Tus Sau: Clyde Lopez
Hnub Kev Tsim: 21 Lub Xya Hli Ntuj 2021
Hloov Hnub: 21 Lub Kawm Ob Hlis Ntuj 2024
Anonim
Myalgic encephalomyelitis / mob ua rau nkees nkees feem ntau (ME / CFS) - Tshuaj Kho Mob
Myalgic encephalomyelitis / mob ua rau nkees nkees feem ntau (ME / CFS) - Tshuaj Kho Mob

Myalgic encephalomyelitis / mob ua kom nkees nkees feem ntau (ME / CFS) yog kev muaj mob mus ntev uas cuam tshuam rau ntau lub cev. Cov neeg muaj tus mob no tsis tuaj yeem ua lawv cov haujlwm ib txwm ua. Qee zaum, lawv yuav raug kaw hauv txaj. Qhov xwm txheej no tseem tuaj yeem raug hu ua kab mob ua kab mob kev nkeeg tsis nco qab (SEID).

Ib qho tsos mob tshwm sim yog lub zog nkees. Nws tsis tau zoo dua nrog so thiab tsis ncaj qha los ntawm lwm cov teeb meem kev mob. Lwm yam tsos mob tuaj yeem suav nrog teeb meem nrog kev xav thiab kev ua kom pom tseeb, mob, thiab kiv taub hau.

Qhov tseeb ua rau ME / CFS tsis paub tseeb. Nws yuav muaj ntau dua ib qhov laj thawj. Piv txwv li, ob lossis ntau qhov laj thawj tuaj yeem sib koom tes ua rau muaj tus mob.

Cov kws tshawb nrhiav tau saib rau hauv cov laj thawj no:

  • Kab mob - Kwv yees li ntawm 1 ntawm 10 tus neeg uas muaj qee yam mob, xws li tus kab mob Epstein-Barr thiab Q ua npaws, mus txuas rau tsim tus mob ME / CFS. Lwm yam kev kis tus mob kuj tau kawm, tab sis tsis muaj ib qho laj thawj tau pom.
  • Lub cev hloov pauv - ME / CFS tuaj yeem tshwm sim los ntawm kev hloov pauv ntawm txoj kev ua rau tib neeg lub cev tiv thaiv kab mob rau kev ntxhov siab lossis mob.
  • Kev ntxhov siab los yog lub cev - Coob tus neeg uas tau mob ME / CFS tau muaj kev nyuaj siab ntxhov plawv lossis lub cev ua ntej muaj mob.
  • Zog ntau lawm - Txoj kev uas cov kab mob hauv lub cev tau txais lub zog sib txawv hauv cov neeg muaj ME / CFS dua li hauv tib neeg yam tsis muaj mob. Nws tsis paub meej tias qhov no txuas li cas los txhim kho tus mob.

Cov noob caj noob ces lossis ib puag ncig cov xwm txheej tseem tuaj yeem ua lub luag haujlwm ntawm kev tsim ME / CFS:


  • Txhua tus tuaj yeem tau txais ME / CFS.
  • Thaum uas cov neeg feem ntau muaj hnub nyoog 40 txog 60 xyoo, tus mob no cuam tshuam rau cov menyuam yaus, cov hluas, thiab cov laus txhua lub hnub nyoog.
  • Ntawm cov laus, cov poj niam cuam tshuam ntau dua li txiv neej.
  • Cov neeg dawb yog raug txheeb xyuas ntau dua li lwm haiv neeg. Tab sis ntau tus neeg uas mob ME / CFS tseem tsis tau kuaj pom, tshwj xeeb ntawm cov haiv neeg tsawg.

