Ngaba i-RLS inokubangela ukukhathala kwakho?
Uphando lubonisa ukuba abantu abane- multiple sclerosis (MS) bangamaxesha amaninzi amathuba okuba ne- patient's legless syndrome kunabantu abemi.
Isifo somlenze esingapheliyo (RLS) sisifo sokulala esibangela ukunyakaza kweenyawo zokugubungela kwiiyure zokuhlwa, kwaye ezi ntshukumo zidibaniswa neengcamango ezingathandekiyo.
Ukuxilongwa
I-syndrome imilenze engenasiphelo ifunyaniswa xa kulandelwa iinkqubo ezilandelayo:
- Kukho isichukumiso sokuhambisa imilenze (ngokuqhelekileyo ibangelwa okanye ihamba kunye novakalelo okanye ukungathandeki emilenzeni).
- Oku kufuna ukunyuka kuya kuqhubeka xa usaphila, ngokuqhelekileyo ulele phantsi, kodwa kunokuthi kwenzeke xa uhleli.
- Ukuhamba malunga ne-eases (ubuncinci) ngenqweno yokuhamba okanye ukuvakalelwa okungahambi kakuhle, ngelixa uhambo luqhubeka.
- Isibongo sibi kakhulu ebusuku ngaphandle kwexesha.
Ngokutsho kophando, abantu abane-MS abanenkqubela yesifo esibi kakhulu, i-MS eqhubekayo, kunye nezilonda kwintambo yomlomo wesibeleko (intanyeni yendawo) yingozi enkulu yokuba ne-patient's legless syndrome.
Abaxhasi beRLS
Kukho iimpawu ezinxulumene neempawu ze-MS ezinokuthi zilingane nolu hlobo lwesifo esingenasiphako.
Ngokomzekelo, abantu abane-MS banokufumana i-spasms exensor , eyenzekayo xa isitho sinqina kwaye umntu akakwazi ukugoba. Oku kubangela ukuba isilungu, ngokuqhelekileyo umlenze, siphume emzimbeni.
Izidumbu ze-muscle zithintela i-quadriceps (izihlunu ezinkulu phambi kwethanga), ezibangela ukuba umlenze ongezantsi uphendule.
Enyanisweni, ezinye iindawo eziphambili ziyakwazi ngokukhawuleza kwaye zinamandla ukuba umntu angakwazi ukuwa esihlalweni okanye embhedeni. Ezi zihluke kakhulu kwi-RLS.
Ukunyuka kwezinto ezihamba phambili zihamba ngokunyanisekileyo, kunokuba "ukunyusa." Abaxhaswanga ngokunyakaza, kodwa ngokwenene bangaba ngumphumo wokuzama ukufuduka, njengokuguqula ebhedini okanye ukuzama ukuhamba kwisihlalo sabakhubazekile.
Ukongezelela, iimvakalelo ezingathandekiyo, ezibizwa ngokuba yi-paresthesias, zibonakalisa uphawu oluqhelekileyo lwe-MS, kwaye ngokuyinhloko zivela kwimilenze ephantsi neenyawo. Baziva benjengobunzima okanye ukubetha, okanye izikhonkwane kunye neenaliti ezidibeneyo zombini.
Le mvakalelo ikwahluke kakhulu kwiimvakalelo ezingathandekiyo ze-RLS, njengoko kungekho nkululeko kubo xa umntu ehambayo (ukunyakaza kungabangela ukuba le mivo iqiniseke). Zihlala zikhona ngosuku, kungekhona nje ebusuku.
I-RLS kunye ne-MS-Related Fatigue
Ukuba unayo i-RLS, mhlawumbi uncedisa ekukhathala kwakho kwe- MS ngokukubangela ukuba ulahlekelwe ukulala. Oku kuthiwa ukukhathala kwesibili, njengoko ukhathala kukubangelwa yimpawu okanye ukulala.
