{"id":4236,"date":"2022-06-17T14:30:23","date_gmt":"2022-06-17T14:30:23","guid":{"rendered":"https:\/\/www.jointacademy.com\/se\/?p=4236"},"modified":"2022-08-19T11:23:41","modified_gmt":"2022-08-19T11:23:41","slug":"hur-ar-artros-kopplat-till-trotthet-och-mental-halsa","status":"publish","type":"post","link":"https:\/\/www.jointacademy.com\/se\/sv\/blogg\/hur-ar-artros-kopplat-till-trotthet-och-mental-halsa\/","title":{"rendered":"Hur \u00e4r artros kopplat till tr\u00f6tthet och mental h\u00e4lsa?\ufffc"},"content":{"rendered":"\n

Artros \u00e4r en vanlig orsak till kronisk sm\u00e4rta bland vuxna. Det kan \u00e4ven ge nedsatt livskvalitet, sv\u00e5righeter med vardagsaktiviteter och i m\u00e5nga fall social isolering. M\u00e5nga med artros upplever att den mentala h\u00e4lsan p\u00e5verkas. Att samtidigt drabbas av depression, \u00e5ngest eller s\u00f6mnsv\u00e5righeter \u00e4r inte ovanligt.<\/p>\n\n\n\n

Kronisk ledv\u00e4rk \u00e4r anstr\u00e4ngande f\u00f6r b\u00e5de kropp och psyke. P\u00e5 senare tid har det gjorts allt fler studier kring att leva med st\u00e4ndig sm\u00e4rta i vardagen. Man har bland annat sett att m\u00e4nniskor som har en kronisk \u00e5komma l\u00f6per desto h\u00f6gre risk att drabbas av depression.<\/p>\n\n\n\n

Artros och sambandet med depression<\/h3>\n\n\n\n

Artros<\/a> \u00e4r den vanligaste l\u00e5ngvariga ledsjukdomen, d\u00e4r f\u00f6rekomsten av depression ocks\u00e5 \u00e4r h\u00f6gre \u00e4n hos den allm\u00e4nna befolkningen. Forskning har visat att flera av de fysiska symptomen vid artros (tr\u00f6tthet, sm\u00e4rta och s\u00f6mnl\u00f6shet) samt att kroppens inflammatoriska f\u00f6rsvar arbetar h\u00e5rt, bidrar till utvecklingen av mental oh\u00e4lsa. <\/p>\n\n\n\n

V\u00e5rt allm\u00e4nna m\u00e5ende kan i sin tur ocks\u00e5 p\u00e5verka hur vi upplever sm\u00e4rta. Mental oh\u00e4lsa kan g\u00f6ra att man upplever ledv\u00e4rk som mer sm\u00e4rtsamt, eller leda till att artrosen blossar upp. Detta m\u00e5 l\u00e5ta som en ond cirkel men \u00e4r viktiga fynd f\u00f6r f\u00f6rst\u00e5elsen f\u00f6r sambandet mellan mental h\u00e4lsa och sm\u00e4rta.<\/p>\n\n\n\n

”Att g\u00e5 runt med kronisk sm\u00e4rta i vardagen tar energi<\/em>” – Christian Anker-Hansen, ortopedl\u00e4kare.<\/p><\/blockquote>\n\n\n\n

Hur ledv\u00e4rk och tr\u00f6tthet h\u00e4nger ihop<\/h3>\n\n\n\n

Inte s\u00e4llan inneb\u00e4r kroniska sjukdomar ocks\u00e5 kronisk tr\u00f6tthet. Artros, psoriasisartrit, reumatism och reumatoid artrit \u00e4r alla ledsjukdomar som medf\u00f6r b\u00e5de v\u00e4rk och tr\u00f6tthet. Kroppen arbetar st\u00e4ndigt med att bek\u00e4mpa sjukdomen, och \u00e4r flera leder drabbade samtidigt kan tr\u00f6ttheten bli mycket tuff. Artros i senare stadium<\/a> kan \u00e4ven ge s\u00e5 kallad vilov\u00e4rk, vilket ofta bidrar till att det blir sv\u00e5rare att sova och f\u00e5 ro.<\/p>\n\n\n\n

