¿Llevas meses sintiéndote cansado y con malestares generales? Quizás podrías estar experimentando fatiga crónica.
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00:00What is Chronic Fatigue Syndrome and how does it differ from normal fatigue?
00:07When you said it's 10.32am, I said, wow, that's a long week.
00:12No, but really, this is a topic that many people can have and maybe don't even realize they have, Doctor.
00:17What is Chronic Fatigue Syndrome?
00:19Chronic Fatigue Syndrome is a syndrome that is very important,
00:24of which little was known, and that can affect people by phases.
00:30They can have the predisposition to present it.
00:33There is already a trigger and it is triggered.
00:37And this chronic fatigue, beware, is not a short thing.
00:41It requires, for its diagnosis, which lasts at least, listen to this, six months.
00:49Six months to diagnose you?
00:51Six months of fatigue.
00:54No, but what happens is that many people may have this and don't know it, don't realize it.
01:01And you can say, maybe I'm with anemia, maybe I'm tired because I'm reaching the end of the year.
01:08That's what one thinks, end of the year, so much stress.
01:11Or rightly, this compadre got lazy.
01:13Of course.
01:14Effectively, then, some key aspects of this little-known syndrome,
01:20and that can be important, is that this feeling of fatigue appears with minimal effort.
01:28For example, a person may be shopping for a Christmas gift and at one point it is not enough to complete.
01:36He feels so tired that he is unable to complete the activity and has to call someone to pick him up.
01:43Because he doesn't even dare to drive.
01:46In other words, he could even associate it with overweight.
01:51Of course, one can associate it with other causes, but this is a well-established syndrome.
01:58There is a loss of strength, it can even make thinking difficult.
02:03The person does not think well, it is difficult for him to organize his thoughts,
02:09it diminishes his productivity.
02:11Very tired, and be careful, it can be associated with certain pains.
02:17Look, more than a permanent sensation, one feels it physically.
02:27Physically.
02:28And mentally.
02:29And mentally.
02:31In other words, a person with chronic fatigue will show a picture that extends over time.
02:38They are months of fatigue.
02:40It's not just that today I'm tired.
02:42Or this week.
02:43This week.
02:44They are months in this condition, which can have a kind of, listen to the term, mental fog.
02:53It's hard for him to reason.
02:55That is, mental fog fatigue.
02:58Mental fog.
02:59In addition, another thing is added, headache.
03:04Mental fog.
03:05Mental fog.
03:06Let's get to mental fog.
03:09Memory problems.
03:12Concentration.
03:13Concentration.
03:14He forgets things.
03:15It's hard for him to reason, to do a mental task.
03:20To elaborate, for example, a shopping list, it's harder for him than usual.
03:27To do a simple mathematical operation, like, ah, look, look, here we have ...
03:32How much is this going to cost us?
03:35Or, for example, I'm cooking and I don't remember that I have to put the ingredients of what I'm doing.
03:41Something like that.
03:42Simple.
03:43Exactly.
03:44So those tasks are harder for him.
03:46There is a state that has been called mental fog.
03:51He has his ability, but it is difficult for him to concentrate, it is difficult for him to perform tasks.
03:57So he has this physical disability, but also associated with this mental decline that he has in moments of difficulty concentrating.
04:10Beware, a very important syndrome.
04:13Syndrome.
04:14When you talk about syndrome, let's say ...
04:17Where does it come from?
04:18It comes from the fact that several symptoms are associated and these symptoms have allowed the diagnosis to arrive.
04:27How does it originate?
04:29It is still being studied.
04:31How does it trigger?
04:33We know that it has three phases.
04:35That there is a previous phase, that people may not have symptoms yet, but they have a predisposition.
04:44That is, family background.
04:47Someone who has had this picture and one can have it.
04:51And there is a second phase that there is a trigger.
04:55Look, a trigger.
04:57A trigger.
04:59This does not start little by little, but many times there is something.
05:04A viral disease.
05:06For example, one had an infection.
05:09An infectious mononucleosis.
05:12A COVID virus.
05:14It can have different viruses.
05:18Epstein-Barr virus.
05:19Cytomegalovirus.
05:20Different viruses.
05:21Already.
05:22Or a disease or a lot of stress.
05:25A situation of a lot of stress.
05:27This trigger comes and then appears.
05:30I got better.
05:31I'm cold, but I feel ...
05:33It was like weak.
05:35Weak.
05:36It's hard for me to concentrate.
05:37Let's talk about the symptoms so that people, maybe some people can identify it.
05:42Maybe you can have it.
05:44Did you talk about headache?
05:46Yes.
05:47Symptoms.
05:48Headache appears.
05:50Frequent?
05:51It can be frequent headache associated with fatigue, fog, sore throat.
06:00How weird is that, doctor?
06:01Because a person can say, I'm cold, I have a sore throat.
06:05But does he actually have chronic fatigue?
06:07It can be.
06:08Indeed.
06:09And another curious thing, Pri.
06:11Ganglions.
