IBS kunye ne-Restless Leg Syndrome

Kukho iintlobo zeengxaki zempilo apho umntu one-IBS enakho ukuba abe nomntu ongenawo IBS . Okumangalisa kukuba, i-patient's legless syndrome (RLS) ingenye yazo! Akubonakali ukwenza ingqondo engqiqweni - njani ingaba ingxaki yentsholongwane inxulumene nesifo somzimba? Makhe sibone ukuba yiyiphi i-RLS kwaye zeziphi ezinye zezizathu ezinokuthi zenzeke nge-IBS.

Yintoni I-Legless Leg Syndrome?

I-RLS yintlupheko yentshukumo apho umntu afumana uncedo olungenakunceda ukuhambisa imilenze. Iimpawu ziza kwenzeka ngexesha lokuphumla okanye ukungasebenzi, ngokuhlwa ngokuhlwa nakwibusuku. Ezi ziphoso ezinyanzelisayo zihlala zikhululekile ngokunyakaza. Kulinganiselwa ukuba i-RLS ithintela malunga nama-5% wabemi. Ingxaki ichaphazela abaninzi abafazi kunamadoda, kwaye nangona kubaluleke kakhulu kubachaphazela abantu abadala, kuyachaphazela nenani eliphezulu labantwana.

Kubantu abaninzi, i-RLS ayikho into ecasulayo. Iimpawu ze-RLS zinokomelela ngokwaneleyo ukwenzela ukuphazamisa ubuthongo, oku kunokukhokelela ekukhatheni nokuphazamisana nokusebenza kwansuku zonke. Ekugqithiseni kwayo, ukudinwa okubangelwa yi-RLS kunokuchaphazela kakubi umsebenzi wakhe, ubudlelwane beentsapho kunye nobomi bentlalo. Abanye abantu abane-RLS bafumana ubunzima bokudakumba, ubunzima beengxaki kunye nenkumbulo.

I-RLS Experience

Nge-RLS, umnqweno wokufudula imilenze inokuthi ihambe ngokukhawuleza ukuba ingakhathazeki ngokukhawuleza ukuba ibuhlungu.

Amagama asetyenziselwa ukuchaza ukukhupha aquka ukungakhululeki, ukungathandeki, ukunyakraza, ukudonsa nokuphosa. Ukuvakalelwa okufanayo kwezinye iindawo zomzimba kuhamba phambili, kodwa kungabonakali. Iingcamango zinokuchaphazela emacaleni omabili omzimba, kodwa abanye abantu banamava kuphela kwicala elinye okanye kwelinye.

Iimpawu zivame ukuhluka, zombini ngokubhekisele kwintsebenzo kunye nangokwemigaqo malunga nokuba zihlala zingaphi.

I-Movement iyakunciphisa okwethutyana iimvakalelo ezingavumelekanga ade umntu abuyele kwindawo yokuphumla, apho imeko iqala kwakhona. Ukuze ufumane ukhululo lweempawu, abantu abane-RLS bazame izinto ezahlukeneyo, kubandakanya ukugwedeza okanye ukunweba imilenze xa behleli, bejikijela baze bajike embhedeni, okanye bakhuphuke baze baqhube umgangatho. Iimpawu zingaphantsi kweeyure zentsasa, zivumela ukulala ngokukhululekileyo.

Iimpawu ze-RLS zinokuba zibi kakhulu emva komhla oxakekileyo, osebenzayo. Ukongeza kokuhlwa, abantu abane-RLS banokufumana iimpawu ngexesha lokuhlala ixesha elide, umzekelo, ukuhamba kweemoto, ukukhwela kweendiza kunye neendawo zokuzonwabisa ezifana neemafilimu. Iimpawu ze-RLS zinokuphazamisana nokukwazi ukuhlala ngokuphumla xa uqhuba ukuzivocavoca .

Yintoni ebangela iRLS?

Akukho mntu uyazi ngokuqinisekileyo oko kubangela iRLS. Abaphandi baye bachonga oku kulandelayo njengabafaka isandla kwingxaki:

I-RLS ingazibonakalisa okwesibini kwezinye iingxaki zempilo.

Iimpawu nazo zingabangela okanye zinyanzeliswe yimiphumo emibi yeziyobisi, ukusetyenziswa kotywala kunye nokulahlwa kokulala. Ukukhulelwa, ngokukodwa i-trimester yokugqibela, kunokubangela ukuba iimpawu ze-RLS zibangele.

Ukuxhatshazwa nge-IBS

Izifundo zibonisa ukuba abanye abantu abaneengxaki ezithile zesisu banomlinganiselo ophezulu we-RLS, kubandakanya isifo se-celiac , isifo sika-Crohn kunye ne-IBS.

Izifundo malunga nokugqithwa kwezi zimbini zibonisa ukuba izigulane ze-IBS zisemngciphekweni omkhulu kwi-RLS kunye nakwezinye izinto. Uqikelelo lwemfundo lubonisa ukuba malunga nesinye kwisine kwisinye seesithathu sezilwanyana ze-IBS sinokuthi sibe ne-RLS. Esinye isifundo esincinci sichaza into enomdla (kodwa kakhulu yokuqala!) Ukukhanya kwimihluko phakathi kweentlobo ze- IBS .

Ukugqithiswa okuphezulu kwezi zimbini eziphazamisayo zenzeke kubathathi-nxaxheba abafundayo abane-IBS-D (62%), benokungabikho komncinci kubathathi-nxaxheba kwi-IBS-Mixed (33%) kunye nokungabikho ngokugqithiseleyo kokubambisana kwabathathi-nxaxheba nge-IBS-C ( 4%).

