Njira Yodziwa Zokwanira za Fibromyalgia

by Adrienne Dellwo; Yofotokozedwa ndi Grant Hughes, MD

Matenda a maganizo ochiritsira (CBT) ndi mankhwala omwe amalangizidwa kuti agwiritsidwe ntchito pa fibromyalgia (FMS). Chimodzi mwazofukufuku zomwe sizinawathandize kuti adziwe matendawa.

CBT ndi mankhwala, koma amagwiritsidwa ntchito pochiza matenda osiyanasiyana osagwirizana ndi maganizo. Komabe, odwala a FMS nthawi zina amakhulupirira molakwa kuti malingaliro a CBT amatanthauza kuti matenda awo amawoneka kuti ndi amalingaliro, kapena "osakhala enieni." Zoona, umboni wochulukirapo umasonyeza kuti CBT ili ndi mphamvu pothandiza kukuthandizani kuyang'anira matenda anu bwino, ndipo zingayambitsenso kusintha kwa ubongo wanu.

Kodi Kuthana ndi Maganizo Otani?

CBT kawirikawiri ndi mankhwala achidule omwe cholinga chake ndi kusintha momwe mumaganizira za zinthu zina, komanso makhalidwe anu pazinthu zawo. Mwachitsanzo, kafukufuku amasonyeza kuti anthu ambiri omwe ali ndi FMS amachita chinachake chotchedwa "choopsya," chomwe chimatanthauza kuti amakhulupirira kuti zinthu ziri zoipa kuposa momwe zilili. Iwo akhoza kunena monga, "Chisoni changa ndi choipa ndipo sichidzabwino."

Chikhulupiriro chimenecho chingathetse anthu kufunafuna chithandizo chomwe chiwathandize kuwongolera. Choncho CBT ingawathandize kusintha chikhulupiliro chawo kuti, "Ngakhale kuti ululu wanga uli woipa, ndimatha kupeza njira zowonjezera."

Kusintha kwa chikhulupiliro si chithandizo chozizwitsa chomwe chimangosintha nthawi ya matenda, koma chingasinthe makhalidwe abwino, omwe angapangitse chithandizo choyenera komanso kuyendetsa bwino pamsewu.

CBT kawirikawiri imaphatikizapo "ntchito yopanga homuweki" komanso magawo omwe ali ndi odwala.

Nthawi zina, atatha mankhwalawa, odwala adzalimbikitsidwa kuti apange msonkhano uliwonse pakatha miyezi ingapo kuti awathandize kusintha.

CBT ya Fibromyalgia

Kafukufuku amasonyeza kuti CBT ikhoza kuthandiza anthu omwe ali ndi FMS kusintha, makamaka pamene akuphatikizapo zochitika zina ndipo zimagwirizana ndi zosowa za munthuyo.

Kusanthula mchaka cha 2010 kwa mankhwala opatsirana pogwiritsa ntchito fibromyalgia kunasonyeza kuti CBT ndiyo yothandiza kwambiri.

Kafukufuku wambiri wasonyeza kuti CBT inali yogwira ntchito monga gawo lokhudzana ndi zolimbitsa thupi , kutambasula, ndi maphunziro a onse odwala komanso achibale. Ena ayang'ana zotsatira zake akawonjezeredwa ku mankhwala osokoneza bongo , ndipo awonetsanso kuti CBT ndi yopindulitsa.

Koma ndemanga za kafukufuku pa CBT za FMS zasonyeza kuti akatswiri ena a CBT amadalira kwambiri njira zothetsera khalidwe, zomwe zimapangitsa kuti odwala azikhala osiyana ndi ena.

CBT ingagwiritsidwe ntchito kukuthandizani kuti musinthe zinthu zomwe zimapweteka kapena zizindikiro zina, kuyesetseratu machitidwe m'njira zomwe sizikuwombera, kusintha njira zanu za kugona, kutsatira ndondomeko yanu yothandizira bwino, ndikudziyendetsa bwino kwambiri.

Kafukufuku akusonyeza CBT yathandizira zizindikiro zambiri za FMS, kuphatikizapo:

Kusagona
Tcheru
Mphamvu ya kugona
Ntchito ya tsiku ndi tsiku
Kuleza mtima
Kusokonezeka maganizo
Kusokonezeka maganizo
Zoganizira , makamaka chidwi
Mtundu wa moyo

CBT ikhoza kukhala yothandiza makamaka kwa anthu omwe akuvutika maganizo ndi nkhawa limodzi ndi FMS.

