Khohlano le Lipatlisiso
Tlhahlobo ea maikutlo a kelello (CBT) e kenyeletsang phekolo ea ho ikoetlisa (GET) ke phekolo e kholo haholo ha ho tluoa tabeng ea ho kula ho sa foleng ( ME / CFS ). E khothalletsoa ke Mekhatlo ea Amerika ea Tlhokomelo ea Maloetse (CDC) le mekhoa e 'maloa ea tlhokomelo ea bophelo bo botle ba Europe,' me e phehisana khang ka bobeli lipatlisong le metseng ea bakuli.
Ho shebisisa kapele ho patlisiso ka CBT / GET bakeng sa ME / CFS ho ka ferekanya.
Liphuputso tse ling li re li atlehile haholo, athe ba bang ba re ha li na thuso ebile mohlomong le phekolo e kotsi le e sa lokelang.
E le hore u utloisise tlhahisoleseding ena e hanyetsanang, e ka thusa ho qala ho utloisisa hore na phekolo eo e kenyeletsa eng ebe o sheba phapang ea bohlokoa ea litlhaloso le mekhoa ea ME / CFS.
CBT / GET ke eng?
CBT ke phekolo ea nakoana ea kelello le sepheo sa ho fetola menahano ea hau ho lintho tse itseng hammoho le boitšoaro ba hau ho bona. E sebelisetsoa ho sebetsana le maemo a kelello le a bophelo, hangata ho thusa ka ho sebetsana le mekhoa e metle le ho tlohela mekhoa e mebe e ka 'nang ea tsoela pele kapa e mpefala.
GET ke karolo e tloaelehileng ea CBT. Kalafo e qala ka metsotso e seng mekae ea boikoetliso bo tlaase 'me butle-butle e eketsa nako le matla ka nako. Sepheo ke ho fokotsa tšabo ea boikoetliso le ho fokotsa ts'ebetso e ka fanang ka ts'oaetso ea lefu.
Ke Eng e Bakang Khanyetso?
Phehano e tsoa bothateng bo bohareng ba lipatlisiso tsa ME / CFS - tlhaloso ea tlhōlisano ea boemo boo.
Sehlopha se seng sa bafuputsi se lumela hore ke boloetse ba 'mele bo amanang le lintho tse sa tloaelehang tsa likokoana-hloko tse bakoang ke tšoaetso, chefo ea tikoloho, lisosa tse ling tse bakang khatello ea kelello, kapa ho kopanya lintho tsena.
Ha ba khetha barupeluoa ba ithutang, ba ka 'na ba sebelisa e' ngoe ea litlhaloso tse tharo tsa boemo:
- Mekhoa ea CDC ea 1994 e hlalositsoeng ke Mokhatlo oa International Chronic Fatigue Syndrome Study Group, oo hangata o bitsoang tlhaloso ea Fukuda, kamora 'mongoli oa pampiri Keiji Fukuda;
- KAPA melao ea Canada ea 2010, e nkoang e le tlhaloso e matla le e tobileng ho feta Fukuda, e hloka matšoao a mangata a kang 'mele ka morao, mme ha e kenye bakuli ba nang le matšoao a lefu la kelello;
- Kapa Merero ea Kopano ea Machaba bakeng sa ME (myalgic encephalomyelitis,) e nchafatsang "mokhathala" ka "ho felloa ke matla ka mor'a nako" le ho hloka matšoao a mangata a bophelo.
Ba bang kampong ena ba nka CBT / GET e le phekolo ea meriana ea bobeli ka ho fetisisa, kapa e mpe ka ho fetisisa, e ka bang kotsi le e sa lokelang. (Mae 2010 & 2009, ka 2009).
Sehlopha se seng sa bafuputsi se hatisa kalafo ea likarolo tsa kelello le tsa boitšoaro tsa CBT / GET. Ho khetha barupeluoa ho ithuta, ba ka sebelisa:
- Tlhaloso ea Fukuda;
- KAMOO ea 1991 Oxford criteria, e nang le mokhathala o sa foleng o tsoang ho motho ea sa tsejoeng hammoho le lefu la mokhathala oa lefu lena.
- Kapa seo se bitsoa tlhaloso ea phetoho ea CDC, e leng phetolelo e tsosolositsoeng ea tlhaloso ea Fukuda e thehiloeng ka 2005 ke mookameli oa CDC oa pele oa lipatlisiso tsa khatello ea mafu a sa foleng.