Christian Anker-Hansen \u00e4r ortopedl\u00e4kare och m\u00f6ter ofta artrospatienter i sitt arbete.<\/p>\n\n\n\n

– Att g\u00e5 runt i sin vardag med kronisk sm\u00e4rta tar tyv\u00e4rr energi. Vi ser att artrospatienter ofta har s\u00f6mnproblem p\u00e5 grund av nattlig sm\u00e4rta, men \u00e4ven onormal energif\u00f6rlust och sv\u00e5righeter med till exempel n\u00e4rminnet p\u00e5 grund av att kronisk sm\u00e4rta stj\u00e4l energi, <\/em>ber\u00e4ttar Christian.<\/p>\n\n\n\n

– Man kan d\u00e4rf\u00f6r konstatera att artros liksom andra kroniska sjukdomar \u00e4r en bidragande faktor till psykisk oh\u00e4lsa, speciellt depression och s\u00f6mnproblem, <\/em>forts\u00e4tter han.<\/p>\n\n\n\n

Att leva med st\u00e4ndig v\u00e4rk och svullna leder kan vara mycket p\u00e5frestande f\u00f6r s\u00e5v\u00e4l den drabbade som anh\u00f6riga. Det \u00e4r inte ovanligt att vara sjukskriven i omg\u00e5ngar, d\u00e5 de flesta ledsjukdomar ofta kommer i skov. Det inneb\u00e4r att man kan ha perioder d\u00e5 besv\u00e4ren \u00e4r v\u00e4rre \u00e4n vanligt utan synbar anledning. Detta g\u00f6r ocks\u00e5 att det psykiska m\u00e5endet kan g\u00e5 i v\u00e5gor.<\/p>\n\n\n\n

Fysisk tr\u00e4ning: den b\u00e4sta medicinen mot v\u00e4rk och tr\u00f6tthet<\/h3>\n\n\n\n

Att h\u00e5lla ig\u00e5ng som vanligt kan vara nog s\u00e5 kr\u00e4vande under tuffa skov. P\u00e5 sikt \u00e4r r\u00f6relse dock det enda som hj\u00e4lper f\u00f6r att m\u00e5 bra l\u00e5ngsiktigt vid artros. Stillasittande leder till \u00f6kad stelhet, v\u00e4rk och tr\u00f6tthet. Att tr\u00e4na \u00e4r inte farligt trots att det kan g\u00f6ra ont till en b\u00f6rjan. Det kan d\u00e4remot vara sv\u00e5rt att veta hur man ska komma ig\u00e5ng<\/a>. Ett f\u00f6rsta steg kan vara att ta en l\u00e4tt, daglig promenad.\u00a0<\/p>\n\n\n\n

Tr\u00e4ning minskar inte bara ledv\u00e4rk; att vi blir gladare av att r\u00f6ra p\u00e5 oss \u00e4r ingen myt. Forskning visar hur tr\u00e4ning utl\u00f6ser fris\u00e4ttningen av endorfiner i hj\u00e4rnan, s\u00e5 kallade \u201dm\u00e5-bra-hormoner\u201d, vilket g\u00f6r att vi m\u00e5r b\u00e4ttre av r\u00f6relse \u00e4ven psykiskt. Endorfiner har \u00e4ven en sm\u00e4rtreducerande effekt i kroppen, och tr\u00e4ning \u00f6verlag har visat sig kunna reducera stress, \u00e5ngest och oro. <\/p>\n\n\n\n

F\u00e5 hj\u00e4lp att komma ig\u00e5ng hemifr\u00e5n<\/h3>\n\n\n\n

Om du har mycket ont, hindras av din artros i vardagen och \u00f6nskar f\u00e5 personlig hj\u00e4lp med behandling utan att beh\u00f6va l\u00e4mna hemmet, s\u00e5 kan digital artrosbehandling<\/a> vara ett alternativ att prova. <\/p>\n\n\n\n

Hos Joint Academy f\u00e5r du hj\u00e4lp att komma ig\u00e5ng med mycket enkla \u00f6vningar. \u00d6vningarna \u00e4r s\u00e4rskilt framtagna f\u00f6r att lindra din artros. Du kan g\u00f6ra \u00f6vningarna var och n\u00e4r du vill. Under hela behandlingen har du st\u00f6d av en personlig fysioterapeut, som du alltid kan n\u00e5 direkt via mobilen. <\/p>\n\n\n\n

