We can define it as "an intense fatigue and continual; which is not relieved by rest and is not directly caused by other diseases ". The exact causes of CFS are unknown, but theories suggest a viral cause (more specifically the Epstein-Barr virus or human herpes virus 6); or an autoimmune inflammation of the nervous system. However it could not yet be determined, and therefore not discarded also influenced by factors such as stress, Genetic or environmental causes. This syndrome occurs most often in women 30 a 50 years old, but it can affect other sectors of the population. It is a disease that is little known and little understood.
What are your symptoms?
As its name implies, deep and persistent fatigue is the main symptom. And then frequently exaggerates the physical or mental exercise. It could also include other features such as headaches or muscle aches, lack of concentration and memory, irritability or joint pain. Extreme tiredness usually have the following characteristics at the beginning of the pathology, What is it:
Lasts at least 6 months
It is not relieved by rest or prolonged sleep
Severe enough to prevent some activities of daily living
Exams and Tests
Basically controls in this syndrome are based on other possible causes of fatigue, such as anemias, hypothyroidism, farmacodependencias, neurological diseases (as multiple sclerosis), depression and psychiatric diseases and other cardiac pathological conditions, liver or kidney.
After ruling out other causes, we focus on the same symptoms of fatigue.
CFS currently has no cure. So the treatment is based on relieving symptoms. Each patient is usually addressed in a very particular, and as first steps it comes to improving and maintaining quality of life, including healthy eating and exerted gradually and to its posibilidades.Además cognitive behavioral therapies include, sleep management techniques and pharmacological treatments to reduce pain, anxiolytic and / or antidepressant.
The patient is advised to lead an active social life, but avoiding physical activity exaggerate, control balance between activity and rest sleep; and a balanced distribution of occupations weekly. It has also seen good results in some patients biofeedback techniques, hypnosis, meditation or Yoga
Since the causes, prospects and forecasts of this disease are still unclear, it is suggested not self-medicate with multivitamins and perform medical consultation as soon as possible before any of these symptoms, for early detection of activity.
Currently investigating whether it could also be a way of SFC "atypical", and the existence of more specific markers to achieve earlier diagnosis and more effective. Therefore it is a condition that is in the middle stage of research.
At Posada del Qenti we have a multidisciplinary team that can help in detecting both SFC, as well as the other possible pathologies; always with the intention of improving the health of our patients.
The World Health Organization (WHO) considers Work stress as a serious problem, and therefore it has developed some concepts and recommendations to remedy this situation. Se considera que el estrés laboral afecta negativamente a la salud psicológica y física de los trabajadores, y a la eficacia de las entidades para las que trabajan. Un trabajador estresado suele ser más enfermizo, estar poco motivado, ser menos productivo y tener menos seguridad laboral; also, la entidad para la que trabaja suele tener peores perspectivas de éxito en un mercado competitivo.
¿Que es el estrés laboral?
La OMS considera que: “El estrés laboral es la reacción que puede tener el individuo ante exigencias y presiones laborales que no se ajustan a sus conocimientos y capacidades, y que ponen a prueba su capacidad para afrontar la situación”.
En términos generales, un trabajo saludable es aquel en que la presión sobre el empleado se corresponde con sus capacidades y recursos, el grado de control que ejerce sobre su actividad y el apoyo que recibe de las personas que son importantes para él. Dado que la salud es un estado de completo bienestar físico, mental and social, y no solamente la ausencia de afecciones o enfermedades, (WHO, 1986), un entorno laboral saludable no es ̇nicamente aquel en que hay ausencia de circunstancias perjudiciales, sino abundancia de factores que promueven la salud.
¿Que puede generar en las personas sometidas al mismo?
Estar cada vez más angustiado e irritable
Ser incapaz de relajarse o concentrarse
Tener dificultades para pensar con lógica y tomar decisiones
Disfrutar cada vez menos de su trabajo y sentirse cada vez menos comprometido con este
Sentirse cansado, deprimido e intranquilo
Tener dificultades para dormir
Sufrir problemas físicos tales como: cardiopatías, trastornos digestivos, aumento de la tensión arterial, headache, trastornos músculo-esqueléticos (como lumbalgias y trastornos de los miembros superiores), etc..
