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I-Post-Exertional Malaise (Ingxenye 3 kwezingu-3)I-post-exertional malaise (i-PEM) iyisimpawu esiyinhloko sokugula okungapheli (i- ME / CFS ) eyenza i-spike izimpawu kanye nokushona kwamandla amakhulu ngemva kwalokho, kwabanye abantu, kungaba ukuzamazama okuncane.
Nakuba i-PEM ingenye yezimpawu ezikhungathekisa kakhulu ze-ME / CFS, asinayo izidakamizwa zokwelapha. Noma kunjalo, ungase ukwazi ukuphatha nokuphatha ngezindlela ezimbalwa ezahlukene.
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Izithako ZokudlaAsinayo ucwaningo oluningi ngokuqondile kwizingxenye ze-PEM, kodwa abanye odokotela benza izincomo ezisekelwe emisebenzini eyaziwayo yezinto ezongezwayo, ukungavamile okuhlobene ne-PEM, nolwazi lwe-anecdotal ezivela ezigulini.
Iziphakamiso ngezinye izikhathi eziphakanyisiwe zifaka:
- i-malate yamagesi
- coQ10
- i-acetyl-l-carnitine
- ukudala
- folic acid
- i-vitamin C
- i-vitamin E
- i-alpha-lipoic acid
- i-vitamin B1
- i-vitamin B2
- i-vitamin B6
- i-biotin
Izindleko aziqinisekisiwe ukusebenza, noma kunjalo. Futhi, udinga ukuqaphela imiphumela emibi kanye nokusebenzisana okungalungile okuza nabo. Kubalulekile ukukhuluma nodokotela wakho kanye nemithi mayelana nazo zonke izithako ozithathayo.
Kungaba umqondo omubi ukuqala ukuthatha isisombululo samafutha ngesikhathi esisodwa. Ukuze uthole olunye ulwazi ngalokhu, bheka:
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I-Pacing & Lifestyle ChangesUkuphatha i-PEM ngokuvamile kudinga izinguquko endleleni ozenza ngayo izinto. Abanye abantu bakubiza lokhu "ukuhlala ngaphakathi kwemvilophu yamandla." Incazelo evelele kunazo zonke emphakathini weziguli iyinhloko ebizwa ngokuthi i-The Spoon Theory, kaChristine Miserandino.
Ngokuyinhloko, kufanele uhlele izinga lomsebenzi wakho emalini umzimba wakho ongayisingatha. Lokho kungasho ukuthatha imihlatshelo eminingi nokubeka impilo yakho ngaphansi kwezinto ezibalulekile. Lokhu kuvame ukufaka izinqumo ezinzima kakhulu, kodwa kungenza umehluko omkhulu emkhakheni wakho wokuphila.
Idokhumenti yokuvumelanisa ka-2012 mayelana nokuhamba nge-ME / CFS ibonise ukuthi ukuhamba ngezimoto kwakulokhu kulinganiswa iziguli njengenye yezinketho zokwelapha eziwusizo kakhulu.
Ukuze uthole usizo olwenza lezi zinguquko nokufunda ama-pacing amasu ukuze usebenzise isikhathi sakho sokukhiqiza, bheka:
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Ukucindezeleka UkucindezelekaI-ME / CFS ikholelwa ukuthi ibhekene nokucindezeleka, okuyizinto ozifundele zona. Ngakho-ke, kuyaqondakala ukuthi ukuphathwa kokucindezeleka kungakusiza ukuphatha izimpawu eziyinhloko, kuhlanganise ne-PEM.
Kubalulekile ukuqonda ukuthi izibopho zokucindezeleka azisho ukuthi i-ME / CFS isifo sokugula kwengqondo. Ukucindezeleka kunezimbangela eziningi zempilo kanye nemiphumela. Omunye othole ukunakekelwa okuningi kwabacwaningi be-ME / CFS yi-hormone yokucindezeleka i-cortisol.
Esifundweni se-2014 ngokucindezeleka kanye ne-PEM, abacwaningi baphetha ngokuthi ukuphathwa kokucindezeleka kwaba nomthelela ongathà sina ku-PEM. Ngokuyinhloko, labo abanokuphathwa kokucindezeleka okungcono babe namazinga e-cortisol ekuseni, futhi lawo mazinga e-cortisol ayehlanganiswa ne-PEM encane.
