Ukuqiniswa Okuqhubekayo Kokhathalelo: Izimpawu, Izimbangela, Nokwelashwa

Ukuqiniswa okuqhubekayo kokhathalelo (CFS) kuyisimo sezempilo esiyinkimbinkimbi esibangela ukukhathala okukhulu okungaphuli ngokuphumula. Kwaziwa nangokuthi yi-myalgic encephalomyelitis (ME), lesi simo siqeda izigidi zabantu emhlabeni jikelele futhi singathinta kakhulu impilo yansuku zonke.

Ukukhathala okuhlangenwe nakho nge-CFS akuyona into efana nokuzwa ukukhathala ngemva kosuku oluxakekile. Kuyinto yokukhathala okujulile, okuqhubekayo okwenza ngisho nemisebenzi elula izizwe iyingozi. Okwenza lesi simo sibe inselele ikakhulu ukuthi sivame ukuba nezimpawu ezingeziwe ezingathinta ukucabanga kwakho, ukulala, nokududuzeka komzimba.

Ziyini izimpawu zokuqiniswa okuqhubekayo kokhathalelo?

Isimpawu esiyinhloko se-CFS ukukhathala okukhulu okuhlala okungenani izinyanga eziyisithupha futhi kuvimbela kakhulu imisebenzi yakho yansuku zonke. Noma kunjalo, lesi simo sihilela okungaphezu nje kokuzwa ukukhathala.

Nazi izimpawu eziyinhloko ongazihlanga nezona ngokuqiniswa okuqhubekayo kokhathalelo:

• Ukukhathala okukhulu: Ukukhathala okujulile okungaphuli ngisho nangemva kokulala ubusuku bonke
• Ukuwohloka komzimba ngemva kokuzikhandla: Ukuzizwa ukhulu kakhulu ngemva kwemisebenzi yomzimba noma yengqondo, ngezinye izikhathi kuhlala izinsuku noma amasonto
• Izinkinga zokulala: Ubunzima bokuwela ebuthongweni, ukuhlala ulele, noma ukuvuka uzizwa ungaphumulile
• Ukudideka kwengqondo: Ubunzima bokuhlanganisa, ukukhumbula izinto, noma ukuthola amazwi afanele
• Ubuhlungu bemisipha namalunga: Ubuhlungu noma ukubhlunguza kulo lonke umzimba ngaphandle kwesizathu esicacile
• Izinhlungu zikhanda: Zivame ukuba ezahlukene ngendlela noma ngobunzima kunenhlungu yekhanda obungaba nayo ngaphambili
• Ubuhlungu entanyeni: Ukuzizwa okuqhubekayo kokukroba noma ubuhlungu entanyeni yakho
• Ama-lymph nodes athambile: Ama-glands avuvukile noma abhlungu entanyeni yakho noma ezikhaleni zakho

Abantu abaningi abane-CFS nabo bahlangabezana nezimpawu ezingavamile njengokuzizwa beqengqelekile uma bekuma, ukuzwela ekukhanyeni noma umsindo, nezinkinga zokugaya. Ubunzima bezimpawu bungashintsha usuku nosuku, okwenza lesi simo sibe nzima ukuphatha.

Yini ebangela ukuqiniswa okuqhubekayo kokhathalelo?

Imbangela eqondile yokuqiniswa okuqhubekayo kokhathalelo isalwazi, kodwa abacwaningi bakholelwa ukuthi cishe kuvela ngenxa yokuxubana kwezinto kunokuba kube yisizathu esisodwa. Impendulo yomzimba wakho ezintweni ezihlukahlukene ezikhathazayo ingadlala indima ebalulekile ekuthuthukiseni lesi simo.