06:12There may be palpable ganglions.
06:15What doctors call cervical lymphadenopathy.
06:20They have been found in patients ...
06:23Like when you give him papers.
06:25Of course.
06:27But it's not just the gland, but nodules that are the lymphatic ganglions that can be palpable.
06:35In other words, this is an entity that has several mixed components, right?
06:41What seems to happen?
06:43If one sees within our central nervous system,
06:49there is an axis that is activated when the person is under stress.
06:56The axis of the hypothalamus, the hypothesis, the pituitary gland and the suprarenal glands.
07:04Oh, the suprarenals suck, huh?
07:06Exactly.
07:07Inside our body.
07:11Excuse me, Covita, I'm going to take out your digestive viscera.
07:17And back here, on the kidney, in this part, on the kidney.
07:23Up here we have the suprarenal glands that secrete cortisol.
07:30Cortisol.
07:31And this elevated cortisol, maintained for a long time,
07:36generates changes, both in the immune system and at the cellular level,
07:43in the way we produce energy for daily life.
07:47We have a WhatsApp question,
07:49and then I'm going to ask you a question about what you just said,
07:51because I find it super interesting.
07:53Look.
07:54Hello, doctor.
07:55Is there anything to do with the end-of-year stress,
07:58with all your concerns about the development of chronic fatigue syndrome?
08:01I'm Javier Adeñuñoa.
08:04Can it be a trigger?
08:05Javiera, very good, very good.
08:08What Repe says, it can act as a trigger.
08:13Indeed, two things happen.
08:15That the person who has the favorable precondition for chronic fatigue syndrome,
08:22with this trigger, the symptoms may appear.
08:25Or the person who already has the picture,
08:29can have a bad end-of-year stress,
08:33and enter a trigger-response syndrome, right?
08:39In which stress makes the symptoms appear,
08:42you feel tired, and fatigue makes you stress more.
08:47Because it says, I'm not doing well, and I'm not going to be able to respond,
08:51and a vicious circle begins.
08:53For there to be a trigger, doctor,
08:55there must necessarily be a previous condition.
08:57Exactly.
08:58For something to be called a trigger.
09:00Exactly.
09:01So, what is the previous condition?
09:02What is the predisposition to have chronic fatigue?
09:05We have learned some things,
09:08at least three things that are important for you to know.
09:12One, in who is more frequent, in women or in men?
09:17In women, obviously.
09:19In women, due to the psychological burden.
09:24There is an emotional burden.
09:26And not only that.
09:28She is explaining a physical thing.
09:30It was a catharsis.
09:32Go to rest.
09:34I have chronic fatigue, doctor.
09:36It does not matter that you are sitting,
09:38because after the commentary it was ...
09:40I have chronic fatigue.
09:42We can do this segment with the doctor.
09:44If you want to rest, just go.
09:47Oh, both are breaking for laughter.
09:50They looked like that, friend.
09:52And we really looked.
09:54Yes, it was terrible.
09:56But you are right.
09:57Why?
09:58Ten times more frequent in women than in men.
10:05Why?
10:06Pri asks.
10:08It could be because the immune system of women is different.
10:14There is a physical thing.
10:16There is a physical reason.
10:18And there is more prevalence of diseases of immune origin among women.
10:25And this could be associated with the origin of chronic fatigue.
10:30First element.
10:32More in women than in men.
10:34Second element.
10:35Age.
10:36Age.
10:37Do not tell me anything.
10:38Do not tell me anything.
10:40I think we are in the ...
10:42About 45.
10:44And there too.
10:47There are two moments of rise.
10:50One is before 40, at 30, there is a great increase.
10:57But beware, between 40 and 50 there is another great increase.
11:03So do not get rid of much because it affects ...
11:07In those two groups there is a great incidence.
11:11But doctor, you say that because women have another immune system.
11:15An immune system a little different from men.
11:18Yes.
11:19But it may also be because we get more stressed or we get more physically and mentally tired
11:24because everything we do involves feelings and emotions.
11:29It could be.
11:30But what has been attributed so far is connecting it more with the immune system.
11:37And the emotional part could influence as a trigger.
11:41Beware.
11:42And the third element that we have learned is a topic that relates to something hereditary.
11:50It has been seen that people who have someone in the family who suffers from chronic fatigue
11:57have more risk.
11:59And that would be the previous phase.
12:01More in women, more at a certain age and with prior precedents
12:06waiting for a trigger to appear, for all the symptoms to appear.
12:11How good to give seriousness to this issue because one can come home and tell you
12:15Hey, you know I'm diagnosed with chronic fatigue and I'm going to die of laughter.
12:19Really, one has to understand that this is real.
12:23As you explain to us, doctor.
12:25This is real.
12:26If you remember, there was a topic that was often attributed to a psychosomatic disease
12:33such as fibromyalgia.
12:35Exactly.
12:36And for many years it was said, well, take a tranquilizer, that's it.
12:42Now we have learned from this disease, which is chronic fatigue syndrome, and it is very real.