Ukwelashwa Okubhekiselwe Ukuziphatha Ngokwemvelo Yokwedlula Ukukhathala Syndrome

Ukungqubuzana & Ucwaningo

Ukwelashwa kokuziphatha okunengqondo (CBT) okubandakanya ukwelashwa okusetshenziselwa ukugqoka (GET) kuyinkinga ephikisana kakhulu uma kuziwa endlebeni yokukhathala ( ME / CFS ). Kunconywa yiMelika Centers For Disease Control (CDC) nezinhlelo ezimbalwa zezempilo zaseYurophu, futhi ziphikisana kakhulu kokubili ucwaningo kanye nemiphakathi yeziguli.

Ukubuka okusheshayo phezu kocwaningo kwi-CBT / GET ye-ME / CFS kungadideka.

Ezinye izifundo zithi ziphumelela kakhulu, kanti abanye bathi akusebenzi futhi mhlawumbe ngisho nokwelashwa okulimazayo nokungakhethi.

Ukuze uzwisise lolwazi oluphikisanayo, lungasiza ekutholeni okokuqala lokho ukwelashwa okubandakanya khona bese ubheka umehluko obalulekile ezinkambisweni kanye nasezindleleni ze ME / CFS.

Iyini i-CBT / GET?

I-CBT yindlela yokwelapha yesikhathi esifushane enomgomo wokushintsha imicabango yakho ezintweni ezithile kanye nokuziphatha kwakho kubo. Isetshenziselwa ukuphatha kokubili izimo ezingokwengqondo nezokwenyama, ngokuvamile ukusiza ngezindlela zokubhekana nokugwema imikhuba emibi engase iqhubekele noma isabe kakhulu.

Thola i-feature evamile ye-CBT. Ukwelashwa kuvame ukuqala ngemizuzu embalwa yokuzivocavoca umzimba kancane kancane bese kwandisa kancane nokuqina kwesikhathi. Umgomo ukunciphisa ukwesaba kokuzivocavoca nokuguqula ukuchithwa okungahambisana nokugula.

Yini Engabangela Ukuphikisana?

Ukungqubuzana kuvela enkingeni ebaluleke kakhulu ekucwaningeni kwe-ME / CFS - izincazelo eziphikisanayo zalokho isimo.

Iqoqo elilodwa labacwaningi likholelwa ukuthi yisifo somzimba esihilela ukukhubazeka okuphilayo okuyinkimbinkimbi okubangelwa ukutheleleka, izinhlayiya zemvelo, ezinye izinto ezibangela ukucindezeleka ngokomzimba, noma ukuhlanganiswa kwalezi zinto.

Uma bekhetha abahlanganyeli be-study, bangasebenzisa enye yezincazelo ezintathu zesimo:

1. Imithetho ye-CDC yango-1994 ehlongozwa yi-International Chronic Fatigue Syndrome Study Group, ngokuvamile ebizwa ngokuthi incazelo kaFukuda, ngemuva kokuba umbhali wephephandaba, uKejiji Fukuda;
2. KANYE indlela yokuhlola yaseCanada ka-2010, ebhekwa njengencazelo eqondile futhi ecacile kuneFukuda, idinga izimpawu ezingokomzimba ezinjenge-malaise emva kokucindezela, futhi ingabandakanyi iziguli ezinokugula kwengqondo;
3. Noma i-International Consensus Criteria ye-ME (i-myalgic encephalomyelitis,) efakazela "ukukhathala" ngokuthi "ukuphelelwa amandla okuphelelwa yisikhathi ngemuva" futhi idinga izimpawu eziningana zomzimba.

Abanye kuleli kamu baphathelene ne-CBT / GET njengendlela yokwelashwa kwemigqa yesibili okungcono kakhulu, noma ekubi kakhulu, okungaba yingozi nakancane. (Maes 2010 & 2009, Twisk 2009.)

Esinye isethi sabacwaningi sigcizelela ukwelashwa kwezici ezingokwengqondo nokuziphatha kwe-CBT / GET. Ukuze ukhethe abahlanganyeli besifundo, bangasebenzisa:

1. Incazelo yeFukuda;
2. KANYE i-Oxford ye-1991, efaka ukukhathala okungapheli kwemvelaphi engaziwa kanye ne-post-infection yokukhathala kwe-syndrome.
3. KANYE okuthiwa yi-CDC engokomfanekiso, okuyiyona inguqulo ebuyekeziwe yencazelo yeFukuda eyasungulwa ngo-2005 yi-CDC owayengumongameli we-cervical syndrome ocwaningweni wangaphambili.

