Unyango olulungileyo lwe-11 lweeMilenze ezingapheliyo

Umxholo

• 1. Ukulawula izizathu ezinokubangela
• Imikhwa
• Amayeza
• Iimeko zempilo
• Ezinye izinto ezibangela
• 2. Ukulala ngendlela efanelekileyo
• 3. Izongezelelo zentsimbi kunye neevithamini
• 4. Ukuzilolonga
• 5.Iyoga kunye nokuzolula
• 6. Ukuphulula
• 7. Amayeza kagqirha
• Iziyobisi zedopaminergic
• IGabapentin
• IiBenzodiazepines
• Iipioids
• 8.Ukusonga iinyawo (restiffic)
• 9.Uxinzelelo lwomoya
• Iphedi yokungcangcazela (Relaxis)
• 11.I-infrared spectroscopy (i-NIRS)
• Unyango olunogcino oluncinci lwesayensi
• Unyango olushushu nolubandayo
• Ukuphinda-phinda ukuvuseleleka kwamandla ombane (rTMS)
• Ukukhuthaza amandla ombane (TENS)
• Unyango
• Utyando lwee-varicose veins
• Ukuthatha

Yintoni imilenze yesifo esingashukumiyo?

Isifo semilenze engenasiphelo (RLS), ekwabizwa ngokuba sisifo sikaWillis-Ekbom, yimeko ebangela ukungonwabi, amaxesha amaninzi emilenzeni. Olu luvo luchazwe njengokubetha, ukukhasa, iimvakalelo ezinambuzelayo, kwaye kubangele umnqweno omkhulu wokuhambisa ilungu elichaphazelekayo.

Iimpawu ze-RLS zihlala zenzeka xa umntu ehleli, ephumla, okanye elele, kwaye zihlala zenzeka ebusuku. Iintshukumo ezibangelwa yi-RLS ibizwa ngokuba kukuhamba kwamalungu okulala ngamaxesha athile (PLMS). Ngenxa yezi ntshukumo, i-RLS inokubangela iingxaki zokulala ezinzima.

Abanye abantu banee-RLS eziphambili, ezingenasizathu saziwayo. Abanye baneRLS yesibini, enxulunyaniswa neengxaki zemithambo-luvo, ukukhulelwa, ukunqongophala kwentsimbi, okanye ukusilela kwezintso okungapheliyo.

Uninzi lwabantu abane-RLS, iimpawu zithambile. Kodwa ukuba iimpawu zakho ziphakathi ukuya kubukhali, i-RLS inokuba nefuthe elikhulu kubomi bakho. Inokukuthintela ukuba ulale ngokwaneleyo, kwaye ke ibangele iingxaki ngokugxila emini kunye nokucinga, umsebenzi wakho, kunye nemisebenzi yakho yasekuhlaleni.

Ngenxa yezi ngxaki, i-RLS inokukhokelela kuxinzelelo kunye noxinzelelo. Kwaye okukhona unemeko, kokukhona kunokuba kubi. Ingasasazeka nakwamanye amalungu omzimba wakho, njengeengalo zakho ().

Ngenxa yeempembelelo ze-RLS ebomini bakho, unyango lubalulekile. Iindlela zonyango ziyahluka, njengoko ingcambu ye-RLS ingaziwa ngokwenene. Umzekelo, abanye abaphandi bacebisa ukuba i-RLS ibangelwa ziingxaki zekhemikhali yengqondo, ngelixa abanye becebisa ukuba inxulumene nokuhamba gwenxa.

Apha sidwelisa olona nyango lulungileyo lwe-RLS. Ezinye zezi unokuzama ngokwakho. Abanye onokuthi uxoxe nogqirha wakho, onokukunceda wenze isicwangciso sonyango ukukunceda ukhulule iimpawu zakho ze-RLS.

1. Ukulawula izizathu ezinokubangela

Inyathelo lakho lokuqala ekuphenduleni i-RLS kufuneka ibe kukufumanisa ukuba ikhona into ebangela oko. Ngelixa i-RLS inokunxulumana nezinto ubukhulu becala ezingaphandle kolawulo lwakho, ezinje ngemfuza okanye ukukhulelwa, ezinye izinto ezinokuthi ziqwalaselwe.

