Die bepalende kenmerk van fibromialgie is wydverspreide pyn, insluitend pyn in die bene. Pyn in die been en fibromialgie kan van persoon tot persoon verskil, maar dit kan voorkom as ‘n skerp pyn, ‘n dowwe pyn, ‘n diepe pyn of meer pyn. As u aan hierdie soort pyn ly, is daar hoop. Dit is wat u moet weet oor die behandeling en bestuur daarvan.
Hoe voel fibromialgie beenpyn?
As u ly aan fibromialgie in die been, kan u kloppende, kloppende, pynlike of brandende gevoelens in u bene ervaar. Dikwels voel u die pyn in die sagte punte van u fibro, veral binne elke knie en in die heup net agter u heup. Pyn kan uit hierdie punte uitstraal, en dit kan ook gepaard gaan met gevoelloosheid, styfheid of tinteling.
Hierdie pyn hou ook dikwels verband met rustelose bene-sindroom. As u ly aan beenpyn as gevolg van fibromialgie, is daar behandelings wat u kan help om verligting te vind. Ons sal dit later in hierdie pos bespreek.
Wat veroorsaak beenpyn in fibromialgie?
Fibromialgie beenpyn kan ontwikkel in die senings, spiere of ligamente wat die gewrigte omring. Alhoewel pyn in hierdie gebiede manifesteer, word die sensasies versterk deur probleme in die verwerking van pyn van die senuweestelsel, volgens die American Fibromyalgia Syndrome Association.
Ander simptome wat fibromialgie-verwante beenpyn veroorsaak, sluit in rustelose bensindroom en gevoelloosheid of tinteling in die ledemate. Fibromialgie tref 2 tot 4% van die Amerikaanse volwassenes, meestal vroue.
Fibromialgie word nie goed verstaan nie en daar is geen genesing nie, hoewel die simptome daarvan beheer kan word deur ‘n verskeidenheid tradisionele en alternatiewe behandelings, tesame met lewenstylveranderings.
Rustelose bene-sindroom en fibromialgie
‘N Studie wat in die Journal of Clinical Sleep Medicine gepubliseer is, het bevind dat mense met fibromialgie meer geneig is om rustelose bensindroom te ontwikkel, ‘n neurologiese afwyking wat gekenmerk word deur hartkloppings of ander moeilik hanteerbare sensasies wat ‘n onbeheerbare drang skep om die bene te beweeg. Die gewaarwordinge is gewoonlik snags erger en verdwyn soggens. Hulle kan in een of albei bene voorkom.
Deur hul bene te beweeg, kan mense met rustelose bene-sindroom verligting vind van hul fibromialgie-beenpyn en ander onaangename sensasies. Volgens die National Institute of Neurological Disorders and Stroke (NINDS) is dit egter ook geneig om die gewrigsgevoelens te vererger, wat dit moeilik maak om te slaap.
Die navorsers het bevind dat 33% van die deelnemers aan die studie met fibromialgie ook rustelose bensindroom gehad het, terwyl slegs 3% van diegene sonder fibromialgie die sindroom gehad het.
Versteurde slaap dui op ‘n ander algemene fibromialgie-simptoom, en die navorsers het gesê dat baie mense met fibromialgie die ontwrigting kan toeskryf aan rustelose bensindroom.
Volgens NINDS is die meeste behandelings vir rustelose bene-sindroom daarop gemik om simptome te verlig. Lewenstylveranderings wat fibromialgie-verwante rustelose bensindroom kan verlig, kan insluit:
- Beperk die verbruik van kafeïen, tabak en alkohol
- Neem aanvullings soos yster, magnesium en folaat.
- Oefening
- Die aanneming van ‘n gereelde slaappatroon.
- Verwarmingsblokkies
Neuropatiese fibromialgie beenpyn
Neuropatie veroorsaak tinteling of pyn in die ledemate, insluitend die voete. Volgens ‘n studie wat tydens ‘n vergadering van die Amerikaanse Neurologiese Vereniging voorgelê is, kan sommige fibromialgie-pasiënte ‘n verwante afwyking hê wat bekend staan as klein vesel polyneuropatie (SFPN).
Die navorsers het bevind dat 46% van fibromialgie-pasiënte SFPN gehad het, wat ‘n soort perifere neuropatie is wat soms behandelbaar is. Anne Louise Oaklander, medeprofessor in neurologie aan die Harvard Mediese Skool en skrywer van die studie, merk op:
“Dit bied ‘n paar van die eerste objektiewe bewyse van ‘n meganisme agter sommige gevalle van fibromialgie, en die identifisering van ‘n onderliggende oorsaak is die eerste stap om beter behandelings te vind.”
SFPN veroorsaak wydverspreide pyn, soortgelyk aan fibromialgie, maar het toetse wat ‘n definitiewe diagnose kan bied, wat nie die geval is vir fibromialgie nie.
Fibromialgie sagte punte op die bene.
Mense met fibromialgie ontwikkel dikwels sagte pynpunte, ook bekend as snellerpunte, wat op die bene voorkom. Volgens WebMD het elke persoon nege pare punte op die liggaam wat pyn kan veroorsaak as hulle gedruk word. Aan die been kan sagte kolle aan die binnekant van elke knie en op die heup net agter die heupbeen ontwikkel.
