Kodi Kutopa Kwambiri N'kutani?

Kutopa, Kupweteka, Matenda-Monga Zizindikiro

Matenda otha msanga (aka ME / CFS kapena SEID ) sali otopa kwambiri. Anthu omwe ali ndi ME / CFS ali othamanga kwambiri moti amasokoneza miyoyo yawo ndipo amatha kuwavuta kuti agwire ntchito.

Anthu ena omwe ali ndi matendawa amanena kuti ali ndi vuto lokhalabe pamwamba pa maudindo awo kunyumba ndi pantchito, pamene ena ali olumala kwambiri komanso ngakhale ali pabedi.

Komanso, sikuti amangokhala ndi kutopa kwakukulu koma ndi zinthu zina zambiri, kuphatikizapo zizindikiro za chimfine ndi ululu wopweteka.

Pambuyo pa kafukufuku wazaka makumi ambiri, akatswiri tsopano akukhulupirira kuti chinachake chomwe chimatchedwa kuti central sensitization sichifukwa cholakwika cha ME / CFS. "Pakatikati" amatanthauza dongosolo lalikulu la mitsempha, limene limapangidwa ndi ubongo wanu ndi mitsempha ya msana. "Kutseketsa" kumatanthauza kuti kumakhala kosavuta.

Amakhulupiriranso kuti mphamvu ya pakati ndi yomwe imapangitsa ME / CFS kufanana ndi fibromyalgia , yomwe imagawana zinthu zambiri.

CDC imati umboni woyamba wokhazikika wa chilengedwe cha matendawa unabwera mu 2006 pamene ofufuza 20 ochokera m'madera osiyanasiyana adagwirizanitsa matenda ndi majeremusi omwe amachititsa kuti mchitidwe wamanjenje wachifundo ndi majekesi a HPA , omwe ndi thupi lanu lopanikizika. Majini amenewa amayang'anira mmene thupi lanu limayankhira zinthu monga kuvulazidwa, matenda, ndi kupsinjika maganizo.

Ochita kafukufuku ambiri amaganiza kuti vuto linalake limayamba chifukwa chosachita zachilendo kwa odwala opatsirana, kuphatikizapo:

• Vuto la Epstein-Barr
• Enteroviruses
• Man hervirvirus 6 (HHV-6)
• Matenda a Lyme

Zofufuza sizinatsimikizire kugwirizana kosagwirizana ndi iliyonse ya mavairasi awa, komabe.

Kafukufuku wambiri amasonyeza kuti chitetezo cha mthupi chikhoza kukhala champhamvu kwambiri kwa anthu omwe ali ndi ME / CFS, omwe angathe kufotokozera pang'ono kutopa ndi kusowa kwa mphamvu-kwenikweni, thupi lanu likuganiza kuti likulimbana ndi matenda, kaya ndi ayi kapena ayi, mphamvu zambiri.

Umboni wotsatsa machitidwe a chitetezo cha mthupi umaphatikizapo:

• Maselo apamwamba m'thupi lotchedwa anti-inflammatory cytokines
• Kuchepetsa ntchito ya wakupha thupi (NK) maselo, omwe amathandiza kulimbana ndi tizilombo toyambitsa matenda
• Kukhalapo kwa autoantibodies (maselo a chitetezo cha chitetezo cha mthupi omwe amachititsa molakwika ziphuphu zathanzi)
• Kuchepetsa kuchepa kwa maselo a T (mtundu wa maselo oyera a magazi) ku mavairasi enieni ndi / kapena mabakiteriya

Kafukufuku wokhudza matendawa (pansi pa mayina angapo osiyana) anafika zaka za m'ma 1700. Kwa zaka mazana ambiri, zakhala zabodza chifukwa chakuti zimayambitsa zosiyana siyana ndipo tsopano zikuyamba kumvetsetsedwa bwino ndi sayansi ya zamankhwala.

ME / CFS imapitabe ndi mayina ambiri , kuphatikizapo "kutopa ndi matenda opatsirana pogonana" (CFIDS), ndi " myalgic encephalomyelitis " (ME). Odwala ambiri ndi ogwira ntchito zachipatala amafuna kusintha dzinali, poganiza kuti dzina lakuti "matenda otopa kwambiri" limapangitsa kuti vutoli likhale lochepa komanso limapangitsa kuti anthu asamvetse bwinobwino.

Zizindikiro za Kutopa Kwambiri Kwambiri

Munthu aliyense ali ndi matendawa ali ndi zizindikiro zawo zosiyana, ndipo kukula kwa zizindikiro zimasiyana munthu ndi munthu. Kutopa, komabe, kuyenera kukhala kovuta.

