Ingcali ye-Q & A: Ukuqonda i-Restless Leg Syndrome

Umxholo

• Sesiphi esona sizathu seempawu zam?
• Ngaba zikho ezinye izizathu ezinokubangela?
• Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?
• Ngaba zikhona izongezo zesondlo ezinokukunceda?
• Ngawaphi amayeza oqhele ukuwacebisa? Zeziphi iziphumo ebezingalindelekanga ezinokubakho?
• Ndinazo ezinye iimeko zempilo. Ndingabalawula njani ngokugqibeleleyo kunye?
• Ngawaphi amanyathelo okuzikhathalela anokuziphucula iimpawu zam?
• Ngaba ukwenza umthambo kuyanceda? Loluphi uhlobo olulungileyo?
• Ngaba unayo nayiphi na iwebhusayithi oyicebisayo apho ndingafumana khona ulwazi oluthe kratya? Ndingalifumana phi iqela lokuxhasa abantu abanesifo semilenze esingazinzanga?

UGqr.Nitun Verma ngugqirha ophambili kumayeza okulala eSan Francisco Bay Area, umlawuli weZiko leLokishi yaseWashington lokungalali kakuhle eFremont, eCalifornia, kunye nombhali wesikhokelo se-Epocrates.com yeRLS.

Sesiphi esona sizathu seempawu zam?

Okwangoku kukholelwa ukuba unobangela linqanaba eliphantsi le-neurotransmitter ebizwa ngokuba yidopamine esebenzisa isinyithi njengebhloko yokwakha. Amanqanaba asezantsi e-dopamine, okanye amayeza awathobayo, abangela iimpawu zeklasikhi zokuziva ungonwabanga emilenzeni (ngamanye amaxesha iingalo) amaxesha amaninzi ngokuhlwa.

Ngaba zikho ezinye izizathu ezinokubangela?

Abanye oonobangela banokuba kukukhulelwa, ezinye izinto ezichasayo, ii-antihistamines ezinjengeBenadryl, kunye nokusilela kwezintso. I-RLS inenxalenye yemfuza-ihlala ibaleka kwiintsapho.

Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?

Olokuqala kunye nolona khetho lubalaseleyo kukuthambisa. Ukuphulula imilenze rhoqo ngokuhlwa kuyanceda ukukhusela iimpawu ixesha elininzi. Ukuphulula ngaphambi kokulala kuyanceda. Ndiyincoma njengonyango lodidi lokuqala ngaphambi kokujonga amayeza. Ukucinezelwa okufudumeleyo okanye ukunyanzelwa okubandayo kunokunceda. Izigulana zam ezisebenzisa ukuthambisa kombane (njengaleyo yeentlungu zangasemva) zifumana izibonelelo ezinkulu.

Inyathelo elilandelayo kukutshintsha amayeza anokwenza mandundu iimpawu ezinje ngee-anti-depressants kunye ne-antihistamines. Ukuba ugqirha wakho ufumanisa ukuba unamanqanaba asezantsi entsimbi, ukuyitshintsha kunokukunceda. Indawo yokugqibela isebenzisa amayeza enziwe ukunyanga ukungazoli
imilenze, kwaye iindaba ezimnandi zezokuba kuye kwakho inkqubela phambili ekufumaneni amayeza amatsha.

Ngaba zikhona izongezo zesondlo ezinokukunceda?

Ukuba uphantsi kwesinyithi, isongezelelo esihle siya kuba yintsimbi kwiinyanga ezimbalwa ukubona ukuba iyanceda na. Intsimbi inokubangela ukuba i-GI icaphuke, nangona kunjalo, ndincoma kuphela abantu abaphantsi kwesinyithi. I-Magnesium ifundwa ngoku njengonyango, kodwa akukho datha yaneleyo yokuyinika njengonyango olusemthethweni.

Ngawaphi amayeza oqhele ukuwacebisa? Zeziphi iziphumo ebezingalindelekanga ezinokubakho?

Unyango lwe-Dopamine lunokunceda, kodwa ngamanye amaxesha lunokuba neziphumo ebezingalindelekanga zomzimba xa usetyenziswa ngeedosi eziphezulu. Olunye udidi lwamayeza luhambelana ne-gabapentin, iyeza elalisetyenziswa ngaphambili ekubanjweni. Kukho amayeza amatsha anje ngeNeupro, isibambiso se-dopamine osibeka kulusu lwakho endaweni yokuginya njengepilisi. I-Horizant yonyango elitsha elinxulumene ne-gabapentin / neurontin elifuna uhlengahlengiso oluncinci lweedosi xa kuthelekiswa namayeza amadala.

Ukunciphisa iintlungu akusebenzi kwi-RLS. Ukuba bayanceda, mhlawumbi unenye into. Ndinabantu abaninzi abathatha i-counter-the-counter zokuncedisa ukulala. IBenadryl sisithako kuninzi lonyango kwaye yenza ukuba iimpawu zeRLS zibe mandundu. Emva koko bathatha iidosi eziphakamileyo kwaye kuseta ukungqubana okubi. Olunye unyango olwenza mandundu ngakumbi: i-dopamine antagonists, i-lithium carbonate, i-anti-depressants efana ne-tricyclics, ii-SSRI (Paxil, Prozac, njl. I-Wellbutrin (i-buproprion) yi-antidepressant eyahlukileyo kwaye ibingazange ibekho

kubonisiwe ukwandisa iimpawu zeRLS.

Ndinazo ezinye iimeko zempilo. Ndingabalawula njani ngokugqibeleleyo kunye?

Ukuba unoxinzelelo, unokuba kumayeza ayenza mandundu imeko yeRLS. Ungayimisi wedwa, kodwa buza ugqirha wakho ukuba lolunye uhlobo lwe-antidepressant lunokusebenza endaweni yoko. I-Buproprion yi-antidepressant enokunceda iimpawu ze-RLS kwezinye iimeko.

Abantu abane-RLS abalali kangako, kwaye ukulala kancinci kunxulunyaniswa nokudakumba, isifo seswekile, kunye noxinzelelo lwegazi. Kodwa kunzima ukunyanga uxinzelelo lwegazi oluphezulu ngaphandle kokujongana nengxaki yokulala, nayo. Ngelishwa, ukulala kuhlala kungahoywa kwezi zigulana.

Ngawaphi amanyathelo okuzikhathalela anokuziphucula iimpawu zam?

Elona nyathelo lokuzikhathalela lelona lifanelekileyo lokuthambisa imilenze yakho ebusuku. Ukuba ufumanisa ukuba iimpawu ziqala ngexesha elithile, njenge-9 emva kwemini, emva koko thambisa phakathi kwe-8 kunye ne-9 emva kwemini. Ngamanye amaxesha ukuphulula ngaphambi kokuba iimpawu ziqale ukusebenza kakuhle.

Ngaba ukwenza umthambo kuyanceda? Loluphi uhlobo olulungileyo?

Ukuzivocavoca umzimba okubandakanya izihlunu ezichaphazelekayo kungcono, kodwa akufuneki kube nzima kakhulu. Nokuba uhamba kwaye wolule kuya kuba ngokwaneleyo.

Ngaba unayo nayiphi na iwebhusayithi oyicebisayo apho ndingafumana khona ulwazi oluthe kratya? Ndingalifumana phi iqela lokuxhasa abantu abanesifo semilenze esingazinzanga?

www.sleepeducation.org yindawo entle eqhutywa yiAmerican Academy of Sleep Medicine enolwazi ngeRLS. Inokukunceda ukukhomba kwiqela lenkxaso yendawo.