Fibromialgia & Fadiga crônica: qual seria o elo perdido?

30 abr Fibromialgia & Fadiga crônica: qual seria o elo perdido?

Fibromialgia é uma doença que está associada a dor generalizada, rigidez e fadiga, e se origina nos músculos e tecidos moles.   Reconhecido pelo CID desde 1988, é também chamado de Síndrome da Disfunção da Fadiga Crônica e Imune (SDFCI).

<imgsrc=”http://http://www.criesaude.com/imagem.gif”alt=”Fibromialgia”/>Fibromialgia

Fibromialgia é caracterizada pelos seguintes acometimentos:
– Fadiga extrema
– Dores musculares e articulares
– Fraqueza muscular
– Dores de cabeça crônicas
– Glândulas inchadas, indicando infecção
– Febres periódicas e calafrios
– Garganta inflamada
– Dormência e formigamento das extremidades
– Incapacidade de lidar com todo o stress
– Disfunção cognitiva
– Insônia

Fibromialgia
 <img src=”http://http://www.criesaude.com/imagem.gif” alt=”Fibromialgia” />Fibromialgia Cervical

Lesão – Uma lesão ou trauma, particularmente na região da coluna superior, pode provocar o desenvolvimento de fibromialgia em algumas pessoas. Há uma grande relação de pessoas que apresentam sintomas de fadiga crônica, depressão e dores musculares e articulares. Diagnóstico diferencial da fibromialgia inclui: – síndrome de fadiga crônica, – infecções virais ou em recuperação de infecções virais, – deficiências nutricionais, – disfunção imunológica, – baixa de oxigênio, – problemas intestinais, – toxicidades de metais, ou sensibilidade química podem todos mostrar sintomas de fadiga crônica, depressão e dores musculares e articulares.

Fibromialgia
 <img src=”http://http://www.criesaude.com/imagem.gif” alt=”Fibromialgia” />Fibromialgia Fibromialgia-Ciclo de dor

Na Fibromialgia, além de termos de descobrir a origem da dor, os fatores predisponentes devem ser sanados, para evitarmos a progressão da cronicidade. Daí a importância da avaliação clínica, laboratorial e corroborados pela Bioressonância para o correto diagnóstico e tratamentos.

Fibromialgia
 <img src=”http://http://www.criesaude.com/imagem.gif” alt=”Fibromialgia” />Fibromialgia Fibromial Tiger points Thermograph

                     A termografia pode localizar os Tiger Points, que estabelecem o Diagnóstico da Fibromialgia.

Fibromialgia
 <img src=”http://http://www.criesaude.com/imagem.gif” alt=”Fibromialgia” />Fibromialgia fibromialgia 18 pontos

Em 1990, o American College of Rheumatology resumiu os critérios para a classificação da fibromialgia. Definiram que há 18 pontos no corpo. Para ser diagnosticado como portador(a) de fibromialgia a pessoa deve sentir dor – não apenas ter sensibilidade – em pelo menos 11 dos 18 pontos dolorosos quando estes forem pressionados. Os pontos sensíveis da fibromialgia são simétricos; ocorrem dos dois lados do corpo. As localizações dos pontos dolorosos são: – Laterais inferiores frontais do pescoço – Parte superior do tórax – Parte interna dos cotovelos – Logo acima da parte interna dos joelhos – Nuca – Alto dos ombros – Alto das costas (omoplatas) – Acima das nádegas – Quadris

Fibromialgia
<imgsrc=”http://http://www.criesaude.com/imagem.gif”alt=”Fibromialgia”/Fibromialgia

Uma vez que são detectados os Pontos de dor da Fibromialgia, podemos estabelecer também quais órgãos internos podem estar acometidos, ou deficientes.

