Unyango Olujongene Nokuziphatha Ngendlela Yokunyamekela Kwangapheliyo

Ingxabano kunye noPhando

Ulwaphulo lokuziphatha olusisigxina (CBT) olubandakanya unyango olusetyenziswayo (GET) luyinkathazo enkulu kakhulu xa kuvela kwisifo esingapheliyo sokugula ( ME / CFS ). Kunconywa ngamaziko aseMerika okuLawula izifo (CDC) kunye neenkqubo ezininzi zokunakekelwa kwezempilo zaseYurophu, kwaye zixutyushwa kakhulu kwizinto zombini zophando kunye noluntu lwesigulane.

Ukujonga ngokukhawuleza malunga nophando kwi-CBT / GET ye-ME / CFS kunokudideka.

Ezinye izifundo zithi ziphumelele kakhulu, kanti abanye bathi akusebenzi kwaye mhlawumbi nokuba unyango olungenakucala.

Ukuze ufumane ingqiqo yolwazi oluphikisanayo, lunokunceda kuqala ukuqonda ukuba unyango luquka ntoni kwaye ubhekane neemeko ezibalulekileyo ezichaziweyo kunye neendlela kwi-ME / CFS.

Yintoni i-CBT / GET?

I-CBT yonyango lwexesha elifutshane lonyango kunye nenjongo yokutshintsha iingcamango zakho kwizinto ezithile kunye nokuziphatha kwakho kubo. Isetyenziselwa ukuphatheka kweemeko zengqondo kunye nezobuchopho, ngokuqhelekileyo ukukunceda ekusebenziseni iindlela kunye nokuyeka imikhwa emibi engaphaya okanye impawu ezimbi.

I-GET yinto eqhelekileyo ye-CBT. Uphulo luqala ngokubambisana nemizuzu embalwa yokusebenza ngamandla kwaye ngokukhawuleza ukwandisa ubude kunye nobukhulu ngaphezu kwexesha. Injongo kukunciphisa ukwesaba kokuzilolonga kunye nokuguqula ukuhlaziywa okungahamba kunye nokugula.

Yintoni ebangela ukuphikisana?

Ingxabano ivela kwingxaki ebalulekileyo kwi-ME / CFS yophando-iinkcazo ezikhuphisanayo malunga nokuba yintoni imeko.

Esinye isethi sabaphandi bakholelwa ukuba sisifo sesimo somzimba esichaphazela ukungaqhelekanga kwezinto eziphilayo ezibangelwa usulelo, iibhoksi zendalo, ezinye izinto ezibangela uxinzelelo lomzimba, okanye ukudibanisa kwezi zinto.

Xa bakhetha abathathi-nxaxheba be-study, bangasebenzisa enye yeenkcazo ezintathu zeemeko:

1. Imilinganiselo ye-CDC ka-1994 ephakanyiswe yiQumrhu loPhando lwe-Chronic Chronic Fatigue Syndrome Study, eliqhelekileyo libizwa ngokuba yi-Fukuda definition, emva kombhali wephepha, u-Keiji Fukuda;
2. OKANYE imilinganiselo ye-Canada yase-Canada, ebizwa ngokuba yinkcazelo engqongqo kunye necacileyo kuneFukuda, idinga iimpawu ezingaphezulu kweempawu ezifana ne-post-exertional malaise, kwaye ingabandakanyi izigulane ezinezifo zesifo sengqondo;
3. OKANYE i-International Consensus Criteria for ME (i-myalgic encephalomyelitis,) eyenza "ukukhathala" kunye nokuphelelwa ngumzimba "kwaye ifuna iimpawu ezininzi zomzimba.

Abanye kule nkampu ibhekiselele kwi-CBT / GET njengonyango lweyesibili kumgangatho ophezulu, okanye ekugqithiseni, nokuba yingozi, nokuba yinto engekho mthethweni. (Maes 2010 no-2009, i-Twisk 2009.)

Esinye isethi sabaphandi sigxininisa unyango lwezinto zeengqondo kunye nokuziphatha kwe-CBT / GET. Ukukhetha abathathi-nxaxheba be-study, bangasebenzisa:

1. Incazelo yeFukuda;
2. OKANYE umgaqo-nkqubo we-Oxford ka-1991, oquka ukukhathala okungapheliyo kwimvelaphi engaziwayo kunye ne-post-infection fatigue syndrome.
3. OKANYE into ebizwa ngokuba yi-CDC yenkcazo yezobugcisa, eyona nguqulelo oluhlaziyiweyo lwencazelo yeFukuda eyenziwe ngowama-2005 ngu-CDC owayengumphathi weengxaki ezingapheliyo zokugula ngengqondo.

