Ukukhathala, Ubuhlungu, Izimpawu Ezifana Nezikhukhula
Ukukhathala okungapheli syndrome (aka ME / CFS noma SEID ) kungaphezu nje kokukhathala okuningi. Abantu abane-ME / CFS bahlaselwa phansi kangangokuthi kuphazamisa impilo yabo futhi kungenza kube nzima ukusebenza nhlobo.
Abanye abantu abanalesi sifo bathi banenkinga yokuhlala phezu kwemithwalo yabo yemfanelo ekhaya nasemsebenzini, kuyilapho abanye bekhutshazekile kakhulu futhi bebhekene nokulala.
Ngaphezu kwalokho, akuzona nje ukubhekana nokukhathala okwedlulele kodwa ngezinye izinkinga ezihlukahlukene, kufaka phakathi izimpawu ezinjenge-flu kanye nobuhlungu obungapheli.
Ngemuva kweminyaka engamashumi eminyaka yocwaningo, ochwepheshe manje bakholelwa ukuthi into ebizwa ngokuthi ukuzwela phakathi komphakathi okungenani ayikho icala elisha nge-ME / CFS. "Ephakathi" ibhekisela esimisweni sezinzwa zomphakathi, esakhiwa ubuchopho bakho kanye nezinzwa zomgogodla. "Ukwazisa" kusho ukuthi sekuyi-hyper-sensitive.
Bakholelwa ukuthi ukukhulumisana phakathi kwendawo yilokho okwenza i-ME / CFS ifane ne- fibromyalgia , ehlanganyela eziningi ezifanayo .
I-CDC ithi ubufakazi bokuqala bokuthi isisekelo semvelo salesi sifo safika ngonyaka ka-2006 lapho abacwaningi abangu-20 abavela ezikhethekile ezihlukahlukene behlanganisa ukugula ngezifo zofuzo ezithintekayo ohlelweni lomzwelo oluzwelayo kanye ne- HPA axis , okuyinto uhlelo lomzimba wakho lokucindezeleka. Lezi zakhi zofuzo zilawula ukuthi umzimba wakho uphendula kanjani ezintweni ezifana nokulimala, ukugula nokucindezeleka kwengqondo.
Abacwaningi abaningi bacabanga ukuthi okungenani ezinye izimo zibangelwa ukusabela okungavamile kuma-agent aphethwe yizifo ezithathelwanayo, okufaka:
- I-Epstein-Barr virus
- I-Enteroviruses
- I-herpesvirus yomuntu 6 (HHV-6)
- Isifo se-Lyme
Izifundo azange zibonise isixhumanisi esifanayo nanoma iyiphi yalezi amagciwane, noma kunjalo.
Ucwaningo oluningi lubonisa ukuthi isimiso somzimba sokuzivikela singase sisebenze ngokungapheli kubantu abane-ME / CFS, okungenani okungenani ukuchaza ukukhathala nokuntuleka kwamandla-ngokuyisisekelo, umzimba wakho ucabanga ukuthi ulwa nokutheleleka, kungakhathaliseki noma cha, futhi lokho kuthatha amandla amaningi.
Ubufakazi bokuvuselela uhlelo lokuzivikela komzimba kuhlanganisa:
- Amazinga aphezulu amangqamuzana omzimba omzimba omzimba okuthiwa ama- cytokines angama -inflammatory
- Ukunciphisa umsebenzi wembulali wemvelo (NK), okusiza ekulwa namagciwane
- Ukutholakala kwama-autoantibodies (amangqamuzana omzimba omzimba ahlasela ama-tiscu enempilo ngephutha)
- Ukusabela okunciphise kwamaseli e-T (uhlobo lwegciwane legazi elimhlophe) kumagciwane athile kanye / noma amabhaktheriya
Ucwaningo ngalokhu kugula (ngaphansi kwamagama amaningana ahlukene) lubuyela emuva kuma-1700s. Emakhulwini eminyaka, kuye kwathiwa kuthiwa kunezimbangela ezihlukahlukene futhi manje sekuqala ukuqonda kangcono isayensi yezokwelapha.
I-ME / CFS isaqhubeka ngamagama amaningi , kuhlanganise "ukukhathala okungapheli nokuzivikela komzimba" (CFIDS), kanye "ne- myalgic encephalomyelitis " (ME). Iziguli eziningi kanye nezisebenzi zezokwelapha zifuna ukushintsha igama, zikholelwa ukuthi igama elithi "ukuphelelwa yisikhathi ukukhathala syndrome" ngokwayo linciphisa isimo futhi lunikeza ekungaqondeni okuqhubekayo.
Izimpawu Zesifo Sokuphela Sokukhathala
Umuntu ngamunye nalokhu kugula unesimiso sakhe esiyingqayizivele sezimpawu, futhi ukuqina kwezimpawu kuyahlukahluka komunye nomuntu. Nokho, ukukhathala kumele kube nzima.
