Kuneta, kurwadziwa, Flu-Sezviratidzo
Kurwara kuneta kwenguva refu (aka ME / CFS kana SEID ) zvinopfuura kungoti wakaneta zvakanyanya. Vanhu vane ME / CFS vanomhanya zvokuti vanovhiringidza upenyu hwavo uye vanogona kuita kuti zvive zvakaoma kushanda zvachose.
Vamwe vanhu vane chirwere ichi vanoti vane dambudziko rekugara pamusoro pemabasa avo kumba uye kubasa, asi vamwe vakagadzikana zvikuru uye kunyange vakarara.
Uyezve, havasi kungoita nekuneta zvakanyanya asi nehuwandu humwe humwe nyaya, kusanganisira zvirwere-zvirwere uye zvirwere zvisingaperi.
Mushure memazana makumi emakore ekutsvakurudza, nyanzvi iye zvino vanofunga kuti chimwe chinhu chinonzi central sensitization hachina kukodzera mhosva ye ME / CFS. "Central" inoreva nheyo yepamusoro yenheyo, iyo inoumbwa nehuropi hwako uye nemitsipa yemutsipa wepelinha. "Kuzivikanwa" kunoreva kuti yava kunyanya kufunga.
Vanodavirawo kutsigira kwepakati penyika ndizvo zvinoita kuti ME / CFS yakafanane ne fibromyalgia , iyo inowirirana yakawanda yezvinhu zvakafanana .
Dare reCDC rinoti humwe uchapupu hwechokwadi hwehupenyu hwechiitiko ichi hwakasvika muna 2006 apo vatsvakurudzi makumi maviri vanobva mumhando dzakasiyana-siyana vakabatana nechirwere chemajeni ane chokuita nehutano hwemagetsi uye HPA axis , iyo inhengo yemuviri wekushungurudzika. Aya majekiseni anoronga kuti muviri wako unopindura sei zvinhu zvakadai sekukuvara, kurwara, uye mupfungwa mupfungwa.
Vatsvakurudzi vazhinji vanofungidzira kuti zvimwe zviitiko zvinokonzerwa nekusaita kwakasiyana kune zvinowanzobatwa nehutachiona, kusanganisira:
- Epstein-Barr virus
- Enteroviruses
- Human herpesvirus 6 (HHV-6)
- Chirwere cheRyme
Zvidzidzo hazvina kuratidza kusagadzikana kusinganzwisisiki kune imwe yemavhairusi aya, zvakadaro.
Ongororo dzakawanda dzinoratidza kuti maitiro ezvirwere zvezvirwere zvezvirwere zvinogona kunge ari kushingaira kune vanhu vane ME / CFS, iyo inogona kutsanangura zvishoma nezvishoma kuneta uye kusava nesimba-chaizvoizvo, muviri wako unofunga kuti uri kurwisana nehutachiona, kana huri kana kwete, uye hunotora simba rakawanda.
Uchapupu hwekudzivirira zvirwere-masimba hunosanganisira:
- Ipamusoro masero emasero muzvirwere zvemuviri zvinonzi pro-inflammatory cytokines
- Kuderedza basa remuurayi wenyama (NK) masero, anobatsira kurwisa zvirwere
- Kuvapo kwe autoantibodies (immune system masero anokanganisa maitiro ane utano zvakashata)
- Kuderedza kupindura kwemasero eT (rudzi rwechichena chemuviri weropa) kune mamwe mavhairasi uye / kana mabhakitiriya
Tsvakurudzo pamusoro peswere ichi (pasi pemazita akasiyana-siyana) inodzokera shure kuma1700s. Kwemazana emakore, zvakange zvanyengera kuti zvinokonzerwa nezvikonzero zvakasiyana siyana uye zvinongotanga kunzwisiswa zviri nani nesayenzi yezvokurapa.
ME / CFS ichiri kuendeswa nemazita mazhinji , kusanganisira "kuneta kusingaperi uye immune dysfunction syndrome" (CFIDS), uye " myalgic encephalomyelitis " (ME). Varwere vazhinji nevarapi vezvehupatano vanoda kuchinja zita racho, vachifunga kuti zita rokuti "chronic tiredness syndrome" pacharo rinokonzera mamiriro ezvinhu uye rinoita kuti munhu arambe asinganzwisisi.
Zviratidzo Zvekusagadzikana Kusingaperi Syndrome
Munhu mumwe nomumwe ane chirwere ichi ane zvikamu zvake zvakasiyana-siyana zvezviratidzo, uye kuwedzera kwezviratidzo kunosiyana kubva kumunhu kusvika kumunhu. Kuneta, zvisinei, kunofanira kunge kwakaoma.
