La fibromyalgie est la maladie de la mort

 

Fibromyalgie

Bien qu’il y ait beaucoup de spéculations en cours sur ce qui déclenche la fibromyalgie, ses causes doivent encore être définitivement identifiées et confirmées. Des recherches récentes ont généralement trouvé que la fibromyalgie est probablement le résultat de ce que les scientifiques appellent une sensibilisation centrale, ou des réponses inhabituelles dans le système nerveux en ce qui concerne la perception de la douleur.

Résultat de l'image

Triggers biochimiques de la fibromyalgie

“Le consensus [actuel] est que la fibromyalgie n’est pas un problème avec les muscles, les articulations ou les tendons, mais plutôt un problème avec le système nerveux central”, explique le Dr Bruce Solitar, professeur agrégé de médecine à la division de rhumatologie à NYU Medical Center / Hôpital pour les maladies articulaires à New York. Alors qu’il est facile de penser que la douleur ressentie par quelqu’un qui n’a subi aucun dommage physique au corps pourrait être catégorisée comme purement psychosomatique, les sensations éprouvées par un patient atteint de fibromyalgie sont aussi réelles que n’importe quelle autre douleur.

Cela a été clairement démontré lorsque les chercheurs ont fait l’imagerie IRM de patients atteints de fibromyalgie. Quand ils ont appuyé sur certaines zones du corps des participants, ils ont constaté une augmentation spectaculaire de l’activité dans le centre de la douleur du cerveau. Une théorie attribue ce phénomène à une libération accrue de substance P, le produit chimique qui active les nerfs lorsqu’il y a un stimulus douloureux. “Chez les patients atteints de fibromyalgie, la substance P est libérée même en l’absence d’un stimulus douloureux. Et il semble y avoir une libération amplifiée quand il y a un stimulus douloureux », explique le Dr Solitar. En outre, l’effet régulateur du cerveau, qui envoie des «signaux bas» pour arrêter la douleur, semble également être anormal chez les personnes atteintes de fibromyalgie – ainsi, lorsqu’un stimulus douloureux survient, il est amplifié plutôt qu’amorti.

Triggers physiques et émotionnels de la fibromyalgie

Alors, qu’est-ce qui cause le dysfonctionnement du système nerveux de cette façon? Les scientifiques ne sont pas sûrs, mais un certain nombre de conditions ont été liées au développement de la fibromyalgie. Ceux-ci inclus:

Infection.  Le virus d’Epstein-Barr et les virus responsables de la grippe, ainsi que les hépatites B et C, ont tous été impliqués dans le développement de la fibromyalgie. “Ces virus peuvent avoir des effets [à long terme] sur le système immunitaire. Il est également possible que des particules virales s’attachent aux cellules gliales, qui sont des cellules du cerveau qui affectent la neurotransmission [et influencent la réponse à la douleur] », explique le Dr Solitar. De plus, il existe un lien bien établi entre la maladie de Lyme (causée par une bactérie appelée Borrelia burgdorferi) et la fibromyalgie: certains patients qui ont été traités pour la maladie de Lyme – et qui s’en remettent ostensiblement – continuent à souffrir de douleurs non provoquées. caractérise la fibromyalgie.

Traumatisme.  Parfois, le développement de la fibromyalgie est lié à une blessure physique, en particulier dans la partie supérieure (cervicale) du rachis. Dans d’autres cas, il est associé à un stress émotionnel important, comme la mort d’un membre de la famille ou la perte d’un emploi. Le lien possible entre ces types de traumatismes sans rapport est le changement neurohormonal que les blessures physiques et le stress émotionnel peuvent déclencher. Les processus psychologiques peuvent changer – et peuvent être modifiés par – des altérations de la fonction des centres de régulation hormonale comme l’hypothalamus et l’hypophyse et les glandes surrénales, qui à leur tour peuvent affecter le système nerveux.

Autres fils courants de la fibromyalgie

“La fibromyalgie a été associée à tous les groupes d’âge, bien que les femmes âgées de 30 à 50 ans aient une incidence plus élevée de la maladie”, explique le Dr Solitar. Bien que cette prévalence accrue chez les jeunes femmes suggère un lien hormonal, il dit qu’il est également possible que cela soit lié au diagnostic. “Les femmes ont tendance à être [naturellement] plus tendres [ou sensibles à la douleur] que les hommes, donc si vous basez votre diagnostic sur des points douloureux, vous allez probablement diagnostiquer plus de femmes atteintes de fibromyalgie que d’hommes.”

