Ingabe imilenze yakho ihlala ingaphumuli? (Isifo Semilenze Engaphumuli) - Ake sixoxe ngalokhu!

Ingabe uzizwa into engavamile emilenzeni yakho, njengokuthi iyakhasa nje, noma sengathi iyazabalaza, uma uzama ukulala ebusuku, noma ngenkathi ubukele i-TV? Uzizwa sengathi awukwazi ukuzibamba kodwa ushukumise imilenze yakho? Uma lokho kwenzeka, uzizwa ukhululekile yini uma ushukumisa imilenze yakho kancane, noma uhamba? Lokhu kungaba yinto ebalulekile nakuwe. Sibiza lokhu ngokuthi i- Restless Legs Syndrome (RLS) . NgesiSinhala , kusho into efana ne- "restless legs syndrome" .

Iyini ngempela i-restless legs syndrome (RLS)?

Kalula nje, yisimo esihilela ubuchopho bethu, isimiso sezinzwa , kanye nokulala . Into eyinhloko ukuthi kukhona isifiso esinamandla, esingalawuleki sokunyakaza imilenze yethu. Lesi sifiso sihambisana nokungakhululeki emilenzeni. Abanye abantu bangase bakuzwe sengathi kuyadonswa, kudonswa ngaphakathi, noma kukhona okushisayo. Kuwumuzwa ophazamisayo kakhulu.

Into ebaluleke kakhulu ukuthi lokhu kungakhululeki kanye nesifiso sokunyakaza imilenze kuba kubi kakhulu uma uphumule, ikakhulukazi kusihlwa nasebusuku . Kuvame ukuzwakala kakhulu uma uya embhedeni uzama ukulala. Kungakhululeka ngokunyakaza imilenze kancane, ukuhamba, noma ukubhucungwa . Kodwa kungaphinde kuvele uma uphumule.

Ngezinye izikhathi udokotela wakho angase abize lesi sifo ngokuthi i-Willis-Ekbom , okuyigama elihlukile lesimo esifanayo.

Ingabe zikhona izinhlobo eziyinhloko ze-RLS?

Yebo, kunezinhlobo ezimbili ikakhulukazi:

• I-RLS yokuqala: Lokhu kuvame ukutholakala ngaphambi kweminyaka engu-45. Kuvame ukwenzeka emndenini, okusho ukuthi kungaba yifa . Kulolu hlobo, izimpawu zikhula kancane kancane.
• I-RLS eqala sekwephuzile: Lokhu kutholakala ngemva kweminyaka engu-45. Kulolu hlobo, izimpawu zingaba zimbi ngokushesha .

Sivame kangakanani lesi simo esibizwa ngokuthi i-RLS?

E-United States, kulinganiselwa ukuthi phakathi kuka-7% no-10% wabantu bane-RLS. Ivame kakhulu kubantu abamhlophe nabesifazane. Ingozi yokuthola lesi simo iyanda njengoba iminyaka ikhula. Kunabantu abaningi eSri Lanka abahlushwa yilesi simo, kodwa abanye abantu bangase bangayiboni njengesifo.

Ziyini izimpawu ze-RLS? Itholakala kanjani?

Umuntu one-RLS angase abe nezimpawu ezifana nalezi:

• Ukuqaqamba kwemilenze kuwumuzwa wokungakhululeki emilenzeni okwenza ufune ukuhambisa imilenze yakho . Lokhu kungakhululeki kungazwakala kuhlukile. Abanye abantu bangase bazizwe sengathi kukhona okunyakazayo ngaphakathi emilenzeni yabo, njengezimpethu ezikhasa, njengokungathi ziyakhasa, noma njengokungathi ziyadonswa futhi zibanjwe.
• Lokhu kungakhululeki kuyanda lapho uphumula (lapho uzama ukulala, lapho uhleli) .
• Ukungakhululeki kuyancipha kancane uma ushukumisa imilenze yakho, uhamba, noma uyelula.
• Ukunyakazisa imilenze njalo noma ukunyakaza okungahleliwe kusihlwa nasebusuku. Ngezinye izikhathi lokhu kungenzeka ngisho nalapho ulele.

