DE FIBROMYALGIE BESCHOUWT NU ALS EEN STOORNIS VAN HET CENTRALE ZENUWIGE SYSTEEM VAN HET GEHELE LEVEN, GELIEVE DEZE INFORMATIE TE DELEN.

La fibromialgia es la segunda enfermedad reumática más común detrás de la osteoartritis y,
aunque todavía ampliamente mal entendido, ahora se considera que es un trastorno del sistema nervioso de toda la vida el centro, que es responsable del dolor amplificado que dispara a través del cuerpo en los que la padecen.
Daniel Clauw, M. D., profesor de anestesiología de la Universidad de Michigan, se analizó la base neurológica para la fibromialgia en una dirección de Pleno de hoy en la Reunión Científica Anual de la Sociedad Americana del Dolor.

“Fibromyalgia se puede considerar tanto como una enfermedad discreto y también como una vía final común de centralización dolor y cronificación.

De meeste mensen met deze aandoening hebben levenslange verhalen over chronische pijn in het hele lichaam, “zei Clauw. “De aandoening kan moeilijk te diagnosticeren zijn als iemand niet bekend is met klassieke symptomen, omdat er geen enkele oorzaak is en er geen externe symptomen zijn.”

Clauw legde uit dat de pijn van fibromyalgie meer afkomstig is van de hersenen en het ruggenmerg dan van delen van het lichaam waar iemand perifere pijn kan ervaren.
Aangenomen wordt dat de aandoening verband houdt met veranderingen in de manier waarop de hersenen pijn en andere sensorische informatie verwerken.

Hij zei dat artsen zouden moeten vermoeden bij patiënten met multifocale fibromyalgie (meestal musculoskeletale) pijn die niet volledig wordt verklaard door een blessure of ontsteking.

“Omdat pijnwegen door het hele lichaam worden versterkt bij patiënten met fibromyalgie, kan pijn overal voorkomen,

dus chronische hoofdpijn, viscerale pijn en sensorische hyperrespons komen vaak voor bij mensen met deze pijnlijke toestand, “zei Clauw.

“Dit betekent niet dat de perifere nociceptieve input niet bijdraagt ​​aan de pijn die wordt ervaren door patiënten met fibromyalgie,
maar ik voel meer pijn dan normaal zou worden verwacht van de mate van perifere input.
Mensen met fibromyalgie en andere pijntoestanden die worden gekenmerkt door sensibilisatie zullen pijn ervaren van degenen die de aandoening niet hebben, zouden een aanraking kunnen beschrijven, “voegde Clauw eraan toe.

Omdat de oorsprong van het centrale zenuwstelsel pijn van fibromyalgie,
Clauw waarbij opioïden of andere narcotische analgetica zijn vaak niet effectief omdat ze de activiteit van neurotransmitters in de hersenen niet verminderen.
“Het is niet aangetoond dat deze medicijnen effectief zijn bij patiënten met fibromyalgie
en er zijn aanwijzingen dat opioïden fibromyalgie en andere gecentraliseerde pijntoestanden zelfs kunnen verergeren,” zei hij.

Clauw adviseert artsen om behandelingen met medicijnen, zoals gabapentinoids, tricyclische en selectieve heropnameremmers serotonoin, te integreren
met niet – farmacologische benaderingen zoals cognitieve gedragstherapie, lichaamsbeweging en stress te verminderen.

“Soms overtreft de omvang van de respons op behandeling voor eenvoudige en goedkope niet-farmacologische therapieën die van geneesmiddelen,” zei Clauw. “Het grootste voordeel is de functie,
die het hoofddoel zou moeten zijn van de behandeling voor het verbeteren van elke chronische pijntoestand. De meerderheid van de patiënten met fibromyalgie kan een verbetering van hun symptomen zien en een normaal leven leiden met de juiste medicijnen en een uitgebreid gebruik van niet-medicamenteuze therapieën. “

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