Kodi miyendo yanu nthawi zonse imakhala yosakhazikika? (Restless Legs Syndrome) - Tiyeni tikambirane izi!

Kodi mumamvanso chinthu chachilendo m'miyendo yanu, monga ngati ikukwawa, kapena ngati ikuvutika, mukayesa kugona usiku, kapena mukuonera TV? Kodi mumamva ngati simungathe kuletsa kusuntha miyendo yanu? Zikatero, mumamva mpumulo mukasuntha miyendo yanu pang'ono, kapena kuyenda? Ndiye ichi ndi chinthu chomwe chingakhale chofunikira kwa inunso. Timachitcha kuti Restless Legs Syndrome (RLS) . Mu Chisinhala , amatanthauza chinthu chonga "restless legs syndrome" .

Kodi matenda a miyendo yosakhazikika (RLS) kwenikweni ndi chiyani?

Mwachidule, ndi vuto lomwe limakhudza ubongo wathu, dongosolo lathu la mitsempha , ndi tulo . Chofunika kwambiri ndichakuti pakhale chilakolako champhamvu komanso chosalamulirika chofuna kusuntha miyendo yathu. Chilakolakochi chimaphatikizidwa ndi kusasangalala m'miyendo. Anthu ena angamve ngati akukokedwa, akukokedwa kuchokera mkati, kapena china chake chikuyaka. Ndi kumverera kosokoneza kwambiri.

Chofunika kwambiri ndichakuti kusasangalala kumeneku ndi chilakolako chosuntha miyendo zimakula kwambiri mukapuma, makamaka madzulo ndi usiku . Nthawi zambiri zimamveka kwambiri mukagona ndikuyesera kugona. Zingathetsedwe posuntha miyendo pang'ono, kuyenda, kapena kusisidwa . Koma zimatha kubwereranso mukapuma.

Nthawi zina dokotala wanu angatchulenso matenda a Willis-Ekbom , omwe ndi dzina lina la matenda omwewo.

Kodi pali mitundu ikuluikulu ya RLS?

Inde, pali mitundu iwiri makamaka:

• Matenda a RLS akangoyamba kumene: Nthawi zambiri amapezeka munthu asanakwanitse zaka 45. Nthawi zambiri amapezeka m'banja, zomwe zikutanthauza kuti akhoza kukhala obadwa nawo . Mu mtundu uwu, zizindikiro zimakula pang'onopang'ono.
• Matenda a RLS ochedwa kuyamba: Izi zimapezeka munthu akakwanitsa zaka 45. Mu mtundu uwu, zizindikiro zimatha kukulirakulira mofulumira .

Kodi vuto limeneli lotchedwa RLS ndi lofala bwanji?

Ku United States, akuti pakati pa 7% ndi 10% ya anthu ali ndi RLS. Izi zimachitika kwambiri pakati pa azungu ndi akazi. Chiwopsezo chotenga matendawa chimawonjezeka ndi ukalamba. Pali anthu ambiri ku Sri Lanka omwe amadwala matendawa, koma ena sangazindikire kuti ndi matenda.

Kodi zizindikiro za RLS ndi ziti? Kodi zimapezeka bwanji?

Munthu amene ali ndi RLS angakumane ndi zizindikiro monga:

• Kupweteka kwa miyendo ndi kumva kusasangalala m'miyendo komwe kumakupangitsani kufuna kusuntha miyendo yanu . Kusasangalala kumeneku kumatha kumveka mosiyana. Anthu ena angamve ngati chinachake chikuyenda mkati mwa miyendo yawo, monga mphutsi zikukwawa, ngati zikukwawa, kapena ngati zikukokedwa ndi kugwidwa.
• Kusasangalala kumeneku kumawonjezeka mukapuma (mukamayesa kugona, mukakhala pansi) .
• Kusamva bwino kumachepa pang'ono mukasuntha miyendo yanu, kuyenda, kapena kuitambasula.
• Kugwedezeka pafupipafupi kapena kusuntha miyendo mosafuna madzulo ndi usiku. Nthawi zina izi zingachitike ngakhale munthu akugona.

Zizindikiro izi zingasokoneze tulo tanu , zomwe zingayambitse mavuto ena. Mwachitsanzo:

• Kusagona mokwanira, kudzuka ku tulo, kusagona mokwanira.
• Chilakolako chofuna kudzuka pabedi usiku, kutambasula miyendo yanu, ndikuyenda.
• Kumva kutopa kwambiri komanso kugona masana.
• Kusintha kwa maganizo ndi khalidwe (kukwiya, kusokonezeka maganizo).
• Kuvuta kuikira maganizo, kukumbukira zinthu, ndi kuika maganizo pa chinthu.
• Anthu ena amathanso kukumana ndi mavuto monga kuvutika maganizo kapena nkhawa .