En outre, la fibromyalgie se développe souvent chez plusieurs membres de la même famille, bien qu’il ne soit pas clair si cela est le résultat d’effets génétiques ou environnementaux. “Les membres de la famille des personnes atteintes de fibromyalgie semblent être plus tendres que les autres”, explique le Dr Solitar, “mais il n’y a pas beaucoup de recherches génétiques concluantes là-bas.”

Dans de nombreux cas, pourquoi la grève de la fibromyalgie est encore largement inconnue. “Pour beaucoup de patients, nous ne trouvons pas une bonne explication pour le développement de la fibromyalgie”, note le Dr Solitar. “Nous sommes tous exposés au stress régulièrement. Et tandis que les traumatismes et les infections semblent être un thème commun [fibromyalgie], il y a beaucoup de gens qui développent lentement une sensation de mal-être. “

et sa variété de symptômes déconcertent souvent les patients et les médecins. Il n’y a toujours pas de test sanguin diagnostique largement accepté ou de biomarqueur pour la maladie, même si les patients rapportent des limitations physiques qui modifient leur vie. Maintenant, une nouvelle recherche à l’Université du Michigan relie la vaste gamme de symptômes de la fibromyalgie à une molécule du cerveau appelée glutamate, ouvrant la porte à de nouvelles options de traitement et des méthodes plus précises de tests diagnostiques.

Fibromyalgie: de nouvelles preuves peuvent aider au diagnostic
Les symptômes de la fibromyalgie vont de la fatigue extrême et des maux de corps flulike aux maux digestifs et aux migraines. En raison de l’absence d’un test quantitatif ou qualitatif spécifique, cependant, les médecins ont longtemps été obligés de s’appuyer sur l’auto-évaluation d’un patient pour aider à diagnostiquer cette condition insaisissable. Pour cette raison, certains médecins n’ont pas pris la maladie au sérieux.

Des recherches révolutionnaires effectuées en 2002 par Daniel Clauw, MD, professeur de médecine et doyen associé à la faculté de médecine de l’Université du Michigan, ont fourni les premières preuves biologiques et physiques solides que les patients atteints de fibromyalgie éprouvaient une douleur intense. Une forme d’imagerie cérébrale appelée IRM fonctionnelle (IRMf) a montré que les personnes atteintes de fibromyalgie étaient beaucoup plus sensibles à la douleur que celles d’un groupe témoin; Des niveaux similaires de douleur ont également provoqué l’illumination de différentes zones du cerveau sur les scans du groupe FM par rapport à ceux du groupe témoin.

La nature généralisée de la douleur chronique associée à la fibromyalgie – douleur non spécifique à un groupe de muscles ou d’articulations – est actuellement à l’étude. «La plupart des médecins croyaient que la fibromyalgie était un problème secondaire touchant les muscles et les articulations, car c’est ce que les patients ont vécu et rapporté», explique Richard Harris, Ph.D., chercheur à la division de rhumatologie du département de médecine interne du Michigan. L’école, ainsi qu’un chercheur au Centre de recherche sur la douleur chronique et la fatigue de l’université; et un collègue du Dr Clauw. “Les résultats de notre nouvelle recherche suggèrent que la fibromyalgie peut être plus d’une condition du système nerveux central. Cela rend plus difficile pour les critiques d’expliquer les résultats – les patients ne peuvent pas simuler un résultat de test IRM. “

Le
Dr Harris et d’autres chercheurs de l’Université du Michigan ont découvert que les niveaux de douleur chez les patients atteints de fibromyalgie étaient corrélés positivement avec les niveaux de glutamate, un acide aminé et un neurotransmetteur (substance chimique du cerveau) responsable de la stimulation des cellules nerveuses. «Lorsque les patients ont reçu des traitements conçus pour réduire leur douleur, les niveaux de glutamate ont baissé d’une manière correspondante», explique Harris.