Mufukufuku wina, anthu ambiri omwe ali ndi CBT sanangokhala bwino pakudwala. Ibut atha kusunga zotsatira zotsatila.

Kufufuza koyamba kumasonyeza kuti CBT ikhoza kutsogolera kusintha kwa thupi momwe amachitira zopweteka (otchedwa nociceptors ) amachitapo kanthu, zomwe zimapangitsa kuchepetsa kuchuluka kwa ululu umene mumakumana nawo. Komabe, kufufuza kwina kuli kofunika kutsimikizira zotsatirazi.

CBT Imakonda Chiyani?

CBT nthawi zina imathandizira payekha, koma ikhozanso kuchitidwa pa gulu. Kafukufuku wina wasonyeza ngakhale kuti zakhala zogwira ntchito pomaliza foni kapena kudzera pa intaneti.

CBT ya FMS imaphatikizapo magawo atatu:

Maphunziro: Gawoli limaphatikizapo kuonetsetsa kuti wodwala amadziwa zenizeni za vutoli m'malo molondola mfundo zomwe zimagwirizana ndi FMS. Izi zikuphatikizapo zomwe zingayambitse, zinthu zomwe zimalimbikitsa matenda, komanso kuti ndi zofunikira kuti wodwalayo achite nawo ntchito yothandizira. Gawoli likhonza kuphatikizapo luso lapadera lothandizira kuphunzira momwe mungakhalire ndi moyo ndi FMS.

Magulu a CBT amaika: Gawoli likuwunika kukupatsani luso lochepetsera ululu. Izi zingaphatikizepo njira zopuma; Kugwiritsa ntchito malonda, zomwe zimakuthandizani kuti pang'onopang'ono muwonjeze ntchito zomwe mukuchita pamene mukupewa kusinthasintha kwapakati pa FMS; kuwongolera zizolowezi za kugona; kusintha maganizo pa ululu; komanso kuthana ndi zinthu zina zomwe zimagwira ntchito ndi matenda aakulu.
Kugwiritsa Ntchito Zochita Zenizeni: Izi zimakuthandizani kugwiritsa ntchito zomwe mwaphunzira muzochitika tsiku ndi tsiku zomwe mukukumana nazo. Kawirikawiri zimaphatikizapo ntchito zapakhomo zomwe zimagwiritsa ntchito luso lachigawo chachiwiri, ndipo zimawalola kuti zigwirizane ndi zosowa zanu.

Kupeza Wothandizira

Si anthu onse omwe ali ndi opaleshoni omwe amaphunzitsidwa ku CBT, zomwe zingachititse kuti anthu ena azivutika kuchipatala. Komanso, makampani a inshuwalansi akhoza kukana kufotokozedwa pokhapokha mutakhala ndi matenda enaake a maganizo, monga kupsinjika maganizo kapena nkhawa. Izi zimapangitsa mapulogalamu a foni ndi a intaneti kukhala ofunika kwambiri.

Ngati muli ndi chidwi ndi CBT, dokotala wanu akhoza kukutumizirani kwa dokotala woyenerera. Zomwe zili pano, kuchokera kwa akale a zaumoyo Leonard Homes, angathandizenso:

Kupeza Wothandizira Wanu Kumudzi Wanu

_Zotsatira:

_{Alda M, et al.} _{Kufufuza kwa nyamakazi ndi mankhwala.} _{2011; 13 (5): R173.} _{Kupambana kwa chithandizo cha chidziwitso kuchipatala kwa odwala omwe ali ndi fibromyalgia: kuyesedwa kosasinthika.}

_{Ang DC, et al.} _{Kusamalira nyamakazi ndi kafukufuku.} _{2010 May; 62 (5): 618-23.} _{Mankhwala odziwa zamaganizo amachititsa kuti odwala omwe ali ndi fibromyalgia ayambe kuphunzira.}

_{Braz Ade S, et al.} _{Revista brasileira de rehmatologia.} _{2011 May-Jun; 51 (3): 269-82.} _{Mankhwala osagwiritsa ntchito mankhwala komanso mankhwala othandizira komanso othandizira mu fibromyalgia.}

