Kwanele Ukukhipha Izinwele Zakho!
Uma ufunda nge- syndrome engapheliyo ( ME / CFS ), kuzodingeka uhlangabezane nezinkomba ezifana ne-Fukuda, i-Oxford criteria kanye nencazelo yempi. Uma ungazi ukuthi lezozinto zisho ukuthini, noma isimo salo, kungaba ukudideka ngempela.
Kungenzeka ukuthi ubonile ukungqubuzana okuningi okuzungezile lezo zinto. Leyindaba eyinkimbinkimbi ebuyela emuva emashumini eminyaka.
Izincwadi zonke zilotshiwe ngakho.
Noma kunjalo, ukuqonda nje amaphoyinti ambalwa ayisihluthulelo kungakusiza ukucacisa izinto ozifundile bese ubeka ulwazi kumongo.
Izincazelo Ezinhlanu Zokuncintisana
Umphakathi wezokwelapha uye waba nesikhathi esinzima ukuqonda i-ME / CFS ukuthi izincazelo eziyisihlanu ezihlukene manje ziyadlala. Abacwaningi abahlukahlukene basebenzisa izincazelo ezihlukene, odokotela abahlukene basebenzisa izindlela ezihlukile zokuxilonga, futhi ukuwela umngcele wesizwe ngezinye izikhathi kungasho ukuhlangana nencazelo ehlukile kanye nesethi yemigomo kunalokho ojwayele ukukwenza.
Ingxenye yenkinga ukuthi sinamakamu amabili ahlukene uma kuziwa ukuthi abacwaningi babheka kanjani futhi bafunde lesi sifo. Iyiphi ikamu abawela kuyo ekuthonyeni ukuthi iyiphi incazelo ayisebenzisayo.
Ikamu lokuphila: Abacwaningi kuleli qembu bacabangela i-ME / CFS ukugula ngokomzimba okuhilela ukukhubazeka okungavamile kwezinto eziphilayo. Bacwaninga izihloko ezinjengokutheleleka, izinhlayiya zemvelo, nezinye izimbangela zokucindezeleka ngokomzimba.
Uma bekhetha abahlanganyeli bezofunda, bangasebenzisa enye yalezi zincazelo ezintathu:
- Fukuda
Ngonyaka we-1994, i-CDC yamukele indlela evezwe yi-International Chronic Fatigue Syndrome Study Group. Leli phepha labhalwa nguKejiji Fukuda. Igama lakhe seliyindlela ejwayelekile abantu abaningi ababhekisela kulezi zinqubo.
- Izilinganiso zaseCanada
Kubhalwe ngo-2010, lezi zindlela zibhekwa njengezintambo eziqinile futhi ezicacile kuneFukuda. Badinga izimpawu ezengeziwe zomzimba (kufaka phakathi i -malaise post-exertional ) futhi ungafaki abantu abanezimpawu zokugula kwengqondo. - Izinyathelo Zomhlaba Wokubambisana
Le ncazelo isebenzisa igama elithi myalgic encephalomyelitis (ME), lishintsha "ukukhathala" ngokuthi "ukuphelelwa yisikhathi kokuphelelwa yisikhathi," futhi kudinga izimpawu eziningana zomzimba ngaphezu kwalokho uFukuda akwenzayo.
Umbiko we-Institute of Medicine ka-2015 wanikezela izindlela ezintsha zokuxilongwa nge-ME / CFS futhi waphakamisa igama lokuthi ushintsho kwisifo sokungabekezelelani kwesistimu (SEID.) Kuhlala kubonakala ukuthi yimuphi umthelela lokhu okuzoba nawo ekucwaningweni. Kodwa-ke, amagama athi "systemic" kanye "nesifo" enza kucace ukuthi ukuphikisana kombiko ukuthi lokhu kuyisifo somzimba.
Inkampu yengqondo / yokuziphatha: abacwaningi kuleli qembu bagcizelela ukwelashwa kwezici zengqondo, ngokomzwelo, nezenhlalo ze-ME / CFS. Abagxeki bayo bavame ukubhekisela kulokhu njengendlela ye-biopsychosocial.
Lapho laba cwaningi bekhetha abahlanganyeli bokufunda, ngokuvamile bakhetha kusuka kwenye yalezi zincazelo ezintathu:
- Fukuda (bona # 1 ngenhla)
- I-Oxford Imigomo
Lezi zindlela zika-1991 zihlanganisa ukukhathala okungapheli kwemvelaphi engaziwa kanye ne-post-infection yokukhathala kwe-syndrome.
