Étourdissements, équilibre et chutes pendant les éruptions de fibromyalgie

Dans la fibromyalgie, des étourdissements, des problèmes d’équilibre, et les chutes sont plaintes communes. Pour certaines personnes, ils sont un ennui mineur qui revient à l’occasion. Dans d’autres, ils peuvent être très invalidantes et entraîner des blessures régulières.

Tomber, et surtout tombe souvent, est un problème grave. La dernière chose dont vous avez besoin lorsque vous êtes déjà dans la douleur constante est de vous faire du mal tout le temps. chutes fréquentes ou des problèmes d’équilibre peuvent également conduire à une peur de tomber.

Cette peur peut, à son tour, vous faire peur de rester actif, même dans vos limites. Selon une étude en  rhumatologie clinique,  73 pour cent des personnes atteintes de fibromyalgie ont peur de l’ activité physique, et près de 75 pour cent ont des problèmes d’équilibre.

La chute est moins un symptôme et plus une conséquence des symptômes de vertiges et un mauvais équilibre. Dans cette condition, les chutes et les problèmes d’équilibre peuvent également être liés à des changements dans la façon dont nous marchons.

Alors, pourquoi la fibromyalgie implique ces problèmes? Et que pouvons-nous faire à leur sujet?

Fibromyalgie et Vertiges

Dans la fibromyalgie, le vertige vient le plus souvent lorsque vous levez. Il est semblable au sentiment d’une « ruée vers la tête » de quand vous vous levez trop vite, que cela peut arriver à tout moment aller de la position couchée ou assise à la position debout. L’apparition soudaine de vertige peut vous faire balancer sur vos pieds, titubant, ou il peut même vous faire tomber ou faible.

Étourdissements et des évanouissements dans cet état peuvent être liés à un sous – groupe particulier, selon une étude 2017 publiée dans le  European Journal of Pain .

Résultat de l'image pour la vieille dame chute sur le sol

En plus des étourdissements et des évanouissements, ce sous-groupe a également eu des niveaux de douleur plus élevés, ainsi qu’une variété de symptômes et conditions qui se chevauchent, y compris un dysfonctionnement cognitif ( « brouillard fibro »), de la vessie irritable, la vulvodynie, et le syndrome des jambes sans repos.

La recherche suggère que ce symptôme résulte d’un dysfonctionnement du système nerveux autonome (SNA), qui est appelé dysautonomie.

Le SNA est impliqué avec beaucoup de fonctions essentielles dans votre corps, y compris la fréquence cardiaque, la pression artérielle, fréquence respiratoire, la température corporelle, le métabolisme et la digestion.

Vertiges résultant de la dysautonomie peut être appelée intolérance orthostatique, l’hypotension neurale, ou syndrome postural de tachycardie orthostatique (POTS). Pour l’essentiel, ces choses signifient que le cœur et le cerveau ne communiquent pas bien les uns avec les autres.

Que faut-il que lorsque vous vous levez d’une position couchée ou assise, le SNA augmente votre tension artérielle afin de lutter contre la gravité et de garder une quantité suffisante de sang dans votre cerveau. Avec dysautonomie, cela ne se produit pas comme il devrait. Au lieu de cela, la pression artérielle peut effectivement tomber quand vous vous tenez, et le résultat est des vertiges ou des étourdissements. En POTS, les vitesses de fréquence cardiaque sous forme de gouttes la pression artérielle.

Vertiges peut être associée à des palpitations cardiaques, troubles de la vision, une augmentation de la fréquence du pouls, une douleur thoracique, et un type d’évanouissement appelé vasovagale.

Pas tout le monde avec des vertiges liés à la fibromyalgie défaille, cependant. Dans une étude réalisée en 2008, les chercheurs disent que des vertiges et des palpitations étaient plus fréquents que l’évanouissement. Ils disent aussi POTS a été l’un des symptômes de la fibromyalgie les plus fréquents qu’ils ont observés lors des essais d’inclinaison table, qui mesurent votre réponse aux changements de position.

Équilibre et la posture Problèmes dans la fibromyalgie

Ajout de la possibilité de chutes, la recherche suggère que les personnes atteintes de fibromyalgie marchent différemment que les personnes en bonne santé. Une étude réalisée en 2009 a révélé qu’environ 28 pour cent des personnes atteintes de cette maladie ont une démarche anormale (mode de marche).

Dans une étude 2017 de la performance fonctionnelle, les chercheurs ont dit que la démarche et l’équilibre ont été gravement compromise dans cette condition. Différences incluses:

  • longueur sensiblement foulée plus courte
  • rythme plus lent
  • la façon dont le corps ondule lors de la marche

Les chercheurs ont noté que les différences de démarche et l’équilibre étaient pires chez les personnes qui avaient plus de douleur, la raideur, la fatigue, l’anxiété et la dépression.

Ils ont recommandé que les médecins évaluent la démarche et la posture de leurs patients atteints de fibromyalgie afin de trouver le meilleur type de réhabilitation et de prévention des chutes pour eux.

Cette étude fait partie d’un nombre croissant de l’équilibre de la littérature scientifique démontrant et des problèmes de démarche dans cette condition peut entraîner des chutes. Cependant, l’évaluation et le traitement de ces symptômes peuvent ne pas être une priorité pour votre médecin. Si elles sont des préoccupations pour vous, assurez-vous de les mettre à votre prochain rendez-vous.

Risque et Vertiges Atténuer Automne dans la fibromyalgie

Plus vous avez réussi à traiter votre fibromyalgie, moins ces symptômes devrait être un problème. Toutefois, si elles ont besoin de plus d’attention ou que vous avez été incapables de trouver des traitements efficaces de la fibromyalgie, vous avez plusieurs options.

Pour le vertige de POTS, hypotension orthostatique, hypotension ou neurale, votre médecin peut être en mesure de recommander des médicaments qui aident. Ceux-ci peuvent inclure SSRI / SNRI, les benzodiazépines et les bêta-bloquants. Certains de ces médicaments peuvent aider à soulager d’autres symptômes de la fibromyalgie, aussi bien SSRI et SNRI sont couramment prescrits pour cette maladie. Votre médecin peut également recommander des changements de style de vie.

Si vous fumez, la recherche publiée dans la revue rhumatologique  articulations, des os, la colonne vertébrale suggère qu’arrêter de fumer peut aider à soulager la perte de connaissance et de plusieurs autres symptômes de la fibromyalgie.

En ce qui concerne l’équilibre et de la marche, la thérapie physique est un traitement commun. Vous pouvez également demander à votre médecin si quelque chose comme le yoga, le tai-chi, ou qigong est sans danger pour vous.

Jusqu’à ce que vous trouver des moyens d’améliorer ces symptômes, il vaut mieux être prudent. appareils et accessoires fonctionnels comme une canne ou une marchette peut vous aider à rester sur vos pieds. exercices peuvent être assis l’option la plus sûre, et ils sont certainement un meilleur choix que d’être moins actif que vous pouvez être.

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