Ezi zinto zinokuba yimikhwa yemihla ngemihla, amayeza owathathayo, iimeko zempilo onazo, okanye ezinye izinto ezibangela.

Imikhwa

Ukusetyenziswa kwe-caffeine, utywala kunye necuba kunokunyusa iimpawu ze-RLs. Ukunciphisa umda kwezi zinto kunokunceda ukunciphisa iimpawu zakho ze-RLS (2).

Amayeza

Amanye amayeza anokubangela okanye enze mandundu iimpawu zeRLS. Imizekelo ibandakanya: (, 2, 3).

• ii-antihistamines ezindala ezinje nge diphenhydramine (Benadryl)
• iziyobisi ezichasene nokusetyenziswa gwenxa njenge-metoclopramide (Reglan) okanye iprochlorperazine (Compro)
• iziyobisi ezichasene nengqondo ezifana ne-haloperidol (Haldol) okanye i-olanzapine (iZyprexa)
• ilithium (Lithobid)
• i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo efana ne-fluoxetine (Prozac), sertraline (Zoloft), okanye i-escitalopram (Lexapro)
• tricyclic antidepressants efana neamitriptyline (Elavil) okanye amoxapine (Asendin)
• iTramadol (Ultram)
• I-levothyroxine (iLevoxyl)

Qinisekisa ukuba ugqirha wakho uyazi ngazo zonke iziyobisi ozithathayo, zombini amayeza kunye nekhawuntara. Thetha nogqirha wakho malunga nokuba banokwenza ukuba i-RLS yakho ibe mandundu, ngakumbi ukuba uthatha nawaphi na amayeza adweliswe apha ngasentla.

Iimeko zempilo

Iimeko ezithile zempilo zifunyenwe zinxulumene ne-RLS. Isifo sokugqibela (sezintso), okanye i-ESRD, kunye nomonakalo wemithambo-luvo kwisifo seswekile unxulunyaniswe ne-RLS. I-anemia yokunqongophala kwe-Iron ikwanonxibelelwano olomeleleyo ne-RLS (jonga i-iron engezantsi) (4,,).

Kuya kufuneka uxoxe nogqirha wakho ukuba imbali yakho yezempilo inokuyichaphazela njani i-RLS yakho, ngakumbi ukuba unayo nayiphi na kwezi meko.

Ezinye izinto ezibangela

Abanye abantu bathi ukutya iswekile eninzi okanye ukunxiba iimpahla ezixineneyo kuyenza mandundu imiqondiso yeRLS. Nangona kungekho uphando oluninzi ukuxhasa le nxu lumano, unokufuna ukusebenzisa isilingo kunye nephutha ukuze ubone oko kubonakala kuchaphazela iimpawu zakho.

Inyathelo lokuqala kunyango lwe-RLS kufuneka ucinge ukuba ikhona into ebangela oko. Kuya kufuneka uthathele ingqalelo imikhwa enje ngokusela utywala okanye ukutshaya, amayeza athile okanye iimeko zempilo, kunye nezinye izinto ezinokubangela iimpembelelo zakho kwiimpawu zeRLS.

2. Ukulala ngendlela efanelekileyo

Ukuba nemikhwa elungileyo yokulala kuyacetyiswa kuye nakubani na, kodwa ngakumbi ngakumbi kubantu abanengxaki yokulala, njengaleyo ine-RLS.

Ngelixa ukulala ngcono kungangasombululi iimpawu zakho ze-RLS, kunokukunceda ulwe ilahleko yokulala onayo kwimeko yakho. Zama ezi ngcebiso zilandelayo ukwenza ukuba ubuthongo bakho buphumle kwaye bubuyise kangangoko.

• Lala kwaye uvuke ngamaxesha afanayo yonke imihla.
• Gcina indawo yakho yokulala ipholile, izolile, kwaye imnyama.
• Gcina iziphazamiso, ezinje ngeTV kunye nefowuni, kwindawo encinci kwigumbi lakho lokulala.
• Gwema izikrini zombane iiyure ezimbini ukuya kwezintathu ngaphambi kokuba ulale. Ukukhanya okuluhlaza okwesibhakabhaka kwezi zikrini kunokuphosa isigqi sakho se-circadian, esikunceda ugcine umjikelo wokulala wendalo (7).