INFECÇÕES ESPECÍFICAS

<imgsrc=”http://http://www.criesaude.com/imagem.gif”alt=”Fibromialgia”/Fibromialgia

Por décadas, Dr. Crook trabalhou demonstrando haver conexão da Fibromialgia com candidíase sistêmica, apesar disto não ter tido apoio oficial. Existem por outro lado autores que avaliaram laboratorialmente, · constatando a presença de múltiplas infecções incluindo mycoplasma, em ambas as condições. · Em vista dos resultados com infecções em condições crônicas de modo geral, tenho detectado a participação de agentes infecciosos variados principalmente candidíase e mycoplasma, mas tendo ótima evolução através da associação da clínica, exames complementares e biorressonância para administrar suplementos, alimentos, homeopatia e ervas.

Terapia com Suplementos para Fibromialgia

<imgsrc=”http://http://www.criesaude.com/imagem.gif”alt=”Fibromialgia”/Fibromialgia

Indicados de acordo com a avaliação clinica de cada caso, exames complementares e ainda corroborados com a bioressonância para sabermos qual a opção certa em cada caso, aqui apenas alguns exemplos, com dosagens variáveis para cada caso: – Moduladores de sono: – L-triptofano (1.500 mg por dia), 5-HTP (100mg 3x/d), & Hypericum perforatum (300 mg 3x/d) – Melatonina de 3 a 10 mg antes de dormir – Aloe vera & Yam mexicano – Dolomita homeopaticamente dinamizada – Cálcio, fosfato, magnésio quelatos, ou dinamizados – Vitaminas D3, B12, Ác. fólico, E – NAC, DMSO, MSM – Clorela, espirulina – Adpatogênicos: Rhodiola rosea e Panax ginseng (600 mg de cada) – Restabelecimento do ATP mitocondrial: Malato de magnésio, Ác. málico (magnésio 300-600mg e 1200-2400 miligramas de ácido málico) – Creatina, mono-hidrato, 5 gr ao dia – Coenzima Q10 300 mg por dia – Valeriana, & Melissa of. (180 e 90 mg ao deitar) – Anti-inflamatórios à base de plantas: officinale Guaiacum, Boswellia serrata, Tanacetum parthenium e Cimicifuga racemosa – Ascorbigen (VitaminaC com indol-3-carbinol) & brócolis pó – BCAAs – Fosfato de potássio · Suplementos para problemas digestivos e náuseas que muitas vezes acompanham SDFCI, incluem os probióticos, enzimas digestivas e gengibre · Suplementos para depressão e ansiedade ·

Demais Tratamentos (Técnicas complementares)

<imgsrc=”http://http://www.criesaude.com/imagem.gif”alt=”Fibromialgia”/Fibromialgia

Existem inúmeros relatos clínicos e dados científicos de melhora da evolução da Fibromialgia através da associação da homeopatia e acupuntura, entre outros Phosphorus, Magnesia carbonica, Camomila, Sepia, Nux-vomica e demais a serem detectados. Claro que essas e demais possibilidades devem antes ser checadas através de dados clínicos, anamnese completa, além de exames complementares, podendo incluir o eletro-escaneamento, microscopia e a bioressonância, para termos certeza das melhores opções terapêuticas. E também sem nos esquecermos dos fatores predisponentes, ou desencadeantes que levaram a este quadro clínico, o que pode requerer o acompanhamento de demais especialistas.

Agende uma consulta!

Entre em contato conosco nos seguintes telefones: 3889-0273/5549-7651 ou se preferir, mande um e-mail para clement.hajian@gmail.com

 

<imgsrc=”http://http://www.criesaude.com/imagem.gif”alt=”Fibromialgia”/Fibromialgia

