Kodi mwatopa ngakhale mutagona bwino? Kodi izi zingakhale matenda otopa kwambiri (ME/CFS)?

Kodi nthawi zina mumadzuka m'mawa n'kumva ngati mulibe mphamvu? Ngakhale mutagona bwino kwa maola ambiri usiku, kodi mumamvabe kutopa ngati kuti mwagwira ntchito yambiri tsiku lonse? Ngati mukumva ngati thupi lanu lonse likupweteka ndipo simungathe kuganizira bwino ngakhale mutachita ntchito yaying'ono, monga kuyeretsa nyumba kapena kupita kusitolo, ndiye kuti muyenera kuwerenga nkhaniyi. Mwina simukungotopa. Lero tikulankhula za vuto lomwe anthu ambiri sakudziwa, koma lomwe limakhudza kwambiri miyoyo yawo.

Mwachidule, kodi matenda otopa kwambiri (ME/CFS) ndi chiyani?

Ngakhale dzina lalitali lakuti `(Myalgic Encephalomyelitis/Chronic Fatigue Syndrome)` ndi lovuta pang'ono, timalitcha kuti Chronic Fatigue Syndrome `(Chronic Fatigue Syndrome)` kapena `(ME/CFS)` mwachidule. Mwachidule, ndi matenda osatha, kutanthauza nthawi yayitali. Chizindikiro chachikulu komanso choopsa kwambiri ndi kutopa kosazolowereka, kwakukulu.

Taganizirani izi, izi si kutopa kokha komwe timamva madzulo titagwira ntchito tsiku lonse. Izi ndi zazikulu kuposa pamenepo. Kutopa kumeneku sikutha ngakhale titapuma motani kapena kugona motani. Zili ngati foni yanu ikuchajidwa 100%, koma ikutsika kufika pa 10% mu mphindi khumi. Kaya titapuma motani, kutopa kumeneko sikutha.

Chinthu china chapadera cha vutoli ndichakuti limakula kwambiri mukachita masewera olimbitsa thupi pang'ono kapena m'maganizo. Timachitcha kuti 'post-exertional malaise'. Izi zikutanthauza kuti ngakhale mutagwira ntchito pang'ono, mungakhale ndi vuto lodzuka pabedi kwa masiku angapo pambuyo pake. Izi zimapangitsa kuti anthu ena azivutika kuchita ntchito zawo za tsiku ndi tsiku, kupita kuntchito, kapena kupita kusukulu.

Kodi zizindikiro zazikulu za vutoli ndi ziti?

Zizindikiro za ME/CFS zimatha kusiyana kwambiri malinga ndi munthu. Kuopsa kwa zizindikiro kumathanso kusiyana tsiku ndi tsiku. Masiku ena mungamve bwino pang'ono, koma tsiku lotsatira simungathe kudzuka pabedi. Tiyeni tiwone zizindikiro zazikulu.

N’chifukwa chiyani zinthu ngati zimenezi zimachitika? Kodi zifukwa zake ndi ziti?

Ndipotu, madokotala sakudziwabe chomwe chimayambitsa ME/CFS. Pakadali pano akukhulupirira kuti sichimayamba ndi chifukwa chimodzi chokha, koma ndi zinthu zosiyanasiyana. Nazi zina mwa zinthu zomwe kafukufuku wapeza:

• Kusintha kwa Chitetezo cha Mthupi: Chitetezo cha mthupi, chomwe chimateteza thupi lathu ku matenda, nthawi zina chimatha kusokoneza thupi. Monga momwe zimakhalira ndi matenda ena a autoimmune, chitetezo cha mthupi chimatha kuukira maselo athu abwino molakwika.
• Mavuto Okhudza Kupanga Mphamvu: Maselo ndi mayunitsi ang'onoang'ono kwambiri m'thupi lathu. Maselo amenewa sangathe kusintha bwino chakudya chomwe timadya kukhala mphamvu. Chifukwa cha zimenezi, ubongo ndi minofu yathu sizigwira ntchito mokwanira.
• Zinthu Zokhudza Majini: Matendawa nthawi zambiri amapezeka m'mabanja. Akuti ali ndi gawo la majini, koma palibe jini yeniyeni yomwe yapezeka.

Mwachitsanzo:

• Matenda opatsirana ndi mavairasi: Izi zitha kuyamba pambuyo pa matenda opatsirana ndi mavairasi monga kachilombo ka Epstein-Barr (kachirombo komwe kamayambitsa nthenda ya nkhuku) ndi kachilombo ka Ross River. Posachedwapa, zapezeka kuti anthu ena omwe ali ndi COVID-19 amakumananso ndi kutopa kwa nthawi yayitali.
• Kupsinjika maganizo kapena thupi: Zizindikirozi zimathanso kuchitika pambuyo pa chochitika monga opaleshoni yayikulu, ngozi, kapena imfa ya wokondedwa.

Kodi dokotala amazindikira bwanji izi?

