o kēia hiki ke hoʻoulu i nā ʻano hōʻailona like ʻole a me ka ʻeha - me nā hopena i ka ʻōpū a me ka ʻai ʻana.

 

Ke nānā pono nei mākou i ka Central Sensitization

ʻO ka Sensitization kahi hoʻololi mālie i ka pane ʻana o kou kino i kahi mea hoʻoulu. ʻO kahi hiʻohiʻona maikaʻi a maʻalahi hiki ke lilo i allergy. Me nā allergies, ʻo ia ka overreaction mai ka ʻōnaehana immune ma hope o nā hōʻailona āu e ʻike ai. I ka fibromyalgia a me nā maʻi ʻeha ʻē aʻe, ua manaʻo ʻia ua lilo ka ʻōnaehana o ke kikowaena i ka overactive, a ʻo ia ke kumu no nā episodes o hypersensitivity i nā ʻiʻo a me allodynia.

 

ʻO ka sensitization kikowaena i ka fibromyalgia no laila ke ʻano o ke kino a me ka lolo e hōʻike i nā hōʻailona ʻeha. Hiki i kēia ke kōkua i ka wehewehe ʻana i ke kumu a me ke ʻano o ka maʻi ʻeha e hoʻonui ai i ka ʻeha ʻiʻo.

 

- Ma kā mākou mau keʻena interdisciplinary ma Vondtklinikkene ma Oslo (Noho ʻo Lambert) a me Viken (Eidsvoll Sound og Laau maka) ko mākou mau kauka lapaʻau i ka hoʻonaʻauao kūikawā kiʻekiʻe i ka loiloi, mālama ʻana a me ka hoʻomaʻamaʻa ʻana no nā maʻi ʻeha mau loa. Kaomi ma nā loulou a i ʻole ʻaneʻi e heluhelu hou e pili ana i kā mākou mau keʻena.

 

Allodynia a me Hyperalgesia: Ke ʻeha ka paʻi

Hoʻouna ʻia nā hōʻailona ma ka ʻili i ke kikowaena o ke kino ke hoʻopā ʻia. Ke hoʻopā māmā ʻia, pono e wehewehe ka lolo i kēia me nā mea hoʻoulu ʻole i ʻeha, akā ʻaʻole kēia ka hihia. I nā mea i kapa ʻia ʻo flare-ups, ʻo ia hoʻi nā wā maikaʻi ʻole no ka poʻe maʻi fibromyalgia, ʻoiai ʻo ia mau pā māmā hiki ke ʻeha. Kapa ʻia kēia ʻo allodynia a pono ʻoe - ua manaʻo ʻoe - i ka ʻike kikowaena.

 

ʻO ke ʻano o Allodynia, ua kuhi hewa ʻia nā hōʻailona aʻalolo a hōʻike nui ʻia i ka ʻōnaehana nerve waena. Hiki i ka hopena ke hōʻike ʻia ka hoʻopā māmā ʻana he ʻeha - ʻoiai inā ʻaʻole. Loaʻa pinepine ia mau ʻāpana i nā wā ʻino me ke kaumaha nui a me nā pilikia ʻē aʻe (flare-ups). ʻO Allodynia ka mana ikaika loa o hyperalgesia - ʻo ia ka mea o nā mea hope e hoʻonui ʻia nā hōʻailona ʻeha i nā pae like ʻole.

 

- Hoʻopili ʻia ka Fibromyalgia me ka Episodic Flare-ups a me ke kala ʻana

Ma ʻaneʻi he mea koʻikoʻi ke kuhikuhi ʻana e hiki ke ʻokoʻa kēlā mau ʻāpana mai kēlā me kēia kanaka. Hele pinepine ka Fibromyalgia i nā manawa me nā hōʻailona koʻikoʻi a me ka ʻeha - i kapa ʻia he flare-up. Akā, pōmaikaʻi, aia kekahi mau manawa o ka ʻeha liʻiliʻi a me nā hōʻailona (nā manawa kala). ʻO ia mau hoʻololi episodic kekahi e wehewehe i ke kumu e ʻeha ai ka hoʻopā māmā i kekahi mau manawa.

