Thandizo la Thanzi la Mtheradi Kulimbitsa Matenda a Mthupi
Kodi mankhwala othandizira maganizo angatithandize kuthana ndi zizindikiro za fibromyalgia , ngakhale kuti zizindikirozo zimayambitsa thupi? Malingana ndi kafukufuku, makamaka phunzilo la 2017 lofalitsidwa mu magazini ya Pain , lingathe.
Izi ndi chifukwa cha zenizeni za ubongo wathu, luso lawo losintha, ndi luso lathu lokhazikitsa kusintha komwe ubongo wathu umagwirira ntchito.
Zoona motsutsana ndi kutsutsana
Kukambirana kulikonse pankhaniyi kudzakhala kutsutsana. Izi zimamveka, makamaka kupatsidwa kusamvetsetsana pakati pa anthu komanso magulu a zachipatala za fibromyalgia kukhala "chabe" kuvutika maganizo kapena vuto lina la maganizo.
Chinthu chofunika kumvetsetsa ndikuti ngakhale kuti mankhwalawa akuwongolera pamaganizo, izi sizikutanthauza kuti fibromyalgia ndi maganizo. Nazi mfundo zomwe muyenera kukumbukira:
- Fibromyalgia ndi matenda a ubongo ndipo amakhudzana ndi matenda a ubongo (omwe amagwiritsa ntchito mankhwala mu ubongo) omwe amachitiranso matenda ena.
- Kupanikizika ndi chinthu chowopsya chachikulu m'maganizo ambiri, makamaka, ambiri a fibromyalgia. Zikuwoneka ngati chinthu chodziwika bwino ndipo zimadziwika kuti zimapangitsa kuti zizindikiro zikhale zovuta komanso zimayambitsa mavuto.
- Kusokonezeka maganizo ndi nkhaŵa zimakhala zofala kwambiri mu fibromyalgia.
- Kafukufuku amasonyeza kuti kusokonezeka kwa ubwana kungasinthe mkhalidwe wa thupi, kuwonetsa matenda m'tsogolo.
- Kukhala ndi matenda aakulu, olemetsa kumakhala kovuta ndipo kungachititse kuti mukhale ndi maganizo olakwika, ndipo mitundu ina ya mankhwala ingathandize kuchepetsa mtima. (Izi ndizonso zokhudzana ndi matenda monga khansara, omwe palibe amene amaganiza kuti ali ndi maganizo.)
- Mankhwala osokoneza maganizo sakuvomerezedwa ngati mankhwala okhazikika, koma monga gawo la mankhwala ochiritsira. Iwo sali cholinga chotsitsimutsa njira zina.
- Ubongo umasintha. Maganizo amakhudza ubongo, kotero kusintha maganizo kumakhudza kusintha kwa thupi.
Pakadali pano, anthu omwe ali ndi fibromyalgia amapatsidwa mankhwala osokoneza bongo omwe sakhala ogwira mtima kwambiri ndipo amabwera ndi zotsatira zambiri. Timafunikira zambiri kuposa mankhwalawa, ndipo zina zothandizira m'maganizo zingathandize kudzaza mipata.
Chimodzi mwa zovuta zodzipiritsa zamaganizo ndizochidziwitso chochita machitidwe (CBT) . Komabe, olemba za zowawa , amanena kuti apeza njira yomwe ikuwoneka yothandiza kwambiri kuposa CBT. Amachitcha kuti kudziŵa maganizo ndi kufotokoza maganizo (EAET).
Kodi Kudziwa Maganizidwe ndi Maganizo Ndi Chiyani?
Malingana ndi katswiri wofufuza Mark A. Lumley, PhD, EAET ndi mgwirizano wa njira zomwe odwala ambiri amadziŵa kale. Njirazi ndizo:
- Thandizo la Psychodynamic
- Thandizo lachidziwitso
- Njira yothandizira
- Kulongosola momveka bwino
- "Kulemba" mankhwala
"Tangotenga masewera kapena njira zina kuchokera ku njira zina zomwe zimagwiritsidwa ntchito, ndikuwatsitsimutsa, ndipo timapereka zina zowonjezera kuti zikhale zoyenera kuti zikhale zowawa," adatero Lumley.
Izi zikutanthauza kuti, ngakhale EAET ndi njira yatsopano, ndi imodzi yomwe ingakhale yovuta kufotokozedwa ndi odwala.
