Gawo 1: Zowona ndi Zifukwa Zosakhulupirira
Post-exertional malaise (PEM) ndi mbali yofunikira kwambiri ya matenda aakulu ( ME / CFS ) omwe simungathe kumvetsa bwinobwino matendawa popanda kumvetsetsa chizindikiro. Izi zatsogolera kufufuza kwakukulu kwa ME / CFS, ndipo zimawunikira kuti ndizofunika kwambiri kuti zikhale zovuta zowunikira, ndipo zimatsatiranso dzina latsopano lomwe limaperekedwa chifukwa cha matendawa .
Komabe, ena a madokotala samakhulupirira kuti PEM alipo. M'malo mwake, iwo amatsutsa kulakwa kolakwika kuchitapo kanthu pazifukwa zotsutsana; iwo amalephera kuchita zolimbitsa thupi pa chikhalidwe cha maganizo chomwe chimatchedwa kinesiophobia. Mwachidule, iwo amaganiza kuti gulu lonse la anthu ndi lokhazikika komanso lopanda nzeru. (Woponopetsa: kufufuza kumasonyeza mosiyana!)
Pakalipano, umboni wochulukirapo komanso wopitirirabe ukuwonetseratu zovuta za thupi zomwe zimachokera ku PEM. Chizindikiro ichi chimachepetsa kwambiri ntchito zomwe anthu ali nazo ndi ME / CFS ndipo amachepetsera umoyo wabwino kwambiri. Milandu yoopsa, imatanthawuza miyoyo yawo kwathunthu.
Kumvetsetsa Post-Exertional Malaise
PEM imayambitsa kutopa kwakukulu komanso kuwonjezereka kwa zizindikiro zina zomwe zimatha kwa maola 24 pambuyo pochita mwakuthupi. Zingakhale zosazolowereka kwambiri kwa iwo omwe sadziwa zambiri - pambuyo pake, tonsefe timafuna nthawi kuti tipeze pambuyo polimbikira ntchito.
Pokhudzana ndi PEM, komatu, sizingowonjezereka kapena zimadziwika kwa anthu opanda ME / CFS. Sikuti amangogwiritsa ntchito minofu yogwiritsidwa ntchito mopitirira muyeso kapena akusowa kupuma pang'ono.
Pem ingakhale yosiyana kwambiri ndi zizindikiro zowonongeka. Pachikhalidwe chofatsa, munthuyo akhoza kukhala ndi kutopa, kupweteka, ndi kusagwirizana kokwanira.
Powonongeka kwambiri, PEM ikhoza kubweretsa zizindikiro zazikulu za chimfine pamwamba pa kutopa kwambiri, kupweteka, ndi ubongo wa ubongo mwamphamvu kwambiri moti n'zovuta ngakhale kupanga chiganizo kapena kutsatira tsinde la sitcom.
Izi sizomwe tonsefe timadutsamo titatha ulendo wopita nawo masewera olimbitsa thupi. Komanso zachilendo ndi kuchuluka kwa mphamvu zomwe zingachititse kuti anthu azikhala m'dziko lino.
Monga momwe zinalili zovuta, kuyesayesa kuyenera kuyambitsa ziphunzitso za PEM vuto-ndi-vuto. Kwa ena, ikhoza kutsogolo pambuyo pochita masewera olimbitsa thupi pamwamba pa zochitika za tsiku ndi tsiku. Kwa ena, ndizodabwitsa ngati zingamveke, zingangotenga ulendo wopita ku bokosi, kusamba, kapena kukhala wokhazikika kwa ola limodzi.
Zikhulupiriro Zakuti Si Zenizeni
Ngati PEM ikulepheretsa, madokotala ena angakhulupirire bwanji kuti kulibe?
Chimodzi mwa vuto ndizokayikitsa kuti ME / CFS yokha ndi yeniyeni. Kuwonjezera apo, momwe ntchito zimasinthira kwambiri pakutha kwa matendawa komanso momwe zimatengera nthawi yaitali kuti apeze matenda.
Masiku ano zizindikiro zimakhala kuti zizindikiro zakhala zikuchitika kwa miyezi isanu ndi umodzi. Imeneyi ndi nthawi yochuluka kuti munthu akhale wovomerezeka. Komabe, vutoli ndilo matendawa nthawi zambiri amatenga nthawi yayitali.
Ngati wina sangathe kulekerera kupirira kwa zaka ziwiri kapena zitatu, sizodabwitsa kuti angakhale opanda mawonekedwe.
