Svimmelhet, balanse og fall under fibromyalgi bluss

I fibromyalgi er svimmelhet, dårlig balanse og faller vanlige klager. For noen mennesker er de en liten irritasjon som oppstår av og til. I andre kan de være alvorlig forringende og føre til vanlige skader.

Falling, og spesielt faller ofte, er et alvorlig problem. Det siste du trenger når du allerede har konstant smerte, er å skade deg hele tiden. Hyppige fall eller balanseproblemer kan også føre til frykt for å falle.

Den frykten kan i sin tur gjøre deg redd for å være aktiv, selv innenfor dine grenser. Ifølge en studie i   klinisk reumatologi er  73 prosent av personer med fibromyalgi redd for fysisk aktivitet, og nesten 75 prosent har problemer med balanse.

Høsten er mindre et symptom og mer en konsekvens av symptomene på svimmelhet og dårlig balanse. I denne tilstanden kan fall og balanseproblemer også være relatert til endringer i måten vi går på.

Så, hvorfor involverer fibromyalgi disse problemene? Og hva kan vi gjøre med dem?

Fibromyalgi og svimmelhet

I fibromyalgi vises svimmelhet nesten alltid når du står opp for første gang. Det ligner følelsen av en “head race” når du står opp for fort, det kan bare skje hver gang du går fra å ligge eller sitte for å stå opp. Den plutselige oppstarten av svimmelhet kan få ham til å svinge på føttene, vri eller til og med få ham til å falle eller svette.

Svimmelhet og svimmelhet i denne tilstanden kan være knyttet til en bestemt undergruppe, ifølge en 2017-studie publisert i   European Journal of Pain  .

Foruten svimmelhet og besvimelse, denne undergruppen hadde også de høyeste nivåene av smerte og en rekke symptomer og overlappende tilstander, inkludert kognitiv dysfunksjon ( “fibrohumedad”), irritabel blære, vulvodynia og RLS.

Forskning tyder på at dette symptomet kommer fra autonomt nervesystem dysfunksjon (SNA), som kalles dysautonomi.

ANS er involvert i mange kritiske funksjoner i kroppen din, inkludert hjertefrekvens, blodtrykk, respirasjonsfrekvens, kroppstemperatur, metabolisme og fordøyelse.

Svimmelhet som skyldes dysautonomi, kan kalles ortostatisk intoleranse, nevronmediert hypotensjon eller postural ortostatisk takykardi syndrom (POTS). I hovedsak betyr disse tingene at hjertet og hjernen ikke kommuniserer riktig med hverandre.

Hva som skal skje er at når du står opp fra en liggende eller sittestilling, øker ANS blodtrykket for å kjempe mot tyngdekraften og opprettholde tilstrekkelig blodforsyning i hjernen. Med dysautonomi skjer dette ikke som det skal. I motsetning til dette kan blodtrykket faktisk reduseres når du stopper, og resultatet er svimmelhet eller letthet. I POTS akselererer hjertefrekvensen etter hvert som blodtrykket avtar.

Svimmelhet kan være forbundet med hjertebank, sløret syn, økt puls, brystsmerter og en type besvimelse kalt vasovagal synkope.

Men ikke alle personer med svimmelhet knyttet til fibromyalgi svak. I en studie i 2008 sa forskere at svimmelhet og hjertebanken var mer vanlig enn besvimelse. De sier også at POTS var en av de vanligste symptomene på fibromyalgi de observerte under bordtellingtester, som måler deres respons på endringer i posisjon.

Balanse og gangproblemer i fibromyalgi

I tillegg til muligheten for fall, foreslår forskning at personer med fibromyalgi går annerledes enn friske mennesker. En studie fra 2009 viste at rundt 28 prosent av personer med denne sykdommen har en unormal gang (vei).

I en studie av funksjonell ytelse gjennomført i 2017, sa forskerne at gang og balanse var sterkt påvirket i denne tilstanden. Forskjeller inkludert:

  • Betydelig kortere stridlengde
  • Langsomt trinn
  • måten kroppen svømmer når man går

Forskerne bemerket at gang- og balanseforskjeller var verre hos mennesker som hadde mer smerte, stivhet, tretthet, angst og depresjon.

De anbefalte at leger vurderer pasientens utvikling og posisjon med fibromyalgi for å finne den beste typen rehabilitering og forebygging av fall for dem.

Denne studien er en del av en voksende kropp av vitenskapelig litteratur som demonstrerer balanseproblemer og går i denne tilstanden som kan føre til fall. Likevel, evaluering og behandling av disse symptomene kan ikke være en prioritet for legen din. Hvis du er bekymret, vær sikker på å nevne dem ved neste avtale.

Lindre svimmelhet og risiko for fall i fibromyalgi

Jo mer vellykket du er i å behandle fibromyalgi, disse symptomene skal være mindre problematiske. Men hvis du trenger mer oppmerksomhet, eller hvis du ikke har kunnet finne effektive behandlinger for fibromyalgi, har du flere alternativer.

For svimmelhet forårsaket av POT, ortostatisk hypotensjon eller nevronmediert hypotensjon, kan legen din anbefale medisiner for å hjelpe deg. Disse kan inkludere SSRI / SNRI, benzodiazepiner og beta-blokkere. Noen av disse medisinene kan bidra til å lindre andre fibromyalgi symptomer, akkurat som SSRI og SNRI er ofte foreskrevet for denne sykdommen. Legen din kan også anbefale endringer i livsstil.

Hvis du røyker,  foreslår forskning som publiseres i den fellesreumatologidokumenter   , Bone, Spine at slutte å røyke kan bidra til å lindre svimmelhet og andre symptomer på fibromyalgi.

Når det gjelder balanse og gang, er fysioterapi en vanlig behandling. Du vil kanskje også spørre legen din dersom noe som yoga, tai chi eller qigong er trygt for deg.

Inntil du finner måter å forbedre disse symptomene på, er det verdt å være forsiktig. Hjelpeinnretninger som en stokk eller walker kan hjelpe deg med å stå. Sitteøvelser kan være det sikreste alternativet, og de er absolutt et bedre alternativ enn å være mindre aktiv enn du måtte være.

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