Svimmelhet, balanse og faller under fibromyalgiutbrudd

I fibromyalgi er svimmelhet, mangel på balanse og faller vanlige klager. For noen mennesker er de en mindre irritasjon som oppstår ved anledningen. I andre kan de være alvorlig forringende og forårsake vanlige skader.

Høsten, og spesielt den hyppige høsten, 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 mangel på 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 det?

Fibromyalgi og svimmelhet

I fibromyalgi oppstår svimmelhet oftere når du først står opp. Det ligner følelsen av “hodet rushing” når du står opp for fort, det kan bare skje hver gang du legger seg eller står opp. Den plutselige oppstarten av svimmelhet kan få ham til å svinge på føttene, wobble, eller til og med føre til at han faller eller svimmer.

Svimmelhet og svimmelhet i denne tilstanden kan være relatert 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 tilstander som overlapper hverandre, inkludert kognitiv dysfunksjon ( “fibro tåke”), irritabel blære, vulvodynia og legs syndrom rastløs.

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

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

Svimmelhet forårsaket av dysautonomi kan kalles ortostatisk intoleranse, neuralmediert 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 liggeplass eller sitteposisjon, øker SNA blodtrykket for å bekjempe alvorlighetsgraden og opprettholde en tilstrekkelig blodforsyning i hjernen. Med dysautonomi skjer dette ikke som det skal. I stedet kan blodtrykket faktisk gå ned når du står, og resultatet er svimmelhet eller lyshet. I POTS akselererer hjertefrekvensen som blodtrykksfall.

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

Men ikke alle som har svimmelhet forbundet med fibromyalgi faints. I en studie fra 2008 sier 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 de tilbøyelige tabelltestene, som måler deres respons på endringer i posisjon.

Balanse og gangproblemer i fibromyalgi

I tillegg til muligheten for faller, tyder forskningen på 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 funksjonell resultatstudie av 2017 sa forskerne at gang og balanse var sterkt skadet i denne tilstanden. Forskjellene inkluderer:

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

Forskerne observert at forskjeller i gang og balanse var verre hos personer 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 viser balanse og gangproblemer i denne tilstanden som kan føre til fall. Det kan imidlertid ikke være høy prioritet for legen din å evaluere og behandle disse symptomene. Hvis du er bekymret, vær sikker på å nevne dem ved neste avtale.

Løs svimmelhet og risiko for fall i fibromyalgi

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

For POTS-svimmelhet, ortostatisk hypotensjon eller hjernemediert hypotensjon, kan legen din anbefale medisiner som hjelper. Disse kan omfatte SSRI / SNRI, benzodiazepiner og betablokkere. Noen av disse medisinene kan også bidra til å lindre andre symptomer på fibromyalgi: 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 kan 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. Hjelpemidler, for eksempel 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 kan være.

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