Si vous souffrez de fibromyalgie, vous pourriez avoir remarqué que les symptômes que tout le monde pense, la fatigue chronique, la douleur et le brouillard mental, ne sont pas la moitié de toutes les choses avec lesquelles vous vous battez. La fibromyalgie semble vous rendre plus vulnérable à une foule d’autres maux. Et ce sont souvent des choses que vous n’associez pas à la maladie comme les démangeaisons chroniques, les mictions fréquentes et les maladies auto-immunes. Mais il y a aussi une autre complication à laquelle les gens ne pensent pas souvent: le RGO ou le reflux gastro-œsophagien.
Cette affection, qui fait remonter l’acide gastrique dans l’œsophage, est douloureuse et frustrante à supporter. Mais il peut aussi conduire à une complication grave appelée métaplasie intestinale. Dans les cas de métaplasie intestinale, les cellules qui tapissent l’œsophage se transforment en type de cellules que l’on voit habituellement dans l’intestin. Alors, quelle est exactement cette condition et comment est-elle liée à la fibromyalgie? Quels sont les symptômes et les risques? Et que pouvez-vous faire pour le traiter?
Métaplasie intestinale et fibromyalgie
La métaplasie est un terme qui signifie qu’un type de cellule mute dans une cellule différente. Quand il s’agit de la métaplasie intestinale, les cellules de l’œsophage se transforment en cellules intestinales, ce qui entraîne une maladie appelée œsophage de Barrett.
Fondamentalement, les cellules de votre corps s’adaptent à leur environnement. Et quand les cellules de l’œsophage sentent constamment qu’elles sont exposées à l’acide gastrique à la suite du RGO, elles se transforment en cellules intestinales puisque les cellules intestinales sont adaptées à cet acide.
Et avoir la fibromyalgie vous met à un risque beaucoup plus élevé de développer un RGO. En fait, près de soixante pour cent des personnes atteintes de fibromyalgie souffrent d’une forme de brûlure d’estomac ou de reflux gastro-oesophagien. Nous ne savons pas pourquoi avoir la fibromyalgie semble augmenter votre risque. Et il se peut que la douleur chronique et la fatigue de la fibromyalgie aient tendance à faire en sorte que les personnes atteintes de fibromyalgie soient incapables de faire de l’exercice et courent donc un risque plus élevé d’obésité, un facteur de risque important de brûlures d’estomac.
Le RGO provoque un flux chronique d’acide dans l’œsophage, ce qui fait du RGO le facteur de risque le plus important pour le développement de l’œsophage de Barrett. Et cela peut causer beaucoup de complications.
Quels sont les symptômes et les risques?
La plupart des personnes atteintes d’œsophage de Barrett ne remarquent aucun symptôme au début. Bien sûr, ils auront encore des problèmes avec les symptômes du RGO, mais il est difficile de dire si les cellules de l’œsophage se sont déplacées vers les cellules intestinales. Ce changement dans la composition de vos cellules n’affecte pas vraiment la capacité de votre œsophage à faire son travail, particulièrement quand seulement une petite partie des cellules est affectée.
Le vrai danger n’est pas les symptômes que l’œsophage de Barrett provoque, mais plutôt le fait qu’il augmente considérablement votre risque de cancer. Avoir l’œsophage de Barrett vous fait cinquante fois plus de chances de développer un cancer de l’œsophage. C’est parce que les cellules en mutation dans l’œsophage sont plus susceptibles de devenir cancéreuses. Et le cancer de l’œsophage est très dangereux. Quatre-vingt-deux pour cent des cas de cancer de l’œsophage finissent par être terminés. Donc, obtenir un traitement le plus tôt possible est vital.
Comment est-il traité?
La première étape du traitement consiste à obtenir un diagnostic. Parce que l’œsophage de Barrett ne conduit à aucun symptôme apparent, il est plus probable que le médecin remarquera la condition lors de la vérification d’un état de reflux acide. Pour diagnostiquer la maladie, les médecins font quelque chose appelé une endoscopie. Ceci est essentiellement une procédure où le médecin va pousser une petite caméra flexible dans l’œsophage pour faire une inspection visuelle des dommages.
Le médecin prélèvera ensuite une petite biopsie de tissu de l’œsophage et examinera le tissu au microscope pour voir si une métaplasie s’est produite. Une fois que vous avez un diagnostic, il existe plusieurs façons de traiter la maladie.
La première étape consiste à minimiser le risque de cancer. Cela implique généralement des traitements de base pour le reflux acide et des changements de style de vie pour réduire les risques. Des choses comme le tabagisme et la consommation d’alcool sont non seulement un facteur important dans le reflux acide, mais peuvent augmenter votre risque de cancer. En apportant des changements à ces habitudes et à votre alimentation, vous pouvez aider à réduire la quantité de reflux acide que vous ressentez et à réduire votre risque de cancer.
Il n’y a pas une bonne option pour inverser le changement dans les cellules de l’œsophage, mais ils peuvent être enlevés chirurgicalement. Cependant, la plupart des médecins estiment que les risques de cette chirurgie ne valent pas les avantages. Au lieu de cela, les médecins recommandent de combiner les efforts de prévention avec un dépistage régulier du cancer. Dans ce cas, c’est vraiment la meilleure option.
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