Lezi zimpawu zingaphazamisa ubuthongo bakho , okungaholela kwezinye izinkinga. Isibonelo:

• Ukungakwazi ukulala, ukuvuka ebuthongweni, ukungakwazi ukulala njalo.
• Isifiso sokuvuka embhedeni ebusuku, welule imilenze yakho, bese uhamba.
• Ukuzizwa ukhathele kakhulu futhi ulele emini.
• Ukushintsha kokuziphatha kanye nemizwa (ukucasuka, ukucasuka).
• Ubunzima bokugxilisa ingqondo, ukukhumbula izinto, nokugxila.
• Abanye abantu bangase babhekane nezimo ezifana nokucindezeleka noma ukukhathazeka .

Cabanga nje, ulale ebusuku ukuze ulale kahle ebusuku. Ngemva kwesikhathi esithile, uzwa umuzwa oshisayo ongajwayelekile kanye nokungazweli emilenzeni yakho. Awukwazi ukukubekezelela. Ufuna nje ukuhambisa imilenze yakho. Uyavuka uhambehamba. Uma ubuyela embhedeni, kuqala futhi ngemva kwesikhathi esithile. Uma ungalali kahle kuze kube sekuntweleni kanje, ungenza kanjani noma yini ngosuku olulandelayo? Ukhathele futhi uthukuthele, akunjalo?

Imilenze yakho izizwa kanjani uma une-RLS?

Ukungakhululeki kule milenze kuyahlukahluka kuye ngomuntu nomuntu. Ngokuvamile, kuzwakala kuyo yomibili imilenze. Ngezinye izikhathi, izingalo zingakuzwa lokhu kungakhululeki, futhi akuvamile, wonke umzimba. Ungase ube nale mizwa:

• Kubukeka sengathi kukhona okukhasa phansi .
• Ukuluma .
• Ubuhlungu .
• Njengokushisa .
• Ukubhoboza .
• Njengokudonsa ngaphakathi (Ukudonsa) .
• Njengokudonsa .

Yini ebangela i-RLS?

Imbangela eqondile ye-RLS ayaziwa okwamanje , kodwa ososayensi bakholelwa ukuthi ihlobene nomsebenzi we -basal ganglia, ingxenye yobuchopho elawula ukunyakaza. Le ngxenye yobuchopho isebenzisa ikhemikhali ebizwa ngokuthi i-dopamine ukulawula ukunyakaza kwemizimba yethu. Ngakho-ke uma le ngxenye yobuchopho ingayitholi i-dopamine eyanele, ayikwazi ukulawula ukunyakaza kwethu ngendlela efanele. Leso kungaba esinye sezizathu zezimpawu ze-RLS.

Ucwaningo luthole ukuthi lezi zinto zingaba nomthelela ku-RLS:

• Izakhi zofuzo: I-RLS ingazuzwa njengefa. Uma omunye wabazali bakho enalesi simo, kungenzeka ukuthi sidluliselwe ezinganeni zakho ngesici sofuzo esibizwa ngokuthi i-autosomal dominant .
• Ukuntuleka kwensimbi : Ngisho noma amazinga ensimbi egazini ejwayelekile, amazinga ensimbi ebuchosheni angase abe phansi. Lokhu kubhekwa njengembangela enkulu ye-RLS.
• Ezinye izimo zezokwelapha eziyisisekelo: Ezinye izimo zezokwelapha nazo zingabangela i-RLS. Lokhu kubizwa ngokuthi i-RLS yesibili .
• Imithi ethile: Imithi ethile, njengemithi yokulwa nokucindezeleka , imithi yokucindezeleka , kanye nemithi yokulwa nobuhlungu besisu, ingabangela i-RLS noma izimpawu zibe zimbi kakhulu.