¿Cuales son sus consecuencias?
El estrés laboral puede afectar a las entidades del siguiente modo:
Aumento del ausentismo
Menor dedicación al trabajo
Aumento de la rotación del personal
Deterioro del rendimiento y la productividad
Aumento de las prácticas laborales poco seguras y de las tasas de accidentes
Aumento de las quejas de usuarios y clientes
Efectos negativos en el reclutamiento de personal
Aumento de los problemas legales ante las demandas presentadas y las acciones legales emprendidas por trabajadores que sufren estrés
Deterioro de la imagen institucional tanto entre sus empleados como de cara al exterior
Prevención del Estrés
La Prevención del estrés laboral puede centrarse en 3 pillars:
Prevención primaria, reducción del estrés a través de:
Definición del puesto de trabajo y diseño ambiental
Perfeccionamiento de la organización y de la gestión
Prevención secundaria: reducción del estrés a través de:
Educación y capacitación de los trabajadores
Prevención terciaria: reducción de los efectos del estrés a través de:
Desarrollo de sistemas de gestión más sensibles y con mayor capacidad de respuesta, y mejora de la prestación de servicios de salud ocupacional.
Para ser un empleador y un director eficaz hay que tomar la iniciativa en la gestión del estrés laboral
Para mayor información sugerimos consultar la guía “La Organización del Estrés y el Trabajo” publicada por la OMS: www.who.int/occupational_health/publications/pwh3sp.pdf
It is normal to see today as people fail to give due importance to the product of the stress of daily food and labor load. This has several consequences, but among them is the decline in performance and employee productivity. By Edith Gomez *.
WHO (World Health Organization) It says that a poor diet can affect labor productivity up 20%. Not only that, also increases the risk of overweight, a little and produces poor concentration, tiredness and heaviness.
Adriana Ruiz, nutrition expert and coordinator of the program Sodexo Equilibrate Colombia states that "each employee requires that a balance in your daily diet, taking into account their energy requirement, depending on their job functions ".
Adriana says it is of great importance that the employee has a good diet, balanced, that supply nutrients, vitamins and minerals needed for proper operation. "His type of activity should be taken into account, if an operating worker will have a much higher calorie need and also their protein intake by the development of muscle mass and spending that will have. If an administrative employee, which it is a bit more sedentary, it will require fewer calories ", explains Ruíz.
On the other hand, an employee who works in work more intellectual type should eat foods that contain many more nutrients, Omega-3 fatty acids, football, iron, zinc, magnesium and protein to ensure proper development and functioning of its biological computer - brain.
Foods are recommended tyrosine, that improve productivity, as meat, fish, chicken and turkey; milk products, like milk, cheese, yogurt and cottage cheese; vegetables, as vegetables and peanuts. Others that are included tofu, the almonds, pumpkin seeds, bananas, avocado and sesame seeds.
And finally, nutritionist recommends that "should take advantage of the spaces for exercises in enterprises. Is not present this type of space, the idea is to do simple exercises, such as using stairs instead of the elevator for hiking with active pause, and avoid sedentary lifestyle that can result in weight problems or even more serious ".
Out saturated fats
WHO conducted a study that says that fats should account for between 15% and 30% daily consumption; saturated fats should be less than 10% of that total.
Carbohydrates should be between 55% and 75% daily consumption, proteins need contribute between 10% and 15% Calories, and salt must have a limit of five grams per day; in the case of fruit and vegetables should be increased to reach at least the 400 grams each day.
Having these foods on your diet and combining and distributing fine during the day will have a very positive result in labor productivity, and of course the quality of life of employees. It is important to respect the areas of food, as this ensures that the digestion process is done properly and the nutrients from the food you eat take advantage.
essential foods you should include in your daily
nutritionist, Adriana Ruiz, recommends some foods that can contribute to good job performance:
1. whole grains: Grains contain carbohydrates, Vitamins, minerals and fiber necessary to supply you the energy you need to speak fluently in the best way at work and to maintain good bowel function.
2. Nuts: the nuts, almonds and hazelnuts provide Omega-3 fatty acids that are good for keeping the mind active and healthy.