Leli kamu livame ukuphakamisa i-CBT / GET njengokwelapha okuyinhloko futhi ngezinye izikhathi kuphela nge-ME / CFS.

Ngencazelo ehlukene emihlanu edlala, kulula ukubona ukuthi abacwaningi bangafinyelela kanjani iziphetho ezihlukene kakhulu. Mayelana nento kuphela evunyelwana ngayo ukuthi amanzi ashukunyiswa yizo zonke ukungavumelani ngokuqondene nesimo sokugula.

Ucwaningo lwe-CBT / GET ne-Muddy Waters

Ucwaningo oluningi lwe-CBT / GET lwe-ME / CFS selusebenzise uhlelo lwe-Oxford. Nokho, kufanele kuqashelwe ukuthi uma kuqhathaniswa nalabo abasebenzisa i-Oxford, kunezifundo ezimbalwa ze-CBT abacwaningi abasebenzisa i-Fukuda, iCanada noma i-International Consensus criteria.

Ngaphezu kwalokho, izifundo eziningana ezingasebenzisi uhlelo lwe-Oxford zibuza umbuzo obusetshenziselwa ukusekela ukusetshenziswa kwe-CBT, njenge-Twisk 2009.

Ukubheka indawo ephakathi - abacwaningi abasebenzisa incazelo yeFukuda - sinemiphumela emihle.

Ngomhlahlandlela wezi-2008 ngezingane ezincane ezingapheli ukukhathala, abacwaningi babika ukwanda okukhulu emsebenzini wokusebenza, ukuhamba esikoleni, nokukhathala. Ukuthuthukiswa kwagcinwa ekulandeleni kweminyaka emibili. (Leli phepha alizange licacise ukuthi i-GET ifakiwe ku-CBT.)

Amanye amaphepha abike:

• Ukuthuthukiswa kokukhathala nokusebenza ngokomzimba, kodwa ngezinga elikhulu lokuphuma phansi (Scheeres K, et al);
• Imiphumela elinganiselwe efanele ukutadisha okuqhubekayo (Malouff JM, et al.);
• Izinzuzo ezikhona ze-GET kufanele zihlolwe isiguli ngasinye (uNunez, et al.)

Ngokwemvelo, imibiko ixubile njengoba ucwaningo lungasikisela, nabanye abantu bathi i-CBT / GET ibuyiselwe izinga labo lokuphila nokusebenza, kuyilapho abanye bathi ukugula kwabo kubi kakhulu.

I-CBT / GET Ukwelashwa

Ngokuqinisekile, isinqumo sokuthi ukuphishekela i-CBT / GET njengokwelashwa kungumuntu oyedwa, okumele kwenziwe ngokusekelwe kwimeko yakho ngayinye nangokuqondiswa nodokotela wakho.

Akuyona yonke imiphakathi enezokwelapha abaqeqeshwe ku-CBT / GET, okungenza kube nzima kwabanye abantu ukuthola le mithi. Futhi, izinkampani zomshuwalense zingahle ziphike ukukhishwa ngaphandle uma unesifo sokugula kwengqondo esitholiwe, njengokucindezeleka noma ukukhathazeka. Izinhlelo zefoni-nezinhlelo zewebhu zikhona, ngakho-ke zingase zibe yindlela yokucabanga.

Udokotela wakho angakwazi ukukuthumela kumsebenzi oqeqeshiwe. Izinsiza lapha zingasiza futhi:

• I-ABCT: I-Association for Treatment and Cognitive Therapies
• I-CBT-Therapists.com
• I-American Psychological Association: Indlela Yokukhetha I-Psychologist
• I-Practice Central: Locator yezinzwa
• Ukuthola umhlinzeki we-PTSD

_Imithombo:

_{I-Carruthers BM, et al. I-Journal of Medicine yangaphakathi . 2011 Oct; 270 (4): 327-38. I-Myalgic Encephalomyelitis: I-International Consensus Criteria.}

_{I-Carruthers BM, et al. Journal of Chronic Chronic Fatigue Syndrome. 2003 11 (1): 7-36. I-Myalgic Encephalomyelitis / Isifo Sokuphela Kwokukhathala Syndrome: I-Case Clinical Working Definition, Protocol Prognosis and Diagnostic Treatment.}

_{UCarruthers, uBruce M. noMarjorie I. van de Sande. Wonke Amalungelo Agodliwe. "I-Myalgic Encephalomyelitis / Chronic Chronic Fatigue Syndrome: I-Case Clinic Definition kanye Nemihlahlandlela Yezokwelapha"}

