Ingxenye 1: Izinto Eziyisisekelo Nezizathu Zokungakholwa
I-post-exertional malaise (i-PEM) yingxenye ebalulekile yengane engapheliyo yokukhathala ( ME / CFS ) engakwazi ukuyiqonda ngempela lesi sifo ngaphandle kokuqonda uphawu. Uqondise inani elikhulu locwaningo lwe-ME / CFS, luchazwa ukuthi luyisihluthulelo sokuhlolwa kokuhloswa kwenjongo, futhi lize lilandele negama elisha eliphakanyisiwe lesimo - isifo sokungaboni ngaso sonke isikhathi sokusebenza .
Noma kunjalo, amanye amalungu omphakathi wezokwelapha abakholelwa ukuthi i-PEM ikhona. Esikhundleni salokho, basola impendulo engalungile yokuzivocavoca ekuhambeni kwemithetho; basolwa ukugwema ukuzivocavoca esimweni sengqondo esibizwa ngokuthi i-kinesiophobia. Ngokweqile, bacabanga ukuthi isixuku sonke sabantu asuke singenaso futhi singenangqondo. (Isaziso se-Spoiler: ucwaningo lubonisa okunye!)
Phakathi naleso sikhathi, ubufakazi obuningi obuqhubekayo obuqhubekayo bubonisa ukuhlukana okungafani kokuphila okungezansi kwe-PEM. Lesi sibonakaliso sinciphisa kakhulu amazinga omsebenzi wabantu abane-ME / CFS futhi ehlisa ikhwalithi yokuphila kakhulu. Ezimweni ezimbi, lichaza izimpilo zabo ngokuphelele.
Ukuqonda i-Post-Exertional Malaise
I-PEM ibangela ukukhathala okukhulu kanye nokukhuphuka kwezinye izimpawu ezigcina okungenani amahora angu-24 ngemva kokusebenza ngokomzimba. Lokhu kungase kungabonakali okungavamile kulabo abangajwayele - emva kwakho konke, sonke sidinga isikhathi sokuphumula ngemuva kokuzivocavoca kanzima.
Uma kuziwa kwi-PEM, noma kunjalo, okuncane okujwayelekile kuvamile noma okujwayele abantu abangenawo ME / CFS. Akukhona nje ngemisipha egxilile noma idinga ukuphumula okuncane.
I-PEM ingahle isuke kumpawu ezinamandla kakhulu kunezivamile ezikhubaza ngokuphelele. Esimweni esinomusa, lo muntu angase abe nokukhathala okwedlulele, ukukhathazeka, nokusebenza okungaqondakali.
Esimweni esinzima, i-PEM ingaletha izimpawu ezinjengezikhukhula ezinjengokukhathala okukhulu, ubuhlungu, nobuchopho obuqinile ngokwanele kangangokuba kunzima ngisho nokwenza umusho noma ukulandela isakhiwo se-sitcom.
Akusilokho okushiwo sonke esilandelayo ngemva kokuhamba noma ukuya ejimini. Okunye okungavamile ukuthi inani lokuzikhandla lingathatha ukubeka abantu kulesi simo.
Njengomsebenzi oqinile, ukuzama ukudingeka kudinga ukuqala imibono ye-PEM icala-by-case. Kwabanye, kungase kukhishwe ngemuva kokuzivocavoca okuncane phezu kwemisebenzi ejwayelekile yosuku. Kwabanye, kuyamangalisa njengoba kungase kubonakale, kungase kuthathe uhambo oluya ebhokisini lemeyili, eshaweni, noma lihlezi liqonde ihora.
Inkolelo yokuthi ayiyena ngempela
Uma i-PEM ivimbela kakhulu, abanye odokotela bangakholelwa kanjani ukuthi akakho ngisho nakhona?
Ingxenye yenkinga yinkinga yokugcina ukuthi uMe / CFS uqobo uqobo. Ukwengeza kulokho ukuthi amazinga omsebenzi amahle kakhulu ashintshe ngemva kokuqala kwesifo kuhambisana nokuthi kuthatha isikhathi esingakanani ukuxilongwa.
I-criteria yokuhlola okwamanje ifuna ukuthi izimpawu zibe njalo okungenani izinyanga eziyisithupha. Isikhathi esiningi sokuthi umuntu abe nomuntu ongenakho. Kodwa-ke, isimo salesi simo, ukuhlolwa kwesifo ngokuvamile kuthatha isikhathi eside.
Uma umuntu engakwazi ukubekezelela ukuzimisela okukhulu iminyaka emibili noma emithathu, akulona isimanga ukuthi bebengaboshwa.