Muaj peb qho tseem ceeb, lossis "tseem ceeb," tshwm sim rau cov neeg mob ME / CFS:

  • Kev nkees heev
  • Cov kev mob nyhav dua tuaj tom qab ua haujlwm ntawm lub cev lossis lub hlwb
  • Teeb meem pw tsaug zog

Cov neeg uas mob ME / CFS muaj cov rog nkees thiab tawm dag zog heev thiab tsis tuaj yeem ua tej yam lawv ua tau ua ntej muaj mob. Qhov no nkees heev yog:

  • Tshiab
  • Tsawg kawg yog 6 lub hlis
  • Tsis yog vim muaj kev ua txawv lossis khaus
  • Tsis ntxhov siab los ntawm kev pw tsaug zog lossis txaj
  • Raug hnyav txaus kom koj tsis txhob koom nrog qee yam haujlwm

Cov tsos mob me / mob CFS tuaj yeem mob hnyav dua tom qab ua haujlwm ntawm lub cev lossis lub hlwb. Qhov no yog hu ua post-exertional malaise (PEM), tseem hu ua kev sib tsoo, rov qab, lossis vau.


  • Piv txwv li, tej zaum koj yuav muaj kev sib tsoo tom qab koj yuav khoom hauv lub khw muag khoom noj khoom haus thiab xav tau pw luv ua ntej tsav tsheb mus tsev. Lossis koj xav tau ib tus neeg tuaj nqa koj.
  • Nws tsis muaj txoj hauv kev los twv seb dab tsi yuav ua rau sib tsoo lossis paub tias ntev npaum li cas nws yuav siv sijhawm rov ua kom rov zoo. Nws tuaj yeem siv sijhawm ntau hnub, ntau lub asthiv lossis ntev dua kom rov zoo dua.

Teeb meem pw tsaug zog yuav suav nrog teeb meem poob lossis pw tsaug zog. Kev pw tsaug zog thawm hmo tsis tuaj yeem tshem tawm qaug zog thiab lwm cov tsos mob.

Cov neeg uas mob ME / CFS feem ntau muaj yam tsawg ib ntawm ob yam kev mob tshwm sim hauv qab no:

  • Tsis nco qab, cov teeb meem concentration, cov teeb meem hauv qab cov ntsiab lus (tseem hu ua "lub hlwb pos huab")
  • Cov kev mob nkees thaum sawv ntsug los yog zaum ntseg. Qhov no hu ua orthostatic intolerance. Koj yuav mloog zoo li kiv taub hau, lub teeb tob hau, lossis tsaus muag thaum sawv los zaum. Koj kuj tseem tuaj yeem muaj lub zeem muag hloov lossis pom pob.

Lwm cov tsos mob tshwm sim suav nrog:

  • Mob tej pob txha yam tsis hnov ​​ntuag lossis liab, mob ib ce, mob leeg ib ce, lossis mob taub hau uas txawv ntawm cov uas koj tau muaj yav tas los
  • Mob qa, mob caj pas nyob hauv caj dab lossis hauv qab caj npab, ntawj txias thiab tawm hws hmo ntuj
  • Digestive teeb meem, xws li chim siab plob tsis so tswj syndrome
  • Kev ua xua
  • Kev hnov ​​mob nrog lub suab nrov, zaub mov, tsw lossis tshuaj lom neeg

Lub Chaw Tiv Thaiv Kab Mob (CDC) piav qhia ME / CFS yog qhov kev mob txawv txav nrog cov tsos mob tshwj xeeb thiab cov cim ntawm lub cev. Kev kuaj mob yog raws li kev txiav txim siab tawm ntawm lwm qhov laj thawj.


Koj tus neeg saib xyuas kev noj qab haus huv yuav sim txiav tawm lwm cov teeb meem uas ua rau qaug zog, suav nrog:

  • Yeeb tshuaj yaj yeeb tshuaj
  • Kev txhaj tshuaj tiv thaiv kab mob lossis autoimmune
  • Kab mob
  • Kab mob hauv cov leeg lossis hlab ntsha (xws li ntau yam sclerosis)
  • Cov kab mob endocrine (xws li hypothyroidism)
  • Lwm yam mob (xws li mob plawv, raum, lossis mob siab)
  • Kev puas siab puas ntsws lossis mob hlwb, tshwj xeeb yog kev nyuaj siab
  • Lub pob hlav

