Onlangse studies het getoon dat ongeveer een derde van die lupuspasiënte ook fibromialgie het. Die verband tussen albei siektes bestaan, maar tot op hede is die redes nog nie uitgeklaar nie.
LUPUS
Lupus, ook bekend as Systemic Lupus Erythematosus, is ‘n inflammatoriese outo-immuun siekte wat ontwikkel wanneer die immuunstelsel verkeerdelik gesonde weefsels in die liggaam aanval. Daar word geraam dat hierdie probleem 2 uit elke 1000 mense raak.
Pasiënte met hierdie siekte kan in byna alle liggaamsdele aangetas word , veral die vel, gewrigte, hart, longe, bloed, brein en niere.
Die belangrikste simptome wat mense met lupus het, is gewrigs- en spierpyn, moegheid en veluitslag. Lupus veroorsaak inflammasie, pyn en weefselskade, die verloop daarvan is onvoorspelbaar, en simptome kan kom en gaan in ‘n reeks opvlamings en remisies.
FIBROMYALGIA
Fibromialgie is ‘n rumatiese siekte wat gekenmerk word deur chroniese pyn, slaapstoornisse, moegheid, oggendstyfheid en gemoedsversteurings. Dit is ‘n siekte wat minder konsekwent skadelik is as lupus, maar net so moeilik om mee saam te leef. Daar word beraam dat dit 20 uit elke 1000 mense raak.
Tot op hede is daar geen bewyse wat daarop dui dat fibromialgie ‘n outo-immuun siekte is nie, soos lupus. Die algemeenste aanvaarde teorie is dat fibromialgie ontstaan as gevolg van ‘sentrale sensitisering’ waarin die senuweestelsel uiters sensitief raak vir sensasies (daarom voel hulle baie pyn).
HET EK LUPUS OF FIBROMYALGIA?
Baie fibromialgie-pasiënte word verkeerd gediagnoseer met lupus, en andersom. Hierdie verwarring kan voorkom omdat hulle baie soortgelyke simptome het. Terselfdertyd kan ‘n beduidende aantal mense albei toestande hê, wat die diagnose en behandeling bemoeilik.
Dit is uiters skaars dat iemand met fibromialgie later lupus ontwikkel , maar mense met lupus loop wel ‘n hoër risiko om fibromialgie te ontwikkel. Dit is vermoedelik omdat lupus kan lei tot sentrale sensitisering (‘n belangrike kenmerk van fibromialgie).
Fibromialgie-pasiënte het oor die algemeen ‘n normale sedimentasietempo en het geen ANA nie, maar sommige mense met fibromialgie het ‘n swak positiewe ANA-bloedtoets en word verkeerd gediagnoseer met lupus. Dit is dus baie belangrik om die simptome goed op te volg en let op watter ooreenstem met fibromialgie en watter met lupus. Onthou dat elke siekte ‘n ander behandeling benodig.
GELYKENHEDE
- Rigiditeit
- Uiterste moegheid
- Geestelike verwarring
- Pyn in gewrigte en spiere (lupuspyn gaan meer oor die gewrigte en fibromialgie, oor die spiere).
- Simptome kan oor maande of jare kom en gaan.
- Voel oor die algemeen sleg
- Angs
- Depressie
- Geheue probleme
- Het uitbrake en remissies
- Hoofpyn
- Spanning, angs en ander emosionele probleme kan die simptome vererger
- Simptome verbeter met ‘n gesonde dieet, matige oefening, ophou rook en spanning verminder
- Die verskynsel van Raynaud (die bloedvate in die hande en voete trek saam as gevolg van verkoue of spanning, wat verkleuring veroorsaak)
EIENSKAPPE VAN LUPUS WAT FIBROMYALGIA NIE AANBIED NIE:
- Vlindervormige uitslag op die gesig, nek, kopvel of agter die ore
- Pynlike, geswelde gewrigte, veral in die hande, polse en voete
- Koors is baie hoog
- Maagsere in die mond of neus, gewoonlik pynloos.
- Stuiptrekkings
- Kan niere, longe, sentrale senuweestelsel, bloedvate en hart aanval
- Kaal kolle op die kopvel
- Velbeserings wat erger word met blootstelling aan die son
- Inflammasie
Om in ag te neem …
Fibromialgie simptome reageer nie op kortikosteroïede soos prednison of selfs immuunonderdrukkende middels soos azatioprien, metotreksaat of siklofosfamied nie. Dit is middels wat algemeen gebruik word vir die behandeling van lupus. As u met lupus gediagnoseer is, maar nie met hierdie tipe behandeling beter gaan nie, moet u u diagnose heroorweeg, aangesien u fibromialgie kan hê.
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