Schwindel, Gleichgewicht und Stürze bei Fibromyalgie-Fackeln

Bei Fibromyalgie sind Schwindel, schlechtes Gleichgewicht und Stürze häufige Beschwerden. Für manche Menschen ist dies ein kleiner Ärger, der gelegentlich auftritt. In anderen Fällen können sie schwerwiegend sein und zu regelmäßigen Verletzungen führen.

Das Fallen und besonders das häufige Fallen ist ein ernstes Problem. Das letzte, was Sie brauchen, wenn Sie bereits ständige Schmerzen haben, ist, sich ständig zu verletzen. Häufige Stürze oder Gleichgewichtsprobleme können ebenfalls zu Absturzangst führen.

Diese Angst kann Sie wiederum befürchten, selbst in Ihren Grenzen aktiv zu sein. Laut einer Studie in der   klinischen Rheumatologie haben  73 Prozent der Menschen mit Fibromyalgie Angst vor körperlicher Aktivität und fast 75 Prozent haben Probleme mit dem Gleichgewicht.

Der Sturz ist weniger ein Symptom als vielmehr eine Folge der Symptome von Schwindel und schlechtem Gleichgewicht. In diesem Zustand können Stürze und Gleichgewichtsprobleme auch mit Änderungen in der Art und Weise zusammenhängen, wie wir gehen.

Warum sind diese Probleme bei Fibromyalgie? Und was können wir mit ihnen machen?

Fibromyalgie und Schwindel

Bei Fibromyalgie tritt fast immer Schwindel auf, wenn Sie zum ersten Mal aufstehen. Es ist dem Gefühl eines “Kopfrennen” ähnlich, wenn Sie zu schnell aufstehen. Es kann nur jedes Mal passieren, wenn Sie vom Liegen oder Sitzen zum Stehen gehen. Das plötzliche Auftreten von Schwindelgefühl kann dazu führen, dass er auf seinen Füßen schwankt, wackelt oder sogar fallen oder in Ohnmacht fällt.

Laut einer Studie von 2017, die im European Journal of Pain veröffentlicht wurde, können Schwindel und Ohnmacht in diesem Zustand mit einer bestimmten Untergruppe verknüpft sein    .

Neben Schwindel und Ohnmacht hatte diese Untergruppe auch die höchsten Schmerzen und eine Vielzahl überlappender Symptome und Zustände, einschließlich kognitiver Dysfunktion (“Fibrohumidität”), reizbarer Blase, Vulvodynie und Restless-Legs-Syndrom.

Die Forschung legt nahe, dass dieses Symptom von einer autonomen Nervensystemstörung (SNA) ausgeht, die als Dysautonomie bezeichnet wird.

Der ANS ist an vielen kritischen Funktionen in Ihrem Körper beteiligt, darunter Herzfrequenz, Blutdruck, Atemfrequenz, Körpertemperatur, Stoffwechsel und Verdauung.

Schwindel infolge von Dysautonomie kann als orthostatische Intoleranz, neural vermittelte Hypotonie oder posturales orthostatisches Tachykardiesyndrom (POTS) bezeichnet werden. Im Wesentlichen bedeuten diese Dinge, dass das Herz und das Gehirn nicht richtig miteinander kommunizieren.

Wenn Sie aus einer liegenden oder sitzenden Position aufstehen, erhöht der ANS Ihren Blutdruck, um gegen die Schwerkraft zu kämpfen und eine ausreichende Blutversorgung in Ihrem Gehirn aufrechtzuerhalten. Bei Dysautonomia geschieht dies nicht so, wie es sollte. Im Gegensatz dazu kann der Blutdruck tatsächlich abnehmen, wenn Sie aufhören, und das Ergebnis ist Schwindel oder Benommenheit. Bei POTS beschleunigt sich die Herzfrequenz, wenn der Blutdruck abnimmt.

Schwindel kann mit Herzklopfen, verschwommenem Sehen, erhöhtem Puls, Brustschmerzen und einer Art von Ohnmacht verbunden sein, die als Vasovagal-Synkope bezeichnet wird.

