I ke hi a hahdam lo reng em? (Restless Legs Syndrome) - Hemi chungchang hi han sawi ila!

I keah pawh thil mak tak tak, a che vel mai mai ang mai emaw, a bengchheng ang mai emaw, zan mut i tum lai emaw, TV en lai emaw hian i hre ve em? I ke i sawn thei lo ang maiin i inhria em? Chutiang a nih chuan, i ke tlem i tiharh hian, a nih loh leh i kal hian hahdamna i nei em? Tichuan hei hi i tan pawh thil pawimawh tak a ni mai thei. Hei hi Restless Legs Syndrome (RLS) kan ti a ni. Sinhala tawngah chuan "restless legs syndrome" tih ang chi tihna a ni.

Restless legs syndrome (RLS) hi eng nge ni tak tak?

A awlsam zawngin, kan thluak, kan nervous system , leh mutnaah te a tel a ni. A bulpui ber chu kan ke sawn duhna chak tak, thunun theih loh a awm hi a ni. He duhna hi kea lungawi lohna nen a inzawm a ni. Mi thenkhat chuan hrual ang maiin, a chhung atanga lak chhuah ang maiin emaw, thil kang ang maiin an hre mai thei. Thil tibuaithlak tak a ni.

A pawimawh ber chu he natna leh ke tihchet duhna hi chawlh hahdam lai hian a na zawk a, a bik takin tlai leh zan lamah . Mut leh mut tum hian a hriat tam ber fo thin. Ke tlem tal tihchet emaw, kal emaw, massage neih emaw hmangin a reh thei . Mahse, chawlh hahdam laiin a rawn lang leh thei.

A châng chuan i doctor chuan he natna hi Willis-Ekbom disease , a ko thei bawk a, chu chu chutiang bawka natna hming dang a ni.

RLS chi hrang hrang lian ber ber a awm em?

Ni e, chi hnih a awm ber a:

• Early-onset RLS: Hei hi kum 45 an tlin hmain hmuhchhuah a ni tlangpui a, chhungkuaah a kal fo thin a, chu chu rochun atanga lo chhuak a ni thei tihna a ni . Hetiang chi ah hian symptoms a lo lang zauh zauh thin.
• Late-onset RLS: Hei hi kum 45 hnuah hmuhchhuah a ni a, hetiang chiah hian a lan chhuah dan chu a zual nghal vat thei .

Hetiang dinhmun hi engtiang chiahin nge RLS tia koh a nih?

United States-ah chuan mipui 7% leh 10% inkar velin RLS an vei nia chhut a ni. Mihring var leh hmeichhiaah a tam zawk. Kum upat deuh deuh hian he natna hi vei theihna a sang chho zel a ni. Sri Lanka ramah hian he natna vei hi mi tam tak an awm a, mahse mi thenkhat chuan natna a ni tih an hre lo mai thei.

RLS natna lan chhuah dante chu engte nge ni? Engtin nge a hriat chhuah?

RLS vei chuan hetiang hian symptoms a nei thei a:

• Leg cramps hi ke a nuam lo tihna a ni a , chu chuan i ke a ti che duh a ni . He hrehawmna hi a danglam thei hle. Mi thenkhat chuan an ke chhungah thil pakhat a che ang maiin, rulhut an rawn inher ang maiin, an rawn inher ang maiin an inhria thei a, an chhuah leh man ang maiin an inhria thei bawk.
• He harsatna hi chawlh laiin (mut tum lai, ṭhut laiin) a pung .
• I ke i sawn emaw, i kal emaw, i hrual emaw hian i hrehawmna chu a tlem deuh hlek a ni .
• Zan leh zanah ke ruh tliak emaw, duh loh zawnga inher fo emaw . A chang chuan mut lai pawhin hetiang hi a thleng thei.

Heng symptoms te hian i mut a tibuai thei a , chu chuan harsatna dang a thlen thei bawk. Entir nan:

• Mut theih loh, mut atanga harh, mut chhunzawm thei lo.
• Zanah khum atanga tho chhuak a, ke pen chhuah a, kal duhna.
• Nitin chau lutuk leh mutthilh theih loh khawpa inhriatna.
• Thiltih leh rilru put hmang inthlak danglamna (irritability, agitation).
• Thil ngaihtuah harsa, thil hriat reng leh ngaihtuahna seng harsa.
• Mi thenkhat chuan lungngaihna emaw lungkhamna emaw ang chi dinhmun pawh an nei thei .