Isizathu esiyinhloko sokukhathala kubantu abane-MS, nangona kunjalo, ukutshatyalaliswa kwenkqubo yesifo se-MS ngokwayo. Ininzi yale nto kuthiwa siphila kunye ne-MS ivakalelwa kuthiwa "ukuhlambalaza," oko kukukhathala okukhulu kunxulumene ngqo nomsebenzi okwandisiweyo. Oku kuyingozi, kunokungenakwenzeka-ukuchazela, ukunyanzelisa ukunyuka okunye kweempawu eziqhelekileyo ze-MS.
Ukongeza kwi-RLS, ezinye izizathu zesibini zokukhathala kubantu abane-MS ziquka:
- Ukuphazamiseka kokulala ngenxa yezinye izizathu, njengezithuba zentsholongwane, ukuxinezeleka okanye ukuxhalaba, intlungu, okanye ukufunwa rhoqo kwi-night ( nocturia )
- Imiphumo emibi yezobisi
- Ukuzama ukuzenza ukulahlekelwa komsebenzi obangelwa yimpawu
- Izifo, ezifana nokubanda, ukukhuhlane okanye izifo zogonyamelo
- Ukungabi namandla emzimbeni
Unyango
Ngokuxhomekeke kwimizila yeengxaki zakho kunye ne-syndrome yemilenze engenakuphumla, ezi zonyango zilandelayo:
- Ukuphepheka kwe-caffeine, utywala kunye ne-nicotine
- I-Neurontin (gabapentin) ingaba ngowona khetho olulandelayo kubantu abane-MS, njengoko ibekezeleke kakuhle kwaye isetyenziselwa ukunyanga ubuhlungu be-neuropathic, uphawu oluqhelekileyo kwizigulane ezine-multiple sclerosis.
- I-Benzodiazepines okanye i-benzodiazepine agonists, njenge-diazepam (Valium) kunye ne-clonazepam, sele isetyenzisiwe ngempumelelo, kodwa inokubangela ukuba ukukhathala kube nzima. Kananjalo nazo zisetyenziselwa kuphela xa ufuna uncedo lweveki okanye ezimbini ngelo xesha, njengoko zikwazi ukuzenza umkhuba.
- Amachiza akwandisa i-dopamine kwingqondo, njengeRopinirole (i-Requip), kunye ne-pramipexole (Mirapex).
ILizwi
Ukuba kukho nantoni na ephazamisana nomntu onobomi be-MS ukulala ubusuku obuhle, kubaluleke kakhulu ukufumanisa isizathu kunye nokukuphelisa ngokusemandleni. Xa kucelwa ukuba, abaninzi abantu abane-MS bathi ukukhathala ngumpawu zabo eziphazamisayo. Nangona ubuthongo obuhle bungenakukuphelisa ukukhathala, ubusuku obungalali ngenxa yokugula okungagqibekanga (okanye nayiphi na enye into) kunokuthetha ukuba umehluko phakathi "ukufikelela" kwaye uphelele ukukwazi ukusebenza.
Kwakhona, abo abane-MS bahlala neentlungu "ezingathandekiyo" ezinzima kakhulu okanye ezingenakwenzeka ukunyanga. Ngokungafani namanye ama-paresthesias anxulumene ne-MS, i-RLS iyaphathwa kakhulu. Ukuba ucinga ukuba unayo i-RLS, hamba uthetha neurologist yakho uze uqale ukusebenza ngokuphumla.
> Imithombo:
> Manconi M et al. I-Syndrome ye-Legs-Restless i-Common Finding kwi-Multiple Sclerosis kunye ne-correlates ne-Cervical Cord. Mult Scler. 2008 Jan; 14 (1): 86-93.
> Hlehlisa iWG. (2017). Iziganeko zeKliniki kunye nokuxilongwa kweMilenze engapheliyo Imilenze / i-Willis-Ekborn Izifo kunye neNgxaki yokuPhambuka kweLimb Movement in Adult. Ukulimaza HI, Avidan AY ed. Isemgangathweno. Waltham, MA: UpTiDate Inc.
> Schürks M, uBussfeld P. I-Multiple Sclerosis kunye ne-Restless Legs Syndrome: Uhlolo lokuHlola kunye ne-Meta-Analysis. Eur J Neurol . 2012 kuMatshi; 20 (4): 605-15.