Izinto eziningi zingase zifake isandla ekuthuthukiseni i-CFS:

• Ukutheleleka kwe-viral: Abanye abantu bathuthukisa i-CFS ngemva kokutheleleka njenge-Epstein-Barr virus, i-human herpesvirus 6, noma muva nje, i-COVID-19
• Izinkinga zesimiso somzimba: Isimo sakho somzimba singase singasebenzi kahle, okubangela ukuvuvukala okuqhubekayo
• Ukungahluzeki kwamahomoni: Izinkinga ngamahomoni akhiqizwa yi-hypothalamus yakho, ama-glands e-pituitary, noma ama-glands e-adrenal
• Izinto zofuzo: Ukuba namalungu omndeni ane-CFS kungase kukhulise ingozi yakho
• Ukulimala komzimba noma kwengqondo: Ukuqina okukhulu, izingozi, noma izehlakalo ezibuhlungu ngezinye izikhathi kuqala i-CFS
• Ukutheleleka okunye: Ukutheleleka kwe-bacterial, izinambuzane, noma ezinye izifo zingase ziqalise lesi simo

Kubalulekile ukuqonda ukuthi i-CFS ayibangelwa ukucindezeleka, ubuvila, noma ukungabi fit. Lesi yisimo somzimba sangempela esithinta ikhono lomzimba wakho lokukhiqiza nokusebenzisa amandla ngokuphumelelayo.

Nini okufanele ubona udokotela ngokuqiniswa okuqhubekayo kokhathalelo?

Kufanele ucabange ukuya kudokotela uma uhlangabezane nokukhathala okukhulu okungaphezu kwamasonto ambalwa, ikakhulu uma ukuphumula kungasizi futhi ukukhathala kuvimbela impilo yakho yansuku zonke. Ukubheka kusenesikhathi kungasiza ekuqedeni ezinye izimo nokuqala endleleni yokuphathwa okuhle.

Funani ukunakekelwa kwezokwelapha uma uhlangabezana nokukhathala kanye nezinye izimpawu ezikhathazayo njengobushushu obungachazeki, ukulahlekelwa isisindo esikhulu, noma ubuthakathaka bemisipha obukhulu. Udokotela wakho angasiza ekuqondeni ukuthi izimpawu zakho zingase zibe yingxenye ye-CFS noma enye isimo sezempilo esidinga ukwelashwa.

Ungalindi ukufuna usizo uma izimpawu zakho zithinta umsebenzi wakho, ubuhlobo, noma ikhwalithi yempilo yakho iyonke. Ukuthola ukwesekwa kwezokwelapha kusenesikhathi kungenza umehluko omkhulu endleleni ophatha ngayo lesi simo.

Ziyini izinto ezikhuphula ingozi yokuqiniswa okuqhubekayo kokhathalelo?

Ngenkathi noma ubani engathuthukisa ukuqiniswa okuqhubekayo kokhathalelo, izinto ezithile zingase zikhulise amathuba akho okuhlangabezana nalesi simo. Ukuqonda lezi zinto ezikhuphula ingozi kungakusiza wena nodokotela wakho ukubheka kangcono isimo sakho.

Izinto ezikhuphula ingozi ye-CFS zihlanganisa:

• Ubudala: Kuvame ukubathinta abantu abaneminyaka engama-40 kuya kwengu-60, yize kungase kwenzeke kunoma iyiphi iminyaka
• Ubulili: Abafazi bavame ukuxilongwa nge-CFS kunemadoda
• Ukutheleleka kwangaphambili: Ukuba nokutheleleka okuthile kwe-viral noma kwe-bacterial kungase kukhulise ingozi yakho
• Ukuqina: Amazinga aphezulu okuqina komzimba noma kwengqondo angase afake isandla ekuthuthukiseni
• Izinto zofuzo: Ukuba namalungu omndeni ane-CFS noma izimo ezifanayo
• Ezinye izimo zezempilo: Ukuba nezifo ezizimele noma ukuba ne-allergies

Ukuba nenye noma ngaphezulu kwezinto ezikhuphula ingozi akusho ukuthi uzokuthuthukisa i-CFS. Abantu abaningi abanezinto ezikhuphula ingozi abazange bahlangabezane nalesi simo, kanti abanye abangenazo izinto ezikhuphula ingozi ebonakalayo bayithuthukisa.

Ziyini izinhlanganisela ezingase zenzeke ngokuqiniswa okuqhubekayo kokhathalelo?

Ukuqiniswa okuqhubekayo kokhathalelo kungabangela izinhlanganisela ezihlukahlukene ezithinta izici ezihlukahlukene zempilo yakho. Ngenkathi lezi zinhlelo zingase zibe inselele, ukuziqonda kuzokusiza wena neqembu lakho lokunakekelwa kwezempilo ukwakha amasu okuqeda umthelela wazo.