– Fibromialgia & REFERÊNCIAS:

http://orthomolecular.org/nutrients/vitamins.shtml http://orthomolecular.org/nutrients/proteins.shtml
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ii Puttini PS, Caruso I. Primary fibromyalgia syndrome and 5-hydroxy-L-tryptophan: a 90-day open study. J Int Med Res 1992; 20(2):182-9.
iii Byerley WF, Judd LL, Reimherr FW, Grosser BI. 5-Hydroxytryptophan: a review of its antidepressant efficacy and adverse effects. J Clin Psychopharmacol 1987; 7 (3): 127-37.
iv Caruso I, Puttini PS, Cazzola M, Azzolini V. Double-blind study of 5-hydroxytryptophan versus placebo in the treatment of primary fibromyalgia syndrome. J Int Med Res 1990; 18(3): 201-9.
v Müller W, Rossol R. Effects of Hypericum extract on the expression of serotonin receptors. J Geriatr Psychiat Neurol 1994; 7(suppl. 1):S63-4.
vi Mills S, Bone K. Principles and Practice of Phytotherapy. Edinburgh: Churchill Livingstone; 2000:542-552.
vii Citera G, Arias MA, Maldonado-Cocco JA, et al. The effect of melatonin in patients with fibromyalgia: a pilot study. Clin Rheumatol 2000;19: 9-13.
viii Dykman KD, Tone C, Ford C, Dykman RA. The effects of nutritional supplements on the symptoms of fibromyalgiaand chronic fatigue syndrome. Integrative physiological and behavioral science 1998; 33(1):61-71.
ix Ng SY. Hair calcium and magnesium levels in patients with fibromyalgia: a casecenter study. Journal of manipulative and physiological therapeutics 1999; 22(9):586-93.
x Swezey RL, Adams J. Fibromyalgia: a risk factor for osteoporosis. Journal of rheumatology 1999; 26(12):2642-4.
xi Regland B; Andersson M; Abrahamsson L, et al. Increased concentrations of homocysteine in the cerebrospinal fluid in patients with fibromyalgia and chronic fatigue syndrome. Scand J Rheumatol 1997; 26(4):301-7.
xii Libby AF, Starling CR, Josefson FH, Ward SA. The Junk Food Connection: A Study Reveals Alcohol and Drug Life Styles Adversely Affect Metabolism and Behavior. Orthomolecular Psychiatry 1982;11(2):116-127.
xiii Tavoni A, Vitali C, Bombardieri S, et al. Evaluation of S-adenosylmethionine in primary fibromyalgia. A double-blind crossover study. Am J Med 1987; 83(5A):107-10.
xiv Volkmann H, Norregaard J, Jacobsen S, et al. Double-blind, placebo-controlled crossover study of intravenous S-adenosyl-L-methionine in patients with fibromyalgia. Scand J Rheum 1997; 26(3):206-11.
xv Merchant RE; Andre CA. A review of recent clinical trials of the nutritional supplement Chlorella pyrenoidosa in the treatment of fibromyalgia, hypertension, andulcerative colitis. Alternative therapies in health and medicine 2001; 7(3):79-91.
xvi Merchant RE, Andre CA, Wise CM. Nutritional supplementation with Chlorella pyrenoidosa for fibromyalgiasyndrome: A double-blind, placebo-controlled, crossover study. Journal of Musculoskeletal Pain 2001; 9(4):37-54.
xvii Merchant RE, Carmack CA, Wise CM. Nutritional supplementation with Chlorella pyrenoidosa for patients withfibromyalgia syndrome: a pilot study. Phytotherapy research 2000; 14(3):167-73.
xviii Olson GB, Savage S, Olson J. The effects of collagen hydrolysat on symptoms of chronic fibromyalgia and temporomandibular joint pain. Cranio. 2000 Apr;18(2):135-41.
xix Brown RP, Gerbarg PL, Ramazanov Z. Rhodiola rosea: A Phytomedicinal Overview. HerbalGram 2002; 56:48
