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ARTÍCULO del Canadian Family Physician_Functional impairment in CFS, FM, and MCS_original inglés. 2010

ARTÍCULO del Canadian Family Physician_Functional impairment in CFS, FM, and MCS_original inglés. 2010

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Artículo científico “peer reviewed” sobre síndrome de fatiga crónica, fibromialgia y/o sensibilidad química múltiple que vio la luz en febrero de 2010 en la revista CFP-MFC del College of Family Physicians of Canada, y de la que MI ESTRELLA DE MAR ha obtenido autorización para ofrecer su traducción y publicación en su espacio.
Artículo científico “peer reviewed” sobre síndrome de fatiga crónica, fibromialgia y/o sensibilidad química múltiple que vio la luz en febrero de 2010 en la revista CFP-MFC del College of Family Physicians of Canada, y de la que MI ESTRELLA DE MAR ha obtenido autorización para ofrecer su traducción y publicación en su espacio.

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Published by: María José Moya (Mi Estrella de Mar) on Apr 07, 2010
Copyright:Attribution Non-commercial No-derivs

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05/17/2012

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Jdsmnf m`ynmr`hs m dermd nsmh tcr`h&jor`nfmn& nc `fsmyfh deh`mdnf thtmsmzms
@! _se Fnzhrh
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KOGHDSMZH
 
Sk denrndshrmwh ynsmhast cmnlakthc |mse `xfsmyfh deh`mdnf thatmsmzms} %@DT-& derkamd nsmlxht}acrk`h %DJT-& kr ork`}nflmn %J@-& sk dk`ynrh sehmr fhzhf k xadsmka |mse Dnancmna ykyxfnsmka nzhrnlhznfxht& nac sk ntthtt ndskrt nttkdmnshc |mse xadsmka!
CHTMLA
 
Denrs rhzmh| nac notsrndsmka k dfmamdnf makr`nsmka!
 
THSSMAL
 
Seh Hazmrka`hasnf Ehnfse Dfmamd %HED- ns \k`ha”t Dkffhlh Ektymsnf ma Skrkask& Kas& |emde mt nyrkzmadmnf rhhrrnf dhasrh kr ynsmhast |mse mffahttht |mse txtyhdshc hazmrka`hasnf fmabt& htyhdmnff} @DT& DJT&nac J@!
 
YN_SMDMYNAST
 
N sksnf k >?5 dkathdxsmzh ynsmhast cmnlakthc |mse > kr `krh k @DT& DJT& kr J@& thha ohs|hha Gnaxnr} ?998 nac @nrde ?99: ns seh HED!
@NMA KXSDK@H @HNTX_HT
 
Ch`klrnyemd nac tkdmkhdkak`md denrndshrmtsmdt& dk`kromc cmnlaktht& cxrnsmkak mffahtt& ehnfse thrzmdht xtnlh& fmh tsrhttht& ehfyxf sehrnyhxsmd tsrnshlmht& nac xadsmkanf m`ynmr`has`hntxrhc o} seh Tekrs Jkr`—4:& dk`ynrhc |mse Dnancmna ykyxfnsmka nzhrnlh znfxht! Jndskrt tmlamdnasf}nttkdmnshc |mse xadsmka ma omznrmnsh nanf}tht |hrh madfxchc ma `xfsmyfh fmahnr nac fklmtsmd rhlrhttmka `kchft!
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Seh ynsmhas ykyxfnsmka |nt yrhck`manasf} h`nfh %5:!<(-& |mse n `hna nlh k 33!: }hnrt! Thzhas}hmles ynsmhast enc cmtdrhsh cmnlaktht k > k @DT& DJT& kr J@& |emfh seh rh`nmachr enc ? kr 4 kzhrfnyymalcmnlaktht! @kts %:5!5(- enc tskyyhc |krb& nac ka nzhrnlh semt enc kddxrrhc 4 }hnrt nshr t}`ysk` kaths! Kahzhr} Tekrs Jkr`—4: txotdnfh& ynsmhast enc `nrbhcf} fk|hr xadsmkanf tdkrht sena ykyxfnsmka nzhrnlh znfxht&`krh tk |eha seh} enc ? kr 4 k sehth cmnlaktht! Enzmal J@& }kxalhr nlh ns kaths& nac fk|hr tkdmkhdkak`mdtsnsxt |hrh `kts dkatmtshasf} nttkdmnshc |mse ykkr xadsmka!
DKADFXTMKA
 
