Veel mensen hebben er last van. Ondanks bezoeken aan de dokter lijkt de algemene toestand niet te verbeteren. Patiënten voelen hetzelfde: een aandoening van chronische spierpijn die zich uitstrekt tot min of meer alle delen van het lichaam en wordt gemanifesteerd door asthenie en blijvende vermoeidheid met ernstige slaapstoornissen. Is het fibromyalgie?
Fibromyalgie, ook wel diffuse idiopathische of polyalgische syndroom genoemd, SPID is een psychosomatische ziekte die bij patiënten wijdverspreide pijn veroorzaakt: ze hebben slechte … overal. Deze ziekte komt voor bij mensen tussen de 30 en 60 jaar, maar meestal rond de 45 jaar, treft 2-6% van de bevolking in geïndustrialiseerde landen, met een overwicht van vrouwen (80% vrouwen).
Verschillende oorzaken … betrokken
De genetische factoren kunnen worden genoemd: mensen die lijden aan fibromyalgie hebben vaak iemand in de familie die hetzelfde probleem heeft gehad. Men kan ook uitgaan van een anomalie van het centrale zenuwstelsel, met lagere percentages van neurotransmitters, zoals serotonine bij patiënten. Ze omvatten ook de mogelijkheid van een stofwisselingsstoornis van stof P die leidt tot de overdracht van nociceptieve zenuwimpulsen, die de gevoeligheid voor pijn verhoogt. Infectieuze factoren, zoals het hepatitis B- of C-virus, kunnen ook de oorzaak zijn van dit syndroom. Aan de andere kant zijn ook psychologische problemen, met name pathologische stress, angst en depressie, betrokken. ten slotte,
Pijn, slaapstoornissen, chronische vermoeidheid.
Fibromyalgie kan worden beschouwd als een aandoening van de pijnperceptie, met een verminderde pijndrempel en een gebrek aan vermogen om met pijn om te gaan. Klinisch manifesteert het zich als diffuse, overwegend spierpijn in verband met chronische vermoeidheid en slaapstoornissen. Diffuse spierpijn tast bepaalde delen van het lichaam aan die zeer pijnlijk zijn en gepaard gaan met een spiercontractie, te beginnen met de nek, schouders en dan zelfs de rug, de borst en de armen aan te raken om uiteindelijk de benen te bereiken.
De patiënt voelt vaak dat de pijnlijke delen opgezwollen zijn. Intense hoofdpijn en migraine worden soms geassocieerd met SPID, evenals met het prikkelbare darm syndroom (obstipatie, buikpijn, winderigheid …). Er zijn ook problemen om zich te concentreren op deze patiënten en vaak depressie en angst of bij een derde van de patiënten.
Wat de medische diagnose betreft, wordt deze uitgevoerd in overeenstemming met de criteria die zijn vastgesteld door het American College of Rheumatology, ontwikkeld in 1990. Om de diagnose fibromyalgie te behouden, moet u een algemene klinische pijngeschiedenis voor spierpijn bijwonen gedurende 3 maanden, evenals in de evaluatie. Klinisch van de patiënt van 11 pijnpunten in 18 kenmerkende punten van de ziekte.
Waarschuwing: verzwarende factoren!
Trauma, stress, emotionele shock, andere somatische aandoeningen (diabetes, infecties, …), lawaai, promiscuïteit, fysieke inspanning, kou, vocht, warmte, sommige stressvolle gesprekken, gebrek aan slaap … Dit alles kan een crisis van fibromyalgie veroorzaken.
Fibromyalgie is geen ernstige ziekte op het vitale vlak, die geen grote gezondheidsproblemen veroorzaakt, maar chronisch is en vaak resistent is tegen medische behandeling. Het kan familiegevolgen hebben voor het paar en het gezin als gezinsspanningen. Het kan ook klinken over werk met een hoge mate van verzuim en onvermogen om te concentreren, wat de prestaties kan verminderen.
Laten we het vermijden!
Met betrekking tot preventie is het voornamelijk gebaseerd op het onderzoek van angst, chronische of depressieve toestanden, bij patiënten met chronische diffuse pijn, voornamelijk spierpijn. Een behandeling is noodzakelijk om de chroniciteit van de pijnen te voorkomen en om de vicieuze cirkel te voorkomen.
Behandeling, echte hoofdpijn.
“De behandeling is erg moeilijk en slecht gecodeerd”, zegt de specialist. Pijnstillers (met 3 WHO-niveaus) en ontstekingsremmende geneesmiddelen die alleen worden gebruikt, zijn vaak niet effectief. Uiteindelijk kan het worden gebruikt als antidepressiva of anticonvulsiva in plaats van de analgetische effecten ervan in het centrale zenuwstelsel. En als antidepressivum kunnen diegenen in de tricyclische familie die erg effectief zijn tegen slaapgebrek, pijn verminderen en de kwaliteit van leven verbeteren. Andere antidepressiva zijn ook effectief als selectieve remmers van serotonineheropname (die lijken betrokken te zijn bij de pathofysiologie van fibromyalgie).
“Eglology glosa, de term fibromyalgie komt van de Latijnse vezel” (vezel), de oude Griekse “myos” of spier en de Griekse “algos” die pijn is.
Anxiolytica kunnen ook worden gebruikt voor hun effectiviteit in de slaap. In het bijzonder kunnen benzodiazepines worden voorgeschreven, maar dit kan leiden tot verslaving en verslaving. Andere behandelingen omvatten spierverslappers zoals thiocolicosis, die werkt bij spiercontractie. Ten slotte kunnen hypnotica worden gebruikt voor het herstellende effect van slaapstoornissen. Bijzonder belang voor psychologische ondersteuning van deze patiënten door een psycholoog of psychiater. Sommige artsen stellen een uitgebalanceerd dieet voor, het dumpen van stimulerende middelen zoals tabak en alcohol en het gebruik van homeopathie. Balneotherapieoefeningen en fysiotherapieprogramma’s, inclusief aërobe oefeningen,
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