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Yıl:1996; Cilt: 2; Sayı: 2>> Özet
PsychoMed; 1996;2(2):62-67
Fibromiyalji: Sık Görülen Ancak Yeterince Bilinmeyen Bir Kronik Ağrı Sendromu
Y Karaaslan, E Köroğlu
Gazi Üniversitesi Tıp Fakültesi
Fibromiyalji, polikliniklerde çok sık karşılaşılan ancak hekimler arasında yeterince bilinmeyen bir hastalıktır. Hastalık yaygın ağrı-sızı, yorgunluk, sabah tutukluğu, dinlenememe, paresteziler, yumuşak dokularda şişlik hissi, kronik baş ağrısı, fonksiyonel kardiyak, respira-tuvar ve gastrointestinal semptomlarla karakterizedir. Sabahları yorgun uyanma, hastalığın en tipik bulgularından biridir. Hastalıkta karakteristik hassas noktaların varlığı dışında fizik muayene bulguları normaldir. Yine laboratuvar testleri tamamen normaldir. Tedavisinde hastanın endişelerinin giderilmesi, hasta eğitimi ve hastanın güveninin kazanılması çok önemlidir. Hastalıkta analjezik ve NSAİİ'ların çok az yararı olur. Düşük doz amitriptilin tedavisinin fibromiyaljili hastalarda ağrı ve tutukluğu azalttığı ve uykuyu düzelttiği gösterilmiştir. Hastalığın tedavisinde aerobik egzersiz de yararlı olur.

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