Ynsmhast thha ns seh HED ch`katsrnshc`nrbhc xadsmkanf m`ynmr`has& dkatmtshas |mse sehmrrhykrshc cmdxfsmht |krbmal nac dnrmal kr sehmrek`ht nac n`mfmht cxrmal |ens tekxfc oh sehmr yhnbyrkcxdsmzh }hnrt! Hnrf} dk`yrhehatmzh ntthtt`has&`hcmdnf `nanlh`has& nac tkdmnf nac anadmnf txyykrs`mles nzkmc seh chshrmkrnsmka k xadsmka nttkdmnshc|mse yrkfkalhc mffahtt! Hcxdnsmka nac makr`nsmkarhtkxrdht nrh rh~xmrhc kr ehnfse dnrh yrkhttmkanft nacseh yxofmd& nfkal |mse xrsehr hsmkfklmd nac yrklaktsmdrhthnrde!
HCMSK_”T BH] YKMAST
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Masemttsxc}&cmnlaktmtkjork`}nflmn|ntnttkdmnshc|msechdrhnthtmaye}tmdnfjxadsmkamal&h`ksmkanf|hffohmal&zmsnfms}%hahrl}nacjnsmlxh-&nactkdmnfjxadsmkamalnac|msemadrhnthcokcmf}ynma2derkamdjnsmlxht}acrk`h|ntnttkdmnshc|msechdrhnthtmaye}tmdnfjxadsmkamalnach`ksmkanf|hffohmal2nac`xfsmyfhdeh`mdnfthatmsmzms}|ntnttkdmnshc|msefhttokcmf}ynmasenarhykrshco}sehrhtskjsehtsxc}ykyxfnsmka!Nfsekxlesehtsxc}ykyxfnsmka|ntyrh
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ck`manasf}jh`nfh&`halhahrnff}rhykrshcfk|hrjxadsmkanftsnsxtsena|k`hacmc!
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Semttsxc}|ntdkacxdshcn`kalynsmhastkjsehHazmrka`hasnfEhnfseDfmamdmaSkrkask&Kas&|emde`mlesenzhomnthcynsmhasthfhdsmkask|nrcsekth|msefkalhrcxrnsmkanaclrhnshrthzhrms}kjt}`ysk`t!
Semtnrsmdfhentohhayhhrrhzmh|hc!
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Onmtth ch f”ísns dsmhf cnt fh tcr`hch nsmh derm~h& fn jor`nfmh hsf”eyhrthtmomfmsí dem`m~h `fsmyfh
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Ísnofmr fht dnrndsírmtsm~xht cht ynsmhast yríthasnas xa cmnlaktsmd c”e}yhrthatmomfmsí dem`m~xh`xfsmyfh %ED@-& ch t}acrk`h ch nsmlxh derkam~xh %TJD- kx ch ork`}nflmh %J@-& dk`ynrhr fhxr amzhnx chkadsmkaah`has nxu znfhxrt `k}haaht ch fn ykyxfnsmka dnancmhaah hs íznfxhr fht ndshxrt nttkdmít é f”ísnskadsmkaahf!
S]YH CӒSXCH
 
_hzxh ch ckttmhrt nzhd husrndsmka cht ckaaíht dfmam~xht!
 
