Viele Menschen leiden darunter. Trotz Arztbesuchen scheint sich der Allgemeinzustand nicht zu verbessern. Patienten empfinden dasselbe: ein Zustand chronischer Muskelschmerzen, der sich auf nahezu alle Körperteile erstreckt und sich in Asthenie und permanenter Müdigkeit mit schweren Schlafstörungen äußert. Ist es Fibromyalgie?
Fibromyalgie, auch diffuses idiopathisches oder polyalgisches Syndrom genannt, SPID ist eine psychosomatische Erkrankung, die bei Patienten weit verbreitete Schmerzen verursacht: Sie haben überall … schlimme Schmerzen. Diese Krankheit tritt bei Menschen im Alter zwischen 30 und 60 Jahren auf, ist aber meistens um die 45 Jahre alt und betrifft 2-6% der Bevölkerung in Industrieländern, wobei Frauen überwiegen (80% Frauen).
Mehrere Ursachen … beteiligt
Die genetischen Faktoren können erwähnt werden: Menschen, die an Fibromyalgie leiden, haben oft jemanden in der Familie, der das gleiche Problem hatte. Es kann auch eine Abnormalität des zentralen Nervensystems, mit niedrigeren Neurotransmittern wie Serotonin bei Patienten übernehmen. Auch sind sie die Möglichkeit einer Stoffwechselstörung, die Substanz P Übertragung von nozizeptiven Nervenimpulsen führt, die Schmerzempfindlichkeit erhöht. Infektionsfaktoren wie Hepatitis-B- oder Hepatitis-C-Viren können ebenfalls die Ursache für dieses Syndrom sein. Andererseits sind auch psychische Probleme, insbesondere pathologischer Stress, Angstzustände und Depressionen, beteiligt. endlich
Schmerzen, Schlafstörungen, chronische Müdigkeit.
Fibromyalgie kann mit einer reduzierten Schmerzschwelle und die Unfähigkeit zur Bewältigung der Schmerzen als eine Störung der Schmerzwahrnehmung in Betracht gezogen werden. Klinisch manifestiert es sich als diffuser, vorwiegend muskulärer Schmerz, der mit chronischer Müdigkeit und Schlafstörungen einhergeht. Diffuse Muskelschmerzen wirkt sich auf bestimmte Bereiche des Körpers, die sehr schmerzhaft sind und Muskelkontraktion beteiligt, mit dem Hals, den Schultern beginnen und dann sogar den Rücken, Brust und Arme zu berühren, um endlich Beine zu erreichen.
Der Patient hat oft das Gefühl, dass die schmerzenden Stellen geschwollen sind. Die schweren Kopfschmerzen und Migräne sind manchmal mit SPID und mit Reizdarmsyndrom (Verstopfung, Bauchschmerzen, Blähungen …) verbunden. Es gibt auch Schwierigkeiten, sich auf diese Patienten und häufig auf Depressionen und Angstzustände oder auf ein Drittel der Patienten zu konzentrieren.
Wie für die medizinische Diagnostik, in Übereinstimmung mit den Kriterien des American College of Rheumatology 1990 entwickelt etabliert getan wird, um die Diagnose von Fibromyalgie zu halten, sollen Sie eine Anamnese allgemeiner Muskelschmerzen für 3 Monate teilnehmen sowie bei der Bewertung Klinisch des Patienten von 11 Schmerzpunkten in 18 charakteristischen Punkten der Krankheit.
Achtung: erschwerende Faktoren!
Trauma, Stress, emotionaler Schock, andere somatische Erkrankungen (Diabetes, Infektionen …), Lärm, Promiskuität, körperliche Anstrengung, Kälte, Feuchtigkeit, Hitze, einige Stress-Gespräche, zu wenig Schlaf … All dies eine Krise der Fibromyalgie verursachen kann.
Fibromyalgie ist keine schwerwiegende Krankheit auf der Vitalebene, die keine größeren Gesundheitsprobleme verursacht, sondern chronisch ist und häufig einer medizinischen Behandlung standhält. Es kann familiäre Konsequenzen für das Paar und die Familie als familiäre Spannungen haben. Es kann sich auch um Arbeiten mit einer hohen Abwesenheitsrate und Konzentrationsschwäche handeln, was die Leistung beeinträchtigen kann.
Vermeiden wir es!
In Bezug auf die Prävention beruht sie im Wesentlichen auf der Untersuchung von Angstzuständen, chronischen oder depressiven Zuständen bei Patienten mit chronischen diffusen Schmerzen, hauptsächlich Muskelschmerzen. Eine Behandlung ist notwendig, um die Chronizität der Schmerzen zu vermeiden und die Entstehung des Teufelskreises zu vermeiden.
Behandlung, echte Kopfschmerzen.
“Die Behandlung ist sehr schwierig und schlecht kodifiziert”, sagt der Spezialist. Analgetika (mit 3 WHO-Spiegeln) und entzündungshemmende Medikamente, die alleine angewendet werden, sind häufig für sich genommen unwirksam. Schließlich kann es als Antidepressiva oder Antikonvulsiva anstelle seiner analgetischen Wirkungen im Zentralnervensystem verwendet werden. Und als Antidepressivum können diejenigen in der trizyklischen Familie, die gegen Schlafmangel sehr wirksam sind, Schmerzen lindern und die Lebensqualität verbessern. Andere Antidepressiva sind ebenfalls wirksam als selektive Inhibitoren der Serotonin-Wiederaufnahme (die anscheinend an der Pathophysiologie der Fibromyalgie beteiligt sind).
„Eglología Glossen, kommt der Begriff Fibromyalgie aus dem Lateinischen Faser“ (Faser), die Altgriechischen „myos“ oder Muskel- und Griechisch „algos“ ist der Schmerz.
Anxiolytika können auch wegen ihrer Wirksamkeit im Schlaf angewendet werden. Insbesondere können Benzodiazepine verschrieben werden, die jedoch zu Sucht und Abhängigkeit führen können. Andere Behandlungen umfassen Muskelrelaxantien wie Thiokolikose, die bei der Muskelkontraktion wirkt. Schließlich können Hypnotika zur Wiederherstellung von Schlafstörungen eingesetzt werden. Besondere Bedeutung für die psychologische Betreuung dieser Patienten durch einen Psychologen oder Psychiater. Einige Ärzte schlagen eine ausgewogene Ernährung, das Ablassen von Stimulanzien wie Tabak und Alkohol und den Einsatz von Homöopathie vor. Balneotherapie-Übungen und Physiotherapie-Programme, einschließlich Aerobic-Übungen,
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