Ngaba ngamanye amaxesha uziva ngathi awunamandla, uzive udiniwe kakhulu xa uvuka kusasa, kwaye uzive ungafuni kwenza nto ngaloo mini? Ngamaxesha anje, uninzi lwethu luyazibuza, "Ngaba ndinengxaki yokudakumba?" Liyinyaniso elokuba ezi mpawu zinokwenzeka kwimeko ebizwa ngokuba kukudakumba. Kodwa ukudakumba ngokwako kusenokungabi yimbangela. Mhlawumbi imbangela yimeko eyahlukileyo onokuthi ungayicingi nokuyicinga, kodwa ineempawu ezifanayo kakhulu nokudakumba. Namhlanje, siza kuthetha ngeemeko ezimbini ezahlukeneyo ezilula ukuzibhidanisa. Ziyi-Chronic Fatigue Syndrome kunye nokuDakumba.
Yintoni isifo sokudinwa okungapheliyo (ME/CFS)?
Ngamafutshane, isifo sokudinwa okungapheliyo (ME/CFS) yimeko apho ufumana ukudinwa okugqithisileyo nokungaqhelekanga ngaphandle kwesizathu esicacileyo. Akufani nokudinwa okuqhelekileyo. Khawuthelekelele, nokuba ulele kakuhle ubusuku bonke, uvuka uzive udinwe ngakumbi kusasa. Nokuba wenza imisebenzi elula, njengokuya evenkileni okanye ukucoca indlu, kunokukushiya uzive udinwe imini yonke.
Le meko inokuba mandundu kangangokuba abanye abantu baba buthathaka kangangokuba abakwazi nokuvuka ebhedini, ukuhlamba, okanye ukupheka ukutya. Ifana nefowuni etshajiweyo ngokupheleleyo kodwa iphelelwa yibhetri ngaphambi kokuba ukwazi nokufowuna.
Ukongeza ekudinweni, i-ME/CFS inokuba nezinye iimpawu ezininzi:
- Intlungu yomzimba: Intlungu yezihlunu namalungu, kunye nentloko ebuhlungu rhoqo.
- Iingxaki zenkumbulo kunye nokungakhathali: Ukuziva ngathi ingqondo yakho inenkungu, ulibale izinto, kwaye awukwazi ukugxila kwinto ethile.
- Iingxaki zokulala: Ubunzima bokulala okanye ukuvuka ngexesha lokulala.
- Ezinye iimpawu ziquka: isiyezi, ii-lymph nodes ezidumbileyo nezithambileyo entanyeni okanye emakhwapheni, umphimbo obuhlungu rhoqo, isisu esibuhlungu, umbono ofipheleyo, ukuva ukukhanya okanye isandi, ukubetha kwentliziyo okungaqhelekanga, kunye nobunzima bokuphefumla.
Nangona unobangela ochanekileyo ungekafunyanwa, kukholelwa ukuba ezinye izifo ezibangelwa yintsholongwane (umzekelo, intsholongwane ka-Epstein-Barr), ukungalingani kwamahomoni, ukusebenza ngokugqithisileyo kwenkqubo yomzimba yokuzikhusela, kunye nefuthe lemfuza zinokuba negalelo koku.
Ngoko ke yintoni ukudakumba?
Ukudakumba sisifo sengqondo esinzulu esidlula nje ukuziva ulusizi. Sisifo sengqondo esihlala ixesha elide esibangela usizi, ukungabi nathemba, kunye nokuphelelwa lithemba. Sinokuba nefuthe elikhulu kwindlela ocinga ngayo, oziva ngayo, kunye nokuziphatha ngayo.
Ngexesha lokudakumba, izinto ezazisoloko zimnandi, njengokuthetha nomhlobo, ukubukela imovie, okanye ukwenza into oyithandayo, ziba yinto engenamsebenzi nekruqulayo. Abanye abantu banokuziva benetyala kwaye bazive bengento yanto. Kwiimeko ezimbi kakhulu, banokudinwa bubomi baze bacinge nokuzibulala.
Nangona ukudakumba kukugula ngengqondo, kukwabangela neempawu zomzimba.
- Ukudinwa kunye neengxaki zokulala: Izinto ezinje ngokungakwazi ukulala, ukulala kakhulu, okanye ukuvuka kwangethuba.
- Utshintsho kwindlela othanda ngayo ukutya: Ukulahlekelwa ngumdla wokutya okanye ukutya kakhulu. Oku kunokukhokelela ekwehleni komzimba okanye ekutyebeni kakhulu.
- Iintlungu zomzimba: iintlungu zomqolo, iintloko ezibuhlungu ezingenasizathu.
- Ezinye iimpawu: Ukukhala rhoqo, ukungazinzi, ukuthetha kancinci kunye nokunyakaza, ukuqaqamba kwesisu, njl.njl.
Akukho sizathu saziwayo sokuba uxinezeleko lubangelwa yintoni. Lunokubangelwa lutshintsho olusengqondweni, ukungalingani kwi-neurotransmitters ezilawula imood, utshintsho kumanqanaba e-hormone (umz., emva kokubeleka, ukuyeka ukuya exesheni), iingxaki ze-thyroid, kunye nofuzo. Uxinezeleko lunokubangelwa ngamava obomi abuhlungu, njengokufa komntu omthandayo, ukulahlekelwa ngumsebenzi, okanye ukugula kakhulu.
