Zvinetso neBalance & Fainting
Kune vanhu vane chirwere chisingaperi chinopera simba ( ME / CFS ), chirwere chine chimiro chiratidzo chavanofanira kutarisana naro zuva nezuva. Mune zvimwe zviitiko, i "musoro kumhanya" nguva nenguva kana nguva shomanana yekudengenyeka paunotanga kufamba. Mune dzimwe nguva, kuenzanisa kunowedzera kuipa uye kupera kunotyisa.
Saka chii chiri shure kwechezheni uye matambudziko akafanana? Zviratidzo izvi zvinogona kuenzaniswa nenhamba dzinozivikanwa dzezvikamu zve ME / CFS.
Izvi zvinosanganisira kuchinja kune nzira yaunofamba nayo, kusagadzikana kwemoyo uye kuvhara kweropa, uye nervous system kusagadzikana.
Zvinetso Nezizivo
Kuzununguka zvishoma zvino uye zvichida hausi dambudziko guru. Icho chinhu chinonyanya kuonekwa nevanhu nguva nenguva, zvichida nekuda kwekurwara, kukuvadzwa musoro, nzara kana kupera simba, kana kungomira zvakakurumidza.
Zvisinei, kana chirwere chine tsvina chikawanda uye chakakomba, chinogona kuchinja zvikuru muupenyu hwako. Ndiyo mhaka yevanhu vazhinji vane chirwere ichi. Mune chidzidzo che syncope (izwi rezvechiremba rekushaya simba), vatsvakurudzi vakawana kuti vakadzi vari muchipatara nokuda kwe syncope vainyanya kunge vane ME / CFS.
Zvinetso zvekucheka uye zvepabonde zvinogona kuita kuti zvive nengozi yekushanda. Kunyange avo vakanyatsogadzirira kufamba-famba muchitoro vangasafunga kuti vakachengeteka vachiita saizvozvo nekuda kwekugumburwa kana kubuda. Avo vanowa kana kubuda pane dzimwe nguva vanokuvadzwa nekukuvadza, izvo zvinowedzera kuderedza hupenyu hwavo.
Saka chiratidzo ichi chinogona kunge chichigadzirisa uye chinoita kuti uwedzere kutya uye kunyanya kuzvidya mwoyo panyaya yezvinhu zvakadai sekufamba pasi pamatanho. Nokuda kweizvi, zvinokosha kuti isu tinyatsonzwisise zvikonzero zvekutambudzika uye tarisa nzira dzokuderedza kana kukunda chiratidzo ichi.
Kufamba: Nzvimbo Isina Kunaka muna ME / CFS
Kwemakore anopfuura makumi maviri, vatsvakurudzi vave vachidzidza nzira yekufamba, kana hutsika, yevanhu vane ME / CFS.
Vakawana kuwanda kwezvakaipa. Maererano nekudzidza kwakabudiswa mu Journal of Neuroengineering nekudzorera, kusiyana pakati pevanhu vane ME / CFS uye vanhu vane utano kunosanganisira:
- Slower walk speed (velocity)
- Nhanho duku
- Nguva yakawanda yakashandiswa netsoka panguva dzezvikamu
- Nhanho shomanana paminiti (nguva)
- Zviduku zviduku zvinotenderera muhudyu, mabvi, uye makumbo
Pakutanga tsvakurudzo yave ichitaura kuti kushaya kwemaitiro kwakatanga pakarepo, uye naizvozvo hazvina kuva mugumisiro weavo vane ME / CFS kukurumidza kupera.
Asi izvi zvinoratidzika sei zvine chokuita nekuenzanisa? Zvechokwadi, zvinobvira nenzira yaunofamba nayo kuti iwe uireme. Zvisinei, hazvisi pachena kana nyaya dzinobatsira dzinokonzera kukanganisa matambudziko. Kutaura zvazviri, vamwe vatsvakurudzi vakafungidzira kuti kunokonzera kusakonzerwa kunogona kukonzerwa nokusinganisa kwakashata, zvichida nekuda kwekusagadzikana kwokuti uropi hunodzora sei mishonga, kana mamwe maitiro asingagoneki.