Kev kuaj mob ntawm ME / CFS yuav tsum muaj:

  • Qhaj ntawv tsis muaj lwm yam ua rau nkees ntev (mob)
  • Tsawg kawg plaub qhov tsos mob hais txog ME / CFS
  • Sab heev, lub sijhawm ntev rog

Tsis muaj kev ntsuam xyuas tshwj xeeb los ua kev paub tseeb txog kev kuaj mob ntawm ME / CFS. Txawm li cas los xij, muaj ntawv tshaj tawm ntawm cov neeg uas mob ME / CFS muaj qhov tshwm sim tsis zoo ntawm cov ntawv hauv qab no:

  • Lub Hlwb MRI
  • Ntshav dawb ntawm tes suav

Tam sim no tsis muaj tshuaj los kho ME / CFS. Lub hom phiaj ntawm txoj kev kho mob yog los daws cov tsos mob.

Kev kho mob suav nrog kev sib txuam ua ke ntawm cov hauv qab no:

  • Cov tswv yim tswj kev pw tsaug zog
  • Tshuaj noj kom txo qhov mob, tsis xis nyob, thiab kub cev
  • Tshuaj kho mob los tshuaj ntxhov siab (tshuaj tiv thaiv ntxhov siab)
  • Tshuaj los kho kev nyuaj siab (Tshuaj tiv thaiv kab mob siab)
  • Kev noj qab haus huv zoo

Qee cov tshuaj muaj peev xwm ua rau muaj kev tsis haum tshuaj lossis kev tshwm sim tsis zoo dua li cov tsos mob xub thawj ntawm tus kab mob.

Cov neeg nrog ME / CFS raug txhawb kom muaj lub neej hauv kev ua neej nyob. Lub cev qoj ib ce kuj tseem yuav pab tau thiab. Koj cov neeg saib xyuas kev noj qab haus huv yuav pab koj paub seb koj tuaj yeem ua tau ntau npaum li cas, thiab yuav ua rau koj nce qeeb li cas. Cov tswv yim suav nrog:

  • Zam ua ntau dhau rau hnub thaum koj hnov ​​zoo li nkees
  • Sib npaug koj lub sijhawm ntawm kev ua si, so, thiab pw tsaug zog
  • Txhaum cov haujlwm loj rau cov me me, tswj tau ntau yam
  • Tshaj tawm koj cov haujlwm nyuaj dua nyob rau lub limtiam

So kom txaus thiab txo cov kev ntxhov siab yuav pab tswj hwm tus mob ntev (ntev ntev) thiab qaug zog. Lawv tsis raug siv los ua kev kho mob thawj rau ME / CFS. Cov tswv yim so xws li:

  • Biofeedback
  • Kev ua pa sib txawv
  • Kev Hypnosis
  • Kev zaws kho
  • Kev xav
  • Cov leeg ua kom ib ce muaj zog
  • Yoga

Nws kuj tseem yuav pab tau ua haujlwm nrog tus kws kho mob kom pab koj daws koj txoj kev xav thiab qhov cuam tshuam ntawm kev mob nkeeg rau koj lub neej.

Cov kev tshawb fawb tshiab tshuaj tseem tab tom tshawb nrhiav.

Qee tus neeg yuav tau txais txiaj ntsig los ntawm kev koom tes hauv ME / CFS pab pawg.

Qhov kev pom ntev ntev rau cov neeg muaj ME / CFS sib txawv. Nws yog ib qho nyuaj rau kwv yees thaum cov tsos mob pib thawj. Qee tus neeg rov qab zoo li qub tom qab 6 lub hlis txog ib xyoos.

Li ntawm 1 ntawm 4 leej neeg uas mob ME / CFS yog neeg xiam oob qhab loj heev uas lawv tuaj yeem sawv tsis tau ntawm txaj los yog tawm ntawm lawv lub tsev. Cov tsos mob tuaj yeem mus thiab mus ncig, thiab txawm tias thaum tib neeg zoo, lawv yuav muaj kev huam mob tshwm sim los ntawm kev mob siab rau lossis qhov tsis paub.

