Journal of Traditional Medical Complementary Therapies

.: REVIEW
Fibromiyalji Hastalarında Ağrı Ataklarına Karşı Kullanılan Güncel Besin Takviyeleri: Geleneksel Derleme
Current Dietary Supplements Used Against Pain Attacks in Fibromyalgia Patients: Traditional Review
Yusuf MARANKOZa, Zümrüt AKGÜN ŞAHİNb
aKafkas Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik Bölümü, Kars, Türkiye
bKafkas Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İç Hastalıkları Hemşireliği ABD, Kars, Türkiye
J Tradit Complem Med. 2023;6(3):268-73
doi: 10.5336/jtracom.2023-96119
Article Language: TR
Full Text
ÖZET
 Fibromiyalji; yaygın vücut ağrısı, yorgunluk, uyku bozukluğu, kognitif işlevlerde bozulma ve anksiyete ile seyreden, etiyolojisi bilinmeyen kronik bir sendrom olarak tanımlanmaktadır. Kadınlarda erkeklere göre 3 kat daha fazla görülmektedir. Fibromiyalji tanısı klinik değerlendirme ile konulmasına rağmen henüz hastalığa ait kesin bir laboratuvar testi, radyografik inceleme veya biyolojik bir belirteç bulunmamaktadır. Hastalığın en sık görülen semptomu ise kronik ve yaygın kas-iskelet sistemi ağrısıdır. Yapılan araştırmalar sonucunda, fibromiyalji hastalarında görülen ağrı ataklarının beslenme, besin ögeleri, vücut ağırlığı, vücut yağ oranı, oksidatif stres gibi birçok etkenle ilişkili olduğu düşünülmektedir. Hastaların diyetindeki bazı besin ögelerinin (iyot, demir, selenyum, magnezyum, çinko, E, C ve D vitamini, aminoasit, triptofan gibi) eksikliğinin atakları tetiklediği görülmektedir. Literatürde, özellikle antioksidan içeriği yüksek olan diyetle beslenen hastaların fibromiyalji semptomlarında azalma olduğu belirtilmiştir. Günümüzde kesin tedavisi olmayan fibromiyalji hastalığında, eksikliği tespit edilen besin ögelerinin yerine konulmasının, semptomların azalmasında ve yaşam kalitesinin artmasında fayda sağlayacağı düşünülmektedir. Hastaların fibromiyalji sendromu nedeniyle günlük yaşam aktivitelerini yerine getirmekte zorlanmaları, sağlık giderlerinin artması ve iş kaybına yol açması nedeniyle fibromiyalji aynı zamanda önemli bir sosyal hastalıktır. Hareketsiz bir yaşam tarzını benimsemeleri ve aktivite eksikliği zamanla kas yapısında ve gücünde azalmaya yol açmaktadır. Bu derlemenin amacı; fibromiyalji hastalarında ağrı ataklarına karşı kullanılan güncel besin takviyelerinin kullanımı konusunda öngörü oluşturmaktır.

Anahtar Kelimeler: Fibromiyalji; ağrı; besin takviyeleri
ABSTRACT
 Fibromyalgia; it is defined as a chronic syndrome of unknown etiology, which is characterized by widespread body pain, fatigue, sleep disturbance, cognitive dysfunction, and anxiety. It is 3 times more common in women than men. Although the diagnosis of fibromyalgia is made by clinical evaluation, there is no definitive laboratory test, radiographic examination or biological marker of the disease yet. The most common symptom of the disease is chronic and widespread musculoskeletal pain. As a result of the researches, it is thought that the pain attacks seen in fibromyalgia patients are related to many factors such as nutrition, nutritional elements, body weight, body fat ratio, oxidative stress. It is observed that the deficiencies of some nutrients (such as iodine, iron, selenium, magnesium, zinc, vitamins E, C and D, amino acids, tryptophan) in the diet of patients trigger attacks. In the literature, it has been stated that patients who are fed a diet with a high antioxidant content have a decrease in fibromyalgia symptoms. In fibromyalgia, which has no definitive treatment today, it is thought that replacing the deficient nutrients will be beneficial in reducing the symptoms and increasing the quality of life. Fibromyalgia is also an important social growth as patients have difficulty in performing daily living activities due to fibromyalgia syndrome, increase in healthcare costs and job loss. Following a sedentary lifestyle and lack of activity leads to a decrease in muscle structure and strength. The purpose of this review; to create a prediction about the use of current nutritional supplements used against pain attacks in fibromyalgia patients.

Keywords: Fibromyalgia; pain; nutritional supplements
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