DKASHUSH
 
F”Hazmrka`hasnf Ehnfse Dfmamd %HED- cx \k`ha”t Dkffhlh Ektymsnf ch Skrkask& Kas!& xa dhasrh chríírhadh yrkzmadmnf ykxr ynsmhast tkxrnas ch `nfncmht ykxznas çsrh fmíht é f”hazmrkaah`has& ckas fn ED@&fh TJD hs fn J@!
YN_SMDMYNAST
 
Xa sksnf ch >?5 ynsmhast dkatídxsmt zxt nx HED hasrh gnazmhr ?998 hs `nrt ?99: hs ykxrfht~xhft ka n yktí nx `kmat xa cmnlaktsmd ch ED@& ch TJD kx ch J@!
Y_MADMYNXU YN_N@ÅS_HT É F”íSXCH
 
Dnrndsírmtsm~xht cí`klrnyem~xht hs tkdmkídkak`m~xht& yríthadh chdk`kromcmsí& cxríh ch fn `nfncmh& xsmfmtnsmka cht thrzmdht ch tnasí& tsrhtt ch fn zmh& tsrnsílmht seírnyhxsm~xhthdndht hs onmtth cx tsnsxs kadsmkaahf `htxríh ynr fh ~xhtsmkaanmrh TJ4:& ha dk`ynrnmtka cht znfhxrt`k}haaht ykxr fn ykyxfnsmka dnancmhaah! Fht ndshxrt yríthasnas xah nttkdmnsmka tmlamdnsmzh nzhd f”ísnskadsmkaahf cnat cht nanf}tht omznrmíht kas ísí madfxt cnat cht `kcåfht ch rílrhttmka `xfsmfmaínmrh hsfklmtsm~xh!
_íTXFSNST
 
F”ídenasmffka ísnms dk`yktí txrskxs ch h``ht %5:&< (-& f”ïlh `k}ha ísnms ch 33&: nat2 <5 ynsmhasta”nznmhas ~x”xa cmnlaktsmd %ED@& TJD kx J@-& fht nxsrht ha nznmhas dendxa ? kx 4! Fn yfxynrs nznmhas dhttích srnznmffhr& ha `k}haah 4 nat nyråt fh cíoxs cht t}`ysó`ht! Ykxr den~xh tkxtídehffh cx ~xhtsmkaanmrhTJ4:& fht tdkrht cht ynsmhast ykxr f”ísns kadsmkaahfísnmhas sråt maírmhxrt é dhxu ch fn ykyxfnsmka líaírnfh2dhxu cht ynsmhast nzhd ? kx 4 cmnlaktsmdt ísnas hadkrhyfxt ont! Jndshxrt fht yfxt rílxfmårh`has nttkdmít éxah onmtth kadsmkaahffh7 cmnlaktsmd ch J@& cíoxs yfxt ghxah hs tsnsxs tkdmkídkak`m~xh ont!
DKADFXTMKA
 
Fht ynsmhast zxt é f”HED yríthasnmhasxah m`ykrsnash onmtth cx tsnsxs kadsmkaahf& hsxah cmdxfsí é t”nd~xmsshr cht sïdeht ~xksmcmhaahtenomsxhffht é dhs ïlh! Xah íznfxnsmka yrídkdh`maxsmhxth& xa srnmsh`has `ícmdnf& hs xa txyykrstkdmnf hs anadmhr ykxrrnmhas ízmshr fn císírmkrnsmkakadsmkaahffh nttkdmíh é xah `nfncmh yrkfkalíh! Mfnxcrn krmr cht kxsmft ch kr`nsmka hs c”makr`nsmkanx yhrtkaahf tkmlanas hs nx yxofmd& hs nmrh c”nxsrhtrhdehrdeht txr fht ntyhdst ísmkfklm~xh hs yrkaktsm~xh!
YKMAST CH _HYÅ_H CX _íCNDSHX_
 
FhED@&fhTJDhsfnJ@tkaschtDnancmhatjrí~xhast©—hazmrka8(chtDnancmhatkasnx`kmatxachdhtcmnlaktsmdt—`nmtyhxc”ísxchtdnancmhaaht}kasísídkatndríht!
 
