I-Neurasthenia noma i-chronic fatigue syndrome ibonakala njengokukhathala okukhubazayo ngezinye izikhathi okuhambisana nezinye izimpawu. Akukho ukwelashwa okuqondile kwe-neurasthenia. Ukuphathwa kwemithi nokungeyona imithi kunikeza impumuzo kwabagulayo.

Incazelo

I-Neurasthenia noma ukukhathala kwemizwa yigama elidala le-syndrome yokukhathala okungapheli. Lokhu kuye kwabizwa nangokuthi i-post-viral fatigue syndrome, i-mononucleosis engapheli, i-myalgic encephalomyelitis…

I-Cronic fatigue syndrome ibhekisela ekukhathaleni ngokomzimba okuqhubekayo okuhlobene nobuhlungu obusakazekile, ukuphazamiseka kokulala, ukuphazamiseka kwengqondo nokuzimela. Kuyisifo esithena amandla kakhulu. 

Izimbangela 

Izimbangela eziqondile ze-chronic fatigue syndrome, ngaphambili eyayibizwa ngokuthi i-neurasthenia, akwaziwa. Kuningi okucatshangelwayo kuye kwenziwa. Kubonakala sengathi lesi sifo siwumphumela wenhlanganisela yezinto ezimbalwa: ezingokwengqondo, ezithathelwanayo, ezemvelo, ukungalingani kwamahomoni, ukungalingani kwamasosha omzimba, ukusabela okungafanele ekucindezelekeni… Le syndrome ivame ukuvela ngemva kokutheleleka ngebhaktheriya noma ngegciwane. 

kwesifo 

Ukuxilongwa kwe-chronic fatigue syndrome ukuxilongwa kokukhishwa (ngokuqeda). Lapho izimpawu, futhi ikakhulukazi ukukhathala okungapheli, zingachazwa ezinye izimbangela, udokotela angase aphethe ngokuthi kunesifo sokukhathala okungapheli. Ukukhipha ezinye izimbangela ezingase zibe khona, ukuhlolwa kwegazi, ukukalwa kwezinga lama-hormone kanye nenhlolokhono yengqondo kuyenziwa (okugcina kuvumela ukubona ukuthi akuwona yini umbuzo wokucindezeleka, iningi lokukhathala okungaqondakali kwakungenxa yokucindezeleka.

Kuphela lapho zonke ezinye izimbangela zingase zingabandakanywa lapho kutholakala khona isifo sokukhathala okungamahlalakhona kungenziwa uma umuntu enokukhathala okungapheli isikhathi esingaphezu kwezinyanga ezingu-6 kanye nezingu-4 zalezi zindlela ezilandelayo: ukulahlekelwa inkumbulo yesikhashana noma ukugxila kanzima, umphimbo obuhlungu. , ubuhlungu be-ganglia entanyeni noma emakhwapheni, ubuhlungu bemisipha, ubuhlungu obuhlangene ngaphandle kokubomvu noma ukuvuvukala, ikhanda elibuhlungu elingavamile kanye nezici, ukulala okungaphumuli, ukungakhululeki okuhlala isikhathi esingaphezu kwamahora angu-24 ngemva kokulandela ukuzivocavoca noma umzamo (i-Fukuda criteria). 

Abantu abathintekayo 

I-Chronic fatigue syndrome ayisona isifo esingavamile. Kungathinta oyedwa kwabangu-1 kuya ku-600 kubantu abangu-200. Kuvame ngokuphindwe kabili kwabesifazane kunakwabesilisa, futhi kunalokho kuthinta abantu abasha abaphakathi kweminyaka engama-20 no-40. 

Izici zengozi 

Izifo ezibangelwa amagciwane noma amagciwane zingadlala indima ekubukeni kwe-syndrome yokukhathala okungapheli: umkhuhlane, i-herpes, i-mononucleosis, i-brucellosis, njll.

Ukuchayeka kwezinye izibulala-zinambuzane noma izibulala-zinambuzane nakho kungaba nendima ekubukekeni kwayo.

Isimo esingavamile nesihlala isikhathi eside sokukhathala 

I-Cronic fatigue syndrome ngaphambili eyayibizwa ngokuthi i-neurasthenia ibonakala ngesimo esiqhubekayo sokukhathala esingakuvumeli ukuphumula. 

Ukukhathala okungajwayelekile okuhambisana nezimpawu zemizwa

Izinkinga ze-neuro-cognitive kanye ne-neuro-vegetative zikhona ikakhulukazi: ukulahlekelwa inkumbulo yesikhashana kanye nobunzima bokugxilisa ingqondo, isiyezi lapho usuka ekumeni uye ekulale phansi, ngezinye izikhathi ukuphazamiseka kokuhamba kanye / noma ukuphazamiseka komchamo, 

Ezinye izimpawu ze-chronic fatigue syndrome: 

• Inhloko ekhanda 
• Ubuhlungu besisu
• ubuhlungu Joint 
• Umphimbo obuhlungu 
• Izindlala ezivuvukele emakhwapheni nasentanyeni 
• Ukuwohloka kokukhathala nezinye izimpawu ngemva kokuzikhandla, kungaba ngokomzimba noma ngokwengqondo

Akukho ukwelashwa okuqondile okungaselapha lesi sifo. Inhlanganisela yezidakamizwa nokwelashwa okungezona izidakamizwa kunikeza ukukhululeka okukhulu kwezimpawu. 

Ama-antidepressants anedosi ephansi anqunyelwe ukuthi athinte ikhwalithi yokulala ye-humeirvet. Uma kwenzeka ubuhlungu obuhlangene noma bemisipha, izidakamizwa ezingezona ukuvuvukala zisetshenziswa.

Ukulwa nokuwohloka kwemisipha (ngenxa yokungasebenzi komzimba), ukwelashwa kuqukethe izikhathi zokuzivocavoca kabusha.

Ukwelashwa kokuziphatha kwengqondo (CBT) kukhonjiswe ukuthuthukisa inhlalakahle yabantu abane-syndrome yokukhathala okungapheli.

Akunakwenzeka ukuthi kuthathwe izinyathelo zokuvikela ngenxa yokuthi izimbangela zalesi sifo azikaziwa.