Fisiese en geestelike moegheid; hoofpyn, gewrigte, spiere en keel; geswelde limfkliere en sag aanraak; Verlies aan konsentrasie en nie verfrissende of rustige slaap is simptome van chroniese moegheidsindroom (CFS), het Óscar Prospero García, ‘n akademikus aan die UNAM Fakulteit Geneeskunde (FM), gesê.
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Hierdie vreemde toestand, ook genoem myalgiese enkefalomiëlitis, is uiters ongeskik en kan verwar word met die toestande van die eeu: depressie, angs en angs.
Daar word beraam dat in Latyns-Amerika tussen twee en drie persent van die bevolking ouer as 40 jaar aan CFS ly; in die Verenigde State is die syfer tussen twee en drie miljoen, het hy gesê.
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Dit kom meer gereeld voor by vroue, met ‘n verhouding van twee vir elke man; Dit verskyn ongeveer 40 jaar oud, maar adolessente is nie vrygestel nie, en by baie pasiënte word dit as ‘n comorbiditeit voorgestel, dit wil sê, dit gaan gepaard met een of meer siektes.
‘CFS-pasiënte is dikwels angstig en angstig, so hulle sal waarskynlik ook depressie hê.’
As u vermoed dat u die siekte het, is dit belangrik om na die dokter te gaan , want as ‘n onvolledige of verkeerde diagnose gemaak word, sal dokters dit nie kan behandel nie, en die gevolge daarvan sal onbepaald duur, het die universiteitstudent gewaarsku.
simptoom
Diegene wat aan CFS ly, voel uitgeput, asof hulle in ‘n wolk gewoon het en prakties nie die huis verlaat nie. Alhoewel dit baie ongeskik is, word dit nie in die arbeidsreg as ‘n voorwaarde vermeld nie, omdat die meeste huisdokters dit moeilik vind om dit te diagnoseer, het hy gesê.
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“Aan die ander kant, as die dokter aan die pasiënt sê dat hy niks het nie, daal sy selfbeeld en gevolglik vererger die kliniese beeld.”
Die navorser van die departement fisiologie het aangedui dat CFS verwar kan word met rumatoïede artritis, aangesien diegene wat geraak word, kla van gewrigspyn; met ‘n infeksie wat ongemak in die spiere veroorsaak; of met kanker, omdat een van die simptome daarvan inflammasie in die limfkliere is.
“Tipies, met die sindroom, swel die servikale limfknope op, van die bors af op, so daar is ‘n seer keel, asof daar ‘n infeksie is.”
Simptome soortgelyk aan dié van hartsiektes, soos pyn op die bors, kan ook voorkom. “As dit die middelste deel van die bors is, is dit nie ‘n hartaanval nie, maar as dit die vooroordelike gebied (bokant die hart) is en die pyn na die linkerarm beweeg, moet dit as ‘n moontlike hartaanval behandel word.” verduidelik hy.
Net so moet ook slaapversteuring, ‘n neurologiese afwyking wat skade of moegheid kan veroorsaak, uitgesluit word; en motoriese afwyking, soos Parkinson-siekte.
Volgens sommige kriteria moet die simptome minstens ses maande duur voordat die diagnose positief is, maar sommige spesialiste, soos Prospero García, meen dat dit te lank duur.
“As een of meer simptome verskyn, moet hulle aandag kry onmiddellik en studies moet onderneem; Vier weke is genoeg om ‘n diagnose te maak, want dit is moontlik dat dit ná ses maande gevolge sal wees, aangesien CFS ‘n groot persoonlike, gesins- en sosiale impak het. ‘
Prospero García was van mening dat ‘n genetiese komponent waarskynlik betrokke sou wees, maar dit is nie deeglik ondersoek nie omdat dit prakties onmoontlik is om dieremodelle te skep om die siekte te bestudeer.
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behandeling
As chroniese moegheidsindroom korrek gediagnoseer word, is die behandeling redelik eenvoudig. Dit moet kognitiewe gedragsterapie insluit, aangesien dit die persoon help om te sien hoe sy toestand leef; “Die gedagtes van angstige, depressiewe of ander psigiatriese pasiënte kan verander word.”
‘N Bietjie oefening word ook aanbeveel. Alhoewel hulle moegheid en spier- en gewrigspyn ervaar, is dit belangrik om hulle aan te moedig om te loop, want saam met kognitiewe gedragsterapie is ligte oefening deurslaggewend vir die verbetering daarvan. “As hulle comorbiditeit met depressie aanmeld, kan hulle farmakologiese behandeling ontvang.”
Die FM-akademikus het gewaarsku dat wanneer ‘n persoon met CFS tuis bly, die toestand sterker word; Boonop word die vlakke van die hormoon kortisol geaktiveer, wat vrygestel word in reaksie op stres.
“Daar word vermoed dat die toestand van hierdie sindroom en die gevolge daarvan (byvoorbeeld werkverlies) die pasiënt se stres en die sindroom vererger. Dit is ‘n siklus wat terugvoed en dit is noodsaaklik om te breek. ”
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