Alhoewel hul simptome soortgelyk is aan dié van algemene siektes soos artritis , word fibromialgie geklassifiseer as ‘n vorm van rumatiek in die spiere, ligamente en senings rondom die gewrigte. Die belangrikste manifestasies daarvan is intense pyn in die aangetaste gebiede, probleme met slaap en oormatige moegheid .
Die fibromialgie is al beskryf deur die Wêreld Gesondheidsorganisasie (WGO) en chroniese rumatiese siekte wat gekenmerk word deur veroorsaak erge pyn in een of meer dele van die liggaam soos die nek, skouers, rug, arms, heupe, elmboë, knieë en enkels; op dieselfde manier veroorsaak dit buitensporige moegheid , tot die mate dat die betrokke persoon nie eens minimale pogings duld nie.
Fibromialgie is naby
Die pyn wat veroorsaak word deur fibromialgie affekteer meestal die gebiede waar die spiere aan die been of ligamente heg, en is soortgelyk aan dié wat veroorsaak word deur artritis ; dit kan egter nie die gewrigte vervorm of agteruitgaan nie. Dit is algemeen dat die siekte in ‘n enkele streek teenwoordig is, wat gewoonlik in die skouers of nek voorkom en dan na die res van die liggaam strek; genoemde ongemak kan wissel, afhangende van die tyd van die dag, klimaatsverandering, liggaamlike aktiwiteit en spanning.
Ander belangrike simptome is moegheid en slaapstoornisse , aangesien die meeste pasiënte kla oor swakheid en swak slaap, toestande wat pyn verhoog. Daarbenewens is ongeveer ‘n derde van pasiënte met depressie, gemoedswisselings, duiseligheid, tinteling of gevoelloosheid in die hande en voete, kolitis (ontsteking van die dikderm of dikderm wat by die rektum aansluit), diarree, hardlywigheid en soms , migraine.
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Die oorsake van fibromialgie is onbekend, maar wetenskaplikes glo dat die bestudering van hierdie siekte nie ‘n siekte op sigself is nie, maar ‘n verandering vir organiese reaksies op stres en depressiewe episodes.
Daar is ook berigte oor fibromialgie wat voorkom na infeksies wat veroorsaak word deur bakterieë of virusse, motorongelukke, egskeidings, finansiële probleme of skoolopleiding, of as gevolg van sekere siektes, soos sistemiese lupus erythematosus ( kwaal wat skade aan gewrigte, spiere, vel en byna alle organe veroorsaak). Ander faktore wat volgens die teorieë en navorsing geassosieer word met die voorkoms van die toestand, sluit die volgende in:
- Abnormaliteite in die brein. Die breinstudies wat op pasiënte gedoen is, toon dat daar in sommige dele van hierdie orgaan (wat verband hou met die sensasie van pyn) ‘n vermindering in bloedvloei is; Verder word gesê dat die werking van neuro-oordragstowwe (stowwe wat optree as boodskappers van neurone, soos serotonien, wat verantwoordelik is vir die regulering van die gemoedstoestand en die welstandstoestand), anomalieë het.
- Gesinsgeskiedenis Daar is opgemerk dat daar verskillende mense in dieselfde familie is.
- Motor immuniteit. By sommige pasiënte is die produksie van teenliggaampies geïdentifiseer wat die organisme self aanval, veral die neurologiese en hormonale stelsels; daar is egter geen bewyse dat dit ‘n primêre oorsaak van fibromialgie is nie.
- Chroniese slaapstoornis. Daar word vermoed dat ‘n swak slaapkwaliteit gevolge hê in die streke van die immuunstelsel (die een wat ons teen eksterne aggressie verdedig) wat inflammasie, pyn en moegheid beheer.
Dit is belangrik om te verduidelik dat hierdie faktore nie siektes veroorsaak nie, maar dit word aanvaar dat hulle waarskynlik verantwoordelik is vir die ‘ontwaking’ by mense wat aan verborge abnormaliteite ly in die regulering van pynreseptore (geleë in die senuwees).
Hoe word fibromialgie opgespoor en wat kan gedoen word?
As die bogenoemde simptome aanwesig is, is dit nodig om na die rumatoloog (‘n spesialis in siektes wat die gewrigte en weefsels in die omgewing beskadig) te gaan, wat altyd rekening sal hou met die geskiedenis van die persoonlike en familiegesin, wat ‘n sielkundige profiel en ‘n beskrywing van elkeen moet insluit hierdie faktor kan ‘n aanduiding wees van ander veranderings as fibromialgie , soos veranderinge in liggaamsgewig, liggaamlike besering, aansteeklike siektes, spierswakheid, veluitslag en verslawing (alkohol, tabak of dwelmmiddels).
Vervolgens sal die spesialis ‘n akkurate fisiese ondersoek doen, wat bestaan uit druk uit te oefen in die gebiede waar pyn gewoonlik voorkom; Daarbenewens kyk dit naels, vel, gewrigte, spiere en bene. Daar moet op gelet word dat wanneer die pasiënt met fibromialgie gevra word vir kliniese toetse en x-strale, hulle normale resultate toon; Dit is egter nodig om artritis of lupus uit te sluit , toestande wat met hierdie instrumente opgespoor kan word.
Sodra die dokter geen twyfel het oor die teenwoordigheid van fibromialgie nie, beveel hy ‘n paar maatreëls aan om die simptome te verlig en die lewensgehalte van die pasiënt te verbeter, omdat daar tans geen behandeling is wat hom beslis sal genees nie. Die beheerprogram wat deur rumatoloë voorgestel word, sluit gereeld in:
- Medikasie-administrasie Pynstillers word ingesluit om pyn en in sommige gevalle antidepressante te verminder, aangesien dit serotonienvlakke in die brein verhoog en dit die simptome van die pasiënt verbeter.
- Vermy faktore wat die simptome vererger. Oor die algemeen, as daar veranderinge is tydens loop (byvoorbeeld as een been korter is as ‘n ander), sal dit nodig wees om dit met behulp van spesiale modelle of skoene reg te stel; Daarbenewens moet u probeer om gemaklike houdings aan te neem wat nie die spiere verstrengel nie en vermy om swaar voorwerpe op te lig.
- Gewigsbeheer Vetsug veroorsaak dat spiere en senings styf hou en styf bly, daarom word dit aanbeveel dat diegene wat in hierdie situasie na die dieetkundige en / of endokrinoloog kom, ‘n gewigsverliesprogram vir haar opstel.
- Psigoterapie. Terapeutiese metode wat bestaan uit die hulp, leiding en onderrig van die pasiënt om homself te versterk en sy integrasievermoë te herstel, sodat hy stresvolle situasies op die regte manier kan hanteer, vrye angs kan bewerkstellig en depressiewe episodes kan oorkom; Dit kan ondersteun word deur die toediening van antidepressante of angsstowwe, ‘n behandeling wat deur die psigiater gemonitor moet word.
- Oefening. Fisieke aktiwiteit is baie nuttig, aangesien dit die spiere help om die kwale wat deur die siekte veroorsaak word te versterk en te verbeter, maar dit is baie belangrik om die advies van ‘n terapeut of ‘n instrukteur te hê om te verhoed dat die persoon wat beseer is, beseer is of baie moeite doen.
Alhoewel daar geen genesing vir fibromialgie is nie , moet daar op gelet word dat die toestand van die pasiënte in die meeste gevalle aansienlik verbeter het as hulle die dokter se voorskrifte volg.
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