Des recherches antérieures ont montré un lien entre l’activité dans une partie du cerveau appelée l’insula (cortex insulaire) et la douleur chez les personnes souffrant de fibromyalgie. La région de l’insula est également impliquée avec des stimuli provenant des muscles et de la peau en plus de sensations internes comme celles de l’intestin. Cette association peut aider à expliquer l’incidence plus élevée de problèmes digestifs, tels que le syndrome du côlon irritable, dans la fibromyalgie. Selon Andrew Holman, MD, rhumatologue et professeur adjoint de médecine à l’Université de Washington, d’autres affections associées à la fibromyalgie, comme l’anxiété et les migraines, pourraient aussi être liées à l’atteinte du système nerveux central.

Fibromyalgie: la recherche mène à de nouveaux médicaments
Grâce à cette recherche, de nouveaux médicaments sont maintenant disponibles pour traiter les fibromyalgies. “La Food and Drug Administration a récemment approuvé la prégabaline (Lyrica) et la duloxétine (Cymbalta), deux médicaments qui fonctionnent tous deux de manière centralisée, en conséquence directe de la nouvelle recherche”, explique le Dr Holman. “La fibromyalgie a son propre processus, mais les problèmes du système nerveux autonome qui causent la privation de sommeil au stade 4 [un symptôme de fibromyalgie] proviennent des mêmes zones du cerveau qui sont responsables de problèmes tels que la motilité intestinale [qui concerne le SCI] et le syndrome de base de combat ou de vol [qui se rapporte aux symptômes d’anxiété]. “

Bien que ces résultats valident bon nombre des symptômes les plus subtils vécus par les patients atteints de fibromyalgie, d’autres recherches sont nécessaires avant que les tests par IRMf deviennent partie intégrante d’un diagnostic de routine, explique Harris. En attendant, Harris souligne l’importance d’être conscient de vos symptômes et de les gérer de façon appropriée. “La fibromyalgie n’est pas une de ces conditions où vous pouvez faire une chose et vous avez terminé”, note-t-il. “Il s’agit de gérer les symptômes grâce à une approche multidimensionnelle.”

  • MedicaFibromyalgia tions

Les causes précises de la fibromyalgie restent une question de spéculation, de sorte que les traitements d’aujourd’hui, même ceux approuvés par la FDA, sont au mieux non spécifiques. Beaucoup d’options pharmaceutiques, cependant, sont disponibles pour traiter les divers symptômes de la fibromyalgie, qui peuvent aller de la douleur musculaire et des problèmes de sommeil à la dépression et l’anxiété.

À ce jour, les antidépresseurs duloxétine (Cymbalta) et milnacipran (Savella), et la prégabaline (Lyrica), un médicament antisequis qui est également utilisé pour certains types de douleur, sont les seuls médicaments approuvés par la FDA spécifiquement pour le traitement de la fibromyalgie. Mais les médecins emploient beaucoup d’autres médicaments, approuvés pour des conditions connexes, pour traiter les symptômes spécifiques de la fibromyalgie. Beaucoup de ces médicaments traitent plus d’un problème associé à la fibromyalgie. Comme avec tous les médicaments, plusieurs des médicaments énumérés ici ont des effets secondaires et des interactions significatifs. Vous devriez discuter des médicaments que vous avez prescrits avec votre médecin et votre pharmacien avant de les prendre. Cela vous aidera à savoir à quoi vous attendre et quand vous devez signaler un problème ou chercher un médicament de substitution.

Soulager la douleur et améliorer le sommeil sont les principaux objectifs du traitement de la fibromyalgie et des médicaments, mais les médecins prescrivent également divers médicaments pour traiter la dépression et la fatigue.

Les médicaments suivants sont couramment utilisés dans le traitement de la fibromyalgie.

Les analgésiques
La plupart des analgésiques en vente libre ne fonctionnent pas très bien pour la fibromyalgie, car le trouble n’entraîne pas beaucoup d’inflammation. Les opioïdes sur ordonnance et les injections localisées peuvent parfois être utiles, selon les symptômes spécifiques.

