Ukwelashwa Kwempilo Yengqondo Ukuthuthukisa Ukugula Kwemvelo
Ingabe ukwelashwa kwengqondo kungasisiza ukuba siphathe izimpawu ze- fibromyalgia , nakuba izimpawu zinezizathu zomzimba? Ngokusho kocwaningo, ikakhulukazi isifundo se-2017 eshicilelwe encwadini ye- Pain , singakwazi.
Lokhu kungenxa yemibono ethile mayelana nobuchopho bethu, amakhono abo okuguqula, kanye nekhono lethu lokwenza izinguquko ezinhle ngendlela ubuchopho bethu busebenza ngayo.
Amaqiniso ngokumelene nokuphikisana
Noma iyiphi ingxoxo yalesi sihloko izoba ingxabano. Lokhu kuyaqondakala, ikakhulukazi ukunikeza ukungaqondani okuqhubekayo emphakathini kanye nomphakathi wezokwelapha mayelana ne-fibromyalgia "ukucindezeleka" nje noma enye inkinga yengqondo.
Into ebalulekile ukuqonda, noma kunjalo, yize ukuthi lezi zikwelapha zigxila ezindabeni zengqondo, lokho akusho ukuthi i-fibromyalgia ingokwengqondo. Nazi ezinye amaqiniso okumele uzikhumbule:
- I-Fibromyalgia iyigciwane lezinzwa futhi ihilela ama-neurotransmitters (izithunywa zamakhemikhali ebuchosheni) ezibandakanyeka nokugula kwengqondo.
- Ukucindezeleka kuyisici esiyinkimbinkimbi enkulu kumacala amaningi, uma kungenjalo, amacala e-fibromyalgia. Kucatshangwa ukuthi iyisici se-causal futhi eyaziwa ukwenza izimpawu zibe zimbi nakakhulu futhi zibangele ama-flare-ups.
- Ukucindezeleka nokukhathazeka yizimo ezivame ukugqashuka ku-fibromyalgia.
- Ucwaningo lubonisa ukuthi ukuhlukunyezwa kwengane kungashintsha ukuphendula kwengqondo komzimba, okuholela ekuguleni kamuva ekuphileni.
- Ukuphila ngesifo esingelapheki, esilimazayo kunzima futhi kungaholela emizweni eminingi emibi, futhi izinhlobo ezithile zokwelashwa zingasiza ekunciphiseni leyo mizwelo. (Lokhu kuyiqiniso nangezifo ezifana nomdlavuza, okungekho ocabanga ukuthi unengqondo.)
- Ukwelashwa kwengqondo akunconywa njengezokwelapha kuphela, kodwa njengengxenye yomuthi wokwelapha. Akazihloswanga njengengxenye yezinye izindlela.
- Ubuchopho buyashintsha. Ukucabanga kunomthelela emakhemikhali ebuchopho, ngakho ukushintsha amaphethini okucabanga kungathinta izinguquko zomzimba.
Phakathi naleso sikhathi, abantu abane-fibromyalgia bavame ukunikezwa imishanguzo yezokwelapha ezingasebenzi kahle futhi ziza nemiphumela emibi kakhulu. Sidinga okungaphezu kwalokhu okunikezwa kwezidakamizwa, futhi ezinye zokwelashwa kwengqondo zingasiza ukugcwalisa izikhala.
Enye yezokwelapha ezingcono zokufunda kwengqondo yindlela yokwelapha engqondweni (CBT) . Kodwa abalobi besifundo sezinhlungu, bathi basithole indlela ebonakala isebenza kangcono kune-CBT. Bayibiza ngokuthi ukuqwashisa ngokomzwelo kanye nokwelashwa okushoyo (EAET).
Kuyini Ukuqwashisa Ngokwengqondo Nokwelashwa Kwamazwi?
Ngokomcwaningi oholayo uMark A. Lumley, i-PhD, i-EAET iyi-amalgam yamasu abaningi abajwayele ukuwasebenzisa ngayo. Lezi zindlela zihlanganisa:
- Ukwelashwa kwe-Psychodynamic
- Ukwelashwa okuhlangenwe nakho
- Ukwelashwa okusekelwe ngaphandle
- Ukubhala okucacile
- "Ukubhala kabusha" ukwelapha
"Sesithathe nje izingqungquthela noma amasu avela kwezinye izindlela, ezijwayelekile futhi saziphindisela, futhi sinikeze imibono eyengeziwe ukuze sikwazi ukubhekana nezimo ezibuhlungu," kusho uLumley.
Lokho kusho ukuthi, yize i-EAET iyindlela entsha, yinto engase ilandiswe kalula ngababelapha.
