Ƙwararren ƙwararren ƙwararren ƙwayar cuta don ciwo mai wuya

Ƙwararrun & Bincike

Maganin halayyar halayyar ganewa (CBT) wanda ya haɗa da farfadowa na aikin jinya (GET) wani maganganu ne mai mahimmanci idan ya faru da ciwo mai wuya ( ME / CFS ). Cibiyar Cibiyar Harkokin Kiwon Lafiyar {asashen Amirka (CDC) da kuma tsarin kula da lafiyar Turai sun bayar da shawarar, kuma an yi ta muhawwara a tsakanin bangarorin bincike da marasa lafiya.

Duba kallon bincike a kan CBT / GET don ME / CFS na iya rikicewa.

Wasu binciken sun ce yana da matukar tasiri, yayin da wasu sun ce ba shi da wani tasiri kuma wataƙila wata mawuyacin cuta ce.

Domin fahimtar wannan rikicewar bayanin, zai iya taimakawa wajen fahimtar abin da jiyya ya ƙunsa sannan kuma dubi wasu mahimmancin bambance-bambance a cikin ma'anar da kuma hanyoyin zuwa ME / CFS.

Menene CBT / GET?

CBT wani magani ne na ɗan gajeren lokaci tare da manufar canza tunaninka ga wasu abubuwa da kuma halin da kake yi musu. An yi amfani dasu don biyan hankali da yanayin jiki, sau da yawa don taimakawa wajen magance matsalolin da kuma keta halayen kirki wanda zai iya ci gaba da ɓarna ƙwayar cuta.

GET wani al'amari ne na CBT. Jiyya yana farawa tare da 'yan mintuna kaɗan na aikin motsa jiki mai zurfi kuma a hankali yana ƙara tsawon lokaci da tsanani a tsawon lokaci. Makasudin shi ne don sauya tsoro game da motsa jiki kuma ya kawar da lalatawar da zata iya biyowa da rashin lafiya.

Menene Bayan Bayanai?

Tambayar ta fito ne daga matsala da ke tsakiyar cibiyar binciken ME / CFS - ma'anar ƙaddarar abin da yanayin yake .

Ɗaya daga cikin masu bincike sunyi imanin cewa mummunan cututtuka ne da ke tattare da ƙananan abubuwan da ke tattare da kwayar cutar ta hanyar kamuwa da cuta, da magungunan muhalli, da sauran dalilan da ke haifar da gajiya na ilimin lissafi, ko kuma hadewar waɗannan abubuwa.

Lokacin da suka zaba nazarin mahalarta, za su iya amfani da ɗaya daga cikin ma'anoni uku na yanayin:

1. Ka'idodin CDC na 1994 wanda Ƙungiyar Nazarin Ciwon Cutar Lalloro ta Duniya ta ƙaddara, wanda ake kira Fukuda ne, bayan marubucin takarda, Keiji Fukuda;
2. Ko kuma shaidun Kanada na 2010, wanda aka fi sani da Fukuda, wanda ya fi dacewa da mahimmanci fiye da Fukuda, yana buƙatar ƙarin bayyanar cututtukan jiki irin su malaise, kuma yana dauke da marasa lafiya da alamun cutar rashin hankali;
3. KO KASALIN KAYANYIN KASAWA na duniya (MEal chemistry), wanda ya maye gurbin "gajiya" tare da "ciwon ƙarancin ƙarewa" kuma yana buƙatar magunguna da yawa.

Wasu a cikin wannan sansanin suna kallon CBT / GET a matsayin mafi mahimmancin layi na biyu, ko kuma mafi muni, mai yiwuwa da cutarwa ko ma unethical. (Maes 2010 & 2009, Yau 2009).

Wani salo na masu bincike ya jaddada kula da yanayin tunanin da kuma halin da ke cikin CBT / GET. Don zaɓar masu halartar taron, za su iya amfani da su:

1. Fukuda definition;
2. KO hukunce-hukuncen Oxford na 1991, wanda ya hada da gajiya ta asali da asibiti da ciwon rashin lafiya.
3. KO abin da ake kira CDC fassarar mahimmanci, wanda shine sabon fassarar Fukuda bayanin da aka kafa a shekara ta 2005 ta hanyar tsohon shugaban na CDC wanda ke da nasaba da bincike na ciwo na gajiya mai tsanani.