  • Analgésiques OTC. Le tylénol (acétaminophène) et les anti-inflammatoires non stéroïdiens (AINS) comme l’ibuprofène (Advil, Motrin) et le naproxène (Aleve, Anaprox) peuvent aider certains patients. Cependant, ils sont généralement recommandés pour les patients présentant un syndrome de douleur périphérique (impliquant les muscles et le tissu conjonctif et / ou le système nerveux périphérique par opposition à la fibromyalgie, qui est un trouble du système nerveux central) en plus de la fibromyalgie.
  • Thérapies opioïdes Un certain soulagement de la douleur a été rapporté avec des opiacés tels que le tramadol (Ultram), et avec l’association de tramadol et d’acétaminophène (Utracet) – qui peuvent tous deux soulager les problèmes de sommeil. Bien qu’ils soient efficaces contre la douleur intense aiguë, les opioïdes comme l’hydrocodone / acétaminophène (Vicodin), le propoxyphène / acétaminophène (Darvocet), l’oxycodone / acétaminophène (Percocet) et l’oxycodone (OxyContin) ne fonctionnent pas aussi bien contre la douleur chronique à long terme. Parlant. En outre, ils comportent un risque d’accoutumance et ont été associés à d’autres effets secondaires – par exemple, augmenter la sensibilité de l’organisme à la douleur, ainsi qu’à la somnolence et à la constipation.
  • Injections de points de déclenchement. Les injections d’anesthésiques locaux (comme la lidocaïne et la procaïne) et / ou de cortisone (un médicament stéroïdien) peuvent aider à traiter les muscles, les tendons ou les ligaments douloureux et à rompre les cycles de douleur et de spasmes musculaires.

Les antidépresseurs
Ces médicaments aident à réguler certains produits chimiques dans le cerveau, appelés neurotransmetteurs, qui sont impliqués dans divers symptômes de la fibromyalgie, y compris les douleurs musculaires, les problèmes de sommeil et la fatigue. Pour obtenir les meilleurs résultats, ils sont parfois utilisés en combinaison. Ceux couramment prescrits comprennent:

  • Les antidépresseurs tricycliques. Amitriptyline (Elavil, Endep), nortriptyline (Pamelor) et doxépine (Sinequan) ainsi que l’antidépresseur trazodone tétracyclique (Desyrel), augmentent les niveaux de noradrénaline et de sérotonine, neurotransmetteurs du cerveau qui affectent les signaux de la douleur et la dépression, et ont souvent un sédatif. , effet inducteur de sommeil.
  • Inhibiteurs sélectifs du recaptage de la sérotonine (ISRS). Ce groupe comprend le citalopram (Celexa), l’escitalopram (Lexapro), la fluoxétine (Prozac), la sertraline (Zoloft), la fluvoxamine (Luvox) et la paroxétine (Paxil).
  • Inhibiteurs sélectifs du recaptage de la sérotonine et de la norépinéphrine (SSNRIs). Cette nouvelle classe d’antidépresseurs, également connu sous le nom d’inhibiteurs d’absorption double, aide à réguler les neurotransmetteurs sérotonine et la norépinéphrine. Ils comprennent la venlafaxine (Effexor), la desvenlafaxine (Pristiq), la duloxétine (Cymbalta) et Savella (milnacipran).

Relaxants musculaires Des
médicaments tels que la cyclobenzaprine (Flexeril, Cycloflex et Flexiban), le carisoprodol (Soma) et le méthocarbamol (Skelex) sont souvent prescrits pour traiter les spasmes musculaires douloureux; ils sont généralement utilisés pour un soulagement à court terme.

Anticonvulsivants
Cette classe de médicaments est utilisée pour la fibromyalgie parce que ces médicaments aident également à traiter la douleur neuropathique, qui survient lorsque les nerfs sont surexcités et doivent être désensibilisés. Les médicaments de cette catégorie comprennent la prégabaline (Lyrica), ainsi que la carbamazépine (Carbatrol, Epitol, Equetro, Tegretol et Tegretol-XR) et la gabapentine (Gabarone, Neurontin).

Sédatifs / hypnotiques Un
sommeil réparateur est essentiel pour soulager les symptômes de la fibromyalgie. Si d’autres médicaments (en particulier les myorelaxants et les antidépresseurs) ne sont pas efficaces, les médecins peuvent prescrire des somnifères à court terme tels que le zolpidem (Ambien), le zaleplon (Sonate) et l’eszopiclone (Lunesta), qui ralentissent l’activité cérébrale. . Toutefois, de tels médicaments perdent souvent leur efficacité à long terme.

