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Still tired? Are you an imaginary patient or suffer yourselves from chronic fatigue? Those that are reached of it work hard to understand that of which they endure, especially as his origin is not comfortably identifiable by the physicians. When fatigue persists without obvious reason more than 6 months and without no improvement is noted, one cannot speak anymore of "temporary fatigue." The repairing sleep is only an old memory, the digestive unrests and the sore throats weight the state of mind of the one that is reached of this pain. The patient starts the fighter's course then while going from physician in physician to understand that of which he endures. Unfortunately the relations between physicians and sick can turn quickly to the dialogue of deaf. The man of sciences looks for the tangible elements to put his diagnosis whereas the patient works hard to characterize his pain, that he only evokes while using of the global terms. He is suspected then to force the feature, to add of it, to be a simulator or to best to listen to themselves too much. For Professor Jean-Louis Dupond, of him FALLEN from Besançon, the practitioner must adopt a Cartesian gait as for any illness. The exam permits to realize indeed that it is about in 20% of the cases of organic illnesses and in 79,5% of the cases of psychological illnesses of order. Only 0,5% of the French population really know problems of chronic fatigue. Of multiple reasons to exploreThe explanation of the illness is not often unique. The exams must permit to determine if a deficiency made of iron can be the reason of it. An American survey put in evidence that the students who had had their rules during their exam had gotten less good results that the other. " 25% of the women have deficiencies made of iron, even in the absence of anemia. has there a factor of explanation" underlines the Pr Dupond. To the inverse an excess of iron, that becomes a hemochromatose when it is genetic, is a lot more frequent than that that the accessible data until these last years let think. The endocrine messes (thyroid, surrénalien, hypophysaire and para-thyroid) can provoke strong feelings of fatigue also. Their importance remains to confirm nevertheless. Otherwise, fatigue is associated to the infectious and notably viral illnesses regularly. But it is difficult to know if it is the fatigue that permitted the infection, or if the virus provoked the decrease of tonus. An essentially feminine illnessThe chronic fatigue touches in her very big majority of the women. Professor Jean-Louis Dupond has his explanation: "to all patients that I receive, I tell to them that to go well, it is necessary to learn to be selfish. When a man is sick he lies down and délègue everything that he has to make. When a woman is sick, she continues to give her energy to the other. Not astonishing that she is tired." A way to underline that the approach of fatigue must be global, take in her physical, psychological and social dimension. 2009-03-25
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