19. As a result of the change in the social fabric in societies, the differentiation of working conditions, the differentiation and aggravation of personal roles in the 20th century and later, fatigue has become a very common complaint. In the recent surveys conducted in our country, 55 out of 100 people state that they are very tired. This rate is about 38% for England. In studies conducted in the USA, the annual economic loss caused by fatigue is around 43 billion dollars. These values show that the frequency of the event and the economic losses it brings to the society are at very significant levels.
It is difficult to give a general definition for fatigue. It is the situation where the person cannot find enough strength and energy to start his daily activities, or the feeling of burnout at the end of his routine activities. Fatigue is a subjective complaint related to one’s perception, so it shows personal differences. Definitions such as fatigue, reluctance, powerlessness, weariness, and distress are often used to describe a similar situation
. However, some patients may describe shortness of breath during exercise or pain in the legs as fatigue. In this case, the density described may be a symptom of the disease of the cardiovascular system, other than the definition we often use. For this reason, it should be clarified what is really meant behind complaints such as weakness and fatigue.
TYPES OF FATIGUE
Physiological Fatigue It is seen in people with normal health status under stress, insufficient rest, insufficient sleep, diet changes or excessive activity. This type of fatigue is more common in elderly patients.
Organic Fatigue
This type of fatigue is associated with some diseases. It is the most common condition in middle and elderly patients. After family history, a complete physical examination, and blood and imaging tests, the cause can be determined and fatigue can be eliminated by treating the related disease.
Psychogenic Fatigue
In general, it constitutes 50% of all intensities. It is most often associated with depression. It can occur in any age group. It usually subsides during the day. Its severity can change in parallel with emotion, thought and stress.
Chronic Fatigue Syndrome
It was defined as Chronic Nervous Exhaustion in the 19th century. Chronic fatigue syndrome will likely be the prevalent disease of our century. It is rare in the elderly. In 30% of patients with fatigue, no organic or psychological cause is found. It is considered idiopathic chronic fatigue until the diagnosis is made. In these cases, there is lack of motivation, lack of concentration, weakness and irritability. There is often psychomotor retardation. Although fatigue is mostly a symptom of the disease, it can also be the disease itself under the name of chronic fatigue syndrome. Fatigue may occur as a result of all kinds of bacterial, viral or parasitic infections, anemia and similar blood diseases, liver or kidney disease, vitamin and mineral deficiencies in the blood, hormonal diseases, nutrition and sleep disorders. Hormonal causes such as thyroid hormone failure, adrenal gland failure, growth hormone failure and hypoglycemia may be overlooked in the early period.
For the diagnosis of chronic fatigue syndrome; Persistent and recurrent fatigue that cannot be identified after a full clinical evaluation should begin at a new and known time, persist, and cause a slowdown in activities in social and work life. In cases lasting more than 6 months, this syndrome should be considered.
Fatigue; If it is intense as never before, limits daily activities, has other complaints, if you have a chronic disease that you are following, or if you are in the risk group for some organic diseases due to family history or body structure, and if it does not go away with your own efforts, you should consult a physician without wasting time. Whether the complaint indicates danger or not is a situation that will become clear as a result of some medical research. The first sign of many insidious cancers may be fatigue. And in this case, many additional complaints related to weight loss, malnutrition and the area of involvement of the disease can be added to the table later.
CHRONIC FATIGUE SYNDROME
This syndrome is used to describe a persistent and recurrent disease that affects many systems. It does not have a single cause. We must accept that it is a situation in which stress and deterioration in the defense system and target deviation are in it. The most distinctive feature of chronic fatigue is that it does not go away with bed rest. The result of this process is fatigue.
Symptoms of Chronic Fatigue Signs of Physical Burnout
_ Persistent and repetitive physical and mental fatigue that is not due to any other cause, does not go away with rest, lasts longer than 6 months, and reduces the average daily activity by at least 50% sentimental.
_Weakness is a condition that occurs after previously tolerable exercise and persists for 24 hours or more.
_Loss of energy
_Weakness
_Being more susceptible to illness
_Headaches
_Nausea
and _Muscle cramps myalgia
_Low-back pain
_Loss of balance
_Digestive problems
_Sleep disorders
_Fatigue
(9800f fever) _Lightweight chills
_Sore throat
_Painful lymph nodes in the neck
_Unexplained generalized muscle weakness
_Muscle stiffness
_Temporary joint pain
_Pharyngitis
_Flu-like infections in some patients
Signs of Emotional Burnout
_Discomfort from light
_Difficulty in thinking
feeling
_Depression (98 00704)
_Despair, forgetfulness
_Stress at home, at work-increased arguing
_Angry
_Can’t see clearly
_Restlessness, impatience (98009704) ) _Decreased positive findings such as kindness and respect
Signs of Mental Burnout
_Dissatisfaction
_Quitting work
_Negative attitude towards self and work
_Memory problems
_ Neglecting work
Chronic fatigue syndrome is more common in type A aggressive, ambitious, meticulous, perfectionist, quick-tempered, quick-tempered personality structures. As a result of urban life and work intensity, it is more common in individuals of this community. It is more common in doctors and other allied health workers, executive staff, and those working in the field of economy. The female gender is more at risk than the male. There are no diagnostic blood tests for Chronic Fatigue Syndrome.
Treatment plan:
-holiday
-exercise (light exercises to help muscle relaxation)
– prolong daily rest periods
-medicine (ENADA – not available in our country, ARCALION)
-vitamins (according to daily needs)
-psychotherapy (lifestyle change)
Although the tasks we do during the day are similar to each other Our state of fatigue can be variable. This situation may arise from ourselves, from the change in the physical and social structure of the environment in which we work. We should rest as often as we can in a way that does not disrupt the work flow in our work environment. We must slow down our pace of life. We should try to stay away from stressful environments. We should arrange the working environment in a way that will give us the least fatigue. We should get social support and avoid unnecessary responsibility.
