Iingxaki ngeBhalance & Fainting
Kubantu abanesifo esingapheliyo sesifo ( ME / CFS ), ukungcola kuyimpawu ekufuneka bajongane nayo imihla ngemihla. Kwezinye iimeko, "ukukhwela kwentloko" ngoku kunye okanye amaxesha ambalwa okuphazamisayo xa uqala ukuhamba. Kwamanye amaxesha, ukulinganisela kukubi kakhulu kwaye ukuphelelwa amandla kuyingozi enkulu.
Ngoko yintoni ebangela ukungcola kunye neengxaki ezinxulumene nazo? Ezi zimpawu zinokuthi zihambelane nenani lamalungu eyaziwayo e-ME / CFS.
Ezi ziquka ukutshintsha kwindlela ohamba ngayo, ukungaqhelekanga kwintliziyo kunye nokulawulwa kwengcinezelo yegazi, kunye nenkqubo yesantya.
Iingxaki Ngeentlupheko
Ukuxakeka kancinci ngoku kwaye mhlawumbi akuyona ingxaki enkulu. Yinto eninzi abantu abava ngayo ngexesha elide, nokuba ngenxa yokugula, ukulimala kwentloko, ukulamba okanye ukuphelelwa amanzi, okanye ukuma nje ngokukhawuleza.
Nangona kunjalo, xa utywabileyo luhlala lukhuni kwaye lunzima, lungaba negalelo elikhulu ebomini bakho. Yiyo imeko kubantu abaninzi abanesi sifo. Kuhlolisiso lwe-syncope (i-term yezokwelapha yokuphelelwa amandla), abaphandi bafumanisa ukuba abafazi ababhedlele esibhedlele nge syncope babenokwenzeka ukuba babe ne-ME / CFS.
Iingxaki zentlupheko kunye neengxaki zokulinganisela zingenza kube yingozi ukusebenza. Nabo abo bahamba ngokufanelekileyo ukuhamba malunga nevenkile abanakuziva bekhuselekile benjenjalo ngenxa yengozi yokuwa okanye yokudlula. Abo bawa okanye baphumelele ngezinye izihlandlo bengozi, kubangelwa ukunciphisa umgangatho wobomi.
Ngoko le mpawu ingakwazi ukukhawuleza kwaye yenze ukwesaba ngakumbi kunye nokuxhalaba xa kuziwa ezintweni ezinjengezinto ezihamba ngeenyawo. Ngenxa yale mpembelelo, kubalulekile ukuba siqonde izizathu zokungcola kwaye sifune iindlela zokunciphisa okanye ukunqoba le mpawu.
Ukuhamba: Igalelo elingavumelekanga kwi-ME / CFS
Kwiminyaka engaphezu kwe-20, abaphandi baye bafunda umzekelo wokuhamba, okanye umvuzo, wabantu abane-ME / CFS.
Bafumene ubuninzi bezinto ezingaqhelekanga. Ngokutsho kwiphando elipapashwe kwiNcwadi ye-Neuroengineering kunye nokuQuyiselwa, ukungafani phakathi kwabantu abane-ME / CFS kunye nabantu abanempilo kubandakanya:
- Ijubane elincinane lokuhamba (velocity)
- Amanyathelo amancinci
- Ixesha elithe gqithwa ngenyawo ngexesha linyathelo
- Amanyathelo ambalwa ngomzuzu (uhlahlo)
- Ukunyakaza okuncinci kumanqatha, ngamadolo, nangamaqaqa
Uphando olwangaphambili lwaluqaphele ukuba ukungaqhelekanga kwaqala ngokukhawuleza, kwaye ngoko akuzange kube ngumphumo walezo nge-ME / CFS ukukhawuleza ngokukhawuleza.
Kodwa le miba ichaza njani ukulinganisela? Ngokuqinisekileyo, kunokwenzeka indlela ohamba ngayo ukuyilahla. Nangona kunjalo, akucaci ukuba ingxaki ebangela ukuba iingxaki zilungelelanise. Enyanisweni, abanye abaphandi baye baxhomekeka ukuba ukungaqhelekanga kungabangelwa ukulinganisela okungafanelekanga, mhlawumbi ngenxa yokungahambi kakuhle kwindlela ubuchopho bulawula ngayo izihlunu, okanye ezinye izinto ezingahambi kakuhle.