xx Mills S, Bone K. Principles and Practice of Phytomedicine. Edinburgh: Churchill Livingstone; 2000: 418-32.
xxi Eisinger J, Plantamura A, Ayavou T. Glycolysis abnormalities in fibromyalgia. J Am Coll Nutr 1994; 13(2):144-8.
xxii Anonymous. Is fibromyalgia caused by glycosis impairment? Nutr Rev 1994; 52(7):248-50.
xxiii Abraham G, Flechas J. Management of fibromyalgia: Rationale for the use of magnesium and malic acid. J Nutr Med 1992; 3:49–59.
xxiv Russell J, Michalek J, Flechas J, et al. Treatment of fibromyalgia syndrome with SuperMalic: A randomized, double-blind, placebo-controlled, crossover pilot study. J Rheumatol 1995; 22(5):953–7.
xxv Leader A, Amital D, Rubinow A, Amital H. An open-label study adding creatine monohydrate to ongoing medical regimens in patients with the fibromyalgia syndrome. Ann N Y Acad Sci. 2009 Sep;1173:829-36.
xxvi Alves CR, Santiago BM, Lima FR, et al. Creatine supplementation in fibromyalgia: A double-blind, randomized, placebo-controlled trial. Arthritis Care Res (Hoboken). 2013 Apr 1. doi: 10.1002/acr.22020. [Epub ahead of print]
xxvii Cordero MD, Alcocer-Gómez E, de Miguel M, et al. Coenzyme Q(10): a novel therapeutic approach for Fibromyalgia? case series with 5 patients. Mitochondrion. 2011 Jul;11(4):623-5.
xxviii Miyamae T, Seki M, Naga T, et al. Increased oxidative stress and coenzyme Q10 deficiency in juvenile fibromyalgia: amelioration of hypercholesterolemia and fatigue by ubiquinol-10 supplementation. Redox Rep. 2013;18(1):12-9.
xxix Teitelbaum J, Bird B, Greenfield R, et al. Effective treatment of chronic fatigue syndrome (CFIDS) & fibromyalgia (FMS) – A randomized, double-blind, placebo-controlled, intent to treat study. Journal of Chronic Fatigue Syndrome. 2001; 8(2):3-28.
xxx Grieve M. A Modern Herbal. http://www.botanical.com/botanical/mgmh/g/guaiac42.html.
xxxi Australian Naturopathic Network. Guaiacum officinale (Guaiacum). http://www.ann.com.au/herbs/Monographs/guaiacum.htm
xxxii Ammon HPT, Safayhi H; Mack T; Sabieraj J. Mechanism of antiinflammatory actions of curcumine and boswellic acids. Phytomedicine 1996; 3(1):67-70.
xxxiii Advanced Diploma of Herbal Medicine: Module 6 (Circulatory System, Musculoskeletal System). Warwick, Queensland: Australian College of Phytotherapy; 1999:197.
xxxiv Mills S, Bone K. Principles and Practice of Phytotherapy. Edinburgh: Churchill Livingstone; 2000:385-393.
xxxv Fugh-Berman A. Clinical trials of herbs Primary Care – Clinics in Office Practice 1997; 24(4): 889-903.
xxxvi Mills S, Bone K. Principles and Practice of Phytotherapy. Edinburgh: Churchill Livingstone; 2000:303-309.
xxxvii Maes M, Verkerk R, Delmeire L, Van Gastel A, van Hunsel F, Scharpe S. Branched-chain-amino acids in fibromyalgia. Psychiatry Res 2000 Dec 4;97(1):11-20
xxxviii http://www.designednutritional.com/Info%20sheets/Ascorbigen.html
xxxix Bramwell B, Ferguson S, Scarlett N, Macintosh A. Ascorbigen in the treatment of fibromyalgia patients. Altern Med Rev 2000; 5(5):455-62.
xl http://www.sunflower.org/~cfsdays/Misconce.htm.
xli London M. The Truths and Myths of the use of Guaifenesin for Fibromyalgia or Guaifenesin: One Medicine, Several Effects. http://web.mit.edu/london/www/guai.html.
i Juhl JH. Fibromyalgia and the serotonin pathway. Alternative medicine review. 1998; 3(5):367-75.