Izinhlanganisela eziyinhloko ongazihlangabezana nazo zihlanganisa:

• Ukuzihlukanisa nabantu: Ubunzima bokuqhubeka nobuhlobo nemisebenzi yomphakathi ngenxa yezimpawu ezingaqondakali
• Izinkinga zomsebenzi noma zesikole: Ubunzima bokufeza ngendlela yakho evamile, okungase kuthinte umsebenzi noma imfundo
• Ukuwohloka kwengqondo nokukhathazeka: Izinselele zokuphila nesimo esiqhubekayo zingathinta impilo yakho yengqondo
• Ukulinganiselwa kwesitayela sempilo: Ukudinga ukulinganisela imisebenzi nokwenza izinguquko ezinkulu endleleni yakho yansuku zonke
• Ubunzima bezimali: Ukulahlekelwa okungenzeka kwemali ngenxa yokungakwazi ukusebenza ngokugcwele
• Izinkinga zezempilo ezingeziwe: Amazinga okuhambela aphansi angase abangele ubuthakathaka bemisipha noma ukungabi kahle kokujikeleza kwegazi

Ngenkathi lezi zinhlelo zingase zizwe zikhulu, abantu abaningi abane-CFS bathola izindlela zokuzilungisa nokugcina impilo enenjongo, enezithelo. Ukusebenzisana nabaphakeli bezempilo, amaqembu wokusekela, nabathandekayo kungakusiza ukuphatha lezi zinselele ngokuphumelelayo.

I-Chronic Fatigue Syndrome ixilongwa kanjani?

Ukuxilonga i-Chronic Fatigue Syndrome kungase kube inselele ngoba ayikho i-test eyodwa engakuqinisekisa lesi simo. Udokotela wakho uzodinga ukuhlola izimpawu zakho ngokucophelela futhi aqede ezinye izimbangela ezingase zibe khona zokukhathala kwakho.

Inqubo yokuxilonga ivame ukubandakanya izinyathelo eziningi. Okokuqala, udokotela wakho uzothatha umlando wezokwelapha oqondile futhi enze ukuhlolwa komzimba. Uzothanda ukuqonda ukuthi izimpawu zakho zaqala nini, indlela eziqhubekile ngayo, nokuthi zithinta kanjani impilo yakho yansuku zonke.

Umhlinzeki wakho wezokunakekelwa kwezempilo cishe uzoyala ama-test ahlukahlukene ukuze aqede ezinye izimo ezingabangela izimpawu ezifanayo. Lezi zingase zihlanganise ama-blood test ukuhlola ukutheleleka, izinkinga ze-thyroid, noma izimo ze-autoimmune. I-sleep studies ingase icelwe uma kukhona ukungabaza ngezifo zokulala.

Ukuhlangabezana nezindinganiso zokuxilongwa kwe-CFS, uvame ukudinga ukuba nokukhathala okukhulu okuhlala okungenani izinyanga eziyisithupha okuvimbela kakhulu imisebenzi yakho yansuku zonke, kanye nezinye izimpawu ezithile. Udokotela wakho uzodinga futhi ukuqinisekisa ukuthi izimpawu zakho azichaziwe kangcono enye isimo sezempilo noma sengqondo.

Yikuphi ukwelashwa kwe-Chronic Fatigue Syndrome?

Okwamanje, ayikho imithi yokuqeda i-Chronic Fatigue Syndrome, kodwa izindlela zokwelapha ezihlukahlukene zingasiza ekulawuleni izimpawu zakho nokuthuthukisa ikhwalithi yempilo yakho. Ukuthola ukuxubana okulungile kwezindlela ezisebenza esimweni sakho esithile kuyisihluthulelo.

Ukwelashwa kuvame ukugxila ekulawuleni izimpawu nasekulondolozeni amandla. Iqembu lakho lokunakekelwa kwezempilo lingase likucele imithi ezosiza ngebuhlungu, izinkinga zokulala, noma ezinye izimpawu ozibhekana nazo. Abanye abantu bayazuza kuma-antidepressants amancane, ama-sleep aids, noma imithi yokuhlanza ubuhlungu.

