Izinkinga nge-Balance & Fainting
Kubantu abanesifo esingapheliyo sokukhathala ( ME / CFS ), isizungu siyisimpawu okufanele sibhekane nazo nsuku zonke. Kwezinye izimo, "ukugijima ikhanda" ngezikhathi ezithile noma izikhathi ezimbalwa zokugxila lapho uqala ukuhamba. Kwezinye izimo, ukulinganisela kubi kakhulu futhi ukudikibala kuyingozi enkulu.
Ngakho-ke yini engemva kwesiyezi kanye nezinkinga ezihlobene? Lezi zimpawu zingase zihlotshaniswe nenani lezingxenye ezaziwayo ze-ME / CFS.
Lokhu kufaka phakathi izinguquko endleleni ohamba ngayo, ukungavamile kwenhliziyo nokulawulwa kwengcindezi yegazi, nokusebenza kwesistimu yokungasebenzi.
Izinkinga Ngezizungu
Isizungu esincane manje futhi mhlawumbe akuyona inkinga enkulu. Kuyinto abantu abaningi ababhekana nakho ngezikhathi ezithile, kungakhathaliseki ukuthi ukugula, ukulimala kwekhanda, indlala noma ukuphelelwa amandla kwamanzi, noma ukuma ngokushesha kakhulu.
Kodwa-ke, uma udozzinzima luvame futhi lukhulu, lungaba nomthelela omkhulu empilweni yakho. Yilokho okwenzeka kubantu abaningi abanalesi sifo. Esikhathini sokucwaninga kwe-syncope (i-term yezokwelapha yokuphelelwa amandla), abacwaningi bathola ukuthi abesifazane ababethelwe esibhedlela ngenxa ye-syncope cishe babe ne-ME / CFS.
Izinkinga zokungcola nezokulinganisela zingenza kube yingozi ukusebenza. Ngisho nalabo abahle ngokwanele ukuhamba azungeze isitolo bangase bazizwe bephephile ngenxa yengozi yokuwa noma yokudlula. Labo abawela noma abadlulele engozini engozini, okuqhubekayo kwehla izinga labo lokuphila.
Ngakho-ke lesi sibonakaliso singase sibe nomkhawulo omkhulu futhi senze ukwesaba okukhulu nokukhathazeka uma kuziwa ezintweni ezinjengezinto ezilula njengokuhamba ngezitebhisi. Ngenxa yalomthelela, kubalulekile ngathi ukuthi siqonde izimbangela zezosizi futhi sibheke izindlela zokunciphisa noma ukunqoba lesi sibonakaliso.
Ukuhamba: Ukwabiwa okungavamile kuM ME / CFS
Sekuyiminyaka engaphezu kwengu-20, abacwaningi bebelokhu befunda iphethini yokuhamba, noma i-gait, yabantu abane ME / CFS.
Baye bathola okungavamile okungajwayelekile. Ngokwesifundo esanyatheliswe kuyi- Journal of Neuroengineering nokuvuselelwa, ukungafani phakathi kwabantu abane-ME / CFS nabantu abaphilile kufaka:
- Isisindo sokuhamba kancane (velocity)
- Izinyathelo ezincane
- Isikhathi esiningi esichithwa enyaweni phakathi nezinyathelo
- Izinyathelo ezimbalwa ngomzuzu (i-cadence)
- Ukunyakaza okuncane kakhulu ezinqulwini, amadolo, nezinyawo
Ucwaningo lwangaphambili lwaluqaphele ukuthi ukungahambi kahle kwaqala ngokushesha, futhi ngaleyo ndlela kwakungewona umphumela walabo abane-ME / CFS abakhulelwe ngokushesha.
Kodwa lezi zimpikiswano zithinta kanjani ukulinganisela? Ngokuqinisekile, kungenzeka indlela ohamba ngayo ukuyilahla. Kodwa-ke, akucaci ukuthi ngabe izimpikiswano zezinkinga zinikeza isandla ekuxazululeni izinkinga. Eqinisweni, abanye abacwaningi baye bacabanga ukuthi ukungajwayelekile kungabangelwa ukulinganisela okungalungile, mhlawumbe ngenxa yokungalungi ngendlela ubuchopho bulawula ngayo imisipha, noma ezinye izinto ezingavamile.
