Publication: Fibromialgia ¿qué hay detrás del dolor?
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2015-06
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Abstract
Introducción: La fibromialgia es una enfermedad de origen reumático, que implica un dolor musculoesquelético generalizado sin una causa justificada. El origen de este dolor parece ser una situación de hiperalgesia (aumento de sensibilidad) y alodinia (respuesta dolorosa a estímulos no dolorosos). Ante la ausencia de pruebas analíticas objetivas, el diagnóstico de la FM se basa en las manifestaciones clínicas del paciente.
Método: La realización de este trabajo conlleva la búsqueda de información bibliográfica en bases de datos, como Pubmed. Debido a que todavía existen muchos interrogantes sobre esta enfermedad la diversidad de opiniones es elevada. En la selección de la información se han utilizado las hipótesis publicadas en revistas con mayor acreditación científica y difusión.
Resultados y discusión: Actualmente, existen estudios que plantean la influencia de factores de carácter neurológico, endocrino o genético en la aparición de esta enfermedad. La fibromialgia presenta una elevada comorbilidad, viéndose acompañada de alteraciones en el sueño, fatiga, depresión o ansiedad entre otras.
Conclusiones: Todavía no se ha podido establecer con claridad la fisiopatología por lo que el tratamiento es sintomático, y depende de las enfermedades asociadas que presente cada paciente.
Introduction: Fibromyalgia is a disease with a rheumatic origin, in which patients experience chronic widespread musculoskeletal pain without no plausible explanation. This condition is thought to be in part to heightened responses to painful stimuli (hyperalgesia) and painful response to usually nonpainful stimuli (allodynia). Due to the absence of objective analytical tests, diagnose is based on clinical symptoms. Method: The objective of this work implies the search for bibliographic information in data 2 bases like Pubmed. Owing to the unresolved questions of this disease, there is a wide diversity of opinions. The selection of information has been made by using the hypothesis supported by the most credible journals. Results: Nowadays, different studies support the importance of neurological, endocrine and genetic factors causing this illness. FM also shows a high comorbidity, such as sleep disorders, fatigue, depression or anxiety. Conclusion: The pathophysiology has not been well defined yet, therefore the choice for the treatment is designed to control and reduce the symptomatology. Exhaustive analysis of the reactions of patients is quite significant in achievement of the best treatment for each patient.
Introduction: Fibromyalgia is a disease with a rheumatic origin, in which patients experience chronic widespread musculoskeletal pain without no plausible explanation. This condition is thought to be in part to heightened responses to painful stimuli (hyperalgesia) and painful response to usually nonpainful stimuli (allodynia). Due to the absence of objective analytical tests, diagnose is based on clinical symptoms. Method: The objective of this work implies the search for bibliographic information in data 2 bases like Pubmed. Owing to the unresolved questions of this disease, there is a wide diversity of opinions. The selection of information has been made by using the hypothesis supported by the most credible journals. Results: Nowadays, different studies support the importance of neurological, endocrine and genetic factors causing this illness. FM also shows a high comorbidity, such as sleep disorders, fatigue, depression or anxiety. Conclusion: The pathophysiology has not been well defined yet, therefore the choice for the treatment is designed to control and reduce the symptomatology. Exhaustive analysis of the reactions of patients is quite significant in achievement of the best treatment for each patient.