Cnatdhsshísxch&fhcmnlaktsmdchJ@t”nddk`yn
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lanmsc”xahonmtthchf”ísnsjkadsmkaahfye}tm~xh&chfnthatnsmkachomhaçsrh&chfnzmsnfmsíhscxjkad
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smkaah`hastkdmnf&hsc”xahnxl`hasnsmkachtckx
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fhxrt2fhTJD&c”xahonmtthchf”ndsmzmsíye}tm~xhhscxomhaçsrhí`ksmkaahf2hsf”ED@&ch`kmatchckxfhxrtdkrykrhffht~xhdh~xmhtsrnyykrsíykxrfhrhtshchfnykyxfnsmka!Omha~xhfhttxghstchf”ísxchísnmhastxrskxschtjh``ht&fhtek``htrnyykrsnmhaslíaí
-
rnfh`hasxahísnsjkadsmkaahfmajírmhxrédhfxmchtjh``ht!
 
Dhsshísxchykrsnmstxrchtynsmhastchf”Hazmrka
-
`hasnfEhnfseDfmamdchSkrkask&Kas&dh~xmykxrrnmsnzkmromnmtífntífhdsmkachtynsmhasthajnzhxrcht}`ysó`htyfxttízårhthsyfxtcxrnofht!
Dhsnrsmdfhnjnmsf”koghsc”xahrízmtmkaynrchtynmrt!
DnaJn`Ye}tmdmna
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Jdsmnf m`ynmr`hs m dermd nsmh tcr`h
 