Futhi, isifundo se-2016 ku- Clinical Biomechanics sichaza ukuthi izinkinga ze-gait zingase ziboshwe ngokuqondile ekuhlulekeni ukugcina ibhalansi uma kuqala uqala ukuhamba. Noma kunjalo, asazi ukuthi ubudlelwane obangela imbangela kanye nomphumela buphakathi kwe-gait nokulinganisela. Kuzothatha ucwaningo oluningi ukuze wazi ngokuqinisekile ukuthi lithinta kanjani omunye nomunye.
Inhliziyo Nokucindezelwa Kwegazi-Okungajwayelekile
Izinhliziyo eziningi (ezingezona ezibulalayo) zihlobene noM ME / CFS , futhi ezinye zazo zingaba nesibopho sokuzondeka esimweni.
Ucwaningo olulodwa lwathola ikamelo elincane lezinhliziyo (i-ventricle kwesokunxele) kubantu abane ME / CFS. Abacwaningi bathi ukwehluleka nokuhlukumezeka ngokwemvelo kwakuyizimpawu ezivamile ezingahle zihlobene negumbi elincane.
Ukubekezelelana kwama-Orthostatic (I-O) igama lokuthola udilikazi uma usukuma. Kubangelwa ukungaziphathi kwegazi. Ngezinye izikhathi i-OI ibizwa ngokuthi i-hypotension (i-NMH) engahambisani ne-neutrally. Kwezinye izimo, itholakala njengesimo sokuqhaqha okuthiwa i-postural orthostatic tachycardia syndrome (POTS).
Okufanele kwenzeke uma usukuma ukuthi i-blood pressure yakho iyanda ukwenzela ukulwa nokuvuthwa komzimba futhi ugcine igazi elanele ne-oksijini ebuchosheni bakho. Ku-OI noma i-POTS, ukucindezeleka kwegazi kuwela esikhundleni sokukhuphuka, okushiya ubuchopho bakho okwesikhashana kulambile oksijini.
Iningi labantu lithola lokhu ngezikhathi ezithile-kungumzwelo wokuphuthuma ikhanda ohlotshaniswa nokuma ngokushesha kakhulu. Ku-ME / CFS, kuvame kakhulu futhi kungabandakanyi ukuhamba ngokushesha kunokuba kuvamile.
Le nkinga ivame ngokwanele ku-ME / CFS ukuthi okungenani isifundo esisodwa sidlulisele ukusetshenziswa kwayo njengesilingo sokuhlola. Ithimba lokucwaninga lafunda ingxube ye-pulse yenhliziyo lapho ishintsha isimo futhi ithi bathole ukungezwani okungaxilonga lesi sifo ngamaphesenti angu-82 ngokunemba.
Isizathu salokhu okungajwayelekile nge-heart and blood pressure ngokuvamile kubhekwa ukuthi singasebenzi kahle ohlelweni lwezinzwa ezizimele, okuthiwa i- dysautonomia .
Ukwelapha Isimo Sezinsizi & I-Balance Problems
Kungenzeka ukuthi imithi yakho yokwelapha ye-ME / CFS izosiza ekunciphiseni izinkinga zezinkinga nokulinganisela. Uma kungenjalo, ungase ufune ukukhuluma nodokotela wakho mayelana nokwelashwa okugxile kuloluphawu oluthile.
Esinye isifundo esincane sibheke ukuthi kungenzeka yini ukuqeqeshwa kwe-home orthostatic eMe / CFS futhi kwaphakanyiswa ukuthi ibekezeleleke kahle futhi ingasebenza. Ukuqeqesha kwakuhlanganisa nokusetshenziswa okuvamile kwetafula elithambileyo futhi kubonakala ukunciphisa inani lokucindezeleka kwegazi ngokuma kwesimo sokushintsha.
