Mavuto ndi Kusamalitsa & Kutaya
Kwa anthu omwe ali ndi matenda osatopa ( ME / CFS ), chizungulire ndi chizindikiro chomwe akuyenera kuthana nawo tsiku ndi tsiku. Nthawi zina, ndi "kuthamangira mutu" nthawi ndi nthawi kapena nthawi zochepa pamene akuyamba kuyenda. Nthaŵi zina, kuchepetsa kuli kovuta kwambiri komanso kutaya mtima ndi vuto lalikulu.
Nanga nchiyani chomwe chiri kumbuyo kwa chizungulire ndi mavuto ena ofanana? Zizindikiro izi zingakhale zogwirizana ndi zigawo zingapo zodziwika za ME / CFS.
Izi zimaphatikizapo kusintha kwa momwe mukuyendera, zosavuta za mtima ndi kuthamanga kwa magazi, ndi kusokonezeka kwa kayendedwe kake.
Mavuto Ndi Chizungulire
Kuzungulira pang'ono nthawi ndi nthawi si vuto lalikulu. Ndi chinthu chomwe anthu ambiri amakumana nacho nthawi ndi nthawi, kaya chifukwa cha matenda, kuvulala mutu, njala kapena kutaya madzi, kapena kungoyimirira mofulumira.
Komabe, pamene chizungulire chimakhala chowopsa komanso chowopsa, chimakhala ndi mphamvu yaikulu pamoyo wanu. Ndizochitika kwa anthu ambiri omwe ali ndi matendawa. Pofufuza syncope (chithandizo chamankhwala chofooka), ofufuza anapeza kuti amayi omwe adalandila chipatala chifukwa cha syncope anali makamaka kuti akhale ndi ME / CFS.
Matenda amadzimadzi komanso osakanikirana angayese kukhala ovuta. Ngakhale iwo omwe ali bwino mokwanira kuti ayende mozungulira sitolo angakhale opanda chitetezo chochita chotero chifukwa cha ngozi ya kugwera kapena kutuluka. Anthu omwe amagwa kapena nthawi zina amatha kuvulazidwa, zomwe zimachepetsa moyo wawo.
Kotero chizindikiro ichi chingakhale chopereŵera kwenikweni ndikupanga mantha owonjezeka kwambiri ndi nkhawa pazinthu zosavuta monga kuyenda pansi. Chifukwa cha zotsatirazi, ndizofunikira kuti timvetse zomwe zimayambitsa chizungulire ndikufuna njira zochepetsera kapena kugonjetsa chizindikiro ichi.
Kuyenda: Gawo Lopanda Pakati pa ME / CFS
Kwa zaka zoposa 20, ofufuza akhala akuphunzira kayendedwe ka anthu, omwe ali ndi ME / CFS.
Iwo apeza zosawerengeka zingapo. Malingana ndi kafukufuku wofalitsidwa mu Journal of Neuroengineering ndi Rehabilitation, kusiyana pakati pa anthu omwe ali ndi ME / CFS ndi anthu abwino ndi awa:
- Kuthamanga pang'ono pang'onopang'ono (kuthamanga)
- Zing'onozing'ono
- Nthawi yambiri yogwiritsidwa ntchito pa phazi pa nthawi
- Masitepe ochepa pa mphindi (mphindi)
- Kusuntha kwakung'ono kwambiri m'chiuno, mawondo, ndi mabotolo
Kafukufuku wakale adanena kuti zinthu zosavuta zinayamba nthawi yomweyo, ndipo motero sizinapangidwe ndi anthu omwe ali ndi ME / CFS kutaya mofulumira.
Koma kodi izi zikukhudzana bwanji ndi kulingalira? Ndithudi, ndizotheka njira yomwe mukuyendera kuti muiponye. Komabe, sizikuwonekeratu ngati zochitika zapadera zimathandizira kuthetsa mavuto. Ndipotu, ofufuza ena amaganiza kuti zinthu zosawonongeka zingawonongeke chifukwa cha kusayenerera bwino, mwinamwake chifukwa cha zovuta zomwe ubongo umayendetsa minofu, kapena zovuta zina zamaganizo.
