Myalgic encephalomyelitis / chisingaperi kuneta chirwere (ME / CFS)

Myalgic encephalomyelitis / chisingaperi kuneta chirwere (ME / CFS) chirwere chenguva refu chinokanganisa masisitimu mazhinji emuviri. Vanhu vane chirwere ichi havakwanise kuita zviito zvavo zvenguva dzose. Dzimwe nguva, vanogona kuvharirwa pamubhedha. Mamiriro acho anogona zvakare kunzi systemic exertional kusagadzikana chirwere (SEID).

Chimwe chiratidzo chakajairika kuneta kwakanyanya. Izvo hazviite zvirinani nekuzorora uye hazvikonzerwe zvakananga nemamwe matambudziko ekurapa. Zvimwe zviratidzo zvinogona kusanganisira matambudziko nekufunga uye kuisa pfungwa, kurwadziwa, uye dzungu.

Chikonzero chaicho che ME / CFS hachizivikanwe. Inogona kunge iine zvinopfuura chimwe chikonzero. Semuenzaniso, zvikonzero zviviri kana zvinopfuura zvinogona kushanda pamwe chete kukonzera chirwere.

Vatsvakurudzi vari kutarisa mune izvi zvinogona kukonzera:

• Utachiona - Vanenge munhu mumwe pagumi vanogadzira zvimwe hutachiona, senge Epstein-Barr hutachiona uye Q fever, enderera kukudziridza ME / CFS. Zvimwewo hutachiona zvakave zvakare zvakadzidzwa, asi hapana chikonzero chakawanikwa.
• Immune system inochinja - ME / CFS inogona kukonzerwa neshanduko munzira iyo immune system yemunhu inopindura kunetseka kana kurwara.
• Kushushikana mupfungwa kana mumuviri - Vanhu vazhinji vane ME / CFS vanga vari pasi pekushushikana kwepfungwa kana kwemuviri vasati varwara.
• Kugadzirwa kwesimba - Nzira iyo masero mukati memuviri anowana simba akasiyana nevanhu vane ME / CFS pane vanhu vasina mamiriro. Hazvina kujeka kuti izvi zvinobatana sei nekuvandudza chirwere.

Genetics kana zvakatipoteredza zvinhu zvinogona zvakare kutora chinzvimbo mukuvandudzwa kwe ME / CFS:

• Chero ani zvake anogona kuwana ME / CFS.
• Kunyange ichinyanya kuwanikwa muvanhu vari pakati pemakore makumi mana nemakumi matanhatu ekuberekwa, chirwere ichi chinobata vana, vachiri kuyaruka, nevakuru veese mazera.
• Pakati pevakuru, vakadzi vanokanganiswa kazhinji kupfuura varume.
• Varungu vanoonekwa kupfuura mamwe marudzi uye dzinza. Asi vanhu vazhinji vane ME / CFS havana kuongororwa, kunyanya pakati pevashoma.

Kune matatu makuru, kana "epakati," zviratidzo muvanhu vane ME / CFS:

• Kuneta kukuru
• Kuwedzera zviratidzo mushure mekuita kwepanyama kana kwepfungwa
• Zvinetso zvekurara

Vanhu vane ME / CFS vanoramba vachineta uye vasingakwanise kuita zviitiko zvavaikwanisa kuita chirwere chisati chavapo. Kuneta kwakanyanyisa ndiko:

• Nyowani
• Inotora ingangoita mwedzi mitanhatu
• Kwete nekuda kwechiitiko chisina kujairika kana chakakomba
• Kwete kurerutswa nekurara kana kuzorora kwemubhedha
• Yakasimba zvakakwana kuti ikutadzise kutora chikamu mune zvimwe zviitiko

ME / CFS zviratidzo zvinogona kuve zvakaipisisa mushure mekuita kwepanyama kana kwepfungwa. Izvi zvinonzi post-exertional malaise (PEM), inozivikanwawo sekupunzika, kudzokazve, kana kudonha.

• Semuenzaniso, unogona kusangana nekudonha mushure mekutenga kuchitoro uye unoda kumborara usati watyaira kumba. Kana iwe ungangoda mumwe munhu kuti auye kuzokutora.
• Iko hakuna nzira yekufungidzira kuti chii chinokonzeresa kupunzika kana kuziva kuti zvinotora nguva yakareba sei kupora. Zvinogona kutora mazuva, vhiki, kana kupfuura kuti uwanezve.

Nyaya dzekurara dzinogona kusanganisira matambudziko kudonha kana kuramba wakarara. Kuzorora-kwehusiku-kuzorora hakubvise kuneta uye zvimwe zviratidzo.

Vanhu vane ME / CFS zvakare vanowanzoona kana chimwe chete chezviratidzo zviviri zvinotevera:

• Kukanganwa, matambudziko ekusimbisa, matambudziko anotevera ruzivo (inonziwo "hutsi hwehuropi")
• Kuwedzera zviratidzo kana wakamira kana kugara wakamira. Izvi zvinonzi orthostatic kusashivirira. Unogona kunzwa dzungu, musoro wakareruka, kana kupera simba kana wakamira kana kugara. Iwe zvakare unogona kuve nekuona shanduko kana kuona mavara.

Zvimwe zviratidzo zvakajairika zvinosanganisira:

• Marwadzo akabatana pasina kuzvimba kana kutsvuka, tsandanyama aches, mhasuru kushaya simba kwese kwese, kana kutemwa nemusoro kwakasiyana neyawakambove nawo munguva yakapfuura
• Huro huro, maronda anorwadza mumutsipa kana pasi pemaoko, kutonhora uye kudikitira usiku
• Matambudziko ekugaya, akadai seanotsamwa bowel syndrome
• Allergies
• Kunzwa kune ruzha, chikafu, hwema, kana makemikari

ICentral for Disease Control (CDC) inotsanangura ME / CFS sechirwere chakasiyana nezviratidzo uye zviratidzo zvemuviri. Kuongororwa kunoenderana nekutonga zvimwe zvinokonzeresa.