Kampo ena hangata e khothalletsa CBT / GET hore e be eona e ka sehloohong 'me ka linako tse ling ke feela phekolo ea ME / CFS.
Ka litlhaloso tse hlano tse fapaneng tse bapalang, ho bonolo ho bona kamoo bafuputsi ba ka finyellang liqeto tse fapaneng haholo. Hoo e leng ntho feela eo hangata ho lumellanoang ka eona ke hore metsi a koahetsoe ke ho se lumellane hohle mabapi le hore na boemo ba lefu ke bofe.
Tlhahlobo ea CBT / GET le Metsi a Metsing
Liphuputso tse ngata tse ntle tsa CBT / GET bakeng sa ME / CFS li sebelisitse mokhoa oa Oxford. Leha ho le joalo, hoa lokela ho hlokomeloa hore ha ho bapisoa le ba sebelisang Oxford, ho na le liphuputso tse seng kae tsa CBT ke bafuputsi ba sebelisang litekanyetso tsa Fukuda, Canada kapa International Consensus.
Ho feta moo, lipatlisiso tse 'maloa tse sa sebeliseng lits'ebeletso tsa Oxford li botsa bopaki bo sebelisetsoeng ho tšehetsa tšebeliso ea CBT, joalo ka ka tsatsi la Twisk 2009.
Ha re sheba mohaho oa bohareng - bafuputsi ba sebelisa tlhaloso ea Fukuda - re na le liphello tse ntle.
Phuputsong ea 2008 ka bana ba nang le mokhathala o sa foleng oa mokhathala, bafuputsi ba tlaleha keketseho e kholo ea ho sebetsa, ho ba teng sekolong le mokhathala. Ntlafatso e ile ea etsoa nakong ea lilemo tse peli tse latellanang. (Pampiri ha ea ka ea bolela hantle hore na GET e kenyelelitsoe CBT.)
Litokomane tse ling li ile tsa tlaleha:
- Mokhoa o ntlafatsang oa ho khathala le ho sebetsa, empa ka tekanyo e kholo ea phallo ea pele (Scheeres K, et al);
- Liphetho tse latelang tse lokelang ho ithuta (Malouff JM, et al.);
- Melemo e ka khonehang ea GET e lokela ho hlahlojoa bakeng sa mokuli ka mong (Nunez, et al.)
Ka mokhoa o sa tloaelehang, litlaleho li fapane joalo ka ha lipatlisiso li ka fana ka maikutlo, ha batho ba bang ba re CBT / GET e tsosolosa boleng ba bophelo le ts'ebetso ea bona, ha ba bang ba re ho etsa hore boloetse ba bona bo mpe haholo.
CBT / GET Phekolo
Ka sebele, qeto ea hore na u ka phehella CBT / GET e le phekolo ke ea hao, e lokelang ho etsoa ho latela maemo a hao ka bomong le ka tataiso ea ngaka ea hau.
Hase metse eohle e nang le litsebi tse koetlisitsoeng CBT / GET, e leng ho ka thatafalletsang batho ba bang hore ba fumane phekolo ena. Hape, lik'hamphani tsa inshorense li ka 'na tsa latola boitsebiso ntle le haeba u na le boloetse ba kelello bo fumanoeng, bo kang ho tepella maikutlong kapa ho tšoenyeha. Lenaneo la fono-le la marang-rang le teng, kahoo e ka ba khetho ea ho nahana.
Ngaka ea hau e ka 'na ea u fetisetsa ho ngaka e tšoanelehang. Lisebelisoa mona li ka boela tsa thusa:
- ABCT: Mokhatlo oa Meriana ea Boits'oaro le ea ho ba le Temoho
- CBT-Therapists.com
- Mokhatlo oa American Psychological Association: Kamoo U ka Khethang setsebi sa kelello kateng
- Itloaetse Bohareng: Sebaka sa Tikoloho sa Mahlale a Maiketsetso
- Ho fumana setsebi sa PTSD
Lisebelisoa:
Carruthers BM, et al. Journal of Internal Medicine . 2011 Oct; 270 (4): 327-38. Myalgic Encephalomyelitis: Melemo ea Machaba ea Consensus.
Carruthers BM, et al. Journal ea Chronic Syndrome ea Mokhathala. 2003 11 (1): 7-36. Myalgic Encephalomyelitis / Chronic Fatigue Syndrome: Kliniki ea Tšebeliso Tlhaloso, Mekhoa ea Ts'oaetso le Tlhahlobo.