Ngelixa zinokuthi zingazisombululi iimpawu zakho ze-RLS, imikhwa yokulala esempilweni inokuphucula ukulala kwakho kwaye inokukunceda ukucima ezinye zeempembelelo ze-RLS.

3. Izongezelelo zentsimbi kunye neevithamini

Ukusilela kwentsimbi kucingelwa ukuba sesinye sezizathu eziphambili zeRLS. Izifundo ezininzi zibonise ukuba izongezo zentsimbi zinokunceda ukunciphisa iimpawu zeRLS (, 3).

Uvavanyo lwegazi olulula lunokujonga ukusilela kwentsimbi, ke ukuba ucinga ukuba oku kunokuba yingxaki kuwe, thetha nogqirha wakho.

Ukuba uvavanya ukuba kukho intswelo yentsimbi, ugqirha wakho unokucebisa ngomlomo ngeyeza zentsimbi, onokuzifumana kwikhemesti lasekuhlaleni. Kwezinye iimeko, i-intravenous (IV) yentsimbi inokufuneka (, 8).

Ukongeza, ukuswela iivithamini D kunokunxulunyaniswa neRLS. Uphononongo luka-2014 lufumanise ukuba izongezo zevithamin D zinciphise iimpawu ze-RLS kubantu abane-RLS kunye nokusilela kwe-vitamin D ().

Kwaye kubantu abakwi-hemodialysis, iivithamini C kunye no-E zokuncedisa banokunceda ukukhulula iimpawu ze-RLS (4,).

Ukuxhaswa ngetsimbi okanye iivithamini D, C, okanye E kunokunceda abantu abathile abane-RLS. Ugqirha wakho angakuxelela ukuba ukuzama izongezo kunokuba yinto elungileyo kuwe.

4. Ukuzilolonga

Ukuzilolonga kunokukunceda uzive ungcono xa uneRLS.

Amaziko kaZwelonke ezeMpilo athi ukuzivocavoca umzimba ngokulinganayo kunokunceda ukunciphisa iimpawu ze-RLS (3).

Kwaye uphononongo luka-2006 lwabantu abangama-23 abane-RLS bafumanisa ukuba umthambo we-aerobic kunye noqeqesho oluphantsi lokuxhathisa umzimba, olwenziwe kathathu ngeveki kangangeeveki ezili-12, zinciphise kakhulu iimpawu zeRLS ().

Olunye uphononongo lufumene umthambo usebenza kakhulu kwi-RLS, ngakumbi kubantu abane-ESRD (4,).

Ukunikezelwa kwezi zifundo, kunye nezinye zibonisa ukuba umsebenzi unokunceda ukuphucula ukulala, ukuzivocavoca kubonakala kuyinto efanelekileyo kubantu abane-RLS ().

Isindululo esinye esivela kwiZiseko zeMilenze engenasiphelo- umthambo ngokumodareyitha Musa ukusebenza ukuya kwindawo yeentlungu kunye neentlungu, njengoko oku kunokwenza ukuba iimpawu zakho ze-RLS zibe mandundu (14).

Ngenxa yezibonelelo zayo zokunciphisa iimpawu ze-RLS kunye nokuphucula ukulala, ukuzilolonga rhoqo ngumkhwa olungileyo wokuphuhlisa abantu abane-RLS.

5.Iyoga kunye nokuzolula

Njengezinye iintlobo zokuzilolonga, i-yoga kunye nokuzolula umzimba kubonisiwe ukuba kunezibonelelo kubantu abane-RLS ().

Uphononongo olwenziwe ngo-2013 lweeveki ezisibhozo zabasetyhini abali-10 bafumanisa ukuba iyoga incede ukunciphisa iimpawu zeRLS. Ikwancede ukuphucula imeko yabo kunye nokunciphisa amanqanaba oxinzelelo, anokuthi aphucule ukulala kwabo. Kwaye uphononongo luka-2012 lubonise ukuba i-yoga iphucule ukulala kwabafazi abangama-20 abane-RLS (,).

Olunye uphononongo lubonise ukuba ukuzolula umzimba kwenza inkqubela phambili ebonakalayo kwiimpawu ze-RLS zabantu kwi-hemodialysis ().

