Vachagamuchirwa zvakadini?
Iko kusingaperi kuneta kwechirwere kunopedzisira kune zita idzva here? Izvo zvinoenderana zvikuru kana munhu achishandisa iyo itsva iyo yakataurwa.
Musi waFebruary 10, 2015, imwe Institute of Medicine panel yakaronga zita idzva uye mitsva yekuongorora yekutsvaga kwemamiriro acho ezvinhu. Asi havana kubudisa "myalgic encephalomyelitis" kana ME / CFS , saka nyanzvi havana chokwadi kana boka revarwere richagamuchira zita racho.
Kuti ndikupe imwe maonero, boka racho rakakurukura zvinopfuura 9 000 zvidzidzo zvezesayenzi, dzakanzwa uchapupu hwezvenyanzvi, uye dzakagamuchira ruzivo kubva kuvanhu vakawanda vasati vaita mazano. Iko zvino yakaisa mushumo wemaji 235 unonzi, "Beyond Myalgic Encephalitis / Chronic Fatigue Syndrome: Kuderedzazve chirwere."
Zita idzva
Zita iro ndiani? Chirwere chekuita kusagadzikana, kana SEID.
Nhengo dzepajeri dzinoti zita iri rinotsanangura chimwe chinhu chinokosha chechirwere - kusakwanisa kutsungirira kushanda, kana mumuviri kana mupfungwa, iyo inonzi post-exertional malaise . Vakabvumirana nevarwere uye nyanzvi vakataura kwemakumi emakore kuti zita rokuti "chisingagoneki fatigue syndrome" rinokonzera chirwere chakakomba, uye vanhu vanowanzotaura pamusoro pekuti vanoneta sei zvakare, saka vanofanirwa kuva nayo.
Zvisinei, maererano neThe New York Times, dzimwe nyanzvi dzinofunga kuti komiti inofanirwa kuongorora nevanharaunda ye ME / CFS vasati vauya nezita idzva kuti vaone kuti chinhu chinoitwa nevarwere.
Iyi nharo yakashatirwa kwenguva yakareba uye yakatsamwa zvikuru uye inonzwika zvokuti vamwe vanhu vakanyanyobatana nemazita maalgic encephalomyelitis, ME / CFS, kana CFS / ME.
Asi mapurisa anotaura, zvisinei, kuti kune matambudziko ane zita rokuti myalgic encephalomyelitis. Zita iro rinoreva kuvhiringidzika mumutambo wenheyo, uyo usina uhu hwakasimba huri shure kwahwo, pamwe nekurwadziwa kwemasisipo, zvavanotaura hazvisi chiratidzo chakakosha chakakwana.
Vakawanda vari munharaunda yevarwere vakatsoropodza mapurisa nokuti vazhinji veshengo havana ruzivo rwunozivikanwa nehutano. Yaiva nenhengo dzakawanda dzine ruzivo rwakakura mukurapa ME / CFS, kunyange zvakadaro.
Inofanirwa Kuva Nomufaro Pamusoro
Iyo mapani inoratidzika kunge inonzwisisa kukanganisa kwezita rezita rakange raita kuvarwere nekunyadzisa uye kuita kuti hupenyu huchinje uye hunowanzove hurwere hwakaoma. Ndiyo kutanga kwekutanga. Uyezve, dzimwe nhengo dzemapato dzakati havabvumi ndiro zita rakakwana, asi iro riri nani kune iye zvino.
Zvinhu zviviri zvokutaura pamusoro pezita pachavo - zvinosanganisira "systemic," iyo inotaura nezvehutano hwepanyama, uye "zvirwere," shoko vanhu vazhinji vamirira kwenguva refu kuti vateerere mune ME / CFS.
Imwe nyanzvi inoti iyo mharidzo ndiyo inonyanya kupfupisa yehuchapupu hwaakamboverenga. Nhengo yacho yakaratidzawo kuti tsvakurudzo shoma yakaitwa sei pa ME / CFS yakaenzaniswa nehuwandu hwevanhu inopindira.
Shamwari yemugumo uyu icharondedzera zvakanyanya kutsvakurudza kutsvaga mberi. Iko zvino iri kuvandudzwa kuti ibudiswe neNational Institutes of Health.
