Sashe na 1: Bayani da Dalili na Karyatawa
Maganin malaise mai matsayi (PEM) wani ɓangare ne na ciwo mai tsanani ( ME / CFS ) cewa ba za ku iya fahimtar cutar ba tare da fahimtar wannan alama ba. Ana gudanar da bincike mai yawa na bincike na ME / CFS, an yi la'akari da shi don zama mahimmanci ga gwajin gwaji, kuma a baya bayanan sabon sunan da ake nunawa game da yanayin rashin lafiya .
Duk da haka, duk da haka, wasu mambobin likita ba su gaskata cewa akwai PEM ba. Maimakon haka, suna zargi da mummunar amsawa akan motsa jiki akan ƙaddamarwa; sun zargi maganin kauce wa yanayin yanayin da ake kira kinesiophobia. A cikin kullun, suna tunanin cewa dukkanin mutane ba su da siffar da ba daidai ba. (Mai kashewa jijjiga: bincike da shawara ba haka ba!)
A halin yanzu, babban shaida mai girma da ci gaba da nunawa yana nuna bambancin abubuwa masu ilimin lissafi a cikin PEM. Wannan bayyanar yana nuna iyakar yanayin aiki na mutane tare da ME / CFS kuma ya rage girman rayuwar rayuwa. A lokuta masu tsanani, yana bayyana rayuwarsu gaba daya.
Ƙarin fahimtar Magana na Ƙarshe-Malaye
PEM yana haifar da ciwo mai tsanani da kuma nunawa a cikin wasu cututtuka wanda ya wuce akalla sa'o'i 24 bayan yin aiki na jiki. Wannan yana iya ba sauti ga waɗanda ba a san shi ba - bayan duk, muna bukatar lokaci don warkewa bayan wani motsa jiki mai tsanani.
Lokacin da yazo da PEM, ko kaɗan, kadan game da shi al'ada ne ko saba da mutane ba tare da ME / CFS ba. Ba kawai game da tsokoki ba tare da buƙatar karin hutawa.
PEM na iya samuwa daga ƙwayar cututtukan da suka fi karfi fiye da-al'ada don warwarewa gaba daya. A cikin karamin hali, mutum zai iya samun ƙarin gajiya, rashin tausayi, da rashin tausayi.
A cikin wani mummunar yanayi, PEM na iya haifar da bayyanar cututtuka kamar yadda yake da zafi, zafi, da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa har ya zama mawuyacin ko da yin jumla ko bin tsarin sitcom.
Wannan ba shi da kyau abin da sauran mu ke bi ta bayan tafiya ko tafiya zuwa motsa jiki. Har ila yau mummunan shine yawan aikin da zai iya ɗauka don sanya mutane a cikin wannan jiha.
Kamar yadda yake da tsananin, aikin da ake bukata ya haifar da tunanin PEM a kan lamarin. Ga wasu, yana iya bugawa bayan bayanan motsa jiki a kan ayyukan yau da kullum. Ga wasu, yana da ban mamaki kamar yadda yake iya gani, yana iya kawai tafiya zuwa akwatin gidan waya, shawa, ko zaune tsaye don sa'a daya.
Gaskiyar cewa Ba Gaskiya Ba ne
Idan PEM yana fama da ita, ta yaya wasu likitoci za su gaskata cewa ba ma wanzu ba?
Wani ɓangare na matsala ita ce rashin fahimta cewa ME / CFS kanta na ainihi ne. Ƙarawa zuwa wannan shine yadda matakai masu muhimmanci zasu canza bayan an fara cutar da tare da tsawon lokacin da ake bukata don ganewar asali.
Ka'idojin bincike na yau da kullum suna buƙatar bayyanar cututtuka sun ci gaba da kasancewa har tsawon watanni shida. Wannan yana da yawa lokaci don wani ya zama doka. Gaskiyar wannan yanayin, duk da haka, shine ganewar asali yana ɗaukar lokaci mai tsawo.
Idan wani ya kasa yin hakuri da yawa na tsawon shekaru biyu ko uku, ba abin mamaki ba ne cewa za su kasance cikin siffar.