Komanso, phunziro la 2016 ku Clinical Biomechanics limasonyeza kuti mavuto omwe angakhale nawo angagwirizane kwambiri ndi kusakhoza kukhazikika bwino pamene poyamba ayamba kuyenda. Komabe, sitikudziwa kuti chiyanjano ndi chifukwa chotani chimakhala pakati pa chikhalidwe ndi chiyeso. Idzafufuza zambiri kuti mudziwe momwe zimakhudzirana.
Mtima Wopanikizika ndi Magazi
Zambiri zomwe sizinali zowopsa mtima zimagwirizanitsidwa ndi ME / CFS , ndipo ena mwa iwo akhoza kukhala ndi udindo wa chizungulire.
Kafukufuku wina anapeza chipinda chaching'ono cha mtima (kumapeto kwa ventricle) mwa anthu omwe ali ndi ME / CFS. Ochita kafukufuku ananena kuti kusagwirizana ndi zovuta kumabweretsa zizindikiro zomwe zimakhala zogwirizana ndi chipinda chochepa.
Kusagwirizana kwa Orthodox (OI) ndi dzina loti munthu azisokonezeka mukamaimirira. Zimayambitsidwa chifukwa chosasokonezeka kwa magazi. Nthawi zina OI amatchedwa hypotension mediated (NMH). Nthaŵi zina, amapezeka ngati matenda ophatikizana otchedwa postural orthostatic tachycardia syndrome (POTS).
Zomwe ziyenera kuchitika mukauka ndikuti mphamvu ya magazi imakula kuti imenyane ndi mphamvu yokoka ndikusunga magazi okwanira ndi mpweya wanu mu ubongo wanu. Mu OI kapena POTS, kuthamanga kwa magazi kumagwera m'malo mokwera, zomwe zimachititsa kuti ubongo wanu ukhale ndi njala yochepa.
Anthu ambiri amatenga nthawiyi-ndikumverera kumbuyo kwa mutu kumagwirizana ndi kuimirira mofulumira kwambiri. Mu ME / CFS, ndizofala kwambiri ndipo sizingaphatikizepo kusamukira mofulumira kusiyana ndi nthawi zonse.
Vutoli ndilofala mu ME / CFS kuti kafukufuku wina wapempha kuti azigwiritsiridwa ntchito ngati chiyeso cha matenda. Gulu lofufuza kafukufuku linaphunzira momwe mtima umasinthira pamene akusintha ndi kunena kuti anapeza kusiyana komwe kungayambitse matendawa ndi vuto la 82 peresenti.
Chifukwa cha izi zowonongeka ndi mtima ndi kuthamanga kwa magazi nthawi zambiri amakhulupirira kuti ndizosavomerezeka kwa kayendedwe ka mantha, komwe kumatchedwa dysautonomia .
Kuchiza Kuzunguza ndi Mavuto a Kusinthana
Ndizotheka kuti mayendedwe anu a ME / CFS azithandiza kuchepetsa chizungulire ndi kuthetsa mavuto. Ngati sichoncho, mungathe kuyankhula ndi dokotala wanu za mankhwala okhudza chizindikirochi.
Phunziro limodzi laling'ono lawonekeratu kuthekera kwa maphunziro a chikhalidwe cha kunyumba ku ME / CFS ndipo anandiuza kuti izo zilekerera ndipo zingakhale zothandiza. Maphunziro amaphatikizapo kugwiritsira ntchito tebulo losasuntha nthawi zonse ndipo amawoneka kuti achepetse kuchuluka kwa kuthamanga kwa magazi kutsika ndi kusintha.
