'Umndeni' wezifo ezihlobene
I-Fibromyalgia (i-FMS) ne- syndrome yokukhathala okungapheli ( ME / CFS ) yizifo ezinzima ukuhlukanisa. Bobabili banezinhlobo eziningi zezibonakaliso zomzimba ezihlanganisa izinhlelo eziningi, futhi zihlobene nezimpawu eziningi ezingokwengqondo. Ngaphezu kwalokho, bavame ukuhambisana nokubulawa kwezinye izifo - eziningi zazo ezilukhuni ukuzihlukanisa.
Njengoba ososayensi bethola isibambo esengeziwe kwi-FMS, i-ME / CFS nezinye izifo ezihlobene, igama lesambulela elisetshenziselwa ukuwachaza liyi-syndromes yokuzwela okuphakathi, noma i-CSS.
Abanye abacwaningi bathi leli gama kufanele lithathele amanye amagama, njenge- syndrome esebenza kahle, i-syndrome engaqondakali ngemithi, kanye nezifo ze-somatoform, ngoba bakholelwa ukuthi i-CSS inembile kakhulu.
Iyini i-Central Sensibility Syndrome?
Ukugula okuchazwe njenge-CSS kuhilela into ebizwa ngokuthi ukuzwela okuphakathi . "Central" kusho isimiso sezinzwa zomphakathi, esakhiwa ubuchopho bakho nomgogodla. "Ukukwazisa" yimbangela yokuphela kokuthile okwenze ukuthi uzwele.
U-Allerggies uhlobo oluthile lokuzwela abantu ngokuvamile abajwayele kakhulu. E-allergies, umzimba wakho unempendulo engalungile ngokomzimba kokuthile okungabakhathazi abanye abantu nhlobo. Eqinisweni, Nakuba ukuzwela kwe-CSS akuyona into ehambisana nayo yonke into, kuhilela ukuphendula okungafanele ngokomzimba.
Ku-CSS, siba nobucayi ezintweni ezicubungulwa yisistimu yezinzwa eziphakathi, ezingabandakanya ukukhanya okukhanyayo, umsindo omnandi , ubuhlungu obunamandla, ukubunjwa okukhulu, nokucindezela emzimbeni.
Kungase kuhlanganise nokudla okuthile noma amakhemikhali. Ikakhulukazi ku-FMS, umzimba uzwela kunoma yini engathandeki, okungukuthi, kubanda, ukushisa, ukuphazamisa noma ukuchithwa.
Ngaphandle kwe-FMS ne-ME / CFS, lezi zimo ezilandelayo zihlongozwa ukuba zibe yingxenye yomndeni we-CSS:
- ubuhlungu obukhulu obungapheli , okubandakanya i- vulvodynia
- ikhanda kanye ne-migraine
- ubuhlungu obuphansi be-idiopathic
- i-cystitis yangaphakathi (isisu esibuhlungu)
- isifo sofuba esiswini
- ukuzwela okuningi kwamakhemikhali
- i-syndrome ye-myofascial syndrome
- i-dysmenorrhea eyinhloko (isikhathi esibuhlungu)
- ukuphumula kwemilenze syndrome
- Isifo esihlangene se-temporomandibular (TMJ)
Izifo zengqondo zivamile eCSS. Ukucwaninga kusikisela lokho ngoba konke kuhilela ukuhlukunyezwa kwezingxoxo ezifanayo ze- neurotransmitter , kanye nokuhlukunyezwa kwe-CSS ezindaweni ezihlukahlukene zobuchopho kunokuba kuphazamiseke kwengqondo.
Izimo zengqondo ezivame ukuhlangana ne-CSS zihlanganisa:
- ukucindezeleka okukhulu
- ukuphazamiseka okucindezelayo-okucindezelayo
- ukucindezeleka kwe-bipolar
- isifo sokucindezeleka esilandelayo ngemva kokudabuka
- ukukhathazeka okwenziwe jikelele
- ukuhlaselwa kwe-panic
Izici ze-CSS
Ama-Neurotransmitters ahileleke okungenani amanye ama-CSS afaka:
Ubuhlungu be-CSS buvela ezinhlobonhlobo ezahlukene zobuhlungu obungavamile: hyperalgesia ne-allodynia.
