Chikamu 1: Zvinonyanya & Zvikonzero zvekusatenda
Post-exertional malaise (PEM) chikamu chakakosha chechirwere chisingaperi chine simba ( ME / CFS ) chaunonyatsokwanisa kunzwisisa chirwere kunze kwekunzwisisa zviratidzo. Inotungamira huwandu hwakawanda hweE ME / CFS tsvakurudzo, inotarisirwa kuva chiyiko chechinangwa chekuongorora kuongorora, uye iri kumashure kwezita idzva rinoratidzirwa nezvechiitiko - systemic kushanda kusagadzikana chirwere .
Kunyange zvakadaro, dzimwe nhengo dzevanhu vezvehutano havatendi kuti PEM iriko. Pane kudaro, vanokanganisa kusateerera kwakanaka kwekuita zvekudzidzira pamusana pekugadzirisa; ivo vanopomera kudzidzira kudzivirira pane chimwe chepfungwa chinonzi kinesiophobia. Nenguva yakajeka, vanofunga kuti boka rose revanhu rakangoita zvisizvo uye risina musoro. (Spoiler alert: tsvakurudzo inofananidzira zvimwe!)
Zvichakadaro, humwe hukuru hunoramba huchiwedzera hunoti hunoratidza huwandu hwakasiyana hwehupenyu husina kunaka shure kwePEM. Chiratidzo ichi chinonyanya kusimbisa basa revanhu vane ME / CFS uye inoderedza hupenyu hwehupenyu zvikuru. Mumamiriro ezvinhu akaoma, inotsanangura upenyu hwavo zvachose.
Kunzwisisa Post-Exertional Malaise
PEM inokonzera kupera kwakasimba pamwe nekukwira mune dzimwe zviratidzo zvinotora kwemaawa makumi maviri nemaviri mushure mekuita muviri. Izvozvo zvingasave zvisinganzwisisike kune avo vasina kujaira nazvo - shure kwezvose, isu tose tinoda nguva yekudzoka mushure mokunge tine basa rakaoma.
Apo zvinosvika paPEM, kunyange zvakadaro, zvishoma nezvayo zvinowanzoitika kana zvakajairika kune vanhu vasina ME / CFS. Haisi kungoita zvekushungurudzika zvakanyanya kana kudikanwa kuzorora zvishoma.
PEM inogona kubva pane zvinyorwa zvakasimba-kupfuura-zvisizvo zvachose zvisingagoni kudzivisa. Mumwero munyoro, munhu wacho angave akawedzerwa kuneta, kupera, uye kugona kusagadzikana.
Mune mhosva yakaoma, PEM inogona kuunza pane zvirwere zvakanyanya-zvakadai sekuneta zvakanyanya, kurwadziwa, uye uropi hunosimba zvakasimba zvakakwana kuti zvakaoma kutoita mutsara kana kutevera sariti ye sitcom.
Hazvisi izvo zvatinosangana nazvo isu mushure mokukwira kana rwendo kuenda kumitambo. Uyewo zvisingawanzorengeki kuwanda kwekushingaira kunogona kutora kuisa vanhu munharaunda iyi.
Sezvo nechisimba, kushingaira kunoda kutora pfungwa dzePEM nyaya-ne-nyaya. Kune vamwe, zvinogona kukanganisa mushure mekunge zvishoma zvedzidzo zvepamusoro pamusoro pemabasa ezuva rimwe nerimwe. Kune vamwe, zvinoshamisa sezvo zvingaratidzika, zvinogona kungotora rwendo kuenda kubhokisi remakadhi, kushambidza, kana kugara pasi kweawa.
Dzidziso Yokuti Haisi Yechokwadi
Kana PEM ichikuvadza zvikuru, vamwe vanachiremba vanogona sei kudavira kuti haina kunyange?
Chimwe chezvinetso ndezvekupokana kwekunyengedzera kwekuti ME / CFS pachayo ndeyechokwadi. Kuwedzerwa kune iyo ndiyo inonyanya kukosha maitiro emabasa anochinja mushure mokutanga kwechirwere ichi pamwe nekureba kwenguva yakareba sei kuongororwa.
Iye zvino kuongororwa kwemaitiro kunoda kuti zviratidzo zvave zvichigara kwenguva refu kwemwedzi mitanhatu. Ndiyo nguva yakawanda yokuti mumwe munhu ave akazvidzivirira. Ichokwadi chechiitiko ichi, kunyange zvakadaro, kuongororwa kunowanzoita nguva yakareba.
Kana mumwe munhu akange asingakwanisi kubvumira kushingaira kwakanyanya kwemakore maviri kana matatu, hazvisi kushamisika kuti vangave vasina kusimba.