 

ʻO ka mea pōmaikaʻi, loaʻa ke kōkua e hoʻomalu i ka ʻeha ma kahi ala maikaʻi aʻe. I loko o kahi maʻi ʻeha mau loa, aia nō ka ʻeha - ma ke ʻano o ka ʻeha ʻiʻo ʻelua a me ka ʻoʻoleʻa hui pinepine. E ʻimi i ke kōkua no ka loiloi ʻana, ka mālama ʻana a me ka hoʻoponopono ʻana i nā ʻiʻo ʻeha a me nā ami ʻoʻoleʻa. Hiki i ke kauka lapaʻau ke kōkua iā ʻoe e ʻike i nā hoʻomaʻamaʻa hoʻoponopono a me nā ana ponoʻī i kūpono iā ʻoe. Hiki ke kōkua i ka ho'ēmi ʻana i ka ʻeha a me ka ʻeha ʻelua.

 

He aha ke kumu o ka Central Sensitization i nā maʻi Fibro?

ʻAʻohe nīnau e pili ana i ka fibromyalgia he maʻi ʻeha nui a paʻakikī. ʻO ka sensitization waena ma muli o nā hoʻololi kino o ka ʻōnaehana nerve. No ka laʻana, ʻokoʻa ka unuhi ʻana o kēlā pā a me ka ʻeha / hewa i ka lolo. Akā naʻe, ʻaʻole maopopo loa ka poʻe noiʻi i ke ʻano o kēia mau loli. Ua ʻike ʻia naʻe, i ka hapanui o nā hihia, ʻike ʻia nā hoʻololi e pili ana i kahi hanana kikoʻī, ka ʻeha, ke ala o ka maʻi, ka maʻi a i ʻole ke kaumaha noʻonoʻo.

 

Ua hōʻike ʻia nā haʻawina a hiki i ka 5-10% o ka poʻe i hoʻopilikia ʻia e ka hahau ʻana ke ʻike i ka ʻike kikowaena i nā ʻāpana o ke kino ma hope o ka trauma (2). Ua ʻike ʻia kekahi maʻi kiʻekiʻe loa ma waena o ka poʻe ma hope o ka hōʻeha ʻana i ke kuamoʻo a me ka poʻe me ka maʻi sclerosis (MS). Akā ua ʻike ʻia hoʻi ke kū nei ka sensitization kikowaena i ka poʻe me ka ʻole o ka ʻeha a i ʻole ka trauma - a eia ke kuhi ʻia, ma waena o nā mea ʻē aʻe, inā paha aia kekahi mau kumu genetic a epigenetic i ka pāʻani. Ua hōʻike pū ʻia ka noiʻi ʻana i ka maikaʻi ʻole o ka hiamoe a me ka nele o ka hiamoe - ʻelua mau mea e hoʻopilikia pinepine ai i nā maʻi fibromyalgia - pili i ka sensitization.

 

Hoʻopili ʻia nā kūlana a me nā hōʻailona i ka Central Sensitization

No ka nui o ka noiʻi ʻana ma ke kahua, ua ʻike ʻia kahi pilina pili me nā maʻi he nui. Ma waena o nā mea ʻē aʻe, ua manaʻo ʻia ʻo ka sensitization e wehewehe i ka ʻeha e pili ana i ka nui o nā diagnoses musculoskeletal maʻi. Ma waena o nā mea ʻē aʻe, pili kēia i nā mīkini i ʻike ʻia e, no ka laʻana:

• Fibromyalgia

• ʻO ka maʻi ʻeha o ka ʻōpū (IBS)

• ʻO ka maʻi luhi mau loa (CFS)

