{"id":197,"date":"2020-08-08T10:44:28","date_gmt":"2020-08-08T13:44:28","guid":{"rendered":"https:\/\/wellnessfactorybrazil.com\/portal\/psico\/blog\/?page_id=197"},"modified":"2020-08-08T10:46:35","modified_gmt":"2020-08-08T13:46:35","slug":"fibromialgia","status":"publish","type":"page","link":"https:\/\/wellnessfactorybrazil.com\/portal\/psico\/blog\/fibromialgia\/","title":{"rendered":"Fibromialgia"},"content":{"rendered":"

O Que \u00e9 Fibromialgia ?<\/strong><\/p>\n

A Fibromialgia (FM) \u00e9 uma s\u00edndrome cl\u00ednica que se manifesta com dor generalizada pelo corpo , principalmente na musculatura, como\u00a0 consequ\u00eancia do processamento anormal da dor no sistema nervoso central, com aumento dos n\u00edveis de glutamato, um neurotransmissor excitat\u00f3rio no sistema nervoso central de pacientes com fibromialgia. \u00c9 considerada como subtipo da sindrome de dor miofascial .\u00a0 Junto com a dor, a fibromialgia cursa com sintomas de fadiga (cansa\u00e7o), sono n\u00e3o reparador (a pessoa acorda cansada) e outros sintomas como altera\u00e7\u00f5es de mem\u00f3ria e aten\u00e7\u00e3o, ansiedade, depress\u00e3o , cefal\u00e9ias e altera\u00e7\u00f5es intestinais.<\/p>\n

Diferen\u00e7as entre Dor Miofascial e Fibromialgia<\/strong>
\n<\/span><\/p>\n

A S\u00edndrome de dor miofascial \u00e9 definida como dor originada de pontos-gatilho miofasciais no m\u00fasculo esquel\u00e9tico. \u00c9 uma condi\u00e7\u00e3o semelhante a fibromialgia, pois em ambas as condi\u00e7\u00f5es\u00a0 a dor muscular localizam e formam “cord\u00f5es”\u00a0 ou “n\u00f3s” nos m\u00fasculos. Enquanto na dor miofascial, os pontos dolorosos s\u00e3o chamados de \u201cpontos-gatilho\u201d,\u00a0 pontos precisos e dolorosos que, \u00e0 palpa\u00e7\u00e3o, o paciente mostra um \u201csinal de salto\u201d associado \u00e0 dor referida, na fibromialgia , os \u201cpontos sens\u00edveis\u201d dentro do m\u00fasculo dolorido\u00a0 n\u00e3o est\u00e3o associados ao \u201csinal de salto\u201d ou \u00e0 dor referida. As origens comuns de dor e disfun\u00e7\u00e3o miofascial podem ser de trauma direto ou indireto, patologias da coluna, exposi\u00e7\u00e3o a esfor\u00e7os cumulativos e repetitivos, disfun\u00e7\u00e3o postural e mal condicionamento f\u00edsico.<\/p>\n

Sintomas<\/strong><\/p>\n

Rigidez e dor na fibromialgia come\u00e7am com frequ\u00eancia gradual, difusamente e com qualidade dolorosa. A dor \u00e9 disseminada e pode piorar com fadiga, esfor\u00e7o muscular ou uso excessivo. Uma caracter\u00edstica da pessoa com FM \u00e9 a grande sensibilidade ao toque e \u00e0 compress\u00e3o da musculatura pelo examinador ou por outras pessoas. Os sintomas podem ser exacerbados por estresse ambiental ou emocional, transtorno do sono, trauma, exposi\u00e7\u00e3o \u00e0 umidade ou ao frio, ou por um m\u00e9dico, familiar ou amigo que transmita para o paciente a mensagem incorreta de que \u201cisso \u00e9 coisa da sua cabe\u00e7a\u201d. Os pacientes tendem a serem estressados, tensos, ansiosos, fatigados e, em alguns casos, depressivos.<\/p>\n

Diagn\u00f3stico<\/strong><\/h4>\n
    \n
  • Crit\u00e9rios cl\u00ednicos<\/li>\n
  • Dor e sensibilidade generalizadas, especialmente desproporcionais aos achados f\u00edsicos<\/li>\n
  • Resultados laboratoriais negativos, apesar dos sintomas difusos<\/li>\n
  • Fadiga como sintoma predominante<\/li>\n
  • O diagn\u00f3stico baseia-se nos crit\u00e9rios cl\u00ednicos do American College of Rheumatology, que contemplam uma combina\u00e7\u00e3o de dor generalizada e a presen\u00e7a de v\u00e1rios outros sintomas cognitivos e som\u00e1ticos, como os listados acima, que s\u00e3o classificados em termos de gravidade.<\/li>\n<\/ul>\n

    Tratamento<\/h4>\n
      \n
    • Alongamento e exerc\u00edcio aer\u00f3bico, aplica\u00e7\u00e3o de calor no local e massagem.<\/li>\n
    • Monitoramento do estresse<\/li>\n
    • Antidepressivos tric\u00edclicos ou ciclobenzaprina para melhorar o sono<\/li>\n
    • Analg\u00e9sicos n\u00e3o opi\u00f3ides.<\/li>\n
    • Acupuntura<\/li>\n<\/ul>\n

      Abordagem psicoter\u00e1pica<\/h4>\n

      A abordagem psicoter\u00e1pica na fibromialgia est\u00e1 inserida no contexto da dor cr\u00f4nica , uma vez que a dor\u00a0 tamb\u00e9m causa estresse, gerando assim um espiral de dor e estresse, comumente acompanhados de\u00a0 ansiedade , depress\u00e3o .<\/p>\n

       <\/p>\n

      Por Camila Lofrano CRP: 06\/148755<\/p>\n","protected":false},"excerpt":{"rendered":"

      O Que \u00e9 Fibromialgia ? A Fibromialgia (FM) \u00e9 uma s\u00edndrome cl\u00ednica que se manifesta com dor generalizada pelo corpo , principalmente na musculatura, como\u00a0…<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-197","page","type-page","status-publish","hentry"],"yoast_head":"\nFibromialgia - Blog Psico<\/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:\/\/wellnessfactorybrazil.com\/portal\/psico\/blog\/fibromialgia\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fibromialgia - Blog Psico\" \/>\n<meta property=\"og:description\" content=\"O Que \u00e9 Fibromialgia ? 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