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Ukuzivocavoca: Indlela YokuphikisaManje sifika mhlawumbe isici esikhulu kakhulu sokuphatha iMe / CFS. Cishe uyazibuza, "Ukuzivocavoca kungasiza kanjani uma kuyimbangela yenkinga kuqala?"
Iningi labachwepheshe liyavuma ukuthi abantu abane-ME / CFS badinga ukuzivocavoca. Ngemuva kwalokho, i-muscle atrophy nokungasebenzi kuyokwenza nje ukuthi ungakwazi ukubhekana nokusebenza, kuyilapho ukwandisa ezinye izimpawu kanye nengozi yezinye izifo.
Kodwa-ke, awukwazi ukuphatha ukuvivinya umzimba njengabanye abantu. Kumele wazi imingcele yakho futhi ubambelele kubo ngokuqinile.
Abanye abantu baphendukela ekwelapheni ngokomzimba, kodwa ngemiphumela ehlanganisiwe. Kubalulekile ukuthi umhlinzeki wakho uyazi kahle imingcele ehambisana nesifo ngakho-ke angeke akucindezele kude kakhulu futhi akuphathe kabi.
Ingxenye yomphakathi wezokwelapha ikhuthaza ukwelashwa okuthiwa i-Graduated Exercise Therapy (GET) njengokwelashwa kokuqala kwe-ME / CFS. Batshela ucwaningo olubonisa ukuthi luzuzisa. Ngakolunye uhlangothi lwale mpikiswano enkulu, kodwa ucwaningo lubonisa ukuthi i-GET empeleni iyingozi kubantu abane-ME / CFS.
Kanjani ukuthi bangakwazi ukungavumelani okunjalo okuyisisekelo? Kuvela ekuhlukeni komqondo ngokuqondene nesimo sokugula. Ungafunda kabanzi ngalokhu lapha:
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I-General TreatmentsKungenzeka ukuthi imithi ye-ME / CFS engahlosiwe ngokuqondile ne-PEM ingasiza ngalesi sibonakaliso ngokunciphisa ubukhulu besifo sakho. Unezinketho eziningi zokwelashwa ongazihlola, ngosizo lodokotela wakho.
- Ukwelapha Isifo Sokuphela Kwokukhathala
- Ukwelashwa Okungapheli Sokudakwa Kwezidakamizwa
- I-Acupuncture ye-ME / CFS
Futhi, qiniseka ukuthi uxoxisane nodokotela wakho zonke izindlela zakho zokwelashwa ukuqinisekisa ukuthi izinqumo zakho ziphephile futhi kungenzeka ukuthi ziphumelele. Cishe uzodinga ukuthola inhlanganisela eyingqayizivele yezokwelapha kanye namasu okuphatha ahambisana nezimpawu zakho nesimo sakho.
Bheka Izingxenye 1 & 2 zalolu chungechunge:
Imithombo:
UGladwell PW, et al. Ukukhubazeka nokuvuselelwa. 2014; 36 (5): 387-94. Ukusebenzisa inhlolovo enhlobonhlobo ukuhlola imiphumela emihle nehle yokuvuselela abantu abane-CFS / ME.
Klasnja A, et al. Umbhalo wemithi yezemidlalo nokuqina komzimba. 2014, 54 (2): 210-5. Umthelela wezokwelapha zokuzivocavoca ngezigqoko ezingeni lokukhathazeka kanye nekhwalithi yokuphila ehlobene nokukhathala okungapheli.
I-Twisk FM, izincwadi ze-endocrinology ze-Maes M. Neuro. 2009; 30 (3): 284-99. Ukubuyekezwa kokwelashwa kokuziphatha kwengqondo (CBT) kanye nokwelapha okusetshenziselwa ukuhlolwa (GET) ku-myalgic encephalomyelitis (ME) / isifo sokukhathala (CFS): I-CBT / GET ayiyona kuphela engasebenzi futhi ayikho ubufakazi obusekelwe, kodwa futhi ingase ibe yingozi kumagciwane amaningi nge-ME / CFS.
I-PD emhlophe, et al. Imithi yengqondo. 2013 Oct; 43 (10): 2227-35. Ukubuyiswa kokugula okungapheli kwesifo emva kokulashwa okunikezwe kuhlolo lwe-PACE.