Yiziphi ezinye izimo zezokwelapha ezibangela i-RLS?

Abantu abanalezi zimo basengozini enkulu yokuthola i-RLS:

• Ukuntuleka kwensimbi .
• I-anemia .
• Ukukhulelwa.
• Isifo sikashukela .
• Isifo sezinso .
• I-peripheral neuropathy .
• Izinkinga zokusebenzisa izidakamizwa .

Yini eyenza izimpawu ze-RLS zibe zimbi kakhulu? (Izimbangela)

Kunezinto ezithile ezingenza umuntu one-RLS abe namathuba amaningi okubhekana nezimpawu. Lezi zibizwa ngokuthi izimbangela . Zingahluka kumuntu nomuntu. Ngokuvamile, lezi zinto zingaba imbangela:

• Utshwala.
• I-caffeine - etholakala ekhofini, etiyeni, nakwezinye iziphuzo ezibandayo.
• I-Nicotine - Ukubhema.
• Eminye imithi.
• Ukucindezeleka.

Uma usebenzisa lezi zinto ngaphambi kokuba uphumule noma ulale, kungenzeka kakhulu ukuthi ube nezimpawu ezimbi kakhulu. Futhi, ukungalali kahle kungenza izimpawu ze-RLS zibe zimbi kakhulu . Okusho ukuthi, izimpawu zakho zingaholela ekungalalini kahle, kanti ukungalali kahle kungaholela ezimpawini ezimbi kakhulu. Kufana nomjikelezo omubi. Uma unenkinga yokuthola ukuthi yiziphi izimbangela zakho, kuwumqondo omuhle ukukhuluma nodokotela.

Yimaphi amaqembu eminyaka athinta i-RLS?

I-RLS ingathinta abantu banoma yimuphi ubudala. Ingathinta izingane, abantu abadala abasebasha, kanye nabantu abadala. Kodwa-ke, ivame kakhulu ngemva kweminyaka engu-50. Izimpawu zingaba zimbi kakhulu njengoba ukhula.

I-RLS itholakala kanjani? (Ukuxilongwa)

Udokotela uzoxilonga i-RLS ngokulalela ngokucophelela izimpawu zakho nokukuhlola. Ngaleso sikhathi, bazobuza nangomlando wakho wezokwelapha ophelele nokuthi ngabe kukhona yini emndenini wakho oke waba nezimo ezifanayo.

Akukho ukuhlolwa okuqondile kokuthola i-RLS, kodwa udokotela angase akwenze.Ukuhlolwa kwezinzwa nokuhlolwa kwegazi kungenziwa ukuze kutholakale ezinye izimo nokuthola imbangela yezimpawu zakho. Ngezinye izikhathi kungase kudingeke ukuthi kwenziwe ucwaningo lokulala ubusuku bonke ukuze kubhekwe ezinye izinkinga zokulala. Kodwa-ke, i-RLS iyisifo somtholampilo , okusho ukuthi sitholakala ngokuyinhloko ngokusekelwe ezimpawu.

Ukuqinisekisa ukuba khona kwe-RLS, udokotela uzocabangela okulandelayo:

• Ingabe unesifiso esinamandla sokunyakaza imilenze yakho, futhi ingabe kukhona yini imizwa engakhululekile (njengokuqaqamba, ukudonsa) ehambisana nayo?
• Ingabe izimpawu ziqala noma ziyanda uma uphumule noma ungasebenzi kahle?
• Ingabe ukwelula, ukuhamba, noma ukuzivocavoca kunikeza impumuzo (ngokuphelele noma okwesikhashana) emisipheni ethintekile?
• Ingabe izimpawu ziba zimbi kakhulu kusihlwa noma ebusuku, noma zivela kuphela ngalezo zikhathi?
• Kusho ukuthi lezi zimpawu azibangelwa esinye isimo sezokwelapha.