Bincike na goyon bayan PEM kasancewa ba kawai ƙaddara ba. (Bazelmans) Wani binciken da aka wallafa a Magungunan Psychological ya nuna cewa babu wani bambanci mai kyau a dacewa ta jiki tsakanin wadanda ke tare da ME / CFS da kuma lafiya, wadanda aka ƙaddara su a cikin rukuni.
Wani binciken (VanNess) ya shafi motsa jiki a kwanakin biyu. Masu bincike sun gano cewa mutane da ME / CFS ba su iya sake maimaita aikin su a rana ta biyu ba, wanda ya bambanta da ƙungiyar kulawa.
Sun kuma gano cewa iskar oxygen amfani da shi a cikin marasa lafiyar ME / CFS, amma ba da iko ba, a rana ta biyu.
Masu bincike sunyi da'awar cewa ba ƙaddara ba ne amma mafi kusantar dasfuncinsu wanda ke haifar da ƙarfin motsa jiki. Binciken bincike na baya ya nuna bambance-bambance a cikin oxygen amfani da metabolism suna hade da PEM. (Miller)
Wasu likitoci sun kuma ce tsoron tsoron mutane da yawa tare da ME / CFS shine ainihin tsoron tsoron motsa jiki da ake kira kinesiophobia. Binciken da aka yi a wannan yanki yana da yawa. Wasu nazarin sun kammala cewa yawancin kwayoyin kinesiophobia suna da girma a cikin mutane tare da wannan yanayin kuma yana taka rawar gani. Akalla wanda ya yarda cewa kinesiophobia na kowa amma ya bayyana cewa ba ya bayyana ya ƙayyade aiki na yau da kullum ba. Wasu basu sami daidaito tsakanin tsoron aikin motsa jiki da motsa jiki ba. (Nijsx3, Azurfa)
Mutane da yawa marasa lafiya da masu bada shawara sun nuna cewa jin tsoron ƙaddarar PEM yana da kyau kuma yana da hanyar karewa maimakon mabiya phobia.
Ma'ana & Difbancin Jiki
Ƙara koyo game da PEM:
Sources:
1. Bazelmans E, et al. Masanin kimiyya. 2001 Janairu 31 (1): 107-14. Shin magancewar jiki ce da ke ci gaba da ciwo mai tsanani? An gudanar da nazari a kan iyakar aikin motsa jiki da dangantaka tare da gajiya, rashin lafiya da aiki.
2. Miller RR, et al. Journal of medicine translational. 2015 Mayu 20; 13: 159. Gwajin gwaji na gaba da kusa da infrared spectroscopy a cikin cututtukan ƙananan ƙwayoyin cuta / rashin lafiyar marasa lafiyar marasa lafiya idan aka kwatanta da kyakkyawar kulawa: binciken da aka gudanar da shari'a.
3. Nijs J, et al. Jiki na jiki. 2004 Aug; 84 (8): 696-705. Mawuyacin ciwo mai wuya: rashin haɗin gwiwa tsakanin tsoron jin tsoro da motsa jiki da kuma motsa jiki da kuma nakasa.
4. Nijs J, De Meirleir K, Duquet W. Magunguna na magani na jiki da kuma gyarawa. 2004 Oktoba; 85 (10): 1586-92. Kinesiophobia a cikin ciwo mai wuya kullum: kima da ƙungiyoyi tare da nakasa.
5. Nijs J, et al. Lafiya da kuma gyara. 2012; 34 (15): 1299-305. Kinesiophobia, lalacewa da kuma tsammani bayyanar cututtuka kafin kusantar matsala da ciwo mai wuya: gwajin gwaji.
6. Azurfa A, et al. Littafin jarrabawar binciken bincike. 2002 Jun; 52 (6): 485-93. Matsayin tsoron tsoron motsin jiki da kuma aiki a ciwo mai wuya.
7. VanNess JM, Snell CR, Stevens SR. Littafin jarida na ciwo mai wuya. 2007 14 (2): 77-85. Ƙarƙashin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa cikin lalacewar malaise.