Le nkampu idla ngokucetyiswa i-CBT / GET njengonyango oluphambili kwaye ngamaxesha kuphela unyango lwe-ME / CFS.

Ngeenkcazelo ezi-5 ezihlukeneyo kumdlalo, kulula ukubona indlela abaphandi abanokufikelela ngayo kwizigqibo ezihlukileyo. Ngomcimbi kuphela ovunyelwana ngokubanzi kukuba amanzi aphethwe yiyo yonke ingavumelani malunga nesimo sokugula.

Uphando lwe-CBT / GET kunye namanzi aMaddy

Uninzi lwezifundo ezintle ze-CBT / GET ze-ME / CFS ziye zasebenzisa i-Oxford criteria. Nangona kunjalo, kufuneka kuqatshelwe ukuba xa kuthelekiswa nalabo basebenzisa i-Oxford, kukho izifundo ezimbalwa ze-CBT ngabaphandi abasebenzisa iFukuda, iCanada okanye i-International Consensus criteria.

Okongeziweyo, izifundo ezininzi ezingasebenzisi iimpawu ze-Oxford zibuza ubungqina obusetyenziswe ukuxhasa ukusetyenziswa kwe-CBT, njenge-Twisk 2009.

Ukujonga emphakathini ophakathi-abaphandi abasebenzisa intsingiselo yeFukuda - sinemiphumo emihle.

Ngophando olwenziwe ngo-2008 malunga neentsholongwane ezingapheliyo zonyango, abaphandi babika ukwanda okukhulu komsebenzi, ukuhamba kwezikolo kunye nokukhathala. Ukuphuculwa kwagcinwa ekulandeleni kweminyaka emibini. (Eli phepha alizange lichaze ukuba i-GET ifakiwe kwi-CBT.)

Amanye amaphepha athi:

• Ukuphucula ukukhathala nokusebenza ngokomzimba, kodwa ngezinga eliphezulu lokuphuma kwexesha lokuqala (Scheeres K, et al);
• Iziphumo ezifanelekileyo ezifanele ukufundelwa ngokuqhubekayo (Malouff JM, et al.);
• Izibonelelo ezinokwenzeka zeGET kufuneka zihlolwe isigulane ngasinye (uNunez, et al).

Ngengqungquthela, iingxelo zixutywe njengoko uphando lubonisa, nabanye abantu bathi CBT / GET ibuyiselwe umgangatho wobomi kunye nokusebenza, ngelixa abanye bathi ukugula kwabo kubi kakhulu.

I-CBT / GET Treatment

Ngokuqinisekileyo, isigqibo sokuba uqhube i-CBT / GET njengonyango ngumntu onobuqu, okufuneka kwenziwe ngokusekelwe kwimeko yakho kunye nokhokelo lugqirha wakho.

Akunabo bonke abahlali abaqeqeshiweyo kwi-CBT / GET, enokukwenza kube nzima kwabanye abantu ukuba bafumane le nyango. Kwakhona, iinkampani ze-inshorensi zingenakuphika ingqalelo ngaphandle kokuba unesifo sengqondo esasifumene nesifo sengqondo, njengokudandatheka okanye ukuxhalabisa. Iinkqubo zeeFowuni kunye neewebhu zisekho, ngoko banokukhetha ukucinga.

Ugqirha wakho unokukwazi ukuthunyelwa kwicandelo elisebenzayo. Izibonelelo apha zingasinceda:

• I-ABCT: Umbutho wezonyango zokuziphatha noCognitive
• CBT-Therapists.com
• I-American Psychological Association: Indlela yokukhetha i-Psychologist
• Ziqhelanisa eziPhakathi: Indawo yeNgqondo
• Ukufumana i-PTSD kwi-Therapist

_Imithombo:

_{Carruthers BM, et al. Umbhalo weMithi yoPhakathi . 2011 Oct; 270 (4): 327-38. I-Myalgic Encephalomyelitis: Iingqinisiso zamazwe ngamazwe.}

_{Carruthers BM, et al. Umbhalo we-Syndrome yoKhathazeka okungapheliyo. 2003 11 (1): 7-36. I-Myalgic Encephalomyelitis / I-Syndrome Yokhathala Okungapheliyo: Inkcazo yokuSebenza kweeNklinikhi Inkcazo, iiNkqubo zoLwazi kunye noTyango.}

