{"id":43688,"date":"2021-05-12T12:14:43","date_gmt":"2021-05-12T15:14:43","guid":{"rendered":"https:\/\/osepmendoza.com.ar\/web\/?p=43688"},"modified":"2023-06-21T08:41:38","modified_gmt":"2023-06-21T11:41:38","slug":"hablemos-de-fibromialgia","status":"publish","type":"post","link":"https:\/\/osepmendoza.com.ar\/web\/hablemos-de-fibromialgia\/","title":{"rendered":"Hablemos de fibromialgia"},"content":{"rendered":"

En el marco del D\u00eda Mundial de la Fibromialgia, que se conmemora cada 12 de mayo, nos acercamos al servicio de Reumatolog\u00eda de OSEP para revisar los conceptos principales de esta enfermedad que constituye un motivo frecuente de consulta.<\/strong><\/p>\n

Se trata de un trastorno de dolor cr\u00f3nico difuso, de causa desconocida y que puede impactar duramente en la calidad de vida de los pacientes. Afecta la capacidad laboral, las actividades de la vida diaria y las relaciones sociales de las personas que la padecen.<\/p>\n

Su incidencia es de un hombre cada 8 mujeres y afecta entre un 2 y un 5% de la poblaci\u00f3n adulta. La edad de comienzo suele ser entre los 30 y 50 a\u00f1os, aunque puede presentarse a cualquier edad. Asimismo se ha comprobado que existe una agregaci\u00f3n familiar, con un riesgo 8 veces mayor en familiares de primer grado que en la poblaci\u00f3n general.<\/p>\n

Es un s\u00edndrome de sensibilizaci\u00f3n central, explicado como una \u201chiperexcitabilidad\u201d de las neuronas en respuesta a los est\u00edmulos perif\u00e9ricos dolorosos, con incremento anormal e intenso de la percepci\u00f3n del dolor por parte del sistema nervioso central.<\/p>\n

Se caracteriza por dolor cr\u00f3nico musculoesquel\u00e9tico difuso, no articular, presentando \u00e1reas anat\u00f3micas espec\u00edficas dolorosas a la palpaci\u00f3n y que habitualmente se acompa\u00f1a de cansancio, trastornos del sue\u00f1o y alteraciones cognitivas. Alodinia (dolor causado por un est\u00edmulo no doloroso) e hiperalgesia (aumento de la sensibilidad al dolor), constituyen s\u00edntomas t\u00edpicos muy representativos.<\/p>\n

Existe una manifestaci\u00f3n cl\u00ednica denominada \u201cFibroniebla\u201d, que consiste en una disfunci\u00f3n cognitiva que comprende p\u00e9rdida de claridad mental (confusi\u00f3n mental), as\u00ed como deterioro de la atenci\u00f3n y la memoria. Este s\u00edntoma puede estar agravado por la presencia de depresi\u00f3n, ansiedad, trastornos del sue\u00f1o y dolor. Por eso, los pacientes con fibromialgia presentan dificultad para conciliar el sue\u00f1o, sue\u00f1o fraccionado o insuficiente.<\/p>\n

Su diagn\u00f3stico<\/strong><\/p>\n

Comprende una historia de dolor cr\u00f3nico generalizado durante al menos 3 meses, en los cuatro cuadrantes del cuerpo y en esqueleto axial, asociado a la presencia de dolor a la presi\u00f3n digital de al menos 11 de los 18 puntos espec\u00edficos.<\/p>\n

Tratamiento<\/strong><\/p>\n

Es sintom\u00e1tico y sus objetivos son disminuir el dolor y la fatiga; mejorar el sue\u00f1o y los niveles de actividad, la adaptaci\u00f3n y la calidad de vida de los pacientes y, de esta manera, mantener la funcionalidad, incrementar la capacidad de afrontar la enfermedad y mejorar el bienestar psicol\u00f3gico.<\/p>\n

Terapia multicomponente<\/strong><\/p>\n

Comprende varios puntos, ninguno m\u00e1s importante que otro, debiendo darse importancia a cada uno de ellos para tener \u00e9xito.<\/p>\n

Estas intervenciones reducen el dolor, fatiga, depresi\u00f3n, y limitaci\u00f3n funcional. Tambi\u00e9n brinda una mayor capacidad para enfrentar el dolor.<\/p>\n

Psicoterapia:<\/strong> Tiene resultados beneficiosos para el manejo del dolor, la fatiga y el estado de \u00e1nimo, generando disminuci\u00f3n del n\u00famero de consultas.<\/p>\n

Actividad f\u00edsica:<\/strong> Reduce el dolor, la depresi\u00f3n y mejora el estado general. Un programa debe consistir en ejercicios aer\u00f3bicos ya sea en tierra o en agua, con intensidad leve a moderada, 2 a 3 veces por semana. La cantidad e intensidad debe adaptarse en cada paciente seg\u00fan su condici\u00f3n f\u00edsica: comenzando con niveles que se encuentren por debajo de su capacidad y aumentar progresivamente la duraci\u00f3n y la intensidad. La hidroterapia causa un beneficio en la calidad de vida, en la funci\u00f3n f\u00edsica y en la rigidez.<\/p>\n

Educaci\u00f3n:<\/strong> Los pacientes bien informados estar\u00e1n mejor preparados para afrontar su enfermedad y minimizar sus consecuencias.<\/p>\n

Tratamiento farmacol\u00f3gico:<\/strong> Dirigido a reducir los s\u00edntomas cardinales del dolor, la disfunci\u00f3n cognitiva, la fatiga y el insomnio. Se incluyen distintos grupos farmacol\u00f3gicos como los antidepresivos, anticonvulsivantes y analg\u00e9sicos. Otros, como los ansiol\u00edticos, antipsic\u00f3ticos, antiinflamatorios no esteroideos, corticoides o relajantes musculares, si bien podr\u00edan ser de utilidad en pacientes con ciertas comorbilidades, no son recomendados como de primera l\u00ednea para la patolog\u00eda.<\/p>\n

El servicio funciona en los consultorios del Hospital El Carmen y se puede solicitar turno al 0810 810 1033 y al portal Mi OSEP www.osepmendoza.com.ar. Tambi\u00e9n se puede acceder al servicio de reumat\u00f3logos a trav\u00e9s de la cartilla de prestadores.<\/p>\n","protected":false},"excerpt":{"rendered":"

En el marco del D\u00eda Mundial de la Fibromialgia, que…<\/p>\n","protected":false},"author":12,"featured_media":43689,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[101],"tags":[884,114,840],"class_list":["post-43688","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias","tag-fibromialgia","tag-reumatologia","tag-tratamiento"],"acf":[],"yoast_head":"\nHablemos de fibromialgia - OSEP Mendoza<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/osepmendoza.com.ar\/web\/hablemos-de-fibromialgia\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hablemos de fibromialgia - 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