Ukuze uhlangabezane nalolophawu, ukukhathala kwakho kufanele kuhlangabezane nalezi zinhlelo ezine ezilandelayo:
- Akukhululwa ukulala noma ukuphumula
- Akuwona umphumela wemisebenzi eqinile yomzimba
- Kanciphisa kakhulu ikhono lakho lokusebenza ngokujwayelekile ezimweni eziningi
- Kubuhlungu kakhulu ngemuva kokuzama ukucabanga noma ngokomzimba, noma ngemuva kokugula. Lesi sibonakaliso sabizwa ngokuthi i -malaise e-post-exertional , okuyanda kakhulu kwezimpawu ngemuva kokusebenza futhi kungakwazi ukuphinda umsebenzi ngosuku olulandelayo
Ezinye izimpawu ezivamile zihlanganisa:
- Ukuqala okungazelelwe futhi okungafani, ikakhulukazi ngokulandela ukugula okunjenge-flu
- Ama-muscle nama-joint aches ngaphandle kokuvuvukala
- Amaphethini amakhulu noma ashintshayo ezinhlokweni zekhanda
- Umphimbo obuhlungu
- Ukuvuvukala kwe-lymph glands entanyeni noma emanzini
Ezinye izimpawu zingabandakanya:
- Ukungathembeki kotshwala
- I-syndrome e-irritable yamathumba (njengesimo esidlulayo)
- Amehlo anomlomo nomlomo
- Ukujikeleza okungafanelekile ezandleni nasezinyaweni
- Ukuphazanyiswa okubonakalayo
- Izikhathi ezinzima zokuya esikhathini
Lokhu kungase kubonakale njengohlu olude, kodwa uhlu olugcwele lwezimpawu empeleni lude kakhulu.
Ukuthola Ukuxilongwa
I-ME / CFS ixilongwa ngokukhishwa, okusho ukuthi ezinye izimo ezinezimpawu ezifanayo kumele zikhishwe ngaphambi kokuba udokotela wakho ahlaziye.
Kuze kube manje, asinaso ukuhlolwa kwegazi, ukuskena, noma yini enye esetshenziselwa ukuphawula. Ngakho-ke lesi sifo sitholwa ngokusekelwe ezimpawu kanye nokungabi nenye incazelo.
Inqubo yokuxilongwa ye-ME / CFS ingaba yinde futhi icindezelekile.
Izinketho zokwelapha
I-ME / CFS ithinta abantu abangaphezu kwesigidi e-US kepha asinayo izidakamizwa ezigunyaziwe ze-FDA zokuphatha. Iningi lemithi lisetshenzisiwe ngaphandle kwelebula, kodwa.
Imithi yokwelapha evamile ingabandakanya imithi kadokotela noma imithi eminingi yokusiza ukusiza ngezibonakaliso ezithile, izithako ezengeziwe , izindlela zokwelapha ezihambisanayo noma ezengeziwe, nokusekelwa ngokomzwelo. Abanye odokotela bakhetha ukwelashwa kokuziphatha okunengqondo nokuzivocavoca kobunzima obuthakathaka kancane kancane, kodwa le ndlela iphikisana kakhulu ngenxa ye-malaise emva kokucindezela.
Abanye odokotela batusa izinguquko zokudla , i- yoga , nokukhwabanisa .
Ngenxa yokuthi i-ME / CFS ingaba isimo esicindezelayo kakhulu futhi ingenziwa yimbi ngokucindezeleka, abanye abantu bayazuza ngokululekwa, amaqembu okusekela kanye nezinqubo zokunciphisa ukucindezeleka.
Abantu abaningi abanalesi sifo kudingeka bahlole izindlela zokwelashwa eziningi ngaphambi kokuba bathole irejista ephumelelayo.
Izwi elivela
I-ME / CFS yinkinga enzima ukuhlala nayo. Nokho, ngokuhamba kwesikhathi, ungathola ukwelashwa futhi ufunde amasu wokubhekana nokusiza ukuthi uphile impilo egcwele.
Futhi ithemba lisekugcineni-sisondela ekuqondeni okwenzeka emzimbeni wakho kanye nendlela yokuyilungisisa kangcono futhi siyiphathe.
Imithombo:
Lorusso L, et al. Ukubuyekeza okuzenzakalelayo. 2009 Feb; 8 (4): 287-91. Izici ezingenasifo sengqondo zokugula okungapheliyo ukukhathala.
Amasevisi Okulawula Nokuvimbela Izifo. Cindezela Imibhalo Yokubhaliwe: Ukugula Okungapheli Kwamanje, Ngo-Ephreli 2006.
I-University of Maryland Medical Centre (UMMC). Wonke Amalungelo Agodliwe. "Isifo Sokuphela Kwesifo"