Icandelo 1: Iisiseko kunye nezizathu zokungakholwa
I-post-exertional malaise (i-PEM) inxalenye ebalulekileyo yengxaki engapheliyo yokukhathala ( ME / CFS ) ukuba awukwazi ukuyiqonda esi sifo ngaphandle kokuqonda impawu. Ukhokela ubungakanani obukhulu be-ME / CFS uphando, lubonakaliswe ukuba luyintloko kwi-test test diagnostic test, kwaye lide lilandele negama elitsha eliphakanyisiweyo le meko- isifo sokungahambisani nokunyamezela .
Sekunjalo, nangona kunjalo, amanye amalungu aseburhulumenteni abakholelwa ukuba i-PEM ikhona. Kunoko, basola impendulo engalunganga ekusebenziseni umsebenzi ngokuchaneka; Batshitshisa ukuphepha kokuzivocavoca kwisimo sengqondo esibizwa ngokuba yi-kinesiophobia. Ngokucacileyo, bacinga ukuba isiqendu sonke sabantu sisesimweni esingafanelekanga. (Isaziso sokuphanga: uphando lubonisa ngenye indlela!)
Okwangoku, ubungqina obuninzi obuqhubekayo obuqhubekayo bubonisa ubungqina obuninzi bezinto ezingokwemvelo ezingaphaya kwe-PEM. Esi sibonakaliso sinciphisa amanqanaba omsebenzi wabantu abane-ME / CFS kwaye iyanciphisa umgangatho wobomi kakhulu. Kwiimeko ezinzima, ichaza ubomi bawo ngokupheleleyo.
Ukuqonda i-Post-Exertional Malaise
I-PEM ibangela ukugqithisa okukhulu kunye nokunyuka kwezinye iimpawu ezidlulayo ubuncinane ubuncinane iiyure ezingama-24 emva kokuzikhandla. Oku kungase kungabonakali kakhulu kubantu abangaqhelekanga - emva koko, sonke sidinga ixesha lokubuyisela emva kokuvalelwa nzima.
Xa kuziwa kwi-PEM, nangona kunjalo, akukho nto iqhelekileyo okanye iyaziwa kubantu abangenaye ME / CFS. Akukhona nje malunga nezidumbu ezingaphezulu okanye ukufuna ukuphumla okufutshane.
I-PEM ingahamba ukusuka kwiimpawu eziqhelekileyo ezinamandla-eziqhelekileyo ukukhubaza ngokupheleleyo. Kwimeko elincinci, umntu unokufumana ukhathala, ukunyuka, kunye nokungaziqondi kakuhle.
Kwiimeko ezinzima, i-PEM inokuzisa kwiimpawu ezinjengefuthe ezinjengomkhuhlane ophezulu ngaphezu kokukhathala okukhulu, intlungu kunye nenkohlakalo yengqondo esomeleleyo ngokwaneleyo ukuba kunzima ukwenza nesigwebo okanye ukulandela isakhiwo se-sitcom.
Akunjalo oko sonke siphumelela emva kokunyuka okanye uhambo ukuya kwindawo yokuzivocavoca. Kwakungavamile ukuba isixa sokusebenza singathatha ukubeka abantu kweli lizwe.
Njengoko kunzima, ukunyamezela kwakudinga ukuqala iingcamango ze-PEM kwimeko-ye-imeko. Kweminye, inokukhaba emva kancinane kokuzivocavoca ngaphezu kwemisebenzi eqhelekileyo yosuku. Kwabanye, kuyamangalisa njengoko kubonakala ngathi, kunokuthatha uhambo oluya kwiibhokisi leposi, isitya, okanye uhleli ehleli ngeyure.
Inkolelo yokuba ayiyinyaniso
Ukuba i-PEM iyaphazamisekile, ngaba oogqirha bangakholelwa njani ukuba akakho na?
Ingxenye yengxaki yinkxalabo eqhubekayo yokuba i-ME / CFS ngokwayo iyinyani. Ukongeza kuloo ndlela indlela amanqanaba omsebenzi atshintsha ngayo emva kokuqala kwesi sifo kunye nokuthatha ixesha elingakanani ukuxilongwa.
Iimpawu zokuxilonga zamanje zifuna ukuba iimpawu zihlala zihlala zingaphantsi kweenyanga ezintandathu. Kukho ixesha elaneleyo lokuba umntu abe yiyo Nangona kunjalo, le nkalo, kodwa ukuxilongwa ngokuqhelekileyo kuthatha ixesha elide.
Ukuba umntu akakwazanga ukunyamezela ukunyamezela okuninzi kwiminyaka emibini okanye emithathu, akusoloko kumangaliswa ukuba bekungabikho kohlobo.
