Kuchengetedza Maitiro Okurapa Kwekugara Kwakaneta Syndrome

Inopesana neKutsvakurudza

Kuchengetedza kwehutano hwehutano (CBT) hunosanganisira kupiwa maitiro ekurovedza muviri (GET) inokonzera kukakavara zvikuru kana zvichiuya pakusagadzikana kwehutano syndrome ( ME / CFS ). Inokurudzirwa neAmerican Centers For Disease Control (CDC) uye hutano hwakawanda hwehutano hweEurope, uye hunopikisirwa mune zvose zvitsvakurudzo uye munharaunda dzevarwere.

Kuona nokukurumidza pamusoro pekutsvakurudza kuri CBT / GET kwe ME / CFS kunogona kuvhiringidza.

Dzimwe dzidzo dzinoti dzakabudirira zvikuru, asi vamwe vanoti hazvina maturo uye zvichida kunyange kurapa kusina kunaka.

Kuti zvive nemanzwiro evhangeri iyi inopesana, inogona kubatsira kutanga kutanga kunzwisisa zvinorehwa nemishonga yacho uye tarisa dzimwe kusiyana kwakakosha mumatsanangudzo uye nzira dze ME / CFS.

Chii chinonzi CBT / GET?

CBT inorapwa kwenguva pfupi yepfungwa nechinangwa chekuchinja pfungwa dzako kune zvimwe zvinhu pamwe nemafambiro ako kune avo. Inoshandiswa kurapa maitiro ehupfungwa uye ehupenyu, kazhinji kubatsira nekugadzirisa nzira uye kubvisa tsika dzakaipa dzinogona kupfuurira kana kuwedzera zviratidzo.

GET inowanzoonekwa ye CBT. Mishonga inowanzotanga nemaminetsi mashomanana ekuderera-simba kwekudzidzira uye zvino zvishoma nezvishoma inowedzera nguva uye kushanda kwenguva. Chinangwa chacho ndechokudzikisa kutya kwekuita zvekuita uye kuchinja marondedzero anokwanisa kuendesa chirwere.

Chii Chinokonzera Kupopotedzana?

Iyo nharo inobva kune dambudziko riri pakati peME / CFS tsvakurudzo - kutsanangurwa kwekukwikwidza kwechinhu icho chiri .

Imwe yevatsvakurudzi inofunga kuti iyo chirwere chepanyama chinosanganisira kukanganisa kwezvinhu zvakasiyana-siyana zvinokonzerwa nehutachiona, hutachiona hwezvakatipoteredza, zvimwe zvikonzero zvinokonzera kushushikana kwepanyama, kana kusanganiswa kwezvinhu izvi.

Pavanosarudza vatori vechidzidzo, vangashandisa imwe yezvirevo zvitatu zvechiitiko:

1. Maitiro eCDC muna 1994 anotsanangurwa neSouth Chronic Fatigue Syndrome Study Group, kazhinji inonzi fukuda tsanangudzo, mushure mepepanhau munyori, Keiji Fukuda;
2. KANA iyo 2010 yeCanada nzira, iyo inonzi yakanyatsorondedzerwa uye yakanyatsotsanangurwa kupfuura Fukuda, inoda zvimwe zviratidzo zvepanyama zvakadai se-post-exertional malaise, uye isingaverengi varwere vane zviratidzo zvehutano hwepfungwa;
3. KUNA International Consensus Criteria ye ME (myalgic encephalomyelitis,) iyo inoshandura "kuneta" ne "mushure mekutsvaira kupera simba" uye inoda zviratidzo zvakawanda zvepanyama.

Vamwe vari mumusasa uyu vanoona CBT / GET semakirini emutsara wechipiri pane zvakanakisisa, kana pakuipisisa, zvingava zvinokuvadza uye kunyange zvisina kunaka. (Maes 2010 & 2009, Twisk 2009.)

Imwe sarudzo yevanotsvakurudza inotsanangura kuporesa kwepfungwa nemafungiro eBBCT / GET. Kusarudza vatori vechidzidzo, vanogona kushandisa:

1. Tsanangudzo yeFukuda;
2. KANA ye 1991 Oxford criteria, iyo inosanganisira kuneta kusingaperi kusingazivikanwi kwakabva pamwe nekupedza-kutapukira kuneta kwechirwere.
3. KANA zvinonzi CDC tsanangudzo yemashoko, iyo inoshandurwa shanduro yeFukuda tsanangudzo yakagadzwa muna 2005 nedare reCDC raimbova mukuru wekusagadzikana kwekutsvaga chirwere chekutsvaga.