3. Vegetables: Spinach helps relieve stress and bring about a balance in the mood of workers.
4. Fruits: They are full of vitamins, minerals and fiber, which they are an excellent choice for the person to have a good nutritional status and health. The banana, especially, It is a rich source of energy and potassium which help them stay active during a work task.
5. Carnes: Of course, meats are needed in the diets of people. They are rich in tyrosine, which helps work activity during the day is good, plus, regulate mood and allows the central nervous system remains in good working order.
6. Salmon, sardines and tuna: These foods provide fatty acids Omega-3 that help keep the active worker, also protect you from cardiovascular diseases such, and on the other hand act for the operation of the immune system.
*Description author: Edith Gomez is editor in Gananci, passionate about digital marketing, specializing in online communication. He refuses to go to bed every night without having learned something new. Is concerned about business ideas and, even more, provide a creative look to the small world in which we live.
Based therapy mindfulness (mindfulness) It could help reduce the risk of repeated episodes of depression, researchers report.
One expert who was not involved in the study explained the method of mindfulness.
“Cognitive therapy based on mindfulness increases awareness of thoughts and emotions that are experienced, and allows the development of skills to handle them better”, said Dr.. Ami Baxi, psychiatrist who directs the inpatient services at Lenox Hill Hospital, in New York City.
In the new study, a team led by Willem Kuyken, University of Oxford, In England, He analyzed the findings of nine studies published. The investigation included a total of nearly 1,300 Patients with a history of depression. The studies compared the effectiveness of mindfulness therapy compared to usual care for depression and other active treatments, including antidepressants.
After track 60 weeks, those who received the mindfulness treatment were less likely to relapse into depression than those receiving usual care, and they had about the same risk as those who received other active treatments, team reported.
The study authors also believe that mindfulness therapy can bring more benefits than other treatments for patients with more severe depression.
The study appears in the online edition 27 April JAMA Psychiatry.
“Mindfulness practices were not originally developed as a therapeutic treatment”, He wrote in an accompanying editorial Richard Davidson, the University of Wisconsin-Madison. “originally they appeared in the contemplative traditions to cultivate the welfare and virtue”, explained.
“Questions about whether, and how, could be helpful in relieving symptoms of depression and other psychopathologies related are fairly recent, and evidence are embryonic”, according to Davidson.
Although this review is the most comprehensive analysis to date, “also it raises many questions, and the limited nature of existing evidence underscores the critical need for more research is done”, Davidson concluded.
But another psychologist said he is already using mindfulness therapy in their practice.
“I have gradually been incorporating mindfulness-based interventions in my work with children, adolescents and adults, and I have seen how it has improved treatment outcomes and general welfare of my patients”, Jill said Emanuele, principal clinical psychologist at the Child Mind Institute of the City of New York.
Emanuele said there is growing evidence that this method provides patients “increased awareness of their emotions and thoughts, and the ability to regulate them and address them more effectively”.
HealthDay, translated by HolaDoctor SOURCES: Ami Baxi, M.D., director, adult inpatient services, department of psychiatry, Lenox Hill Hospital, New York City; Jill Emanuele, Ph.D., senior clinical psychologist, Child Mind Institute, New York City; JAMA Psychiatry, news release, April 27, 2016
What do we mean by stress? Can be defined as the interaction of the demands or requirements to which it is subjected a person and their specific responses. A negative stress or distress arises when the demands or requirements of the psychosocial environment are intense, the prolonged excessive, exceeding the adaptive capacity of the individual. In these situations the person attempts to adapt any stimulus are inefficient and excessive and means a great effort.
Among the most common symptoms found: Anxiety, irritability, insomnia, mood disorders, decreased psychophysical performance, Appetite disturbance, sexual dysfunction, feeling tired from waking, lack of concentration and memory.
What can we do to address this situation? First it is important to know that we have internal and external resources to address them. Among the mechanisms we have:
Registro corporal. Start listening to my body as I feel that I am needing.
Saber qué es necesario priorizar dentro de mis actividades, view which I consider important to take care and recognize that I delegate.
Sacar provecho de cada experiencia vivida aprendiendo de mis errores y de mis aciertos. This increases my self-esteem.
Darme cuenta de mis emociones para poder expresarlas y de mis límites desde lo corporal, I admit if I can get help.
