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Ключевая особенность — боль носит диффузный (разлитой) характер и длится более 3 месяцев [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). Это не воспалительное и не аутоиммунное заболевание, не приводит к повреждению суставов или мышц, но значительно влияет на самочувствие и повседневную активность [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). \n\nДиагностикой и лечением фибромиалгии занимается врач-невролог, в некоторых случаях — ревматолог [1](https://ogni.clinic/articles/tpost/hz9doxaup1-fibromialgiya-prichini-diagnostika-i-lec)[4](https://fnkc-fmba.ru/zabolevaniya/fibromialgiya/).\n\n\n\n## Причины\nТочная причина фибромиалгии до конца не установлена [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). Учёные считают, что в основе лежит нарушение обработки болевых сигналов в центральной нервной системе (центральная сенситизация) [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). Это приводит к усилению болевых ощущений [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). \n\nСпровоцировать или усугубить состояние могут: \n* **Генетическая предрасположенность** — часто встречается у близких родственников [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). \n* **Стрессовые события** — физическая травма, хирургические операции, тяжёлые психоэмоциональные потрясения, хронический стресс [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). \n* **Инфекции** — некоторые вирусные инфекции могут выступать триггером [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). \n* **Нарушения сна** — глубокая фаза сна часто нарушена при фибромиалгии, что усугубляет симптомы [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/).\n\n## Симптомы\nНекоторые симптомы фибромиалгии: \n* **Хроническая диффузная боль** — ноющая, жгучая боль, захватывающая многие участки тела (шея, плечи, спина, бёдра) [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). \n* **Повышенная чувствительность (аллодиния)** — боль возникает от прикосновений или давления, которые в норме не должны её вызывать (например, объятия, давление одежды) [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). \n* **Выраженная усталость** — постоянное чувство истощения, «разбитости», не проходящее после отдыха или сна [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). \n* **Нарушения сна** — трудности с засыпанием, частые пробуждения, неосвежающий сон [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). \n* **Когнитивные нарушения** — проблемы с концентрацией внимания, памятью, ясностью мышления [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). \n* **Скованность** — особенно выражена по утрам [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/).\n\n## Диагностика\nДиагностика фибромиалгии сложна, так как нет специфических лабораторных тестов или инструментальных исследований, которые могли бы её однозначно подтвердить [3](https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/). Для постановки диагноза используют следующие критерии: распространённая и интенсивная боль, длительность симптомов от 3 месяцев, отсутствие воспаления, инфекции и других причин, которые могут вызывать симптомы [1](https://ogni.clinic/articles/tpost/hz9doxaup1-fibromialgiya-prichini-diagnostika-i-lec).\n\n## Лечение\nОсновные направления терапии — уменьшение интенсивности болевого синдрома, улучшение качества жизни пациента и его общего функционального состояния, нормализация сна [12](https://medvestnik.by/konspektvracha/sovremennye-aspekty-diagnostiki-i-lecheniya-fibromialgii). На длительный срок назначается комплексное лечение, которое включает нефармакологические и фармакологические методы [12](https://medvestnik.by/konspektvracha/sovremennye-aspekty-diagnostiki-i-lecheniya-fibromialgii). \n\n**Некоторые немедикаментозные методы**: \n* **Лечебная физкультура** — умеренные физические нагрузки способствуют уменьшению боли [8](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_neurology/fibromyalgia). \n* **Когнитивно-поведенческая психотерапия** — позволяет выработать у пациента позитивный взгляд на жизнь, уменьшить