ii Puttini PS, Caruso I. Primary fibromyalgia syndrome and 5-hydroxy-L-tryptophan: a 90-day open study. J Int Med Res 1992; 20(2):182-9.
iii Byerley WF, Judd LL, Reimherr FW, Grosser BI. 5-Hydroxytryptophan: a review of its antidepressant efficacy and adverse effects. J Clin Psychopharmacol 1987; 7 (3): 127-37.
iv Caruso I, Puttini PS, Cazzola M, Azzolini V. Double-blind study of 5-hydroxytryptophan versus placebo in the treatment of primary fibromyalgia syndrome. J Int Med Res 1990; 18(3): 201-9.
v Müller W, Rossol R. Effects of Hypericum extract on the expression of serotonin receptors. J Geriatr Psychiat Neurol 1994; 7(suppl. 1):S63-4.
vi Mills S, Bone K. Principles and Practice of Phytotherapy. Edinburgh: Churchill Livingstone; 2000:542-552.
vii Citera G, Arias MA, Maldonado-Cocco JA, et al. The effect of melatonin in patients with fibromyalgia: a pilot study. Clin Rheumatol 2000;19: 9-13.
viii Dykman KD, Tone C, Ford C, Dykman RA. The effects of nutritional supplements on the symptoms of fibromyalgiaand chronic fatigue syndrome. Integrative physiological and behavioral science 1998; 33(1):61-71.
ix Ng SY. Hair calcium and magnesium levels in patients with fibromyalgia: a casecenter study. Journal of manipulative and physiological therapeutics 1999; 22(9):586-93.
x Swezey RL, Adams J. Fibromyalgia: a risk factor for osteoporosis. Journal of rheumatology 1999; 26(12):2642-4.
xi Regland B; Andersson M; Abrahamsson L, et al. Increased concentrations of homocysteine in the cerebrospinal fluid in patients with fibromyalgia and chronic fatigue syndrome. Scand J Rheumatol 1997; 26(4):301-7.
xii Libby AF, Starling CR, Josefson FH, Ward SA. The Junk Food Connection: A Study Reveals Alcohol and Drug Life Styles Adversely Affect Metabolism and Behavior. Orthomolecular Psychiatry 1982;11(2):116-127.
xiii Tavoni A, Vitali C, Bombardieri S, et al. Evaluation of S-adenosylmethionine in primary fibromyalgia. A double-blind crossover study. Am J Med 1987; 83(5A):107-10.
xiv Volkmann H, Norregaard J, Jacobsen S, et al. Double-blind, placebo-controlled crossover study of intravenous S-adenosyl-L-methionine in patients with fibromyalgia. Scand J Rheum 1997; 26(3):206-11.
xv Merchant RE; Andre CA. A review of recent clinical trials of the nutritional supplement Chlorella pyrenoidosa in the treatment of fibromyalgia, hypertension, andulcerative colitis. Alternative therapies in health and medicine 2001; 7(3):79-91.
xvi Merchant RE, Andre CA, Wise CM. Nutritional supplementation with Chlorella pyrenoidosa for fibromyalgiasyndrome: A double-blind, placebo-controlled, crossover study. Journal of Musculoskeletal Pain 2001; 9(4):37-54.
xvii Merchant RE, Carmack CA, Wise CM. Nutritional supplementation with Chlorella pyrenoidosa for patients withfibromyalgia syndrome: a pilot study. Phytotherapy research 2000; 14(3):167-73.
xviii Olson GB, Savage S, Olson J. The effects of collagen hydrolysat on symptoms of chronic fibromyalgia and temporomandibular joint pain. Cranio. 2000 Apr;18(2):135-41.
xix Brown RP, Gerbarg PL, Ramazanov Z. Rhodiola rosea: A Phytomedicinal Overview. HerbalGram 2002; 56:48
xx Mills S, Bone K. Principles and Practice of Phytomedicine. Edinburgh: Churchill Livingstone; 2000: 418-32.