Zithini izinto ezifanayo nezahlukileyo phakathi kwezi zifo zimbini?
Mhlawumbi ngoku uyabona ukuba zombini ezi zifo zineempawu ezininzi ezifanayo. Yiyo loo nto kulula ukuzibhidanisa ezi zifo zimbini. Makhe sibone ukuba zeziphi umahluko ophambili phakathi kwezi zifo zimbini. Jonga le theyibhile.
| Uphawu olucacileyo | Isifo sokudinwa okungapheliyo (ME/CFS) | Uxinzelelo |
|---|---|---|
| Isiphumo somsebenzi womzimba | Ukudinwa kunye nezinye iimpawu ziba mandundu kakhulu emva kokuba umntu enze umthambo omncinci. | Iimpawu kunye nesimo sengqondo zihlala ziphucuka emva kokuzilolonga. |
| Iimpawu eziphambili | Umphimbo obuhlungu rhoqo, iintsini ezidumbileyo nezibuhlungu, iintlungu zemisipha namalungu ziqhelekile. | Usizi olukhulu, ukuphelelwa lithemba, ukuziva unetyala, kunye nokungathandi izinto obuzithanda ngaphambili zezona zinto zibalulekileyo. |
| Uhlobo lwentlungu | Intlungu yomzimba, ingakumbi intlungu yezihlunu namalungu, ixhaphake kakhulu kunentlungu yokudakumba. | Iintlungu ezifana neentloko ezibuhlungu ezingachazwanga kunye neentlungu zomqolo zinokwenzeka, kodwa azibonakali kangako njengakwi-ME/CFS. |
| Indlela isigulane esibona ngayo | Oku kudla ngokuthathwa njengesifo somzimba. | Oku kudla ngokuthathwa njengesifo sengqondo. |
Into ebalulekileyo kukuba i-ME/CFS inokuba mandundu ngokwenza umthambo, kodwa uxinezeleko lunokupheliswa ngokwenza umthambo. Eli linqaku elibaluleke kakhulu ekwahlukaniseni phakathi kwezi meko zimbini.
Ugqirha uyifumanisa njani le nto kanye kanye?
Ukuba unale mpawu, eyona nto ingcono kukubona ugqirha. Ugqirha uza kukuxilonga aze afumanise ukuba zeziphi kwezi meko zimbini onazo.
1. Ukuthetha nawe: Okokuqala, ugqirha uza kuthetha nawe kakuhle aze akubuze yonke into malunga neempawu zakho, kuquka umhla eziqale ngawo, ukuba ziyanda okanye zincipha nini, kunye nokuba kukho umntu kusapho lwakho okhe waba nezigulo ezifanayo.
2. Uvavanyo lomzimba: Emva koko kwenziwa uvavanyo olupheleleyo lomzimba.
3. Iikhrayitheriya zokuxilonga:
- Kwi-ME/CFS: Ngokubanzi, i-ME/CFS irhanelwa ukuba kukho ukudinwa okungathethekiyo okuhlala ixesha elingaphezu kweenyanga ezi-6 , okungaphumliyo kukuphumla, okubangelwa kukungasebenzi kakuhle, kwaye kuhamba neempawu ezifana neengxaki zokukhumbula okanye ukungakwazi ukuhoya okanye isiyezi xa umile.
- Kwingxaki yokudakumba: Ukuba iimpawu ezithile ziyaqhubeka ubuncinane iiveki ezimbini, zinokufunyaniswa ukuba zingxaki yokudakumba.
4. Uvavanyo lwegazi: Uvavanyo lwegazi lwenziwa ukuqinisekisa ukuba akukho ezinye iimeko zonyango ezinokubangela ukudinwa (umz. i-anemia, isifo seswekile, isifo se-thyroid).
5.Ezinye iimvavanyo: Ungathunyelwa kwingcali ukuze ihlolwe indlela olala ngayo okanye uvavanyo lwempilo yengqondo.
Yintoni omawuyenze xa kukho imeko engxamisekileyo?
Ukuba wena okanye umntu omaziyo uneengcinga zokuzibulala okanye ucinga ngokuzibulala, ungaze ube wedwa. Xelela umntu omthembayo ngoko nangoko. Okanye yiya kwiCandelo loNyango oluNgxamisekileyo (i-ETU) kwisibhedlele esikufutshane nawe. Ungoyiki ukuthetha nogqirha wakho ngale nto. Bahlala bekulungele ukukunceda.
Umyalezo Wokuya Ekhaya
- Isifo sokudinwa okungapheliyo (ME/CFS) kunye nokudakumba asizozinto nje ezicingelwayo. Ziimeko zokwenyani nezinzima ekufuneka zinyangwe.
- Ekubeni iimpawu zifana kakhulu, musa ukuzama ukuzixilonga ngokusekelwe koko ukufundileyo kwi-intanethi okanye kumarhe. Kunokuba yingozi.
- Umahluko ophambili phakathi kwezi zifo zimbini yindlela umzimba osabela ngayo kwimisebenzi yomzimba. Kwi-ME/CFS, imeko iba mandundu, ngelixa kwixinzelelo inokuphucula.
- Ukuba sele unamava ezi mpawu ixesha elide, nceda udibane nogqirha ofanelekileyo ukuze ufumane iingcebiso ezifanelekileyo kunye nonyango. Ukuxilongwa ngokuchanekileyo linyathelo lokuqala lokuchacha.
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