тревожность [8](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_neurology/fibromyalgia). \n\n**Медикаментозная терапия** — могут назначаться антидепрессанты, антиконвульсанты, обезболивающие [12](https://medvestnik.by/konspektvracha/sovremennye-aspekty-diagnostiki-i-lecheniya-fibromialgii).","linksData":[{"sourceId":1,"url":"https://ogni.clinic/articles/tpost/hz9doxaup1-fibromialgiya-prichini-diagnostika-i-lec","shownUrl":"https://ogni.clinic/articles/tpost/hz9doxaup1-fibromialgiya-prichini-diagnostika-i-lec","title":"Фибромиалгия - причины, симптомы, лечение у мужчин и женщин","shortUrl":"ogni.clinic","isTranslated":false,"description":"","greenUrl":"ogni.clinic"},{"sourceId":2,"url":"https://cmrt.ru/zabolevaniya/myagkikh-tkaney/fibromialgiya/","shownUrl":"https://cmrt.ru/zabolevaniya/myagkikh-tkaney/fibromialgiya/","title":"Фибромиалгия, причины, симптомы и лечение | Заболевания мягких тканей","shortUrl":"cmrt.ru","isTranslated":false,"description":"","greenUrl":"cmrt.ru"},{"sourceId":3,"url":"https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/","shownUrl":"https://kdc5.com/articles/nevrologiya/fibromialgiya-ponimanie-diagnostika-i-sovremennoe-lechenie-v-kdts5-zhukovskiy/","title":"Фибромиалгия: симптомы, диагностика, лечение в Жуковском | КДЦ №5","shortUrl":"kdc5.com","isTranslated":false,"description":"","greenUrl":"kdc5.com"},{"sourceId":4,"url":"https://fnkc-fmba.ru/zabolevaniya/fibromialgiya/","shownUrl":"https://fnkc-fmba.ru/zabolevaniya/fibromialgiya/","title":"Фибромиалгия: причины, симптомы и лечение в Москве в ФНКЦ ФМБА","shortUrl":"fnkc-fmba.ru","isTranslated":false,"description":"","greenUrl":"fnkc-fmba.ru"},{"sourceId":5,"url":"https://ru.wikipedia.org/wiki/%D0%A4%D0%B8%D0%B1%D1%80%D0%BE%D0%BC%D0%B8%D0%B0%D0%BB%D0%B3%D0%B8%D1%8F","shownUrl":"https://ru.wikipedia.org/wiki/%D0%A4%D0%B8%D0%B1%D1%80%D0%BE%D0%BC%D0%B8%D0%B0%D0%BB%D0%B3%D0%B8%D1%8F","title":"Фибромиалгия — Википедия","shortUrl":"ru.wikipedia.org","isTranslated":false,"description":"","greenUrl":"ru.wikipedia.org"},{"sourceId":6,"url":"https://polyclinika.ru/tech/fibromialgiya-simptomy-i-lechenie/","shownUrl":"https://polyclinika.ru/tech/fibromialgiya-simptomy-i-lechenie/","title":"Фибромиалгия - причины, симптомы, диагностика, лечение, прогноз","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"},{"sourceId":7,"url":"https://medlineservice.ru/articles/fibromialgiya/","shownUrl":"https://medlineservice.ru/articles/fibromialgiya/","title":"Фибромиалгия | Причины развития, диагностика и методы лечения, основные симптомы и проявления","shortUrl":"medlineservice.ru","isTranslated":false,"description":"","greenUrl":"medlineservice.ru"},{"sourceId":8,"url":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_neurology/fibromyalgia","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_neurology/fibromyalgia","title":"Фибромиалгия - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":9,"url":"https://Arbat25.ru/myi-lechim/psixicheskie-rasstrojstva/sindrom-fibromialgii","shownUrl":"https://Arbat25.ru/myi-lechim/psixicheskie-rasstrojstva/sindrom-fibromialgii","title":"Синдром фибромиалгии: признаки, диагностика и лечение","shortUrl":"Arbat25.ru","isTranslated":false,"description":"","greenUrl":"Arbat25.ru"},{"sourceId":10,"url":"https://cyberleninka.ru/article/n/fibromialgiya-printsipy-diagnostiki-i-terapii","shownUrl":"https://cyberleninka.ru/article/n/fibromialgiya-printsipy-diagnostiki-i-terapii","title":"ФИБРОМИАЛГИЯ: ПРИНЦИПЫ ДИАГНОСТИКИ И ТЕРАПИИ – тема научной статьи по клинической медицине читайте бесплатно текст научно-исследовательской работы в электронной библиотеке КиберЛенинка","shortUrl":"cyberleninka.ru","isTranslated":false,"description":"","greenUrl":"cyberleninka.ru"},{"sourceId":11,"url":"https://ehinaceya.ru/nevrologiya/fibromialgiya-i-sindrom-xronicheskoj-ustalosti-simptomy-fibromialgii-obsledovanie-lechenie/","shownUrl":"https://ehinaceya.ru/nevrologiya/fibromialgiya-i-sindrom-xronicheskoj-ustalosti-simptomy-fibromialgii-obsledovanie-lechenie/","title":"Фибромиалгия и синдром хронической усталости. 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