Njira Yopanda Kulingalira Yoperewera Kwambiri Yoperewera Syndrome

Kutsutsana ndi Kufufuza

Matenda a maganizo ozindikira (CBT) omwe amaphatikizapo mankhwala opatsirana pogwiritsa ntchito ma ARV (GET) ndizovuta kwambiri pa nkhani ya matenda osokoneza maganizo ( ME / CFS ). Izi zikulimbikitsidwa ndi American Centers For Disease Control (CDC) ndi machitidwe ambiri a zaumoyo ku Ulaya, ndipo akutsutsana kwambiri pazofukufuku ndi m'madera odwala.

Kuwona mwamsanga pafukufuku pa CBT / GET kwa ME / CFS kungakhale kusokoneza.

Kafukufuku wina amanena kuti ndi othandiza kwambiri, pamene ena amanena kuti n'zosatheka komanso mwinamwake ngakhale mankhwala ovulaza komanso osayenera.

Pofuna kumvetsa mfundo zotsutsanazi, zingathandize kumvetsetsa zomwe mankhwalawa akuphatikiza ndikuwona kusiyana kwakukulu pakati pa malingaliro ndi njira za ME / CFS.

CBT / GET ndi chiyani?

CBT ndi mankhwala a nthawi yayitali ndi cholinga chosintha maganizo anu kuzinthu zina komanso makhalidwe anu kwa iwo. Amagwiritsidwa ntchito pochiza mavutidwe a maganizo ndi thupi, nthawi zambiri kuthandizira kuthana ndi njira ndi kusiya zizolowezi zoipa zomwe zingapangitse zizindikiro kapena zoipa.

GET ndi chinthu chofala cha CBT. Chithandizo chimayambira ndi mphindi zochepa zozizira kwambiri ndipo kenako pang'onopang'ono kumawonjezera nthawi ndi mphamvu pa nthawi. Cholinga chake ndi kuchepetsa mantha a kuchita masewera olimbitsa thupi ndikusintha malamulo omwe angaperekedwe ndi matenda.

Kodi Chotsutsana Ndi Chiyani?

Mtsutso umachokera ku vuto limene liri pakati pa ma / ME / CFS kufufuza - kutanthauzira mpikisano wa chomwe chikhalidwechi chiri .

Ofufuza ena amakhulupirira kuti ndi matenda opatsirana omwe amachititsa kuti zinthu zisawonongeke chifukwa cha matenda, poizoni, komanso zinthu zina zomwe zimachititsa kuti thupi likhale ndi nkhawa.

Akasankha ophunzira, angagwiritse ntchito chimodzi mwa matanthauzo atatu a chikhalidwe:

1. Malamulo a CDC a 1994 a bungwe la International Chronic Fatigue Syndrome Study Group, lomwe limatchulidwa kuti Fukuda, pambuyo pa wolemba pepala, Keiji Fukuda;
2. KODI chikhalidwe cha Canada cha 2010, chomwe chimawoneka ngati chiganizo chokwanira kwambiri kuposa Fukuda, chimafuna zizindikiro zambiri monga post-exertional malaise, ndipo sichikhala nawo odwala matenda a maganizo;
3. KOPEREKEZERA KUKHALA MISONKHANO YOPHUNZITSIDWA KWA ME (myalgic encephalomyelitis,) yomwe imatengera "kutopa" ndi "kutopa kwanthawi yaitali" komanso kumafuna zizindikiro zambiri za thupi.

Ena mumsasa uno akuyang'ana CBT / GET ngati mankhwala achiwiri panthawi yabwino, kapena pangozi, yomwe ingakhale yovulaza komanso yopanda chilungamo. (May 2010 ndi 2009, May 2009.)

Gulu lina la ofufuza likugogomezera chithandizo cha maganizo a CBT / GET a maganizo ndi makhalidwe. Kusankha ophunzira, angagwiritse ntchito:

1. Tanthauzo la Fukuda;
2. KAPENA ka 1991 Oxford criteria, yomwe imakhala ndi kutopa kwachilendo kosadziŵika komanso matenda omwe amatha kutulutsa matenda.
3. KODI chimene chimatchedwa kutanthauzira kwa CDC, komwe kumatanthauzira kufotokozera kwa Fukuda komwe kunakhazikitsidwa mu 2005 ndi a CDC omwe kale anali mkulu wa kafukufuku wamakono wofooka matenda.