Kuti mukwaniritse chizindikiro chimenecho, kutopa kwanu kuyenera kukumana ndi zinayi zotsatirazi:

1. Sichimasulidwa ndi tulo kapena kupumula
2. Sichifukwa cha ntchito yovuta ya thupi
3. Izi zimachepetsa mphamvu yanu kuti muzichita bwino nthawi zambiri
4. Zimakhala zovuta kwambiri pambuyo poyesera maganizo kapena thupi, kapena mutadwala. Chizindikiro ichi chimatchedwa post-exertional malaise , chomwe chimakhala chiwonjezereka chochuluka cha zizindikiro pambuyo poyesera ndikulephera kubwereza ntchito tsiku lotsatira

Zizindikiro zina zowonjezera ndizo:

• Chiyambi chadzidzidzi komanso chosiyana, makamaka potsatira matenda a chimfine
• Minofu ndi ophatikizana amayamba popanda kutupa
• Kusintha kwakukulu kapena kusintha kwa mutu
• Chikhure
• Kutupa ntchentche zam'mimba m'mphepete kapena m'mimba

• Matenda a kukumbukira / kulephera kulingalira

Zizindikiro zina zingaphatikizepo:

• Kusiyana kwa mowa
• Matenda owopsa a matumbo (monga chikhalidwe chogwedezeka)
• Maso owuma ndi pakamwa
• Kusokonekera kosavuta m'manja ndi m'mapazi
• Kusokonezeka koonekera
• Kufika kumwezi

Izi zingawoneke ngati mndandanda wautali, koma mndandanda wa zizindikirozo ndizitali kwambiri.

Kupeza Kuzindikira

Mayi / CFS amadziwidwa kuti asatuluke, zomwe zikutanthauza kuti zinthu zina zomwe zimakhala ndi zizindikiro zofananazi ziyenera kuperekedwa pamaso pa dokotalayo asanadziwe.

Pakalipano, tilibe mayeso a magazi, scan, kapena china chilichonse chomwe chimagwiritsidwa ntchito ngati chizindikiro cha matenda. Matendawa amatengedwa chifukwa cha zizindikiro komanso kusowa kwafotokozedwa kwina.

Njira yothandizira ya ME / CFS ikhoza kukhala yayitali komanso yovuta.

Njira Zothandizira

ME / CFS imakhudza anthu oposa mamiliyoni ambiri ku US koma tilibe mankhwala ovomerezeka a FDA ochizira. Mankhwala ambiri amagwiritsidwa ntchito pa-label kwa iwo, ngakhale.

Njira yowonetsera mankhwala imatha kuphatikizapo mankhwala kapena mankhwala owonjezera omwe angakuthandizidwe ndi zizindikiro zina, zowonjezereka , zowonjezereka kapena njira zothandizira, komanso kuthandizira maganizo. Madokotala ena amasankha njira zamaganizo zodzikakamiza komanso kuchita masewera olimbitsa pang'onopang'ono, koma njirayi ndi yotsutsana kwambiri chifukwa cha post-exertional malaise.

Madokotala ena amalimbikitsa zakudya zowonjezera , yoga , ndi kuvuta .

Chifukwa chakuti ME / CFS ingakhale yovuta kwambiri ndipo ingathe kuwonjezereka ndi nkhawa, anthu ena amapindula ndi uphungu, magulu othandizira , ndi njira zochepetsera nkhawa.

Anthu ambiri omwe ali ndi matendawa amayenera kuyesa njira zamankhwala angapo asanalandire regimen yabwino.

Mawu Ochokera

ME / CFS ndizovuta kukhala nawo. Komabe, m'kupita kwanthawi, mungapeze chithandizo ndikuphunzira njira zomwe zingakuthandizeni kukhala ndi moyo wathanzi.

Ndipo chiyembekezo chiri pafupi - tikuyandikira kumvetsetsa zomwe zikuchitika m'thupi lanu komanso momwe tingapezere bwino ndi kuchilitsa.

_Zotsatira:

_{Lorusso L, et al. Kufufuza Zokhazikika. 2009 Feb; 8 (4): 287-91. Matenda okhudzana ndi matenda aumunthu omwe ali ndi matenda aakulu.}

_{Maofesi a Kuletsa ndi Kuteteza Matenda. Lembani Zolemba Zophatikizapo: Kutopa Kwambiri Syndrome, April 2006.}

_{University of Maryland Medical Center (UMMC). Maumwini onse ndi otetezedwa. "Kutopa Kwambiri Kwambiri"}