J’ai mal et je ne peux pas dormir: fibromyalgie et troubles du sommeil

Qu’est-ce que la fibromyalgie?

On pense que le syndrome de la fibromyalgie (FMS) résulte de nerfs hyperactifs. C’est une maladie qui entraîne   une douleur chronique et une sensibilité généralisée dans tout le corps  . Alors, qu’est-ce que cela signifie exactement? “Chronique” signifie que la douleur dure longtemps, au moins 3 mois. De nombreuses personnes ressentent la douleur de la fibromyalgie pendant des années avant qu’elles ne soient diagnostiquées.

“Large” signifie qu’il est dans tout le corps. Cependant, de nombreuses personnes atteintes de fibromyalgie ressentent leur douleur dans des zones spécifiques du corps, telles que le bas du dos, le cou et les épaules.

“Tendresse” signifie que même une petite quantité de pression peut causer beaucoup de douleur.

QUI AFFECTE LA FIBROMYALGIE?

FMS affecte plus de 5 millions de personnes aux États-Unis. C’est presque 1 Américain sur 60. Environ 80 des personnes atteintes de FMS sont des femmes. Ces femmes ont pour la plupart entre 35 et 55 ans.

SYMPTÔMES DE LA FIBROMYALGIE

Outre la douleur constante, les autres symptômes courants du syndrome de la fibromyalgie sont les suivants:

  • Problèmes de mémoire ou cognitifs, également appelés «brouillard fibro»
  • Problèmes de sommeil
  • Syndrome des jambes sans repos
  • Fatigue
  • Maux de tête / migraine
  • Syndrome du côlon irritable
  • Cycles menstruels douloureux
  • Engourdissement / picotements dans les mains, les bras, les pieds et les jambes
  • Sensibilité aux températures, aux bruits forts ou aux lumières vives

FIBROMIALGIE ET ​​SUJETS SONORES

Les recherches ont montré que les troubles du sommeil sont un symptôme très important chez les patients atteints de FMS. Autour des patients atteints de FMS se plaignent de sommeil. Des études ont montré que le traitement des troubles du sommeil avait un effet positif sur la douleur et les symptômes du syndrome de la fibromyalgie pendant la journée.

Bien que l’enregistrement du sommeil ne fasse pas partie des évaluations de routine, la polysomnographie peut révéler des troubles primaires du sommeil chez les patients atteints du SFM, tels que l’insomnie, l’apnée obstructive du sommeil et le syndrome des jambes sans repos.

FIBROMYALGIE ET ​​INSONIE (DOULEUR ET RÊVE)

L’insomnie est définie comme l’incapacité à dormir suffisamment pour se sentir reposé. Le manque de sommeil produit plus de douleur et l’augmentation de la douleur contribue au manque de sommeil. La douleur causée par le SSF peut rendre difficile de s’endormir la nuit, provoquer de fréquents réveils la nuit ou forcer une personne à se réveiller plus tôt que prévu sans pouvoir se rendormir. En ce sens, la douleur affecte à la fois la quantité de sommeil et la qualité.

Les personnes qui ressentent de la douleur sont également beaucoup plus sensibles au stress, qui est une autre cause majeure de perte de sommeil.

Les personnes souffrant de douleur sont également plus susceptibles de s’inquiéter de dormir suffisamment. Ils sentent qu’ils ont moins de contrôle sur la quantité et la qualité du sommeil qu’ils ont chaque nuit.

 

RÊVE DE FIBROMYALGIE ET ​​APNÉIA

L’apnée du sommeil est un trouble du sommeil mettant en jeu le pronostic vital dans lequel la respiration cesse et commence de manière répétée.

Selon une étude publiée en 2013 dans Rheumatology clinique et expérimentale, l’incidence de l’apnée du sommeil chez les patients atteints de FMS était chez l’homme et chez la femme. Une variante particulière de l’apnée du sommeil appelée syndrome de résistance des voies respiratoires supérieures est très fréquente chez les femmes atteintes de fibromyalgie. Le traitement de la respiration avec troubles du sommeil améliore la douleur et la fatigue chez les patients atteints de fibromyalgie.

FIBROMYALGIE ET ​​SYNDROME DE JAMBES RESTAURÉES

Le syndrome des jambes sans repos est un trouble neurologique caractérisé par des palpitations, des spasmes, des rampements ou d’autres sensations désagréables dans les jambes et par un désir incontrôlable et parfois écrasant de les faire bouger.

On a constaté que l’incidence du syndrome des jambes sans repos est plus élevée que celle des personnes atteintes du syndrome de la fibromyalgie par rapport à la population générale. Les patients atteints de FMS présentent une amélioration de leurs symptômes de fatigue et de somnolence lors du traitement du syndrome des jambes sans repos.

Options médicales

Si vous pensez que vous souffrez de syndrome de la fibromyalgie et que vous avez des problèmes de sommeil, discutez de vos symptômes avec votre fournisseur de soins primaires ou contactez une clinique du sommeil pour une étude du sommeil.

À la clinique du sommeil de l’Alaska, nous aidons chaque année à diagnostiquer et à traiter des centaines de résidents de l’Alaska souffrant de troubles du sommeil. Le sommeil régulier et la qualité sont l’un des aspects les plus importants d’une vie saine et heureuse. Avoir un trouble du sommeil non traité tel que l’insomnie, le syndrome des jambes sans repos ou l’apnée du sommeil peut non seulement nuire à la qualité de votre vie quotidienne mais aussi aggraver la douleur de FMS au fil du temps.

Si vous vivez en Alaska et souhaitez recevoir une évaluation du sommeil gratuite de l’un de nos éducateurs du sommeil, cliquez sur le lien suivant et commencez à dormir paisiblement la nuit.

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