Wat is kleine vezel neuropathie. Waarom dit nodig is voor fibromyalgie

Welkom! Het lijkt erop dat je hier nieuw bent, dus ik wilde even de tijd nemen om je wat over mij en mijn blog te vertellen. Mijn naam is Julie Ryan en ik woon samen met fibromyalgie. Ik heb ervoor gekozen om positief te leven, terug te vechten met veranderingen in voeding en levensstijl en het heeft een enorm verschil voor mij gemaakt. Het verschil tussen al mijn dagen in bed leven en eigenlijk  LEVEN . Ik hoop dat je blijft lezen – bekijk de zijbalk voor een lijst met favoriete berichten van mijn lezers en ..

Beeldresultaat

In de afgelopen paar jaar hebben we veel artikelen gezien over de overlap van fibreuze neuropathie (of kleine vezel polyneuropathie – hetzelfde) bij fibromyalgie en de hoop dat we in staat zijn om huidbiopten van deze kleine vezelzenuwen te gebruiken om fibromyalgie te diagnosticeren. Ik zal eerlijk zijn, ik dacht een tijdje dat we dezelfde studie zagen die in het nieuws verscheen (en het frustreerde mij); echter, ik heb me gerealiseerd dat ik ongelijk had. Er zijn in een aantal jaren zelfs een aantal studies geweest die dit verband hebben gelegd. Dat gezegd hebbende, alle studies die ik heb gelezen zijn erg klein (minder dan 30 deelnemers), en ze vinden niet dat alle Fibromyalgie-patiënten dit hebben (slechts ongeveer 50% van die in de studies). Deze onderzoeken kunnen echter een opstap zijn naar het blootleggen van een mogelijke oorzaak voor de pijn die gepaard gaat met fibromyalgie.

Maar wat is Small Fiber Neuropathy?

Small Fiber Polyneuropathy (SFPN) is een ziekte (ja, een werkelijke ziekte) die degeneratie in de kleine vezelneuronen veroorzaakt. De kleine vezelzenuwen zijn degenen die de informatie over pijn en temperatuur overbrengen. Deze kleine vezels zijn ook betrokken bij veel gebieden van het autonome zenuwstelsel (het gedeelte dat de automatische functies regelt zoals ademhalen, spijsvertering, bloedstroom), dus het is iets meer dan alleen branden en jeuk in de voeten.

Anders dan bij problemen in de grote zenuwen komen kleine vezelneuropathieën niet voor in EMG- en zenuwgeleidingstudies. SFPN wordt meestal geassocieerd met diabetes, maar kan worden veroorzaakt door een verscheidenheid aan andere ziekten en aandoeningen en kan zelfs genetisch zijn. Een huidbiopsie is de primaire manier om SFPN te diagnosticeren. Helaas doet de diagnose van SFPN niet veel voor diegenen onder ons met fibromyalgie, behalve misschien dat we het gevoel krijgen dat we een betere diagnose hebben dan alleen fibromyalgie. De behandelingen voor SFPN zijn in feite dezelfde als die we al gebruiken voor fibromyalgie (antidepressiva, anti-convulsiva, actuele pijnbehandelingen, gabapentine en tramadol om er maar een paar te noemen.

Wat zijn de symptomen van Small Fiber Neuropathy?
  • Pijnlijk brandend / jeukend gevoel in de handen en voeten – dit lijkt het primaire symptoom te zijn
    • Vaak slechter ‘s nachts en / of verergerd door hitte of kou – vaak kunnen mensen het niet uitstaan ​​dat de lakens hun voeten raken.
    • Alcohol kan dit symptoom ook vergroten
  • Spijsverteringsklachten waaronder diarree, obstipatie, misselijkheid, braken
  • Urine-incontinentie
  • Perioden van verhoogde hartslag
  • Droge ogen / mond
  • Abnormaal zweten
  • orthostatische hypotensie
  • erectiestoornissen
  • Huidveranderingen in getroffen gebieden

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