_{Friedberg F, Williams DA, Collinge W. Journal wofufuza kawawa.} _{2012; 5: 425-35.} _{Njira zochiritsira zosagwirizana ndi mankhwala kwa fibromyalgia: zowonetseratu zachipatala ndi mapulogalamu omwe ali ndi zipangizo zamakono.}

_{Glombiewski JA, et al.} _Ululu. _{2010 Nov; 151 (2): 280-95.} _{Matenda a maganizo a fibromyalgia: meta-analytical.}

_{Hassett AL, Gevirtz RN.} _{Makilomita odwala matenda a chifuwa chachikulu cha kumpoto kwa America.} _{2009 May; 35 (2): 393-407.} _{Mankhwala osapatsirana a fibromyalgia: maphunziro a odwala, kulingalira-njira zamakhalidwe, njira zotsitsimutsa, ndi mankhwala othandizira ndi othandizira.}

_{Jensen KB, et.} _Ululu. _{2012 Jul; 153 (7): 1495-503.} _{Thanzi labwino lachidziwitso limawonjezera kupweteka-kutsegulira kutsekemera kwa kampani ya prefrontal cortex kwa odwala omwe ali ndi fibromyalgia.}

_{Kollner V, et al.} _Schmerz. _{2012 Jun; 26 (3): 291-6.} _{Nkhani mu German.} _{Zowonongeka zomwe zafotokozedwa.} _{Psychotherapy kwa odwala matenda a fibromyalgia.} _{Ndemanga yowonongeka, meta-analysis, ndi malangizo.}

_{McBeth J, et al.} _{Zosungira zamkati zamankhwala.} _{2012 Jan 9; 172 (1): 48-57.} _{Kusamalira maganizo, kuchita masewero olimbitsa thupi, kapena zonse zochizira kupweteka kwafala kwanthawi yaitali.}

_{Miro E, et al.} _{Journal of psychology.} _{2011 Jul; 16 (5): 770-82.} _{Njira yodziŵa kuti munthu ali ndi vuto la kugona imachititsa kuti thupi liziyenda bwino mu matenda a fibromyalgia: woyendetsa ndege, woyesedwa.}

_{Sarzi-Puttini P, Atzeni F, Cazzola M. Annals wa New York Academy of Sciences.} _{2010 Apr; 1193: 91-7.} _{Thandizo la Neuroendocrine la matenda a fibromyalgia: chosinthika.}

_{Smith HS, Harris R, Clauw D. Wodwala Wopweteka.} _{2011 Mar-Apr; 14 (2): E217-45.} _{Fibromyalgia: matenda osokoneza bongo omwe amachititsa kuvutika kwapadera kwapachibadwa.}

_{Vasquez-Rivera S, et al.} _{Kusamalitsa Kwambiri.} _{2009 Nov-Dec; 50 (6): 517-25.} _{Kuzindikira mwachidule-khalidwe labwino ndi odwala fibromyalgia mu chisamaliro chachizolowezi.}

_{van Koulil S, et al.} _{Kusamalira nyamakazi ndi kafukufuku.} _{2011 Jun; 63 (6): 800-7.} _{Njira zamaganizo zothandizira kupwetekedwa ndi kupweteka kosalekeza kwa odwala kwambiri omwe amagwiritsa ntchito fibromyalgia.}

_{van Koulil S, et al.} _{Kusamalira nyamakazi ndi kafukufuku.} _{2010 Oct; 62 (10): 1377-85.} _{Anali ndi chidziwitso chodzidzimutsa-khalidwe labwino komanso kuchita masewera olimbitsa thupi odwala kwambiri omwe ali ndi fibromyalgia.}

_{Woolfolk RL, Allen LA, Apter JT.} _{Kafukufuku wopweteka ndi mankhwala.} _{2012; 2012: 937873.} _{Mmene zimakhudzidwira zokhazokha zokhudzana ndi matenda a fibromyalgia: kuyesedwa kosasinthika.}

Kodi Kuthana ndi Maganizo Otani?

CBT ya Fibromyalgia

CBT Imakonda Chiyani?

Kupeza Wothandizira

Related Content

Fresh articles

Intresting articles