Ukuqaphela Izici Ezingokwemvelo, Ukushintsha Indlela Yokulashwa
Ukubuyekezwa kokuhlelwa kobuzwe obuphakathi kokuzwela kwe-syndromes (CSS) kuqukethe izitatimende eziningi ukuthi labo bethu nge- fibromyalgia (FMS), isifo esingapheliyo sokukhathala ( ME / CFS ), nemibandela ehlobene bayathanda ukuzwa. Yilokho ofuna ukuqiniseka ukuthi bonke abahlinzeki bakho bezempilo baye babona.
Ukubuyekezwa kwakubhalwe ngu-Muhammed B. Yunus, MD, uprofesa we-rheumatology eNyuvesi yase-Illinois, oye wahlotshaniswa nocwaningo lwe-fibromyalgia iminyaka engaphezu kwengu-30.
I-CSS iyisikhathi sevulethi esihlanganisa izimo zodade ze-FMS / ME / CFS ezifana nesifo sofuba esiswini , imilenze yokuphuza imilenze , kanye nokuzwela okuningi kwamakhemikhali - konke okwabelana ngenani elithile lokungabaza nokuhlambalaza emphakathini wezokwelapha. Kodwa-ke, i- osteoarthritis ne- rheumatoid arthritis ibuye ihlanganise ubuhlungu obuphakathi kokuzwela phakathi, futhi yamukelwa kakhulu kokubili kwezokwelapha kanye nomphakathi jikelele.
Zonke lezi zimo zikholelwa ukuthi zibandakanya ukuzwela okuphakathi, okusho ukuthi isimiso senzwa esisemkhatsini sizwela kakhulu. Kubalulekile ukuqaphela ukuthi ngumzimba odlulela ezintweni, hhayi umuntu.
Izici ezingokwenyama
UDkt. Yunus ubonisa izici eziningana zomzimba ezikhona kwezinye iCSS, kufaka phakathi:
- Izindawo ze- nociceptive (lezo zijwayele ukuthumela izibonakaliso zokuphuza ngokweqile) emisipha;
- I-arthritis;
- I-fiber-fiber neuropathy ;
- Ukuvuvukala;
- I-cytokines evuthayo .
Ugcizelela ukuthi ukugqugquzelwa okuphakathi kufanele kuhanjiswe ngokuhlukile ngokubuhlungu kwesakhiwo. Isibonelo, izidakamizwa ezilwa nokuvuvukala kanye nokufakelwa okuhlanganyelwe akukwenzi isistimu yezinzwa ingacabangi, nakuba inganciphisa noma isuse ukulimala komzimba.
Indlela Yokulashwa
UDkt. Yunus ucaphuna phambili ekuhloleni ubuhlungu, kokubili ubuhlungu obubuhlungu nobuhlungu ngenkathi usuphumule, okungase ekugcineni kusize odokotela baqonde kangcono ukwelashwa komuntu ngamunye.
(Kuze kube manje, izinhlobo ze-neuroimaging ezichazayo zisetshenziselwa ukucwaninga, hhayi emtholampilo.) Sekuyisikhathi eside sazi ukuthi sonke sidinga indlela yomuntu ngamunye, kepha amasu amasha okucabanga-ngqondo anganikeza umhlahlandlela ongcono kunodokotela manje.
Manje ezinye zezitatimende zakhe ezingakwenza ube nesibindi:
- Ukuhlukaniswa phakathi kwezinto okubhekwa njengokuthi "ukusebenza" kanye "nokwakhiwa" ubuhlungu kufanele kushiywe ngoba abaningi bethu bobabili. Lokhu kusho ukuthi akukona ukwelapha izimpawu ezibangelwa yi-neuro chemistry njengokungathi zingokwengqondo futhi ngaleyo ndlela zingaphansi ukwelashwa okungafanelekile kunokuba ubuhlungu obubangelwa ukulimala kwamathambo, amalunga, imisipha kanye nezicubu ezihlangene.
- I-Psychobiology ibuye i-biology. Lokhu kufakazela iphuzu langaphambilini, kugcizelela ukuthi izici zenyama ziyamanje, ngisho nalapho zishintsha isimo sengqondo noma ukuziphatha kunokuba into ethile yenyama.
- Amagama okubekezela-ukugxekwa njengokubanjelwa kwesinye isikhathi, somatizer, nokuhlukunyezwa kufanele kugwenywe. Amagama amabili okuqala asho ukuthi izimpawu zomzimba zibangelwa izici zengqondo kanti okwesithathu kusho ukuthi isiguli senza izinto ezinkulu kakhulu. Zivame ukusetshenziselwa abantu abane-FMS, ME / CFS nezinye izifo zalolu hlobo futhi baholele abanye ukuba benqatshelwe ukwelashwa, babhekwa njengabantu abangafaneleki izinzuzo zokukhubazeka, ngisho nokuhlekwa usulu nokuhlekwa usulu ngabasebenzi bezempilo.
Lezi zimpikiswano iziguli ze-CSS ziye zalwa amashumi eminyaka. Lokhu kubuyekezwa akunakwenzeka ukuwaqothula, kodwa kungathonya isimo sengqondo nezindlela zabantu esithembele kuzo ekunakekeleni okufanele.
Ukubaluleka kokusakaza ulwazi
Ulwazi olubi kakhulu luye lwasakazwa ngalezi zifo - emphakathini wezokwelapha, ngamaphephandaba, nakwabantu abangafundile - ukuthi kubalulekile ngathi ukwabelana ngolwazi olusekelwe eqinisweni njengalokhu kubuyekezwa. Uma ithimba lakho lezempilo lingaziwa kahle, kudingeka liwubone. Uma abangane bakho noma umndeni wakho bengabaza, kudingeka bakubone. Uma ukhona umuntu oyedwa noma ngaphezulu kwalezi zimo ezingabaza ukugula kwakhe, kudingeka bakubone.
Isixhumanisi se-abstract sivunyiwe ekupheleni kwalesi sihloko.
Sinebufakazi obuningi bokuthi izimpawu zethu zingokoqobo futhi zixhunyaniswa nemvelo engavamile. Abanakekeli abaningi bezempilo manje bayaqonda lokhu, kodwa akubona bonke abazenzayo. Sekuyisikhathi sokuba bayeke ukusola futhi basikhulekele futhi sigxile endleleni yokusenza sibe ngcono.
Umthombo:
I-Yunus MB. Ukubuyekezwa kwe-rheumatology yamanje. 2015; 11 (2): 70-85. Ukubuyekezwa komhleli: ukubuyekezwa kobuzwe obukhulu bokuzwela kanye nezinkinga ze-nosology kanye ne-psychobiology.