Wannan sansanin sau da yawa yana bada shawara ga CBT / GET a matsayin mahimmanci na farko da wani lokaci kawai don kula da ME / CFS.

Tare da fassarori daban-daban guda biyar a wasa, yana da sauƙi a ga yadda masu bincike zasu iya kaiwa ga ƙarshe. Game da abu daya da aka yarda da ita ita ce ruwa ya lalata dukkanin rashin daidaito game da yanayin rashin lafiya.

CBT / GET Research & Muddy Waters

Yawancin binciken da ya dace na CBT / GET ga ME / CFS sun yi amfani da ka'idojin Oxford. Duk da haka, ya kamata a lura cewa idan aka kwatanta da waɗanda ke amfani da Oxford, akwai ƙananan karatu game da CBT ta hanyar masu bincike da ke amfani da Fukuda, Kanada ko yarjejeniya na Ƙasashen Duniya.

Mene ne ƙari, yawancin karatu ba tare da yin amfani da ka'idoji na Oxford sunyi tambaya game da shaidar da ake amfani dasu don tallafawa amfani da CBT ba, irin su Twisk 2009.

Dubi tsakiyar tsakiyar - masu bincike suna amfani da bayanin Fukuda - muna da wasu sakamako mai kyau.

A cikin binciken 2008 kan cutar ciwo na yara, masu bincike sun ruwaito yawan karuwa a aikin jiki, tafi-makaranta, da kuma gajiya. An cigaba da ingantawa a bin shekaru biyu. (Shafin bai bayyana ko GET an haɗa shi a CBT ba.)

Sauran takardun da aka ruwaito:

• Inganta ga gajiya da aiki na jiki, amma tare da jigon farko (Scheeres K, et al);
• Matsanancin sakamako wanda ya cancanci kara nazarin (Malouff JM, et al.);
• Abubuwan da za a iya amfani da su na GET dole ne a tantance su ga mutum mai haƙuri (Nunez, et al.)

A takaice dai, rahotanni suna haɗuwa kamar yadda binciken zai ba da shawara, tare da wasu mutane suna cewa CBT / GET sun sake inganta rayuwar su da kuma aiki, yayin da wasu sun ce shi ya kamu da rashin lafiya.

CBT / GET Jiyya

Tabbas, yanke shawarar ko bi CBT / GET a matsayin magani shi ne na sirri, wanda ya kamata a yi bisa ga shari'arka da kuma jagorancin likita.

Ba dukkanin al'ummomi suna da masu kwantar da hankalin su ba a CBT / GET, wanda zai iya sa wasu mutane su sami wannan magani. Har ila yau, kamfanonin inshora suna iya ƙaryata ɗaukar hoto sai dai idan kuna da alamun rashin lafiya na zuciya, irin su bakin ciki ko damuwa. Kayan shirye-shiryen waya da kuma yanar gizo sun wanzu, saboda haka zasu iya zama wani zaɓi don bincika.

Kwararka zai iya iya mayar da kai zuwa ga mai gwada aiki. Wadannan albarkatun nan na iya taimakawa:

• ABCT: Ƙungiya don Harkokin Lafiyar Hanya da Kwarewa
• CBT-Therapists.com
• Ƙungiyar Shawarar Amurka: Yadda Za a Zaɓa Masanin Kimiyya
• Yi aiki na musamman: Mawallafi mai ilimin likitancin mutum
• Nemo wani likitan kwantar da hankali ga PTSD

_Sources:

_{Carruthers BM, et al. Journal of Medicine na gida . Oktoba Oktoba; 270 (4): 327-38. Ƙunƙasar ƙwararrun ƙwayar cuta: Ƙungiyoyin Tattalin Arziki na Duniya.}

_{Carruthers BM, et al. Journal of Chronic Fatigue Syndrome. 2003 11 (1): 7-36. Abun da ke cikin ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta / rashin damuwa: Tarihin aiki na ƙwaƙwalwar ƙwararru, ƙwaƙwalwa da maganin ladabi.}