Kwakhona, uphando lwe-2016 kwi- Clinical Biomechanics lucacisa ukuba imiba ye-gait inokubambisana ngokuthe ngqo kukungakwazi ukugcina ibhalansi xa kuqala uqala ukuhamba. Sekunjalo, asiyazi ukuba ubuhlobo buni na-buso buphakathi kwe-gait ne-balance. Kuya kuthatha uphando oluthe xaxa ukuze ukwazi ngokuqinisekileyo indlela abachaphazela ngayo.
Inhliziyo kunye noxinzelelo lweGazi
Iintliziyo ezingapheliyo (ezingapheliyo) zidibene ne-ME / CFS , kwaye ezinye zazo zi noxanduva loxinzelelo kwimeko.
Olunye uphando lufumene ikamelo elincinci lentliziyo (i-ventricle ekhohlo) kubantu abane-ME / CFS. Abaphandi bathi ukunyamezela kunye nokungaxhaswa kwemvelo kwakuyimpawu eziqhelekileyo ezinokuthi zihambelane neklasi elincinci.
Ukunganyamezelani kwama-Orthostatic (OI) igama lokungcola xa usukuma. Yibangelwa yintsilelo yexinzelelo lwegazi. I-O ngezinye izihlandlo kuthiwa yi-hypotension (ne-NMH) engahambelaniyo. Kwezinye iimeko, ifunyaniswa njengesimo esiqhekezayo esibizwa ngokuba yi-postural orthostatic tachycardia syndrome (i-POTS).
Yintoni ekufuneka yenzeke xa usukuma kukuba ukunyuka kwengcinezelo yegazi kukunyuka ukwenzela ukulwa nomdaka kunye nokugcina igazi elaneleyo kunye ne-oksijini kwingqondo yakho. Kwi-OI okanye kwi-POTS, uxinzelelo lwegazi luya kunokuba lukhuphuke, olushiya ingqondo yakho yesikhathala yesikhokhsi.
Uninzi lwabantu lufumana ngezinye izihlandlo-luyivakalelo ephakamileyo yentloko ehambelana nokuma ngokukhawuleza. Kwimi / i-CFS, yinto eqhelekileyo kwaye ayinakuquka ukuhamba ngokukhawuleza kunokuqhelekileyo.
Le ngxaki ixhaphake ngokwaneleyo kwi-ME / CFS ukuba ubuncinci olunye luye lwacela ukusetyenziswa kwalo njengolu vavanyo lokuhlola. Iqela lophando lafunda ingxube ye-pulse yentliziyo xa iguqula indawo kwaye ithi bafumene ukungafani okungaxilonga ngesifo ngokuchaneka kwe-82%.
Isizathu salezi ziqhelo ngeentliziyo kunye neengcinezelo zegazi ngokuqhelekileyo zikholelwa ukuba zingasebenzi kakuhle kwinkqubo ye-nerveous autonomic, ebizwa ngokuthi i- dysautonomia .
Ukunyangwa kweNzululwazi kunye neengxaki zokulinganisela
Kungenzeka ukuba i-regimen yakho yonyango ye-ME / CFS iya kunceda ukunciphisa ingxaki yokungena kunye neengxaki zokulinganisela. Ukuba akunjalo, unokufuna ukuthetha nodokotela wakho malunga nezokwelapha ezijoliswe kulo mqondiso othile.
Olunye uphando oluthile luye lwajonga ubuchule bokuqeqeshwa kwe-home orthostatic kwi-ME / CFS kwaye yaphakamisa ukuba ibekezeleke kwaye ikwazi ukusebenza. Uqeqesho lwaluquka ukusetyenziswa rhoqo kwetafile ejikelezayo kwaye yabonakala ukunciphisa umlinganiselo wexinzelelo lwegazi ukuwa phantsi kwesimo sokutshintsha.
