Você pode ter visto algumas informações conflitantes sobre fibromialgia e doenças auto-imunes. Algumas pessoas vão dizer-lhe que é considerado uma doença auto-imune, outros dirão que não é. No entanto, você deve saber que os médicos não consideram a fibromialgia como uma doença auto-imune.
A causa desta doença debilitante não é conhecida e indivíduos que têm outras doenças podem ser muito mais propensos a serem afetados com ela. As doenças que tornam o indivíduo mais suscetível à fibromialgia são: espondilite anquilosante, lúpus e artrite reumatóide. Normalmente, os sintomas da fibromialgia são os mesmos que em algumas dessas doenças auto-imunes, o que torna o diagnóstico muito mais difícil.
Por que a Fibromialgia não é considerada uma doença autoimune?
Neste momento, a fibromialgia não é considerada uma doença auto-imune. Outras pesquisas poderiam mudar isso, mas isso não parece provável agora. Embora alguns casos de fibromialgia envolvam uma desregulação do próprio sistema imunológico, isso é muito diferente da desregulação causada por uma doença auto-imune. Neste momento, os pesquisadores não conseguiram entender totalmente a natureza da desregulação causada pela fibromialgia.
Doenças auto-imunes explicadas
Como mencionado anteriormente, as doenças autoimunes incluem espondilite anquilosante, lúpus, artrite reumatóide e outros. Em nenhuma parte desta lista, você encontrará doença fibromialgia autoimune. Assim, embora a fibromialgia exiba os sintomas de uma doença / transtorno autoimune, não é considerado um.
Quais são os sintomas de uma doença autoimune?
Existem muitos sintomas de uma doença auto-imune – muitos dos quais são os mesmos ou quase o mesmo naqueles com fibromialgia. A seguir estão alguns dos sintomas que ocorrem com doenças auto-imunes que também podem apontar para a fibromialgia.
- Extrema Fadiga – este é o nível de fadiga que não é ajudado por um pouco de descanso.
- Dor articular e muscular – isso pode ser uma gama de dor, desde dor geral, até queimação, dor, dor geral nos músculos e dores / dores nas articulações.
- Fraqueza muscular – sensação fraca nos músculos, bem como perda de força mão / braço ou perna / coxa.
- Glândulas inchadas – especialmente as da garganta, sob os braços e as partes superiores das pernas ao redor da virilha.
Maior suscetibilidade às infecções – infecções freqüentes da bexiga, resfriados, infecções do ouvido, infecções fúngicas, dor de garganta e problemas de sinusite são muito comuns entre os pacientes com fibromialgia e aqueles com doenças auto-imunes. Além disso, você experimentará um tempo de recuperação muito mais lento se você tiver uma desordem auto-imune.
- Distúrbios do sono – problemas com a queda / permanência no sono.
- Ganho de peso / perda – mudanças no peso, geralmente em uma faixa de 10 a 15 libras.
- Baixa de açúcar no sangue – isso aponta para a fadiga adrenal.
- Mudanças na pressão arterial – você pode ter pressão sanguínea muito alta ou muito baixa, em combinação com sentimentos de vertigem ou tonturas, palpitações / flutuações na freqüência cardíaca e / ou desmaie-se.
- Candida Yeast Infections – isso inclui infecções dos seios, problemas digestivos, tordo ou mesmo infecções vaginais do fermento.
- Alergias – alérgicas / sensíveis a certos produtos químicos, alimentos e coisas no ambiente.
- Problemas digestivos – isso inclui azia, constipação, cãibras, inchaço, dor no abdômen, excesso de gás e até mesmo diarréia é bastante comum.
- Depressão / ansiedade – mudanças no humor e emoções, excessivamente irritáveis e até ataques de pânico.
- Problemas de memória – isso muitas vezes se manifesta como o que se chama “neblina cerebral”, onde você só pode se lembrar de coisas vagamente.
- Problemas da tireóide – tipicamente, o problema é o hipotireoidismo, embora às vezes possa ser hipertireoidismo, e normalmente não aparece em um teste de tireóide. Isso pode se manifestar como perda de cabelo excessiva e uma temperatura corporal reduzida.
