Wat is die oorsprong van fibromialgie? Oorsake en behandelings

Onlangse navorsing koppel dit aan die sentrale senuweestelsel en immuunstelsel, hoewel dit as ‘n rumatologiese siekte beskou word

fibromialgie

Fibromialgie  veroorsaak pyn en teerheid in die liggaam . ‘N Pyn wat gewoonlik gepaard gaan met moegheid en probleme om aan die slaap te raak. Tot onlangs was daar nog nie ‘n baie duidelike kriterium oor wat fibromialgie was nie … Alhoewel dit  lank as ‘n rumatologiese siekte beskou is, dui alle wetenskaplike studies vandag op ‘n sentrale oorsprong,  hoofsaaklik die sentrale senuweestelsel en moontlik die immuunstelsel. Ons het hierdie siekte bespreek met die neuroloog José Mª Gómez Argüelles, wat jare lank die oorsprong en die doeltreffendste tegnieke vir die behandeling van hierdie chroniese siekte bestudeer het.

‘N Moeilike siekte om te diagnoseer

In 1993 erken die Wêreldgesondheidsorganisasie  dit as ‘n siekte  en klassifiseer dit met die kode M79.7 in die Handleiding vir die Internasionale Klassifikasie van Siektes. In 1994 het die International Association for the Study of Pain (IASP) dit as sodanig erken. Tot ‘n paar jaar gelede is die diagnose slegs gemaak op grond van ly aan algemene chroniese pyn en ‘n reeks drukpynpunte (bekend as ‘Tender Points’). Maar sedert 2010 is daar nuwe klassifikasiekriteria beskikbaar, waarin ook ander simptome soos  slaapstoornisse , geheue probleme   of  moegheid belangrik word. Maar daar is nog laat diagnoses omdat ons steeds geen objektiewe toets het om aan te toon wat met hulle gebeur nie. Alhoewel ons nader aan neuro-beeldtegnieke kom om die breinareas wat vir hierdie simptome verantwoordelik is, te visualiseer, is dit steeds eksperimentele tegnieke. In die toekoms kan dit egter op enige pasiënt uitgevoer word.

Vroue ly meer

Dit kom baie meer voor by vroue  (90% van die pasiënte is), maar daar is 10% mans. Die rede is onbekend, dit kan hormonaal of geneties wees.
Alhoewel die oorsprong nie bekend is nie,  kan daar ‘n verband met die dermflora wees

. Die derm-breinverhouding is ‘n baie aantreklike navorsingslyn. As ons leer weet watter voedsel immunologiese en neurologiese sensitiwiteit veroorsaak of vererger, kan ons die simptome verbeter.

Is daar ‘n behandeling?

Daar is geen goedgekeurde geneesmiddelbehandeling nie. Word  ontspanningstegnieke ,  psigoterapie, oefening, meditasie, osteopatie, bewustheid gebruik …  Maar dit verander nie die verloop van die siekte nie, dit help om met die probleem saam te leef. Ander tegnieke, soos magnetiese stimulasie of spesifieke dieetbehandelings, word met goeie resultate gebruik.

Om meer te wete te kom…

• Volgens Afibrom (Madrid Association of Fibromyalgia, Chronic Fatigue Syndrome and Multiple Chemical Sensitivity; afibrom.org), kan daar in Spanje meer as 2.000.000 mense wees wat deur fibromialgie geraak word.
• Tradisioneel is dit geïnterpreteer dat hoe meer die pyn verwys na die pasiënt, hoe ernstiger was die siekte. Kliniese toetse het egter getoon dat die aantal punte ‘n veranderlike is wat skaars verander as die pasiënt verbeter of vererger.
• Daar is pasiënte wat ook depressie of angs kan hê, soos in ander chroniese patologieë, maar dit word nie veralgemeen nie

238 thoughts on “Wat is die oorsprong van fibromialgie? Oorsake en behandelings

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