Kampu imeneyi nthawi zambiri imalimbikitsa CBT / GET kukhala yoyamba ndipo nthawi zina imangokhala chithandizo cha ME / CFS.

Ndi matanthauzo asanu omwe akusewera, ndi zophweka kuona momwe akatswiri angapezere mfundo zosiyana kwambiri. Ponena za chinthu chokha chimene chimagwirizanitsidwapo ndikuti madzi amatsutsidwa ndi kusagwirizana konse kokhudzana ndi chikhalidwe cha matenda.

Ma CBT / GET Research & Muddy Waters

Maphunziro ambiri a CBT / GET a ME / CFS agwiritsira ntchito zofunikira za Oxford. Komabe, tiyenera kukumbukira kuti poyerekeza ndi omwe amagwiritsa Ntchito Oxford, pali zochepa zochepa za maphunziro a CBT ndi ofufuza omwe amagwiritsa ntchito Fukuda, Canada kapena International Consensus criteria.

Zowonjezera, maphunziro angapo osagwiritsa ntchito Oxford amayenera kukayikira umboni wogwiritsidwa ntchito pogwiritsira ntchito CBT, monga nthawi ya Twisk 2009.

Kuyang'ana pa malo apakati - ochita kafukufuku akugwiritsa ntchito tanthauzo la Fukuda - tili ndi zotsatira zabwino.

Mu kafukufuku wa 2008 wa achinyamata odwala matenda otopa, akatswiri ofufuza anafotokoza kuwonjezeka kwakukulu kwa ntchito ya thupi, kusukulu, ndi kutopa. Kupititsa patsogolo kunasungidwa pakapita zaka ziwiri. (Pepalalo silinatchule ngati GET inaphatikizidwa mu CBT.)

Mapepala ena adanena kuti:

• Zowonjezereka za kutopa ndi kugwira ntchito, koma ndi chiwopsezo chachikulu choyambirira (Scheeres K, et al);
• Zotsatira zowerengeka zomwe ziyenera kupitiliza kuphunzira (Malouff JM, et al.);
• Zopindulitsa zopezeka pa GET ziyenera kuyesedwa kwa wodwala aliyense (Nunez, et al.)

Mwachidziwitso, malipoti ali osiyana monga momwe kafukufuku angasonyezere, ndi anthu ena akunena kuti CBT / GET inabwezeretsanso umoyo wawo ndi ntchito zawo, pamene ena amati iwo adayambitsa matenda awo.

CBT / GET Chithandizo

Ndithudi, chisankho chofuna kutsatira CBT / GET monga chithandizo ndi chaumwini, chomwe chiyenera kupangidwa malinga ndi vuto lanu komanso ndi chitsogozo cha dokotala wanu.

Si anthu onse omwe ali ndi opaleshoni omwe amaphunzitsidwa CBT / GET, zomwe zingawathandize kuti anthu ena athe kuchipatala. Komanso, makampani a inshuwalansi akhoza kukana kufotokozedwa pokhapokha mutakhala ndi matenda enaake a maganizo, monga kupsinjika maganizo kapena nkhawa. Mapulogalamu a foni ndi mawebusaiti alipo, kotero iwo akhoza kukhala njira yoyenera kuganizira.

Dokotala wanu akhoza kukutumizirani kwa dokotala woyenerera. Zomwe zili pano zingakhale zothandiza:

• ABCT: Mgwirizano wa Zotsatira za Khalidwe ndi Zoganizira
• CBT-Therapists.com
• American Psychological Association: Mmene Mungasankhire Akatswiri a Zaganizo
• Chitani Pakati Pakati: Malo Opeza Maphunziro a Zaganizo
• Kupeza Wothandizira PTSD

_Zotsatira:

_{Carruthers BM, et al. Journal of Internal Medicine . 2011 Oct; 270 (4): 327-38. Myalgic Encephalomyelitis: Zolinga za International Consensus.}

_{Carruthers BM, et al. Journal of Chronic Chronic Fatigue Syndrome. 2003 11 (1): 7-36. Myalgic Encephalomyelitis / Chronic Fatigue Syndrome: Clinical Working Case Definition, Protocols Za Kuzindikira ndi Kuchiza.}