Tsvakurudzo inotsigira PEM kuva zvinopfuura kungozvigadzirisa. (Bazelmans) Chidzidzo chakabudiswa muna Psychological Medicine chakaratidza kuti kwakanga kusina kusiyana kwakakosha mumuviri wepanyama pakati pevaya vane ME / CFS uye vane hutano hwakanaka, vakadzingwa muboka rekutonga.
Chimwe chidzidzo (VanNess) chakabatanidza kuita zvemazuva maviri anotevera. Vatsvakurudzi vakawana kuti vanhu vane ME / CFS vakakonikana kudzokorora kushanda kwavo pazuva rechipiri, kusiyana neboka rekutungamirira.
Vakawanawo kuti oksijeni yekushandisa yakaderera mukati meEV / CFS varwere, asi kwete kutonga, pazuva rechipiri.
Vatsvakurudzi vakapedzisa kuti yakanga isiri kuderedza kodzero asi zvinogona kunge zvisingabatsiri zvemagetsi zvinokonzera kuderedza simba rekuita basa. Kutsvakurudza kwekupedzisira zvakare kunoratidza kusiyana kwakaita oksijeni yekushandisa uye metabolism yakabatanidzwa nePEM. (Miller)
Vamwe vanachiremba vanotaura zvakare kuti kutya kwekushingaira kwakaratidzwa nevanhu vazhinji vane ME / CFS inonyanya kutya kusinganzwisisiki kwekurovedza muviri kunonzi kinesiophobia. Tsvakurudzo munharaunda ino inenge yakasanganiswa. Zvimwe zvidzidzo zvakagumisa kuti kinesiophobia rates yakakwirira kune vanhu vane chirwere ichi uye kuti inobatsira. Pane imwechete inobvumirana kuti kinesiophobia inowanzoitika asi inotaura kuti haioneki kuti inogadzirisa basa remazuva ose. Vamwe vakawana kusawirirana pakati pekutya kwekurovedza muviri uye kuita zvekuita basa. (Nijsx3, Sirivha)
Varwere vazhinji nevatsigiri vanoratidza kuti kutya kwezvakagadziriswa zvePEM zvakanyatsonaka uye zvine maitiro ekuchengetedza panzvimbo pekuita.
Zvinokonzera & Kusiyana Kwemagariro
Dzidza zvakawanda pamusoro pePEM:
- Chikamu 2: Zvinokonzera Zvinokonzera & Kusagadzikana Kwezvisikwa zvePEM
- Chikamu 3: Kuchengetedza nekugadzirisa PEM
Sources:
1. Bazelmans E, uye al. Psychological medicine. 2001 Jan; 31 (1): 107-14. Iko kunoratidzira muviri kuderedza kuenderera mberi kwechirwere chisingaperi chirwere chinokonzera chirwere? Kurongedzerwa kudzidza pamusoro pekuita maitiro ekuita maitiro uye kubatana nekuneta, kuora mwoyo uye kuita basa.
2. Miller RR, et al. Zvinyorwa zvemishonga yekushandura. 2015 Mbudzi 20; 13: 159. Submaximal kuongororwa kuongororwa ne-near-infrared spectroscopy mu myalgic encephalitis / chronic fatigue syndrome varwere vachienzaniswa nehutano hwakanaka: kuongororwa kwakaitwa nyaya.
3. Nijs J, et al. Physical therapy. 2004 Aug; 84 (8): 696-705. Dambudziko rekuora simba syndrome: kusabatana kweshamwari pakati pemarwadzo-kutya kwekutenderera uye simba rekudzidzira nekuremara.
4. Nijs J, De Meirleir K, Duquet W. Nyaya dzekurapa uye kugadzirisa. 2004 Oct; 85 (10): 1586-92. Kinesiophobia mune chisinganzwisisiki yehutano syndrome: kuongorora uye kushamwaridzana nehurema.
5. Nijs J, et al. Kuremara uye kugadziriswa. 2012; 34 (15): 1299-305. Kinesiophobia, inoparadza uye inotarisirwa zviratidzo zvisati zvaitika pamberi pe stairclimbing uye isingaperi kuneta kwechirwere: chidzidzo chekuedza.
6. Sirivha A, et al. Nyaya yekuongorora kwepfungwa. 2002 Jun; 52 (6): 485-93. Basa rekutya kufamba kwechimiro uye basa mukusingaperi kuneta kwechirwere.
7. VanNess JM, Snell CR, Stevens SR. Nhoroondo yekusingaperi kuneta kwechirwere. 2007 14 (2): 77-85. Yakapedzisira ichinge yakagadziriswa nekodhiopulmonary simba panguva yekushandiswa kwema-malaise.