Fibromyalgie: ein beunruhigender und schmerzhafter Zustand

Sie haben wahrscheinlich von Fibromyalgie gehört, wissen aber möglicherweise nicht, was es ist. Fibromyalgie ist eine chronische (chronische) Schmerzerkrankung, die 5 Millionen oder mehr Amerikaner im Alter von 18 Jahren und älter betrifft. Aus unbekannten Gründen sind die meisten Menschen, bei denen Fibromyalgie diagnostiziert wurde, Frauen, obwohl auch Männer und Jungen betroffen sein können. Menschen mit bestimmten Erkrankungen wie rheumatoider Arthritis oder Lupus können auch eine Fibromyalgie haben, die den Verlauf ihrer Erkrankung und Behandlung beeinflussen kann.

Fibromyalgie kann die Gesundheit, das Wohlbefinden und die Lebensqualität stark beeinträchtigen.

“Menschen mit Fibromyalgie leiden an schweren, alltäglichen Schmerzen, die sich im ganzen Körper ausbreiten”, sagt Dr. Leslie J. Crofford, Forscher an der Vanderbilt University, der vom NIH unterstützt wird. “Sein Schmerz wird oft begleitet von erschöpfender Müdigkeit, Schlaf, der sie nicht auffrischt, und Denk- und Gedächtnisproblemen.”

Komplexe Diagnose

Menschen mit Fibromyalgie suchen oft viele Ärzte auf, bevor sie schließlich eine Diagnose erhalten. Die Hauptsymptome, Schmerz und Müdigkeit, überschneiden sich mit denen vieler anderer Erkrankungen, was die Diagnose erschweren kann.

“Um es schwieriger zu machen, gibt es keine Blutuntersuchungen oder Röntgenbilder, die bei Menschen mit der Störung anomal sind”, sagt Crofford. Ohne einen bestimmten diagnostischen Test können einige Ärzte die Frage stellen, ob der Schmerz eines Patienten wirklich ist. “Sogar Freunde, Familie und Kollegen können Schwierigkeiten haben, die Symptome der Person zu verstehen.”

Ein Arzt, der mit Fibromyalgie vertraut ist, kann anhand der Kriterien des American College of Rheumatology eine Diagnose stellen. Zu den Diagnosesymptomen gehören verallgemeinerte Schmerzen in der Vorgeschichte, die länger als 3 Monate andauern, und andere Symptome wie Müdigkeit. Bei der Diagnose berücksichtigen die Ärzte die Anzahl der Bereiche, in denen der Patient letzte Woche Schmerzen hatte, und schließen andere Ursachen der Erkrankung aus.

Weil es nicht vollständig verstanden wird

Was Fibromyalgie verursacht, ist nicht vollständig verstanden. Viele Faktoren tragen wahrscheinlich dazu bei.

“Wir wissen, dass Menschen mit Fibromyalgie Veränderungen in der Kommunikation zwischen Körper und Gehirn haben”, sagt Crofford. Diese Veränderungen können dazu führen, dass das Gehirn bestimmte Empfindungen als schmerzhaft interpretiert, was für Menschen ohne diese Störung möglicherweise nicht störend ist.

Forscher haben mehrere Gene gefunden, die das Risiko einer Person für die Entwicklung einer Fibromyalgie beeinflussen können. Auch belastende Lebensereignisse können eine Rolle spielen.

Die Fibromyalgie ist keine fortschreitende Erkrankung, sie wird also mit der Zeit nicht schlimmer und kann sich sogar verbessern. Es ist niemals tödlich und schädigt nicht die Gelenke, Muskeln oder inneren Organe.

Behandlung

Medikamente können helfen, einige, aber nicht alle Symptome der Fibromyalgie zu lindern. “Pharmakologische Behandlungen an sich führen nicht zur Remission oder Heilung von Fibromyalgie”, sagt Crofford. “Wir haben gelernt, dass Bewegung genauso gut oder besser funktionieren kann als Medikamente. Darüber hinaus können Therapien wie Tai Chi, Yoga und kognitive Verhaltenstherapie auch dazu beitragen, die Symptome zu reduzieren. “

Menschen mit Fibromyalgie haben oft die besten Ergebnisse, wenn sie mit mehreren Therapien behandelt werden.

“Es ist äußerst wichtig, dass die Leistungserbringer den Patienten helfen, Fibromyalgie zu verstehen und realistische Informationen über Behandlungen bereitzustellen, wobei der Schwerpunkt auf dem Einsatz von Bewegung und anderen physikalischen Therapien zusammen mit Medikamenten liegt.”

Crofford sagt. Crofford und seine Kollegen untersuchen, ob eine Behandlung namens TENS (transkutane elektrische Nervenstimulation) Menschen mit Fibromyalgie helfen kann, komfortabler zu trainieren und Schmerzen zu lindern. Sie und andere vom NIH finanzierte Teams suchen auch nach Fibromyalgie-Markern im Blut, die letztendlich zu spezifischeren und effektiveren Behandlungen führen könnten.

Wenn Sie oder jemand, den Sie kennen, an Fibromyalgie leiden, aktivieren Sie das Kontrollkästchen “Optionen”, um Tipps zur Verringerung der Auswirkungen zu erhalten.

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