_{Carruthers, Bruce M. ndi Marjorie I. van de Sande. Maumwini onse ndi otetezedwa. "Myalgic Encephalomyelitis / Chronic Fatigue Syndrome: Katswiri Wopereka Chithandizo Chachipatala ndi Malangizo Othandiza Odwala"}

_{Maofesi a Kuletsa ndi Kuteteza Matenda. "Kuzindikira CFS"}

_{Fukuda K, et al. Annals of Internal Medicine . 1994 Dec 15; 121 (12): 953-9. The Chronic Fatigue Syndrome: Njira Yoyenera Kufotokozera ndi Kuphunzira Kwake. Mliri Wolimbana ndi Kutopa Kwachilendo Wadziko Lonse.}

_{Knoop H, et al. Matenda. 2008 Mar; 121 (3): e619-25. Kugwiritsa Ntchito Thandizo Labwino kwa Achinyamata Amene Ali ndi Kutopa Kwambiri Kwambiri Syndrome: Kutsata Kwanthawi Yakale Mlandu Wosasinthika, Wolamulidwa.}

_{Maes M, Twisk FN. BMC Medicine. 2010 Jun 15; 8: 35. Kusuta Kwachilendo ka Syndrome: Harvey ndi Wessely's (Bio) Psychosocial Model Kuyerekezera ndi Bio (Psychosocial) Chitsanzo Chochokera ku Kutupa ndi Kutsekemera Kwa Nkhanza ndi Nitrosative Pathways.}

_{Maes M, Twisk FN. Neuro Endocrinology Letters. 2009; 30 (3): 300-11. Matenda Osalekeza Osalekeza: La Bête Noire ya Belgian Health Care System.}

_{Malouff JM, et al. Kufufuza kwachipatala. 2008 Jun; 28 (5): 736-45. Njira Yabwino Yothetsera Maganizo Omwe Amagwira Ntchito Yoperewera Kwambiri Syndrome: Meta-Analysis.}

_{Nunez M, et al. Clinical Rheumatology. 2011 Mar; 30 (3): 381-9. Moyo wokhudzana ndi thanzi la odwala omwe ali ndi kutopa kwachilendo. Kuyesedwa kosalamulirika ndi 1 Chaka Chotsatira.}

_{Reeves WC, et al. BMC Medicine. 2005 Dec 15; 3:19. Kusuta Kwachilendo ka Syndrome-Njira Yoyenera Kwambiri Kufotokozera ndi Kuphunzira Kwake.}

_{Scheeres K, et al. Journal of Consulting ndi Clinical Psychology. 2008 Feb; 76 (1): 163-71. Kugwiritsa ntchito njira zamaganizo zochizira matenda opatsirana pogonana m'maganizo a Mental Health Center: Kufufuza kwa Benchmarking.}

_{Schreurs KM, et al. Kafukufuku ndi Njira Zochiritsira. 2011 Dec; 49 (12): 908-13. Kuchepetsa Khalidwe Labwino la Kutopa Kwambiri Kwambiri M'kukhazikitsanso Kukonzekera: Kugwira Ntchito ndi Zotsatila za Zotsatira.}

_{Sharpe MC, et al. Journal ya Royal Society ya Mankhwala. 1991 Feb; 84 (2): 118-21. Lipoti-Matenda Osalekeza Amakono: Malangizo Ofufuza. 403}

_{Twisk FN, Maes M. Neuro Endocrinology Makalata. 2009; 30 (3): 284-99. Kufotokozera za Njira Zogwiritsira Ntchito Maganizo Opatsirana (CBT) ndi Graded Exercise Therapy (GET) mu Myalgic Encephalomyelitis (ME) / Chronic Fatigue Syndrome (CFS): CBT / GET Sikuti Yokha Yopanda Mphamvu Osati Yopereka Umboni, Komatu N'kutheka Kuvulaza Ambiri Ambiri Odwala Ndi ME / CFS.}

_{White PD, et al. Lancet. 2011 Mar 5; 377 (9768): 823-36. Kuyerekeza ndi Njira Zothandiza Zogwiritsira Ntchito Pafupipafupi, Chithandizo Chakumudziwa, Kugwiritsa Ntchito Zochita Zolimbitsa Thupi, ndi Katswiri wa Zamankhwala odwala Chronic Chronic Syndrome (PACE).}