Qee tus neeg yeej tsis xav zoo li lawv tau ua ntej lawv tsim ME / CFS. Cov kev tshawb fawb qhia tau tias koj muaj feem ntau yuav tau zoo yog tias koj tau txais kev pab ntau ntxiv.

Teeb meem yuav suav nrog:

  • Kev Nyuaj Siab
  • Tsis muaj peev xwm koom tes hauv kev ua haujlwm thiab kev ua si, uas tuaj yeem ua rau cais tawm
  • Phiv los ntawm cov tshuaj los yog kev kho mob

Hu rau koj tus kws kho mob yog tias koj muaj mob nkees heev, nrog lossis tsis muaj lwm cov tsos mob ntawm tus mob no. Lwm qhov kev cuam tshuam loj dua tuaj yeem ua rau cov tsos mob zoo sib xws thiab yuav tsum tau kav.

CFS; Qaug zog - mob ntev; Kev txhaj tshuaj tiv thaiv kab mob; Mob Hlwb Pob Txha (Myalgic encephalomyelitis) (ME); Myalgic encephalopathy mob ua rau lub cev tsis muaj zog (ME-CFS); Cov kab mob ua kom tsis taus pa (SEID)

Cov Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob lub vev xaib. Myalgic encephalomyelitis / mob ua kom nkees nkees feem ntau: kho mob. www.cdc.gov/me-cfs/twmsiab/index.html. Hloov kho Kaum Ib Hlis 19, 2019. Nkag mus Lub Xya Hli 17, 2020.

Clauw DJ. Fibromyalgia, mob ntsws nkees ntev, thiab mob myofascial. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 258.

Pawg Saib Xyuas Kev Tswj Xyuas Kev Tshuaj Ntsuam Xyuas rau Tus Mob Hlwb Hlwb Hlwb / Mob Ntsws Qog Zoo Li Cas; Pawg Thawj Saib Xyuas Kev Noj Qab Nyob Zoo ntawm Cov Xaiv Tib Neeg; Lub koom haum tshuaj. Dhau li ntawm myalgic encephalomyelitis / mob ua kom nkees nkees feem ntau: txhais tau ib qho mob. Washington, DC: Xov Xwm Kev Tshawb Fawb Hauv Tebchaws; 2015. PMID: 25695122 pubmed.ncbi.nlm.nih.gov/25695122/.

Ebenbichler GR. Mob qaug zog mob ntsws ntev. Hauv: Frontera, WR, Nyiaj JK, Rizzo TD, eds. Qhov tseem ceeb ntawm Kev Siv Lub Cev thiab Kev Rov Kho Dua. 4 tug ed. Philadelphia, PA: Elsevier; 2019: chap 126.

Engleberg NC. Mob qaug zog mob ntsws ntev (kab mob kev qaug dej qaug cawv mob siab ntsws). Hauv: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Kab Mob Kis. 9le ed. Philadelphia, PA: Elsevier; 2020: cha 130.

Smith MEB, Haney E, McDonagh M, li al. Kev Kho Mob ntawm myalgic encephalomyelitis / mob ntsws nkees feem ntau mob: ib qhov kev tshuaj xyuas rau lub National Institutes of Health Txoj Kev Noj Qab Haus Huv mus rau Rhiav Kev Tiv Thaiv. Ann Intern Med. Xyoo 2015; 162 (12): 841-850. PMID: 26075755 pubmed.ncbi.nlm.nih.gov/26075755/.

van der Meer JWM, Bleijenberg G. Cov tsos mob ua kom qaug zog. Hauv: Cohen J, Powderly WG, Opal SM, eds. Kis Kab Mob. 4 tug ed. Philadelphia, PA: Elsevier; 2017: chap 70.

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