Uphando luxhasa i-PEM ukuba yinto engaphezu kokumisa nje. (Bazelmans) Uphando olupapashwe kwi-Psychological Medicine lubonise ukuba akukho mmahluko ophawulekayo kwimpilo emzimbeni phakathi kwabo abane-ME / CFS kunye nabaphilileyo, abaxhamliweyo kwiqela elilawulayo.
Olunye uvavanyo (VanNess) lubandakanye ukuzivocavoca kwiintsuku ezimbini ezilandelelanayo. Abaphandi bafumanise ukuba abantu abane-ME / CFS abazange bakwazi ukuphinda ukusebenza kwabo ngosuku lwesibini, ngokungafani neqela lolawulo.
Kwakhona bafumanisa ukuba ukusetyenziswa kwe-oksijeni kwehlile kwizigulane ze-ME / CFS, kodwa akukho ukulawula, ngosuku lwesibini.
Abaphengululi baphetha ukuba kwakungekho ukuhlaziywa komzimba kodwa ubuninzi bokungasebenzi komonakalo obangela ukunyanzeliswa komzimba. Uphando lwexesha elide lubonisa ukungafani kokusetyenziswa kwe-oksijini kunye ne-metabolism zidibene ne-PEM. (Miller)
Abanye oogqirha bathi kwakhona ukwesaba ukunyanzeliswa kuboniswa ngabantu abaninzi abane-ME / CFS ngokwenene ukwesaba okungenangqondo kokuzivocavoca okubizwa ngokuba yi-kinesiophobia. Uphando kulo mmandla luxubekile. Ezinye iziphumo ziye zagqiba ukuba iiresiophobia rates ziphakamileyo kubantu abaneli meko kwaye lidlala indima. Ubungakanani omnye uyavuma ukuba i-kinesiophobia ixhaphakile kodwa ichaza ukuba ayibonakali ukucacisa imisebenzi yomsebenzi wemihla ngemihla. Abanye babengafumani ukulungelelaniswa phakathi koyiko lokuzilolonga kunye nokusebenza komzimba. (Nijsx3, iSiliva)
Izigulane ezininzi kunye nabaxhasi babonisa ukuba ukwesaba iimpembelelo ze-PEM kunengqiqo kwaye kunendlela yokukhusela kunokuba i-phobia.
Iingxaki kunye nokungafani kwemvelo
Funda kabanzi malunga ne-PEM:
- Icandelo 2: Izizathu ezinokwenzeka kunye neengxaki ezingekho phantsi kwePEM
- Icandelo 3: UkuPhatha nokuLawula i-PEM
Imithombo:
1. Bazelmans E, et al. Iyeza zengqondo. 2001 Jan; 31 (1): 107-14. Ngaba ukuhlaziya umzimba ngokuqhubekayo kwimeko engapheliyo yokukhathala kwesifo? Uphononongo olulawulwayo ekusebenzeni ngokugqithiseleyo kunye nobudlelwane kunye nokukhathala, ukuphazamiseka nokusebenza komzimba.
2. Miller RR, et al. Umbhalo weyeza lokuguqulela. 2015 Meyi 20; 13: 159. Ukuvavanya okuvakalayo kokuvavanya kunye ne-infrared-spectroscopy kwi-myalgic encephalitis / chronic fatigue syndrome izigulane ziqhathaniswa nokulawulwa kwempilo: uphando olulawulwa yimeko.
3. Nijs J, et al. Ulungiso lwenyama. 2004 Aug; 84 (8): 696-705. Isifo sokunyamezela esingapheliyo: ukungabikho kobudlelwane phakathi kokubandezeleka-ukuxhala kunye nokukhubazeka kunye nokukhubazeka.
4. Nijs J, De Meirleir K, uDuquet W. Uvimba-mali wezonyango kunye nokuvuselelwa. 2004 Oct; 85 (10): 1586-92. I-Kinesiophobia kwi-syndrome engapheliyo: ukuhlola kunye nemibutho yokukhubazeka.
5. Nijs J, et al. Ukukhubazeka nokuvuselelwa. 2012; 34 (15): 1299-305. I-Kinesiophobia, ukuphazamiseka kunye nokulindeleka iimpawu phambi kokunyuka kwesantya kunye nesifo esingapheliyo.
6. Isilivere A, et al. Umbhalo wophando lweengqondo. 2002 Juni; 52 (6): 485-93. Inxaxheba yokwesaba ukunyakaza komzimba kunye nomsebenzi kwi-syndrome engapheliyo.
7. VanNess JM, Snell CR, Stevens SR. Umbhalo we-syndrome engapheliyo. 2007 14 (2): 77-85. Ukunciphisa amandla e-cardiopulmonary ngexesha le-post-exertional malaise.