成年人的疲劳:评估和管理
Kelly M Latimer1, Althea Gunther1, Michael Kopec1
1Eastern Virginia Medical School, Norfolk, Virginia.
American family physician
|July 13, 2023
概括
疲劳是一种常见的投诉,影响健康和安全. 肌痛性脑筋炎/慢性疲劳综合征 (ME/CFS) 是一种严重的疾病,需要谨慎管理,运动可能会使症状恶化.
科学领域:
- 一般医学 一般医学.
- 神经学 神经学
- 免疫学 免疫学 免疫学
背景情况:
- 疲劳是对初级保健访问的主要原因,影响患者的福祉和职业安全.
- 疲劳被分为生理,次要或慢性,每个需要不同的管理方法.
- 肌痛性脑筋炎/慢性疲劳综合征 (ME/CFS) 是一种严重的,使人衰弱的疾病,具有复杂的潜在异常.
研究的目的:
- 审查疲劳的分类和管理,重点关注ME/CFS.
- 突出诊断标准和独特的挑战,在管理ME/CFS.
- 讨论COVID-19大流行后ME/CFS病例可能增加的情况.
主要方法:
- 对疲劳分类和诊断方法的全面审查.
- 分析ME/CFS病理生理学,诊断标准 (2015年美国国家医学院) 和症状管理.
- 讨论治疗策略,包括节奏,并考虑长期的COVID影响.
主要成果:
- 生理疲劳是通过生活方式调整来管理的;二次疲劳需要治疗潜在的疾病.
- ME/CFS的特点是后劳动不适,这使得炼可能有害.
- 目前对ME/CFS的治疗主要集中在治疗并发症和症状上,因为目前还没有确诊的治疗方法.
结论:
- 有效的疲劳管理需要准确的诊断和量身定制的治疗计划.
- ME/CFS 需要专门的护理,强调活动节奏以避免劳力后的不适.
- 长期COVID的症状重叠表明ME/CFS诊断的潜在增加,需要进一步的研究和意识.
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