Akucaci ngokupheleleyo kubaphandi ukuba kutheni i-yoga kunye nemisebenzi yokwelula, kwaye uphando oluninzi luya kuba luncedo. Kodwa unikwe ezi ziphumo, unokufuna ukongeza ithole kunye nemilenze ephezulu yolulekelo kwimithambo yakho yemihla ngemihla.

Nangona kungacacanga ukuba kutheni, i-yoga kunye nokunye ukuzolula kunganceda ekunciphiseni iimpawu ze-RLS.

6. Ukuphulula

Ukuphulula izihlunu zakho zomlenze kunokunceda ukunciphisa iimpawu zakho zeRLS.Imibutho emininzi yezempilo, enje ngeZiko lezeMpilo leSizwe kunye neZiko lokulala leLizwe, icebisa njengonyango lwasekhaya (3, 18, 19).

Nangona kungekho olunye uphando oluninzi olubuyisela ukuxilongwa njengonyango lwe-RLS, uphando lwe-2007 lubonisa izibonelelo zalo.

Umfazi oneminyaka engama-35 owayenemithambo yemilenze engama-45 kabini ngeveki kangangeeveki ezintathu wayephucule iimpawu ze-RLS ngalo lonke elo xesha. Ukuthanjiswa kwakhe kubandakanya uluhlu lweendlela, kubandakanya ukuthambisa kwe-Sweden kunye noxinzelelo ngqo kwimisipha yomlenze.

Iimpawu zakhe ze-RLS zanciphisa emva kokunyanga kabini, kwaye khange aqale ukubuya de kube ziiveki ezimbini emva kokuphela kwerejimeni yokuthanjiswa (20).

Umbhali wolo phononongo ucebise ukuba ukonyuka kokukhutshwa kwe-dopamine ebangelwa kukusikwa komzimba kungangunobangela wezibonelelo. Ukuthanjiswa kubonisiwe ukuphucula ukujikeleza, ukuze oko kube sisizathu seziphumo zaso kwi-RLS (20,,).

Njengebhonasi eyongeziweyo, ukuthambisa kunokunceda ekuphumleni, okunokunceda ukuphucula ukulala kwakho.

Nokuba siyintoni na isizathu, ukuphulula umlenze kunyango olulula nolupholileyo olunokunceda ekunciphiseni iimpawu zakho zeRLS.

7. Amayeza kagqirha

Amayeza lonyango oluphambili kwi-RLS ephakathi. Amachiza eDopaminergic aqhelekileyo amayeza okuqala amiselweyo. Ziyasebenza ekupheliseni iimpawu ze-RLS, kodwa zinokubangela iziphumo ebezingalindelekanga kunye nezinye iingxaki ().

Ezinye iintlobo zamachiza zinokunceda ekunciphiseni iimpawu ze-RLS ngaphandle kokubangela ezi ntlobo zeengxaki.

Iziyobisi zedopaminergic

Iziyobisi zeDopaminergic zonyusa ukukhutshwa kwe-dopamine kwingqondo yakho. I-Dopamine yikhemikhali enceda ukuhambisa iintshukumo zomzimba eziqhelekileyo ().

Amachiza eDopaminergic anokunceda ekunciphiseni iimpawu zeRLS kuba imeko inxulunyaniswa neengxaki kwimveliso yomzimba yedopamine.

Amayeza amathathu edopaminergic avunyiwe yiU.S.Ukutya kunye noLawulo lweeDrug (i-FDA) ukunyanga i-RLS yokuqala.

• ipramipexole (Mirapex) (23)
• I-ropinirole (i-Requip) (24)
• irotigotine (Neupro) (25)

Ngelixa iziyobisi zedopaminergic zibonisiwe ukunceda ukuphucula iimpawu ze-RLS, ukusetyenziswa kwexesha elide kunokwenzakalisa iimpawu. Le nto ibizwa ngokuba kukwandiswa. Ukukunceda ukulibazisa le ngxaki, oogqirha bahlala bemisela idosi ephantsi kakhulu kwezi ziyobisi (,).