_{Amasevisi Okulawula Nokuvimbela Izifo. "Ukubona i-CFS"}

_{Fukuda K, et al. Ama-Annal of Medicine yangaphakathi . 1994 Dec 15; 121 (12): 953-9. I-Chronic Fatigue Syndrome: Indlela Eyinkimbinkimbi Ekuchazeni Kwayo Nokutadisha. I-International Group Yokukhathala Isifo Se-Syndrome.}

_{Knoop H, et al. Izingane zokwelapha. 2008 Mar; 121 (3): e619-25. Ukuphumelela kwe-Cognitive Behavioral Therapy for Adolescents With Chronic Fatigue Syndrome: Ukulandelwa Kwesikhathi Eside Kokulingwa Okungahleliwe, Okulawulwayo.}

_{Maes M, Twisk FN. BMC Medicine. 2010 Jun 15; 8: 35. Isifo Sokugula Okungapheli: I-Harvey ne-Wessely's (Bio) I-Psychosocial Model ne-Bio (Psychosocial) Model Ngokusekelwe ekukhuseleni nasekukhuliseni kwe-Oxidative kanye ne-Nitrosative Stress Way.}

_{Maes M, Twisk FN. Izincwadi ze-Neuro Endocrinology. 2009; 30 (3): 300-11. Isifo Sokugula Okungapheli: I-La Bête Noire ye-Belgian Health Care System.}

_{UMalouff JM, et al. Ukubukezwa kwe-Psychology Clinic. 2008 Jun; 28 (5): 736-45. Ukusebenza kwe-Psychological Behavioral Therapy for Chronic Chronic Fatigue Syndrome: i-Meta-Analysis.}

_{Nunez M, et al. I-Rheumatology yezokwelapha. 2011 Mar; 30 (3): 381-9. Ikhwalithi Ehlobene NezeMpilo Yokuphila Ezigulini Eziphethwe Ukhathala Okungapheli Syndrome: Ukwelashwa Kwamaqembu Okwazi Ukuziphatha Nokuzivocavoca Ngezimboni Ne-Usual Treatment. Isivivinyo Esilawulwe Ngokungahleliwe Ngonyaka ongu-1 Wokulandelwa.}

_{Reeves WC, et al. BMC Medicine. 2005 Dec 15; 3: 19. Ukwelashwa Okungapheliyo Isifo Sokugula-Indlela Yokutholwa Ngokwemitholampilo Ekuchazeni Kwayo Nokutadisha.}

_{Scheeres K, et al. Journal of Consulting and Psychology Clinic. 2008 Feb; 76 (1): 163-71. Ukusetjenziswa kweTransformal Therapy yokuHlelwa Kwesifo Esingapheliko eSikhungweni SezeMpilo: Ukuhlaziywa kweBenmarkmarking.}

_{Schreurs KM, et al. Ukuziphatha Nokucwaninga Kwendlela Yokuziphatha. 2011 Dec; 49 (12): 908-13. Ukunakekelwa Kokuziphendulela Ngokweqile Kwesifo Sokuphela Kwokukhathala Sokuvuselela Ukuvuselelwa: Ukuphumelela Nokuzibikezela Kwempumelelo.}

_{I-Sharpe MC, et al. Journal of the Royal Society of Medicine. 1991 Feb; 84 (2): 118-21. Umbiko-Isikhathi Sokukhathala Sokugula: Izikhombandlela Zokucwaninga. 403}

_{I-Twisk FN, i-Maes M. Neuro Endocrinology Letters. 2009; 30 (3): 284-99. Ukubuyekezwa Kwendlela Yokuzivocavoca Engqondweni (CBT) ne-Graded Exercise Therapy (GET) ku-Myalgic Encephalomyelitis (ME) / Chronic Chronic Fatigue Syndrome (i-CFS): I-CBT / GET ayikona nje kuphela engasebenzi futhi ayikho ubufakazi obusekelwe, kodwa futhi ingase ibe yingozi kubaguli abaningi Nge-ME / CFS.}

_{I-PD emhlophe, et al. I-Lancet. 2011 Mar 5; 377 (9768): 823-36. Ukuqhathaniswa kwe-Pacing Therapy, I-Treatment Behavior Therapy, I-Graded Exercise Therapy, kanye ne-Specialist Medical Care for Chronic Fatigue Syndrome (i-PACE): Isivivinyo Esingahleliwe.}