Cholinga chachikulu cha EAET ndi kuthandiza anthu kuthana ndi mavuto osatsutsika. Phunziroli, anthu 230 omwe ali ndi fibromyalgia anali ndi maphunziro a masabata asanu ndi atatu-gulu limodzi likuyambira EAET, linanso kulandira CBT, ndipo lachitatu likuphunzira za vutoli. Ophunzirawo adayesedwa kumayambiriro kwa phunzirolo, atatha kuchiza, ndipo patapita miyezi isanu ndi umodzi.
Ngakhale kuti kupweteka kwakukulu sikukuyenda bwino ndi EAET poyerekeza ndi maphunziro a fibromyalgia, ofufuza adawona kusintha kwina kangapo, kuphatikizapo madera otsatirawa:
- Zizindikiro zonse
- Kupweteka kwafala
- Kugwiritsa ntchito thupi
- Kusokonezeka maganizo
- Nkhawa
- Kusokonezeka maganizo
- Zotsatira zabwino
- Moyo wokhutira
Komanso, pafupifupi 35 peresenti ya anthu omwe ali mu gulu la EAET adanena kukhala "bwino kwambiri" kapena "bwino kwambiri," poyerekeza ndi pafupifupi 15.5 peresenti mu gulu la maphunziro.
Poyerekeza ndi gulu la CBT, zotsatira zinali zofanana ndi miyeso ingapo, koma EAET inali ndi zotsatira zabwino kwambiri pakufika:
- Zizindikiro zochepa za fibromyalgia
- Kupweteka kochepa kumeneku
- 50 peresenti yochepetsa kupweteka mu 22.5 peresenti, poyerekeza ndi oposa 8 peresenti mu gulu la CBT
Kafukufukuyu akutsimikizira zotsatira za 2010 za gulu la kafukufuku, lofalitsidwa mu Journal of General Internal Medicine, lomwe linanena kuti njira zodzidziwitsa zokhazokha zimapangitsa zizindikiro zambiri za fibromyalgia, kuphatikizapo ululu, kukoma mtima, ndi ntchito zomwe zimadziwika. Zimatsimikiziranso ntchito yapitayi yokhudzana ndi matenda okhudzidwa ndi matenda a fibromyalgia, omwe anafalitsidwa m'magazini ya Psychotherapy mu 2008.
Nchifukwa chiyani EAET ikufunikira?
Mu fibromyalgia, ubongo umapangitsa zizindikiro zopweteka ndipo zimawapanga iwo poyankha zinthu zomwe siziyenera kuwapweteka . Njira za ubongo zimaphatikizapo zambiri zomwe zimachitika ndi zizindikiro zoopsa komanso zoopsya. Ngati mutasintha njirazo ponena za mphamvu za munthu kapena mantha, kuchepetsa mantha ndi kukulitsa mphamvu zawo pothetsa zina mwazovuta zapakati, nthawi imodzi kumachepetsa kupweteka kochitika. " Lumley adanena.
Amanena kuti mkwiyo wokhazikika umakhala wotengeka, ngakhale mankhwala. Anthu ambiri ali ndi zifukwa zomveka zokwiyira anthu m'miyoyo yawo komanso maganizo ena okhudzana ndi maubwenzi. Podziwa kuti ndikumvetsa bwino za malingaliro awo ndikuphunzira kuwalongosola m'njira zabwino, akuti akhoza kuthetsa "kusautsika, mantha, komanso kutengeka maganizo kumene anthu ambiri akumva."
Kafukufuku wambiri amatsimikizira zomwe ambirife timadziwa kuchokera kuchidziwitso-matenda aakulu ndi ovuta pa maubwenzi. Kusamvetsetsana kawiri ka fibromyalgia ndi chisokonezo chake kumangowonjezera vutoli. Mavuto aubwenzi amachititsa kupsinjika, ndipo nkhawa imabweretsa zizindikiro zathu.
Cholinga cha Lumley chimatsindika kuti anthu amafunika kufunsa odwala awo mankhwala omwe amapanga EAET chifukwa sali "njira" zoyenera kuchepetsa ululu. Wothandizira anu ayenera kupeza phunziro (zomwe zili kumapeto kwa nkhaniyi) zenizeni.
