Sonke sizizwa sikhathele ngesinye isikhathi. Abanye abantu bazizwa bekhathele ngaso sonke isikhathi. Kodwa lokhu akuphathelene nokukhathala okuvamile. Lokhu kumayelana nohlobo oluhluke ngokuphelele, olunzima lokukhathala. Mhlawumbe nawe uke wabhekana nalokhu. Ingabe uzizwa sengathi awunawo amandla, futhi awukwazi ukwenza lutho, ngisho nangemva kokulala kahle nokuphumula usuku lonke? Khona-ke lesi sihloko sizoba sibaluleke kakhulu kuwe.
Iyini ngempela i-chronic fatigue syndrome (ME/CFS)?
Lokhu kwaziwa ngokwezokwelapha ngokuthi i-'Myalgic Encephalomyelitis' / `Chronic Fatigue Syndrome' (ME/CFS). Kalula nje, lokhu akusikho ukukhathala nje. Lolu uhlobo olusha, olunzima lokukhathala oluhlala okungenani izinyanga eziyisithupha . Lokhu kukhathala kungaba kubi kakhulu kangangokuthi kungenza kube nzima ukwenza imisebenzi yakho evamile yansuku zonke, njengomsebenzi wasekhaya nomsebenzi.
Into ebaluleke kakhulu ukuthi noma umuntu onalesi simo ephumula noma elala kahle, ukukhathala akunciphi.
Kunezinye izici eziningana ezikhethekile zalesi sifo:
- Ngisho nokwenza umsebenzi omncane kukwenza uzizwe ukhathele: Ngisho noma wenza umsebenzi omncane womzimba, njengokuhamba ibanga elincane noma ukwenza imisebenzi yasekhaya, uzizwa ukhathele kakhulu ngemva kwalokho, ikakhulukazi ngosuku olulandelayo . Umzimba wakho uyabuhlungu futhi uzizwa ukhathele kakhulu. Odokotela bakubiza lokhu ngokuthi 'i-post-exertional malaise'.
- Ukukhathala ngisho nangemva kokulala: Uvuka ekuseni ungazizwa sengathi ulale kahle ebusuku. Uzizwa ukhathele sengathi uvukile ubusuku bonke. Kuvamile futhi ukuvuka njalo ebusuku ngaphandle kwesizathu.
- Ubunzima bokugxila: Kungaba nzima kakhulu ukuhlala ugxile entweni eyodwa kanye nemisebenzi eminingi. Kungazwakala sengathi ikhanda lakho limbozwe yinkungu.
- Ukungakhululeki lapho umi: Uma usukuma ngokuzumayo uhleli noma ulele, uzizwa unesiyezi noma amehlo akho ephenduka aluhlaza okwesibhakabhaka? Uzizwa sengathi isifuba sakho siyashaya? Uma umi isikhashana, kuzwakala kungakhululekile, futhi ufuna nje ukulala phansi futhi.
- Izinsuku ezinhle nezinsuku ezimbi: Lesi sifo sifana ne-roller coaster. Ngezinye izinsuku uzizwa ungcono kancane, kodwa ngezinye izinsuku kubi kakhulu. Kodwa khumbula, ngisho nangezinsuku ezinhle ngeke uzizwe ubuyele esimweni esijwayelekile ngokuphelele.
Akukho ukwelashwa okuqondile kwalokhu okwamanje, kodwa kunezindlela ezahlukene zokwelapha zokulawula izimpawu.
Ingabe kufanele sifunde amanye amaqiniso ambalwa ngalesi simo?
Lesi sifo singathinta noma ubani. Singathinta ngisho nezingane ezincane kanye nabantu abadala abasebasha. Kodwa-ke, sivame kakhulu kwabesifazane abaneminyaka ephakathi kuka-40 no-50. Abesifazane banamathuba amaningi okuthola lesi sifo kunabesilisa.
Iningi labantu linezimpawu ezincane noma eziphakathi nendawo. Lokhu kusho ukuthi uma unezimpawu ezincane, ungase ukwazi ukwenza umsebenzi wakho ngobunzima obuthile. Uma unezimpawu ezilinganiselwe, ungase ube nobunzima bokuhambahamba, futhi ungase udinge nokulala emini.
Kodwa-ke, cishe umuntu oyedwa kwabane angase abe nezimpawu ezinzima . Lesi simo esibi singafana nomthelela ezingeni lempilo yomuntu onesifo esifana ne-lupus, isifo senhliziyo, noma i-rheumatoid arthritis.
Kungani lokhu kwenzeka kithi? Yiziphi izizathu?
