Beaucoup de gens en souffrent. Malgré les visites chez le médecin, l’état général ne semble pas s’améliorer. Les patients ressentent la même chose: une douleur musculaire chronique qui touche plus ou moins toutes les parties du corps et qui se manifeste par une asthénie et une fatigue permanente accompagnée de troubles du sommeil majeurs. Est-ce la fibromyalgie?
Fibromyalgie, également appelée syndrome diffuse idiopathique ou polyalgique, SPID est une maladie psychosomatique qui provoque une douleur généralisée chez les patients: ils ont mal… partout. Cette maladie survient chez les personnes âgées de 30 à 60 ans, mais principalement autour de 45 ans et touche 2 à 6% de la population des pays industrialisés, avec une prédominance de femmes (80% de femmes).
Plusieurs causes … impliquées
On peut citer les facteurs génétiques: les personnes souffrant de fibromyalgie ont souvent un membre de la famille qui a connu le même problème. On peut également supposer une anomalie du système nerveux central, avec des taux de neurotransmetteurs plus faibles, tels que la sérotonine chez les patients. Ils incluent également la possibilité d’un trouble métabolique de la substance P conduisant à la transmission de l’influx nerveux nociceptif, ce qui augmente la sensibilité à la douleur. Des facteurs infectieux, tels que l’hépatite B ou le virus C, peuvent également être à l’origine de ce syndrome. D’autre part, des problèmes psychologiques, en particulier le stress pathologique, l’anxiété et la dépression, sont également impliqués. finalement,
Douleur, troubles du sommeil, fatigue chronique.
La fibromyalgie peut être considérée comme un trouble de la perception de la douleur, avec un seuil de douleur réduit et une incapacité à faire face à la douleur. Cliniquement, elle se manifeste par une douleur diffuse, principalement musculaire, associée à une fatigue chronique et à des troubles du sommeil. La douleur musculaire diffuse affecte certaines zones du corps qui sont très douloureuses et qui impliquent une contraction musculaire, en commençant par le cou, les épaules, voire le dos, la poitrine et les bras pour atteindre les jambes.
Le patient a souvent l’impression que les zones douloureuses sont enflées. Des maux de tête et des migraines intenses sont parfois associés au SPID, ainsi qu’au syndrome du côlon irritable (constipation, douleurs abdominales, flatulences …). Il est également difficile de se concentrer sur ces patients et, souvent, sur la dépression et l’anxiété ou sur un tiers des patients.
En ce qui concerne le diagnostic médical, il est effectué conformément aux critères établis par l’American College of Rheumatology développé en 1990. Pour maintenir le diagnostic de fibromyalgie, vous devez assister à un historique clinique de la douleur musculaire généralisée pendant 3 mois, ainsi qu’à l’évaluation. Clinique du patient de 11 points douloureux en 18 points caractéristiques de la maladie.
Attention: facteurs aggravants!
Traumatisme, stress, choc émotionnel, autres maladies somatiques (diabète, infection …), bruit, promiscuité, effort physique intense, froid, humidité, chaleur, conversations stressantes, manque de sommeil … Tout cela peut provoquer une crise de fibromyalgie.
La fibromyalgie n’est pas une maladie grave sur le plan vital, qui ne cause pas de problèmes de santé majeurs, mais qui est chronique et souvent résistante aux traitements médicaux. Les tensions familiales peuvent avoir des conséquences familiales pour le couple et la famille. Cela peut également sembler parler de travail avec un taux d’absentéisme élevé et une incapacité à se concentrer, ce qui peut diminuer les performances.
Évitons cela!
En ce qui concerne la prévention, elle repose essentiellement sur l’examen de l’anxiété, des états chroniques ou dépressifs, chez les patients présentant une douleur diffuse chronique, principalement des douleurs musculaires. Un traitement est nécessaire pour éviter la chronicité des douleurs et pour éviter l’installation du cercle vicieux.
Traitement, un vrai mal de tête.
“Le traitement est très difficile et mal codifié”, explique le spécialiste. Les analgésiques (à 3 niveaux d’OMS) et les anti-inflammatoires utilisés seuls sont souvent inefficaces. Finalement, il peut être utilisé comme antidépresseur ou anticonvulsivant au lieu de ses effets analgésiques sur le système nerveux central. Et comme antidépresseurs, les tricycliques très efficaces contre le manque de sommeil permettent de réduire la douleur et d’améliorer la qualité de la vie. D’autres antidépresseurs sont également efficaces en tant qu’inhibiteurs sélectifs du recaptage de la sérotonine (qui semblent jouer un rôle dans la physiopathologie de la fibromyalgie).
“Eglology glosa, le terme fibromyalgie provient de la fibre latine” (fibre), du grec ancien “myos” ou muscle et du grec “algos” qui est douloureux.
Les anxiolytiques peuvent également être utilisés pour leur efficacité pendant le sommeil. Des benzodiazépines peuvent en particulier être prescrites, mais cela peut conduire à une dépendance et à une dépendance. D’autres traitements incluent des relaxants musculaires tels que la thiocolicose, qui agit lors de la contraction musculaire. Enfin, les hypnotiques peuvent être utilisés pour l’effet réparateur des troubles du sommeil. Importance particulière du soutien psychologique de ces patients par un psychologue ou un psychiatre. Certains médecins proposent une alimentation équilibrée, le dumping de stimulants tels que le tabac et l’alcool et l’homéopathie. Exercices de balnéothérapie et programmes de physiothérapie, y compris des exercices d’aérobic,
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