Stimulants
Certains médecins prescrivent maintenant des médicaments contre l’hyperactivité avec déficit de l’attention, comme le méthylphénidate (Ritalin), le sulfate de dextroamphétamine (Dexedrine) et le modafinil (Provigil) pour soulager les symptômes de fatigue et le «brouillard cérébral» (difficulté de penser et de se concentrer). avec la fibromyalgie souvent l’expérience.

À l’horizon
Parmi les nouveaux médicaments étudiés pour le traitement de la fibromyalgie, il y a l’oxybate de sodium (Xyrem), également connu sous le nom de GHB. Ce dépresseur du système nerveux central est actuellement approuvé pour le traitement de la narcolepsie, mais a montré des résultats prometteurs pour soulager la douleur et améliorer le fonctionnement des patients atteints de fibromyalgie. Une demande d’approbation a été soumise à la FDA le 15 décembre 2009.

Enfin, en plus des médicaments sur ordonnance, les médecins recommandent souvent d’explorer d’autres thérapies de gestion de la douleur. Parmi les plus efficaces, citons le massage thérapeutique et la thérapie de libération myofasciale, une technique spécialisée utilisée pour soulager la tension dans le corps, ce qui peut aider à soulager l’inconfort musculaire et réduire les spasmes.

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    Without a heading, they have no roadmap to follow.
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    And after that they try to create a heading that embraces all
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    Your heading will be your map, your composing navigation system, letting
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    Want your article to get opened? Then your headline
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  114. Believe of it like a PowerPoint, however for the web.
    With this in mind, Slideshare post assist you promote your Slideshare so that it
    can create a stable stream of visitors. Unlike blogs, Slideshare decks don’t often rank
    well on online search engine, so they need a platform for getting their message out there to individuals who
    are searching for it. Required some Slideshare ideas?
    In the example above, we turned our company’s” Culture Code “into a Slideshare discussion that anybody can check out and take lessons from, and then promoted it in a blog site post.
    “Newsjacking” is a nickname for” hijacking” your blog to break essential news related to your market.
    The newsjack example above was released by Houzz, a
    house decor merchant and interior style resource,
    about a brand-new mobile app that released just for interior designers.
    Houzz didn’t release the app, however the news of its launching is no
    less essential to Houzz’s audience. The infographic post serves a comparable purpose as the Slideshare
    post the fourth example, discussed above in that it conveys details for which
    plain blog copy might not be the best format.|
    helps readers keep in mind the info long after they leave
    your website. For this example, you need not look any further
    than the article you read right now! How-to guides like this one aid resolve an issue for your readers.
    They resemble a cookbook for your market, strolling your audience through a task action by action to enhance their literacy on the subject.

    Guest posts are a kind of post that you can utilize to include other voices on your blog site.

    For instance, if you wish to get an outdoors expert’s viewpoint on a topic,
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    authors to produce spellbinding posts that are adored by
    thousands. You’ll learn the tricks to crafting irresistible headlines, seducing introductions, captivating recommendations, and motivational closings.

    You’ll even discover how the pros fine-tune and polish their posts once they’re completed composing them.|
    Let’s dive in. Would like to know one of the greatest mistakes blog
    writers make? Composing post prior to the headings (aka post titles).
    Without a heading, they have no roadmap to follow. Therefore their post enters multiple instructions,
    leaving readers feeling lightheaded, baffled and disoriented.
    And then they attempt to create a heading that welcomes all that insanity.|
    Your heading will be your map, your writing navigation system,
    letting you know which literary roads to pick and which to prevent so that readers reach the designated destination as
    quickly and effectively as possible. Want your blog site post to get opened?
    Then your heading should promise readers the extremely response to whatever
    is tormenting them.|
    Your heading should not assure them a journey to the moon and
    back readers are way too speedy for such shenanigans.
    Keep the advantage specific and narrow, and readers will feel compelled to click and get
    the service to what’s pestering them. How do you discover what’s badgering your readers?
    How do you understand which of your numerous article ideas should be pursued?
    Research study: Review discuss your posts and on posts of other websites in your niche.|
    Usage tools like BuzzSumo to discover out what the most popular posts in your niche are (which offers insight into your target readers’ needs).
    Check out the reviews of books in your niche on Amazon (you’ll discover a cash cow of feedback to explore).
    You have one responsibility as a blogger yup, simply one.|
    The much better you know them, the better you serve. Before you understand it, you’ll know them so thoroughly
    they’ll feel like you read their minds, and your headings will reflect
    that. Let’s state you’re in the self-improvement space and
    you composed the headline below: How to Develop an Amazing Life This headline is so broad it’s unlikely to draw readers in.

