'Intsapho' yezifo ezihlobene
I-Fibromyalgia (i-FMS) kunye nesifo esingapheliyo sisifo ( ME / CFS ) zizifo ezinzima ukuzahlula. Bobabini banesibalo esibanzi sempawu ezibonakalayo ezenza iinkqubo ezininzi, kwaye zidibana neempawu ezininzi zeengqondo. Ukongeza, bahlala behamba kunye nokubethelwa kwezinye izifo - ezininzi zazo zinzima ukuzinza.
Njengoko izazinzulu zifumana i-handle ngaphezulu kwi-FMS, i-ME / i-CFS kunye nezinye izifo ezihambelana nayo, isiqulatho se-ambulula esetyenziswa rhoqo ukuchaza ukuba yi-syndromes yobuzwe obukhulu, okanye i-CSS.
Abanye abaphandi bathi le gama kufuneka ithathe indawo eminye imiqathango, njenge- syatic syndrome esebenzayo, i -syndrome engachazi kakuhle, kunye neengxaki ze-somatoform, kuba zikholelwa ukuba i-CSS ichanile ngakumbi.
Yiyiphi iCentral Sensitivity Syndrome?
Isifo esichazwe njengeCSS siquka into ebizwa ngokuba yi- central sensitization . "Ephakathi" kuthetha inkqubo ye-nervous central, eyenziwe ngengqondo yakho kunye nentambo yomthambo. "Ukwazisa" ngumphumo wokugqibela wezinto ezenzileyo.
Ubunzima bohlobo luhlobo lwabantu abanomdla ngokuqhelekileyo oluqhelekileyo. Ngokwemvelo, umzimba wakho unempendulo engafanelekiyo kwinto engabakhathazi abanye abantu. Enyanisweni, Nangona ukukhathazeka kweCSS kungeyona nto ihamba ngayo, iquka ukuphendula okungalunganga komzimba.
Kwi-CSS, siyaba neengxaki kwizinto eziqhutywe yinkqubo yesantya ephakathi, ezingabandakanywa izibane ezikhanyayo, izandi ezivakalayo , ukuvumba okunamandla, iimpawu ezinzima kunye noxinzelelo emzimbeni.
Ikwa kuquka nokutya ezithile okanye iikhemikhali. Ngokukodwa kwi-FMS, umzimba ukhuthazwa nantoni na embi, oko kukuthi, kubanda, ukushisa, i-tickle okanye itchch.
Ngaphandle kwe-FMS kunye ne-ME / CFS, le miqathango iphakanyisiwe ukuba yinxalenye yentsapho ye-CSS:
- ubuhlungu beentlungu eziphantsi kwe-idiopathic
- i-cystitis yangaphakathi (i-bladder ebuhlungu)
- isifo esilumkileyo esiswini
- ukukhathazeka kwamakhemikhali amaninzi
- isifo sengqondo somzimba
- i-dysmenorrhea yokuqala (ixesha elibuhlungu)
- imilenze yesifo
- i-temporomandibular ingxaki ehlangeneyo (TMJ)
Izifo zengqondo ziqhelekile kwiCSS ngokunjalo. Uphando lucebisa ukuba oko kubandakanya konke ukuguqulwa kwee- neurotransmitters ezifanayo, kunye ne-Dysregulation kwi-CSS kwimimandla eyahlukeneyo yengqondo kunengxaki yezifo zengqondo.
Izimo zeengqondo ezixhaphazelekayo ngeCSS ziquka:
- ukuxinezeleka okukhulu
- ubume obungalunganga obuphambanisayo
- ukuxhuzula
- ukuphazamiseka kwengxaki emva kokudandatheka
- ukukhathazeka ngokubanzi
- ukuhlaselwa
Izixhobo zeCSS
Ama-neurotransmitters abandakanyekayo ubuncinci kwezinye iCSS zibandakanya:
Intlungu yeCSS ivela kwiintlobo ezahlukeneyo zentlungu engavamile: i-hyperalgesia kunye ne-allodynia.
