O Dr. Eduardo Mysler, reumatologista argentino de grande prestígio internacional, explica o que é a fibromialgia e por que é fundamental não retardar a consulta com certos sintomas ou diagnósticos.
1. O que é fibromialgia?
É uma doença crônica que produz dor muscular e articular e está localizada em pontos característicos quando palpada nos músculos e tendões. Para isso é adicionado fadiga e cansaço extremo e dificuldades para adormecer.
2. Você tem um diagnóstico e reconhecimento claros como uma doença?
Não, o diagnóstico é feito descartando outras doenças e muitas vezes os pacientes passam por muitos médicos antes de obter o diagnóstico.
3. Qual especialista diagnostica isso? Quem deve ser consultado?
O diagnóstico pode ser feito por um clínico, mas o melhor especialista para isso é o reumatologista.
4. Por que há tanto debate em torno desta questão?
Porque para muitos é uma variante da depressão, já que está associada.
5. Quais são os sintomas da fibromialgia e como é diagnosticada?
Como dissemos, dor muscular generalizada com pontos dolorosos localizados em todo o corpo, fadiga extrema que não se correlaciona com as tarefas executadas.
6. Sua prevalência aumenta ou seu reconhecimento cresce? Quais são as causas?
A prevalência não aumenta. O que existe é maior reconhecimento por parte dos médicos em geral. Sua prevalência é de 2% nos EUA e é mais frequente em mulheres que em homens. As causas são desconhecidas, embora existam muitas teorias.
7. Como é o tratamento? Existe medicação?
O tratamento é multidisciplinar e existem diferentes medicamentos aprovados pela Pregabalina, através do Milnacipram para a Duloxetina. Estes são aprovados pelo FDA. Também são utilizados antiinflamatórios, analgésicos e derivados de opióides. A terapia não farmacológica inclui reabilitação física, quiropraxia, exercícios aeróbicos e terapia cognitivo-comportamental, entre outros.
8. Qual é o prognóstico?
O prognóstico é muito variável. Há pacientes que evoluem favoravelmente e outros que parecem não responder a nada.
9. Quais são os mais recentes desenvolvimentos científicos no campo da fibromialgia?
Nos últimos anos, mais medicamentos foram aprovados para tratar a doença, o que nos permite ter mais armas para atacá-la.
10. Como as pessoas que sofrem da doença podem melhorar sua qualidade de vida?
É importante a cooperação do paciente, sua força de vontade para querer melhorar e a compreensão do médico nessa patologia crônica e de difícil manejo.
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