Ukwelapha Ukuziphatha Okuqondayo Kwe-Fibromyalgia

Ukwelashwa kokuziphatha kwengqondo (CBT) ukwelashwa okunconywa njalo nge- fibromyalgia (i-FMS). Kungenye yezokwelapha ezingekho izidakamizwa ezingcono kakhulu zokugula.

I-CBT yindlela yokwelapha, kodwa isetshenziselwa ukuphatha izifo ezingezona ezingokwengqondo. Kodwa-ke, iziguli ze-FMS ngezinye izikhathi zikholelwa ngephutha ukuthi isincomo se-CBT sisho ukuthi ukugula kwabo kubhekwa njengokwengqondo, noma "okungelona iqiniso." Eqinisweni, ubufakazi obusayo bukhombisa ukuthi i-CBT iphumelela ekusizeni ufunde ukuphatha ukugula kwakho ngokuphumelelayo, futhi ingabangela nezinguquko zomzimba ebuchosheni bakho.

Kuyini Ukwelashwa Kokuzicabangela?

I-CBT ngokuvamile iyindlela yokwelashwa yesikhashana esenzelwe ukushintsha indlela ocabanga ngayo ngezinto ezithile, kanye nokuziphatha kwakho mayelana nabo. Isibonelo, ucwaningo lubonisa ukuthi abantu abaningi abane-FMS benza into ebizwa ngokuthi "ukuhlaselwa," okusho ukuthi bakholelwa ukuthi izinto zimbi kakhulu kunalokho. Bangase benze izitatimende ezifana nokuthi, "Ubuhlungu bami bubuhlungu futhi ngeke bube ngcono."

Leyo nkolelo ingabangela abantu ukuba bafune ukwelashwa okuzobasiza ukuba bathuthuke. Ngakho-ke, i-CBT ingabasiza ukuba bashintshe inkolelo yabo kunento ethi, "Nakuba ubuhlungu bami bubi, ngingathola izindlela zokwenza ngcono."

Ukuguqulwa kwenkolelo akusona ukwelashwa okuyisimangaliso okushintsha ngokuzenzakalelayo inkambo yezifo, kodwa kungashintsha ukuziphatha okuhle, okungaholela ekwelapheni okuphumelelayo nokuphathwa phansi komgwaqo.

I-CBT ivame ukubandakanya "umsebenzi wesikole" kanye nezikhathi nochwepheshe.

Ngezinye izikhathi, ngemuva kokuphelelwa ukwelapha, iziguli ziyokhuthazwa ukuba zibe nokuqokwa zonke izinyanga ezimbalwa ukuze zizisize zigcine izinguquko.

I-CBT ye-Fibromyalgia

Ukucwaninga kubonisa ukuthi i-CBT ingasiza abantu abane-FMS ukuba bathuthukise, ikakhulukazi uma kuhlangene nezinye izinyathelo futhi kuhambisana nezidingo ezithile zomuntu ngamunye.

Ukuhlaziywa kwe-meta-2010 yezokwelapha ngokwengqondo kwe-fibromyalgia kubonise ukuthi i-CBT yasebenza kakhulu.

Ucwaningo oluthile lubonise ukuthi i-CBT iphumelele njengengxenye yohlelo olubandakanya ukuzivocavoca , ukwelula, nokufundisa kokubili isiguli nomndeni. Abanye baye babheka umphumela walo lapho bengezwe ekwelapheni izidakamizwa , futhi nabo, babonise ukuthi i-CBT inenzuzo.

Kodwa ukubuyekezwa kocwaningo kwi-CBT ye-FMS kubonise ukuthi abanye abasebenza nge-CBT bancika kakhulu ekungeneleleni kokuziphatha, okwenza ukwelashwa okuguquguqukayo kusuka komunye udokotela kuya kwesinye.

I-CBT ingasetshenziselwa ukukusiza ukuthi ushintshe izinto ezibangela ubuhlungu noma ezinye izimpawu, ukuzisebenzisa ngendlela engaholela ekugqibeleni, ukuthuthukisa imikhuba yakho yokulala, ukulandela imithi yakho yokwelashwa ngokuphumelelayo ngokwengeziwe, futhi uhambisane ngokwengeziwe ngokwengeziwe.