N\u00e4r man har kommit en bit i sin behandling \u00e4r det ett tips att hitta en tr\u00e4ningsform som man tycker \u00e4r riktigt kul, f\u00f6r att \u00f6ka chansen att h\u00e5lla ig\u00e5ng motivationen och f\u00e5 hj\u00e4lp att m\u00e5 b\u00e4ttre \u00e4ven psykiskt.<\/p>\n\n\n\n

Sm\u00e4rtstillande f\u00f6r att kunna b\u00f6rja tr\u00e4na<\/h3>\n\n\n\n

Sm\u00e4rtstillande och inflammationsd\u00e4mpande l\u00e4kemedel kan anv\u00e4ndas under korta perioder som hj\u00e4lpmedel f\u00f6r att kunna komma ig\u00e5ng med tr\u00e4ningen l\u00e4ttare. Dessa l\u00e4kemedel kan dock ge biverkningar, s\u00e5 man b\u00f6r alltid r\u00e5dfr\u00e5ga en l\u00e4kare innan man b\u00f6rjar medicinera. Ibland kan det beh\u00f6vas lindring med kortisoninjektioner<\/a>.<\/p>\n\n\n\n

Mental tr\u00e4ning som komplement<\/h3>\n\n\n\n

En mental tr\u00e4ningsform som visat sig vara mycket effektiv \u00e4r mindfulness. Mindfulness handlar om att ta kontroll \u00f6ver andning, negativa tankar och k\u00e4nslor och l\u00e4ra sig att sl\u00e4ppa dem. Samtidigt ut\u00f6vas avslappning i alla delar av kroppen. Att kombinera mental tr\u00e4ning med fysisk aktivitet \u00e4r bland det b\u00e4sta man kan g\u00f6ra f\u00f6r ledv\u00e4rk och tr\u00f6tthet!<\/p>\n\n\n\n

K\u00e4llor<\/h5>\n\t

Lee Y, Lee S-H, Lim SM, Baek SH, Ha I-H (2020) Mental health and quality of life of patients with osteoarthritis pain: The sixth Korea National Health and Nutrition Examination Survey (2013\u20132015). PLoS ONE 15(11): e0242077. https:\/\/doi.org\/10.1371\/journal.pone.0242077<\/p>\n\t

Nazarinasab, Masoumeh et al. \u201cInvestigating mental health in patients with osteoarthritis and its relationship with some clinical and demographic factors.\u201d Reumatologia vol. 55,4 (2017): 183-188. doi:10.5114\/reum.2017.69778<\/p>\n\t

B.L. Wise, J. Niu, Y. Zhang, N. Wang, J.M. Jordan, E. Choy, D.J. Hunter,\r\nPsychological factors and their relation to osteoarthritis pain, Osteoarthritis and Cartilage, Volume 18, Issue 7, 2010, pages 883-887.<\/p>\n","protected":false},"excerpt":{"rendered":"

Artros \u00e4r en vanlig orsak till kronisk sm\u00e4rta bland vuxna. Det kan \u00e4ven ge nedsatt livskvalitet, sv\u00e5righeter med vardagsaktiviteter och i m\u00e5nga fall social isolering. M\u00e5nga med artros upplever att den mentala h\u00e4lsan p\u00e5verkas. Att samtidigt drabbas av depression, \u00e5ngest eller s\u00f6mnsv\u00e5righeter \u00e4r inte ovanligt. Kronisk ledv\u00e4rk \u00e4r anstr\u00e4ngande f\u00f6r b\u00e5de kropp och psyke. P\u00e5 […]<\/p>\n","protected":false},"author":2,"featured_media":4240,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1114],"tags":[],"class_list":["post-4236","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogg"],"yoast_head":"\nHur \u00e4r artros kopplat till tr\u00f6tthet och mental h\u00e4lsa?\ufffc | Joint Academy<\/title>\n<meta name=\"description\" content=\"M\u00e5nga med artros upplever att den mentala h\u00e4lsan p\u00e5verkas. 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