Inhloso eyinhloko ye-EAET ukusiza abantu ukubhekana nezinkinga ezingokomzwelo ezingaxazululwa. Esicwaningweni, abantu abangu-230 abane fibromyalgia babephethe ukwelashwa kwamasonto ayisishiyagalombili-iqembu elithola i-EAET, elinye i-CBT, kanti okwesithathu bathola imfundo ngesimo. Abahlanganyeli bahlolwe ekuqaleni kokucwaninga, ngemuva kokwelashwa sekuphelile, nezinyanga eziyisithupha kamuva.
Ngenkathi ubuhlungu bezinhlungu abuzange buphucule ne-EAET uma kuqhathaniswa nemfundo ye-fibromyalgia, abacwaningi baphawula ukuthuthukiswa okunye okunye, kubandakanya izindawo ezilandelayo:
- Izimpawu jikelele
- Ubuhlungu obubanzi
- Ukusebenza ngokomzimba
- Ukungasebenzi komqondo
- Ukukhathazeka
- Ukucindezeleka
- Ithonya elihle
- Ukwaneliseka kokuphila
Futhi, cishe amaphesenti angama-35 eqembu le-EAET abike ukuthi "ngcono kakhulu" noma "ngcono kakhulu," kuqhathaniswa namaphesenti angu-15.5 eqenjini lemfundo.
Uma kuqhathaniswa neqembu le-CBT, imiphumela yayifana nezinyathelo ezimbalwa, kepha i-EAET yayineziphumo ezingcono kakhulu uma kuziwa:
- Izimpawu ezincane ze-fibromyalgia
- Ubuhlungu obuncane obubanzi
- Amaphesenti angu-50 okunciphisa ubuhlungu ngamaphesenti angu-22.5, uma kuqhathaniswa namaphesenti angaphezu kuka-8 eqenjini le-CBT
Lolu cwaningo luqinisekisa ukuthi izibalo ze-2010 zethimba lokucwaninga, ezishicilelwe ku- Journal of General Internal Medicine, eziphakamise ukungenelela kokuziqhenya kwamandla okuthuthukisa izimpawu eziningi ze-fibromyalgia, kuhlanganise nobuhlungu, ukubekezela, nokusebenza ngokomzimba. Iphinde igcizelele umsebenzi wangaphambili mayelana nokwelapha okusekelwe ekucindezeni ukucindezeleka ku-fibromyalgia, eyanyatheliswa kuyi- Psychotherapy ngo-2008.
Kungani i-EAET idinga?
Ngo-fibromyalgia, ubuchopho bukhulisa izimpawu zobuhlungu futhi bubavulele ekuphenduleni izinto ezingabangela ubuhlungu . Izinkinga zobuhlungu zobuchopho "zihlanganisa okuningi ngezindlela ezibhekana nezingozi zokusongela kanye nosongo. Uma ungashintsha lezo zindlela ngokuphathelene namandla omuntu noma ukwesaba, ukunciphisa ukwesaba nokwandisa amandla abo ngokuxazulula ezinye zezimo ezicindezelekayo, kanyekanye kunciphisa isipiliyoni sobuhlungu. " ULumley uthe.
Uthi intukuthelo eguquguqukayo yimizwelo evame ukugwema, ngisho nangokwelapha. Abantu abaningi banentukuthelo eqondile kubantu abakuphila kwabo kanye neminye imizwelo mayelana nobuhlobo. Ngokuqaphela leyo mizwelo nokufunda ukuyiveza ngezindlela ezinempilo, uthi ithoyisa "ukungabi nasizo, ukwesaba, nomqondo wokuboshwa ukuthi abantu abaningi bazizwa."
Izifundo eziningi ziqinisekisa lokho abaningi bethu abakwaziyo ngokuzizwa-ukugula okungapheli kunzima ebuhlotsheni. Ukungaqondi kahle okuvamile kwe-fibromyalgia kanye nemvelo yayo edidekayo kusebenza kuphela ekukhuliseni leyo nkinga. Izinkinga zobudlelwane ziholela ekucindezelekeni, nokucindezeleka kuvuselela izimpawu zethu.
Isici uLumley sigcizelela ukuthi abantu kudingeka bacele umuthi wabo wezokwelapha ezakha i-EAET ngoba azizona "izindlela ezijwayelekile" zokunciphisa ubuhlungu. Umhlinzeki wakho kufanele akwazi ukuthola isifundo (okushiwo ekugcineni kwalesi sihloko) ukuze uthole imininingwane ethile.
