Dr. Eduardo Mysler, Argentijnse reumatoloog van groot internationaal prestige, legt uit wat fibromyalgie is en waarom het belangrijk is om het consult met bepaalde symptomen of diagnoses uit te stellen.
1. Wat is fibromyalgie?
Het is een chronische ziekte die spier- en gewrichtspijn veroorzaakt en zich bevindt op karakteristieke punten wanneer gepalpeerd op spieren en pezen. Hieraan is vermoeidheid en extreme vermoeidheid en moeilijkheden toegevoegd om in slaap te vallen.
2. Heb je een duidelijke diagnose en erkenning als een ziekte?
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3. Welke specialist diagnosticeert het? Wie moet worden geraadpleegd?
De diagnose kan worden gesteld door een arts, maar de beste specialist hiervoor is de reumatoloog.
4. Waarom is er zoveel discussie over dit onderwerp?
Omdat het voor velen een variant van depressie is, omdat het geassocieerd is.
5. Wat zijn de symptomen van fibromyalgie en hoe wordt het gediagnosticeerd?
Zoals we al zeiden, gegeneraliseerde spierpijn met pijnlijke punten in het hele lichaam, extreme vermoeidheid die niet correleert met de uitgevoerde taken.
6. Groeit uw prevalentie of groeit uw erkenning? Wat zijn de oorzaken?
De prevalentie neemt niet toe. Wat er is, is een grotere erkenning van artsen in het algemeen. De prevalentie is 2% in de VS en komt vaker voor bij vrouwen dan bij mannen. De oorzaken zijn onbekend hoewel er veel theorieën zijn.
7. Hoe is de behandeling? Zijn er medicijnen?
De behandeling is multidisciplinair en er zijn verschillende medicijnen voor goedgekeurd, van Pregabalin, via Milnacipram tot Duloxetine. Deze zijn goedgekeurd door de FDA. Ontstekingsremmers, analgetica en opioïde derivaten worden ook gebruikt. Niet-medicamenteuze therapie omvat onder andere fysieke revalidatie, chiropractie, aerobe oefeningen en cognitieve gedragstherapie.
8. Wat is de prognose?
De prognose is erg variabel. Er zijn patiënten die zich gunstig ontwikkelen en anderen die nergens op lijken te reageren.
9. Wat zijn de nieuwste wetenschappelijke ontwikkelingen op het gebied van fibromyalgie?
In de afgelopen jaren zijn er meer medicijnen goedgekeurd om de ziekte te behandelen, waardoor we meer wapens hebben om het aan te vallen.
10. Hoe kunnen mensen die aan de ziekte lijden hun kwaliteit van leven verbeteren?
Het is belangrijk de medewerking van de patiënt, zijn wilskracht om te willen verbeteren en het begrip van de arts in deze chronische pathologie en moeilijk te beheren.
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