Ingabe ngezinye izikhathi uzizwa sengathi awunawo amandla, uzizwa ukhathele kakhulu lapho uvuka ekuseni, nokuthi awufuni ukwenza lutho ngalolo suku? Ngezikhathi ezinjengalezi, abaningi bethu bayazibuza, "Ingabe ngihlushwa ukucindezeleka?" Kuyiqiniso ukuthi lezi zimpawu zingavela esimweni esibizwa ngokuthi ukucindezeleka. Kodwa ukucindezeleka ngokwako kungase kungabi yimbangela ngaso sonke isikhathi. Mhlawumbe imbangela yisimo esihlukile ongase ungacabangi ngaso, kodwa sinezimpawu ezifana kakhulu nokucindezeleka. Namuhla, sizokhuluma ngezimo ezimbili ezihluke kakhulu okulula ukuzidida. Ziyi-Chronic Fatigue Syndrome kanye nokucindezeleka.
Iyini i-chronic fatigue syndrome (ME/CFS)?
Kalula nje, i-chronic fatigue syndrome (ME/CFS) yisimo lapho ubhekana khona nokukhathala okukhulu nokungavamile ngaphandle kwesizathu esibonakalayo. Akufani nokukhathala okuvamile. Cabanga nje, noma ulala kahle ubusuku bonke, uvuka uzizwa ukhathele kakhulu ekuseni. Ngisho nokwenza imisebenzi elula, njengokuya esitolo noma ukuhlanza indlu, kungakushiya uzizwa ukhathele usuku lonke.
Lesi simo singaba sibi kakhulu kangangokuthi abanye abantu baba buthaka kangangokuthi abakwazi ngisho nokuvuka embhedeni, ukugeza, noma ukupheka ukudla. Kufana nefoni eshajwe ngokugcwele kodwa iphelelwa yibhethri ngaphambi kokuthi ukwazi ngisho nokushaya ucingo.
Ngaphezu kokukhathala, i-ME/CFS ingaba nezinye izimpawu eziningi:
- Ubuhlungu bomzimba: Ubuhlungu bemisipha namalunga, kanye nekhanda elibuhlungu njalo.
- Izinkinga zenkumbulo nokunaka: Ukuzizwa sengathi ubuchopho bakho bunenkungu, ukhohlwa izinto, futhi awukwazi ukugxila kokuthile.
- Izinkinga zokulala: Ubunzima bokulala noma ukuvuka ngesikhathi sokulala.
- Ezinye izimpawu zifaka: isiyezi, ama-lymph node avuvukele futhi athambile entanyeni noma emakhwapheni, umphimbo obuhlungu njalo, ukucasuka kwesisu, umbono ofiphele, ukuzwela ukukhanya noma umsindo, ukushaya kwenhliziyo okungajwayelekile, kanye nobunzima bokuphefumula.
Nakuba imbangela eqondile ingakatholakali, kukholelwa ukuthi izifo ezithile ezibangelwa amagciwane (isibonelo, igciwane le-Epstein-Barr), ukungalingani kwama-hormone, ukusebenza ngokweqile kwesimiso somzimba sokuzivikela, kanye namathonya ezakhi zofuzo kungaba nomthelela kukho.
Ngakho-ke kuyini ukucindezeleka?
Ukucindezeleka kuyisifo sengqondo esingathi sína esidlula nje ukuzizwa udangele. Kuwumuzwa wesikhathi eside wokudabuka, ukungabi nalutho, nokuphelelwa yithemba. Kungaba nomthelela omkhulu endleleni ocabanga ngayo, ozizwa ngayo, kanye nokuziphatha ngayo.
Ngesikhathi sokucindezeleka, izinto ezazijabulisa ngaphambili, njengokukhuluma nomngane, ukubukela i-movie, noma ukwenza into yokuzilibazisa, ziba yize futhi ziyisicefe. Abanye abantu bangase bazizwe benecala ngabo futhi bazizwe bengelutho. Ezimweni ezimbi kakhulu, bangase bakhathale ukuphila futhi baze babe nemicabango yokuzibulala.
Nakuba ukucindezeleka kuyisifo sengqondo, futhi kubangela izimpawu zomzimba.
- Ukukhathala nezinkinga zokulala: Izinto ezifana nokungakwazi ukulala, ukulala kakhulu, noma ukuvuka kusenesikhathi.
- Izinguquko zesifiso sokudla: Ukulahlekelwa yisifiso sokudla noma ukudla ngokweqile. Lokhu kungaholela ekwehleni kwesisindo noma ekuzuzeni isisindo.
- Ubuhlungu bomzimba: izinhlungu zomhlane, ikhanda elibuhlungu eliza ngaphandle kwesizathu.
- Ezinye izimpawu: Ukukhala njalo, ukungahlaliseki, ukukhuluma kancane nokunyakaza, ukuqaqamba kwesisu, njll.
Ukucindezeleka akunasizathu esaziwayo. Kungabangelwa izinguquko zomzimba ebuchosheni, ukungalingani kwama-neurotransmitters alawula imizwa, izinguquko emazingeni ama-hormone (isb., ngemva kokubeletha, ukuya esikhathini), izinkinga ze-thyroid, kanye nokuthambekela kwezakhi zofuzo. Ukucindezeleka kungabangelwa futhi yizinto ezibuhlungu ekuphileni, njengokufa kothandekayo, ukulahlekelwa umsebenzi, noma ukugula okungathi sína.
