Kwanele Ukwenza Ukunyuka Kweewele Zakho!
Xa ufunda nge- syndrome engapheliyo ( ME / CFS ), kufuneka ufumane iingxelo kwizinto ezifana neFukuda, criteria ye-Oxford kunye nencazelo eqingqiweyo. Ukuba awukwazi ukuba zithetha ntoni ezo zinto, okanye imeko yazo, kunokudideka ngokwenene.
Mhlawumbi uye wabona ingxabano ejikeleze ezo zinto. Le nto yinkimbinkimbi ebuyela emva eminyaka.
Zonke iincwadi ezibhalwa ngayo.
Nangona kunjalo, ukuqonda nje iingongoma ezimbalwa eziphambili kunokukunceda ukuchaza izinto ozifundileyo kwaye ubeke ulwazi kumxholo.
IiNkcazo eziNhlanu zoKhuphiswano
Uluntu lwengonyango luye lwafumana ixesha elinzima ukuqonda iM ME / CFS ukuba iinkcazo ezahlukeneyo ezihlanu zidlalwa ngoku. Abaphandi abahlukeneyo basebenzisa izichaso ezahlukeneyo, oogqirha abahlukeneyo basebenzisa iindlela ezahlukeneyo zokuxilonga, kunye nokuwela umda wesizwe ngamanye amaxesha kunokuthi bathe bafumane inkcazo eyahlukileyo kunye nemilinganiselo yeendlela eziqhelekileyo.
Ingxenye yengxaki kukuba sineenkampu ezimbini ezihlukeneyo xa kuthethwa ngabaphandi abajonga ngayo kwaye bafunde esi sifo. Yiyiphi inkampu abawela kuyo kwiimpembelelo yintetho ayisebenzisayo.
Inkampu yezobugcisa: Abaphandi beli qela baqwalasela i-ME / CFS isifo somzimba esibandakanya ukungonakali kwe-biological. Baphanda izihloko ezifana nokusuleleka, iibhoksi zendalo, kunye nezinye izizathu zokucinezeleka komzimba.
Xa bakhetha abathathi-nxaxheba be-study, bangasebenzisa enye yezi nkcazo ezintathu:
- Fukuda
Ngowe-1994, i-CDC yamkela imigaqo echazwe yiCandelo loPhando lwe-Chronic Chronic Fatigue Syndrome Study Group. Eli phepha labhalwa nguKejiji Fukuda. Igama lakhe libe yindlela eqhelekileyo abantu abaninzi ababhekisela kule miqathango.
- Criteria
Kucacisa ngo-2010, ezi zichongiwe ziqwalaselwa ngokugqithiseleyo kwaye zizodwa kuneFukuda. Zifuna iimpawu ezingaphezulu zomzimba (kubandakanywa ne- post-exertional malaise ) kwaye zibandakanye abantu abaneempawu zesifo sengqondo. - Iingqinisiso zamazwe ngamazwe
Le ncazelo isebenzisa igama elithi myalgic encephalomyelitis (ME), ithatha indawo "ukukhathala" kunye nokugqithiseleka komva, "kwaye ifuna iimpawu ezininzi zomzimba ngaphandle kwezinto ezenziwa nguFukuda.
Umbiko we-Institute of Medicine ka-2015 wanikezela i-ME / CFS yokuchazwa kwintsholongwane entsha kwaye iphakamise igama lokutshintsha kwisifo sengqondo sokunyamezela (SYID). Nangona kunjalo, igama elithi "systemic" kunye "nesifo" lucacisa ingxelo yokuba ingxelo yiyo yokugula ngokomzimba.
Inkampu yengqondo / yokuziphatha: abaphandi beli qela bagxininisa unyango lweengqondo, iimvakalelo, kunye neentlalo ze-ME / CFS. Abagxeki balo bavame ukubhekisela kule ndlela njengendlela ye-biopsychosocial.
Xa aba baphandi bakhetha inxaxheba kubathathi-nxaxheba, ngokuqhelekileyo bakhetha kwelinye lalezi nkcazelo ezintathu:
- Fukuda (bona # 1 ngaphezulu)
- Criteria
Le nkqubo ye-1991 ibandakanya ukukhathala okungapheliyo kwimvelaphi engaziwayo kunye ne-post-infection fatigue syndrome.
- Inkcazo yezobugcisa zeCDC
Ngo-2005, intloko-yintloko ye-CDC yengxaki yokugula yongxaki yokuguga iFukuda.