Tangoganizani, munagona usiku kuti mugone bwino. Patapita kanthawi, mumamva kutentha kwachilendo komanso dzanzi m'miyendo yanu. Simungathe kupirira. Mukungofuna kusuntha miyendo yanu. Mumadzuka ndikuyenda. Mukabwerera kukagona, zimayambiranso pakapita kanthawi. Ngati simugona bwino mpaka mbandakucha chonchi, mungatani kuti chilichonse chichitike tsiku lotsatira? Mwatopa komanso mwakwiya, eti?

Kodi miyendo yanu imamva bwanji mukakhala ndi RLS?

Kusamva bwino kwa miyendo iyi kumasiyana malinga ndi munthu. Nthawi zambiri, kumamveka m'miyendo yonse iwiri. Nthawi zina, manja amathanso kumva kusamva bwino kumeneku, ndipo nthawi zina, thupi lonse. Mutha kumva izi:

• Zikuoneka ngati chinachake chikukwawa .
• Kuyabwa .
• Kupweteka .
• Monga kuwotcha .
• Kugunda .
• Monga kukokera mkati (Kukoka) .
• Monga kukoka .

Kodi chimayambitsa RLS ndi chiyani?

Choyambitsa chenicheni cha RLS sichinadziwikebe , koma asayansi amakhulupirira kuti chikugwirizana ndi ntchito ya basal ganglia, gawo la ubongo lomwe limalamulira mayendedwe. Gawo ili la ubongo limagwiritsa ntchito mankhwala otchedwa dopamine kuti liwongolere mayendedwe a thupi lathu. Chifukwa chake ngati gawo ili la ubongo sililandira dopamine yokwanira, silingathe kuwongolera mayendedwe athu bwino. Ichi chingakhale chifukwa chimodzi cha zizindikiro za RLS.

Kafukufuku wapeza kuti zinthu izi zingathandize ku RLS:

• Majini: Matenda a RLS amatha kutengera kwa makolo anu. Ngati m'modzi mwa makolo anu ali ndi vutoli, mwina lingaperekedwe kwa ana anu kudzera mu chibadwa chotchedwa autosomal dominant .
• Kusowa kwa iron : Ngakhale chitsulo m'magazi chili bwino, chitsulo mu ubongo chingakhale chochepa. Ichi chimaonedwa kuti ndi chifukwa chachikulu cha RLS.
• Matenda ena oyambitsa: Matenda ena angayambitsenso RLS. Izi zimatchedwa RLS yachiwiri .
• Mankhwala ena: Mankhwala ena, monga antihistamines , antidepressants , ndi mankhwala oletsa kutsekula m'mimba, angayambitse RLS kapena kukulitsa zizindikiro.

Ndi matenda ena ati omwe amayambitsa RLS?

Anthu omwe ali ndi matenda awa ali pachiwopsezo chachikulu chotenga RLS:

• Kusowa kwa chitsulo .
• Kuchepa kwa magazi m'thupi .
• Mimba.
• Matenda a shuga .
• Matenda a impso .
• Matenda a mitsempha ya m'mitsempha .
• Mavuto okhudzana ndi kugwiritsa ntchito mankhwala osokoneza bongo .

Kodi n’chiyani chimawonjezera zizindikiro za RLS? (Zimayambitsa)

Pali zinthu zina zomwe zingapangitse munthu amene ali ndi RLS kukhala ndi zizindikiro zambiri. Izi zimatchedwa zoyambitsa matenda . Zitha kusiyana malinga ndi munthu. Kawirikawiri, zinthu izi zitha kukhala zoyambitsa matenda:

• Mowa.
• Kafeini - imapezeka mu khofi, tiyi, ndi zakumwa zina zoziziritsa kukhosi.
• Nikotini - Kusuta.
• Mankhwala ena.
• Kupsinjika maganizo.

Ngati mugwiritsa ntchito zinthuzi musanapumule kapena kugona, mumakhala ndi zizindikiro zoyipa kwambiri. Komanso, kusagona mokwanira kungapangitse zizindikiro za RLS kukhala zoyipa kwambiri . Izi zikutanthauza kuti, zizindikiro zanu zingayambitse kusagona mokwanira, ndipo kusagona mokwanira kungayambitse zizindikiro zoyipa kwambiri. Zili ngati kuzungulira koopsa. Ngati mukuvutika kudziwa zomwe zimayambitsa, ndi bwino kulankhula ndi dokotala.

Kodi RLS imakhudza magulu azaka ziti?

Matenda a RLS angakhudze anthu azaka zilizonse. Angakhudze ana, achinyamata, ndi akuluakulu. Komabe, amapezeka kwambiri munthu akakwanitsa zaka 50. Zizindikiro zimatha kukulirakulira munthu akamakula.