Ukuhlola kubonisa ukuthi i-CBT ithuthukise izimpawu eziningi ze-FMS, kufaka phakathi:

• Ukungalali
• Ukuqapha
• Ikhwalithi yokulala
• Umsebenzi wansuku zonke
• Ukubekezela kokuzivocavoca
• Ukucindezeleka ngokomzwelo
• Ukucindezeleka
• Umsebenzi wokuqonda , ikakhulukazi ukunakwa
• Ikhwalithi yokuphila

I-CBT ingaba usizo ikakhulukazi kubantu ababhekana nokucindezeleka nokukhathazeka kanye ne-FMS.

Kwezinye izifundo, inani elibalulekile labantu ababhekene ne-CBT abazange baphuthukise kuphela ngenkathi ukwelashwa i-Ibut iye yakwazi ukugcina imiphumela ekulandeleni.

Ucwaningo lokuqala luveza ukuthi i-CBT ingase iholele ngempela ekuguqulweni komzimba ngendlela abanye abamukeli bezinhlungu (ababizwa ngokuthi i- nociceptors ) abaphendula ngayo isisusa, okuholela ekunciphiseni ubuhlungu obuzwayo. Noma kunjalo, ucwaningo olwengeziwe luyadingeka ukuqinisekisa lezi zithole.

Kuyini i-CBT?

I-CBT ngezinye izikhathi ikwelapha eyodwa-yodwa, kodwa ingenziwa futhi esimweni seqembu. Ezinye izifundo zize zibonise ukuthi ziyasebenza uma zenziwe phezu kwefoni noma nge-intanethi.

I-CBT ye-FMS ivame ukubandakanya izigaba ezintathu:

1. Imfundo: Lesi sigaba kuhilela ukuqinisekisa ukuthi isiguli siyazi amaqiniso mayelana nesimo kunokuba ulwazi olungalungile noma oluphikisanayo oluvamile ne-FMS. Lokhu kubandakanya izimbangela ezikhona, izinto ezizosiza ukugcina ukugula, nokuthi kubaluleke kangakanani isiguli ukuthi sihlanganyele ngenqubo yokwelapha. Lesi sigaba singafaka amakhono athile ukukusiza ufunde indlela yokuvumelanisa nokuphila ne-FMS.

1. Ithimba le-CBT: Isigaba sigxile ekunikeni amakhono okunciphisa ubuhlungu. Lezi zingabandakanya izindlela zokuphumula; ukuqaliswa kwe-graded, okukusiza ukwandise kancane kancane amazinga omsebenzi ngenkathi ugwema umjikelezo wokuthi "uphuthumayo" ovamile ku-FMS; ukuthuthukisa imikhuba yokulala; ukushintsha imicabango mayelana nobuhlungu; kanye nokubhekana nezinye izici zokusebenza noma ngokomzwelo zokuphila nezifo ezingapheliyo.
2. Ukusebenza kwe-Real-Life Amakhono: Lokhu kukusiza ukuba usebenzise lokho okufundile ekusebenzeni kwamalanga onke. Ngokujwayelekile kubandakanya izabelo zesikole ezigxile emakhono avela esigabeni sesibili, futhi zivumela ukuba zihambisane nezidingo zakho ezithile.

Ukuthola i-Therapist

Akuyona yonke imiphakathi enezokwelapha eziqeqeshwe ku-CBT, okungenza kube nzima kwabanye abantu ukuthola le mithi. Futhi, izinkampani zomshuwalense zingahle ziphike ukukhishwa ngaphandle uma unesifo sokugula kwengqondo esitholiwe, njengokucindezeleka noma ukukhathazeka. Lokho kwenza izinhlelo zocingo kanye nezinhlelo zewebhu zubaluleke kakhulu.

Uma unesithakazelo ku-CBT, udokotela wakho angakwazi ukukudlulisela kumsebenzi oqeqeshiwe. Izisetshenziswa lapha, kusukela kuNgqungquthela wezeMpilo zeMental Leonard Homes, zingasiza futhi:

• Ukuthola uMthengisi Ekhaya Lakho

_Imithombo:

_{U-Alda M, et al. Ucwaningo lwe-arthritis kanye nokwelapha. 2011; 13 (5): R173. Ukuphumelela kokwelashwa kokuziphatha kwengqondo yokwelapha ukwelashwa kwezidakamizwa nge-fibromyalgia: isilingo esilawulwa ngokungahleliwe.}

_{Ang DC, et al. Ukunakekelwa kwe-Arthritis nokucwaninga. 2010 Meyi; 62 (5): 618-23. Ukwelashwa kwengqondo yokuzicabangela kugxila ukuphendula okungaqondakali kweziguli ezine-fibromyalgia: isifundo somqhubi.}