Allerdings sind nicht alle Menschen mit Schwindelanfällen im Zusammenhang mit Fibromyalgie in Ohnmacht gefallen. In einer Studie aus dem Jahr 2008 sagten die Forscher, Schwindel und Herzklopfen seien häufiger als Ohnmacht. Sie sagen auch, dass POTS eines der häufigsten Symptome von Fibromyalgie war, das sie bei Tischkippversuchen beobachteten, bei denen die Reaktion auf Positionsänderungen gemessen wurde.

Gleichgewichts- und Gangprobleme bei Fibromyalgie

Die Forschung legt nahe, dass Personen mit Fibromyalgie anders gehen als gesunde Menschen. Eine Studie aus dem Jahr 2009 ergab, dass etwa 28 Prozent der Menschen mit dieser Krankheit einen anormalen Gang (Gehweg) haben.

In einer 2017 durchgeführten Studie zur funktionalen Leistungsfähigkeit sagten die Forscher, dass Gang und Gleichgewicht in diesem Zustand stark beeinträchtigt wurden. Unterschiede enthalten:

  • Deutlich kürzere Schrittlänge
  • Langsamer Schritt
  • die Art und Weise wie der Körper beim Gehen schwankt

Die Forscher stellten fest, dass Gang- und Gleichgewichtsunterschiede bei Menschen, die mehr Schmerzen, Steifheit, Müdigkeit, Angstzustände und Depressionen hatten, schlechter waren.

Sie empfahlen Ärzten, den Fortschritt und die Position ihrer Patienten mit Fibromyalgie zu bewerten, um die beste Art der Rehabilitation und der Prävention von Stürzen für sie zu finden.

Diese Studie ist Teil einer wachsenden wissenschaftlichen Literatur, die Gleichgewichtsstörungen und das Gehen in diesem Zustand aufzeigt, die zu Stürzen führen können. Die Beurteilung und Behandlung dieser Symptome hat jedoch möglicherweise keine Priorität für Ihren Arzt. Wenn Sie besorgt sind, erwähnen Sie sie unbedingt bei Ihrem nächsten Termin.

Linderung von Schwindel und Absturzgefahr bei Fibromyalgie

Je erfolgreicher Sie bei der Behandlung Ihrer Fibromyalgie sind, sollten diese Symptome weniger problematisch sein. Wenn Sie jedoch mehr Aufmerksamkeit benötigen oder keine wirksame Behandlung für Fibromyalgie finden konnten, haben Sie mehrere Möglichkeiten.

Bei Schwindel, der durch POTS, orthostatische Hypotonie oder neural vermittelte Hypotonie verursacht wird, kann Ihr Arzt Ihnen Medikamente empfehlen, die Ihnen helfen. Dazu können SSRI / SNRI, Benzodiazepine und Betablocker gehören. Einige dieser Medikamente können dabei helfen, andere Symptome der Fibromyalgie zu lindern, genau wie SSRIs und SNRIs üblicherweise für diese Krankheit verschrieben werden. Ihr Arzt kann auch Änderungen in Ihrem Lebensstil empfehlen.

Wenn Sie rauchen, schlagen Forschungsergebnisse in der gemeinsamen Zeitschrift für Rheumatologie   , Bone, Spine,  vor, dass das Aufhören mit dem Rauchen Ohnmacht und andere Symptome einer Fibromyalgie lindern kann.

Wenn es um Gleichgewicht und Gang geht, ist Physiotherapie eine übliche Behandlung. Sie können auch Ihren Arzt fragen, ob etwas wie Yoga, Tai Chi oder Qigong für Sie sicher ist.

Bis Sie Wege finden, um diese Symptome zu verbessern, sollten Sie vorsichtig sein. Hilfsgeräte wie Stock oder Gehhilfe können Ihnen beim Stehen helfen. Sitzübungen können die sicherste Option sein, und sie sind sicherlich die bessere Wahl, als weniger aktiv zu sein als Sie.

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