Amanenanso kuti opaleshoni nthawi zambiri amalephera kuthandizira odwala matenda a fibromyalgia kuti amvetse kuti zizindikiro zawo zimayambira makamaka pakati pa mitsempha ya ubongo komanso ululu wa ubongo. Chinthu chofunika kumvetsetsa ndiko kudziwa kuti ubongo umasintha:
Tikudziwa kuti ubongo umasintha ndi zomwe zimakhalapo, ndipo mphamvu zokhudzidwa kwambiri ndizochitika, ubongo umasintha kwambiri. Odwala ambiri akhala ndi zowawa zambiri pamoyo, zomwe ubongo wawo umazikumbukira bwino. Kodi tingathe kulenga zovuta zokhudzana ndi zochitika zokhudzana ndi zochitika zakuthupi ... zatsopano zokhudzana ndi okalamba, ndikusintha ubongo kuti ukhale wabwino? Kusintha koteroku kumawonekeranso kuchepetsa zizindikiro zopweteka (zomwe ubongo ungazilembetse ngati zoopsa).
Mawu Ochokera
Palibe amene akunena kuti aliyense amene ali ndi fibromyalgia sanathetse vuto la maganizo kapena kuti nkhani zimenezi zikuyambitsa matenda anu. Ndi maphunziro otani omwe amasonyeza kuti kwa ena, kuthana ndi zochitika za maganizo kungatithandize kuti tizimva bwino ndikugwira bwino ntchito.
Mukakhala ndi chidziwitso kuti zomwe mukukumana nazo zingasinthe ubongo-zingathe kusintha njira zomwe zimayambitsa zizindikiro zathu zambiri-zimakhala zomveka chifukwa chake maganizo a CBT ndi EAET angathandize ife ngakhale kuti matenda athu ali okhudza thupi.
Komabe, monga mankhwala onse, njirazi sizingathandize aliyense. Malinga ndi chithandizo cha 2017 ku BMC psychology, chithandizo chamaganizo chimafunikanso kufufuzidwa bwino. Kukonzanso kwina chaka chomwecho, komabe, chofalitsidwa m'magazini ya Chijeremani Schmerz , chinapereka CBT umboni wamphamvu. (Monga njira yothandizira yatsopano, EAET sinayesedwe mu ndemanga izi.)
Palibe mankhwala amodzi omwe ali othandiza pa zizindikiro zathu zonse. Zimalimbikitsa kulingalira njira zosiyanasiyana pakubwera ndi mankhwala omwe amakupindulitsani.
> Zotsatira:
> Hsu MC, Schubiner H, Lumley MA, et al. Kuchepetsa kuchepetsa ululu kudzera mwa kudzidziwitsa nokha ku fibromyalgia: kuyesedwa kosasinthika. Journal za mankhwala oyenera mkati. 2010 Oct; 25 (10): 1064-70. lembani: 10.1007 / s11606-010-1418-6.
> Kollner V, Bernardy K, Greiner W, et al. Psychotherapy ndi maganizo a matenda a fibromyalgia: Ndondomeko yosinthidwa 2017 ndi kufotokozera mwachidule nkhani zowonongeka. Schmerz. 2017 Jun; 31 (3): 266-273. lembani: 10.1007 / s00482-017-0204-3. [Chithunzi chofotokozedwa; nkhani m'Chijeremani.]
> Lami MJ, Martinez MP, Sanchez Al. kupenda mwatsatanetsatane wa zamaganizo mu fibromyalgia. Ululu wamakono ndi kumutu kumayimba. 2013 Jul; 17 (7): 345. lembani: 10.1007 / s11916-013-0345-8.
> Lumley MA, Fufuzani H, Lockhard NA, et al. Kuzindikira maganizo ndi kutulutsa mankhwala, chidziwitso cha khalidwe lachidziwitso, ndi maphunziro a fibromyalgia: mayesero osagwiritsidwa ntchito mwachisawawa. Ululu. 2017 Aug 8. do: 10.1097 / j.pain.0000000000001036.
> Markozannes G, Aretouli E, Rintou E, et al. Amambuli akuwunika ma bukhu omwe amawathandiza kuti athetse mavuto. BMC maganizo. 2017 Aug 31; 5 (1): 31. lembani: 10.1186 / s40359-017-0200-5.