Ukufunda ngokukhawuleza kwintsebenziswano phakathi kwezi ngxaki ezimbini kwabonelela nomphumo obangel 'umdla. Abathathi-nxaxheba abafundayo abane-IBS kunye ne-RLS nabo banakho amathuba okufumana iimpawu kwinxalenye ephezulu yendlela yokugaya, kuquka intlungu yesisu, isicupunu kunye nokuhlanza.

Kutheni i-overlap? Abaphandi bajonga kwiingcamango ezahlukeneyo, kubandakanywa indima yokungasebenzi kwesinyithi se-iron, ukuvuvukala, inkqubo ye-nervous disperction and overgrowth (SIBO). Kuzo zonke iingcamango, i-SIBO iyakuqwalasela ingqalelo, njengoko uza kubona kungekudala.

RLS, IBS kunye neSIBO

Izifundo ezimbalwa ziqhutywe zijonge kwi-SIBO njengekhonkco elinokwenzeka phakathi kwe-RLS ne-IBS. Ekuhloleni kokuqala kwezigulane ezingama-32 ze-RLS, iSIBO yafunyaniswa kwi-69% yazo! Ngaphambi kokuba sifunde kakhulu ngale nto, kubalulekile ukuba uqaphele ukuba i-SIBO yokuxilongwa yenziwe ngokusebenzisa ukuhlolwa kokuphefumla , indlela ephikisanayo nokusebenza kwayo.

Esi sifundo sesibini, izigulane ezingama-13 ze-IBS ezivavanywe kakuhle kwi-SIBO zisebenzisa ukuhlola ukuphefumula, zaphathwa nge-antibiotic rifaximin ngeentsuku ezili-10. Ngokombiko, i-10 yezi zi gulane zineziphumo "ubuncinane bokuphucula u-80%" kwiimpawu zabo ze-RLS. Ngomhla wokulandelelana kamva, isiqingatha salezi zigulane sichaze ukukhulula ngokupheleleyo kwi-RLS yazo. Njengamaxesha onke, asikwazi ukufumana izigqibo eziqinileyo kwisifundo esisodwa, esincinci, kodwa ukuba ezi ziphumo zichaneka, kukho ukukhokelela ukuba ukuphathwa kwe-SIBO kunokuncedisa ukuphazamiseka kokubili.

Abaphandi bazama ukufumanisa ukuba kutheni ukungahlali phakathi kwe-SIBO kunye ne-RLS. Enye into yokuba iimeko ezibangelwa ukuphuhliswa kweRLS zibeka umntu engozini kwiSIBO. Ngaphandle koko, ukuvuvukala okuvela kwi-SIBO kunokuchaphazela ukusebenza kwama-neurotransmitters, okubangelwa iimpawu ze-RLS. Enye ingcamango kukuba i-SIBO idlala indima kwiingxaki ze-iron metabolism ezinxulumene ne-RLS.

Oko Ukwenza Ukuba Unayo

Into ebalulekileyo ukuyenza xa unesifo sobabini ukuqinisekisa ukuba uxele ugqirha wakho. Enye into yokuba izigulane ze-RLS kunye ne-IBS zifana nokuxhala ukuxubusha iimpawu zesoyiko lokuba iimpawu zabo ziya kuncitshiswa! Ukuba ugqirha wakho uyanciphisa impawu zakho, okanye ubanika bonke ukuba bacinezeleke, fumana ugqirha omtsha!

Nangona uphando malunga nokuxhamla phakathi kwe-SIBO, IBS kunye ne-RLS yinto yokuqala, ukuba wena ngokwakho uzive ukuba i-SIBO ingaba yinkinga kuwe, cela udokotela wakho malunga nokuvavanywa kunye / okanye unyango lwemo.

Ukuzinyamekela kunye nokutya okunempilo kunokukunceda kuphela zombini iimeko. Ezi zombini izimo nazo zinokuzuza ngokunciphisa utywala kunye ne-caffeine. Ekugqibeleni, utyalomali kwindawo yokufudumala okanye ibhotile yamanzi ashushu, njengokuba ubushushu busenokunika isiphumo kwiimpawu ze-IBS kunye ne-RLS.

Imithombo:

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Borji, R., kunye. al. "Ukubambisana Phakathi kwe-Irritable Bowel Syndrome kunye ne-Restless Legs Syndrome: I-Study Compare with Group Control" I- Journal ye-Neurogastroenterology ne-Motility 2012 18: 426-433.

"Isicatshulwa seNgcaciso yeSigxina seMigudu yeSigxina" I- National Institute of Neurological Disorders and Stroke Kufike ngoDisemba 20, 2015.

I-Weinstock L., uFern S., noDuntley S. "Izifo zamagilane ezingapheliyo kwizigulane ezineengxaki zesifo seengqondo: ukuphendula kumathambo amancinci emathunjini amancinci." Imizimba yesifo seNtsholongwane kunye neNzululwazi 2008 53: 1252-1256.

Weinstock, L. & Walters, A. "Imilenze yesifo esingapheliyo ihambelana nesifo sengqondo esilumkileyo kunye nesifo esincinci samagciwane esiswini" I- Medicine yokulala 2011 12: 610-3.

Yun, C., kunye. al. "Umbutho phakathi kwesifo sengqondo sesifo esilumkileyo kunye nesifo sengqondo esingahlaliyo kubantu abemi" I- Journal of Research Sleep 2012 21: 569-576.