Uthi futhi abahlengikazi bahluleka ukusiza iziguli zabo ze-fibromyalgia ukuba ziqonde ukuthi izimpawu zabo zivela ikakhulukazi ohlelweni lwezinzwa zomphakathi kanye nobuhlungu bobuchopho. Into ebalulekile mayelana nokuqonda ukuthi ukwazi ukuthi ubuchopho buyashintsha:
Siyazi ukuthi ubuchopho buyashintsha ngokuhlangenwe nakho, futhi lapho emoyeni unamandla okuhlangenwe nakho ngokwengeziwe, ubuchopho bunamandla ngokwengeziwe. Iziguli eziningi ziye zaba nokuhlangenwe nakho okunamandla ekuphileni, okuyinto ubuchopho babo bukhumbula kahle kakhulu. Singakwazi yini ukudala okuhlangenwe nakho okunamandla okwe-ADAPTIVE noma we-HEALTHY ... okuhlangenwe nakho okusha ukulwa nabangempilo abadala, nokuguqula ubuchopho ngcono? Izinguquko ezinjalo zibonakala zinciphisa izibonakaliso zobuhlungu (okuyinto ubuchopho obungabhalisa ngokungalungile njengempawu zengozi).
Izwi elivela
Akekho othi wonke umuntu one-fibromyalgia akaxazululi izinkinga ezingokomzwelo noma ukuthi lezi zinkinga zenza ukugula kwakho. Yiziphi izifundo eziphakamisa ukuthi kwabanye, ukubhekana nezinkinga ezingokomzwelo kungasisiza sizizwe futhi sisebenze kangcono.
Uma uhlomile ngolwazi lokuthi isipiliyoni esingokomzwelo singashintsha ubuchopho-kungenzeka, empeleni, sikwazi ukuguqula indlela ephethe izimpawu eziningi-kubonakala ukuthi kungani ukuqonda kwengqondo njenge-CBT ne-EAET kungasiza nathi noma ukugula kwethu kungokwenyama.
Njengazo zonke izindlela zokwelashwa, lezi zindlela zingase zingabasiza wonke umuntu. Imithi yokwelapha idinga ukuphenywa okuqhubekayo ekusebenzeni kwayo, ngokusho kokubuyekezwa kuka-2017 ku- BMC kwengqondo . Okunye okubuyekezwa ngawo ngonyaka ofanayo, kodwa, eshicilelwe encwadini kaJalimane iphephandaba iSmermer , wanika i-CBT isincomo esiqinile. (Njengendlela entsha yokwelapha, i-EAET ayizange ihlolwe kulezi zibuyekezo.)
Akukho ukwelashwa okulodwa okuphumelelayo kuzo zonke izimpawu zethu. Kukhokha ukucubungula izindlela ezehlukene uma ufika nomgomo wokwelapha osebenza kahle kuwe.
> Imithombo:
> Hsu MC, Schubiner H, uLumley MA, et al. Ukwehliswa kobuhlungu obusekelwe ngokuziqhenya ngokwabo ekufakeni i-fibromyalgia: isilingo esilawulwa ngokungahleliwe. Umbhalo wemithi yangaphakathi jikelele. 2010 Okthoba; 25 (10): 1064-70. i-doi: 10.1007 / s11606-010-1418-6.
> Kollner V, Bernardy K, Greiner W, et al. I-Psychotherapy nezinqubo zengqondo ze-fibromyalgia syndrome: Iziqondiso ezibuyekezwayo 2017 kanye nokubukezwa kwama-athikili wokubuyekeza ahlelekile. Schmerz. 2017 Jun; 31 (3): 266-273. i-doi: 10.1007 / s00482-017-0204-3. [Abstract ekhonjisiwe; isihloko esiJalimane.]
> ULami MJ, iPhalamende leMartinez, iSanchez Al. ukubuyekezwa okuhlelekile kokuphathwa kwengqondo ku-fibromyalgia. Ubuhlungu bamanje kanye nemibiko yekhanda. 2013 Jul; 17 (7): 345. i-doi: 10.1007 / s11916-013-0345-8.
> Lumley MA, Schubiner H, Lockhard NA, et al. Ukuqwashisa ngokomzwelo kanye nokwelashwa okushoyo, ukwelashwa kokuziphatha kwengqondo, kanye nemfundo ye-fibromyalgia: isilingo esilawulwa ngokungahleliwe. Ubuhlungu. 2017 Aug 8. idinga: 10.1097 / j.pain.0000000000001036.
> Markozannes G, Aretouli E, uRintou E, et al. Ukubuyekezwa kwesambulela kwezincwadi ngokuphumelela kokungenelela kwengqondo ekunciphiseni ubuhlungu. BMC kwengqondo. 2017 Aug 31; 5 (1): 31. i-doi: 10.1186 / s40359-017-0200-5.