Iyi kamu kazhinji inokurudzira CBT / GET seyokutanga uye dzimwe nguva kungongorapwa kwaMe / CFS.

Ne tsanangudzo shanu dzakasiyana mumutambo, zviri nyore kuona kuti vatsvakurudzi vanogona kusvika sei zvakasiyana zvakagadziriswa. Pamusoro pechinhu chimwe chete chinowanzobvumirana pamusoro apa ndechokuti mvura inodedzwa nezvose zvisingabvumirwi maererano nehutano hwechirwere.

CBT / GET Research Ne Muddy Waters

Zvizhinji zvekutsvakurudza kwakanaka kweBBCT / GET ye ME / CFS yakashandisa Oxford chirongwa. Zvisinei, inofanira kuonekwa kuti kana ichienzaniswa nevaya vanoshandisa Oxford, pane zvishoma zvidzidzo zveBBCT nevatsvakurudzi vachishandisa Fukuda, Canada kana International Consensus mitemo.

Zvakare, zvidzidzo zvakawanda zvisingashandisi Oxford mitemo zvinopikisa uchapupu hwakashandiswa kutsigira kushandiswa kweBBCT, yakadai muna Twisk 2009.

Tichitarisa nzvimbo yepakati - vatsvakurudzi vachishandisa tsanangudzo yeFukuda - tine zvimwe zviitiko zvakanaka.

Mune chidzidzo che2008 pamusoro pevana vasingagumi kuneta kwechirwere, vatsvakurudzi vakarondedzera kuwedzera kukuru kwekuita basa, kushanya kuchikoro, uye kuneta. Kuvandudza kwakachengetedzwa pamakore maviri ekutevera. (Iyo pepa haina kutsanangura kana GET yaisanganiswa muBBCT.)

Mamwe mapepa akati:

• Kuvandudzwa kwekuneta uye kushanda kwepanyama, asi nehuwandu hwekudonhorera kwekutanga (Scheeres K, et al);
• Zvigadziriswe zvizere zvinokodzera kudzidza zvakare (Malouff JM, et al.);
• Izvo zvinogona kubatsirwa zveGET zvinofanira kuongororwa kune mumwe murwere (Nunez, et al.)

Anecdotally, nhoroondo dzakasanganiswa sezvo tsvakurudzo ingaratidza, nevamwe vanhu vachiti CBT / GET yakadzorera hupenyu hwavo uye hutsika, asi vamwe vanoti yakaita kuti chirwere chavo chiwedzere.

CBT / GET Mushonga

Zvechokwadi, chisarudzo chekuda kutevedzera CBT / GET sekurapa ndeyomunhu oga, iyo inofanira kuitwa maererano nemhosva yako pachako uye nekutungamirirwa kwachiremba wako.

Haasi dzose dzinharaunda dzakagadzirirwa muna CBT / GET, izvo zvinogona kuita kuti zvive nyore kune vamwe vanhu kuti vawane kurapwa uku. Uyewo, makambani einishuwarenzi angaramba kuburitswa kunze kwekuti iwewo une chirwere chepfungwa chinotaridzika, zvakadai sokuora mwoyo kana kuti kufunganya. Fafoni- uye mapurogiramu e-web-based anovapo, saka vanogona kuva sarudzo yekufunga.

Chiremba wako angakwanisa kukutumira kune unyanzvi anoziva. Zvinhu zviripo pano zvinogonawo kubatsira:

• ABCT: Association for Practice and Cognitive Therapies
• CBT-Therapists.com
• American Psychological Association: Nzira Yokusarudza Sei Nyanzvi yePfungwa
• Dzidzira Pakati: Psychologist Locator
• Kuwana Murapa wePTSD

_Sources:

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

_{Carruthers BM, et al. Nhoroondo yeHurati Inoshaya Syndrome. 2003 11 (1): 7-36. Myalgic Encephalomyelitis / Chronic Fatigue Syndrome: Clinical Working Case Tsanangudzo, Zviratidzo uye Kurapa Zvirongwa.}

