Fibromyalgi, Lupus eller begge deler?
Oppdag hvordan legen din kan skille mellom fibromyalgi og lupus.
P: Min familie lege, mistenker at jeg kan ha lupus, henviste meg til en reumatolog, som diagnostiserte fibromyalgi. Er det mulig å få symptomer på lupus, men har det virkelig fibromyalgi?
A: Finn ut om en pasient har lupus, fibromyalgi eller begge deler – som er helt mulig – krever grundig medisinsk historie, fysisk undersøkelse og laboratorietester. Diagnosen av lupus og fibromyalgi kan være vanskelig fordi forholdene deler noen symptomer.
Under medisinsk historie, fibromyalgipasienter beskriver ofte tretthet og utbredte muskelsmerter eller muskelsmerter som ofte forsterket av mangel på søvnkvalitet. Lupus pasienter kan også ha tretthet og muskelsmerter, men de første symptomene kan omfatte et utslett på kinn og nese blir forverret av sollys, nyreproblemer, pustevansker eller en blodpropp, slag eller hjerteinfarkt
Den fysiske undersøkelsen av en person med fibromyalgi viser ledd som beveger seg normalt og ikke svulmer. Imidlertid har personer med fibromyalgi ofte myke områder på musklene, og å trykke på disse områdene forårsaker ubehag. Undersøkelse av en person med lupus kan vise felles smerte, stivhet, hevelse eller unormal bevegelse.
I de fleste tilfeller fører pasientens medisinske historie og fysisk undersøkelse til en diagnose; Laboratorietester bekrefter vanligvis diagnosen. En blodprøve som måler nivået av antinukleære antistoffer (ANA) positive mennesker vanligvis med lupus, men kan også være positive i de med blandet bindevevssykdom, reumatoid artritt (RA), skleroderma og Sjøgrens syndrom. Derfor reumatologist vil utføre flere andre spesielle tester for å bekrefte lupus. Hos mennesker med fibromyalgi er alle blodprøver vanligvis vanlige.
En riktig diagnose er viktig fordi behandlingene for lupus og fibromyalgi er forskjellige. Når en person har fibromyalgi og lupus, må foreskrives kortikosteroider eller modifiserende antireumatiske legemidler sykdom (DMARD’er) som metotreksat, for å forebygge skader forbundet med lupus på indre organer. Fysioterapi, rådgivning og antidepressiva medisiner kan bidra til å forbedre muskel smerte, søvn og humørsvingninger forbundet med fibromyalgi.
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