Phunziro lina linayang'ana pa * maphunziro ochita masewera olimbitsa thupi omwe cholinga chake chinali kukweza mphamvu ndi kulingalira popanda kuwonjezera zizindikiro zina. Ndi 61 peresenti ya ophunzira omwe adatha kumaliza phunziroli. Komabe, iwo omwe adakwanitsa kukwaniritsa izi zinakula bwino.
* Musanayambe mtundu uliwonse wa masewero olimbitsa thupi, onetsetsani kuti mukuyendera dokotala wanu komanso kuti mumvetse chizindikiro chodziwika cha ME / CFS chotchedwa post-exertional malaise . Chizindikiro ichi chikhoza kuwonjezera kuwonjezereka kwakukulu ndi nthawizina kwazomwe zimatsatira ngakhale kuchita maseŵera olimbitsa thupi kapena ochepa. Pulogalamu iliyonse yogwiritsira ntchito zolimbitsa thupi zomwe mumagwirizanako ziyenera kukhala zogwirizana ndi kupirira kwanu payekha.
Mawu Ochokera
Mpaka mutapeze mankhwala omwe amachepetsetsa chizungulire chanu ndi mavuto oyenerera, mungafune kuganizira kugwiritsa ntchito njira zothandiza komanso zolemala.
Zinthu ngati barolo muwachapa ndi zowonongeka zolimba pa masitepe zingakuthandizeni muzochitika zomwe zingakupangitseni kuti mukhumudwitse kapena kugwa.
Anthu ambiri omwe ali ndi ME / CFS kapena zinthu zina zomwe zimayambitsa chizungulire amagwiritsa ntchito ndodo. Ndi chinthu chimene angadalire pa nthawi yomwe dziko liyamba kuyendayenda. Mu milandu yovuta kwambiri, woyendayenda akhoza kukhala woyenera.
Mwinanso mutha kulingalira pogwiritsa ntchito njinga ya olumala pagulu. Masitolo ambiri amapereka scooters motorika kotero mukhoza kugula atakhala.
Zingamve zachilendo kuti tigwiritse ntchito zothandizira izi - tawonedwa ndi anthu kuti tiwone ngati anthu omwe sangathe kuyenda-koma alipo kwa aliyense amene angapindule nawo, ndipo akuphatikizapo omwe alibe vuto. Iwo ali a iwo omwe alibe mphamvu kuti ayende bwino, ndipo ME / CFS ingakuike iwe mu gawo limenelo!
> Zotsatira:
> Allen J, Murray A, Di Maria C, Newton JL. Matenda otopa ndi matenda osokoneza bongo omwe amachititsa kuti thupi lisawonongeke. Zomwe zimayendera. 2012 Feb; 33 (2): 231-41. lembani: 10.1088 / 0967-3334 / 33/2/231.
> Miwa K, Fujita M. Matenda osokonezeka maganizo omwe ali ndi mtima wochepa chifukwa cha mtima wawung'ono mwa odwala omwe ali ndi matenda aakulu. Mankhwala apakati. 2009; 48 (21): 1849-54.
> Paul L, Rafferty D, Wood L, Maclaren W. Amapereka zizindikiro za nkhani zomwe zimakhala zosalekeza ndi matenda odzisankhira omwe ali osasankhidwa. Journal of neuroengineering ndi kukonzanso. 2008 May 27; 5:16. lembani: 10.1186 / 1743-0003-5-16.
> Rasouli O, Stendsdotter AK, Van der Meer AL. Kutsogoleredwa kwa mphamvu za mphamvu zowonongeka pa nthawi yoyambira kwa odwala omwe ali ndi matenda osokonezeka ndi matenda a fibromyalgia. Maphunziro a zachipatala. 2016 Aug, 37: 147-52. lembani: 10.1016 / j.clinbiomech.2016.07.008.
> Ulas UH, Chelimsky TC, Chelimsky G, et al. Pewani moyo wathanzi kwa amayi omwe ali ndi syncope. Kafukufuku wodzipangira okha. 2010 Aug; 20 (4): 223-7. onetsani: 10.1007 / s10286-010-0070-x.