_{Carruthers, Bruce M. da Marjorie I. van de Sande. Duk haƙƙoƙin haƙƙin mallaka. "Ciwon ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta / damuwa mai wuya: Ra'ayin ƙwararrakin ƙwararru ga masu aikin likita"}

_{Cibiyoyin Kula da Cututtuka da Cututtuka. "Binciken CFS"}

_{Fukuda K, et al. Annals na Internal Medicine . 1994 Dec 15; 121 (12): 953-9. Ƙanancin Ciwon Cutar Guda: Tsarin Mahimmanci ga Ma'anarsa da Nazarinsa. Ƙungiyar Kwalejin Ciwon Cutar Lafiya ta Duniya.}

_{Knoop H, et al. Pediatrics. 2008 Mar; 121 (3): e619-25. Amfani da ƙwararren ƙwararrun ƙwararrun yara don ciwo mai wuya: Tsarin lokaci mai tsawo na gwaji, gwajin sarrafawa.}

_{Maes M, Fisk Fisk. BMC Medicine. 2010 Jun 15; 8: 35. Mawuyacin Raunin Gwaji: Harvey da Wessely's (Bio) Model Psychosocial da Bio (Psychosocial) Model Based on Inflammatory and Oxidative and Nitrosative Stress Pathways.}

_{Maes M, Fisk Fisk. Neuro Endocrinology Letters. 2009; 30 (3): 300-11. Ƙanancin Ciwo na Lafiya: La Bête Noire na tsarin kula da lafiyar Belgium.}

_{Malouff JM, et al. Clinical Psychology Review. 2008 Yuni; 28 (5): 736-45. Amfani da ƙwararren ƙwararren ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta: Meta-Analysis.}

_{Nunez M, et al. Clinic Rheumatology. 2011 Mar, 30 (3): 381-9. Rawanin Rayuwa na Lafiya a cikin marasa lafiya da ciwo mai wuya: Ƙwararren ƙwararren ƙwararrun ƙwararru da ƙwarewa da aka yi daidai da jiyya. A Jirgin da aka Sarrafa da Random tare da 1 Shekara na Biyewa.}

_{Reeves WC, et al. BMC Medicine. 2005 Dec 15; 3: 19. Mawuyacin Ciwo na Tsoro - Ra'ayin Tsarin Harkokin Kulawa da Harkokin Kulawa da Harkokin Gudanar da Harkokin Harkokin Kulawa da Ciwon Nazari.}

_{Scheeres K, et al. Journal of Consulting and Clinical Psychology. 2008 Feb, 76 (1): 163-71. Yin aiwatar da ƙwararren ƙwaƙwalwar ƙwararrun ƙwaƙwalwar ƙwayar cuta a cikin Ciwon Kiwon Lafiyar Harkokin Lafiya: Bincike na Binchmarking.}

_{Schreurs KM, et al. Haɗin Bincike da Farfesa. 2011 Dec, 49 (12): 908-13. Amfani da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta a cikin wani tsararren gyare-gyare: Kwarewa da kuma masu ƙididdigar sakamako.}

_{Sharpe MC, et al. Jaridar Royal Society of Medicine. 1991 Feb, 84 (2): 118-21. Abun Cutar Rashin Gwagwarmaya: Rahoto don Bincike. 403}

_{Fisk FN, Maes M. Neuro Endocrinology Letters. 2009; 30 (3): 284-99. Binciken da ake yi a kan Kwararrun ƙwararrun ƙwararru (CBT) da Kwararren Kwarewa (GET) a cikin Myalgic Encephalomyelitis (ME) / Gwagwarmayar Ciki (CFS): CBT / GET ba Ƙari ba ne kawai kuma ba Shaida ba, amma Har ila yau Mai Rashin Ƙari ga Mutane da yawa marasa lafiya Tare da ME / CFS.}

_{White PD, et al. Lancet. 2011 Mar 5; 377 (9768): 823-36. Daidaita tsarin farfadowa na gyare-gyaren gyare-gyare, Ƙwararren Ƙwararren Ƙwarewa, Kwarewar Kwarewar Kwarewa, da Kwarewa na Kwararren Ƙwararren Ciwo na Ciwo na Yara (PACE): Jarabawar Randomed.}