GUIDE: FIBROMYALGIE CAUSES, SYMPTÔMES ET OPTIONS DE TRAITEMENT

Les personnes atteintes de fibromyalgie ont une douleur généralisée, la douleur et la raideur dans les muscles et les articulations tout sur le corps avec une fatigue inhabituelle. Il est aucune cause connue de la fibromyalgie. En outre, les médecins ne peuvent pas trouver une autre raison physique pour les symptômes. Des tests sanguins, X – rayons et d’ autres tests sont généralement normaux chez les personnes atteintes de fibromyalgie.

La fibromyalgie est une maladie controversée. Certains médecins ne croient pas que c’est une maladie, mais peut être le reflet de la détresse ou le stress psychologique. Cependant, il n’y a aucune preuve d’une cause psychologique. Jusqu’à ce que nous avons une meilleure compréhension de la maladie, il est susceptible de rester controversée.

Il se peut que la fibromyalgie a plus d’une cause. Certains chercheurs ont suggéré est liée à des anomalies dans une partie des niveaux inespérés sommeil ou bas de la sérotonine, une substance chimique du cerveau qui régule le cycle de perception du sommeil et la douleur. D’autres théories ont lié la fibromyalgie à de faibles niveaux de somatomédine C, un produit chimique lié à la force musculaire et la réparation musculaire, ou modifier le seuil à partir duquel une personne éprouve de la douleur. Autres traumatismes cité, des anomalies dans la circulation sanguine dans les muscles, les infections virales ou autres déclencheurs possibles de la fibromyalgie.

La fibromyalgie touche environ 3,4% des femmes et 0,5% des hommes aux États-Unis, ou entre 3 millions et 6 millions d’Américains. Le plus souvent, il affecte les femmes en âge de procréer ou plus. En fait, selon certaines estimations, plus de 7% des femmes de 70 ans ont la fibromyalgie. De nombreuses personnes atteintes de fibromyalgie ont aussi des problèmes psychiatriques tels que la dépression, l’anxiété ou les troubles alimentaires, bien que la relation entre la fibromyalgie et les troubles de santé mentale reste incertaine.

Les symptômes de 
fibromyalgie peut causer de la douleur et la raideur des muscles et des articulations presque partout dans le corps, y compris le tronc, le cou, les épaules, le dos et les hanches. Les gens ont souvent la douleur entre les omoplates et le bas du cou. La douleur peut être une douleur générale ou la douleur et la raideur des rongeurs est souvent pire le matin.

En général, les gens se plaignent aussi de se sentir anormalement fatigué, en particulier de se réveiller fatigué, mais ils ont bien dormi. Les personnes atteintes de fibromyalgie ont également des points sensibles qui sont des points précis du corps qui sont douloureuses au toucher. Certaines personnes rapportent des symptômes du syndrome du côlon irritable, la dépression, l’anxiété et les maux de tête.

Pour les études de recherche, l’American College of Rheumatology (ACR) a établi des critères pour la fibromyalgie qui comprennent une combinaison de symptômes inexpliqués tels que la douleur, la fatigue, se réveiller le sentiment unrefreshed, et / ou des problèmes avec la pensée ou de la mémoire. Cependant, les médecins font souvent le diagnostic chez les personnes souffrant de douleur généralisée et aucune autre cause identifiable, même si les critères ne sont pas respectés.

Diagnostic 
Après avoir posé vos symptômes, votre médecin va vérifier l’ enflure, des rougeurs et des mouvements dans certaines parties ayant une déficience du corps où ils ont de la douleur. Votre médecin va également vérifier les points d’appel d’offres.

Votre médecin vous posera des questions détaillées sur vos antécédents médicaux et vous examinera pour exclure d’autres conditions ou maladies qui pourraient expliquer vos symptômes, tels que la maladie de la thyroïde ou une carence en vitamine D.

Durée prévue Les 
symptômes de la fibromyalgie sont généralement chroniques. Bien que le traitement peut être utile, les symptômes ont tendance à être durable (et souvent tout au long de la vie).

Prévention 
Il est aucun moyen connu pour prévenir la fibromyalgie.

Le traitement 
pour soulager la douleur de la fibromyalgie, votre médecin peut vous prescrire de l’ acétaminophène (Tylenol et d’ autres marques); L’ aspirine ou d’ autres AINS tels que l’ ibuprofène (Motrin, Advil et autres) ou le naproxène (Aleve); Un relaxant musculaire tel que le cyclobenzaprine (Flexeril); Ou un antidépresseur comme l’ amitriptyline (Elavil) ou la fluoxétine (Prozac). Parfois , ces médicaments sont prescrits en combinaison. Par exemple, l’ amitriptyline et la fluoxétine sont administrés ensemble peut aider plus d’un.

Au cours des dernières années, la FDA a approuvé la prégabaline (Lyrica), duloxétine (Cymbalta) et milnacipran (Savella) pour le traitement de la fibromyalgie. Cependant, les études ne sont pas comparé avec le plus ancien pour le traitement à long terme de ces médicaments condition. Un certain nombre d’autres médicaments, y compris la gabapentine (Neurontin), Tramadol (Ultram) et Tizanidine (Zanaflex), sont couramment prescrits pour la fibromyalgie. Cependant, les médicaments souvent ne fonctionnent pas et les traitements ne sont pas des médicaments (voir ci-dessous) peuvent être beaucoup plus utiles.

l’exercice aérobie tel que se faible impact, le vélo ou la natation plusieurs fois par semaine, est également considéré comme une partie essentielle du traitement. Enfin, l’amélioration de la qualité du sommeil peut améliorer les symptômes, il peut aider à éviter la caféine, l’exercice d’un jour de retard et les liquides pendant la nuit. Si vos symptômes ne s’améliorent pas, votre médecin peut également vous suggérer d’essayer une ou plusieurs des thérapies suivantes: l’acupuncture, la thérapie de massage, des compresses chaudes, biofeedback, tai chi, hypnose, thérapie de groupe ou la gestion du stress. Si vous avez des symptômes de dépression ou d’anxiété, ceux-ci peuvent améliorer la psychothérapie et les médicaments antidépresseurs ou antianxiety.Every personne avec la fibromyalgie est différent, afin que les gens peuvent avoir des plans de traitement significativement différentes des mesures habituelles décrites appel anteriormente.Cuando un profesionalCall votre médecin chaque fois que la douleur chronique ou une fatigue extrême, surtout si elle interfère avec votre capacité à travailler, dormir, faire des tâches ménagères normales ou profiter des activités de loisirs. Des études sont en désaccord sur les perspectives pour les personnes atteintes de fibromyalgie. Par exemple, les résultats de certains centres de traitement spécialisés montrent perspective pauvres. Cependant, les programmes de traitement, montrent communautaire que les symptômes disparaissent dans un quart des patients et d’améliorer de manière significative les symptômes dans environ la moitié

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