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FİBROMİYALJİ VE UYKU BOZUKLUĞU

Kronik yaygın ağrı, halsizlik, sabah yorgunluğu, katılık ve uyku bozuklukları FMS’un en sık görülensemptomlarıdır. Uyku bozukluğu tipik olarak fibromiyalji hastalarının %80 de görülmektedir. Fibromiyaljili hastalar da uyku sırasında, uyanıklık süresinin uzadığı, uyku süresinin kısaldığı, uykuderinliğinin azaldığı gözlenmiştir. Daha düşük uyku kalitesine sahiptirler. Uykunun çoğu NonREM döneminde geçer. Polisomnografi ile incelendiğinde düşük delta/alfa dalga oranına sahiptirler. Fibromiyaljili hastalar da uyku sorunları hastaları genellikle hiç bitmeyen bir ağrı döngüsüiçine çeker. Kötü uykunun hem ağrı eşiğini hem de ağrı yönetiminde bilişsel becerileri azalttığıgösterilmiştir.

Fibromyalgia and sleep disturbance

Chronic widespread pain, fatigue, morning fatigue, stiffness and sleep disorders are common symptoms of FMS. Sleep disturbance is typically seen in 80% of patients with fibromyalgia. Fibromyalgia patients also observed that during sleep, the duration of wakefulness was prolonged, the duration of sleep was shortened, and the depth of sleep decreased. They have a lower sleep quality. Most sleep passes during the Non-REM period. When examined by polysomnography, it has a low delta / alpha wave ratio. In fibromyalgia patients, sleep problems pull into the patient’s never-ending pain cycle. It has been shown that bad sleep reduces both pain threshold and cognitive skills in pain management.

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