Zvakakwana Kuita Kuti Uve Bvudzi Dzako Muchibuda!
Paunenge uchidzidza nezvekugara wakaneta chirwere ( ME / CFS ), iwe unofanirwa kuunza zvinyorwa kune zvinhu zvakadai seFukuda, Oxford mitemo uye zvinyorwa zvinyorwa. Kana iwe usingazivi kuti zvinhu izvi zvinorevei, kana zvinyorwa zvaro, zvinogona kunge zvichinyanyisa.
Iwe zvichida wakaona mhirizhonga yakawanda yakapoteredza zvinhu izvozvo. Ndiyo nyaya yakaoma inodzokera kumashure makumi emakore.
Mabhuku ose akanyorwa pamusoro payo.
Zvisinei, kungonzwisisa zvishoma pfungwa huru zvinogona kukubatsira kuti uone zvinhu zvaunenge uchiverenga uye uise mashoko acho mumamiriro ezvinhu.
Tsanangudzo Itsanu Dzokukwikwidza
Mushonga wezvokurapa wakave nenguva yakaoma zvakadaro kunzwisisa ME / CFS kuti tsanangudzo shanu dzakasiyana ikozvino dziri kutamba. Vatsvakurudzi vakasiyana vanoshandisa tsanangudzo dzakasiyana, vanachiremba vakasiyana-siyana vanoshandisa nzira dzakasiyana-siyana dzokuongororwa, uye kuyambuka muganhu wenyika dzimwe nguva zvinoreva kusangana nedudziro yakasiyana uye yekugadzirisa zvinotarisirwa kupfuura zvaunoshandiswa.
Chimwe chezvinetso ndechekuti tine mapoka maviri akasiyana kana ari pamusoro pekuti vatsvakurudzi vanoona nekudzidza sei chirwere ichi. Ndeipi musasa yavanowira mukukanganisa tsanangudzo yavanoshandisa.
Nhengo yepamuviri: Vanotsvakurudza vari muboka iri vanofunga ME / CFS chirwere chepanyama chinosanganisa kusagadzikana kwezvinhu zvipenyu. Vanotsvakurudza nyaya dzakadai sehutachiona, hwehutachiona hwehutachiona, uye zvimwe zvinokonzera kushushikana mupfungwa.
Pavanosarudza vatori vechidzidzo, vangashandisa chimwe chezvirevo zvitatu:
- Fukuda
Muna 1994, CDC yakagadzirisa zvinotarisirwa neIndaneti Chronic Fatigue Syndrome Study Group. Iyo pepa yakanga yakanyorwa naKejiji Fukuda. Zita rake rakava nzira yakatarwa iyo vanhu vazhinji vanotaura nezvezvirevo izvi.
- Canadian Criteria
Itai muna 2010, izvi zvinotarisirwa zvakanyanya uye zvakanyanya kupfuura Fukuda. Vanoda zviratidzo zvakawanda zvemuviri (kusanganisira post-exertional malaise ) uye kusaisa vanhu vane zviratidzo zvehutano hwepfungwa. - International Consensus Criteria
Iyi tsanangudzo inoshandisa zita rokuti myalgic encephalomyelitis (ME), rinotsiva "kuneta" ne "mushure mekushanda kwekushaya simba," uye inoda zviratidzo zvakawanda zvepanyama kupfuura izvo Fukuda anoita.
Chirongwa cheSangano reMishonga cha2015 chakapa hutachiwana hutsva hweME / CFS uye hunoti zita richinje kuhutachiona hwekusagadzikana kwezvirwere (SEID.) Zvinoramba zvichionekwa kuti izvi zvichaita sei pakutsvakurudza. Zvisinei, mashoko okuti "systemic" uye "chirwere" anonyatsojekesa kukakavara kwehupfumi kuti ichi chirwere chepanyama.
Mafungiro emapfungwa / maitiro: vatsvakurudzi vari muboka iri vanotsigira kurapwa kwepfungwa, manzwiro, uye hukama hwehupenyu hwe ME / CFS. Vatsoropodzi varo vanowanzotaura nezveiyi se nzira yekuita biopsychosocial.
Apo vatsvakurudzi ava vanosarudza vadzidzisi vekudzidza, vanowanzosarudza kubva pane chimwe chezvirevo zvitatu:
- Fukuda (ona # 1 pamusoro)
- Oxford Criteria
Izvi zvinotanga muna 1991 zvinosanganisira kuneta kusingagumi kwepakutanga kusingazivikanwi uye kuwedzera shure kwekutapukira kuneta kwechirwere.