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erkamd nsmlxh t}acrk`h %DJT-& ork`}nflmn %J@-&nac `xfsmyfh deh`mdnf thatmsmzms} %@DT- nrh rhfnsmzhf} dk``ka derkamd dkacmsmkat |mse seh ykshasmnfsk txotsnasmnff} fm`ms xadsmkamal nac ehnfserhfnshc ~xnfms}k fmh!
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Seh Tsnsmtsmdt Dnancn ?998 Dnancmna Dk``xams}Ehnfse Txrzh} kxac sens >!? `mffmka Dnancmnat& kr 8( k sekth nlhc >? kr kfchr& rhykrshc enzmal ohha cmnlakthc|mse ns fhnts > k sehth 4 mffahttht7 >!4( |mse DJT& >!8(|mse J@& nac ?!3( |mse @DT!
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Seh kzhrnff yrhznfhadh rkth|mse nlh sk :!=( kr |k`ha nlhc 38 sk :3–n yhrmkc ma|k`ha”t fmzht |eha seh} |kxfc xtxnff} oh h`yfk}hc nacndsmzh dkasrmoxskrt sk tkdmhs}! Nff 4 k sehth dkacmsmkatenzh t}`ysk`t rhhrnofh sk `xfsmyfh okc} t}tsh`t& nactsxcmht ma seh Xamshc Tsnsht tek| emle rnsht k kzhrfnyn`kal seh`!
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Ek|hzhr& seh} hnde enzh tk`h cmtsmadshnsxrht& nt kxsfmahc ma seh dnth drmshrmn nac chtdrmysmkatyrkzmchc ma
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2 seh `kts aksnofh nrh sehyrkkxac ye}tmdnf nac dklamsmzh nsmlxh k DJT& seh |mchtyrhnc `xtdxfktbhfhsnf ynma k J@& nac seh dk``ka srmllhrmal k ahxrkfklmd t}`ysk`t ma @DT ka huyktxrh skcmzhrth deh`mdnft ns yrhzmkxtf} skfhrnofh fhzhft kr ns fhzhftskfhrnshc o} `kts yhkyfh! Sehrh mt n ynxdms} k Dnancmnafmshrnsxrh chtdrmomal sehth dk``kaf} hadkxashrhc mffahttht& ynrsmdxfnrf} ma seh dfmamdnf thssmal!Semt tsxc} nm`hc sk chtdrmoh n dfmamdnf ynsmhas ykyxfnsmka ma n Dnancmna dkashus& sk ckdx`has xadsmkanf tsnsxt|mse seh @hcmdnf Kxsdk`ht Tsxc}”t 4:msh` tekrs kr`%TJ4:-
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dk`ynrhc |mse Dnancmna ykyxfnsmka nzhrnlh znfxht& nac sk chshr`mah |ehsehr fhzhf k xadsmka |nt nttkdmnshc |mse ch`klrnyemd kr cmnlaktsmd denrndshrmtsmdt!
@HSeKCT
Thssm nc yyfnsm
Seh Hazmrka`hasnf Ehnfse Dfmamd %HED- mt seh kaf}lkzhra`hasxachc& ndnch`mdnff} nmfmnshc dfmamd maKasnrmk sens mt yrkzmadmnff} `nacnshc sk yrkzmch ntthtt`has k ynsmhast |mse dk`yfhu& derkamd hazmrka`hasnff}fmabhc dkacmsmkat! Ynsmhast nrh rhhrrhc o} ye}tmdmnat|mse hmsehr yrhzmkxt cmnlaktht kr ykttmofh cmnlaktht k DJT& J@& kr @DT& kr txtymdmka k naksehr hazmrka`hasnff} rhfnshc dkacmsmka! \mse nyyrkznf rk` seh _hthnrdeHsemdt Oknrc k \k`ha”t Dkffhlh Ektymsnf& cnsn |hrhhusrndshc rk` denrst k nff dkathdxsmzh ynsmhast thhaohs|hha Gnaxnr} ?998 nac @nrde ?99: |ek enc ohhacmnlakthc o} HED ye}tmdmnat |mse ns fhnts > k DJT& J@&nac @DT %A 0 >?5-!
@hntrht
Ohkrh ohmal ntthtthc& rhhrrhc ynsmhast dk`yfhshcn ?9ynlh masnbh ~xhtsmkaanmrh! Seh ch`klrnyemd
Oku >!
Dermd nsmh tcr`h dnth drmshrmn ncchtdrmysm'
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Mffahttyhrtmtsmalnsfhnts:`k%4`kmademfcrha-2kathsmtxtxnff}cmtsmads&oxsdnaohlrncxnf
'Cmnlaktsmddehdbfmtstdnaohck|afknchcjrk`
!dy!dn
!DfmdbkasehHazmrka`hasnfEhnfseDk``msshhfmab!Cnsnjrk`Jxbxcnhsnf
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nacDnrrxsehrthsnf!
>?
Oku ?!
Jmor`nfmn dnth drmshrmn nc chtdrmysm'
@krhsena4`kkj|mchtyrhnc`xtdxfktbhfhsnfynma%omfnshrnf&xyyhrnacfk|hrokc}&numnf-
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>4
7jnsmlxh&ynrsmdxfnrf}njshrhuhrsmkaahxrkfklmdkrdklamsmzhdk`yfnmastehncndehtfkttkjtfhhyre}se`ehnskrdkfcmaskfhrnadhh`ksmkanfax`oahttkrnaumhs}dnrcmkzntdxfnrdk`yfnmast%hl&cmwwmahtt&e}ykshatmka&ehnrsre}se`noakr`nfmsmht-`nrbhc|hmlesdenalh
'Cmnlaktsmddehdbfmtstdnaohck|afknchcjrk`
!dy!dn
!DfmdbkasehHazmrka`hasnfEhnfseDk``msshhfmab!Cnsnjrk`sehN`hrmdnaDkffhlhkj_ehx`nskfkl}!
>3
Oku 4!
@fsmyfh deh`mdnf thtmsmzms dnth drmshrmnnc chtdrmysm'
T}`ysk`trhyrkcxdmofh|msehuyktxrh
Dkacmsmkamtderkamd
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T}`ysk`tm`yrkzhkrrhtkfzh|ehamadmsnastrh`kzhc
_htykathtkddxrsk`xfsmyfhdeh`mdnff}xarhfnshctxotsnadht
T}`ysk`tmazkfzh`xfsmyfhkrlnat}tsh`t
Xamzhrtms}kjSkrkaskcmtdrm`mansmalt}`ysk`t
>8
Enzmalntsrkalhrthathkjt`hffsena`ktsyhkyfhnac?kjsehjkffk|mal7–jhhfmaltyndh}–jhhfmalcxffkrlrkll}–enzmalcmjdxfs}dkadhasrnsmal
'Cmnlaktsmddehdbfmtstdnaohck|afknchcjrk`
!dy!dn
!DfmdbkasehHazmrka`hasnfEhnfseDk``msshhfmab!Cnsnjrk`seh>===dkathatxtchamsmka!
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