Hay mucho misterio en el mundo de la fibromialgia, en gran parte porque afecta a todos de manera diferente. Otra razón de este misterio se debe a la similitud de los síntomas fibro en comparación con otras enfermedades y síndromes. La fibromialgia a veces se diagnostica erróneamente como un problema diferente y viceversa. De hecho, la gran cantidad de síntomas asociados con el fibro se encuentran comúnmente en otras enfermedades como la esclerosis múltiple, también conocida como EM. Entonces, ¿cómo sabes si es fibromialgia o esclerosis múltiple?
¿QUÉ ES EXACTAMENTE MS?
La Sociedad Nacional de la Sociedad define como sigue: “La esclerosis múltiple (EM) implica un proceso inmunológico en el que una respuesta anormal del sistema inmunitario del cuerpo se dirige contra el sistema nervioso central (SNC), que consiste en la médula espinal del cerebro y los nervios ópticos. Si usted o un ser querido tiene fibromialgia, puede detectar algunas palabras de moda y expresiones familiares, ¿verdad? Específicamente, “sistema inmune”, “respuesta anormal” y “sistema nervioso central”. De hecho, las similitudes en los síntomas se vuelven bastante sorprendentes cuando se analiza una comparación en paralelo. Tenga en cuenta que la mayoría, pero no todos, los síntomas de la fibromialgia se superponen con los de la EM, lo que dificulta la distinción entre la fibromialgia y la esclerosis múltiple:
| SYMTPOMS MS | SÍNTOMAS DE LA FIBROMIALGIA |
| Fatiga | Fatiga / agotamiento |
| Entumecimiento u hormigueo | Entumecimiento u hormigueo |
| La debilidad | Debilidad muscular |
| Vértigo y vértigo | mareo |
| dolor | dolor |
| Cambios emocionales | ansiedad |
| Dificultad para caminar | Coordinación alterada |
| Espasticidad (es decir, rigidez muscular y espasmos) | Dolores musculares, palpitaciones y contracciones musculares. |
| Ver problemas | Ver problemas |
| Problemas de vejiga | Problemas de vejiga |
| Problemas intestinales | Síndrome del intestino irritable |
| Cambios cognitivos | Problemas cognitivos |
| depresión | depresión |
| temblor | Síndrome de piernas inquietas |
| Dolor de cabeza | Dolores de cabeza / migrañas |
| Problemas para tragar | Ojos y boca secos |
| prurito | Prurito y / o quemaduras. |
| Problemas sexuales | Insomnio / mal sueño |
| Problemas del habla | Zumbido en los oídos |
| Problemas respiratorios | Síntomas neurologicos |
| Convulsiones | Sensibilidades y erupciones cutáneas. |
| Pérdida de audición |
Es evidente que la fibromialgia y la esclerosis múltiple tienen muchas similitudes, incluidas las conexiones neurológicas claras asociadas con el dolor, el adormecimiento y el hormigueo. Sin embargo, los expertos dicen que, a diferencia de la EM, la fibromialgia no se presenta como lesiones cerebrales en la RMN. Además, aunque ambas condiciones no tienen una fuente conocida, la EM está claramente clasificada como una enfermedad autoinmune, pero la fibromialgia no lo es. Por lo tanto, es una forma de determinar si es fibromialgia o esclerosis múltiple.
Una diferencia esencial en la esclerosis múltiple es que el paciente en realidad contrae daño nervioso a largo plazo que provoca discapacidades físicas y cognitivas. De hecho, algunos tipos de EM son progresivos. La EM primaria progresiva (PPMS), por ejemplo, “se caracteriza por un deterioro de la función neurológica (acumulación de discapacidad) tan pronto como aparecen los síntomas, sin recaída o remisión temprana”. La fibromialgia, por otro lado, a menudo se confunde con artritis, no causa daño a las articulaciones, músculos o tejidos.
¿QUÉ ES FIBROMYALGIA?
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La fibromialgia se caracteriza principalmente por dolor crónico y extenso. El segundo es la fatiga debilitante. Pero como puede ver en el gráfico anterior, los síntomas son bastante amplios. El problema al que se enfrentan muchos pacientes es que la fibromialgia se parece a muchas otras afecciones que generalmente son difíciles de diagnosticar. Sin embargo, algunos médicos tienen más probabilidades de detectarlo que otros.
¿CÓMO EVALUAR SP Y FIBROMYALGIA?
El Centro Médico de la Universidad de Maryland explica que el diagnóstico de fibromialgia consiste en un examen muscular detallado que incluye el control de la sensibilidad al tacto en áreas específicas del cuerpo. La evaluación de la gravedad de los síntomas específicos es otro elemento clave del examen. Los síntomas deben haber estado presentes durante al menos tres meses. Agregan que no hay pruebas de sangre, orina o laboratorio que puedan proporcionar un diagnóstico definitivo de fibromialgia. Sin embargo, el diagnóstico de fibro también significa que ningún otro trastorno o afección puede explicar los síntomas.
Sin embargo, el diagnóstico de EM es muy diferente porque causa muchos más síntomas neurológicos que la fibromialgia. Por lo tanto, los exámenes tienden a centrarse en el cerebro y las funciones nerviosas, incluida la RM cerebral y, a veces, la punción lumbar. Aunque la EM también puede ser difícil de diagnosticar, a menudo es más fácil que la fibromialgia. De hecho, la evaluación requiere buscar lesiones o áreas dañadas del sistema nervioso central.
¿CÓMO PUEDO DECIR SI ES FIBROMIALGIA O ESCLEROSIS EN PLACAS?
Es cierto que las similitudes entre la esclerosis múltiple y la fibromialgia son sorprendentes. Pero dado el daño neurológico causado por la EM, es un trastorno un poco más fácil que la fibromialgia. Los pacientes con esclerosis múltiple suelen ser tratados por un neurólogo. Pero lo mismo ocurre con muchos pacientes fibro. Como tal, un neurólogo probablemente tenga un agudo sentido de distinción entre los dos. Sólo las pruebas pueden decir. ¿Has sido mal diagnosticado? ¿Cómo te afectó? Cuéntanos tu historia, por favor!
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