Uyezve, chidzidzo che 2016 muKliniki Biomechanics chinoratidza kuti nyaya dzekuita dzinogona kusungirirana zvakananga nekushaya kukwanisa kuchengetedza paunotanga kutanga kufamba. Kunyange zvakadaro, hatizivi kuti chii chinokonzera-uye-kushamwaridzana ukama huri pakati pekuita uye kuenzanisa. Zvinotora tsvakurudzo dzakawanda kuti dzive nechokwadi kuti dzinopindirana sei.
Mwoyo & Kushungurudzika Kwemvura Kusakanganisika
Mwoyo yakawanda (kwete-ine ngozi) kusakanganiswa kunobatanidza naM ME / CFS , uye vamwe vavo vanogona kunge vane mhosva yekuita dambudziko mumamiriro ezvinhu.
Chimwe chidzidzo chakawana kamuri yemukati kadiki (kuruboshwe kuruboshwe) kuvanhu vane ME / CFS. Vatsvakurudzi vakati kusavhiringidzika uye kusagadzikana kwemashoko kwakanga kuri zviratidzo zvinowanzove zvakabatana nekamuri duku.
Kuvhiringidzika kweOrststatic (OI) ndiro zita rekunyara kana iwe ukasimuka. Inokonzerwa nekuderedza ropa-kusina. OI dzimwe nguva inonzi inonzi neutrally mediated hypotension (NMH). Mune zvimwe zviitiko, zvinowanikwa sechirwere chinoputika chinonzi postural orthostatic tachycardia syndrome (POTS).
Zvinofanirwa kuitika kana iwe uchimuka ndeyekuti ropa rako rinowedzera kuitira kuti urwise kukuvadza uye kuchengetedza ropa rakakwana uye oksijeni muuropi yako. Mune OI kana POTS, ropa rinodonha rinowira pane kukura, rinosiya ubongo hwako uchinge hwafa nenzara.
Vanhu vazhinji vanowana izvi nguva nenguva-ndezvekukurumidza kumhanya kunzwa kunobatanidza nekumira zvakanyanya. Mu ME / CFS, yakawanda zvikuru uye haingasanganisi kufamba nekukurumidza kudarika nguva.
Dambudziko iri rakajairika muM ME / CFS kuti zvidzidzo chimwechete zvakadana kushandiswa kwaro sekuedza kuongororwa. Dare rekutsvakurudza rakadzidza mhepo inofungidzira yemwoyo pachinenge ichichinja nzvimbo uye inoti vakawana kusiyana kunogona kuongororwa nechirwere ichi ne 82-muzana yakakwana.
Chikonzero chekusava nemafungiro nemwoyo neropa rinowanzofungidzirwa kuti haisi kushanda kwehurongwa hwehutachiona hwehutongi, hunonzi dysautonomia .
Kurapa Utano uye Kuyera Matambudziko
Zvinokwanisika kuti ME / CFS yenyu yekurapa regimen inobatsira kuderedza dambudziko rehutano uye kuenzanisa. Kana zvisingaiti, iwe unogona kutaura nechiremba wako pamusoro pemishonga inotarisa pane izvozvi zviratidzo.
Chimwe chidzidzo chiduku chakacherechedza kukwanisa kwekudzidzira maitiro emisha muMe / CFS uye yakaratidza kuti yakanyatsoritswa uye inogona kunge yakabudirira. Kurovedza kwaisanganisira kushandisa nguva dzose tafura yakatsvaira uye yakaratidzika kuderedza kuwanda kwemubhadharo weropa kunodonha nekuchinja kwechinzvimbo.