Kafukufuku amathandiza PEM kukhala yongopeka chabe. (Bazelmans) Kafukufuku wofalitsidwa mu Psychological Medicine anasonyeza kuti panalibe kusiyana kwakukulu pakati pa thanzi labwino pakati pa anthu omwe ali ndi ME / CFS ndi anthu omwe ali ndi thanzi labwino pa gulu lolamulira.
Phunziro lina (VanNess) linkachita masewera olimbitsa thupi masiku awiri otsatira. Ofufuza apeza kuti anthu omwe ali ndi ME / CFS sakanatha kubwereza ntchito yawo tsiku lachiwiri, mosiyana ndi gulu lolamulira.
Anapezanso kuti okosijeni amagwiritsidwa ntchito m'magulu a ME / CFS, koma osati kulamulira, tsiku lachiwiri.
Ochita kafukufuku anaganiza kuti sizinali zovomerezeka koma zowonjezereka zowonongeka zowonongeka zomwe zimachititsa kuti thupi likhale lochepa. Kafukufuku wamtsogolo umasonyezanso kuti kusiyana kwa magetsi komanso kagayidwe kake kamagwirizana ndi PEM. (Miller)
Madokotala ena amanenanso kuti kuopa kuchita khama komwe anthu ambiri ali nawo ndi ME / CFS ndi mantha osayenerera ochita masewera olimbitsa thupi otchedwa kinesiophobia. Kafukufuku m'dera lino ndi osakanikirana. Kafukufuku wina atsimikizira kuti chiwerengero cha chiwopsezo chokwanira chikukwera kwambiri kwa anthu omwe ali ndi vutoli komanso kuti amathandiza. Mmodzi amavomereza kuti chiwopsezo choterechi chimakhala chachilendo koma kunena kuti sizimawoneka kuti chimapanga zochitika zolimbitsa thupi tsiku ndi tsiku. Ena sanapeze kusiyana pakati pa mantha ochita maseĊµera olimbitsa thupi ndi kuchita masewera olimbitsa thupi. (Nijsx3, Silver)
Odwala ambiri ndi ochirikiza amasonyeza kuti kuopa zotsatira za PEM ndi zomveka bwino komanso kuli ndi chitetezo m'malo mochita mantha.
Zifukwa ndi Kusiyanasiyana Kwaumulungu
Dziwani zambiri za PEM:
- Gawo 2: Zowonjezera Zomwe Zimayambitsa & Zosavomerezeka za Pemsiological PEM
- Gawo 3: Kuchiza ndi Kusamalira PEM
Zotsatira:
1. Bazelmans E, et al. Mankhwala a maganizo. 2001 Jan; 31 (1): 107-14. Kodi thupi limapangitsa kuti thupi likhale lopweteka kwambiri? Maphunziro ogwiritsidwa ntchito pochita masewera olimbitsa thupi komanso kugonana ndi kutopa, kuwonongeka komanso kuchita masewera olimbitsa thupi.
2. Miller RR, et al. Journal of medicine translation. 2015 May 20; 13: 159. Kuchita masewera olimbitsa thupi pogwiritsa ntchito makina osakanikirana omwe ali pafupi kwambiri m'maganizo anga a odwala matenda otopa kwambiri omwe amawoneka ngati otopa.
3. Nijs J, et al. Kuchiza thupi. 2004 Aug, 84 (8): 696-705. Kutopa kwachilendo kwa matenda: Kusayanjana pakati pa ululu-mantha owopsa a kuyenda ndi zochita zolimbitsa thupi ndi kulemala.
4. Ndi J, De Meirleir K, Duquet W. Archives of medicine and rehabilitation. 2004 Oct; 85 (10): 1586-92. Kinesiophobia mu matenda aakulu otopa: kuyesa ndi oyanjana ndi olumala.
5. Nijs J, et al. Kulemala ndi kukonzanso. 2012; 34 (15): 1299-305. Kinesiophobia, kupweteketsa komanso kuyembekezera zizindikiro asanathamangitse matenda otopa ndi odwala: kuyesera kuyesera.
6. Silver A, et al. Journal of kafukufuku wa psychosomatic. 2002 Jun; 52 (6): 485-93. Udindo woopa kuthamanga thupi ndi ntchito zowonongeka.
7. VanNess JM, Snell CR, Stevens SR. Journal ya matenda otopa aakulu. 2007 14 (2): 77-85. Kuchepetsa mphamvu ya thupi pamapeto pa post-exertional malaise.