xxi Eisinger J, Plantamura A, Ayavou T. Glycolysis abnormalities in fibromyalgia. J Am Coll Nutr 1994; 13(2):144-8.
xxii Anonymous. Is fibromyalgia caused by glycosis impairment? Nutr Rev 1994; 52(7):248-50.
xxiii Abraham G, Flechas J. Management of fibromyalgia: Rationale for the use of magnesium and malic acid. J Nutr Med 1992; 3:49–59.
xxiv Russell J, Michalek J, Flechas J, et al. Treatment of fibromyalgia syndrome with SuperMalic: A randomized, double-blind, placebo-controlled, crossover pilot study. J Rheumatol 1995; 22(5):953–7.
xxv Leader A, Amital D, Rubinow A, Amital H. An open-label study adding creatine monohydrate to ongoing medical regimens in patients with the fibromyalgia syndrome. Ann N Y Acad Sci. 2009 Sep;1173:829-36.
xxvi Alves CR, Santiago BM, Lima FR, et al. Creatine supplementation in fibromyalgia: A double-blind, randomized, placebo-controlled trial. Arthritis Care Res (Hoboken). 2013 Apr 1. doi: 10.1002/acr.22020. [Epub ahead of print]
xxvii Cordero MD, Alcocer-Gómez E, de Miguel M, et al. Coenzyme Q(10): a novel therapeutic approach for Fibromyalgia? case series with 5 patients. Mitochondrion. 2011 Jul;11(4):623-5.
xxviii Miyamae T, Seki M, Naga T, et al. Increased oxidative stress and coenzyme Q10 deficiency in juvenile fibromyalgia: amelioration of hypercholesterolemia and fatigue by ubiquinol-10 supplementation. Redox Rep. 2013;18(1):12-9.
xxix Teitelbaum J, Bird B, Greenfield R, et al. Effective treatment of chronic fatigue syndrome (CFIDS) & fibromyalgia (FMS) – A randomized, double-blind, placebo-controlled, intent to treat study. Journal of Chronic Fatigue Syndrome. 2001; 8(2):3-28.
xxx Grieve M. A Modern Herbal. http://www.botanical.com/botanical/mgmh/g/guaiac42.html.
xxxi Australian Naturopathic Network. Guaiacum officinale (Guaiacum). http://www.ann.com.au/herbs/Monographs/guaiacum.htm
xxxii Ammon HPT, Safayhi H; Mack T; Sabieraj J. Mechanism of antiinflammatory actions of curcumine and boswellic acids. Phytomedicine 1996; 3(1):67-70.
xxxiii Advanced Diploma of Herbal Medicine: Module 6 (Circulatory System, Musculoskeletal System). Warwick, Queensland: Australian College of Phytotherapy; 1999:197.
xxxiv Mills S, Bone K. Principles and Practice of Phytotherapy. Edinburgh: Churchill Livingstone; 2000:385-393.
xxxv Fugh-Berman A. Clinical trials of herbs Primary Care – Clinics in Office Practice 1997; 24(4): 889-903.
xxxvi Mills S, Bone K. Principles and Practice of Phytotherapy. Edinburgh: Churchill Livingstone; 2000:303-309.
xxxvii Maes M, Verkerk R, Delmeire L, Van Gastel A, van Hunsel F, Scharpe S. Branched-chain-amino acids in fibromyalgia. Psychiatry Res 2000 Dec 4;97(1):11-20
xxxviii http://www.designednutritional.com/Info%20sheets/Ascorbigen.html
xxxix Bramwell B, Ferguson S, Scarlett N, Macintosh A. Ascorbigen in the treatment of fibromyalgia patients. Altern Med Rev 2000; 5(5):455-62.
xl http://www.sunflower.org/~cfsdays/Misconce.htm.
xli London M. The Truths and Myths of the use of Guaifenesin for Fibromyalgia or Guaifenesin: One Medicine, Several Effects. http://web.mit.edu/london/www/guai.html.
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– http://orthomolecular.org/nutrients/fats.shtml
– http://orthomolecular.org/nutrients/micronutrients.shtml
– WEBSITES acessados em 14-2-2016 às 16:00hs

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