Imilenze yesifo esinganyangekiyo

Isifo semilenze engenasiphelo (RLS) yingxaki yenkqubo yemithambo-luvo ebangela ukuba uzive unomdla wokuphakama wenze isantya okanye uhambe. Uziva ungonwabanga ngaphandle kokuba uhambisa imilenze. Ukuhamba kumisa ukuziva okungathandekiyo ixesha elifutshane.

Esi sifo saziwa ngokuba sisifo semilenze esingazinzanga / isifo sikaWillis-Ekbom (RLS / WED).

Akukho mntu waziyo kanye ukuba yintoni ebangela iRLS. Isenokuba ngenxa yengxaki ngendlela iiseli zengqondo ezisebenzisa ngayo i-dopamine. I-Dopamine yimichiza yobuchopho encedisa ekuhambeni kwemisipha.

I-RLS inokudibaniswa nezinye iimeko. Inokwenzeka rhoqo kubantu abane:

• Isifo sezintso esinganyangekiyo
• Seswekile
• Intsimbi, i-magnesium, okanye i-folic acid
• Isifo seParkinson
• I-peripheral neuropathy
• Ukukhulelwa
• Isifo sokugubhuka

I-RLS inokwenzeka nakwabantu:

• Sebenzisa amayeza athile anje nge-calcium channel blockers, lithium, okanye neuroleptics
• Ngaba uyeka ukusetyenziswa kokuthomalalisa
• Sebenzisa icaffeine

I-RLS yenzeka rhoqo kubantu abadala kunye nabadala. Abasetyhini kunokwenzeka ukuba babe ne-RLS kunamadoda.

I-RLS ihlala idluliswa kwiintsapho. Oku kunokuba yinto xa iimpawu ziqala ubuncinci.

I-RLS ikhokelela kwiimvakalelo ezingathandekiyo kwimilenze yakho esezantsi. Ezi mvakalelo zibangela umnqweno ongathintelekiyo wokuhambisa imilenze yakho. Unokuziva:

• Ukuhamba-hamba kunye nokukhasa
• Ukubhabha, ukutsala okanye ukurhuqa
• Ukutsha okanye ukutsha
• Ukuqaqanjelwa, ukubetha, okanye iintlungu
• Ukurhawuzelela okanye ukuluma
• Ukulinganisa, izikhonkwane kunye neenaliti ezinyaweni

Ezi mvakalelo:

• Zibi ngakumbi ebusuku xa ulala phantsi ukuya kuthi ga kwinqanaba lokuba linokuphazamisa ubuthongo kwaye ligcine isigulana siphaphile
• Ngamanye amaxesha kwenzeka emini
• Qalisa okanye ube mandundu xa ulele okanye uhleli ixesha elide
• Inokuhlala iyure e-1 okanye nangaphezulu
• Ngamanye amaxesha kwenzeka kwimilenze ephezulu, iinyawo, okanye iingalo
• Ngaba uyakhululeka xa ushukuma okanye usolula ixesha elide uqhubeka uhamba

Iimpawu zinokwenza kube nzima ukuhlala ngexesha lomoya okanye uhambo lwemoto, okanye kwiiklasi okanye kwiintlanganiso.

Uxinzelelo okanye ukukhathazeka ngokweemvakalelo kunokwenza ukuba iimpawu zibembi.

Uninzi lwabantu abane-RLS banemilenze enesingqi xa belele. Le meko ibizwa ngokuba kukungahambi kakuhle kwamalungu omzimba.

Zonke ezi mpawu zenza ukuba kube nzima ukulala. Ukungabikho kokulala kunokukhokelela ku:

• Ukulala emini
• Ixhala okanye uxinzelelo
• Ukudideka
• Kunzima ukucinga ngokucacileyo

Akukho vavanyo luthile lweRLS. Umboneleli wakho wezempilo uya kuthatha imbali yakho yezonyango kwaye enze uvavanyo lomzimba. Unokuba novavanyo lwegazi kunye nolunye uviwo ukulawula iimeko ezinokubangela iimpawu ezifanayo.

Ngokwesiqhelo, umboneleli wakho uya kugqiba ukuba unayo i-RLS esekwe kwiimpawu zakho.

I-RLS ayinakunyangeka. Nangona kunjalo, unyango lunokunceda ekunciphiseni iimpawu.

Utshintsho oluthile lwendlela yokuphila lunokukunceda ujongane nemeko kwaye unciphise iimpawu.

• Lala ngokwaneleyo. Lala kwaye uvuke ngexesha elifanayo yonke imihla. Qinisekisa ukuba ibhedi yakho kunye negumbi lokulala likulungele.
• Zama ukusebenzisa iipakethe ezishushu okanye ezibandayo emilenzeni yakho.
• Nceda izihlunu zakho ziphumle ngokuzolula, ukuphulula, kunye neebhafu ezifudumeleyo.
• Thatha ixesha lokuphumla usuku lwakho. Zama i-yoga, ukucamngca, okanye ezinye iindlela zokunciphisa uxinzelelo.
• Gwema i-caffeine, utywala kunye necuba. Banokuzenza mandundu iimpawu.

Umboneleli wakho unokumisela amayeza ukunyanga i-RLS.

Amanye amayeza anceda ukulawula iimpawu:

• IPramipexole (iMirapex)
• I-Ropinirole (i-Requip)
• Amanqanaba asezantsi eziyobisi

Amanye amayeza anokukunceda ulale:

• I-Sinemet (indibaniselwano ye-carbidopa-levodopa), iyeza elichasene neParkinson
• IGabapentin kunye ne-pregabalin
• Clonazepam okanye ezinye izinto zokuthomalalisa

Amayeza okukunceda ulale anokubangela ubuthongo emini.

Ukunyanga iimeko ezineempawu ezifanayo ezinje nge-peripheral neuropathy okanye ukusilela kwentsimbi kunokunceda ekunciphiseni iimpawu.

I-RLS ayinabungozi. Nangona kunjalo, kunokuba kungonwabi, kwenze ukuba kube nzima ukulala kwaye kuchaphazele umgangatho wobomi bakho.

Usenokungakwazi ukulala kakuhle (ukuphuthelwa).

Biza ixesha lokubonana nomboneleli wakho ukuba:

• Unempawu zeRLS
• Ubuthongo bakho buphazanyiswa
• Iimpawu ziba nzima

Akukho ndlela yokuthintela i-RLS.

Isifo sikaWillis-Ekbom; Myoclonus yasebusuku; I-RLS; Akathisia

• Inkqubo yovalo

UAllen RP, uMontplaisir J, uWalters AS, uFerini-Strambi L, uHogl B. Imilenze yesifo esingashukumiyo kunye nokuhamba kwamalungu ngamaxesha athile ngexesha lokulala. Ku: Kryger M, Roth T, Dement WC, ii-eds. Imigaqo kunye nokuziqhelanisa neyeza lokulala. Umhla wesi-6. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 95.

IChokroverty S, Avidan AY. Ukulala kunye nokuphazamiseka kwayo. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahl. 102.

UWinkelman JW, u-Armstrong MJ, uAllen RP, okqhubekayo. Isishwankathelo sesikhokelo sokuziqhelanisa: unyango lwe-syndrome yemilenze engenakuphumla kubantu abadala: Ingxelo yoPhuculo lwesiKhokelo, ukuSasazwa, kunye neKomitana yokuPhumeza yeAmerican Academy of Neurology. Neurology. Ngo-2016; 87 (24): 2585-2593. IINKCUKACHA: 27856776 www.ncbi.nlm.nih.gov/pubmed/27856776.