Uye pane chimwe chinhu chinogona kuva chikamu chakakosha chemugumo uyu: mutsva unyanzvi hwekuongorora.
Zviratidzo Zvokuziva
Sangano revarwere rakagara richikurudzira kuti US inotora izvo zvinowanzozivikanwa seCanada Consensus Criteria.
Icho chiito chakanaka, zvino, kuti zvitsva zvitsva zvinowanikwa, asi hazvina kufanana, izvo.
Idzidzo itsva inosanganisira:
- Mwedzi mitanhatu yakadzika, kusanzwisiswa kusina kutsanangurwa uye postexertional malaise uye kusazorodza kubata ;
- Matambudziko ekufungisisa kana kusagadzikana kwepfungwa (mutsigira paakamira) .
Vazhinji vanachiremba vakanyunyuta kuti tsanangudzo yeCDC, iyo yakashandiswa kuzivikanwa nevanhu kubva muna 1994, inogona kutadza kuona vanhu vane zvimwe zvinokonzera kukaneta kwenguva refu, kusanganisira kuora mwoyo. Izvozvo zvinosanganisira mwedzi mitanhatu yekutsungirira, kusanzwisisika kuneta uye zviratidzo zvina kana kupfuura zvekunyora kwaisanganisira zvose zvitsva kunze kwekusawirirana kwetsika.
Zvisinei, zvinogoneka, pasi pezvinotarisirwa neCDC, kuti uongorore ME / CFS pasina chero zviratidzo zvitsva zvinoratidza kusava nesimba.
Kubvuma Nhoroondo
Kuvhiringidzika kwemazuva mazhinji uye ME / CFS yakakonzera varwere nevatsvakurudzi vachipikisa hurumende kwemakumi emakore. Kunyange zvazvo mharidzo iyi uye jeri rakabudisa iyo isiri yakakwana, ndinofanirwa kuziva kuti chii chichafadza vanhu vose vane imbwa muhondo iyi. Ndinofungidzira kuti vamwe vacharamba vachimbundira ME mune imwe nzira pasinei nokuti chii.
Asi ndine tariro, zvakadaro, kuti vanhu vakakwana vachagamuchira zita idzva iro tinokwanisa kubva pakusiya mushure wekusagadzikana kwekusingaperi kuneta kwechirwere nekudzidzirazve vanhu pamusoro pezvakanaka zvechirwere ichi.
Kunyanya, ndinotarisira kuti vezvechiremba vanozoona huwandu hwekutsvakurudza uye ruzivo rwakapinda pakunyoresa mharidzo iyi uye kuuya kuzobvuma chero chii chatinodaro sechinhu chakakomba chemuviri. Nzira itsva yekuongororudza zviri nani inonyatsojekesa zvinhu zvinokosha zvechirwere uye zvinogona kutungamirira kune zvakanyatsoenderana uye zvakavimbika kutsvaga uye kutsvakurudza. (Pashure pezvose, mumakumi mashoma emakore apfuura taona zvisingasviki 20 tsanangudzo, zvishanu zvayo zvichiri kutamba .)
Kana iyi mharidzo uye shamwari yayo inogona kuita izvi zvose pamwe nekuita kuti iwedzere kufarira kufarira, ichaenda nenzira yakareba yekuporesa hondo dzehondo dzepikisano pamwe nekuvandudza maonero evanhu vanorarama nemamiriro aya.
Sources:
Beyond Myalgic Encephalomyelitis / Chronic Fatigue Syndrome: Kuderedzazve chirwere. Institute of Medicine, National Academy of Sciences. February 10, 2015. Kodzero dzose dzakachengetedzwa. Yakasvika: January 2016.
Cohen, Jon. Ita zvinhu zvisingagoneki kuneta kwechirwere, hello SEID. Sayenzi mune imwe nyika, American Association for Kufambira mberi kweSayenzi, February 10, 2015. Kodzero dzose dzakachengetedzwa. Yakasvika: February 2015.
Tuller, David. Kurwara kuneta kwenguva refu kunowana zita idzva. The New York Times, February 10, 2015. Kodzero dzose dzakachengetedzwa. Yakasvika: February 2015.