A 'Mhuri' yezvirwere zvakasiyana
Fibromyalgia (FMS) uye kusingaperi kuneta kwehutano ( ME / CFS ) zvirwere zvakaoma kuronga. Zvose mbiri dzine zviratidzo zvepanyama zvakasiyana siyana zvinoshandiswa, uye dzinobatanidza nezviratidzo zvepfungwa zvepamusoro zvakare. Mukuwedzera, ivo vanowanzowirirana nevanouraya kune dzimwe zvirwere - zvizhinji zvadzo zvakare zvakaoma kuronga.
Sezvo masayendisiti ari kuwana zvakawanda zvekubata paFMS, ME / CFS nedzimwe zvirwere zvakabatana, izwi remurazi rinonyanya kushandiswa kurondedzera iyo inonyanya kusimbisa syndromes, kana CSS.
Vamwe vanotsvakurudza vanoti izwi iri rinofanira kutsiva mamwe mazwi, zvakadai sokushanda somatic syndrome , mishonga isingazivikanwi syndrome, uye somatoform zvinetso, nokuti vanofunga kuti CSS yakarurama.
Chii chinonzi Central Central Sensitivity Syndrome?
Chirwere chinotsanangurwa seCSS chinosanganisira chimwe chinhu chinonzi central sensitization . "Pakati" rinoreva hutachiona hwehutano, hunoumbwa nehupi hwako uye musipinha. "Kuziva" ndekuguma kwechimwe chinhu chakakunakira.
Kurwisana nehutano rudzi rwekunzwisisa vanhu kazhinji vanozivikanwa zvikuru. Mune mishonga, muviri wako une kusagadzikana kwemuviri kune chimwe chinhu chisingavhiringidzi vamwe vanhu zvachose. Ichokwadi, Kunyange zvazvo hurombo hweCSS huri kunyanya kunetseka, hunosanganisira kusagadzikana kwomuviri.
Mune CSS, tinova nehanya nezvinhu zvinoshandiswa ne-central central nervous system, iyo inogona kusanganisira mabhenekeri akajeka, mhere-mhere , nhuhu dzakasimba, rough texture, uye kuomesa muviri.
Inogonawo kusanganisira zvimwe zvokudya kana makemikari. Kunyanya muFMS, muviri unogamuchirwa kune chero chinhu chisingafadzi, kureva, kutonhora, kupisa, kunyorera kana tsvina.
Kunze kweFMS ne ME / CFS, mamiriro ezvinhu anotevera akanzi akwanise kuva chikamu chemhuri yeCSS:
- kusingaperi kurwadziwa kwepachivi , kusanganisira vulvodynia
- musoro uye migraine
- idiopathic low back pain
- interstitial cystitis (chirwere chinorwadza)
- chinokanganisa bowel syndrome
- multiple chemical sensitivity
- myofascial pain syndrome
- primary dysmenorrhea (nguva inorwadza)
- kusagadzikana makumbo syndrome
- temporomandibular joint disorder (TMJ)
Zvinetso zvepfungwa zvinowanikwa muCSS pamwe chete. Kutsvakurudza kunoratidza kuti izvi zvose zvinosanganisira kuderedzwa kweeurotransmitter imwe chete, nekuderedza muCSS munzvimbo dzakasiyana dzeuropi pane zvinetso zvepfungwa.
Mafungiro epfungwa anowanzobatana neCSS anosanganisira:
- kuora mwoyo kukuru
- kubvisa-kusagadzikana kwepfungwa
- bipolar disorder
- shure-kunetseka mupfungwa kunetseka
- generalized anxiety disorder
- panic attack
Zvichemo zveCSS
Neurotransmitters iyo inobatanidzwa mune zvimwe zveCSS dzinosanganisira:
Kutambudzika kweCSS kunobva kune dzakasiyana zvakasiyana siyana zvinorwadza marudzi: hyperalgesia uye allodynia.
Hyperalgesia inotora marwadzo akajairika kubva kune zvinhu izvo munhu wose anozviona zvinorwadza (bundu rakaputsika, zino rinoputika, nezvimwewo) uye rinoita kuti riwedzere. Inowanzotumidzwa se "kushandura izwi" rekutambudzika. Izvi zvinokonzera zvinhu zvakadai sekukuvadzwa, kuvhiyiwa, uye zvisingaperi zvinotambudza zvinosuruvarisa zvikuru.
Allodynia inokuita kuti unzwe marwadzo kubva kune zvinhu zvisingagone kukuvadza, zvakadai sokuputika kwechigunha chinopesana neganda rako, kana ruoko rwako ruchizorora parutivi rwako paunovata.
Allodynia inogona kuita kuti zvipfeko zvako zvive zvinorwadza kunyange kana zvisinganyanyi kuomeswa, kana kuita kuti usakwanise kunakidzwa. Iyo inoshandura marudzi ose ezvakaitika zviitiko muzvinhu zvinorwadza, izvo zvinowanzoreva kushandura kukuru kuhupenyu hwako kuideredza.
Dzimwe nzira dzakarongwa dzeCSS dzinosanganisira:
- kuvhuvhuta mukati kana kubuda mumutambo wenheyo
- self autonomic nervous system dysfunction
- kusagadzikana kweHPA axis , iyo chikamu chemuviri wekunetseka-kupindura
Kurapa Central Sensitivity Syndromes
Zvimwe zviratidzo zvevanhu uye nzira dzeCSS imwe neimwe dzinoda nzira yekurapa yakarongeka, asi kazhinji, CSS zhinji inofanirwa kutarisa kune dzimwe nzira dzakadai dzekurapa, kunyanya antidipressants (iyo inobatsira kururamisa chirwere chinonzi neurotransmitter dysregulation), kurovedza muviri , uye kukanganisa maitiro ekurapa ( CBT).
Zvisinei, inofanira kuonekwa kuti vanhu vane ME / CFS vane pfungwa dzakakosha pazvinouya pakushambadzira, uye CBT inopikisana zvikuru nehosha iyi, kunyanya kana yakabatanidzwa nemashandiro ekugadzirira.
Kunyange zvazvo izvi zviitiko zvinotendwa zvakabatana, zvinokosha kuti mumwe nomumwe aongororwe uye aporese zvakanaka. Iva nechokwadi chekutaura nachiremba wako pamusoro pezviratidzo chero zvipi zvisingaratidziki zvakabatana nemanzwiro ako zvino.
Shoko kubva
Chikamu cheCSS ndechemashoko akanaka kwatiri tose nemamiriro aya. Inoratidza kuchinja kwakanaka kwokuti zvirwere izvi zvinonzwisiswa uye zvinotarirwa sei nevechiremba. Izvi ndizvo zvatinoda kana zvichitaura nekutsvaga tsvakurudzo, izvo zvinoita kuti zvive nani kuongororwa uye kurapwa.
> Sources:
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