Ese ugira ibihe byo gusinzira ku maguru (PLMS)?

Ese umugore wawe cyangwa umugabo wawe aragutuka ukimara kubyuka mu gitondo, akakubwira ati "Wanteye imigeri ijoro ryose ntunanyemerere gusinzira neza"? Cyangwa uryama cyane, ariko ukabyuka mu gitondo wumva nta mwuka uhumekewe kandi unaniwe umunsi wose? Impamvu y'ibi bintu ishobora kuba ikintu kibaho mu gihe cy'ibitotsi utazi. Ibyo nibyo tugiye kuvugaho uyu munsi.

Mu magambo make, PLMS ni iki?

PLMS isobanura " Ingendo z'ibitotsi zigenda zigaruka mu gihe cyo gusinzira ". Mu rurimi rwa Sinhala, bisobanura "ingendo z'ibitotsi zigenda zigaruka mu gihe cyo gusinzira." Iyi ni indwara yo kwimuka. Muri iyi ndwara, amaboko n'amaguru yawe ahora yihuta cyangwa ahindagura nta bushobozi bwawe bwo kuyigenzura mu gihe usinziriye. Iyi ngendo ishobora kubangamira ibitotsi byawe. Hari abantu banayita iyi ndwara "syndrome y'indwara y'ibitotsi ifitanye isano n'ibitotsi".

Akenshi, izi ngendo ziba mu maguru. Tekereza, ikirenge cyawe kinini cyaragutse, mu gihe akaguru kawe, ivi, n'ikibuno byawe biramba. Ni nko gutera ikirenge. Hari ubwo ibi bishobora no kubaho mu biganza.

PLMS ntabwo ikunze kubaho yonyine. Mu bantu bagera kuri 80%-90%, ibaho iyo twese tuzi nka Restless Legs Syndrome (RLS) . Byongeye kandi, PLMS igaragara no mu zindi ndwara zikurikira:

• Indwara yo kubura umwuka mu gihe cyo gusinzira: Iyi ni indwara ituma guhumeka bihagarara mu gihe cyo gusinzira.
• Narcolepsy: Gusinzira cyane ku manywa.
• Indwara yo mu gihe cyo gusinzira: Kwiga inzozi mu gihe cyo gusinzira.
• Uremia: Kwirundanya kw'uburozi mu maraso bitewe no kunanirwa kw'impyiko.
• Uruti rw'umugongo: Ikibyimba kiba mu ruti rw'umugongo.
• ADHD (Indwara yo Kudashaka Kwita ku Bintu Bikomeye/Guhangayika Gukabije): Kudashaka Kwita ku Bintu Bikomeye no Gushishikara Gukomeye.

Ni irihe tandukaniro riri hagati ya PLMS na PLMD?

Aya mazina yombi arasa cyane, bityo bishobora gutera urujijo. Ariko hari itandukaniro rito ariko rikomeye hagati yayo yombi. Reka tubisobanukirwe neza.

Muri ibyo bibiri, PLMD ikunze kugaragara cyane, ariko PLMS ikunze kugaragara cyane.

Iyi ndwara ikunze kugaragara gute?

Abashakashatsi bavuga ko hagati ya 4% na 11% by'abantu bakuru na 5% na 8% by'abana barwaye PLMS cyangwa PLMD. Uku kugenda kw'amaguru ni ikintu gikunze kugaragara mu bushakashatsi ku birebana n'ibitotsi.

Ni ibihe bimenyetso umuntu urwaye PLMS agaragaza?

Abantu barwaye PLMS bakunze kujya kwa muganga wabo kubera ibibazo byo gusinzira. Iby'ingenzi ni ibi bikurikira:

• Umunaniro ukabije no gusinzira ku manywa.
• Kubura ibitotsi.

Umuntu urwaye PLMS cyangwa PLMD amaboko cyangwa amaguru ye ahinda cyangwa ahindagura amasegonda 20 kugeza kuri 40 icyarimwe mu gihe asinziriye. Igitangaje ni uko abantu benshi bafite iyi ndwara batazi ko iyi ngendo irimo kuba . Ariko uwo bari ku buriri bwe ashobora kuvuga ati: "Urimo gutera imigeri nijoro."

Hari abantu bakunze gukanguka basinziriye bitewe n’izi ngendo kandi bakagorwa no gusinzira.

Ni iki gitera PLMS?

Mu by’ukuri, abashakashatsi ntibaramenya impamvu nyayo ya PLMS. Batekereza ko iterwa n’ikibazo cyangwa ubusumbane mu ruti rw’umugongo rwacu. Ni ukuvuga ko hashobora kubaho ikibazo ku bimenyetso biva mu bwonko cyangwa mu ruti rw’umugongo bidutera gukora ingendo mu buryo butunguranye mu gihe dusinziriye.

Byongeye kandi, hari imiti yagaragaye ko itera PLMS kuba mbi cyane. Imwe muri yo irimo:

• Imiti imwe n'imwe ivura indwara yo kwiheba (Imiti igabanya kwiheba): Ingero zirimo `mirtazapine`, `venlafaxine`, `sertraline`, `fluoxetine` na `amitriptyline`.
• Imiti imwe n'imwe ivura allergies (Antihistamines).
• Imiti imwe n'imwe ivura indwara zo mu mutwe (Antipsychotics/neuroleptics).