Ngaihtuah teh, mut hahdam tumin zanah i mu a. Rei vak lo hnuah chuan i keah kang mak tak mai leh rilru hahna i nei a. I tuar thei lo. I ke kha tihchet mai mai i duh a ni. I tho a, i kal kual vel a. I mut leh chuan rei vak lo hnuah a intan leh thin. Hetianga zing khawvar thlenga i mut that loh chuan engtin nge a tuk zingah eng thil pawh i tihfel theih ang? I chau a, i thinrim bawk a ni lawm ni?

RLS hmang hian i ke hi engtin nge a awm?

Heng kea natna hi mi hrang hrangah a inang lo. A tam zawkah chuan ke pahnihah a awm thin. A châng chuan, kut pawhin he natna hi a hre thei a, a tlem berah chuan, taksa pum pui pawhin a hre thei bawk. Heng rilru put hmangte hi i tawng mai thei:

• Thil pakhat a rawn crawling ang mai a ni .
• Itching a ni .
• Natna a awm .
• Kangmei ang maiin .
• Throbbing a ni .
• In lam hawia hruai (Pulling) ang chi .
• Tugging ang maiin .

Eng thilin nge RLS hi a thlen?

RLS awm chhan dik tak hi hriat a la ni lo , mahse scientist-te chuan thluaka chetna control tu basal ganglia hnathawh nen a inzawm niin an ngai. He thluak peng hian chemical pakhat dopamine an tih hmangin kan taksa che vel a thunun a. Chuvangin he thluak peng hian dopamine a hmuh tlem chuan kan che vel a control tha thei lo. Chu chu RLS natna lan chhuah chhan pakhat a ni thei.

Research atanga a lan dan chuan heng thilte hian RLS-ah hian a pui thei a ni:

• Genetics: RLS hi rochun theih a ni. I nu leh pa zinga pakhatin he natna hi a neih chuan, autosomal dominant tih hming pu genetic trait hmangin i fate hnenah a kai theih a rinawm.
• Iron tlakchham : Thisenah iron level pangngai ni mahse thluaka iron level a hniam thei. Hei hi RLS thlentu lian takah ngaih a ni.
• Damdawi lam dinhmun hnuaia awm dangte: Damdawi lam thil thenkhatah pawh RLS a awm thei bawk. Hei hi secondary RLS an ti a .
• Damdawi thenkhat: Damdawi thenkhat, antihistamines , antidepressants , leh antinausea damdawi te hian RLS a thlen thei a, a natna lan chhuahna a tizual thei bawk.

Eng damdawi lam thil dang nge RLS thlentu?

Heng natna vei te hi RLS vei theihna chance a sang zawk a ni:

• Iron tlakchhamna a awm .
• Thisen tlakchhamna (Anaemia) .
• Naupai lai.
• Zunthlum .
• Kidney natna a ni .
• A rilru a hah lutuk chuan a rilru a buai em em a .
• Substance hmansualna (substance hmansualna) .

Eng thilin nge RLS symptoms a tizual? (Triggers) 1.1.

RLS vei hian natna lan chhuahna a neih theihna tur thil engemaw tak a awm. Chungte chu trigger an ti a . Mi hrang hrangah an inang lo thei. A tlangpuiin heng thilte hi trigger a ni thei:

• Zu.
• Caffeine - coffee, tea, leh soft drink thenkhatah te a awm.
• Nicotine - Meizial zuk.
• Damdawi thenkhat.
• Rimtawng.

Heng thilte hi i chawlh hahdam hma emaw, i mut hma emaw i hman chuan symptoms na zawk i neih a rinawm. Tin, mut tlem hian RLS symptoms a ti na zual thei bawk . Chu chu i symptoms te hian mut that lohna a thlen thei a, mut tlakchhamna hian symptoms na zawk a thlen thei tihna a ni. Vicious cycle ang mai a ni. I triggers te chu eng nge ni tih hriat harsa i tih chuan doctor nen inbiakna neih a tha.

RLS hian kum engzat nge a nghawng?

RLS hian kum eng pawh a nghawng thei a ni. Naupang, tleirawl puitling leh puitlingte a nghawng thei a ni. Mahse, kum 50 hnuah a tam ber a, kum upat deuh deuh chuan symptoms a na zual thei.