Mutapi wako wezvehutano anoedza kutonga zvimwe zvinokonzeresa kuneta, kusanganisira:

• Kudhakwa nezvinodhaka
• Immune kana autoimmune kusagadzikana
• Zvirwere
• Tsvina kana tsinga zvirwere (senge multiple sclerosis)
• Endocrine hosha (senge hypothyroidism)
• Zvimwe zvirwere (zvakaita semwoyo, itsvo, kana chirwere chechiropa)
• Zvirwere zvepfungwa kana zvepfungwa, kunyanya kushushikana
• Mamota

Kuongororwa kwe ME / CFS kunofanira kusanganisira:

• Kushaikwa kwezvimwe zvikonzero zvekugara kwenguva refu (kusingaperi) kuneta
• Angangoita mana ME / CFS-akasarudzika zviratidzo
• Kunyanyisa, kuneta kwenguva refu

Iko hakuna bvunzo chaidzo kusimbisa kuongororwa kwe ME / CFS. Nekudaro, pakave nemishumo yevanhu vane ME / CFS vane mhedzisiro isina kujairika pane bvunzo dzinotevera:

• Ubongo MRI
• White ropa masero kuverenga

Ikozvino hapana mushonga we ME / CFS. Chinangwa chekurapa ndechekusunungura zviratidzo.

Kurapa kunosanganisira mubatanidzwa weinotevera:

• Nzira dzekurara kwekurara
• Mishonga yekuderedza marwadzo, kusagadzikana, uye kupisa muviri
• Mishonga yekurapa kusagadzikana (anti-kunetseka mishonga)
• Mishonga yekurapa kushushikana (zvinodhaka zvinodhaka)
• Kudya zvine hutano

Mimwe mishonga inogona kukonzera maitiro kana mhedzisiro yakaipa kupfuura iyo yekutanga zviratidzo zvechirwere.

Vanhu vane ME / CFS vanokurudzirwa kuchengetedza hupenyu hunoshanda. Kurovedza muviri kunyoro kunogona kubatsira. Boka rako rekuchengetedza hutano rinokubatsira iwe kuona kuti ungawanda sei chiitiko, uye kuti ungawedzera sei zvishoma nezvishoma chiitiko chako. Matipi anosanganisira:

• Dzivisa kuita zvakawandisa pamazuva paunonzwa kuneta
• Gadzikana nguva yako pakati pechiitiko, zororo, uye kurara
• Bvarura mabasa makuru kuita madiki, anogona kugadziriswa
• Paradzira mabasa ako akaoma kupfuura svondo

Kuzorora uye kushungurudzika-kudzikisira matekinoroji anogona kubatsira kubata asingaperi (marefu-marefu) marwadzo uye kuneta. Izvo hazvishandiswe sekutanga kurapwa kweME / CFS. Maitiro ekuzorora anosanganisira:

• Biofeedback
• Kudzidzira kufema kwakadzika
• Hypnosis
• Massage kurapa
• Kufungisisa
• Maitiro ekuzorodza mhasuru
• Yoga

Zvinogona zvakare kubatsira kushanda nemurapi kuti akubatsire kubata nemanzwiro ako uye nekukanganisa kwechirwere pahupenyu hwako.

Nzira nyowani dzemishonga dziri kuongororwa.

Vamwe vanhu vanogona kubatsirwa nekutora chikamu muboka rekutsigira ME / CFS.

Maonero kwenguva refu kune vanhu vane ME / CFS anosiyana. Zvakaoma kufanotaura kuti zviratidzo zvinotanga riini. Vamwe vanhu vanopora zvachose mushure memwedzi mitanhatu kusvika pagore.

Vanenge 1 muvanhu vana vane ME / CFS vakaremara zvakanyanya zvekuti havagone kumuka pamubhedha kana kusiya imba yavo. Zviratidzo zvinogona kuuya nekuenda mukutenderera, uye kunyangwe kana vanhu vakanzwa zvirinani, vanogona kusangana nekudzokazve kunokonzerwa nekuedza kana kusazivikanwa chikonzero.

Vamwe vanhu havatombonzwa senge ivo vakaita vasati vagadzira ME / CFS. Zvidzidzo zvinoratidza kuti iwe unowanzo kuve nani kana iwe uchinge wagamuchira kuwanda kwakadzama.

Zvinetso zvinogona kusanganisira:

• Kushungurudzika
• Kusakwanisa kutora chikamu mumabasa nemagariro zviitiko, izvo zvinogona kutungamira mukuzviparadzanisa
• Zvimwe zvinokanganisa kubva kumishonga kana kurapwa

Fonera mupiki wako kana iwe uine kuneta kwakanyanya, uine kana pasina zvimwe zviratidzo zvechirwere ichi. Zvimwe zvinetso zvakakomba zvinogona kukonzera zviratidzo zvakafanana uye zvinofanirwa kutongwa kunze.

CFS; Kuneta - kusingaperi; Immune dysfunction chirwere; Myalgic encephalomyelitis (ME); Myalgic encephalopathy chisingaperi kuneta chirwere (ME-CFS); Chirongwa chekuedza kusashivirira chirwere (SEID)

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Myalgic encephalomyelitis / chisingaperi kuneta chirwere: kurapwa. www.cdc.gov/me-cfs/treatment/index.html. Yakagadziridzwa Mbudzi 19, 2019. Yakasvika muna Chikunguru 17, 2020.

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