Ukuqaphela Izinto eziPhesiological, Indlela yokuTshintsha ukuPhatha
Ukuhlaziywa komhleli kwi -syndromes enobukhulu be-syndromes (CSS) iqulethe ezininzi iinkcazo ezithi thina kunye ne- fibromyalgia (FMS), isifo esingapheliyo sisifo ( ME / CFS ), kunye neemeko ezinxulumene nokuthanda ukuva. Ngomnye ofuna ukuqiniseka ukuba bonke ababonelela ngempilo bakho babone.
Ukuphononongwa kwabhalwa nguM Muhammed B. Yunus, MD, uprofesa we-rheumatology kwiYunivesithi yase-Illinois, oye wadibana nophando lwe-fibromyalgia iminyaka engaphezu kwe-30.
I-CSS iyigama elivulekileyo elibandakanya izimo zoodade ze-FMS / ME / i-CFS ezifana nesifo sengqondo samathumbu, i-syndrome engenayo imilenze , kunye nokukhathazeka kwamakhemikhali amaninzi - bonke ababelana ngesantya esithile sokungabikho nokugxeka kwiindawo zonyango. Nangona kunjalo, i- osteoarthritis kunye ne- rheumatoid arthritis nayo ibandakanya intlungu esuka ekukhuliseni okuphakathi, kwaye iyakwamkeleka kakhulu emacinini nakubantu bonke.
Zonke ezi meko zikholelwa ukuba zibandakanya ukwazisa okuphakathi, oko kuthetha ukuba inkqubo ye-nervous central i-hyper-sensitive to stimuli. Kubalulekile ukuqaphela ukuba ngumzimba ogqithiseleyo kwizinto, kungekhona umntu.
Iimpawu zePhysical
UDkt. Yunus ukhankanya iimpawu ezininzi zezinto eziphilayo ezikhoyo kwiCSS, kuquka:
- Iindawo zokunqandwa kwamanqatha (ezo zilungele ukuthumela izibonakaliso ezingaphezu kweentlungu) kwiimisipha;
- Arthritis;
- I-fiber-neuropathy encinci ;
- Ukuvutha;
- Iiprotokines ezivuthayo .
Ugxininisa ukuba ukuphakanyiswa kokuqala kufuneka kuhanjiswe ngokuhlukileyo kwintlungu. Ngokomzekelo, iziyobisi ezichasayo kunye nokufakelwa ngokubambisanayo akukho nto eyenza inkqubo ye-nervous is sensitive, nangona iyakunciphisa okanye isuse umonakalo emzimbeni.
Indlela yokwelashwa
UDkt. Yunus ucacisa ukuqhubela phambili kwiintlungu, zombini ubuhlungu kunye nentlungu xa uphumla, ekugqibeleni unokunceda oogqirha ukuba bajolise ngakumbi kunyango kumntu ngamnye.
(Okwangoku, iintlobo ze-neuroimaging ezichazayo zisetyenziswe kuphela kuphando, kungekhona kwimizimba yekliniki.) Sekude sazi ukuba sonke sidinga indlela eyahlukeneyo, kodwa ubuchule obutsha bobuchopho buza kunika umhlahlandlela olungcono kunokuba ogqirha banoku.
Ngoku ezinye zeengxelo zakhe ezingenza ube nemihlali:
- Ukwahlukana phakathi kwezinto ezithathwa ngokuba "zisebenza" kunye ne "zakhiwo" kufuneka zishiyeke ngenxa yokuba abaninzi bethu banabini. Oku kuthetha ukunyanga iimpawu ezibangelwa yi-neuro chemistry njengokungathi zengqondo kwaye ngoko ngandlela-thile zifanelekile unyango olungaphezu kweentlungu ezibangelwa umonakalo kwamathambo, amajoyini, imisipha kunye nezicubu ezixubileyo.
- I-Psychobiology nayo i-biology. Oku kukhankanya iphuzu langaphambili, kugxininisa ukuba izinto zenyama zihlala ziphila ngokwenyama, nangona ziguqula imizwa okanye indlela yokuziphatha endaweni yenyama ethile.
- Imiqathango yokunyamezela isigulane njengokwenziwa kwesantya, i-somatizer, kunye nokutshatyalaliswa kufuneka kugwenywe. Amagama amabini okuqala athetha ukuba iimpawu zomzimba zibangelwa ziziganeko zengqondo kwaye okwesithathu oko kuthetha ukuba isigulane senza into enkulu kakhulu. Zivame ukusetyenziswa kubantu abane-FMS, ME / CFS kunye nezinye izifo zolu hlobo kwaye baye bakhokelela abanye ukuba baphanyekwe unyango, bafunyanwe bengafanelekiyo kwizibonelelo zokukhubazeka, baze bahlekise nokugculelwa ngabasebenzi bezempilo.
Le yimiba yeCSS izigulane ziye zalwa iminyaka emininzi. Olu hlaziyo alukwazi ukuluqothula, kodwa luyakuchukumisa izimo zengqondo kunye neendlela zabantu abaxhomekeke kuzo kunyango olufanelekileyo.
Ubaluleka bokusasaza ulwazi
Ingcaciso engachangekanga iye yasasazwa ngezi zigulo - kwiindawo zonyango, ngabafakeli beendaba, nangabantu abangafundile - ukuba kubalulekile ngathi ukwabelana ngolwazi olusekelwe eqinisweni olufana nokuhlaziywa. Ukuba iqela lakho lempilo alikwaziswa kakuhle, kufuneka liyibone. Ukuba bakho abahlobo okanye usapho bakho bayakukholelwa, kufuneka bawubone. Ukuba uyazi umntu omnye okanye ngaphezulu kwezi meko ezingathandabuzekiyo ngesifo sakhe, kufuneka abone.
Ikhonkco kwi-abstract iyagqitywa ekupheleni kweli nqaku.
Sinokubakho ubungqina obaneleyo bokuthi iimpawu zethu zinyani kwaye zidibaniswa ne-physiology engavamile. Abaninzi abanonophelo lwempilo ngoku bayaqonda oku, kodwa akubona bonke abazenzayo. Ixesha lokuba bayeke ukugxeka nokusihlawula kwaye sigxininise indlela yokwenza ngcono.
Umthombo:
Yunus MB. Ukuhlaziywa kwe-rheumatology yamanje. 2015; 11 (2): 70-85. Ukuhlaziywa koHlelo: ukuhlaziywa kwi-syndromes yobuzwe obukhulu kunye nemiba ye-nosologi kunye ne-psychobiology.