_{I-Braz Ade S, et al. Kufakiwe Revista brasileira de rehmatologia. 2011 Meyi-Jun; 51 (3): 269-82. Ukwelapha okungekho kwemithi kanye nemithi ehambisanayo neyehlukile e-fibromyalgia.}

_{U-Friedberg F, u-Williams DA, uCollinge W. Journal of research ubuhlungu. 2012; 5: 425-35. Izindlela zokwelapha eziphathelene nokuphila okungezona okwelapha i-fibromyalgia: Ukubukwa komtholampilo kanye nezinhlelo zokusebenza zobuchwepheshe obusekhaya.}

_{I-Glombiewski JA, et al. Ubuhlungu. 2010 Nov; 151 (2): 280-95. Ukwelashwa kwengqondo kwe-fibromyalgia: ukuhlaziywa kwe-meta.}

_{I-Hassett AL, i-Gevirtz RN. Imitholampilo yezifo ze-Rheumatic North America. 2009 Meyi; 35 (2): 393-407. Ukwelapha okungafani ne-fibromyalgia: imfundo yesiguli, ukwelashwa kwengqondo-ukuziphatha, izindlela zokuphumula, kanye nemithi ehambisanayo neyehlukile.}

_{Jensen KB, et al. Ubuhlungu. 2012 Jul; 153 (7): 1495-503. Ukwelashwa kokuziphatha okunengqondo kukhulisa ukuguqulwa kobuhlungu be-correx ye-prefrontal ezigulini ezine-fibromyalgia.}

_{Kollner V, et al. Schmerz. 2012 Jun; 26 (3): 291-6. I-athikili ngesi-German. Abstract ekhonjisiwe. I-Psychotherapy yeziguli ezine-fibromyalgia syndrome. Ukubuyekezwa okuhlelekile, ukuhlaziywa kwe-meta, nesiqondiso.}

_{McBeth J, et al. Imibhalo yomlando yemithi yangaphakathi. 2012 Jan 9; 172 (1): 48-57. Ukwelashwa kokuziphatha kwengqondo, ukuvivinya umzimba, noma kokubili ukuphatha ubuhlungu obungapheli.}

_{Miro E, et al. Journal of psychology yezempilo. 2011 Jul; 16 (5): 770-82. Ukwelashwa kwengqondo yokuziphatha ngenxa yokungakwazi ukuleleka kuthuthukisa umsebenzi wokucabangela ku-fibromyalgia syndrome: umshayeli, uvivinyo olulawulwa ngokungahleliwe.}

_{USarzi-Puttini P, Ateni F, Cazzola M. Amagama eNew York Academy of Sciences. 2010 uMb; 1193: 91-7. Ukwelashwa kwe-Neuroendocrine ye-fibromyalgia syndrome: isibuyekezo.}

_{Smith HS, Harris R, Clauw D. Ubuhlungu Bodokotela. 2011 Mar-Apr; 14 (2): E217-45. I-Fibromyalgia: i-afferent processing disorder eholele ku-syndrome eyinkimbinkimbi yobuhlungu obukhulu.}

_{UVasquez-Rivera S, et al. I-Psychiatry ephelele. 2009 Nov-Dec; 50 (6): 517-25. Ukwelashwa okuncane okuzicabangela-ukuziphatha kanye neziguli ze-fibromyalgia ekunakekeleni njalo.}

_{van Koulil S, et al. Ukunakekelwa kwe-Arthritis nokucwaninga. 2011 Jun; 63 (6): 800-7. Izindlela zokuzicabangela-ukuziphatha ekugwemeni ubuhlungu kanye nokwelapha ubuhlungu obubhekene neziguli ezisengozini enkulu ye-fibromyalgia.}

_{van Koulil S, et al. Ukunakekelwa kwe-Arthritis nokucwaninga. 2010 Oct; 62 (10): 1377-85. Ukwelashwa okuphathelene nokuziphatha-ukuziphatha nokuqeqeshwa kokuzivocavoca kweziguli ezingozi kakhulu nge-fibromyalgia.}

_{Woolfolk RL, Allen LA, Apter JT. Ucwaningo lobuhlungu kanye nokwelashwa. 2012; 2012: 937873. Ukwelapha okunokukhubazeka okuziphathekayo kwe-fibromyalgia: isilingo esilawulwa ngokungahleliwe.}