Esinye isifundo sibheke * ukuqeqeshwa kokuvivinya umzimba okuhloswe ekuthuthukiseni amandla nokulinganisela ngaphandle kokuthuthukisa izimpawu ezengeziwe. Amaphesenti angu-61 kuphela abahlanganyeli bakwazi ukuqedela isifundo. Kodwa-ke, labo abayiphelelisile bahlakulela ibhalansi namandla.
* Ngaphambi kokuba uqale uhlobo oluthile lokuzivocavoca, qinisekisa ukuthi uhlola nodokotela wakho nokuthi uqonda uphawu oluphawulekayo lwe ME / CFS olubizwa ngokuthi i -malaise post-exertional . Lesi sibonakaliso singabangela ukukhuphuka okubukhali nakwezinye izikhathi ezimpawu ezilandela ukuzivocavoca okuncane noma okulinganiselayo. Noma yiluphi uhlelo lokuzivocavoca ozibandakanyayo kufanele luhambisane nokubekezelelana kwakho ngabanye ngokuzikhandla.
Izwi elivela
Kuze kube yilapho uthola imithi yokwelapha ekunciphiseni izinkinga zakho zokuzondla nokulinganisela, ungase uthande ukucabangela ukusebenzisa ezinye izinto zokuhamba nokukhubazeka.
Izinto ezinjengebha eshaweni kanye nezandla eziqinile ezitebhisini zingakusiza ezimweni ezingase zenze ukuba ukhubeke noma uwe.
Abantu abaningi abane-ME / CFS noma ezinye izimo ezibangelwa isizungu zisebenzisa umoba. Kuyinto engathembela kuyo ngalezo zikhathi lapho umhlaba uqala ukuqala. Ezimweni ezimbi kakhulu, uhambahamba angase afaneleke.
Ungase futhi uthande ukucabangela ukusebenzisa isihlalo sabakhubazekile emphakathini. Izitolo eziningi zinikela ngezikolo ezihamba ngezimoto ukuze ungathenga ngenkathi uhlezi.
Kungase kujabulise ukusebenzisa lezi zinsiza-sihlelwe ngumphakathi ukubona labo kuphela abantu abangakwazi ukuhamba-kodwa bayatholakala kunoma ngubani ongazuza kuzo, futhi lokhu kufaka phakathi labo abanokukhubazeka. Bangabani abangenamandla okuhamba kahle, futhi i-ME / CFS ingakufaka kulesi sigaba!
> Imithombo:
> Allen J, Murray A, Di Maria C, Newton JL. Ukuphelelwa yisikhathi kwesifo se-syndrome nokukhubazeka kwamapulse we-pulsal on-orthostasis-i-biomarker entsha yokuhlola. Isilinganiso semvelo. 2012 Feb; 33 (2): 231-41. i-doi: 10.1088 / 0967-3334 / 33/2/231.
> Miwa K, Fujita M. Ukungasebenzi komzimba nge-cardiac okukhipha ngenxa yenhliziyo encane ezigulini ezine-syndrome ezingapheli. Imithi yangaphakathi. 2009; 48 (21): 1849-54.
> Paul L, Rafferty D, Wood L, Maclaren W. Yiba nezimpawu zezihloko ezinomzimba ongapheliyo wokukhathala kanye nokulawulwa kwezivinini ezizikhethela nezihambelana nazo. I-Journal of neuroengineering nokuvuselelwa. 2008 Meyi 27; 5: 16. i-doi: 10.1186 / 1743-0003-5-16.
> Rasouli O, Stendsdotter AK, Van der Meer AL. I-TauG-isiqondiso sokulawula ukulinganisela kwesibalo ngesikhathi sokuqala kokuqala kweziguli ezine-syndrome yokukhathala okungapheli kanye ne-fibromyalgia. I-Biologicalchanical Clinic. 2016 Aug; 37: 147-52. doi: 10.1016 / j.clinbiomech.2016.07.008.
> Ulas UH, Chelimsky TC, uKhelimsky G, et al. Izimo zezempilo ezivimbela abesifazane abano-syncope. Ucwaningo lokuzimela emtholampilo. 2010 Aug; 20 (4): 223-7. i-doi: 10.1007 / s10286-010-0070-x.