Na fibromialgia, tonturas, falta de equilíbrio e quedas são queixas comuns. Para algumas pessoas, eles são um aborrecimento menor que surge de vez em quando. Em outros, eles podem ser altamente debilitante e levar a lesões regulares.
Caindo e, especialmente, caindo com freqüência, é um problema sério. A última coisa que você precisa quando você já está em constante dor é para machucar o tempo todo. quedas freqüentes ou problemas de equilíbrio também pode levar a um medo de cair.
Esse medo pode, por sua vez, torná-lo com medo de permanecer ativa, mesmo dentro de seus limites. De acordo com um estudo realizado na Clinical Rheumatology, 73 por cento das pessoas com fibromialgia têm um medo de atividade física, e quase 75 por cento têm problemas com a balança.
Cair é menos um sintoma e mais uma conseqüência dos sintomas de tontura e falta de equilíbrio. Nesta condição, quedas e problemas de equilíbrio também pode estar relacionado a mudanças na forma como caminhamos.
Então, por que a fibromialgia envolver esses problemas? E o que podemos fazer com eles?
Fibromialgia e Tonturas
Na fibromialgia, tontura maioria das vezes vem em quando você se levantar. É semelhante ao sentimento de uma “corrida cabeça” a partir de quando se levanta demasiado depressa, só ele pode acontecer a qualquer momento você vai de deitado ou sentado para em pé. O início súbito de tontura pode torná-lo balançar em seus pés, cambaleando, ou pode até mesmo fazer você cair ou desmaiar.
Tonturas e desmaios nesta condição pode ser ligada a um subgrupo particular, de acordo com um estudo publicado em 2017 no European Journal of Pain .
Além de tonturas e desmaios, este subgrupo, também tinham níveis mais elevados de dor, bem como uma variedade de sintomas e condições que se sobrepõem, incluindo a disfunção cognitiva ( “névoa fibro”), bexiga irritável, vulvodinia, e a síndrome das pernas inquietas.
A investigação sugere que este sintoma hastes de disfunção do sistema nervoso autónomo (ANS), que é chamado disautonomia.
A ANS está envolvido com um monte de funções críticas em seu corpo, incluindo a frequência cardíaca, pressão arterial, frequência respiratória, temperatura corporal, metabolismo e digestão.
Tonturas, resultante do disautonomia pode ser chamado de intolerância ortostática, hipotensão neuralmente mediada, ou síndrome de taquicardia postural ortostática (POTS). Essencialmente, essas coisas significa que o coração eo cérebro não estão se comunicando adequadamente com o outro.
O que deve acontecer é que, quando você se levantar de uma posição deitada ou sentada, a ANS aumenta a pressão arterial, a fim de lutar contra a gravidade e manter um fornecimento suficiente de sangue em seu cérebro. Com disautonomia, isso não acontece como deveria. Em vez disso, a pressão arterial pode realmente cair quando você está, eo resultado é a tontura ou sensação de cabeça vazia. Em vasos, as velocidades da frequência cardíaca-se como a pressão arterial diminui.
Tontura pode ser associada com palpitações, visão turva, aumento da taxa de pulso, dor no peito, e um tipo de desmaio chamada síncope vasovagal.
Nem todos com tonturas relacionadas com a fibromialgia desmaia, no entanto. Em um estudo de 2008, pesquisadores dizem tonturas e palpitações eram mais comuns do que desmaio. Eles também dizem POTS foi um dos sintomas da fibromialgia mais comuns que eles observados durante os testes de inclinação, que medem a sua resposta a mudanç as na posição.
Equilíbrio e problemas de marcha na fibromialgia
Somando-se a possibilidade de quedas, a pesquisa sugere que as pessoas com fibromialgia caminhar de forma diferente do que as pessoas saudáveis. Um estudo de 2009 descobriu que cerca de 28 por cento das pessoas com esta doença têm uma marcha anormal (maneira de andar).
Em um estudo do desempenho funcional 2017, pesquisadores disseram que a marcha e equilíbrio foram severamente prejudicada nesta condição. As diferenças incluem:
- significativamente menor comprimento da passada
- ritmo mais lento
- a forma como o corpo oscila ao caminhar
Os pesquisadores observaram que as diferenças marcha e equilíbrio foram piores em pessoas que tinham mais dor, rigidez, fadiga, ansiedade e depressão.
Eles recomendaram que os médicos avaliar a marcha e postura de seus pacientes com fibromialgia, a fim de encontrar o melhor tipo de reabilitação e prevenção de quedas para eles.
Este estudo é parte de um crescente corpo de equilíbrio literatura demonstrando científica e problemas de marcha nesta condição que pode levar a quedas. Ainda assim, avaliar e tratar esses sintomas podem não ser uma alta prioridade para o seu médico. Se eles são preocupações para você, certifique-se de levá-los até na sua próxima consulta.
Aliviando Risco tontura e queda na fibromialgia
Quanto mais você é bem sucedido no tratamento de sua fibromialgia, menos estes sintomas deve ser um problema. No entanto, se eles precisam de mais atenção ou você foi incapaz de encontrar tratamentos eficazes fibromialgia, você tem várias opções.
Para tonturas desde POTS, hipotensão ortostática, ou hipotensão neuralmente mediada, o médico pode ser capaz de recomendar medicamentos que ajudam. Estes podem incluir ISRS / IRSN, benzodiazepínicos e betabloqueadores. Alguns destes medicamentos podem ajudar a aliviar outros sintomas como fibromialgia, bem-ISRS e IRSN são comumente prescritos para esta doença. Seu médico também pode recomendar mudanças de estilo de vida.
Se você fuma, a pesquisa publicada na revista reumatológica Joint, Osso, Coluna vertebralsugere que parar de fumar pode ajudar a aliviar desmaios e vários outros sintomas da fibromialgia.
Quando se trata de equilíbrio e da marcha, a terapia física é um tratamento comum. Você também pode querer perguntar ao seu médico se algo como yoga, tai chi ou qigong é seguro para você.
Até encontrar formas de melhorar esses sintomas, vale a pena ser cuidadoso. Os dispositivos auxiliares, como uma bengala ou andador pode ajudar a mantê-lo em seus pés. exercícios sentados pode ser a opção mais segura, e eles são certamente uma escolha melhor do que ser menos ativa do que você pode ser.
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