I-Hyperalgesia ithatha ubuhlungu obuvamile ezintweni umuntu wonke azibheka ubuhlungu (isilwane esiphukile, izinyo ezithintekile, njll) futhi kwenza kube kubi nakakhulu. Ngokuvame ukubizwa ngokuthi "ukuguqula ivolumu" yobuhlungu. Lokhu kwenza izinto ezinjengokulimala, ukuhlinzwa, kanye nemithombo engapheli yobuhlungu ikakhulukazi eyonakalisa.
I-Allodynia yenza uzizwe ubuhlungu ezintweni ezingakulimazi, njengokugqabhuka kwendwangu ngokumelene nesikhumba sakho, noma ingalo yakho ihlezi eceleni kwakho lapho ulele.
I-Allodynia ingenza izingubo zakho zibuhlungu ngisho noma zingenamandla kakhulu, noma zenze ukuthi ungahlali ujabule. Iphendulela zonke izinhlobo zokuhlangenwe nakho okuvamile ezibuhlungu, okuvame ukusho ukwenza izinguquko ezinkulu empilweni yakho ukuze unciphise.
Ezinye izindlela ezihlongozwayo zeCSS zihlanganisa:
- ukuvuvukala noma kuvela ohlelweni lwezinzwa
- isimiso sezinzwa ezizenzekelayo ezingasebenzi
- ukungasebenzi komshini we- HPA , okuyingxenye yesimiso sokucindezeleka komzimba
Ukuphatha ama-syndromes okuzwela ukuzwela
Izimpawu ezihlukile zomuntu ngamunye kanye nezinqubo zeCSS ngayinye zidinga indlela yokwelapha eyenziwe ngokwezifiso, kodwa ngokuvamile, i-CSS iningi livame ukusabela kwezinye izinhlobo zokwelashwa ezifanayo, ikakhulukazi izidakamizwa zokuhlukunyezwa (okusiza ukulungisa ukuhlukunyezwa kwe-neurotransmitter), ukuvivinya umzimba kanye nokwelashwa kwengqondo yokuzicabangela ( CBT).
Kodwa-ke, kufanele kuqashelwe ukuthi abantu abane-ME / CFS banesicuko esikhethekile uma kuziwa ekuzivocavoca, kanti i- CBT iyindlela yokwelapha ephikisana kakhulu yalesi sifo, ikakhulukazi uma ihlanganiswe nokuvivinya umzimba.
Nakuba lezi zimo zikholakala ukuthi zihlobene, kubalulekile ukuthola ukuthi ngamunye uthola ukuthi uphathwa kanjani futhi uphathwa kahle. Qiniseka ukuthi ukhuluma nodokotela wakho nganoma yiziphi izimpawu ezingabonakali zihlobene nezifo zakho zamanje.
Izwi kusuka
Ukuhlukaniswa kwe-CSS yizindaba ezinhle kithi sonke nalezi zimo. Kubonisa ushintsho oluhle ukuthi lezi zifo ziqondwa kanjani futhi zibhekwa umphakathi wezokwelapha. Yilokho esikudingayo uma kuziwa ekutholeni ucwaningo, okuholela ekuhloleni okungcono kanye nokwelapha.
> Imithombo:
I-Chong YY, Ng BY. Ama-Annal of the academy of medicine, eSingapore. 2009 Nov; 38 (11): 967-73. Izici kanye nokuphathwa kwe-fibromyalgia syndrome.
UMeya TG, et al. Ukusebenzisa ubuhlungu. 2012 Apr; 12 (4): 276-85. Ukuthuthukiswa nokuqinisekiswa kwengqondo kwe-inventory central sensitization.
Smith HS, uBarkin RL. I-American journal of therapeutics. 2010 Jul-Aug; 17 (4): 418-39. I-Fibromyalgia syndrome: ingxoxo ye-syndrome ne-pharmacotherapy.
Smith HS, Harris R, Clauw D. Udokotela wezinhlungu. 2011 Mar-Apr; 14 (2): E217-45. I-Fibromyalgia: i-afferent processing disorder eholele ku-syndrome eyinkimbinkimbi yobuhlungu obukhulu.
I-Yunus MB. Ama-Seminar e-arthritis ne-rheumatism. 2008 Jun; 37 (6): 339-52. Isifo senhliziyo yokuzwela: i-paradigm entsha neqembu lezinsizakalo ze-fibromyalgia nemibandela edibeneyo, kanye nezindaba ezihlobene nesifo ngokuhambisana nokugula.