Ngoko Lithetha ntoni Uphando?
Ngeenkcazo ezintlanu ekusebenziseni okusebenzayo, sijamelana neengxaki zangempela xa kuziwa ekufundeni malunga nale meko nendlela yokunyanga ngayo.
Kuqhelekile ukuba olunye uphando lwezokwelapha luphikisana nolunye; Nangona kunjalo, xa kuziwa kwi-ME / CFS, kuya kubakho iziphumo ezingqubanayo. Kuba nzima ukujonga izifundo ezininzi kwaye kuza nezigqibo ezifanelekileyo.
I-ME / CFS inzima kungakhathaliseki ukuba yiyiphi inkcazelo oyisebenzisayo. Uphando luxhaswa ngemali xa uthelekisa kwezinye izifo ezichaphazela inani elifanayo labantu.
Zonke iinkcazo ezahlukeneyo zisebenza ukucotha inkqubela phambili kwaye kugcinwe amanzi.
Kuthetha ukuthini oku kubantu abane ME / CFS?
Kubantu abaphila nale sigulo, kunokuthetha ukuba ulinde iminyaka elide ukuze unyango olufanelekileyo. (Emva koko, asinaso isicatshulwa esisodwa se-FDA esamkelweyo kwi-ME / CFS.)
Kwakhona kunokuthetha ukuba ugqirha wakho akakwazi ukuncedisa ngenxa yokuba akanakukukhomba kwiqela lophando ngezigqibo ezicacileyo. Ukudideka kusenokuba negalelo lokungabaza abanye oogqirha banokuthi ngaba i-ME / CFS yinto ekhoyo "yinyani".
Okwangoku, kukho ingxoxo eninzi yomshushu malunga nenkonyango ebizwa ngokuba yonyango yokuziphatha (CBT) . Ezi nkampu zombini azivumelani nokusetyenziswa kwayo kwi-ME / CFS, kunye neklasi yesibili ibheka i-CBT njengonyango wokuqala. Akuthathi ixesha elide ukufumana izigulane kwi-intanethi abathi zaliwa ezinye ionyango ezisekelwe kule nkolelo, nangona i-CBT ingabacedi.
Liliphi Ikamva?
Kubonakala ngathi abantu benza uphando lwamaziko basebenzisa igama elithi myalgic encephalomyelitis ngokuphindaphindiweyo, mhlawumbi kunye nesifo esingapheliyo sesifo okanye endaweni yaso. Ukuba le nto iyaqhubeka, ndiyakrokra ukuba ekugqibeleni siya kugqitywa kwezifo ezimbini ezahlukeneyo ngamagama ahlukeneyo. Nangona i-SEID ikhulayo, kunjalo, ngokuqinisekileyo abaphandi baneminye into yokuyiqwalasela.
Okwangoku, kuya kuqhubeka kuba yinkqantosi yokukhuphuka kubaphandi, oogqirha kunye nezigulane ngokufanayo ukwenza iintloko okanye imisila yalo mqathango. Iindaba ezilungileyo kukuba thina, ngokuthe ngcembe, senza inkqubela nangona kunjalo.
Imithombo:
Carruthers BM, et al. Umbhalo weyeza lwangaphakathi. 2011 Oct; 270 (4): 327-38. I-Myalgic encephalomyelitis: Imigaqo-mvume yoLuntu lwaMazwe ngamazwe.
Carruthers BM, et al. Umbhalo we-syndrome engapheliyo. 2003 11 (1): 7-36. I-Myalgic encehpalomyelitis / isifo esingapheliyo sokukhathala: inkcazo yecala yokusebenza kwinklinikhi, iinkqubo zokuxilonga kunye nezokwelapha.
> Amacandelo okuLawula nokuLawula izifo. "Ukuchonga iCFS."
Fukuda K, et al. Amanqaku angamayeza angaphakathi. 1994 I-15 ye-15; 121 (12): 953-9. Isifo esingapheliyo sokukhathala: indlela epheleleyo kwingcaciso kunye nokufundisisa. Iqela leSifundo soPhulo lweSifo esiPhezulu sokuThathaka.
Reeves WC, et al. BMC. 2005 Umhla we-15; 3: 19. Isifo sengqondo esingapheliyo yokunyameka-indlela yokunyanzelela kwinkcazo kunye nokufundisisa.