Engtin nge RLS hi hmuhchhuah a nih? (Diagnosis) tih a ni.

Doctor chuan i natna lan chhuah dan uluk taka ngaithla a, a enfiah che chuan RLS a ni tih a hmuchhuak ang. Chutih hunah chuan i medical history kimchang leh i chhungte zingah pawh hetiang dinhmun hi an nei tawh em tih an zawt bawk ang.

RLS hriat theihna tur test bik a awm lo a, mahse doctor chuan a ti thei thoNeurological exam leh thisen test pawh tih theih a ni a, chu chuan natna dang a neih loh nan leh i natna lan chhuah chhan hriat theih a ni. A châng chuan mut lama harsatna dang zawng tûrin zan khata mut dân zir chianna pawh tih a ni thei bawk. Mahse, RLS hi clinical diagnosis , a awmzia chu a natna lan chhuah dan atanga hriat chhuah a ni ber tihna a ni.

RLS a awm leh awm loh finfiah nan doctor chuan a hnuaia mite hi a ngaihtuah ang:

• I ke tihchet duhna nasa tak i nei em, chu chu a zuitu hriatna nuam lo (cramps, pulling ang chi) a awm em?
• I chawlh lai emaw, i thiltih tlem lai emaw hian symptoms hi a intan em, a na zual em?
• Stretching, kea kal emaw, exercise emaw hian taksa peng hrang hrangte chu hahdamna (a pum pui emaw, hun eng emaw chen emaw) a pe em?
• Zan lamah emaw, zanah emaw a natna lan chhuahna a na zual em, a nih loh leh chutiang hunah chauh a awm em?
• Heng symptoms te hi damdawi lam thil dang avanga lo awm a ni lo tihna a ni.

Naupangte zingah RLS hi hriat a har em?

Ni e, a châng chuan doctor-te tân naupangte RLS hmuhchhuah a harsa thei hle. Hei hi naupang pakhatin an natna lan chhuah dan dik taka a sawifiah theih loh vang a ni . Naupangte zingah RLS hi a chang chuan attention deficit hyperactivity disorder (ADHD) emaw, taksa lo thanglian zel a lo awm thin "growing pains" emaw angin a lang thei.

RLS hi engtin nge enkawl a nih?

RLS hi damdawi emaw, in lama damdawi emaw, nunphung thlak danglam emaw hmanga enkawl theih a ni a, chu chuan natna lan chhuah dan tihtlem nan a pui thei a ni. Mi thenkhat tan chuan RLS symptoms hi a hnuaia hriselna dinhmun dang control a nih chuan a tlahniam thei a ni. Nang leh i doctor chuan i tana enkawlna tha ber tur, a side effect awm thei te pawh sawiho tur a ni.

RLS tan damdawi hman tur

RLS symptoms control thei damdawi thenkhat a awm. Doctor chuan heng ang damdawi hi a pe thei a ni:

• Iron supplement hi vitamin C nena ei hian taksain a hip lut tha zawk.
• Antiseizure damdawi thenkhat - e.g. Gabapentin , Pregabalin te chuan an ziak a .
• Dopamine agonists - e.g. Pramipexole , Ropinirole te chu a awm bawk .
• Damdawi dopamine-a inthlak emaw, dopamine siam tura puitu (Dopamine precursors) - e.g. (Levodopa) tih a ni .

Mahse, hun rei tak chhung dopamine tichaktu damdawi Levodopa hman hian mi thenkhatah RLS symptoms a ti na zual (augmentation) thei a ni . Chuvangin heng damdawi te hi i hman dawnin doctor enkawlna hnuaiah i awm tur a ni.

Natna khirh takah chuan enkawlna dang zawng zawng a hlawhchham chuan Benzodiazepines (e.g. Clonazepam ) .Damdawi (Hypnotics) (e.g. (Zolpidem) ) emaw (Opioids) (e.g. (Methadone) , (Buprenorphine) ) te pawh hman theih a ni. Mahse, heng damdawi te hian side effects a na hle thei a , addiction pawh a awm thei bawk.

Iron pill chi hrang hrang a awm a. Thisen test hian eng chi nge i tan a tha ber tih hriat theih nan a pui thei a ni. RLS symptom na tak nei, thluaka iron level hniam tak nei nia rinhlelh tan chuan iron infusion hian a \angkai thei \hin.

