Fibromialgie het Vera (46) verhinder om soggens haar bene op te lig. Toe hy op pad was na die badkamer en begin werk, het die pynpyne op sy hande, kop en nek gaan lê. Trane in my oë. Dit het haar kwaad gemaak om te dink dat Kurt nie eers daaraan gedink het om dinge tuis op te los om sy lewe ‘n bietjie makliker te maak nie. Vera onthou die besprekings oor haar in die dokter se kantoor en was nog kwaad. Maar sy het hom nooit iets vertel nie. Sy het haar later die dag na die ondersteuningsgroep gewend, hoewel sy nie haar fisieke ongemak kon verlig nie.
Vera vind dit makliker om op die pyn van fibromialgie te fokus as haar angswekkende emosies
Terwyl sy ontbyt eet, het die terugval van haar bekende familielêer die visie van Vera oorstroom. Sy herleef die spanning wat sy van die skool af kom, en wonder of haar ouers sou stry of hulle koud kry. Haar ma sal ontslae raak van haar frustrasie vir Vera, die oudste en kalmste van haar kinders. Haar spiere trek saam toe sy die vrees vir onsekerheid onthou en nie weet hoe om oor haar kommer te praat nie. Dit was nou dieselfde. Sy kan nie praat van die angs dat sy nie vir haarself kan sorg nie. Vera het niks te sê vir die woede van haar vader omdat sy haar ma nie gelos het nie, en vir Kurt omdat sy net so onverskillig en onverskillig was. Wat sy gehad het, was pyn in haar liggaam, wat wissel van ongemaklike pyn tot pynlike pyn waarvoor geen spesifieke organiese oorsaak gevind is nie. Fibromialgie was die diagnose. Hy het met moegheid gekom, sy optrede vertraag en sy lewe beperk. Dit het Vera afhanklik gemaak van pynmedikasie en ‘n man wat haar sou laat val en die kringloop van haar kinderjare herhaal.
Deur haar woede te vul, het Vera se fibromialgie meer akuut en pynliker gemaak
Vera se probleme om tydens haar kinderjare oor haar woede en spanning te praat en nou tot volwassenheid, is dit waarskynliker dat haar ervaring van pyn as fibromialgie erger word, intenser en verswakkender is. Die European Journal of Pain , 2010 het ‘n studie gepubliseer waarin vroue met fibromialgie met uitdrukking vergelyk word met diegene wat hul woede onderdruk het. Hoe sterker die remming van woede, hoe groter is die ervaring van pyn by vroue met fibromialgie. Diegene wat kwaad geword het en dit uitgespreek het in die situasie waarin hulle wakker geword het, het die minste moontlike pyn gehad.
Geen positiewe gedagtes het sy pynlike fibromialgie-pyn verlig nie
In vergelyking met gesonde vroue, ly diegene wat sterk negatiewe emosies soos woede vermy en sonder behandeling laat gaan, meer geneig aan fibromialgie. Die fokus op positiewe emosies blyk ook nie ‘n voldoende buffer te wees nie. Volgens ‘n verslag wat in die Journal of Psychosomatic Research van2008, is die gebrek aan behandeling van negatiewe emosies wat die pynsiklus by fibromialgie-pasiënte presipiteer, ongeag die hoeveelheid of duur van positiewe gedagtes. Vera was nie meer sensitief as die meeste vroue vir negatiewe emosies soos woede nie, maar sy het hulle meer gereeld ervaar en nooit op ‘n gesonde manier uitgespreek nie. Dit het sy neuro-endokriene funksionering in die gedrang gebring, en sy pyndrempel fisies en sielkundig verlaag, dui daarop dat ‘n studie oor vroue met fibromialgie gepubliseer is in Arthritis Care and Research, 2010.
Fibromialgie hou verband met chroniese stres by kinders en konflik met ouers
Vera was tipies van die meeste volwasse vroue met fibromialgie wat ‘n stresvolle kinderjare gehad het, soos berig in die Journal Stress and Health in 2009. Vera se ervaring van haar ma se verbale en emosionele mishandeling en onverskillige houding van sy vader is nog ‘n algemene eienskap. in die lewe. verhale van vroue met fibromialgie. Vera se gesukkel met haar ma en nou met haar man het haar die lewe in ‘n meer negatiewe lig laat sien. Konflik met ouers en dan met vennote verhoog spanning en dra by tot die negatiefste persepsies van die lewens van vroue met fibromialgie, soos in 2000 deur European Psychiatry gerapporteer .
Chroniese spanning by kinders dereguleer Vera se neuro-endokriene stelsel, wat dit meer vatbaar maak vir fibromialgie
Langdurige, deurlopende en chroniese spanning beïnvloed die neuro-endokriene stelsel, wat dit mettertyd minder doeltreffend maak. Vera se trauma tydens haar kinderjare het ‘n permanente gevoel van onsekerheid en onvoorspelbaarheid geskep wat haar verhoed het om gesonde stresbestuurstrategieë te ontwikkel en te gebruik. Met elke nuwe spanning het sy neuro-endokriene stelsel dus verswak en abnormaal begin funksioneer. Sy het in ‘n konstante spanning gelewe, en haar vlakke van streshormone, soos kortisol, was baie jare nadat die spanning by die ouers uit die lewe verwyder is. Ondanks die gesukkel om met ‘n man te argumenteer en nie te ondersteun nie, was dit niks in vergelyking met sy vorige stresvolle ervarings nie. Psychoneuroendocrinolgy.
Die behandeling van negatiewe emosies kan fibromialgie-pyn van Vera verminder
Vera kan haar verhaal of haar man nie verander nie. Maar sy kan begin om haar emosies in haar ondersteuningsgroep te hanteer en dit met psigoterapie aan te vul. Sy kan haar woede oor haar jeug deel, asook haar vrees om hulpeloos te wees en alleen in pyn. Sy kan haar reeds oorwerkte neuro-endokriene stelsel verlig deur haar gevoelens voorlopig te herken, te benoem en uit te druk. ‘N Studie in 2010 in Artritis Care and Research dui daarop dat Vera kan hoop op ‘n verbetering van 50 tot 70% in haar funksionering en minder pyn ervaar as sy dit doen.
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