Kodi RLS imapezeka bwanji? (Chidziwitso)

Dokotala adzazindikira matenda a RLS mwa kumvetsera mosamala zizindikiro zanu ndikukuyang'anirani. Panthawiyo, adzakufunsaninso za mbiri yanu yonse yachipatala komanso ngati pali aliyense m'banja mwanu amene wakhala ndi matenda ofanana ndi anu.

Palibe mayeso enieni oyezera RLS, koma dokotala akhozaKuyezetsa mitsempha ndi magazi kungachitike kuti kupezeke matenda ena ndikupeza chomwe chikuyambitsa zizindikiro zanu. Nthawi zina kafukufuku wogona usiku wonse angapangidwenso kuti apeze mavuto ena ogona. Komabe, RLS ndi matenda achipatala , zomwe zikutanthauza kuti imapezedwa makamaka kutengera zizindikiro.

Kuti atsimikizire kupezeka kwa RLS, dokotala ayenera kuganizira izi:

• Kodi muli ndi chilakolako champhamvu chosuntha miyendo yanu, ndipo kodi pali zinthu zina zosasangalatsa (monga kupweteka m'mimba, kukoka) zomwe zimayenderana nayo?
• Kodi zizindikiro zimayamba kapena kuipiraipira mukapuma kapena mukuchita zinthu zochepa?
• Kodi kutambasula, kuyenda, kapena kuchita masewera olimbitsa thupi kumapereka mpumulo (kwathunthu kapena kwakanthawi) ku minofu yokhudzidwayo?
• Kodi zizindikirozo zimakula kwambiri madzulo kapena usiku, kapena zimachitika nthawi imeneyo yokha?
• Zimatanthauza kuti zizindikirozi sizimayambitsidwa ndi matenda ena.

Kodi RLS ndi yovuta kuzindikira mwa ana?

Inde, nthawi zina zimakhala zovuta kwa madokotala kuzindikira RLS mwa ana. Izi zili choncho chifukwa mwana sangathe kufotokoza bwino zizindikiro zake . RLS mwa ana nthawi zina imatha kuoneka ngati vuto la kuchepa kwa chidwi (ADHD) kapena "kupweteka kwa kukula" komwe kumachitika thupi likamakula.

Kodi RLS imachiritsidwa bwanji?

Matenda a RLS amatha kuchiritsidwa ndi mankhwala, mankhwala apakhomo, kapena kusintha moyo kuti athandize kuchepetsa zizindikiro. Kwa anthu ena, zizindikiro za RLS zimatha kuchepetsedwa ngati matenda ena oyambitsa matendawa atha kuthetsedwa. Inu ndi dokotala wanu muyenera kukambirana za chithandizo chabwino kwambiri kwa inu, kuphatikizapo zotsatirapo zake.

Mankhwala a RLS

Pali mankhwala ena omwe angathandize kuchepetsa zizindikiro za RLS. Dokotala angakupatseni mankhwala monga awa:

• Zakudya zowonjezera zachitsulo zimalowa bwino m'thupi zikatengedwa pamodzi ndi vitamini C.
• Mankhwala ena oletsa kugunda kwa mtima - mwachitsanzo Gabapentin , Pregabalin .
• Mankhwala oletsa dopamine - mwachitsanzo Pramipexole , Ropinirole .
• Mankhwala omwe amasanduka dopamine kapena amathandiza kupanga dopamine (Dopamine precursors) - mwachitsanzo (Levodopa) .

Komabe, kugwiritsa ntchito mankhwala owonjezera dopamine kwa nthawi yayitali monga Levodopa kungayambitse kuti zizindikiro za RLS ziwonjezeke (augmentation) mwa anthu ena. Chifukwa chake, muyenera kuyang'aniridwa ndi dokotala mukamagwiritsa ntchito mankhwalawa.

Pa milandu yoopsa kwambiri, pamene mankhwala ena onse alephera, Benzodiazepines (monga Clonazepam)Mankhwala monga (Hypnotics) (monga (Zolpidem) ) kapena (Opioids) (monga (Methadone) , (Buprenorphine) ) angagwiritsidwenso ntchito. Komabe, zotsatirapo zoyipa za mankhwalawa zimatha kukhala zoopsa kwambiri , ndipo pali chiopsezo chowagwiritsa ntchito molakwika.

Pali mitundu yambiri ya mapiritsi achitsulo. Kuyezetsa magazi kungathandize kudziwa mtundu womwe uli woyenera kwa inu. Kwa anthu omwe ali ndi zizindikiro zazikulu za RLS omwe akuganiza kuti ali ndi chitsulo chochepa kwambiri muubongo, nthawi zina kulowetsedwa ndi chitsulo kungathandize.