Ingabe kunzima ukuxilonga i-RLS ezinganeni?

Yebo, ngezinye izikhathi kungaba nzima ngodokotela ukuthola i-RLS ezinganeni. Lokhu kungenxa yokuthi ingane ingase ingakwazi ukuchaza izimpawu zayo ngokunembile . I-RLS ezinganeni ngezinye izikhathi ingabonakala njengesifo sokungakwazi ukunaka (ADHD) noma "izinhlungu zokukhula" ezenzeka lapho umzimba ukhula.

Iphathwa kanjani i-RLS?

I-RLS ingelashwa ngemithi, amakhambi asekhaya, noma izinguquko zendlela yokuphila ukusiza ekunciphiseni izimpawu. Kwabanye abantu, izimpawu ze-RLS zingancishiswa uma ezinye izimo zempilo eziyisisekelo zilawulwa. Wena nodokotela wakho kufanele nixoxe ngokwelashwa okungcono kakhulu kuwe, kufaka phakathi imiphumela emibi engaba khona.

Imithi ye-RLS

Kunemithi ethile engasiza ekulawuleni izimpawu ze-RLS. Udokotela angase akunike imithi efana nale:

• Izithako zensimbi zimuncwa kangcono ngumzimba uma zithathwa ne-vitamin C.
• Eminye imithi yokuvimbela ukuquleka - isibonelo iGabapentin , iPregabalin .
• Ama-agonist e-dopamine - isibonelo i-Pramipexole , i-Ropinirole .
• Izidakamizwa eziguqula zibe yi-dopamine noma ezisiza ekukhiqizeni i-dopamine (i-Dopamine precursors) - isibonelo (i-Levodopa) .

Kodwa-ke, ukusetshenziswa isikhathi eside kwemithi ekhulisa i-dopamine njenge- Levodopa kungabangela izimpawu ze-RLS zibe zimbi kakhulu (ukwandisa) kwabanye abantu. Ngakho-ke, kufanele ube ngaphansi kokuqashwa okuseduze kukadokotela lapho usebenzisa le mithi.

Ezimweni ezimbi kakhulu, lapho zonke ezinye izindlela zokwelapha zehlulekile, ama-Benzodiazepines (isib. i-Clonazepam) ,Imithi efana ne- (Hypnotics) (isb. (Zolpidem) ) noma (Opioids) (isb. (Methadone) , (Buprenorphine) ) nayo ingasetshenziswa. Kodwa-ke, imiphumela emibi yale mithi ingaba mibi kakhulu , futhi kukhona ingozi yokuba umlutha wayo.

Kunezinhlobo eziningi zamaphilisi ensimbi. Ukuhlolwa kwegazi kungasiza ekunqumeni ukuthi yiluphi uhlobo olukulungele. Kubantu abanezimpawu ze-RLS ezinzima abasola ukuthi banamazinga aphansi kakhulu ensimbi ebuchosheni, ukufakwa kwensimbi kungasiza ngezinye izikhathi.

Izindlela zokwelapha i-RLS ekhaya

Uma unezimpawu ze-RLS ezincane, udokotela wakho angase ancome ezinye zezinto ongazenza ekhaya, njengalezi. Lokhu kungakusiza uzizwe ukhululekile futhi ulale kangcono nge-RLS:

• Ukuzivocavoca okuvamile : Isibonelo , i-aerobics , ukugibela ibhayisikili (ngisho nebhayisikili elingashukumi) noma ukuhamba ngezinyawo. Kodwa gwema ukuzivocavoca okunzima amahora ambalwa ngaphambi kokulala.
• Zijwayeze imikhuba emihle yokulala : Gwema izinto ezifana nokufunda izincwadi, ukubukela i-TV, nokusebenzisa ifoni yakho uhleli embhedeni. Ukungalali ngokwanele kungenza izimpawu ze-RLS zibe zimbi kakhulu .
• Ukucwilisa izinyawo zakho emanzini afudumele , ukufaka i-heating pad , noma ukufaka i-cold compress ezinyaweni zakho kungakunikeza impumuzo yesikhashana ekungakhululeki.
• Ukunciphisa ukucindezeleka kwakho konke . Ungacela usizo kumeluleki wezempilo yengqondo ngalokhu.
• Gwema ukuphuza i-caffeine (njengekhofi, itiye) ngaphambi kokulala.