Ukulinganisela kuyindlela ebaluleke kakhulu yokuphatha i-CFS. Lokhu kuhilela ukufunda ukulinganisela umsebenzi nokuphumula ukuze ugweme ukuqalisa ukuwohloka komzimba ngemva kokuzikhandla. Umhlinzeki wakho wezokunakekelwa kwezempilo angakusiza ukwakha uhlelo lokuhambisana oluqondene nawe olukuvumela ukuba ugcine imisebenzi ethile ngenkathi uhlonipha imingcele yomzimba wakho.

Abanye abantu bathola izindlela ezimnene, ezihamba kancane zemisebenzi yomzimba eziwusizo, kodwa lokhu kudinga ukuphathwa ngokucophelela ukuze ugweme ukubhebhethekisa izimpawu. I-Cognitive behavioral therapy (CBT) ingakusiza futhi ukwakha amasu okumelana nokuphatha izici zokuzizwa zokuphila nesimo esiqhubekayo.

Indlela yokuphatha i-Chronic Fatigue Syndrome ekhaya?

Ukuphatha i-CFS ekhaya kuhilela ukwakha indawo yokusekela nokwenza izindlela zansuku zonke ezisebenza ngezinga lakho lamandla kunokuba zikulwe. Izinguquko ezincane, eziqhubekayo zingenza umehluko omkhulu endleleni ozizwa ngayo usuku nosuku.

Ukuphathwa kwamandla kubalulekile ekunakekelweni ekhaya. Hlela imisebenzi yakho ebaluleke kakhulu ngezikhathi lapho uvame ukuzizwa ukhulu khona, futhi wakhe izikhathi zokuphumula kulo lonke usuku. Gcina idayari yezimpawu ukuze ubone izindlela nezinto eziqalisa ukubangela ukwehla kwamandla akho.

Dala indawo enhle yokulala ngokugcina izikhathi zokulala ezinqunyiwe, ugcine igumbi lakho lokulala lipholile futhi limnyama, futhi ugweme izikrini ngaphambi kokulala. Ukululama okuthambile noma amasu okuphumula angakusiza ukulungiselela umzimba wakho ukuphumula.

Ukudla futhi kudlala indima yokusekela ekulawuleni i-CFS. Gxila ekudleni ukudla okujwayelekile, okulinganiselwe nokugcina umzimba wakho unamanzi. Abanye abantu bathola ukuthi ukugwema ukudla okuthile noma ukudla okuncane, okuningi kuvame ukubasiza ukugcina amazinga amandla abo kulo lonke usuku.

Kufanele uzilungiselele kanjani i-appointment yakho nodokotela?

Ukulungiselela kahle i-appointment yakho nodokotela kungasiza ekuqinisekiseni ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi unike umhlinzeki wakho wezokunakekelwa kwezempilo ulwazi olulodwa olukusiza ngokuphumelelayo.

Ngaphambi kwe-appointment yakho, gcina idayari yezimpawu ebanzi okungenani isonto noma amabili. Bhala amazinga akho amandla, izindlela zokulala, imisebenzi, nokuthi uzizwa kanjani kulo lonke usuku. Lolu lwazi lusisiza udokotela wakho ukuqonda iphethini nobunzima bezimpawu zakho.

Yenza uhlu lwezimpawu zakho zonke, ngisho nalabo abangase babonakale bengena-xhumano nokukhathala. Faka lapho isimo ngasinye saqala khona, yini eyenza sibe ngcono noma sibi, nokuthi sithinta kanjani impilo yakho yansuku zonke. Ungakhohlwa ukukhuluma nganoma iyiphi imithi, izithasiselo, noma izindlela zokwelapha osele uzizame.

Lungiselela uhlu lwemibuzo ofuna ukuyibuza udokotela. Lezi zingase zihlanganise imibuzo mayelana nama-test wokuxilonga, izindlela zokwelapha, ukuguqulwa kwesitayela sempilo, noma ukubikezela. Ukuba nemibuzo yakho ebhalwe phansi kusiza ekuqinisekiseni ukuthi awukhohlwa izihloko ezibalulekile ngesikhathi se-appointment yakho.