• ʻO ka Migraine a me ka maʻi poʻo mau

• ʻO ka hoʻopaʻapaʻa auwae maʻamau

• ʻO ka lumbago maʻi

• ʻEha nā ʻāʻī ʻāʻī

• ʻO ka maʻi maʻi pelvic

• ʻāʻī ʻāʻī

• ʻEha ma hope o ka ʻeha

• ʻEha ʻeha (ma hope o ka ʻoki ʻana no ka laʻana)

• Hoʻokomo ʻia ka reumika

• arthritis

• endometriosis

 

E like me kā mākou e ʻike ai mai ka papa inoa ma luna nei, he mea nui ka noiʻi hou ʻana i kēia kumuhana. Hiki paha i kekahi ke hoʻohana i ka ʻike i hoʻonui ʻia e hoʻomohala i nā ʻano loiloi hou a me nā ʻano lapaʻau hou? Lana ko mākou manaʻo ma ka liʻiliʻi loa, akā i kēia manawa ʻo ia ka mea nui o ka nānā ʻana i nā hana pale a me nā hōʻailona hoʻomaha e pili ana.

 

Nā Lapaʻau a me nā ana ponoʻī no ka ʻike ʻana i ka ʻeha

(Kiʻi: Hoʻomaʻamaʻa ʻana i ka ʻiʻo ʻana o ka ʻiʻo a me ka ʻoʻoleʻa hui ma waena o nā ʻūhā poʻohiwi)

ʻO nā manawa maikaʻi a ʻoi aku ka hōʻailona ma waena o nā maʻi fibromyalgia i kapa ʻia he flare-up. ʻO kēia ke kumu pinepine o kā mākou i kapa ai triggers - ʻo ia hoʻi, nā kumu hoʻāla. Ma ka 'atikala i pili i ʻaneʻi ke kamaʻilio nei mākou e pili ana i ʻehiku mau mea maʻamau (wehe ʻia ka loulou ma ka pukaaniani heluhelu hou i hiki iā ʻoe ke hoʻopau i ka heluhelu ʻana i ka ʻatikala ma aneʻi). Ua ʻike mākou ʻo ia ka hopena o ke koʻikoʻi (ke kino, ka noʻonoʻo a me ke kemika) hiki ke alakaʻi i kēlā mau wā ʻino. Ua ʻike ʻia hoʻi e hiki i nā hana hoʻohaʻahaʻa koʻikoʻi ke loaʻa ka hopena pale, akā ʻoluʻolu hoʻi.

 

- Loaʻa i ka mālama kino ka hopena i kākau ʻia

ʻO nā ʻano hana lapaʻau e hiki ke kōkua i nā ʻenehana hoʻōla kino e like me ka hana ʻiʻo, ka hui hui maʻamau, laser therapy, traction a me ka acupuncture intramuscular. ʻO ke kumu o ka hoʻomaʻamaʻa ʻana ʻo ia ka desensitize i nā hōʻailona ʻeha, hoʻemi i ka ʻāʻī o ka ʻiʻo, hoʻoulu i ka hoʻomaikaʻi ʻana i ke kahe a hoʻomaikaʻi i ka neʻe. Special laser therapy - hana ʻia ma nā keʻena āpau ʻO nā keʻena ʻeha - ua hōʻike i nā hopena maikaʻi loa no nā poʻe maʻi fibromyalgia. Hana ʻia ka mālama ʻana e kahi chiropractor hou a / a i ʻole physiotherapist.