Yiziphi izinto ezifanayo nezingafani phakathi kwalezi zifo ezimbili?
Cishe usuyabona manje ukuthi zombili lezi zifo zinezici eziningi ezifanayo. Yingakho kulula kangaka ukudida lezi ezimbili. Ake sibone ukuthi umehluko omkhulu uyini phakathi kwalezi ezimbili. Bheka leli thebula.
| Isici esihlukanisayo | I-Chronic fatigue syndrome (ME/CFS) | Ukucindezeleka |
|---|---|---|
| Umphumela womsebenzi womzimba | Ukukhathala nezinye izimpawu kuba zimbi kakhulu ngisho nangemva kokuzivocavoca okuncane. | Izimpawu kanye nesimo sengqondo kuvame ukuthuthuka ngemva kokuzivocavoca. |
| Izimpawu eziyinhloko | Ubuhlungu bomphimbo obuvame ukuvela, izinsini ezivuvukele nezibuhlungu, ubuhlungu bemisipha namalunga kuvamile. | Ukudabuka okukhulu, ukuphelelwa yithemba, umuzwa wecala, kanye nokuzonda izinto owawuzithanda ngaphambili kubalulekile. |
| Uhlobo lobuhlungu | Ubuhlungu bomzimba, ikakhulukazi ubuhlungu bemisipha namalunga, buvame kakhulu kunokucindezeleka. | Ubuhlungu obufana nekhanda elibuhlungu elingachazeki kanye nobuhlungu bomhlane bungase buvele, kodwa abubonakali kakhulu njengase-ME/CFS. |
| Indlela isiguli esibona ngayo | Lokhu kuvame ukubhekwa njengokugula ngokomzimba. | Lokhu kuvame ukubhekwa njengesifo sengqondo. |
Into ebalulekile ukuthi i-ME/CFS ingabhebhethekiswa ukuzivocavoca, kodwa ukucindezeleka kungancishiswa ukuzivocavoca. Leli iphuzu elibaluleke kakhulu ekuhlukaniseni phakathi kwalezi zimo ezimbili.
Udokotela ukuxilonga kanjani lokhu ngqo?
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela. Udokotela uzokuxilonga bese enquma ukuthi yiziphi lezi zimo ezimbili onazo.
1. Ukukhuluma nawe: Okokuqala, udokotela uzokhuluma nawe ngokuphelele futhi akubuze konke mayelana nezimpawu zakho, okuhlanganisa nosuku eziqale ngalo, ukuthi zanda noma zincipha nini, nokuthi ngabe kukhona yini emndenini wakho oke waba nezifo ezifanayo.
2. Ukuhlolwa ngokomzimba: Kube sekwenziwa ukuhlolwa ngokomzimba okuphelele.
3. Izindlela zokuxilonga:
- Ku-ME/CFS: Ngokuvamile, i-ME/CFS isolwa uma kukhona ukukhathala okukhulu okungachazeki okuhlala isikhathi esingaphezu kwezinyanga eziyisithupha , okungaqedwa ukuphumula, okubangelwa umsebenzi omncane, futhi kuhambisana nezimpawu ezifana nezinkinga zokukhumbula noma ukunaka noma isiyezi lapho umile.
- Ngokucindezeleka: Uma izimpawu ezithile ziqhubeka okungenani amasonto amabili, kungatholakala ukuthi ukucindezeleka.
4. Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kwenziwa ukuqinisekisa ukuthi azikho ezinye izimo zezokwelapha ezingase zibangele ukukhathala (isib. i-anemia, isifo sikashukela, isifo se-thyroid).
5.Ezinye izivivinyo: Ungathunyelwa kuchwepheshe ukuze kwenziwe ucwaningo lokulala ukuze ahlole amaphethini akho okulala noma ukuhlolwa kwempilo yengqondo.
Yini okufanele uyenze uma kunesimo esiphuthumayo?
Uma wena noma othile omaziyo enemicabango yokuzibulala noma enemicabango yokuzibulala, ungalokothi ube wedwa. Tshela umuntu omethembayo ngokushesha. Noma uye e-Emergency Treatment Unit (ETU) esibhedlela esiseduze nawe. Ungesabi ukukhuluma nodokotela wakho ngalokhu. Bahlala bekulungele ukukusiza.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sokukhathala okungamahlalakhona (ME/CFS) kanye nokucindezeleka akuzona nje izinto ezicatshangelwayo. Kuyizimo zangempela nezibucayi ezidinga ukwelashwa.
- Njengoba izimpawu zifana kakhulu, ungazami ukuzixilonga ngokusekelwe kulokho okufundile ku-inthanethi noma inzwabethi. Kungaba yingozi.
- Umehluko omkhulu phakathi kwalezi zifo ezimbili ukuthi umzimba usabela kanjani emisebenzini yomzimba. Ku-ME/CFS, lesi simo siba sibi kakhulu, kanti ekucindezelekeni singathuthuka.
- Uma usunesikhathi eside ubhekene nalezi zimpawu, sicela uxhumane nodokotela ofanelekayo ukuze uthole iseluleko esifanele kanye nokwelashwa. Ukuxilongwa okufanele kuyisinyathelo sokuqala sokululama.
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