Mankhwala a RLS kunyumba

Ngati muli ndi zizindikiro zochepa za RLS, dokotala wanu angakulangizeni zinthu zina zomwe mungachite kunyumba, monga izi. Izi zingakuthandizeni kuti mukhale omasuka komanso kugona bwino ndi RLS:

• Kuchita masewera olimbitsa thupi nthawi zonse : Mwachitsanzo , kuchita masewera olimbitsa thupi , kukwera njinga (ngakhale njinga yosasuntha) kapena kuyenda pansi. Koma pewani kuchita masewera olimbitsa thupi otopetsa maola angapo musanagone.
• Khalani ndi zizolowezi zabwino zogona : Pewani zinthu monga kuwerenga mabuku, kuonera TV, ndi kugwiritsa ntchito foni yanu mutakhala pabedi. Kusagona mokwanira kungapangitse zizindikiro za RLS kukhala zovuta kwambiri .
• Kuviika mapazi anu m'madzi ofunda , kugwiritsa ntchito chotenthetsera , kapena kugwiritsa ntchito compress yozizira kumapazi anu kungathandize kuchepetsa ululu kwakanthawi.
• Kuchepetsa nkhawa yanu yonse . Mutha kupempha thandizo kwa mlangizi wa zaumoyo wamaganizo pa izi.
• Pewani kumwa caffeine (monga khofi, tiyi) musanagone.

Kodi mungachepetse bwanji miyendo yosakhazikika mwachangu?

Kugwedeza miyendo yanu, kuyenda, kupatsidwa masaji, kapena kutambasula miyendo yanu kungathandize kuchepetsa ululu kwakanthawi , koma zizindikiro zimatha kubwerera mukangosiya kuyenda.

Kodi RLS ndi matenda oopsa?

Matenda a RLS sadzakhudza moyo wanu wonse, zomwe zikutanthauza kuti sadzafupikitsa moyo wanu . Koma akhoza kukhala ndi zotsatirapo zazikulu pa thanzi lanu lonse . Zizindikiro zimatha kuyambira pang'ono mpaka kufika poipa kwambiri. Ngakhale zizindikiro zochepa zimatha kusokoneza kwambiri moyo wanu watsiku ndi tsiku, makamaka tulo. Kutengera momwe mumafotokozera "zovuta," zizindikiro zanu zitha kugwera m'gulu lomwelo.

Kodi pali mankhwala ochiritsira matenda a RLS?

Mwatsoka, pakadali pano palibe mankhwala a RLS. Komabe, ndi chithandizo, zizindikiro zimatha kuchepetsedwa bwino ndipo anthu amatha kukhala ndi moyo wabwinobwino.

Kodi RLS ikhoza kupewedwa?

Pakadali pano palibe njira yeniyeni yopewera RLS, koma kuchiza matenda enaake komanso kupewa zinthu zomwe zimayambitsa matenda monga caffeine ndi mowa kungathandize kuchepetsa kuopsa kwa zizindikiro.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro za RLS, onetsetsani kuti mwawonana ndi dokotala ngati:

• Ngati chithandizo cha kunyumba sichithandiza .
• Ngati zizindikiro zikuipiraipira .
• Ngati zimakhudza kwambiri tulo tanu .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, mukhoza kufunsa mafunso monga:

• Kodi n’chiyani chikuyambitsa zizindikiro zimenezi?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi pali zotsatirapo zilizonse za mankhwalawa?
• Kodi ndingagone bwanji bwino ndi RLS?
• Kodi ndingasinthe bwanji zizolowezi zanga za usiku kuti ndichepetse zizindikiro za RLS?

Pomaliza, uthenga wopita nawo kunyumba

Kukhala ndi Restless Legs Syndrome (RLS) nthawi zina kumakhala kovutitsa kwambiri. Kungasokoneze tulo tanu ndikukulepheretsani kugona bwino. Mungadzuke m'mawa mukudziona ngati mukugona mokwanira. Kumwa khofi (caffeine) kuti mugone bwino m'mawa kungapangitse kuti zizindikiro zanu ziwonjezeke usiku.

Ngakhale pakadali pano palibe mankhwala ochiritsira matenda a RLS, zizindikiro zake zimatha kuthetsedwa bwino ndi chithandizo choyenera komanso kusintha moyo wanu . Chifukwa chake ngati muli ndi zizindikirozi, musachite manyazi kapena kuopa kupita kwa dokotala kukalandira upangiri. Mukatero inunso mutha kupeza mpumulo ndikukhala tsiku lonse ndi tulo tabwino usiku.

Kumbukirani kuti simuli nokha. Pali anthu ambiri omwe akuvutika ndi vutoli. Ndi malangizo ndi chithandizo choyenera, mutha kukhala nalo bwino.

Matenda a Miyendo Yosakhazikika, RLS, miyendo yosakhazikika, kusowa tulo, kupweteka kwa miyendo, neuropathy, dopamine