Yini eyisihluthulelo sokuqiniswa okuqhubekayo kokhathalelo?

Ukuqiniswa okuqhubekayo kokhathalelo kuyisimo sezempilo sangempela, esiyinkimbinkimbi esidlula ukukhathala okuvamile. Ngenkathi kungase kuthinte impilo yakho kakhulu, ukuqonda lesi simo nokusebenzisana nabaphakeli bezempilo kungakusiza ukwakha amasu aphethwe kahle.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-CFS ayisiyonxa yakho, futhi awuwedwa ekuhlanganyeleni nalesi simo. Abantu abaningi baphatha izimpawu zabo ngokuphumelelayo futhi bagcina impilo enezithelo ngokufunda ukuzilungisela, ukufuna ukunakekelwa kwezokwelapha okufanele, nokukha amaqembu asekelayo aqinile.

Isipiliyoni sabo bonke abantu nge-CFS sihlukile, ngakho-ke lokho okusebenza kwabanye kungase kudingeke kulungiswe esimweni sakho esithile. Bekezela ngawe ngenkathi ufunda ukuthi yini ekusiza uzizwe ukhulu, futhi ungangabazi ukulwela izidingo zakho nabaphakeli bezempilo, umndeni, nabangane.

Imibuzo evame ukubuzwa mayelana ne-Chronic Fatigue Syndrome

Ingabe i-Chronic Fatigue Syndrome ifana nokukhathala konke isikhathi?

Cha, i-Chronic Fatigue Syndrome ingaphezu nje kokukhathala okuvamile. I-CFS ihilela ukukhathala okukhulu, okuqhubekayo okungaphuli ngokuphumula futhi kuvimbela kakhulu imisebenzi yansuku zonke. Ihlanganisa nezinye izimpawu njengokudideka kwengqondo, ubuhlungu bemisipha, nokuwohloka komzimba ngemva kokuzikhandla okungaveli ekukhathaleni okuvamile.

Ingabe i-Chronic Fatigue Syndrome ingaphiliswa?

Okwamanje, ayikho imithi yokuqeda i-Chronic Fatigue Syndrome, kodwa abantu abaningi bangaphatha izimpawu zabo ngokuphumelelayo futhi bathuthukise ikhwalithi yempilo yabo. Ukwelashwa kugxila ekulawuleni izimpawu, ukulondoloza amandla, nokukha amasu okumelana. Abanye abantu baye bahlangabezana nokuthuthuka okukhulu noma ngisho nokuphulukiswa ngokuhamba kwesikhathi.

Ingabe ngizokwazi ukusebenza nge-Chronic Fatigue Syndrome?

Abantu abaningi abane-CFS baqhubeka nokusebenza, yize kungase kudingeke benze izinguquko noma izinguquko esimweni sabo somsebenzi. Lokhu kungase kuhlanganise amashejuli athambile, ukusebenza ekhaya, noma ukunciphisa amahora. Ukuthola ibhalansi evumela ukuba ugcine umsebenzi ngenkathi ulawula izimpawu zakho ngokuphumelelayo kuyisihluthulelo.

Ingabe i-Chronic Fatigue Syndrome iyadluliseka?

Cha, i-Chronic Fatigue Syndrome ngokwayo ayidluliseki. Ngenkathi abanye abantu bethuthukisa i-CFS ngemva kokutheleleka, i-syndrome ngokwayo ayikwazi ukudluliselwa umuntu komunye. Awudingi ukukhathazeka ngokudlulisela i-CFS kumalungu omndeni noma abangane ngokuxhumana okuvamile.

I-Chronic Fatigue Syndrome ihlala isikhathi esingakanani?

Isikhathi se-CFS sihluka kakhulu kumuntu nomuntu. Abanye abantu bayaphuka phakathi kweminyaka embalwa, kanti abanye baphila nalesi simo isikhathi eside. Ukuqonda ekulawuleni izimpawu nasekhwalithi yempilo kunokuba ukuzama ukubikezela ukuthi lesi simo sizokuphela nini kuyisihluthulelo. Abantu abaningi bathola ukuthi izimpawu zabo ziyathuthuka ngokuphathwa okuhle, ngisho noma zingapheli ngokuphelele.