Många människor lider av det. Trots besök på läkaren, verkar det allmänna tillståndet inte förbättra. Patienterna känner samma: ett tillstånd av kronisk muskelsmärta sprider sig till mer eller mindre alla delar av kroppen och manifesteras av trötthet och permanent trötthet med betydande sömnstörningar. Är det fibromyalgi?
Fibromyalgi, även kallad diffusa idiopatisk eller polialgico syndrom är SPID en psykosomatisk sjukdom som orsakar utbredd smärta hos patienter: med dålig … överallt. Sjukdomen förekommer hos personer mellan 30 och 60 år gamla, men för det mesta runt 45 års ålder påverkar 2-6% av befolkningen i de industrialiserade länderna, med en dominans av kvinnor (80% kvinnor).
Flera orsaker … involverade
De genetiska faktorerna kan nämnas: människor som lider av fibromyalgi har ofta någon i familjen som har upplevt samma problem. Man kan också anta en anomali i centrala nervsystemet, med lägre frekvenser av neurotransmittorer, såsom serotonin hos patienter. De inkluderar också möjligheten till en metabolisk störning av substans P som leder till överföringen av nociceptiva nervimpulser, vilket ökar känsligheten för smärta. Infektiösa faktorer, såsom hepatit B eller C-virus, kan också vara orsaken till detta syndrom. Å andra sidan är psykologiska problem, särskilt patologisk stress, ångest och depression, också inblandade. Slutligen
Smärta, sömnstörningar, kronisk trötthet.
Fibromyalgi kan betraktas som en smärtsyndrom, med nedsatt smärtgräns och brist på förmåga att klara av smärta. Kliniskt manifesteras det som diffus, övervägande muskelsmärta i samband med kronisk trötthet och sömnstörningar. Diffus muskelsmärta påverkar vissa delar av kroppen som är mycket smärtsamma och involverar en muskelkontraktion, börjar med nacke, axlar och sedan även vid rygg, bröst och armar för att äntligen nå benen.
Patienten känner ofta att de smärtsamma områdena är svullna. De svår huvudvärk och migrän ibland förknippas med SPID och med colon irritabile (förstoppning, buksmärtor, flatulens …). Det finns också svårigheter att koncentrera sig på dessa patienter och ofta depression och ångest eller hos en tredjedel av patienterna.
När det gäller medicinsk diagnos, sker i enlighet med de kriterier som fastställts av American College of Rheumatology utvecklade 1990. För att hålla diagnosen fibromyalgi, bör du delta i en medicinsk historia av generaliserad muskelsmärta i 3 månader samt i utvärderingen Klinisk för patienten av 11 smärtsamma poäng i 18 karakteristiska punkter av sjukdomen.
Varning: försvårande faktorer!
Trauma, stress, känslomässig chock, andra somatiska sjukdomar (diabetes, infektion …), buller, promiskuitet, fysisk ansträngning, kyla, fukt, värme, vissa stressiga samtal, sömnbrist … Allt detta kan leda till en kris av fibromyalgi.
Fibromyalgi är inte en allvarlig sjukdom i vitala planet, vilket inte orsakar några större hälsoproblem, men är kroniskt och ofta resistent mot medicinsk behandling. Det kan få familjeeffekter för paret och familjen som familjespänningar. Du kan också låta på att arbeta med en hög grad av frånvaro och oförmåga att koncentrera sig, vilket kan försämra prestandan.
Låt oss undvika det!
När det gäller förebyggande är det i grund och botten baserat på undersökningen av ångest, kroniska eller depressiva tillstånd hos patienter med kronisk diffus smärta, främst muskelsmärta. En behandling är nödvändig för att undvika kroniskhet i smärtan och för att undvika installationen av den onda cirkeln.
Behandling, en riktig huvudvärk.
“Behandlingen är mycket svår och kodifieras dåligt”, säger specialist. Analgetika (med 3 nivåer av WHO) och antiinflammatoriska läkemedel som används ensamma är ofta ineffektiva på egen hand. Så småningom kan den användas som antidepressiva eller antikonvulsiva medel i stället för dess analgetiska effekter i centrala nervsystemet. Och som antidepressiva medel kan de i den tricykliska familjen som är mycket effektiva mot sömnbrist, minska smärta och förbättra livskvaliteten. Andra antidepressiva medel är också effektiva som selektiva hämmare av serotoninåterupptagning (som tycks vara involverade i fibromyalgiens patofysiologi).
“Eglology glosa, termen fibromyalgi kommer från Latin fiber” (fiber), den antika grekiska “myos” eller muskler och den grekiska “algos” som är smärta.
Anxiolytika kan också användas för deras effektivitet i sömnen. Speciellt kan bensodiazepiner förskrivas, men detta kan leda till missbruk och beroende. Andra behandlingar inkluderar muskelavslappnande medel som tiocolicosis, som fungerar i muskelkontraktion. Slutligen kan hypnotika användas för den återställande effekten av sömnstörningar. Särskild vikt för psykologiskt stöd för dessa patienter av en psykolog eller psykiater. Vissa läkare föreslår en balanserad kost, dumpning av stimulanser som tobak och alkohol och användning av homeopati. Balneoterapi övningar och sjukgymnastik program, inklusive aerob träning,
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