Musachepetse matenda osiyanasiyana angasonyeze chapansipansi za kutopa, akuganiza maonekedwe a ulesi kapena kusayembekeza awo kuti "nyengo" beriberi. Mwachitsanzo, zizindikiro za matenda a kutopa (CFS) kusonyeza matenda ndithu lalikulu limene ayenera kulandira chithandizo msanga kupewa matenda aakulu kwambiri. Monga matenda osiyana CFS anali woyamba anakweza yekha mu 1988, koma chiwerengero cha milandu matenda chikuwonjezereka. Iwo ayenera yomweyo kudziŵika kuti ndi kumva kutopa matenda, kupewa zimene ziyenera kuchitikira kuyang'aniridwa ndi dokotala, si lililonse, koma pathogenesis ake si bwino kwambiri kwa asing'anga. Complete matenda a CFS n'chotheka m'mayesero matenda, pamene cholinga chofuna kudziwa bwino matenda a anthu, ayenera kupeza chizindikiro chimodzi cha kutchulidwa ndi osachepera asanu ndiribe anasonyeza momveka bwino.
Mfundo ngati tikukamba za zizindikiro za matenda a kutopa, chinthu choyamba kubwera m'maganizo maganizo kutopa ndi ulesi. Komabe, kutopa likupitirirabe ngakhale patapita kuchuluka kwa zina kapena pambuyo kuchepetsa zolimbitsa thupi osachepera theka. Mawu osavuta kwambiri - munthu wakhazikika, koma amamva atatopa kwambiri ngakhale pambuyo kuchuluka appreciable nthawi. Koma musaiwale za zizindikiro ang'ono amene ali ndi ena minofu kusapeza, soreness m'dera lymph mfundo (ndi zina ngakhale zotheka zizindikiro za malungo ndi malungo). Kumene, maganizo ndi imfa ya khalidwe kukumbukira kumachititsa thandizo zina.
Ena kumva kutopa zizindikiro syndrome angafanane ngakhale pa chiyambi cha matenda chimfine, pamene pangakhale ululu pakhosi ndi lymph mfundo, zikamera wa laryngitis, chizungulire, nkhawa, kuzizira ndi ululu mwadzidzidzi chifuwa kupweteka. Mwatsoka, chifukwa cha zochitika zimenezi nthawi limapezeka misdiagnosis kuti kumabweretsa chikhalidwe kuwonongeka kwa wodwala. Komabe, payenera kulabadira chakuti zizindikiro za kutopa matenda aakulu pofuna awo mankhwala pogwiritsa ntchito mankhwala mavairasi oyambitsa chiyani kutha. Choncho, ndi chizindikiro choyamba kuonetsetsa kuti kusonyeza chikhalidwe cha maonekedwe awo, ndi kuti apeze zinthu kwa munthu aliri atypical.
Ponena za mankhwala a matenda, ayenera yomweyo kuchenjeza madokotala nawo iwo safuna, ndi ena ogwira ntchito mankhwala ndipo si matenda a CFS lapansi. Komabe, katswiriyu, ENT sing'anga ndi wodwala ayenera kuchita kafukufuku pa nkhani ya kukayikirana cha kukhalapo ngati matenda ake. Pali ena ya ntchito imene mankhwala a matenda kutopa. Chithandizo mankhwala wowerengeka mu nkhani iyi pakhoza kukhala amphamvu kusiyana ndi kugwiritsira ntchito mankhwala psychotropic.