Odokotela abakayazi imbangela eqondile yalesi simo, kodwa sebethole izinkinga eziningana ezibonakala emizimbeni yabantu abanalesi simo.
| Imbangela engaba khona | Incazelo elula |
|---|---|
| Izinkinga zesimiso somzimba sokuzivikela | Ezinye izingxenye zesimiso sokuzivikela somzimba sabantu abane-ME/CFS zisebenza ngendlela ehlukile, kodwa lesi akusona isimiso sokuzivikela somzimba esibuthakathaka njenge-HIV/AIDS. |
| Izinkinga zokukhiqiza amandla | Kuba nzima ngamaseli omzimba wakho ukukhiqiza amandla anele. Lena yimbangela eyinhloko yokukhathala. |
| Ukukhubazeka kobuchopho | Ama-scan afana ne-MRI kanye ne-CT angabonisa izinguquko ezithile ebuchosheni. Angabonisa futhi izinguquko emazingeni ama-hormone kanye nomsebenzi kagesi (amagagasi obuchopho) ebuchosheni. Lezi akuzona izinguquko ezihlala njalo. |
| Umfutho wegazi kanye nokwehla kwe-pulse | Uma usukuma, umfutho wegazi wakho ungehla futhi ukushaya kwenhliziyo yakho kukhuphuke. Yilokhu okukwenza uzizwe unesizungu. |
| Ukuthambekela kwezakhi zofuzo | Ucwaningo luthole ukuthi abanye abantu banesifo esibangelwa ufuzo. Lokhu kusho ukuthi uma othile emndenini wakho enaso, ungase ube namathuba amaningi okusithola. |
| Izifo noma ezinye izifo | Lesi sifo sivame ukuqala ngemva kokutheleleka, njengomkhuhlane, umkhuhlane, noma umphimbo obuhlungu. Izinto ezithathelwanayo njengegciwane le-Epstein-Barr kanye namagciwane esifo se-Lyme zingasibangela. |
| Ama-hormone namakhemikhali | Kutholakale ukuthi izinguquko emazingeni e-serotonin, ikhemikhali ebalulekile yobuchopho, kanye ne-cortisol, i-hormone ephendula ukucindezeleka, zithinta lezi zimpawu. |
Ngingazi kanjani ukuthi nami nginalesi simo?
Lona umbuzo obaluleke kakhulu. Khumbula, lokhu akuyona into ongayinquma wedwa.
Ngeshwa, akukabikho ukuhlolwa kwegazi okuqondile noma iskeni esingakutshela ngokushesha ukuthi unalesi sifo noma cha.
Ukukhathala okukhulu kuyisibonakaliso esivamile sezinye izifo eziningi, njengesifo sikashukela, izinkinga ze-thyroid, kanye ne-anemia. Ngakho-ke, into yokuqala udokotela wakho azokwenza ukuhlola ukuthi unezinye izimo ezifanayo.
Ngakho-ke, uma unalezi zimpawu, into engcono kakhulu ongayenza ukubona udokotela ofanelekayo ngokushesha bese uhlolwa ngokuphelele . Tshela udokotela ngokucacile ngazo zonke izimpawu ozizwayo, njengokukhathala, izinkinga zokulala, izinkinga zokunaka, kanye nobuhlungu bomzimba. Uzokwenza izivivinyo ezidingekayo futhi ahlole ngokunembile isimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sokukhathala okungamahlalakhona (ME/CFS) asikona nje ukukhathala okuvamile. Ukukhathala okukhulu okuhlala izinyanga ezingaphezu kweziyisithupha futhi kuphazamisa imisebenzi yansuku zonke.
- Izimpawu eziyinhloko ukuzizwa ukhathele kakhulu ngosuku olulandelayo ngisho nangemva kokwenza umsebenzi omncane (`ukugula ngemuva kokuzivocavoca`), ukuzizwa ukhathele kungakhathaliseki ukuthi ulala kangakanani, kanye nobunzima bokugxilisa ingqondo.
- Nakuba imbangela eqondile ingaziwa, kukholakala ukuthi ihlobene nezinkinga zesimiso somzimba sokuzivikela, ubuchopho, kanye nezinqubo zokukhiqiza amandla.
- Nakuba kungekho ikhambi eliqondile okwamanje, kunezindlela zokwelapha ezahlukahlukene zokulawula izimpawu nokuthuthukisa ikhwalithi yokuphila.
- Okubaluleke kakhulu: Uma usola ukuthi unalezi zimpawu, sicela ungenzi izinqumo ngokwakho, kodwa qiniseka ukuthi ubonana nodokotela wakho ukuze uthole ukuxilongwa okunembile.
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