Fatigue can be defined as a person feeling sluggish and inadequate while doing their daily work. Busy and pressured work pace, competitive, stressful life negatively affects health. It is normal to get tired when a physical activity is performed above the exertion capacity in daily life and it passes with rest. However, rested and normal daily activities, although the person feels tired, and less than 1 month, if there is acute fatigue syndrome, fatigue syndrome, subacute between 1-6 months, ongoing for more than 6 months is defined as chronic fatigue syndrome. In chronic fatigue syndrome, they also feel too weak to do their daily activities with complaints of weakness, muscle networks, constant sleep and/or insomnia, fatigue on November 1, 2019. Incidence: it is generally more common in women between the ages of 20-40 and is seen 4 times more than in men. Decapitation is not uncommon in women between the ages of 20-40.

WHAT CAUSES CHRONIC FATIGUE SYNDROME?

Chronic fatigue can be many causes of anemia, infections, liver, heart and kidney failure, vitamin and mineral deficiencies, metabolic disorders (hypoglycemia), hormonal problems (hypothyroidism, diabetes, adrenal insufficiency, sometimes serious health problems such as cancer, fatigue is the first sign. Fatigue and weakness caused by the disease disappear when the disease is treated. Fatigue can also occur as a result of repetitive and prolonged stress, sleep problems, depression and some other psychological problems.

Anemia (Anemia): It is one of the most common causes of fatigue. The blood carries oxygen, which provides nutrition to the tissues. In anemia, tissues work with less oxygen and therefore the organs get tired more quickly. The most common cause is Iron deficiency and vitamin B12 deficiency. After the anemia is eliminated with the treatment, fatigue also disappears.

Endocrine diseases: Hypothyroidism develops with the lazy functioning of the thyroid (goiter) organ. It can cause a person to feel tired all the time. In addition, in Diabetes mellitus (Diabetes), diseases of the adrenal glands, patients also feel tired, tired and powerless.

Heart diseases: In heart failure (whether due to heart valve disease or cardiovascular disease), fatigue is often felt and can be an early harbinger of the disease. Due to the insufficient functioning of the heart, it is unable to supply blood to the tissues in sufficient quantity and pressure. As a result, even with a very small effort, weakness, shortness of breath, palpitations, constriction are felt.

Infectious diseases: Viruses, bacteria, etc. that cause infections can cause fatigue from toxic substances secreted by factors, fever and nutritional disorders.

In kidney failure: Urea and electrolyte imbalance; causes malaise due to reasons such as treatment-resistant anemia.

Liver: It is the “chemistry laboratory” in our body. Jaundice and itching are also seen many times along with weakness in their diseases. Early treatment of these diseases is very important.

In oncological patients: weakness, loss of appetite, along with fatigue in tumors with a good and bad course, can lead to rapid weight loss.

Sleep disorders: The quality of life deteriorates if adequate time and quality sleep are not provided. Sleep apnea is also an important cause of fatigue.

Depression and stress: Fatigue: depression can also occur as a result of some psychological problems, such as insomnia accompanied by some psychological problems, repetitive and prolonged stress. Chronic fatigue syndrome can also be accompanied by weakness and fatigue, as well as head, throat, November, muscle and joint pains, hair loss, nail breakage, loss of appetite, weight loss, distraction.

HOW IS THE DIAGNOSIS AND DIAGNOSIS OF CHRONIC FATIGUE SYNDROME PERFORMED?

The findings that cause chronic fatigue syndrome should definitely be examined. The patient's history, examination and examination findings may not be sufficient for diagnosis. If necessary, the patient can consult with a psychologist, psychiatrist and physical therapist and a more comprehensive evaluation can be provided.

TREATMENT OF CHRONIC FATIGUE SYNDROME

The treatment should be programmed individually. In order to resolve complaints in a short time: medical treatment, nutrition program, appropriate exercises, psychotherapy- psychological support should be provided along with individual and family therapy. Continuity of treatment should be ensured and encouragement should be given to the patient at every stage.In the business environment, it is necessary to set the correct pace and periods of work and rest. Fatigue should be prevented by taking short and frequent breaks within the possibilities.