I-syndrome yemilenze engenakuphumula

I-Restless legs syndrome (RLS) yinkinga yesistimu yezinzwa edala ukuthi uzizwe unesifiso esinganqandeki sokuvuka nokushesha noma sokuhamba. Uzizwa ungakhululekile ngaphandle kokuthi uhambisa imilenze yakho. Ukuhamba kumisa umuzwa ongathandeki isikhashana.

Lesi sifo saziwa nangokuthi isifo semilenze esingenakuphumula / isifo se-Willis-Ekbom (RLS / WED).

Akekho owazi kahle ukuthi yini ebangela i-RLS. Kungahle kube ngenxa yenkinga ngendlela amangqamuzana obuchopho asebenzisa ngayo i-dopamine. I-Dopamine yikhemikhali yobuchopho esiza ngokunyakaza kwemisipha.

I-RLS ingaxhunywa kwezinye izimo. Kungenzeka kaningi kubantu abane:

• Isifo sezinso esingalapheki
• Isifo sikashukela
• I-iron, i-magnesium, noma i-folic acid
• Isifo se-Parkinson
• I-peripheral neuropathy
• Ukukhulelwa
• I-Multiple sclerosis

I-RLS kungenzeka futhi kubantu abenza lokhu:

• Sebenzisa imithi ethile efana ne-calcium channel blockers, i-lithium, noma i-neuroleptics
• Imisa ukusetshenziswa kokuthambisa
• Sebenzisa i-caffeine

I-RLS yenzeka kaningi kubantu abadala abaneminyaka ephakathi nendawo nangaphezulu. Abesifazane banamathuba amaningi okuba ne-RLS kunabesilisa.

I-RLS ivame ukudluliselwa emindenini. Lokhu kungaba yinto lapho izimpawu ziqala zisencane.

I-RLS iholela emizweni engathandeki emilenzeni yakho engezansi. Le mizwa ibangela isifiso esingenakuvinjelwa sokuhambisa imilenze yakho. Ungazizwa:

• Kuyakhasa futhi kukhasa
• Ukubhuza, ukudonsa, noma ukudonsa
• Ukushisa noma ukubopha
• Ukuqaqamba, ukushaya, noma ubuhlungu
• Ukulunywa noma ukuluma
• Ukulinganisa, izikhonkwane nezinaliti ezinyaweni

Lezi zinzwa:

• Kuba kubi kakhulu ebusuku lapho ulala kuze kube seqophelweni lokuthi kungaphazamisa ukulala futhi kugcine isiguli siphapheme
• Kwesinye isikhathi kwenzeka emini
• Qala noma ube mubi kakhulu uma ulala phansi noma uhlala isikhathi eside
• Ingahlala ihora elingu-1 noma ngaphezulu
• Kwesinye isikhathi kuyenzeka nasemilenzeni ephezulu, ezinyaweni, noma ezingalweni
• Uyakhululeka lapho uhamba noma welula inqobo nje uma uqhubeka nokunyakaza

Izimpawu zingenza kube nzima ukuhlala ngesikhathi sokuhamba emoyeni noma emotweni, noma emakilasini noma emihlanganweni.

Ukucindezeleka noma ukucasuka ngokweqile kungenza izimpawu zibe zimbi kakhulu.

Iningi labantu abane-RLS banokunyakaza komlenze onesigqi lapho belala. Lesi simo sibizwa ukuphazamiseka kokunyakaza kwezitho zomzimba ngezikhathi ezithile.

Zonke lezi zimpawu zenza kube nzima ukulala. Ukuntuleka kokulala kungaholela ku:

• Ukulala kwasemini
• Ukukhathazeka noma ukudangala
• Ukudideka
• Kunzima ukucabanga kahle

Alukho uvivinyo oluthile lwe-RLS. Umhlinzeki wakho wokunakekelwa kwezempilo uzothatha umlando wakho wezokwelapha futhi enze ukuhlolwa komzimba. Ungahle ube nokuhlolwa kwegazi nezinye izivivinyo ukukhipha izimo ezingadala izimpawu ezifanayo.

Imvamisa umhlinzeki wakho uzonquma ukuthi unayo yini i-RLS ngokuya ngezimpawu zakho.

I-RLS ayelapheki. Kodwa-ke, ukwelashwa kungasiza ekunciphiseni izimpawu.

Izinguquko ezithile zendlela yokuphila zingakusiza ukuthi ubhekane nalesi simo futhi unciphise izimpawu.

• Lala ngokwanele. Lala uvuke ngasikhathi sinye nsuku zonke. Qiniseka ukuthi umbhede wakho negumbi lakho lokulala likhululekile.
• Zama ukusebenzisa amaphakethe ashisayo noma abandayo emilenzeni yakho.
• Siza imisipha yakho iphumule ngokwelula, ukubhucungwa nokugeza okufudumele.
• Thatha isikhathi osukwini lwakho ukuze nje uphumule. Zama i-yoga, ukuzindla, noma ezinye izindlela zokunciphisa ukungezwani.
• Gwema i-caffeine, utshwala nogwayi. Zingenza izimpawu zibe zimbi kakhulu.

Umhlinzeki wakho anganikeza imithi yokwelapha i-RLS.

Eminye imithi isiza ukulawula izimpawu:

• I-Pramipexole (Mirapex)
• I-Ropinirole (i-Requip)
• Ukweqiwa okuphansi kwezidakamizwa

Eminye imithi ingakusiza ulale:

• ISinemet (inhlanganisela ye-carbidopa-levodopa), umuthi olwa neParkinson
• IGabapentin ne-pregabalin
• IClonazepam noma amanye ama-tranquilizers

Imithi ezokusiza ulale ingadala ubuthongo emini.

Ukwelapha izimo ezinezimpawu ezifanayo ezifana ne-peripheral neuropathy noma ukuntuleka kwensimbi nakho kungasiza ekunciphiseni izimpawu.

I-RLS ayiyona ingozi. Kodwa-ke, kungahle kungakhululeki, kwenze kube nzima ukulala futhi kuthinte ikhwalithi yakho yokuphila.

Ungahle ungakwazi ukulala kahle (ukuqwasha).

Shayela i-aphoyintimenti nomhlinzeki wakho uma:

• Unezimpawu ze-RLS
• Ukulala kwakho kuphazamisekile
• Izimpawu ziba zimbi kakhulu

Ayikho indlela yokuvimbela i-RLS.

Isifo se-Willis-Ekbom; I-myoclonus yasebusuku; Ama-RLS; I-Akathisia

• Uhlelo lwezinzwa

I-Allen RP, Montplaisir J, Walters AS, Ferini-Strambi L, Hogl B.I-syndrome yemilenze engaphumuli nokuhamba kwamalungu ngezikhathi ezithile ngesikhathi sokulala. Ku: Kryger M, Roth T, Dement WC, ama-eds. Izimiso Nokwenza Kwendlela Yokulala. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2017: isahluko 95.

I-Chokroverty S, i-Avidan AY. Ukulala nokuphazamiseka kwayo. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 102.

UWinkelman JW, u-Armstrong MJ, u-Allen RP, et al. Isifinyezo somhlahlandlela wokuzijwayeza: ukwelashwa kwesifo semilenze esingenakuphumula kubantu abadala: umbiko weKomidi Elisisekelo Lokuthuthukiswa, Ukusatshalaliswa, kanye Nokusetshenziswa Kwe-American Academy of Neurology. Neurology. 2016; 87 (24): 2585-2593. I-PMID: 27856776 www.ncbi.nlm.nih.gov/pubmed/27856776.