Fibromyalgie en droge ogen en mond

Fibromyalgie wordt meestal gekenmerkt door wijdverspreide pijn, vermoeidheid, hoofdpijn, prikkelbare darmsyndroom, onvermogen om verfrissende slaap te krijgen, vermoeid en stijf wakker worden en cognitieve stoornissen ontwikkelen waaronder gebrek aan concentratie en onhandigheid, duizeligheid enz.

Fibromyalgiesyndroom is een chronische en langdurige aandoening die geen genezing kent. Ongeveer 10 miljoen mensen worden momenteel gediagnosticeerd met deze aandoening. Hoewel 9 op de 10 gediagnosticeerde vrouwen vrouwen zijn, krijgen mannen deze aandoening ook.

Fibromyalgie-associatie met andere aandoeningen

Studies hebben aangetoond dat fibromyalgie ook wordt geassocieerd met verschillende andere aandoeningen. Typisch ervaren sommige patiënten met fibromyalgie ook droogheid van het hoornvlies of ogen en mond.

Aanwezigheid van oculair ongemak of oogdroogte en korreligheid is een van de meest voorkomende klachten van fibromyalgie in vergelijking met orale of monddroogte. Studies hebben aangetoond dat er een wijziging in de vorming van tranen kan optreden in vergelijking met de algemene populatie.

syndroom van Sjogren

Een syndroomaandoening, het Sjögren-syndroom, wordt meestal gekenmerkt door droge ogen en het onvermogen om tranen te vormen. Er is echter gezien dat fibromyalgiepatiënten met droge ogen en droge mond niet voldoen aan criteria voor de diagnose van het syndroom van Sjögren. Ze worden vaak gediagnosticeerd met het droge ogen en mond syndroom (DEMS).

Hoornvlies gevoeligheid en hoornvlies veranderingen

Een onderzoek naar corneale gevoeligheid en veranderingen van het hoornvlies bij fibromyalgiepatiënten toont aan dat de gevoeligheid hetzelfde is, ongeacht de leeftijd van de fibromyalgiepatiënten. Dit kan te wijten zijn aan de verslechtering van de zenuwen en sensorische systemen van het oog.

Verband tussen fibromyalgie, chronische vermoeidheid en het syndroom van Sjögren

De studie vindt ook associatie tussen fibromyalgie, chronische vermoeidheid en het syndroom van Sjögren.

Scheurafscheiding is aanzienlijk verminderd in fibromyalgie maar niet in de mate van andere droge ogen. Verder wordt het oog gevoeliger voor hoge niveaus van koolstofdioxide, hitte en kou in vergelijking met normale personen.

Normale traanvorming

Normale traanvorming wordt geregeld door de traan-functionele eenheid die hoornvlies, bindvlies, accessoire traanklieren en klieren van Meibom omvat. Deze zijn allemaal verbonden met een fijn netwerk van zenuwen.

Als een deel van dit zenuwnetwerk wordt aangetast, kan de traanproductie worden belemmerd. Dit is iets dat optreedt bij fibromyalgiepatiënten.

Droge mond

Fibromyalgie is nauw verbonden met het prikkelbare darm syndroom en verminderde speekselafscheiding leidend tot een droge mond. Een droge mond is op zichzelf zeldzaam. Het wordt vaker geassocieerd met droge ogen bij patiënten met fibromyalgie.

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