‘N Duidelike diagnose van fibromialgie vind plaas wanneer ‘n persoon pyn ervaar in ‘n minimum van 11 seer punte, alhoewel dit in die praktyk soms laer is, volgens WebMD. Fibromialgie-verwante beenpyn kan voorkom wanneer snellerpunte pyn in die omgewing veroorsaak.
Behandeling van beenpyn en fibromialgie.
Behandeling vir fibromialgie beenpyn vereis oor die algemeen ‘n omvattende benadering, met ‘n kombinasie van medikasie en lewenstylveranderinge wat ontwerp is om pyn te verminder en lewenskwaliteit te verbeter.
Behandelings vir fibromialgie in die been kan insluit:
- Die bevordering van ‘n meer rustige slaap
- Oefen
- Eet ‘n fibro-gesonde dieet
- Ondergaan fisiese terapie
- Probeer intervensionele terapieë
- Neem medikasie
Veranderings in lewenstyl
Lewenstylveranderinge is een van die beste maniere waarop mense met beenpyn en fibromialgie pyn kan hanteer. Bestuursprobleme, soos rustelose bene-sindroom, is van kardinale belang om kwaliteit slaap te verseker.
Maniere om rustige slaap te bevorder, sluit in:
- Stel ‘n gereelde slaapskedule op
- Oefen vroeg in die dag.
- Hou die bed net aan die slaap.
- Skep ‘n ontspannende roete voor u gaan slaap
As u op die internet navigeer of ‘n boek in die bed lees, kan dit u brein wakker hou en dit moeilik maak om te slaap. Om te bad of na strelende musiek te luister, help om die dag op die regte plek te maak en u gedagtes te laat ontspan.
Volgens NIAMS is dit nog ‘n belangrike lewensstylfaktor om seker te maak dat u genoeg oefening kry, moontlik die belangrikste in die hantering van beenpyn en fibromialgie. Die bestryding van pyn en moegheid om u hart te laat klop, loop of fietsry, kan u help om ‘n goeie nagrus te kry en ook pyn te verlig.
Fibromialgie dieet
Aangesien fibromialgie ‘n inflammatoriese komponent het, kan die eet van ‘n dieet wat ryk is aan vrugte, groente en volgraan, help om die simptome te verminder. Baie mense met fibromialgie is sensitief vir voedsel, of dit nou gluten, suiwelprodukte, eiers of preserveermiddels is, volgens WebMD. As u ‘n voedseldagboek hou om voedsel wat pyne in die been veroorsaak, te identifiseer, kan dit help om simptome te beheer.
Koop vrugte en groente wat reeds gekap of gewas is, om dit met gesonde kos makliker te maak. Die koop van voorbereide voedsel in ‘n gesondheidswinkel of natuurlike voedselwinkel kan ook ‘n alternatief vir kook wees. Wees aandagtig deur die lys van bestanddele, want voorbereide voedsel bevat soms bestanddele wat pyn kan veroorsaak, selfs al word dit as gesond beskou.
Kook met kruie, soos kragtige anti-inflammatoriese en antioksidante gemmer en borrie, kan ook help om beenpyn aan fibromialgie te verminder.
Fibromialgie Beenpynmedikasie
Medisyne wat aanbeveel word vir fibromialgie, sluit in pynstillers soos Tylenol of nie-steroïdale anti-inflammatoriese middels (NSAID’s) soos Advil. NSAID’s werk deur inflammasie wat verband hou met fibromialgie te verminder en pyne te verlig. Langdurige gebruik van pynstillers kan egter fisiese newe-effekte veroorsaak, soos vloeistofretensie, hoë bloeddruk en maag-, nier- of hartprobleme.
Narkotika word soms voorgeskryf, maar daar is geen bewyse dat die middels fibromialgie-verwante beenpyn versag nie, volgens die National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). Daarbenewens hou verdowingsmiddels aansienlike risiko’s van verslawing en misbruik in.
Ander opsies kan spierverslappers insluit as u spierspasmas ervaar.
Intervensionele behandelings
As u erge pyn ervaar en tuisbehandelings nie gewerk het nie, praat dan met u dokter. Hulle sal waarskynlik begin deur fisiese terapie voor te skryf. Dit kan help om wanbalanse in u spiere reg te stel en te rek.
Vir sommige kan fisiese terapie te pynlik wees. In hierdie situasies kan die kombinasie van fisioterapie met epidurale steroïedinspuitings u help om die nodige terapie te kry om die onderliggende probleem reg te stel, terwyl u pyn tydens die sessies kan regkry.
Ander opsies sluit in:
- TIENE eenheidsterapie
- Radiofrekwensie-ablasie
- Bioterugvoerterapie
- Rugmurgstimulasie
As u ly aan fibromialgie in die been, is daar behandelings wat u kan help. Werk altyd saam met ‘n dokter wat bereid is om na alle moontlike behandelingsopsies te kyk om die een te vind wat die beste is vir u en u lewenstyl.
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