Ukongeza, la mayeza anokusebenza ngokuhamba kwexesha. Ukunceda ukulibazisa okanye ukuthintela zombini ezi ngxaki, ugqirha wakho unokuyalela indibaniselwano yamachiza e-dopaminergic kunye nezinye iintlobo zamachiza ukunyanga i-RLS ().

IGabapentin

Iyeza lesine elivunyiweyo yi-FDA ukunyanga i-RLS ibizwa ngokuba yi-gabapentin (Horizant). Eli liyeza lokunyanga (27).

Akuqondwa ngokupheleleyo ukuba i-gabapentin isebenza njani ukukhupha iimpawu ze-RLS, kodwa izifundo zibonisa ukuba iyasebenza ().

Kwisifundo esinye, abantu abangama-24 abane-RLS baphathwa nge-gabapentin okanye i-placebo iiveki ezintandathu. Abo baphathwe nge-gabapentin babephucule ukulala kunye nokunciphisa ukuhamba kwemilenze ukusuka kwi-RLS, ngelixa abo babephathwa nge-placebo khange ().

Olunye uphononongo luthelekise ukusetyenziswa kwe-gabapentin kunye nokusetyenziswa kwe-ropinirole (elinye lamachiza avunyiweyo yi-FDA ukunyanga i-RLS). Abantu abasibhozo abane-RLS bathathe iyeza ngalinye kwiiveki ezine, kwaye omabini la maqela azuze amanqanaba afanayo okuphumla kwiimpawu ze-RLS ().

IiBenzodiazepines

I-Benzodiazepines sisiyobisi esisetyenziselwa ukunyanga uxinzelelo kunye neengxaki zokulala. IClonazepam (iKlonopin) kunye nezinye iintlobo zala machiza zihlala zimiselwe abantu abane-RLS ngokudibeneyo nezinye iziyobisi (30).

Ngelixa la machiza engenakuzikhupha ngokwazo iimpawu ze-RLS, izibonelelo zabo zokuphucula ukulala kunokuba luncedo kakhulu kubantu abane-RLS (30).

Iipioids

Iiopioids zihlala zisetyenziselwa ukunyanga iintlungu. Ngamanye amaxesha, ngesiqhelo xa amanye amayeza engancedi okanye ebangela ukwanda, i-opioids inokusetyenziswa ngononophelo kwiidosi eziphantsi ukunceda ukunyanga i-RLS (, 8).

Ukukhutshwa ixesha elide i-oxycodone / naloxone (Targinact) yenye yeopioid enokunceda ekunciphiseni iimpawu zeRLS kunye nokuphucula ukulala (4). Nangona kunjalo, ngenxa yesikhokelo esitsha siphuhliselwa ukusetyenziswa kweeopioid, oku kufanele ukuba kube licebo lokugqibela.

Njengazo zonke iiopioid, ukusetyenziswa kwezi ziyobisi kufuneka kujongwe ngononophelo ngugqirha, ngenxa yomngcipheko wokusetyenziswa gwenxa nokuxhomekeka.

Ukuba une-RLS emodareyithayo, ugqirha wakho uya kuphakamisa iyeza elinye okanye nangaphezulu. Amachiza e-Dopaminergic aqhelekile ukuba anyango lwe-RLS, kodwa anokubangela iziphumo ebezingalindelekanga kunye nokwandiswa, ke ukusetyenziswa kwazo kufuneka kulawulwe ngononophelo.

8.Ukusonga iinyawo (restiffic)

Isongelo seenyawo sibonisiwe ukunceda ukukhulula iimpawu zeRLS.

Ebizwa ngokuba yindawo yokuphumla, isongelo seenyawo sibeka uxinzelelo kumanqaku athile emazantsi onyawo lwakho. Uxinzelelo luthumela imiyalezo kwingqondo yakho, ephendula ngokuxelela izihlunu ezichaphazelekayo yiRLS ukuba ziphumle. Oku kunceda ukukhulula iimpawu zakho ze-RLS (31).

Isifundo se-2013 sabantu abangama-30 abasebenzisa isongelo seenyawo kwiiveki ezisibhozo bafumana uphuculo olukhulu kwiimpawu ze-RLS kunye nomgangatho wokulala (32).