 

Ua hoʻoholo ʻia kahi haʻawina loiloi ʻōnaehana e pili ana i 9 mau haʻawina a me 325 mau maʻi fibromyalgia ʻo ka laser therapy he mālama palekana a maikaʻi hoʻi no ka fibromyalgia (3). Ma waena o nā mea ʻē aʻe, ua ʻike ʻia, i ka hoʻohālikelike ʻana me ka poʻe i hana hoʻomaʻamaʻa wale nō, i ka hui ʻana me ka laser therapy, ʻike ʻia kahi hōʻemi nui o ka ʻeha, hoʻemi i nā wahi hoʻomaka a me ka liʻiliʻi o ka luhi. Ma ka hierarchy noiʻi, ʻo ia ʻano haʻawina hoʻonaʻauao ʻōnaehana ʻo ia ke ʻano ikaika loa o ka noiʻi - e hōʻike ana i ke koʻikoʻi o kēia mau hopena. Wahi a ka Radiation Protection Regulations, hiki i ke kauka, physiotherapist a me chiropractor wale nō ke hoʻohana i kēia ʻano laser (papa 3B).

 

- Nā Ana Pono Pono ʻē aʻe

Ma waho aʻe o ka hoʻomaʻamaʻa kino, he mea nui ia e ʻimi i nā ana ponoʻī maikaʻi e hana hoʻomaha iā ʻoe. Eia nā makemake a me nā hopena, no laila pono ʻoe e hoʻāʻo a ʻimi i nā ana kūpono no ʻoe iho. Eia ka papa inoa o nā ana a mākou e paipai nei e hoʻāʻo:

1. ʻO ka manawa kūʻokoʻa i kēlā me kēia lā moena acupressure (moena wahi lomilomi me ka uluna ʻāʻī) a i ʻole ka hoʻohana ʻana kāhea wahi kala (E heluhelu hou e pili ana iā lākou ma ka loulou ma aneʻi - wehe ʻia ma ka pukaaniani hou)

(Kiʻi: Moena Acupressure me ka uluna ʻāʻī ponoʻī)

E pili ana i kēia ʻōlelo aʻoaʻo, ua loaʻa iā mākou kekahi mau nīnau mai nā poʻe hoihoi e pili ana i ka lōʻihi o ko lākou noho ʻana ma ka moena acupressure. He kumuhana kēia, akā me ka moena a mākou i hoʻopili ai i luna, ʻōlelo pinepine mākou ma waena o 15 a 40 mau minuke. E ʻoluʻolu e hui pū me ka hoʻomaʻamaʻa ʻana i ka hanu hohonu a me ka ʻike i ke ʻano hana hanu kūpono.

2. Hoʻomaʻamaʻa i loko o kahi wai wela

E kelepona i kāu hui rheumatology kūloko e nīnau inā he mau papa hui maʻamau kokoke iā ʻoe.

3. ʻO ka yoga a me ka hoʻoikaika kino (e nānā i ke wikiō ma lalo)

Ma ka wikiō ma lalo e hōʻike ana chiropractor Alexander Andorff ʻo Ved ʻO Lambertseter Chiropractor Center a me Physiotherapy ua hoʻomohala i nā hana hoʻoikaika kino no ka poʻe rheumatologists. E hoʻomanaʻo e hoʻololi i nā hoʻomaʻamaʻa i kāu mōʻaukala olakino a me ke ʻano o kēlā me kēia lā. Loaʻa i kā mākou kahawai Youtube nā papahana aʻo ʻoi aku ka maikaʻi ma mua o kēia inā ʻike ʻoe he paʻakikī loa kēia.

4. E hele wāwae i kēlā me kēia lā

E hoʻolilo i ka manawa ma nā leʻaleʻa āu e hoʻomaha ai

E kahakiʻi i nā hopena maikaʻi ʻole - a hoʻāʻo e hoʻopau iā lākou

 

Nā hoʻomaʻamaʻa hiki ke kōkua me ka Desensitization a me ka hoʻomaha

Ma ka wikiō ma lalo nei hiki iā ʻoe ke ʻike i kahi papahana neʻe ʻana nona ka manaʻo nui e hoʻoulu i ka neʻe ʻana a me ka hoʻomaha ʻana i ka ʻiʻo. Hoʻomākaukau ʻia ka papahana e chiropractor Alexander Andorff (e ʻoluʻolu e hahai i kāna ʻaoʻao Facebook) na ʻO Lambertseter Chiropractor Center a me Physiotherapy ma Oslo. Hiki ke hana i kēlā me kēia lā.