Olunye uphando lubhekiselele * uqeqesho lokuqeqesha olujolise ekuphuculeni amandla kunye nokulinganisela ngaphandle kokunyusa iimpawu ezingaphezulu. Amaphesenti angama-61 kuphela abathathi-nxaxheba bakwazi ukugqiba isifundo. Nangona kunjalo, abo bawugqibileyo bahlakulela ukulinganisela kunye namandla.
* Ngaphambi kokuba uqale naluphi na uhlobo lwesimiso somzimba, qiniseka ukuba uhlolisise ugqirha wakho kwaye uqonde uphawu oluphawulekayo lwe-ME / CFS olubizwa ngokuba yi -malaise . Esi sibonakaliso sinokubangela ukunyuka okubukhali kunye namaxesha amaninzi kwiimpawu ezilandela nokuzivocavoca. Naluphina inkqubo yokusetyenziswa oyithatha inxaxheba kufuneka ifanelwe ukunyamezela kwakho ngokunyamezela.
ILizwi
Kuze ufumane unyango olwenzela ngokunciphisa ukuzondla kwakho kunye neengxaki zokulinganisela, unokufuna ukucinga ngokusebenzisa ezinye izinto zokuhamba nokukhubazeka.
Izinto ezinjengebha kwindawo yokugeza kunye nezixhobo ezithembekileyo kwizitebhisi zinokukunceda kwiimeko ezinokukwenza ukuba ukhubeke okanye uwe.
Abantu abaninzi abane-ME / CFS okanye ezinye iimeko ezibangelwa ukungcola zisebenzisa i-cane. Yinto into abanokuyithemba ngaloo maxesha xa ihlabathi liqala ukujikeleza. Kwiimeko ezinzima kakhulu, umntu ohambahambayo angafaneleka.
Ungaphinda ufune ukuqwalasela ukusebenzisa isihlalo sabakhubazekile kwindawo kawonkewonke. Uninzi lweevenkile linikeza ama-motor scooters ukuze ukwazi ukuthenga xa uhleli.
Kungathi kuvelele ukuba sisebenzise ezi ncedisi-sibhekiselwe uluntu ukuba sibone abo bantu kuphela abakwaziyo ukuhamba-kodwa bafumaneke nabani na onokuzuza kuwo, kwaye kubandakanya abo abanokungahambi kakuhle. Ziyabangenabo abanamandla okuhamba ngendlela, kwaye i-ME / CFS inokukubeka kulolu hlobo!
> Imithombo:
> Allen J, Murray A, Di Maria C, uNewton JL. Isifo esingapheliyo sokunyameka kwesifo kunye nokukhubazeka kwimizila ye-pulmatical on-orthostasis-into entsha yokuhlola i-biomarker. Imilinganiselo yezilwanyana. 2012 Feb; 33 (2): 231-41. i-doi: 10.1088 / 0967-3334 / 33/2/231.
> Miwa K, Fujita M. Ukungasebenzi kwemisipha yomzimba kunye nesiphumo somoya esiphantsi ngenxa yentliziyo encinci kwizigulane ezinesifo esingapheliyo. Amayeza angaphakathi. 2009; 48 (21): 1849-54.
> Paul L, Rafferty D, Wood L, Maclaren W. Ufumana iziganeko zezifundo ezinezifo ezingapheliyo kunye nokulawulwa kwimiqobo ekhethiweyo kunye neyodwa. Umbhalo we-neuroengineering kunye nokuvuselelwa. 2008 Meyi 27; 5: 16. i-doi: 10.1186 / 1743-0003-5-16.
> Rasouli O, Stendsdotter AK, Van der Meer AL. I-TauG-isikhokelo sokulawula ukulinganiswa kwemali ngexesha lokuqaliswa kweengxaki kwizigulane ezinokugula okungapheliyo kunye ne-fibromyalgia. ICliniical Biomechanics. 2016 Aug; 37: 147-52. i-doi: 10.1016 / j.clinbiomech.2016.07.008.
> Ulas UH, iChelimsky TC, iChelimsky G, et al. Izimo zezempilo ezixhatshazelisayo kubasetyhini abane syncope. Uphando lwezonyango. Ngo-Agasti wama-2010; 20 (4): 223-7. i-doi: 10.1007 / s10286-010-0070-x.