Ngati muli ndi zizindikiro izi, chinthu choyamba chomwe muyenera kuchita ndikuwonana ndi dokotala wanu. Koma kumbukirani kuti palibe kuyeza magazi kapena scan imodzi yomwe ingathe kuzindikira ME/CFS.

Choncho, dokotala adzaonetsetsa kuti palibe matenda ena. Pali matenda ena omwe angayambitse zizindikiro monga izi. Mwachitsanzo, mavuto a chithokomiro, matenda a shuga, kuchepa kwa magazi m'thupi, ndi zina zotero. Choncho, dokotala adzakufunsani kuti muyese magazi, kuyezetsa mkodzo, ndi zina zotero.

Pambuyo poti zonse zachitika, ndipo zatsimikizika kuti palibe matenda ena, ndipo zizindikiro zanu zikufanana ndi za `ME/CFS`, ndiye kuti matendawa amapangidwa. Mfundo zotsatirazi zimaganiziridwa makamaka:

• Kodi muli ndi kutopa kwambiri komwe kumatenga miyezi yoposa 6 ndipo sikumakupumulitsani mukapuma?
• Kodi thupi lanu limakhala lopanda moyo ngakhale mutagona?
• Kodi zizindikiro zimakula kwambiri mukamaliza kuchita masewera olimbitsa thupi?
• Kodi muli ndi zizindikiro za "kusalolera kwa orthostatic" monga chifunga cha ubongo kapena chizungulire mukamayimirira?

Zingatenge nthawi kuti mudziwe matenda. Muyenera kuchita mayeso ambiri. Zingakhale zovuta kwambiri, chifukwa muli kale mumkhalidwe wovuta. Koma kupeza matenda ndi gawo loyamba komanso lofunika kwambiri kuti mupeze chithandizo choyenera.

Kodi mungachiritse bwanji? Kodi mungatani kuti moyo ukhale wosavuta?

Ndi zoona kuti palibe mankhwala a izi pakadali pano. Koma sizikutanthauza kuti palibe thandizo kwa inu. Pali njira zambiri zothanirana ndi zizindikiro zanu ndikupangitsa moyo kukhala wosavuta. Ndondomeko ya chithandizo ndi yosiyana kwa munthu aliyense. Dokotala wanu adzasankha zomwe zili zoyenera kwa inu.

Zinthu zazikulu zoti muziganizire ndi izi:

• Zochita Zolimbitsa Thupi: Ichi ndiye chinthu chofunikira kwambiri. Mwachidule, kumvetsetsa "malire a mphamvu" zanu ndikugwira ntchito mkati mwa malire amenewo. Pumulani musanathe "kutulutsa madzi." Mwachitsanzo, m'malo moyeretsa nyumba tsiku lonse, yeretsani chipinda chimodzi chokha ndikupumula mokwanira. Dokotala wanu adzakuthandizani kuchita izi moyenera.
• Kusintha zizolowezi zogona: Kukhala ndi chizolowezi chogona nthawi yomweyo tsiku lililonse, kudzuka nthawi yomweyo, kupewa kugona nthawi yayitali masana, komanso kusiya kuonera TV ndi mafoni musanagone kungathandize kuti tulo tanu tizikhala bwino.
• Mankhwala: Ngakhale kuti palibe mankhwala enieni a ME/CFS, zizindikiro zokhudzana ndi vutoli zitha kuchiritsidwa. Mwachitsanzo, dokotala wanu angakupatseni mankhwala ochepetsa ululu, mapiritsi ogona, komanso mankhwala ochepetsa kuvutika maganizo.
• Thandizo la thanzi la maganizo: Kukhala ndi matenda osatha ngati awa kungakhale kovuta m'maganizo. Chifukwa chake, kuti akuthandizeni kuzolowera moyo watsopanowu, dokotala wanu angakutumizireni ku psychotherapy, makamaka Cognitive Behavioral Therapy (CBT). Izi zimakuthandizani kuthana ndi nkhawa ya matendawa.

Kodi moyo udzakhala bwanji patsogolo ndi vutoli?

Matenda a ME/CFS si ofanana kwa aliyense. Kwa anthu ena, zizindikiro zimatha kusintha pang'onopang'ono pakapita nthawi. Koma kwa ena, zizindikiro zimatha kupitirira kwa nthawi yayitali. Sizachilendo kuti anthu achire kwathunthu ku matendawa.

Pali maganizo osiyanasiyana pankhani ya ngati vutoli limafupikitsa nthawi yoti munthu akhale ndi moyo. Anthu ena amakhala moyo wabwinobwino. Komabe, kafukufuku wasonyeza kuti anthu ena ali pachiwopsezo chodzipha chifukwa cha nkhawa ndi kusintha kwa moyo komwe kumabwera chifukwa cha vutoli. Chifukwa chake, kusamalira thanzi lanu la maganizo ndikofunikira kwambiri. Ngati mukumva kutopa, kusungulumwa, kapena kutopa ndi moyo, chonde lankhulani ndi dokotala wanu kapena munthu amene mumamudalira za vutoli.