Isazi se-Q & A: Ukuqonda i-Restless Leg Syndrome

-Delile

• Yini imbangela enkulu yezimpawu nezimpawu zami?
• Ingabe zikhona ezinye izimbangela ezingaba khona?
• Yiziphi izindlela zokwelashwa ezitholakalayo?
• Ngabe kukhona izithako zokudla okunempilo ezingasiza?
• Imiphi imithi ovame ukuyincoma? Yimiphi imiphumela emibi engaba khona?
• Nginezinye lezi zimo zezempilo. Ngingabaphatha kanjani kangcono ngokubambisana?
• Yiziphi izinyathelo zokuzinakekela ezingathuthukisa izimpawu zami?
• Ingabe ukuvivinya umzimba kuyasiza? Yiluphi uhlobo oluhamba phambili?
• Ngabe unawo amawebhusayithi owancomayo lapho ngingathola khona eminye imininingwane? Ngingalitholaphi iqembu lokuxhasa abantu abane-syndrome yemilenze engahlaliseki?

UDkt.Nitun Verma ungudokotela ohola phambili wezokwelapha zokulala eSan Francisco Bay Area, umqondisi weWashington Township Center for Sleep Disorders eFremont, eCalifornia, kanye nombhali we-Epocrates.com umhlahlandlela weRLS.

Yini imbangela enkulu yezimpawu nezimpawu zami?

Njengamanje kukholakala ukuthi imbangela ileveli ephansi ye-neurotransmitter ebizwa nge-dopamine esebenzisa i-iron njengesakhiwo sokwakha. Amazinga aphansi e-dopamine, noma imishanguzo eyehlisayo, idala izimpawu zakudala zemizwa engakhululekile emilenzeni (kwesinye isikhathi izingalo) kaningi kusihlwa.

Ingabe zikhona ezinye izimbangela ezingaba khona?

Ezinye izimbangela kungaba ukukhulelwa, ama-anti-depressants athile, ama-antihistamine afana neBenadryl, nokwehluleka kwezinso. I-RLS inezakhi zofuzo-ijwayele ukusebenza emindenini.

Yiziphi izindlela zokwelashwa ezitholakalayo?

Inketho yokuqala futhi evame kakhulu ukusikhipha. Ukubhucungwa imilenze njalo kusihlwa kusiza ukuvimbela izimpawu esikhathini esiningi. Ukubhucungwa ngaphambi kokulala kuyasiza. Ngiyincoma njengokwelashwa komugqa wokuqala ngaphambi kokucabanga ngemithi. Ukucindezela okufudumele noma ukucindezela okubandayo kungasiza. Iziguli zami ezisebenzisa ukubhucungwa ngogesi (njengalezo zobuhlungu emuva) zithola izinzuzo ezinkulu.

Isinyathelo esilandelayo ukushintshanisa imishanguzo engazenza zibe zimbi izimpawu ezifana ne-anti-depressants kanye nama-antihistamine. Uma udokotela wakho ethola ukuthi unamazinga aphansi ensimbi, ukumiselela kungasiza, futhi. Isinqumo sokugcina sisebenzisa imishanguzo yokwelapha ukungahlaliseki
imilenze, futhi izindaba ezinhle ukuthi kube nenqubekela phambili ekutholeni imishanguzo emisha.

Ngabe kukhona izithako zokudla okunempilo ezingasiza?

Uma unensimbi encane, isengezo esihle kungaba yinsimbi izinyanga ezimbalwa ukubona ukuthi lokho kuyasiza yini. I-Iron ingadala ukucasuka kwe-GI, noma kunjalo, ngakho-ke ngiyincoma kuphela kubantu abanensimbi ephansi. I-Magnesium ifundwa njengamanje njengokwelashwa, kepha ayikho idatha eyanele yokuyinikeza njengokwelashwa okusemthethweni.

Imiphi imithi ovame ukuyincoma? Yimiphi imiphumela emibi engaba khona?

Imithi ye-Dopamine ingasiza, kepha kwesinye isikhathi ingaba nemiphumela emibi yomzimba ukuyijwayela uma ithathwa ngemithamo ephezulu. Esinye isigaba semithi sihlobene ne-gabapentin, umuthi ngaphambilini owawusetshenziselwa ukuquleka. Kunemithi emisha efana ne-Neupro, i-dopamine patch oyibeka esikhunjeni sakho esikhundleni sokuyigwinya njengephilisi. IHorizant ngumuthi omusha ohlobene ne-gabapentin / neurontin odinga ukulungiswa okuncane kwamanani uma kuqhathaniswa nemithi emidala.

Ukudambisa izinhlungu akusebenzeli i-RLS. Uma besiza, mhlawumbe unenye into. Ngibe nabantu abaningi abathatha izinsiza zokulala ezithengiswa ekhawunteni. IBenadryl iyisithako kuningi lalezi zindlela zokwelapha futhi yenza izimpawu ze-RLS zibe zimbi kakhulu. Ngemuva kwalokho bathatha imithamo ephakeme kakhulu futhi kusetha ukuvunguza okungalungile. Eminye imishanguzo eyenza ibe yimbi kakhulu: abaphikisi be-dopamine, i-lithium carbonate, imishanguzo efana ne-tricyclics, i-SSRIs (i-Paxil, i-Prozac, njll.). I-Wellbutrin (i-buproprion) i-antidepressant eyehlukile futhi engakaze ibe khona

kukhonjisiwe ukukhulisa izimpawu ze-RLS.

Nginezinye lezi zimo zezempilo. Ngingabaphatha kanjani kangcono ngokubambisana?

Uma futhi unesifo sokudangala, kungenzeka ukuthi usemuthi owengezela izimpawu ze-RLS. Ungayimisi wedwa, kodwa buza udokotela wakho ukuthi ngabe olunye uhlobo lwe-antidepressant lungasebenza esikhundleni salokho. I-Buproprion iyi-anti-depressant engasiza izimpawu ze-RLS kwezinye izimo.

Abantu abane-RLS abalali kangako, futhi ukulala okuncane kuhlotshaniswa nokudangala, isifo sikashukela nomfutho wegazi ophezulu. Kepha kunzima ukwelapha umfutho wegazi ophakeme ngaphandle kokubhekana nenkinga yokulala, futhi. Ngeshwa, ukulala kuvame ukunganakwa kulezi ziguli.

Yiziphi izinyathelo zokuzinakekela ezingathuthukisa izimpawu zami?

Isinyathelo esihle kakhulu sokuzinakekela ukubhucunga imilenze yakho ubusuku ngabunye. Uma uthola ukuthi izimpawu ziqala ngesikhathi esithile, njengokuthi 9 pm, bese uhlikihla phakathi kuka-8 no-9 ebusuku. Kwesinye isikhathi ukubhucungwa ngaphambi kokuqala kwezimpawu kungasebenza kahle.

Ingabe ukuvivinya umzimba kuyasiza? Yiluphi uhlobo oluhamba phambili?

Ukuzivocavoca okubandakanya imisipha ethintekile kungcono kakhulu, kodwa akufanele kube nzima kakhulu. Ngisho nokuhamba nokuzelula kuzolunga ngokwanele.

Ngabe unawo amawebhusayithi owancomayo lapho ngingathola khona eminye imininingwane? Ngingalitholaphi iqembu lokuxhasa abantu abane-syndrome yemilenze engahlaliseki?

www.sleepeducation.org isayithi elihle eliqhutshwa yi-American Academy of Sleep Medicine elinolwazi ngeRLS. Ingakusiza ukukukhomba eqenjini lokweseka lasendaweni.