Zokwanira Kukuchititsani Tsitsi Lanu Kutuluka!
Pamene mukuphunzira za matenda aakulu ( ME / CFS ), mudzapeza maumboni a zinthu monga Fukuda, Oxford ndi ndondomeko yoyenera. Ngati simukudziwa chomwe zinthuzo zikutanthawuza, kapena zochitika zawo, zingakhale zosokoneza.
Mwinamwake mwawona zotsutsana zambiri zokhudzana ndi zinthu zimenezo. Imeneyi ndi nkhani yovuta yomwe imabwerera zaka zambiri.
Mabuku onse alembedwa za izo.
Komabe, kumvetsa mfundo zochepa chabe kungakuthandizeni kudziwa zinthu zomwe mukuwerenga ndikuyikapo mfundozo.
Ndemanga Zisanu Zotsutsana
Achipatala akhala ndi nthawi yovuta kwambiri kumvetsetsa ME / CFS kuti matanthauzo asanu akuwonetsedwa pakali pano. Ofufuza osiyana amagwiritsa ntchito matanthauzo osiyanasiyana, madokotala osiyana amagwiritsa ntchito njira zosiyana siyana, ndikudutsa malire a fuko nthawi zina amatha kutanthauzira kutanthauzira kosiyana ndi kukhazikitsa zofunikira kusiyana ndi zomwe mumakonda.
Chimodzi mwa vuto ndikuti tili ndi ndende zosiyana zokhudzana ndi momwe ochita kafukufuku amaonera ndikuphunzira matendawa. Kodi amachitikira pamsampha wotani kuti athandize bwanji?
Makamu aumoyo: Ofufuza pa gululi amalingalira za ME / CFS matenda opatsirana okhudza zovuta zamoyo. Amafufuza nkhani monga matenda, poizoni, ndi zina zomwe zimayambitsa matenda.
Akasankha ophunzira, angagwiritse ntchito chimodzi mwazinthu zitatu izi:
- Fukuda
Mu 1994, CDC inatsatira zomwe zimachitika ndi International Chronic Fatigue Syndrome Study Group. Pepalali linalembedwa ndi Keiji Fukuda. Dzina lake lakhala njira yeniyeni yomwe anthu ambiri amawatchula pa izi.
- Zotsatira za Canada
Poyamba mu 2010, izi zikutengedwa kuti ndi zowonjezereka komanso zenizeni kuposa Fukuda. Amafuna zizindikiro zambiri (kuphatikizapo post-exertional malaise ) ndikusiya anthu omwe ali ndi zizindikiro za matenda a maganizo. - Zolinga za mgwirizano wa mayiko onse
Tanthauzoli limagwiritsa ntchito dzina lakuti myalgic encephalomyelitis (ME), limatengera "kutopa" ndi "kutopa kwanthawi yaitali," ndipo kumafuna zizindikiro zambiri za thupi kuposa zomwe Fukuda amachita.
Lipoti la Institute of Medicine la 2015 linapereka njira zatsopano zogwiritsira ntchito ME / CFS ndipo zinapatsa dzina kusintha ku matenda osagwirizana ndi matenda (SEID). Komabe, mawu akuti "systemic" ndi "matenda" amavomereza kuti lipotili likunena kuti matendawa ndi achilengedwe.
Msasa wokhudzana ndi maganizo / khalidwe: Ofufuza m'gulu lino akutsindika chithandizo chamaganizo, maganizo, ndi chikhalidwe cha ME / CFS. Otsutsa ake nthawi zambiri amanena za njira imeneyi.
Ochita kafukufukuwa akafuna kusankha ophunzira, amasankha chimodzi mwazinthu zitatuzi:
- Fukuda (onani # 1 pamwamba)
- Zotsatira za Oxford
Izi zotsatizana ndi 1991 zikuphatikizapo kutopa kosadziwika komwe kumapezeka komanso kuphatikizapo kutopa matenda.
- Tanthauzo la ma CDC
M'chaka cha 2005, kafukufukuyu adafufuza Fukuda.
Ndiye Kodi Kufufuza Kumatanthauza Chiyani?