_{UCarruthers, uBruce M. noMarjorie I. van de Sande. Onke Amalungelo Agciniwe. "I-Myalgic Encephalomyelitis / Isifo Sokuguquka Kwangapheliyo: I-Case Clinic Inkcazo kunye nezikhokelo zabasebenzi bezonyango"}

_{Amacandelo okuLawula nokuKhuselwa kwezifo. "Ukuchonga iCFS"}

_{Fukuda K, et al. Amanqaku angamayeza angaphakathi . 1994 I-15 ye-15; 121 (12): 953-9. Syndrome Isifo esingapheliyo: Indlela epheleleyo kwiNcazelo yayo kunye noFundo. Iqela leSifundo soPhulo lweSifo esiPhezulu sokuThathaka.}

_{Knoop H, et al. Pediatrics. 2008 Mar; 121 (3): e619-25. Ukusebenza kweNyango Yokwenziwa Konyango Kwabantwana Abaselula Ngomzimba Wokunyameka Okungapheliyo: Ukulandelelwa Kwangexesha Elide Lovavanyo Olulinganisiweyo, oluLawulayo.}

_{Maes M, Twisk FN. BMC Medicine. 2010 Juni 15; 8: 35. I-Syndrome yoKhathazeka okungapheliyo: I-Harvey ne-Wessely's (Bio) I-Psychosocial Model kunye ne-Bio (i-Psychosocial) Isibonelo Ngokusekelwe ekukhuseleni kunye ne-Oxidative ne-Nitrosative Stress Way.}

_{Maes M, Twisk FN. Neuro Endocrinology Letters. 2009; 30 (3): 300-11. Syndrome Isifo Sengapheliyo: I-La Bête Noire yeNkqubo yeNkxaso yezeMpilo yaseBelgium.}

_{Malouff JM, et al. Ukuhlolwa kweSiklinikhi yePhysical Psychology. 2008 Juni; 28 (5): 736-45. Ukusebenza koLwazi lweZenzo zoKhuseleko lweSifo esingapheliyo: Ukuhlaziywa kwe-Meta-Analysis.}

_{Nunez M, et al. Rheumatology Clinic. 2011 Mar; 30 (3): 381-9. Umgangatho ojongene nezoMpilo zoBomi kwizifo ezinesifo esingapheliyo. Uvavanyo oluLungisiweyo oluLungisiweyo kunye no-1 Unyaka Wokulandelwa.}

_{Reeves WC, et al. BMC Medicine. 2005 Umhla we-15; 3: 19. Syndrome Isifo Sengapheliyo-Indlela yokuThuthukiswa koMzimba kwiNgcaciso yayo kunye noFundo.}

_{Scheeres K, et al. I-Journal ye-Consulting ne-Clinical Psychology. 2008 Feb; 76 (1): 163-71. Ukuphunyezwa kweNyango yoLwaphulo lweZenzo zoKhuseleko oluSigxina kwiSikhungo seMpilo yengqondo: UkuVavanywa kweBenmarkmarking.}

_{Schreurs KM, et al. Uphando loPhando kunye noPhando. NgoDisemba ka-2011; 49 (12): 908-13. Ukunyangwa koBomi bokuShatyathwa okuSigxina kwiSilungiso sokuQinisekisa: UkuPhumelela kunye nokuPhambi kweSiphumo.}

_{Sharpe MC, et al. Umbhalo weRoyal Society of Medicine. 1991 Feb; 84 (2): 118-21. Ingxelo-Isifo esingapheliyo sokukhathala: Izikhokelo zoPhando. 403}

_{I-Twisk FN, i-Maes M. Neuro I-Endocrinology Letters. 2009; 30 (3): 284-99. Ukuhlaziywa kweNyango yokuCheculwa kweZenzo (CBT) kunye ne-Graded Exercise Treatment (GET) kwi-Myalgic Encephalomyelitis (ME) / Isifo esiPhezulu sokuKhathala (i-CFS): I-CBT / GET ayinayo kuphela into engasebenziyo kwaye ayiyiyo ingqinisiso-Isekelwe, kodwa inokuba yingozi kwabaninzi abagulane Nge-ME / CFS.}

_{IP PD, kunye no-al. Lancet. 2011 uMatshi 5; 377 (9768): 823-36. Ukuthelekiswa kwe-Adaptive Treating Treatment, iTransitive Behavior Treatment, i-Graded Exercise Treatment, kunye neNgcaciso yezoNyango lwezoNyango kwiSyndy Syndrome (i-PACE).}