- CDC Empirical Definition
Muna 2005, uyo ndiye-musoro weCDC's chronic chronic fatigue syndrome research yakadzokororwa Fukuda.
Saka Izvi Zvinorevei Kutsvakurudza?
Ne tsanangudzo shanu mukushanda kwakashanda, tinosangana nematambudziko chaiwo kana zvasvika pakudzidza nezvechiitiko ichi uye kuti tingachibata sei.
Zvakajairika kune imwe chidzidzo chekurapa kupikisa mumwe; zvisinei, kana zvasvika kuna ME / CFS, panofanira kuva nemigumisiro inopesana. Zvinowedzera kutarisa kuongororwa kwakawanda uye kunouya nekubvumirana kwakakodzera.
ME / CFS yakakomberedzwa zvisinei pasarudzo ipi yaunoshandisa. Kutsvakurudza kunoshamisa zvikuru kana uchienzanisa nezvimwe zvirwere zvinoshandisa nhamba yakafanana yevanhu.
Zvose tsanangudzo dzakasiyana dzinoshingaira kuderedza kufambira mberi uye kuchengeta mvura inodha.
Izvi Zvinorevei Kune Vanhu vane ME / CFS?
Kune vanhu vanorarama nehosha iyi, zvinogona kureva kumirira kwemakore kwenguva refu kuitira kurapa kwakanaka. (Pashure pezvose, isu hatina DNA imwe chete-inogamuchirwa mishonga ye ME / CFS.)
Zvinogonawo kureva kuti chiremba wako haakwanisi kukubatsira iwe nokuti haakwanisi kuisa kune imwe sarudzo nekujekesa zvakajeka. Kuvhiringidzika kunowanzoita kuti kusava nechokwadi kwechiremba vamwe vanachiremba vane kana kuti ME / CFS isati iri "chaiyo" mamiriro ezvinhu.
Parizvino, pane mhirizhonga yakawanda pamusoro pekurapa kunonzi cognitive behavioral therapy (CBT) . Makambani maviri haabvumirane nezvakakosha muna ME / CFS, pamwe nekechipiri yekuona CBT semutambo wekutanga. Hazvitore nguva yakareba kuwana varwere vari paIndaneti vanoti vanoti vakaramba mamwe maitiro ekurapa kwechitendero ichi, kunyange apo CBT haina kuvabatsira.
Chii Chinonzi Ramangwana?
Zvinoratidzika sekuti vanhu vanoita tsvakurudzo yezvemuviri vari kushandisa zita rangu myalgic encephalomyelitis kakawanda, pamwe pamwe nekusingaperi kusaneta syndrome kana kuti kwete. Kana izvi zvichienderera mberi, ndinofungidzira kuti tichazopedzisira tine zvirwere zviviri zvakasiyana nemazita akasiyana. NeSeID ichibuda, zvisinei, vatsvakurudzi vane zvimwe zvinhu zvavanofanira kufunga.
Munguva ino, icharamba ichikwira mumakwikwi ekukwira kune vatsvakurudzi, vanachiremba, uye varwere zvakafanana kuita misoro kana miswe yemamiriro aya. Mashoko akanaka ndeokuti isu tiri, zvishoma nezvishoma, tichifambira mberi pasinei nezvose.
Sources:
Carruthers BM, et al. Zvinyorwa zvemukati mishonga. 2011 Oct; 270 (4): 327-38. Myalgic encephalomyelitis: International Consensus Criteria.
Carruthers BM, et al. Nhoroondo yekusingaperi kuneta kwechirwere. 2003 11 (1): 7-36. Myalgic encehpalomyelitis / chronic fatigue syndrome: kliniki yekushanda kesi tsanangudzo, zvirongwa zvekuongorora uye zvekurapa.
> Centres for Disease Control and Prevention. "Kuongororwa CFS."
Fukuda K, et al. Annals yemukati mishonga. 1994 15: 121 (12): 953-9. Iyo isingaperi inetaire syndrome: nzira yakakwana kune tsanangudzo uye kudzidza. International Chronic Fatigue Syndrome Chikamu Chekudzidza.
Reeves WC, et al. BMC mishonga. 2005 Dec 15; 3: 19. Kurwara kuneta kwechirwere-chirwere chepachipatara chinoshandiswa pakujekesa nekudzidza.