Kuti uwane chimiro ichocho, kuneta kwako kunofanira kusangana neiyi inotevera:
- Hazviregi kurara kana kurara
- Haisi chikonzero chekushanda zvakaoma muviri
- Iyo inonyanya kukonzera kukwanisa kwako kuita zvakanaka nenzira dzakawanda mumamiriro ezvinhu akawanda
- Zvinowedzera zvakaipisisa mushure mekufunga kwepfungwa kana mumuviri, kana mushure mokunge mave muchirwara. Ichi chiratidzo chinonzi post-exertional malaise , iyo inowedzera kukura kwezviratidzo mushure mekushingaira uye kusakwanisa kudzokorora basa racho zuva rinotevera
Zvimwe zviratidzo zvinowanzosanganisira:
- Kutanga kusinganzwisisiki uye kwakasiyana, kunyanya kutevera chirwere chakafanana nehosha
- Tsvina uye masangano aches pasina kuvhara
- Kunyanya kana kuchinja maitiro emusoro
- Huro inorwadza
- Kupfigira lymph glands mumutsipa kana mumakumbo
Dzimwe zviratidzo zvinogona kusanganisira:
- Kuregererwa kunwa doro
- Irritable bowel syndrome (sechiitiko chinoputika)
- Meso akaoma uye muromo
- Kufamba zvisina kunaka mumaoko nemakumbo
- Kuvhiringidzwa kunoonekwa
- Inononoka kuenda kumwedzi
Izvi zvingaratidzika sezere rurefu, asi ruzere rwezviratidzo zviratidzo chaizvo.
Kuwana Kuongororwa
ME / CFS inorwara yekuregererwa, izvo zvinoreva kuti mamwe mamiriro ezvinhu ane zviratidzo zvakadai anofanira kutongwa kunze kwekuti chiremba wako aone kuongorora.
Kusvika ikozvino, hatina kuongorora ropa, kuverenga, kana chimwe chinhu chinoshandiswa sechirwere chekuongorora. Saka chirwere chacho chinorwara ichibva pane zviratidzo uye kusava kweimwe tsanangudzo.
Iyo yekuongorora chirongwa che ME / CFS inogona kuva yakareba uye yakaoma.
Treatment Options
ME / CFS inokanganisa vanhu vanopfuura mamiriyoni muUnited States asi isu tisati tine mishonga inogamuchirwa neDAA yekurapa. Imwe mishonga inoshandiswa inoshandiswa kure-tekisi iyo, kunyange zvakadaro.
Chirwere chekurapa chinogona kusanganisira mishonga yepamusoro kana kupfuura-the-counter mishonga kuti ibatsire nezviratidzo zvakananga, kuwedzera , kuwedzera kana kushandiswa kwemishonga, uye kutsigirwa mupfungwa. Vamwe vanachiremba vanosarudza kugadzirisa mafungiro ehutano uye hutano hwekuwedzera zvishoma nezvishoma, asi nzira iyi inonyanya kukakavara nemhaka ye post-exertional malaise.
Vamwe vanachiremba vanorayira kudya kwemazuva , yoga , uye kugadziriswa .
Nemhaka yokuti ME / CFS inogona kuva yakanyanya kuora mwoyo uye inogona kuwedzererwa nekudzvinyirira, vamwe vanhu vanobatsirwa nekupa mazano, mapoka ekutsigira , nekugadzirisa-kuderedza kuderedza.
Vanhu vakawanda vane chirwere ichi vanoda kuedza nzira dzakasiyana-siyana dzokurapa vasati vawana regimen yakabudirira.
Shoko Rinobva
ME / CFS yakaoma mamiriro ekugara nawo. Zvisinei, munguva, iwe unogona kuwana mishonga uye udzidze nzira dzokubata nadzo dzinobatsira iwe kurarama hupenyu hwakakwana.
Uye tariro iri pedyo-tiri kuswedera pedyo nokunzwisisa zviri kuitika mumuviri wako uye kuti ungadzidze sei uye kuhubata.
Sources:
Lorusso L, et al. Autoimmunity Review. 2009 Feb; 8 (4): 287-91. Zviratidzo zvemuviri zvisingagumi kuneta.
Nzvimbo dzeDaase Control uye Kudzivirira. Dhinda Nyaya Dzokunyora: Nyaya Dambudziko Rokupera, April 2006.
University of Maryland Medical Center (UMMC). Kodzero dzose dzakachengetedzwa. "Kurwara Kwakapera Syndrome"