 

VIDEO: 5 Hoʻomaʻamaʻa hoʻoikaika kino no ka poʻe Rheumatism

E hui pū me ko kā mākou ʻohana! E kau inoa no ka manuahi i kā mākou YouTube channel ma aneʻi (Wehe ka loulou ma ka puka makani hou)

«E hui pū me kā mākou hui o nā hoaaloha ma ka hahai ʻana iā mākou ma ka ʻoihana pūnaewele a kau inoa i kā mākou YouTube channel! A laila loaʻa iā ʻoe ke kiʻi i nā wikiō wikiō, nā pou i kēlā me kēia lā ma Facebook, nā papahana hoʻoikaika kino a me ka ʻike manuahi mai nā ʻoihana olakino ʻae ʻia. Ua ikaika pū kākou!"

 

E hui pū me kā mākou Pūʻulu Kākoʻo Rheumatologist & Fibromyalgia - a e hahai ikaika mai iā mākou ma ka Media Social

E ʻoluʻolu e komo i ka hui Facebook «ʻO ka Rheumatism a me Chast Pain - Norway: Ke noiʻi a me ka lono» (kaomi ma aneʻi) no nā hoʻomohala hou i ka noiʻi a me ka pāpā ʻana e pili ana i ka maʻi rheumatic a me nā maʻi. Maʻaneʻi, hiki i nā lālā ke loaʻa ke kōkua a me ke kākoʻo - i nā hola āpau o ka lā - ma o ka hoʻololi ʻana i kā lākou mau ʻike a me nā ʻōlelo aʻo. A i ʻole, mahalo nui mākou inā makemake ʻoe e hahai iā mākou Facebookʻaoʻao og ʻO kā mākou Youtube channel - a hoʻomanaʻo e mahalo mākou i nā manaʻo, kaʻana like a me nā makemake.

 

E ʻoluʻolu e kaʻana like i ke kākoʻo i ka poʻe me ka rumatika a me ka ʻeha mau

Ke noi aku nei mākou iā ʻoe e kaʻana i kēia ʻatikala ma ka pūnaewele media a i ʻole ma o kāu blog (e hoʻopili pololei i ka ʻatikala). Kūkulu pū mākou i nā pilina me nā pūnaewele pili (e kāhea iā mākou ma Facebook inā makemake ʻoe e hoʻololi i kahi pilina me kāu pūnaewele). ʻO ka hoʻomaopopo ʻana, ka ʻike ākea a me ka hoʻonui ʻana i ka nānā ʻana nā pae mua i ke ola maʻamau o kēlā me kēia lā no ka poʻe me nā diagnose ʻeha mau.

 

Me ka makemake no ke ola kino ia oe a me kou.

ʻO nā keʻena ʻeha - Interdisciplinary Health

Kaomi ma aneʻi e ʻike he hiʻohiʻona o kā mākou mau keʻena. E hoʻomanaʻo i ka hauʻoli o kā mākou mau keʻena interdisciplinary hou e kōkua iā ʻoe i kou mau maʻi i loko o nā ʻiʻo, nā ʻāʻī, nā aʻalolo a me nā hono.

Nā Kumuwaiwai a me ka noiʻi:

1. Boomershine et al, 2015. Fibromyalgia: ka prototypical central sensitivity syndrome. Curr Rheumatol Rev. 2015; 11 (2): 131-45.

2. Finnerup et al, 2009. ʻO ka ʻeha ma hope o ka hahau ʻana: nā ʻano maʻi, pathophysiology, a me ka hoʻokele. Lancet Neurol. 2009 Sep; 8 (9): 857-68.