Ndi malingaliro asanu omwe amagwiritsidwa ntchito mwakhama, timakumana ndi mavuto enieni pankhani yophunzira za matendawa ndi momwe tingachitire.
Zimakhala zachizolowezi kuti phunziro limodzi lachipatala limatsutsana ndi wina; Komabe, pankhani ya ME / CFS, padzakhalanso zotsatira zotsutsana. Zimakhala zovuta kuyang'ana maphunziro ambiri ndikubwera ndi ziganizo zomveka.
ME / CFS ndi yovuta ngakhale mutanthauzira chiyani. Kafukufuku amapereka ndalama zambiri pamene mukuziyerekeza ndi matenda ena omwe amawunikira manambala ofanana.
Mafotokozedwe onse osiyana amathandiza kuchepetsa kupita patsogolo ndikusunga madzi.
Kodi Izi Zikutanthauzanji kwa Anthu omwe ali ndi ME / CFS?
Kwa anthu omwe ali ndi matendawa, zikhoza kutanthauza kuyembekezera zaka zambiri kuti athandizidwe moyenera. (Pambuyo pa zonse, sitidali ndi mankhwala omwe amavomerezedwa ndi FDA kwa ME / CFS.)
Zingatanthauzenso kuti dokotala sakhoza kukuthandizani chifukwa sangathe kuwonetsa gulu lafukufuku momveka bwino. Kusokonezeka kumeneku kumapangitsa kuti madokotala ena azikayikira ngati ME / CFS ndi "chenicheni" chikhalidwe.
Pakalipano, pamakhala mkangano woopsa kwambiri wokhudza mankhwala omwe amachititsa kuti azidziŵa bwino khalidwe labwino (CBT) . Makampu awiriwa sagwirizana kuti MES / CFS ndi yofunika kwambiri, ndipo kachiwiri amawona CBT ngati mankhwala oyamba. Sizitenga nthawi kuti apeze odwala pa intaneti omwe amati adatsutsidwa mankhwala ena okhudzana ndi chikhulupiliro ichi, ngakhale CBT sinawathandize.
Kodi Tsogolo Lidzakhala Liti?
Zikuwoneka ngati anthu akufufuza kafukufuku wanyama akugwiritsa ntchito dzina lakuti myalgic encephalomyelitis nthawi zambiri, mwina ndi matenda osatopa matenda kapena m'malo mwake. Ngati izi zikupitirira, ndikuganiza kuti tidzatha ndi matenda awiri osiyana ndi mayina osiyanasiyana. Pokhala ndi SEID ikuyamba, komabe ofufuza ali ndi zinthu zina zoti aziganizira.
Padakali pano, idzapitiriza kukhala nkhondo yowonongeka kwa ofufuza, madokotala, ndi odwala mofanana kuti apange mitu kapena miyeso ya chikhalidwe ichi. Uthenga wabwino ndikuti, tiri pang'onopang'ono, tikupita patsogolo mosasamala kanthu za zonsezo.
Zotsatira:
Carruthers BM, et al. Journal za mankhwala amkati. 2011 Oct; 270 (4): 327-38. Myalgic encephalomyelitis: Criteria International Consensus.
Carruthers BM, et al. Journal ya matenda otopa aakulu. 2003 11 (1): 7-36. Myalgic encehpalomyelitis / matenda osatopa matenda: kutanthauzira kachipatala ka ntchito zachipatala, ndondomeko ya matenda ndi matenda.
> Zolinga za Kuletsa ndi Kuteteza Matenda. "Kuzindikira CFS."
Fukuda K, et al. Zambiri za mankhwala amkati. 1994 Dec 15; 121 (12): 953-9. Matenda osatha a matenda: njira yowonjezereka ya kufotokoza ndi kuphunzira kwake. Mliri Wolimbana ndi Kutopa Kwachilendo Wadziko Lonse.
Reeves WC, et al. BMC mankhwala. 2005 Dec 15; 3:19. Matenda otha msinkhu wofooka-njira yodalirika yopita kufotokoza ndi kuphunzira.