- Dores de cabeça que continuam ocorrendo – isso pode ser dores de cabeça ou enxaquecas severas.
- Febres de baixa qualidade – bastante comuns, alguns experimentam isso todos os dias.
- PMS-inchaço, sangramento intenso, cólicas extremas e um ciclo irregular são bastante comuns tanto com fibromialgia quanto com doença auto-imune.
Sintomas comuns de fibromialgia
– Dor em todo o corpo – isso está doendo, latejando, esfaqueando / disparando, queimando a dor profundamente nos músculos.
– Fadiga – sentimento completamente drenado de energia (pode ser um dos sintomas mais debilitantes).
– Dificuldade em dormir – isso inclui cair e ficar dormindo. Você não vai dormir adequadamente, então você se sente completamente privado de dormir ao se levantar.
– Brain Fog- problemas com foco / concentração em coisas, retenção de informações recentemente aprendidas, etc.
– Rigidez ao acordar nas manhãs – os músculos sentem-se mais doloridos nos madrugadores e os indivíduos se sentem mais rígidos do que costumam ser. Normalmente, esticar suavemente os músculos e tomar um banho / banho quente ajuda a soltá-los.
– Nó, cólicas, fraqueza nos músculos – não importa o quanto você faça para relaxar os músculos, eles ainda se sentem muito tensos. A dor que é causada pela fibromialgia em si poderia ser uma fonte de fraqueza muscular.
– Distúrbios digestivos – dor abdominal, inchaço, constipação, náuseas, diarréia, gás, IBS e muito mais são muito comuns com a fibromialgia. Além disso, a digestão lenta e refluxo ácido são comuns.
– Migrações / dores de cabeça – estas geralmente estão presentes pelo menos duas vezes por semana e são classificadas como dor severa – geralmente com um componente de enxaqueca. A dor é parcialmente devido a pontos de gatilho localizados na cabeça, pescoço e ombros.
– Problemas com o equilíbrio – tipicamente, os indivíduos afligidos com fibromialgia têm problemas para caminhar e suas chances de cair são aumentadas.
– Pele ardente / coceira – você pode ter problemas de coceira / vermelhos ou sua pele pode estar completamente limpa e queima como quando você foi queimado pelo sol.
Compare a fibromialgia e a auto-imunidade
Embora alguns dos sintomas sejam bastante semelhantes – e mesmo exatamente o mesmo em alguns casos – a pesquisa sobre a fibromialgia não encontrou um link para a auto-imunidade. Não houve marcadores inflamatórios que tenham sido elevados de forma consistente, não houve anticorpos descobertos, e os pesquisadores não observaram o dano típico da atividade autoimune dentro do corpo.
No entanto, houve uma sobreposição significativa que foi observada entre condições autoimunes específicas e fibromialgia que mostra a possibilidade de que aqueles que têm auto-imunidade sejam suscetíveis ao desenvolvimento de fibromialgia. Esses são:
- Artrite reumatóide
- A tireoidite autoimune de Hashimoto
- Lúpus
Por que as pessoas ficam confusas?
O fato de as pessoas entenderem mal o significado de “auto-imunidade” contribui grandemente para o mal-entendido entre os dois. Além disso, pode ser para as semelhanças entre os dois.
Por exemplo: tanto a fibromialgia quanto os transtornos autoimunes têm fadiga, dor e vários outros sintomas muito comuns; Tanto a fibromialgia quanto os distúrbios auto-imunes podem ser bastante difíceis de diagnosticar e podem demorar muito para resolver; uma compreensão comum dos dois, mesmo aqueles na comunidade médica, nem sempre compreendem a fibromialgia e os distúrbios auto-imunes, então eles agrupam todos juntos porque, na superfície, eles aparecem da mesma forma.
No entanto, você deve entender a diferença entre os dois porque, embora parecem ser os mesmos, os tratamentos são muito diferentes. Você não quer ser tratado por um se você tiver o outro – o tratamento não seria bem sucedido.
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