Costochondritis bij fibromyalgie.

Mensen met fibromyalgie hebben waarschijnlijk ook pijn op de borst, een aandoening die bekend staat als costochondritis. Borstpijn kan variëren van mild ongemak tot ondraaglijke pijn die wordt beschreven als een hartaanval. 


Wat is costochondritis? 
Costochondritis is in wezen een ontsteking van het kraakbeen dat de ribben verbindt met het borstbeen, ook wel costocondrale vereniging genoemd. Afhankelijk van de intensiteit van de ontsteking, kan milde tot extreme pijn op de borst voorkomen. De pijn wordt vaak brand of pijn genoemd.

Wat zijn de oorzaken van costochondritis? 
De exacte oorzaak van costochondritis is niet bekend. De drie belangrijkste oorzaken van costochondritis zijn echter:  
virale infecties die verband houden met  
thoracale trauma’s aan de bovenste luchtwegen na verkeersongevallen als gevolg van bijzonder 
frequent  trauma 


Wat zijn de symptomen?

Chronische pijn in de ribbenkast en de borstwand is het belangrijkste symptoom. De pijn kan erger worden met oefenen en actief leven. In feite kan elke kleine beweging die ontstoken kraakbeen activeert, zoals diep ademhalen, niezen of hoesten, de pijn doen toenemen. De pijn kan ook de schouders en armen bewegen, wat erg lijkt op een hartaanval. Soms worden zwelling en roodheid waargenomen in het getroffen gebied en deze aandoening wordt de Tietze-syndroomzone genoemd. 


Wat is het verband tussen fibromyalgie en costochondritis? 
Het is waargenomen dat mensen met fibromyalgie meer kans hebben op symptomen die erg lijken op die van costochondritis. Het is echter duidelijk dat costochondritis is een symptoom van fibromyalgie of het resultaat van fibromyalgie. Fibromyalgie is geen ontstekingsziekte en veroorzaakt daarom nauwelijks een ontsteking van de costocondrale gewrichten. Echter, een theorie suggereert dat de gevoelige punten van fibromyalgie ligt net onder het sleutelbeen een rol permanent zou kunnen spelen in costochondritis, maar niet. 


Hoe kan ik costochondritis diagnosticeren? 
Gezondheidswerkers kunnen gemakkelijk costochondritis vaststellen op basis van de druk op de gewrichten als het borstbeen is verbonden met de ribben. Als je pijn en tederheid voelt wanneer je druk uitoefent op het genoemde gewricht, heb je waarschijnlijk last van costochondritis. Om ervoor te zorgen dat pijn op de borst niet wordt veroorzaakt door hartproblemen, zal de arts ook andere tests uitvoeren voordat een definitieve diagnose wordt gesteld. 


Wat is costochondritis? 
Zoals alle ontstekingen wordt costochondritis behandeld met ontstekingsremmers, zoals Motrin, Advil of een ijsbehandeling. 
Voordat u begint met een ontstekingsremmende behandeling, is het raadzaam om uw arts te raadplegen voor mogelijke complicaties: leven met fibromyalgie en costochondritis is moeilijk omdat u een combinatie van pijn en ontsteking voelt. Zoek medische hulp zodra symptomen worden gedetecteerd.



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