Chimwe chidzidzo chakatarisa * kurovedza muviri kunoshandiswa pakuvandudza simba uye kuenzanisa pasina kuwedzera humwe zviratidzo. Ivo chete 61 muzana yevatori vechikamu vakakwanisa kupedza kudzidza. Zvisinei, avo vakagadzirisa zvakagadzirisa hutano hwakanaka uye simba.
* Usati watanga chero rupiro rwekuita muviri, ita nechokwadi chekutarisa nachiremba wako uye kuti iwe unonzwisisa chiratidzo chinoshamisa che ME / CFS chinonzi post-exertional malaise . Ichi chiratidzo chingakonzera kuwedzera kwakasimba uye dzimwe nguva kwezviratidzo zvinotevera kunyange kunyorova kana kuenzanisa muviri. Chero chero chirongwa chekudzidzira iwe unotora chikamu chinofanira kufanana nehutano hwako pachako nekushingaira.
Shoko Rinobva
Kusvikira iwe uwana kurapwa kunobudirira kuderedza dambudziko rako uye dambudziko rekuenzanisa, iwe unogona kuongorora kushandisa zvimwe zvekufamba uye nekuremara.
Zvinhu zvakafanana nebhagi mumvura uye mashizha akasimba pamatanho anogona kukubatsira mumamiriro ezvinhu angaita kuti iwe uwedzere kugumburwa kana kuwa.
Vanhu vazhinji vane ME / CFS kana zvimwe zvikonzero zvinokonzera chirwere chinoshandisa dhaka. Chimwe chinhu chavanogona kuvimba nacho panguva iyo nyika inotanga kupera. Mumatambudziko akaoma, mufambi anogona kunge akakodzera.
Iwe unogonawo kufunga kufunga nezvekushandisa gumbo revasimba riri pachena. Nzvimbo dzakawanda dzezvitoro dzinopa mototorized scooters kuitira kuti ugone kutenga apo ugare.
Inogona kunzwa isinganzwisisiki kushandisa mashandisiro aya-takaita sangano revanhu kuti tione avo sevanhu chete vasingakwanisi kufamba-asi vanogona kuwanikwa kune ani zvake anogona kubatsirwa kubva kwavari, uye izvi zvinosanganisira avo vasina kukwana. Izvo ndeyevaya vasina simba rekufamba zvakare, uye ME / CFS inogona kukuisa muchechi iyoyo!
> Sources:
> Allen J, Murray A, Di Maria C, Newton JL. Kurwara kuneta kwechirwere uye kusina kunaka kweropa rinoshandiswa pamusana we orthostasis-mutsva unogona kutsvaga kuongorora. Physiological measurement. 2012 Feb; 33 (2): 231-41. doi: 10.1088 / 0967-3334 / 33/2/231.
> Miwa K, Fujita M. Kuora mwoyo kwehutano nehutachiona hwehutachiona hunokonzerwa nemwoyo mutsva kune varwere vane chirwere chisingaperi chine simba. Internal medicine. 2009; 48 (21): 1849-54.
> Paul L, Rafferty D, Wood L, Maclaren W. Gamuchira maitiro ezvidzidzo nehutano hwekushaya simba uye zvirwere zvekuzvitsvaga uye zvakaenzana. Zvinyorwa zveveuroengineering nekuvandudza. 2008 May 27; 5: 16. doi: 10.1186 / 1743-0003-5-16.
> Rasouli O, Stendsdotter AK, Van der Meer AL. TauG-kutungamirirwa kwesimba rekugadzirisa kudzora munguva yekutanga kwevatano vane chirwere chisingaperi chine simba uye fromromyalgia. Clinical Biomechanics. 2016 Aug; 37: 147-52. doi: 10.1016 / j.clinbiomech.2016.07.008.
> Ulas UH, Chelimsky TC, Chelimsky G, et al. Mamiriro ezvinhu ehutano huri pakati pevakadzi vane syncope. Chipatori chekuzviongorora. 2010 Aug; 20 (4): 223-7. doi: 10.1007 / s10286-010-0070-x.