Carruthers, Bruce M. le Marjorie I. van de Sande. Litokelo tsohle li sirelelitsoe. "Myalgic Encephalomyelitis / Chronic Fatigue Syndrome: Tlhaloso ea Tlhahlobo ea Meriana le Litaelo tsa Basebetsi ba Bongaka"
Litsi tsa Tlhokomelo le Thibelo ea Maloetse. "Ho hlahloba CFS"
Fukuda K, et al. Annals of Internal Medicine . 1994 Dec 15; 121 (12): 953-9. The Chronic Fatigue Syndrome: Tsela e Ntle ho Tlhaloso le Thuto ea Tsona. Sehlopha se Ithutoang sa Mokhathala oa Mokhathala oa Machaba oa Machaba.
Knoop H, et al. Lingaka. 2008 Mar; 121 (3): e619-25. Tlhahlobo ea Tlhahlobo ea Tlhaho ea Bokooa ho Bana ba Nang le Boloetse bo sa Feleng Bokhutšoanyane: Tlhahlobo ea Nako e telele ea Teko e sa Lebelloang, e laoloang.
Maes M, Tisk FN. BMC Medicine. 2010 Jun 15; 8: 35. Syndrome ea ho khathala ha nako e telele: Harvey le Wessely's (Bio) Psychosocial Model e bapisa le Bio (Psychosocial) Model e thehiloeng ho Khatello ea Khatello ea Kelello le ea ho Tšoenyeha le ea Nitrosative.
Maes M, Tisk FN. Litlhaku tsa Neuro Endocrinology. 2009; 30 (3): 300-11. Syndrome ea Mokhathala o sa Feleng: La Bête Noire ea Belgian Health Care System.
Malouff JM, et al. Tlhahlobo ea Kliniki ea Psychology. 2008 Jun; 28 (5): 736-45. Tlhahlobo ea Tlhahlobo ea Tlhaho ea Bokooa ea Boloetse bo sa Feleng Syndrome: Meta-Analysis.
Nunez M, et al. Kliniki ea Rheumatology. 2011 Mar; 30 (3): 381-9. Bophelo bo amanang le bophelo bo botle bathong ba nang le boloetse bo sa feleng ba mokhathala: Theknoloji ea Boikoetliso ba Sehlopha le Boikoetliso bo Botle le Bohlokoa ba Ts'oaetso. Tlhahlobo e laoloang ka nako e telele le selemo se le seng sa ho latellana.
Reeves WC, et al. BMC Medicine. 2005 Mar. 15; 3: 19. Syndrome ea Mokhathala o sa Feleng-Tsela ea Kemiso ea Bophelo ho Tlhaloso le Thuto ea Tsona.
Scheeres K, et al. Journal of Consulting le Clinical Psychology. 2008 Feb; 76 (1): 163-71. Ho sebetsana le phekolo ea ho ba le ts'oaetso ea kelello bakeng sa mokhathala o sa feleng oa Mokhathala oa kelello: Tlhahlobo ea ho hlahloba mekhoa ea boipheliso.
Schreurs KM, et al. Patlisiso ea Boitšoaro le Therapy. 2011 Dec; 49 (12): 908-13. Tlhahlobo ea Boits'oaro ba Boitšoaro Bakeng sa Boloetse bo sa Feleng Bokhutšoanyane Boemong ba ho Lokisa Boemo: Katleho le Boqapi ba Phello.
Sharpe MC, le al. Journal ea Royal Society of Medicine. 1991 Feb; 84 (2): 118-21. Tlaleho-Chronicle ea Mokhathala oa Bolotsana: Litaelo tsa Lipatlisiso. 403
Twisk FN, Maes M. Neuro Endocrinology Letters. 2009; 30 (3): 284-99. Tlhahlobo ea Tlhahlobo ea Boits'oaro le Bokooa (GET) ho Myalgic Encephalomyelitis (ME) / Chronic Chronic Fatigue Syndrome (CFS): CBT / GET ha e sebetse feela ebile ha e na bopaki, empa hape e ka ba kotsi ho bakuli ba bangata Ka ME / CFS.
White PD, le al. Lancet. 2011 Mar 5; 377 (9768): 823-36. Ho bapisoa le phekolo e nepahetseng ea phalling, Theknoloji ea Boits'oaro ba Boits'oaro, Phekolo ea Koetliso ea Boithaopo, le Tlhokomelo ea Bongaka ea Boloetse bo sa Feleng (PACE): Tlhahlobo e sa Lebelloang.