Dysphagie est un terme médical qui signifie qu’un patient a des difficultés à avaler. Il y a un certain nombre de conditions différentes qui peuvent causer dysphagie. Et quelqu’un qui souffre de dysphagie trouve souvent qu’il rend la vie très difficile. En fonction de leur état, la déglutition peut être très douloureux, ce qui rend manger et obtenir assez de nutrition un défi.
Et ce qui est encore plus alarmant est que beaucoup de personnes atteintes de fibromyalgie déclarent avoir des problèmes avec dysphagie.
Alors, quelles sont quelques-unes des choses qui peuvent causer dysphagie? Y at-il un lien entre la condition et la fibromyalgie? Et que pouvez-vous faire pour le traiter?
Quelles sont les causes dysphagie?
Il y a un certain nombre de choses qui peuvent causer dysphagie. Tout ce qui interfère avec le système complexe des nerfs et des muscles qui contrôlent l’œsophage peut rendre la déglutition difficile. Mais quelques-unes des causes les plus courantes sont les suivantes:
- Achalasie – une condition qui provoque les muscles de l’œsophage constriction.
- Diffuse Spasm – une condition où les muscles spasme de façon incontrôlable, le plus souvent en cas d’ ingestion.
- Oesophagien Rétrécissement – un rétrécissement de l’ouverture de l’œsophage provoquée par des tissus cicatriciels ou des tumeurs.
- Reflux gastro-intestinal (RGO) – La destruction progressive du tissu dans l’oesophage causé par l’ acide provenant du lavage de l’ estomac dans l’œsophage.
Dysphagie peut également se produire sans aucune source évidente. Mais quelle que soit la cause, les symptômes sont souvent similaires. Les symptômes sont la plupart des communes la difficulté à avaler, douleur dans la gorge, les brûlures d’estomac fréquentes, une voix rauque et régurgiter la nourriture que vous avez déjà mangé.
Dans la plupart des cas, dysphagie est pas dangereux. Mais elle peut conduire à la perte de poids dramatique et peut être mortelle si elle vous fait régurgiter la nourriture dans les poumons.
Et pendant que nous ne savons pas toujours ce qui cause la condition, nous ne savons qu’il est anormalement fréquente chez les personnes atteintes de fibromyalgie.
Dysphagie et Fibromyalgie
Une étude menée par l’Institut national de la santé aux États-Unis a déterminé qu’un nombre important de patients atteints de fibromyalgie ont signalé des problèmes de déglutition. Les patients de l’étude souffrant de dysphagie ont déclaré à un taux 40% plus élevé que les personnes sans fibromyalgie.
Malheureusement, la raison pour laquelle ce genre de symptôme est fréquente chez les personnes atteintes de fibromyalgie reste un mystère. Il y a tellement de choses que nous ne savons pas comment la fibromyalgie fonctionne, y compris pourquoi il causerait dysphagie. Mais nous pouvons spéculer sur un certain nombre de possibilités.
Les personnes atteintes de fibromyalgie éprouvent souvent une faiblesse musculaire. Cette faiblesse pourrait expliquer pourquoi ils souffrent de dysphagie. Les muscles qui contrôlent le processus de déglutition peuvent être affectés par la faiblesse générale causée par la fibromyalgie.
De plus, nous savons que les personnes atteintes de fibromyalgie ont des problèmes avec leur système nerveux. Une étude NIH a constaté que les patients atteints de fibro avaient significativement plus d’anomalies neurologiques qu’un groupe témoin. Si la fibromyalgie est une maladie qui affecte le système nerveux, car de nombreux médecins suggèrent qu’il est, alors il pourrait causer une rupture entre les nerfs qui contrôlent l’oesophage et le cerveau.
Cela expliquerait pourquoi les gens souffrant de fibromyalgie ont du mal à avaler. Leur cerveau ne peut pas contrôler les muscles de l’oesophage comme il le ferait normalement. Mais jusqu’à ce que nous en savons plus sur l’état, nous ne pouvons pas dire avec certitude quel est le lien.
Heureusement, il y a certaines choses que vous pouvez faire pour traiter la maladie.
Options de traitement
La première étape de traitement est un diagnostic. La façon la plus commune pour diagnostiquer la maladie est à un test d’imagerie, comme une radiographie de baryum. Pour l’essentiel, le patient boit un produit de contraste – qui recouvre l’baryum oesophage et le rend plus facile de voir sur les rayons X. Le médecin peut alors examiner l’image pour voir si votre œsophage se développe correctement. Et cet examen peut également être fait avec une caméra endoscopique.
Votre traitement dépendra de ce qui cause la maladie. Si la condition est causée par l’affaiblissement des muscles, il y a un certain nombre d’exercices que vous pouvez faire pour renforcer les muscles. Et vous pouvez apprendre différentes techniques de déglutition pour compenser les muscles affaiblis. Votre médecin pourra vous conseiller sur ce qu’il faut faire.
Si le traitement est causée par la contraction des muscles dans l’oesophage, il y a un certain nombre de médicaments qui peuvent aider à détendre les muscles. En outre, un chirurgien peut effectuer une procédure pour dilater les muscles et les forcer à se détendre. Enfin, un chirurgien peut retirer des portions de l’œsophage à élargir l’espace pour la nourriture de passer à travers.
Si vous rencontrez des difficultés à avaler, il est toujours une bonne idée de voir un médecin. Ils seront en mesure de vous donner des conseils sur le meilleur traitement.
Alors, avez-vous déjà eu dysphagie? Pensez-vous qu’il est lié à la fibromyalgie? Qu’avez-vous fait pour le traiter? Faites le nous savoir dans les commentaires.
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