"Syndrome" chronic fatigue does exist

It is not a myth and does not simulyatsiyaVpervye officially recorded in 1988 chronic fatigue syndrome still causes many physicians skepticism and suspicion in the simulation. Recently, the American Institute of Medicine released a detailed report, which said that the CFS does exist. Briefly present the most important thing from this article.





According to the authors, the main point of this report is that the CFS - a serious, chronic, complex, multisystem disease that is often significantly reduces the activity of the affected patients. They also propose to introduce a new name for it: the disease systematic effort intolerance (systemic exertion intolerance disease).

The report points to organic rather than psychological origin of CFS with the manifestation of overt physical symptoms: slow down the cardiovascular system even after exercise, delayed information processing by the brain, Orthostatic hypotension (dizziness, blackouts and other symptoms that appear when the patient stands up) . People with CFS more "physically weakened" than patients with type II diabetes, multiple sclerosis and congestive heart failure.

What we do not know much about these diseases, even does not mean that they do not exist h4> The authors believe that the US is living at least two and a half million patients with CFS. Among them, nine out of ten may have not been correctly diagnosed.

The new name was suggested in order to reflect the seriousness of the disease. The word "fatigue" may be misleading: it seems to us, we understand what it means, but the fatigue of CFS is as different from the usual, the evening fatigue as Ebola is characterized by the common cold. Its strength may vary from ailments in severe flu to the feeling that every cell in the body has lost its energy, and there is no possibility to gain enough breath to ask for help. Even with such pronounced symptoms, patients often can not get the right diagnosis - neurologists refer to psychosomatics and diagnosed with conversion disorder caused by long-forgotten trauma.

Slowness with which doctors learn about CFS, partly due to lack of effective testing and distrust the testimony of the patient. In his book, "Our present complaint" Harvard historian Charles Rosenberg argues that since the XIX century, after the devastating pandemics of cholera and the emergence of the germ theory of disease, medicine has focused on measurable indicators - temperature, pulse, X-rays, microscopes, laboratory analysis. Such a way of thinking, usually provides excellent results, has formed an unintended skepticism to diseases whose etiology is still poorly understood.

But the fact that we know little about such diseases does not mean that they do not exist.

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