Ucwaningo lusekela i-PEM ukuba ibe ngaphezu kokumane nje kwehluleka. (Bazelmans) Ucwaningo olunyatheliswa ku-Psychological Medicine lwabonisa ukuthi kwakungenalo umehluko omkhulu ekuziphatheni komzimba phakathi kwalabo abane-ME / CFS nabantu abanempilo, abahlonishwayo eqenjini lokulawula.
Esinye isifundo (VanNess) sihilelekile ukuzivocavoca ngezinsuku ezimbili ezilandelanayo. Abacwaningi bathole ukuthi abantu abane-ME / CFS abakwazi ukuphinda benze umsebenzi wabo ngosuku lwesibili, ngokungafani neqembu lokulawula.
Bathola nokuthi ukusetshenziswa kwe-oksijeni kwehla kweziguli ze-ME / CFS, kodwa hhayi ukulawula, ngosuku lwesibili.
Abacwaningi baphetha ngokuthi kwakungeyona inhlawulo kodwa ukukhubazeka okungaphezu kwamandla kagesi okubangela ukunciphisa amandla okuzivocavoca. Ucwaningo lwamuva luphinde lubonise ukuthi umehluko wokusetshenziswa kwe-oksijeni nokusetshenziswa komzimba kuhlobene ne-PEM. (Miller)
Abanye odokotela bathi futhi ukwesaba ukuzikhandla okuboniswa abantu abaningi abane-ME / CFS empeleni kuyesaba okungenangqondo kokuzivocavoca okuthiwa i-kinesiophobia. Ucwaningo olwenziwe kule ndawo luyinto exubile. Ucwaningo olunye luye lwaphetha ngokuthi amazinga okuxhaphaza abantu asezingeni eliphezulu kubantu abanobujamo nokuthi lidlala indima. Okungenani oyedwa uyavuma ukuthi izidakamizwa zivamile kepha zibonisa ukuthi akubonakali ukucacisa umsebenzi wansuku zonke. Abanye bathola ukulingana phakathi kokwesaba ukuzivocavoca nokuzivocavoca ukusebenza. (Nijsx3, Isiliva)
Iziguli eziningi kanye nabagqugquzeli babonisa ukuthi ukwesaba imiphumela ye-PEM kunengqondo ngokuphelele futhi kunendlela yokuzivikela kunokuba i-phobia.
Izimbangela Nokuhlukana Kwemvelo
Funda kabanzi mayelana ne-PEM:
- Ingxenye 2: Izizathu Ezingenzeka & Ukungahleleki Kwemvelo Kwe-PEM
- Ingxenye 3: Ukwelapha Nokuphatha i-PEM
Imithombo:
1. Bazelmans E, et al. Imithi yengqondo. 2001 Jan; 31 (1): 107-14. Ingabe ukuhlolisisa ngokomzimba ukucindezela isifo esingapheliyo sokukhathala kwesifo? Ukutadisha okulawulwayo ekusebenzeni okukhulu kakhulu kokuzivocavoca kanye nobudlelwano nokukhathala, ukukhubazeka nokusebenza komzimba.
2. Miller RR, et al. I-Journal yemithi yokuhumusha. 2015 Meyi 20; 13: 159. Ukuhlolwa kokuzivocavoca komzimba okuncane nge-infrared-spectred spectroscopy kuma-myalgic encephalitis / chronic fatigue syndrome iziguli uma kuqhathaniswa nokulawulwa okunempilo: isifundo esilawulwa ngecala.
3. Nijs J, et al. Ukwelapha ngokomzimba. 2004 Aug; 84 (8): 696-705. Ukhathala okungapheli syndrome: ukungabi nobuhlobo phakathi kobuhlungu-ukwesaba okuhambisana nokunyakaza kanye nokukhubazeka nokukhubazeka.
4. Nijs J, De Meirleir K, Duquet W. Archives of imithi yokwelashwa nokuvuselelwa. 2004 Oct; 85 (10): 1586-92. I-Kinesiophobia e-syndrome yokukhathala okungapheli: ukuhlola kanye nezinhlangano ezikhubazekile.
5. Nijs J, et al. Ukukhubazeka nokuvuselelwa. 2012; 34 (15): 1299-305. I-Kinesiophobia, i-catastrophizing kanye nezimpawu ezilindelekile ngaphambi kokushaywa kwesiteleka nesifo esingapheliyo: isifundo sokuhlola.
6. Isiliva A, et al. I-Journal yokucwaninga kwengqondo. 2002 Jun; 52 (6): 485-93. Indima yokwesaba ukunyakaza ngokomzimba kanye nomsebenzi ekudleni okungapheli kwesifo.
7. VanNess JM, Snell CR, Stevens SR. I-Journal ye-chronic fatigue syndrome. 2007 14 (2): 77-85. Ukunciphisa amandla e-cardiopulmonary ngesikhathi se-malaise emva kokucindezela.