Evitar compararme con los demás, everyone is different and has different times.
Poder ir discriminando si hago las cosas para cumplir expectativas ajenas o las propias.
Take care of my choices, generará menos estrés ya que surge de mi propia necesidad y deseo.
There are other external resources:
Actividades físicas y recreativas
It is possible in our daily lives to incorporate small changes that have to do with what we need to enjoy, matizando nuestras obligaciones con los placeres.
All change involves a process and each process takes a different time in each. We can start by devoting a few minutes a day to record how we are. Change is not always easy, but we know that it is possible, and most importantly depends on oneself.
Massage therapy is one of the oldest health practices of the world. References in books of Chinese medicine dating back are over 4 a thousand years. In the West, Therapeutic massage has been used since the time of Hippocrates (the father of medicine), which implemented the terms listed in the sixth century BC writings: "The physician must be familiar with the manual handling of tissues".
Therapeutic massage of the modern era, began in Europe (eighteenth century), cuando Peter Hendrik Ling, He developed the technique that today is known as "Swedish massage" and founded in Switzerland, Royal Central Institute of Gymnastics 1813. In recent 50 years old, complementary medicine practitioners, They have applied different forms of therapeutic massage and today, It is one of the most popular treatments, not only in alternative medicine, but as a complement of different treatments in traditional medicine (included in many health insurance).
Clinical studies have shown that massage can relax the body and mind, lower blood pressure and heart rate, help in the treatment of depression, provide headache relief, aching facial, symptoms of stress and many chronic diseases such as arthritis and diabetes.
Corporate Massage, noted that the therapy provides global effects on health, as increased sense of well being, particularly in patients with disabilities, or with limited possibilities of physical contact with other people, patients with mental health problems or addictions treatments.
Some of the massage therapies are:
Swiss Massage: It is the most popular massage. The therapist may use hands, forearms and elbows, to manipulate the superficial layers of muscle groups to try and apply the technique active or passive movements of the joints. Profits attributable to Swiss massage are numerous, among themselves: enhanced circulation, mental and physical relaxation, stress relief, treatment of pain and muscle spasms, improving the mobility of joints, increase muscle strength, circulation stimulation (blood and lymphatic), improved skin tone, mental relaxation, improved sleep, increased concentration and increased sense of well being.
Deep tissue massage: This technique combines the Swiss massage, acupressure and deep pressure in different tissues. It goes beyond the superficial layers of muscle, to relieve the tension and benefit the range of motion of joints. Do not expect to relax with this massage, or you may feel some discomfort when the masseur applies pressure with his fingers deep, elbows or instruments used in this therapy . Not recommended for patients with recent injuries in accidents or sports.
Massage in pregnancy: Massage in pregnant women supports their physiology, to emotional changes and improves the sense of well being . Various forms of massage can be used, as the Swiss massage, that helps control stress and anxiety. High levels of stress during pregnancy, may adversely affect the mother and fetus, it can be accompanied by a reduction of blood flow to the uterus and increased incidence of abortion and premature labor. Massage is a way to approach the mother and child.
Masaje facial: Different massage techniques, recorded varied benefits such as improved muscle tone of the skin of the face, muscle relaxation, relief of tension and anxiety, mental relaxation, relief of migraine headache, stimulation of the acupuncture meridians (for improving circulation and energy flow), relief of tension in the neck muscles, congestion of the sinuses and pre-menstrual syndrome.
Masaje Shiatsu: It is based on the principles of Chinese medicine. Shiatsu helps the patient to balance the flow of energy or CHI. Shiatsu practitioners use the fingers, knuckles, palms, sometimes elbows and knees, to apply pressure to the 12 energy meridians. Other, reported good results in people with asthma, depression, headache, insomnia, pre-menstrual syndrome and muscle problems.
Thai Masaje (Thai): It was developed to help the monks to sitting for long periods of time. Thai massage includes elements of acupressure and yoga. The technique promotes flexibility and joint health. The practitioner applies pressure to manipulate the muscles with hands, sometimes elbows and feet. The technique seeks to balance energy or CHI. It is applied to people that affect motor function problems, muscle tension, neurological problems, digestive problems and postural.