Until the last century, mankind coped with the flow of information without significant harm to health. The last century has made a breakthrough in most areas, and now, in order to keep pace with the times, a person simply needs to process a large amount of information every day in different spheres of life. It takes more time for mental stress, less and less for physical exertion, rest and sleep. And so every day. In the end, this leads to a breakdown in the adaptive reactions of the body, and results in health problems of a different nature. One of these problems is chronic fatigue syndrome.
Chronic fatigue. Today, this is not just a word combination that denotes the limit of the physical and mental capabilities of an ordinary person, but a pathological condition requiring medical intervention. The modern international classification of diseases even contains the formulation of a disease called chronic fatigue syndrome. It turns out that chronic fatigue is a disease, which means that it requires treatment.
The human body is characterized by a feeling of fatigue, fatigue after a period of mental or physical stress. This is a normal phenomenon that signals the need for rest. Rest is necessary for the body to restore its abilities to the previous level. The correct alternation of the mode of work and rest ensures the state of relative human health. However, sometimes there comes a time when rest does not help to restore strength, and the feeling of fatigue persists. It is preserved today, tomorrow, and the day after tomorrow. And so - for at least 6 months. And no rest (even a complete "fooling around") can not change this. Fatigue persists constantly, interferes with work, eating, sleeping, enjoying life, after all. This condition is called chronic fatigue.
The causes of chronic fatigue are not fully established. It is assumed that this state arises when a whole series of conditions coincide. More often this disease affects residents of large cities, doing business or other, very responsible and hard work, living in adverse environmental conditions, with unhealthy ambitions, constantly under stress, malnourished and not engaged in sports. Based on the above, it becomes clear why chronic fatigue is taking on the epidemic in developed countries in recent times. In the US, Australia, Canada, Western Europe, the incidence of chronic fatigue syndrome is between 10 and 40 cases per 100 000 population.
Not the last role in the development of chronic fatigue is played by dysfunction of the immune sphere and the violation of the regulation of nervous activity from the brain.
So, chronic fatigue is a feeling of maximum fatigue, accompanying a person for at least 6 months, or even more. As a rule, the disease begins gradually, unnoticed for the patient. At usual fatigability the person can precisely designate time of occurrence of this status (after delivery of session, after the termination of repair in the house and so on). Chronic fatigue has no timing, a person can not specify when exactly the disease began.
Often, the deterioration of health begins with the symptoms of acute respiratory disease. A slight malaise, a runny nose, a sore throat, a subfebrile temperature - that's how it can debut the chronic fatigue syndrome. After such symptoms, in most cases carried on legs, without detachment, so to speak, from production, there remains a feeling of general weakness. Normally, after a few weeks it passes, and in case of chronic fatigue - as it drags on and becomes permanent.
In addition to a pronounced feeling of fatigue, chronic fatigue can manifest itself with one or more of the following symptoms:
As you can see, the signs of chronic fatigue are very diverse and nonspecific. The disease is characterized by the migration of symptoms, their inconstancy and complete absence of a real damage to the relevant organs and systems. Patients turn to various specialists, receive treatment, but do not notice any effect - well-being does not improve. And so it can last for years.
Another clinical criterion of chronic fatigue is the lack of relief from rest. In order to somehow restore working capacity, patients take leave, completely eliminate any loads, but on returning to work it becomes clear that fatigue has not gone anywhere. All symptoms return again (and sometimes they do not leave the patient during rest).
The treatment of chronic fatigue is a very difficult task. The main principle is the complexity, that is, the simultaneous and versatile influence on the disease in all possible ways.
All facets of the healing process can be divided into three groups:
Clinical practice has proved that to date the effectiveness of only one of the above proposed groups is very doubtful. With chronic fatigue, you can achieve recovery only by applying them all at the same time. Let us dwell in more detail on each group.
First of all, the patient needs to radically revise his entire schedule:
From the side, these recommendations may seem a little ridiculous, because it turns out that one must shirk from the performance of their functional duties, have more rest and work less. However, do not forget that these recommendations are, in fact, curative in case of chronic fatigue. When a person has a high fever, because no one doubts the need to take antipyretics? So in the case of chronic fatigue, the above measures are curative, without which it is difficult to defeat the disease.
Another important point is the feasible daily physical load. Especially it is important for people leading a sedentary lifestyle and engaged in mental work. The type of exercise can be chosen by the patient himself (swimming, aerobics, yoga and so on). It is important that a person likes the chosen sport.
The next thing is the normalization of sleep. It is necessary to ensure a retirement to sleep at the same time, create a favorable environment for this period (silence, comfortable bed, sufficient time - at least 8 hours). This will help relieve the overstrain of the central nervous system.
Special attention should be paid to nutrition. The diet should be qualitative, diverse, cover the need for vitamins, trace elements and nutrients. It is important to distribute the food intake in such a way that there are no big breaks between meals. In this case, continuous supplies of energy to the brain will be ensured.
Another recommendation is to provide positive emotions. Going to the cinema or theater, playing games with children and pets, meeting with friends can be a turning point in the treatment of chronic fatigue.
It is also recommended to abandon bad habits. Smoking and alcohol only mask real problems, for a short period of time create an imaginary sense of comfort, without completely stopping the problems at the root. If possible, it is worth refraining from eating products containing caffeine (strong tea, energy drinks, natural coffee), which stimulate an already "tired" nervous system.
Physiotherapy methods are widely used in a complex of therapeutic effects in chronic fatigue. The most common methods in this case are:
Physiotherapy is well combined with physical activity. Naturally, everything is good in moderation, therefore, procedures are not appointed all at once, but they choose the most expedient in each particular case. This helps physician-physiotherapist.
To date, there is still no pill or shot from chronic fatigue. Among the drugs used by various groups, trying to influence the possible mechanisms of chronic fatigue. Often, medicamental drugs are symptomatic, that is, their use has a clearly stated goal: the elimination of a specific symptom of chronic fatigue. The most common drugs for chronic fatigue are:
Most recently, chronic fatigue was attempted to fight with intravenous immunoglobulin. However, this method of treatment did not justify itself: the results were very doubtful, but there were a lot of side effects. Therefore, the use of this drug for chronic fatigue is now abandoned.
Summarizing the above, I would like to place the accents correctly. So, chronic fatigue is a disease, not just a state of fatigue. Symptoms are diverse and nonspecific, require careful examination of the patient. Chronic fatigue should be treated. To hope for its spontaneous disappearance is not worth it. The methods of struggle must necessarily be used in a complex. Saying "one in the field is not a warrior" can not be more accurately suited to the situation with the treatment of this disease. A competent selection of a whole arsenal of drug and non-pharmacological methods allows you to get rid of chronic fatigue forever.
TVC, the program "Doctor I" on the topic "Chronic fatigue syndrome
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