Ukusongelwa kweenyawo ekubuyiseni kufumaneka ngugqirha kuphela, kwaye kwiwebhusayithi yenkampani, kubiza malunga ne- $ 200. Inokuthi ihlawulwe okanye ingangabekelwa i-inshurensi yakho (31).

Ukusongelwa kweenyawo okubuyayo kufuna iyeza kunye notyalo mali lokuqala, kodwa inokubonelela ngesiqabu seRLS ngokufaka uxinzelelo kumanqaku athile emazantsi onyawo.

9.Uxinzelelo lwomoya

Ukuba uke walala esibhedlele ubusuku bonke, usenokuba unexinzelelo lomoya. Olu nyango lusebenzisa "umkhono" ogqitha emlenzeni wakho kunye nokuhluma kunye nokuqaqamba, ucofe kancinci kwaye ukhulule umlenze wakho.

Esibhedlele, isixhobo sokucinezelwa kwe-pneumatic (PCD) sisetyenziselwa ukuphucula ukujikeleza kunye nokuthintela amahlwili egazi. Ukujikeleza okuphuculweyo kunokuba sisizathu sokucinezelwa kwe-pneumatic kubonisiwe ukunceda ukukhulula iimpawu ze-RLS ().

Abanye abaphandi bakholelwa ukuba unobangela we-RLS ngamanqanaba eoksijini asezantsi emalungwini. Bacinga ukuba umzimba uphendula kule ngxaki ngokwandisa ukujikeleza ngokudlula kwezihlunu ezenzeka xa umntu ehambisa amalungu ().

Nokuba siyintoni na isizathu, olunye uphando lubonakalisile ukuba uxinzelelo lwepneumatic lunokunceda ekunciphiseni iimpawu zeRLS.

Uphononongo luka-2009 lwabantu abangama-35 ababesebenzisa i-PCD ubuncinci iyure yonke imihla kangangenyanga babephucule kakhulu iimpawu ze-RLS, umgangatho wokulala, kunye nokusebenza kwemini. Nangona kunjalo, olunye uphando alubonisanga iziphumo ezifanayo (,).

Ezinye ii-PCD ziyaqeshwa, kwaye ezinye zinokuthengwa ekhawuntarini okanye ngugqirha. Ukuhlawulwa kwe-inshurensi ye-PCD kunokuba lula ukuyifumana kubantu abangakwaziyo ukunyamezela amayeza e-RLS (, 35).

I-PCD lunyango olungelulo olonyango olunokuthengwa ekhawuntarini okanye ngugqirha. Inokukunceda ukukhulula iimpawu ze-RLS ngokuphucula ukujikeleza kwimilenze yakho. Iziphumo ezivela kuphando kwesi sixhobo ziphikisiwe.

Iphedi yokungcangcazela (Relaxis)

Iphedi eshukumayo ebizwa ngokuba yiphedi yeRelaxis ayinakuzikhulula iimpawu zakho zeRLS, kodwa inokukunceda ulale ngcono (4).

Usebenzisa iphedi engcangcazelayo xa uphumle okanye ulele. Ubeka iphedi kwindawo echaphazelekayo, njengomlenze wakho, kwaye usete kubunzulu bentshukumo obunqwenelekayo. Iphedi iyangcangcazela imizuzu engama-30 kwaye emva koko iyazivalela ().

Umbono emva kwephedi kukuba ukungcangcazela kubonelela "ngokuchaseneyo." Oko kukuthi, bagqitha kwiimvakalelo ezingathandekiyo ezibangelwa yi-RLS ukuze uve ukungcangcazela endaweni yeempawu zakho ().

Akukho phando luninzi lufumanekayo kwi-Relaxis pad, kwaye ayiboniswanga ukuba ikhulule ngokwenyani iimpawu zeRLS. Nangona kunjalo, kubonisiwe ukuphucula ubuthongo ().

Ngapha koko, olunye uphando lufumanise ukuba luyasebenza ekuphuculeni ukulala njengamachiza amane e-RLS avunyiweyo e-FDA: i-ropinirole, i-pramipexole, i-gabapentin, kunye ne-rotigotine (36).

Iphedi yeRelaxis ifumaneka kuphela ngugqirha kugqirha. Ngayo iwebhusayithi yenkampani, esi sixhobo asihlawulwa yi-inshurensi, kwaye ixabisa ngaphezulu kweedola ezingama-600 (37).

