La fibromialgia es uno de los trastornos musculoesqueléticos más comunes que incluye dolor muscular y articular generalizado.
El dolor articular causado por la fibromialgia a menudo se confunde con la artritis reumatoide (AR) porque también tiene síntomas similares. Una articulación es una intersección donde se unen dos huesos.
La mayoría de las articulaciones están compuestas de cartílago, espacio articular, cápsula fibrosa, sinovio y ligamentos. Las articulaciones ayudan a proporcionar apoyo y también te ayudan a moverte.
Cualquier daño a las articulaciones causado por una enfermedad o lesión puede interferir con los movimientos y causar mucho dolor.
La inflamación de las articulaciones en la artritis reumatoide es uno de los síntomas clave de la fibromialgia, sin embargo, puede haber dolor en las articulaciones y los músculos, pero no puede ser causada por la inflamación.
Por lo tanto, la fibromialgia no daña las articulaciones como lo puede hacer la artritis. Tampoco parece dañar los músculos u otros tejidos blandos.
Causas Los
investigadores, como los médicos, aún no saben qué causa la fibromialgia, pero lo más probable es que involucren una variedad de factores que trabajan juntos. Algunas de las causas atribuidas a la fibromialgia pueden incluir:
Genética
Esto se debe a que la fibromialgia tiende a funcionar en familias y puede haber algunas mutaciones genéticas que pueden hacer que usted sea más susceptible al desarrollo del trastorno.
Infecciones
Hay algunas enfermedades que parecen desencadenar o exacerbar la fibromialgia.
Traumatismo físico o emocional
También se cree que el trastorno de estrés postraumático puede conducir al desarrollo de la fibromialgia. Los investigadores también creen que la estimulación nerviosa repetida puede hacer que los cerebros de las personas con fibromialgia cambien. Este cambio crea un aumento anormal en los niveles de ciertas sustancias químicas en el cerebro que señalan el dolor (neurotransmisores).
Tratamiento para el dolor articular
de la fibromialgia Todavía no se conoce una cura para la fibromialgia. Pero hay varias opciones que pueden marcar la diferencia en la calidad de su vida, incluidos los cambios en el estilo de vida y los medicamentos.
Si bien la fibromialgia a menudo se considera una condición relacionada con la artritis, en realidad no es una forma de artritis (una enfermedad de las articulaciones) porque no causa inflamación o daño a las articulaciones, músculos u otros tejidos.
Sin embargo, al igual que la artritis, la fibromialgia puede causar un considerable dolor y fatiga y puede interferir con la capacidad de una persona para realizar las actividades cotidianas.
Además, al igual que la artritis, la fibromialgia se considera una afección reumática, una afección médica que daña las articulaciones y / o los tejidos blandos y causa dolor crónico.
Hay muchos médicos, internistas generales o reumatólogos (médicos que se especializan en artritis y otras afecciones que afectan las articulaciones o los tejidos blandos) que pueden tratar la fibromialgia.
También se deben probar clínicas especializadas en dolor en clínicas de dolor y reumatología especializadas en artritis y otras enfermedades reumáticas, incluida la fibromialgia.
Hasta la fecha, solo hay tres medicamentos aprobados por la Administración de Drogas y Alimentos de los Estados Unidos (FDA) para el tratamiento de la fibromialgia. Estos son duloxetina, milnacipran y pregabalina.
La duloxetina se desarrolló originalmente y todavía se usa para el tratamiento de la depresión.
El milnaciprán es similar a un medicamento que se usa para tratar la depresión, pero está aprobado por la FDA solo para la fibromialgia.
Pregaballin es un medicamento desarrollado para el tratamiento del dolor neuropático (dolor crónico causado por daño al sistema nervioso).
¿Se trata la fibromialgia con el tiempo?
La fibromialgia es una afección crónica, lo que significa que durará mucho tiempo, incluso toda la vida. Sin embargo, puede ser reconfortante saber que la fibromialgia no es una enfermedad progresiva y nunca es mortal, y no causará daño a las articulaciones, músculos u órganos internos. En muchas personas, la condición mejora con el tiempo.
¿Qué puede hacerte la fibromialgia?
El dolor y la falta de sueño asociados con la fibromialgia pueden interferir con la capacidad de funcionar en el hogar o en el trabajo. La frustración de tener que lidiar con una condición a menudo mal entendida también puede llevar a la depresión y la ansiedad relacionada con la salud.
¿Hay otras opciones además de los medicamentos?
Además de tomar los medicamentos recetados por su médico, también hay muchas cosas que puede hacer para minimizar el impacto de la fibromialgia en su vida.
Duerma bien por la noche.
Una persona debe tener el tipo correcto y dormir lo suficiente para aliviar el dolor y la fatiga de la fibromialgia. Hay muchas personas con fibromialgia que tienen problemas para dormir debido al dolor, el síndrome de piernas inquietas o irregularidades en las ondas cerebrales.
Por lo tanto, es importante discutir cualquier problema de sueño con su médico, quien puede recetarle o recomendarle un tratamiento.
Ejercicio
delicado Aunque el dolor y la fatiga pueden dificultar el ejercicio y las actividades diarias, es importante estar físicamente activo siempre que sea posible. Los estudios han demostrado que el ejercicio regular es uno de los tratamientos más efectivos para la fibromialgia.
También es importante tener en cuenta que las personas que tienen demasiado dolor o fatiga y hacen un ejercicio vigoroso deben comenzar a caminar o realizar otros ejercicios delicados y desarrollar lentamente su resistencia e intensidad.
Cambiar su entorno de trabajo Las
personas con fibromialgia tienden a trabajar incluso después de haber sido diagnosticadas. Esto debería cambiar o debería hacer cambios.
Hay varias maneras de hacer esto. Simplemente puede reducir el número de horas de trabajo, ir a un trabajo menos exigente o adaptar un trabajo actual.
Puede pedirle a su empleador que realice ajustes que le permitan mantener su trabajo si encuentra obstáculos en el trabajo, como una incómoda silla de escritorio que le devuelve el dolor o dificultad para levantar cajas o archivos pesados.
También se recomienda que un terapeuta ocupacional le ayude a diseñar una estación de trabajo más cómoda o a encontrar formas de levantamiento más eficientes y menos dolorosas.
Comer sano siempre es mejor
No se han realizado estudios para una dieta específica para personas con fibromialgia, pero se ha informado que las personas se sienten mejor cuando tienden a comer o evitan ciertos alimentos.
Sea lo que sea lo que se diga y se haga, es importante tener una dieta saludable y equilibrada en la que una nutrición adecuada te proporcione más energía y, en general, te haga sentir mejor. También le ayudará a evitar otros problemas de salud.
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