  115. Maybe you intended all along for the post to
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    We all are. So tired old recommendations isn’t going to cut it.|
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  117. Perhaps you planned the whole time for the post to
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    promises, keep the format constant.|
    Bloggers ignore this all the time, however it’s easy
    to fix when you know it. If you separate your subheads from the post and list them back to back, you
    can see if any stray from the course. Say your post is called “12 Ways to Treat Sleeping Disorders” and you have a subhead for each of the 12
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    Every Early Morning Prevent Caffeine Like the Plague Wake Up at the Very Same Time
    Everyday There is Nothing More Sleep-Inducing Than Nighttime Meditation Something there feel
    a little off? The very first 3 subheads begin with an action verb instructing readers what to
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    But then the 4th subhead unexpectedly alters the format and breaks the flow.

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    This inconsistency might seem relatively innocent, but it’s sidetracking to readers.
    Let’s face it, readers today are info-holics.
    All of us are. So tired old recommendations isn’t going to cut it.|
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    What belief systems have you learned to challenge? What do you know that
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    You do not desire to overdo it just for the sake of including shock value.|
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    So pour your readers a little espresso for their info-hangover by delivering the unanticipated.

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  118. Share your Tale. A blog allows you to have a voice
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  119. Subheads utilize them. Why? Since readers are scanners.
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    and satisfying. And always remember, your article are all about
    your readers’ experience. If readers see too much text when they’re scanning without adequate pit stops, they’ll feel
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    Seriously. That’s how important this is. Subheads have the same function as headings; they should make readers curious
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    Don’t attempt to be too smart. Readers don’t like to play
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    Let’s say you’re composing a post about the impact sleep has on stress and anxiety levels and you consist of the following subheads: The Value of
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    Anxiety Decline the Roast and Catch More Z’s See how the
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    The subheads listed below would do a better job at grabbing readers: The
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  120. Think about it like a PowerPoint, but for the web.

    With this in mind, Slideshare post assist you promote your Slideshare so that it
    can create a stable stream of visitors. Unlike blog sites, Slideshare decks do
    not frequently rank well on search engines, so they
    need a platform for getting their message out there
    to individuals who are searching for it. Required some Slideshare ideas?

    In the example above, we turned our company’s” Culture Code “into a Slideshare presentation that
    anyone can look through and take lessons from, and after that promoted it in a
    blog post. “Newsjacking” is a nickname for” hijacking”
    your blog to break important news related to your industry.
    The newsjack example above was released by Houzz,
    a home design merchant and interior design resource, about a
    new mobile app that released simply for interior designers.
    Houzz didn’t launch the app, but the news of its introducing
    is no lesser to Houzz’s audience. The infographic post serves a similar purpose as the Slideshare
    post the 4th example, explained above in that it communicates details for which plain blog site copy might not be
    the finest format.|
    assists readers remember the info long after they leave your site.

    For this example, you need not look any further than the post you read today!
    How-to guides like this one assistance resolve a problem for your readers.
    They’re like a cookbook for your industry, strolling your audience through a task
    step by step to enhance their literacy on the topic. Guest posts are a type of post that you can utilize to
    include other voices on your blog site. For example,
    if you want to get an outdoors professional’s opinion on a topic, a guest post is best for that.

    Furthermore, these posts give your blog site variety in subject and perspective.|In this post, this supreme, step-by-step guide, we’ll share ideas utilized by expert freelance authors to
    produce spellbinding posts that are loved by thousands.
    You’ll discover the tricks to crafting tempting headlines,
    seducing introductions, fascinating recommendations, and motivational closings.
    You’ll even discover how the pros improve and polish their posts once they’re finished writing them.|
    Let’s dive in. Would like to know one of the greatest mistakes bloggers make?