Unganciphisa kanjani imilenze engaphumuli ngokushesha?

Ukunyakazisa imilenze yakho, ukuhamba, ukubhucungwa, noma ukwelula imilenze yakho kungakunikeza impumuzo yesikhashana , kodwa izimpawu zingase zibuye ngokushesha nje lapho uyeka ukunyakaza.

Ingabe i-RLS iyisimo esibucayi?

I-RLS ngeke ithinte isikhathi sakho sokuphila, okusho ukuthi ngeke ifinyeze impilo yakho . Kodwa ingaba nomthelela omkhulu empilweni yakho iyonke . Izimpawu zingahluka kusukela kwezincane kuya kwezinzima kakhulu. Ngisho nezimpawu ezincane zingaphazamisa kakhulu impilo yakho yansuku zonke, ikakhulukazi ukulala. Kuye ngokuthi uchaza kanjani "ezinzima," izimpawu zakho zingase ziwele kuleso sigaba.

Ingabe ikhona ikhambi elihlala njalo le-RLS?

Ngeshwa, okwamanje alikho ikhambi le-RLS. Kodwa-ke, ngokwelashwa, izimpawu zingalawulwa kahle futhi abantu bangaphila impilo evamile.

Ingabe i-RLS ingavinjelwa?

Okwamanje ayikho indlela eqondile yokuvimbela i-RLS, kodwa ukwelapha izimo zempilo eziyisisekelo nokugwema izinto ezibangela i-caffeine notshwala kungasiza ekunciphiseni ubukhali bezimpawu.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-RLS, qiniseka ukuthi ubona udokotela uma:

• Uma ukwelashwa ekhaya kungasizi .
• Uma izimpawu ziba zimbi kakhulu .
• Uma kunomthelela omkhulu ebuthongweni bakho .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Yini ebangela lezi zimpawu?
• Yikuphi ukwelashwa okuncomayo?
• Ingabe ikhona imiphumela emibi yokwelashwa?
• Ngingalala kanjani kahle ngine-RLS?
• Ngingayishintsha kanjani imikhuba yami yasebusuku ukuze nginciphise izimpawu ze-RLS?

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

Ukuphila ne-Restless Legs Syndrome (RLS) kungaba yinto ecasulayo ngezinye izikhathi. Kungaphazamisa ubuthongo bakho futhi kukuvimbele ekulaleni kahle. Ungase uvuke ekuseni ufisa sengathi ngabe ulale kakhudlwana. Ukuphuza ikhofi (i-caffeine) ukuze kukusize uzizwe ulele ekuseni kungenza izimpawu zakho zibe zimbi kakhulu ebusuku.

Nakuba okwamanje kungekho ukwelashwa okuhlala njalo kwe-RLS, izimpawu zingalawulwa kahle ngokwelashwa okufanele kanye nokushintsha indlela yokuphila . Ngakho-ke uma unalezi zimpawu, ungabi namahloni noma wesabe ukubona udokotela futhi uthole iseluleko. Khona-ke nawe ungathola impumuzo futhi uchithe usuku ulele kahle ebusuku.

Khumbula, awuwedwa. Baningi abantu abahlushwa yilesi simo. Ngesiqondiso nokwelashwa okufanele, ungaphila naso ngempumelelo.

I - RLS, imilenze engaphumuli, ukungakwazi ukulala, ukuqaqamba kwemilenze, i-neuropathy, i-dopamine