_{Carruthers, Bruce M. naMarjorie I. van de Sande. Kodzero dzose dzakachengetedzwa. "Myalgic Encephalomyelitis / Chronic Fatigue Syndrome: A Clinical Case Definition uye Mirayiridzo Yevashandi Vezvokurapa"}

_{Nzvimbo dzeDaase Control uye Kudzivirira. "Kuongororwa CFS"}

_{Fukuda K, et al. Anals of Internal Medicine . 1994 15: 121 (12): 953-9. The Chronic Fatigue Syndrome: Nzira Yakakwana Kubva Tsanangudzo Uye Kudzidza. International Chronic Fatigue Syndrome Chikamu Chekudzidza.}

_{Knoop H, et al. Pediatrics. 2008 Mar; 121 (3): e619-25. Kubudirira kweCognitive Behavioral Therapy Yevana Vachiri Kuyaruka Nokusingaperi Kuneta Kwechirwere: Kuenderera Kwenguva refu kweRandomized, Kudzorwa Chiedzo.}

_{Maes M, Twisk FN. BMC Medicine. 2010 Jun 15; 8: 35. Kurwara Kusingaperi Syndrome: Harvey uye Wessely's (Bio) Psychosocial Model Kusiyana neBio (Psychosocial) Muenzaniso Kubva mukuputira uye kudii uye Nitrosative Stress Pathways.}

_{Maes M, Twisk FN. Neuro Endocrinology Tsamba. 2009; 30 (3): 300-11. Kurwara Kusingaperi Syndrome: La Bête Noire yeBelgian Health Care System.}

_{Malouff JM, et al. Clinical Psychology Review. 2008 Jun; 28 (5): 736-45. Kubudirira kweCognitive Behavioral Therapy for Chronic Fatigue Syndrome: a Meta-Analysis.}

_{Nunez M, et al. Clinical Rheumatology. 2011 Mar; 30 (3): 381-9. Health-Related Related Life in Patients With Fatigue Fatigue Syndrome: Group Cognitive Behavioral Therapy uye Graded Exercise Versus Usual Treatment. A Randomized Controlled Trial na 1 Gore rekutevera.}

_{Reeves WC, et al. BMC Medicine. 2005 Dec 15; 3: 19. Kurwara Kusingaperi Syndrome-Chirongwa Chechiitiko Chekuita Neshoko Nokudzidza.}

_{Scheeres K, et al. Nhaurirano yeConing and Clinical Psychology. 2008 Feb; 76 (1): 163-71. Kushandisa Kushandisa Kuziva Maitiro Okurapa Kwekugara Kwakaneta Syndrome mune Mental Health Centre: Bhenchmarking Assessment.}

_{Schreurs KM, et al. Maitiro Okutsvakurudza uye Therapy. 2011 Dec; 49 (12): 908-13. Kuchengetedza Maitiro Okurapa Kwekugara Kwakaneta Syndrome Mukugadzirisa Kugadzirisa: Kubudirira uye Kufanotarisa kweMigumisiro.}

_{Sharpe MC, et al. Nhoroondo yeRoyal Society of Medicine. 1991 Feb; 84 (2): 118-21. Mharidzo-Isingaperi Kushushikana Syndrome: Mirayiridzo Yokutsvakurudza. 403}

_{Twisk FN, Maes M. Neuro Endocrinology Tsamba. 2009; 30 (3): 284-99. Ongororo pamusoro peCognitive Behavioral Therapy (CBT) uye Graded Exercise Therapy (GET) muMyalgic Encephalomyelitis (ME) / Chronic Fatigue Syndrome (CFS): CBT / GET Haisi Chete Zvisingabatsiri uye Haisi Evidence-Based Based, Asi Zvimwe Inogona Kukuvadza Vazhinji Varwere Ndiine ME / CFS.}

_{Wakachena PD, et al. Lancet. 2011 Mar 5; 377 (9768): 823-36. Kufananidza kweAdaptive Pacing Therapy, Cognitive Behavior Therapy, Graded Exercise Therapy, uye Specialist Medical Care ye Chronic Chronic Fatigue Syndrome (PACE): Randedzed Trial.}