    Writing post prior to the headings (aka post titles).

    Without a heading, they have no roadmap to follow.
    Therefore their post goes in multiple directions, leaving readers feeling dizzy, baffled and disoriented.
    And after that they try to develop a heading that accepts all that insanity.|
    Your headline will be your map, your composing navigation system, letting you understand which literary roads to select and which to avoid so that
    readers reach the designated location as quickly and effectively as possible.
    Desire your post to get opened? Then your headline must guarantee readers the very address to whatever
    is torturing them.|
    Your heading must not guarantee them a journey to the
    moon and back readers are way too quick for such shenanigans.

    Keep the benefit specific and narrow, and readers will feel compelled to click and get the
    option to what’s badgering them. How do you find out what’s badgering your readers?
    How do you know which of your numerous article concepts should be pursued?

    Research: Review discuss your posts and on posts of other websites in your specific niche.|
    Usage tools like BuzzSumo to discover what the most popular posts in your specific
    niche are (which offers insight into your target readers’ requirements).
    Read the reviews of books in your niche on Amazon (you’ll discover a gold mine of feedback to check out).
    You have one obligation as a blogger yup, simply one.|
    The better you understand them, the better you serve. Before
    you know it, you’ll understand them so totally they’ll feel like you’re reading their minds, and your headings will reflect that.

    Let’s say you’re in the self-improvement area and you wrote
    the headline below: How to Create an Amazing Life This headline is so broad it’s unlikely to draw readers in.

  121. Subheads use them. Why? Since readers are scanners. They have
    no option. There’s a leviathan quantity of content at their fingertips, and not all of
    it is great. Therefore they scan (as do you, I’m
    sure). Subheadings are your chance to show to readers that your content holds worth.|
    Blogging is a fight, keep in mind? Sprinkle subheads throughout your
    post. Why? Because they gently assist readers along
    the route your post is heading, making their experience
    feel clear, easy and pleasurable. And always remember, your blog posts are all
    about your readers’ experience. If readers see excessive text when they’re scanning without sufficient rest stop, they’ll feel overwhelmed.|
    Seriously. That’s how crucial this is. Subheads have the same function as headlines; they must make readers curious so they keep reading.
    So you should follow similar rules when preparing them and avoid the following
    typical mistakes: In case it bears repeating,
    never bore your readers. Labels are boring.
    Treat your subheads like mini-headlines and ensure they invoke
    interest.|
    If you do, readers will feel no compulsion to check out the rest of your text.
    Don’t attempt to be too creative. Readers don’t like to play guessing games.

    Including curiosity ought to never come at the cost of clearness.

    Let’s say you’re writing a post about the impact sleep has on stress and anxiety levels and you
    include the following subheads: The Value of Sleep Developing a Steady Sleeping Regular Will Reduce Stress And
    Anxiety Refuse the Roast and Catch More Z’s See how the very first subhead is
    way too plain, the second gives too much away, and the third,
    well, it most likely made no sense to you, right?

    The subheads listed below would do a much better job at getting
    readers: The Easiest Way to Lower Daily Anxiety How to Beat
    Anxiety Without Turning To Medication The Something You Must Prevent to Sleep Better Each
    subhead ought to clearly deliver on the total headline of your post.

  122. Consider it like a PowerPoint, however for the web. With this in mind,
    Slideshare article help you promote your Slideshare so that it can create a stable stream of visitors.
    Unlike blog sites, Slideshare decks do not often rank well on online search engine, so they
    need a platform for getting their message out there to individuals
    who are looking for it. Required some Slideshare concepts?
    In the example above, we turned our company’s” Culture Code “into a Slideshare presentation that anyone
    can look through and take lessons from, and after that promoted it in a post.
    “Newsjacking” is a nickname for” hijacking” your blog to break important news related to
    your industry. The newsjack example above was published by Houzz, a
    house design merchant and interior design resource,
    about a new mobile app that introduced just for interior designers.
    Houzz didn’t release the app, but the news of its introducing is no lesser to Houzz’s audience.
    The infographic post serves a similar purpose as the Slideshare post the 4th
    example, explained above because it communicates information for which
    plain blog copy may not be the finest format.|
    assists readers keep in mind the details
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