RLS tan in lama enkawlna (at-home therapies) te

RLS symptoms na lo tak tak i neih chuan i doctor chuan in lama i tih theih tur thenkhat, hengte hi a rawn rawt thei ang. Hengte hian RLS natna vei hian tlem a hahdam zawk leh mut that zawk nan a pui thei che a ni:

• Exercise neih fo : Entirnan , aerobics , cycling (bike ding reng pawh) emaw kea kal emaw. Mahse, mut hma darkar tlemteah exercise hahthlak tak tak kha pumpelh rawh.
• Mut dan tha tih dan : Lehkhabu chhiar te, TV en te, khumah ṭhu chunga phone hman te ang chi thilte chu pumpelh rawh. Mut tlem hian RLS symptoms a ti na zual thei .
• I ke chu tui lum-a hnim , heating pad hnawih , emaw, i keah cold compress hnawih emaw hian hun eng emaw chen chu hrehawmna a\angin a reh thei a ni.
• I stress pum pui tihtlem . Hemi atan hian mental health counselor hnen atangin tanpuina i dil thei ang.
• Mut hmain caffeine (coffee, tea ang chi) in loh tur.

Engtin nge ke hahdam lo chu rang taka tihtlem theih ang?

I ke ti nghing, kal, massage neih, emaw, i ke hrual emaw chuan rei lo têah hahdamna a pe thei a , mahse, i che a chawlhsan meuh chuan a lan chhuah dân chu a lo lang leh thei a ni.

RLS hi natna khirh tak a ni em?

RLS hian i dam chhung a nghawng dawn lo va, i dam chhung a ti tawi dawn lo tihna a ni . Mahse i overall wellness ah nghawng lian tak a nei thei a ni . A lan chhuah dan chu a na lo atanga a nasat thlengin a awm thei. Symptoms na lo tak tak pawh hian nitin nun a tibuai hle thei a, a bik takin mut a tibuai hle. "Severe" i tih dan azirin i symptoms te chu chutiang category ah chuan a tel thei.

RLS damdawi awm reng tur a awm em?

Vanduaithlak takin tun dinhmunah RLS damdawi a la awm lo . Amaherawhchu, inenkawlna hmang hian natna lanchhuahna te chu a thunun tha thei a, miten nun pangngaiin an khawsa thei a ni.

RLS hi ven theih a ni em?

Tunah hian RLS laka inven dan tur chiang tak a awm lo a, mahse hriselna lama harsatna awm thei enkawl leh caffeine leh zu ang chi trigger te pumpelh hian a natna lanchhuahna nasatzia a tiziaawm thei a ni.

Engtikah nge Doctor ka hmuh ang?

RLS symptoms i neih chuan doctor pan ngei ngei tur a ni:

• In lama enkawlna hian a puih loh chuan .
• Symptoms a na zual chuan .
• I mutnaah nghawng lian tak a neih chuan .

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal hian zawhna hrang hrang i zawt thei ang:

• Eng thilin nge heng symptoms te hi a thlen?
• Eng enkawlna nge i rawt?
• Enkawlna hian side effect a nei em?
• Engtin nge RLS hmang hian ka mut that theih ang?
• RLS symptoms tihziaawmna turin engtin nge zan lama ka tih dan hi ka thlak ang?

A tawp berah chuan take-home message

Restless Legs Syndrome (RLS) natna vei hi a chang chuan a tithinur thei hle. I mut a tibuai thei a, i mut that loh nan a veng thei bawk. Zing lamah mut tam zawk se duhin i tho mai thei. Zing lama mutthilh theihna tura coffee (caffeine) in hian zan lamah i natna lan chhuahna a tizual thei a ni.

Tunah hian RLS damdawi nghet tak awm lo mah se, enkawlna dik leh nunphung thlak danglam a nih chuan a natna lan chhuah dan chu a thunun thei a ni . Chuvangin heng symptoms te hi i neih chuan zak leh hlau suh Doctor hmu la, thurawn la rawh. Tichuan nang pawhin hahdamna i hmu thei a, mut hahdam takin ni khat i hmang thei bawk ang.

Nangmah chauh i ni lo tih hre reng ang che. Hetiang natna vei hi mi tam tak an awm. Kaihhruaina leh enkawlna dik tak nen chuan hlawhtling takin i nung thei ang.

` Restless Legs Syndrome, RLS, ke hahdam lo, mut theih lohna, ke na, neuropathy, dopamine