I-hyperalgesia ithatha intlungu eqhelekileyo kwizinto umntu ngamnye azijonga ngayo ubuhlungu (inxalenye ephukileyo, inyolo elinegciwane, njl.) Kwaye yenza kube nzima. Ngokuqhelekileyo kuthiwa "ukuguqula umthamo" weentlungu. Oku kwenza izinto ezinjengokulimala, ukuhlinzwa, kunye nemithombo engapheliyo yentlungu ngokukhawuleza.
I-Allodynia yenza ukuba uzive ubuhlungu ezintweni ezingafanele zibuhlungu, ezifana nokugqabhuka kwengubo ekhanda lakho, okanye ingalo yakho yokuphumla ecaleni lakho xa ulala.
I-Allodynia inokwenza iingubo zakho zibuhlungu nangona zingenakunzima kakhulu, okanye zenze ukuba ungahlali ujonge. Ijika onke amava aqhelekileyo kwiintlungu, ezidla ngokuthetha ukwenza utshintsho olukhulu ebomini bakho ukuze unciphise.
Ezinye iinkqubo ezicetywayo zeCSS ziquka:
- ukuvuvukala okanye ukuvela kwinkqubo yenzwa
- inkqubo ye-nervous system inokungasebenzi
- ukungasebenzi kwe- HPA axis , eyinxalenye yenkqubo yokuphendula ingcinezelo yomzimba
UkuPhatha amaSyndromes eSensitivity Syndromes
Izimpawu ezahlukeneyo kunye neendlela zeCSS nganye zidinga indlela yokwenza unyango olumiselweyo, kodwa ngokubanzi, i-CSS ininzi iyakuthi iphendule kwezinye iintlobo zonyango, ngokukodwa ukuxhatshazwa kweengxaki (ezikunceda ukulungisa i-neurotransmitter dysregulation), ukuzivocavoca , kunye nokuchithwa kwengqondo ( CBT).
Nangona kunjalo, kufuneka kuqatshelwe ukuba abantu abane-ME / CFS banengqalelo ekhethekileyo xa kufikelele ekusebenzeni, kwaye i- CBT yinkathazo enokubaluleka kwesi sifo, ingakumbi xa idibene kunye nokuzilolonga.
Nangona le miqathango ikholelwa ukuba idibeneyo, kubalulekile ukuba ngamnye afunyanwe kwaye aphathwe kakuhle. Qiniseka ukuba uthethe ugqirha wakho malunga naziphi na iimpawu ezingabonakali zihambelana nezifo zakho zangoku.
ILizwi
Ukwahlulelwa kweCSS yiindaba ezilungileyo kuthi sonke kuthi nale miqathango. Ibonisa utshintsho olulungileyo malunga nokuba zezi zifo ziqondwa njani kwaye zijongwa luluntu lonyango. Yiloo nto esiyidingayo xa kuziwa ekufumaneni ingqalelo yophando, okukhokelela ekuxilongeni ngcono kunye nopiliso.
> Imithombo:
Chong YY, Ng BY. Amanqaku e-academy yeyeza, eSingapore. 2009 Nov; 38 (11): 967-73. Iinkalo zeClincal kunye nolawulo lwe-fibromyalgia syndrome.
UMeyili uTG, et al. Ukusetyenziswa kobuhlungu. 2012 Ngo-Apr; 12 (4): 276-85. Uphuhliso kunye nokuqinisekiswa kwe-psychometric kwesaziso esisiseko senzululwazi.
USmith HS, uBarkin RL. Umbhalo waseMelika wezokwelapha. 2010 Julayi-Aug; 17 (4): 418-39. I-Fibromyalgia syndrome: ingxoxo ye-syndrome kunye ne-pharmacotherapy.
USmith Smith, uHarris R, Clauw D. Ugqirha wezinhlungu. Ngo-2011 uMar-Apr; 14 (2): E217-45. I-Fibromyalgia: i-dislike processing disorder ekhokelela kwisifo esiyinkimbinkimbi yesifo esiqhelekileyo.
Yunus MB. Iisemina kwi-arthritis ne-rheumatism. 2008 Juni; 37 (6): 339-52. I-syndrome ye-sensitive sensitivity: i-paradigm entsha kunye ne-neologia yeqela ye-fibromyalgia kunye neemeko ezigqithisiweyo, kunye nemba echaphazelekayo yesifo kunye nokugula.