Iphedi yeRelaxis engcangcazelayo ifuna amayeza kunye neendleko ngaphezulu kwe- $ 600. Isenokungazinyangi iimpawu ze-RLS, kodwa iimpembelelo zayo zinokukunceda ulale ngcono.

11.I-infrared spectroscopy (i-NIRS)

Unyango olungasasebenziyo olungekasetyenziswa ngokubanzi ngale njongo lunokunceda ukukhulula iimpawu zeRLS.

Olu nyango lubuhlungu lubizwa ngokuba yi-infrared spectroscopy (NIRS). Ngee-NIRS, imitha yokukhanya enobude obude obusetyenziselwa ukungena esikhumbeni. Ukukhanya kubangela ukuba imithambo yegazi ivuleke, yonyuse ukujikeleza ().

Enye ithi i-RLS ibangelwa ngamanqanaba eoksijini asezantsi kwindawo echaphazelekayo. Kucingelwa ukuba ukwanda kokujikeleza okubangelwa yi-NIRS kunyusa inqanaba leoksijini, kunceda ukukhulula iimpawu zeRLS ().

Izifundo ezininzi zifumanise ukuba olu nyango lusebenza kakuhle. Isifundo esinye siphathe abantu abangama-21 abane-RLS nge-NIRS kathathu ngeveki iiveki ezine. Zombini ukujikeleza kunye neempawu zeRLS zibonise ukuphucuka okubonakalayo ().

Omnye ubonise ukuba abantu baphathwe ngonyango olunemizuzu engama-30 lwe-NIRS ngaphezulu kweeveki ezine bekwanciphise neempawu ze-RLS. Iimpawu zaphuculwa ukuya kwiiveki ezine emva kokuba unyango luphelile ().

Izixhobo ze-NIRS zinokuthengwa kwi-Intanethi ngamakhulu aliqela eedola ngaphezulu kwe- $ 1,000 ().

Isixhobo se-NIRS sinokuxabisa amakhulu amawaka eedola, kodwa iziphumo ezingapheliyo zolu nyango lungafunekiyo zinokuxabisa utyalomali.

Unyango olunogcino oluncinci lwesayensi

Ezi zonyango zingasentla zinophando oluthile lokuxhasa ukusetyenziswa kwazo. Olunye unyango lunobungqina obuncinci, kodwa lusenokusebenzela abanye abantu abaneRLS.

Unyango olushushu nolubandayo

Nangona kungekho uphando oluninzi oluxhasayo usebenzisa ubushushu kunye nokubanda ukukhupha iimpawu ze-RLS, imibutho emininzi yezempilo iyayincoma. Babandakanya iSiseko sokulala sikaZwelonke kunye neZiseko ezingapheliyo zemilenze yesifo (19, 40).

Le mibutho icebisa ukuba uthathe ibhafu eshushu okanye ebandayo ngaphambi kokuba ulale, okanye ufake iipakethe ezishushu okanye ezibandayo emilenzeni yakho (18).

Ezinye iimpawu ze-RLS zabantu zenziwa mandundu yingqele, ngelixa abanye benengxaki ngobushushu. Oku kunokuchaza izibonelelo zonyango olushushu okanye olubandayo.

Ukuphinda-phinda ukuvuseleleka kwamandla ombane (rTMS)

Inkqubo engeyiyo ehlaselayo esetyenziselwa ukunyanga uxinzelelo kunokuba luncedo ekunciphiseni iimpawu zeRLS. Ukuza kuthi ga ngoku, izifundo zilinganiselwe kwaye uphando oluninzi luyafuneka, kodwa iziphumo ziyathembisa (4, 41,).

Ukuphindaphinda okuvuselelekayo okuvuselelayo (rTMS) kuthumela iimpembelelo zemagnethi kwiindawo ezithile zobuchopho.

Akucaci ngokupheleleyo ukuba kutheni i-rTMS inokunceda ekunciphiseni iimpawu zeRLS. Ithiyori enye kukuba iimpembelelo zonyusa ukukhutshwa kwe-dopamine kwingqondo. Omnye ucebisa ukuba i-rTMS inokunceda ukuzolisa i-hyperarousal kwiindawo ezithile zobuchopho ezinxulumene ne-RLS (43).