- Incazelo ye-CDC yempi
Ngonyaka we-2005, ucwaningo lwama-CDC oluqhubekayo lokucwaninga isifo se-syndrome lubuyekeze uFukuda.
Ngakho Lokhu Kusho Ukuthini Ucwaningo?
Ngencazelo emihlanu ekusetshenzisweni okusebenzayo, sibhekene nezinkinga ezithile zangempela uma kuziwa ekufundeni ngalesi simo nendlela yokuphatha ngayo.
Kuyinto evamile ukuthi isifundo esisodwa sezokwelapha siphikisana nesinye; Nokho, uma kuziwa ku-ME / CFS, kuzomele kube nemiphumela engqubuzana nakakhulu. Kuba nzima ukubuka izifundo eziningi futhi ufike ngeziphetho ezivumelekile.
I-ME / CFS inzima kungakhathaliseki ukuthi iyiphi incazelo oyisebenzisayo. Ucwaningo luhlomula ngemali lapho ulinganisa nezinye izifo ezithinta izinombolo ezifanayo zabantu.
Zonke izincazelo ezihlukene zenza ukunciphisa inqubekela phambili futhi kugcinwe amanzi.
Kusho ukuthini lokhu kubantu abane ME / CFS?
Kulabo bantu abaphila nalesi sifo, kungasho ukuthi ukulinda isikhathi eside isikhathi sokwelapha okuphumelelayo. (Ngempela, asinaso isidakamizwa esisodwa esamukelekile se-FDA ye-ME / CFS.)
Kungasho futhi ukuthi udokotela wakho akakwazi ukukusiza ngoba akakwazi ukukhomba umcwaningi wocwaningo ngeziphetho ezicacile. Lokhu kudideka kungabangela ukungabaza okuqhubekayo odokotela abathile banokuthi ngabe i-ME / CFS iyimimoya "yangempela".
Njengamanje, kunengxabano eningi evuthayo mayelana nokwelashwa okuthiwa i- cognitive therapy therapy (CBT) . Lezi zinkambu ezimbili azivumelani nokuthi ziyasiza eM ME / CFS, kanti i-CBT yesibili ibheka i-CBT njengendlela yokwelapha lokuqala. Akuthatha isikhathi eside ukuthola iziguli ezitholakale ku-intanethi abathi zenqatshelwe ezinye izindlela zokwelashwa ngokusekelwe kule nkolelo, ngisho nalapho i-CBT ingabazisi.
Liyini Ikusasa?
Kubukeka sengathi abantu benza ucwaningo lwezemvelo basebenzisa igama elithi myalgic encephalomyelitis kaningi, kungakhathaliseki ukuthi unesifo esingapheliyo sokukhathala noma esikhundleni salo. Uma lo mkhuba uqhubeka, ngikholelwa ukuthi ekugcineni sizogcina nezifo ezimbili ezihlukene ngamagama ahlukene. Njengoba i-SEID ivela, nokho, abacwaningi banezinto ezithile okufanele bazicabangele.
Phakathi naleso sikhathi, lizoqhubeka liyimpi yokukhuphuka yabaphenyi, odokotela, neziguli ngokufanayo ukwenza amakhanda noma imisila yalesi simo. Izindaba ezinhle ukuthi singabantu, kancane kancane, sithuthuka naphezu kwakho konke.
Imithombo:
I-Carruthers BM, et al. Umbhalo wezokwelapha zangaphakathi. 2011 Oct; 270 (4): 327-38. I-Myalgic encephalomyelitis: Imigomo Yomhlaba Wonke Wokubambisana.
I-Carruthers BM, et al. I-Journal ye-chronic fatigue syndrome. 2003 11 (1): 7-36. I-myalgic encehpalomyelitis / chronic tiredness syndrome: incazelo yezokwelapha emtholampilo, izinqubo zokuxilonga kanye nokwelashwa.
> Amasevisi Okulawula Nokuvimbela Izifo. "Ukubona i-CFS."
Fukuda K, et al. Amalengiso omuthi wangaphakathi. 1994 Dec 15; 121 (12): 953-9. I-syndrome yokukhathala okungapheli: indlela ephelele ekuchazeni nasekutadisheni kwayo. I-International Group Yokukhathala Isifo Se-Syndrome.
Reeves WC, et al. Imithi ye-BMC. 2005 Dec 15; 3: 19. Ukukhathala okungapheli syndrome-indlela yokwelapha ekuqondeni nasekutadisheni kwayo.