Ibintu bishobora gutera ibyago byo kurwara iyi ndwara

Iyo ari yo yose muri izi ndwara cyangwa ingeso zishobora kongera ibyago byo kurwara PLMS. Reka turebe ibyo ari byo.

Ni gute PLMS ipimwa?

Niba ufite ibi bimenyetso, nujya kwa muganga, azabaza amateka yawe y'uburwayi. Hanyuma, hari ikizamini gikorerwa ahanini kugira ngo cyemeze iyi ndwara. Byitwa Polysomnogram (PSG) . Hari n'abantu babyita 'Inyigo yo Gusinzira' .

Ibi bikubiyemo kurara mu bitaro cyangwa mu kigo cy’ubushakashatsi ku bitotsi, no gukurikiranwa n’umubiri wawe mu gihe usinziriye. Bashyira utwuma duto duto ku mubiri wawe. Utwo tumashini,

• Ibikorwa by'ubwonko bwawe (imiraba y'ubwonko)
• Igipimo cy'umutima
• Uburyo bwo guhumeka
• Urugero rwa ogisijeni mu maraso
• Kandi icy'ingenzi kurushaho, ni uko yandika ingendo z'amaboko n'amaguru .

Ubu bushakashatsi ku bijyanye no gusinzira bushobora kandi kugufasha kumenya niba ufite ibindi bibazo byo gusinzira, nko kugira ikibazo cyo guhumeka mu gihe cyo gusinzira. Muganga wawe ashobora kandi gutegeka ko upimwa amaraso kugira ngo arebe izindi mpamvu.

Ni ubuhe buryo bwo kuvura PLMS?

Nta buryo bwihariye bwo kuvura PLMS buhari. Ariko, abaganga bakunze gutanga imiti imwe ikoreshwa muri Restless Legs Syndrome (RLS). Kubera ko hari isano ikomeye hagati ya RLS na PLMS, iyo miti ishobora no kugira akamaro kuri PLMS. Imwe muri iyo miti irimo:

• 'Pramipexole'
• `Ropinirole`
• 'Rotigotine'
• `Gabapentin`
• `Pregabalin`

Byongeye kandi, abashakashatsi barimo kwiga ku yindi miti myinshi, irimo Clonazepam, Melatonin, Valproate, na Selegiline.

Icy'ingenzi ni uko niba usanzwe ufata imiti yo kuvura indwara yo kwiheba cyangwa indi ndwara, birashoboka ko imiti ishobora kuba irushaho kuba mibi mu mubiri wawe. Niba bikekwa ko ibi ari ukuri, muganga wawe ashobora kukwandikira undi muti.

Ese iki kibazo gishobora kugira ingaruka z'igihe kirekire?

PLMS ishobora kugira ingaruka zikomeye ku miterere y'ibitotsi byawe, ndetse ishobora no kubangamira ibitotsi by'umukunzi wawe.

Nta bushakashatsi bwinshi burakorwa ku ngaruka z'igihe kirekire za PLMS. Ariko, hari ubushakashatsi bwagaragaje ko abantu bafite ibibazo byo gusinzira nka PLMS bashobora kugira umuvuduko ukabije w'amaraso . Umuvuduko ukabije w'amaraso wongera ibyago byo kurwara indwara nko gucika intege mu bwonko no kurwara indwara z'umutima mu gihe kizaza. Kubwibyo, ni ngombwa cyane kuganira na muganga wawe ku buryo bwo gucunga ibi byago.

Ese hari uburyo bwo kwirinda PLMS?

Kubera ko impamvu nyayo itazwi, nta buryo bwihariye bwo kuyirinda buhari. Ariko, gucunga ibintu bishobora gutera ibyago twavuze haruguru bishobora kugabanya amahirwe yo kuba iyi ndwara ibaho. Urugero,

• Niba unywa itabi, rekera aho.
• Gukora siporo (gukora imyitozo ngororamubiri).
• Kugenzura ibiro by'umubiri.
• Kubona ubuvuzi bukwiye ku ndwara nka anemia.

Ni ryari ngomba kujya kwa muganga?

Niba warapimwe indwara ya PLMS, ongera urebe muganga wawe niba:

• Niba ugaragaje ibimenyetso bishya cyangwa niba ibimenyetso byawe by'ubu birushaho kwiyongera.
• Niba ubuvuzi urimo gufata butera ingaruka mbi.

Ese PLMS ni yo ntandaro y'indwara ya Parkinson?

Iki ni ikibazo gikunze kugaragara ku bantu benshi. Nubwo abantu barwaye indwara ya Parkinson bashobora kugira imitsi y'amaguru mu gihe basinziriye, nta bushakashatsi bwagaragaje ko PLMS cyangwa PLMD ari ikimenyetso cya mbere cy'indwara ya Parkinson. Bityo rero ntugomba kuyitinya bitari ngombwa.

Hanyuma, niba ufite ikibazo cyo gusinzira, cyangwa se niba wumva unaniwe ndetse na nyuma yo gusinzira neza, ni ngombwa kuvugana na muganga. Gusinzira neza ni ingenzi ku buzima bwacu muri rusange. PLMS ishobora kuba atari yo mpamvu y'ikibazo cyawe, ariko ni byiza kwipimisha ukabimenya neza. Ntutindiganye kubaza muganga wawe ikibazo icyo ari cyo cyose cyangwa impungenge ushobora kuba ufite.