Kwisifundo esinye sango-2015, abantu abali-14 abane-RLS banikwa iiseshoni ezili-14 ze-rTMS ngaphezulu kweentsuku ezili-18. Iiseshoni ziphucule kakhulu iimpawu zazo zeRLS kwaye zaphucula ukulala kwazo. Iziphumo zihlala okungenani iinyanga ezimbini emva kokuba unyango luphelile ().

Ukukhuthaza amandla ombane (TENS)

Ngokukhuthaza amandla ombane (TENS), isixhobo sithumela amaza ombane amancinci kumalungu omzimba wakho ukukunceda ukunciphisa iintlungu.

Akukho uphando oluninzi malunga nokusetyenziswa kwe-TENS ukunyanga i-RLS, kodwa inokusebenza.

Umbono kukuba njenge-Relaxis vibling pad, isebenzisa ukubala. Olunye uphononongo lubonise ukuba ukusetyenziswa rhoqo kwe-TENS kunye nonyango lokungcangcazela kuyisombulule ngokupheleleyo iimpawu ze-RLS yendoda enye,,).

Unyango

Ukwenza i-acupuncture kunokuba luncedo kunyango lweemeko ezininzi zempilo, kwaye i-RLS inokuba yenye yazo.

Uhlolisiso olwenziwa ngo-2015 kubantu abangama-38 abane-RLS abanyangwa nge-acupuncture kangangeeveki ezintandathu lubonakalise ukuba umsebenzi wabo ongaqhelekanga womlenze ovela kwi-RLS uncitshiswe kakhulu ().

Nangona kunjalo, uphando olongezelelekileyo luyafuneka ukuqinisekisa i-acupuncture njengonyango oluthembekileyo lwe-RLS.

Utyando lwee-varicose veins

Kubantu abanemicimbi ethile yokujikeleza, utyando inokuba lolona nyango lusebenzayo kwi-RLS yabo ().

Iimvumba ze-Varicose zandisiwe yimithambo yegazi, rhoqo emilenzeni, egcwalisa igazi. Eli nani lenyukayo legazi linokukhokelela ekungonelini okwenziwe yimithambo-luvo (SVI), okuthetha ukuba umzimba wakho awunakujikeleza igazi ngokufanelekileyo. Ngenxa yoko, amachibi egazi emilenzeni yakho.

Kuphononongo luka-2008, abantu abangama-35 abane-SVI kunye ne-RLS babenenkqubo ebizwa ngokuba yi-endovenous laser ablation ukunyanga imithambo yabo ye-varicose. Kubantu abangama-35, iipesenti ezingama-84 kubo baneempawu zabo ze-RLS eziphuculweyo okanye ezipheliswe ngokupheleleyo ngoqhaqho (47).

Kwakhona, uphando oluthe kratya luyafuneka kolu tyando njengonyango lwe-RLS.

Ukuba unomdla kulo naluphi na unyango olungaphandwanga kancinane, buza ugqirha wakho malunga nalo. Ewe ungazama unyango olushushu nolubandayo wedwa, kodwa ugqirha wakho angakuxelela ngakumbi ngolunye unyango kunye nokuba banako ukukunceda.

Ukuthatha

I-RLS inokubangela ukungahambi kakuhle, imiba yokulala, kunye neengxaki ekusebenzeni kwemihla ngemihla, ke unyango kufuneka lube yinto ephambili. Inyathelo lakho lokuqala kukuzama ukhetho lwasekhaya kolu luhlu. Kodwa ukuba abakuncedisi, qiniseka ukuba uthethe nogqirha wakho.

Ugqirha wakho unokubonelela ngolwazi oluthe kratya malunga nonyango ngalunye kwaye yeyiphi - okanye enye - enokuba lukhetho olufanelekileyo kuwe.

Gcina ukhumbula ukuba into esebenzela umntu omnye ayinakusebenza komnye, kwaye kuya kufuneka uzame iziyobisi ezahlukeneyo okanye unyango. Qhubeka uzama ude ufumane isicwangciso sonyango esikusebenzelayo (48).