Izindlela Zokwelapha eziyi-11 ezihamba phambili ze-Restless Legs Syndrome

-Delile

• 1. Ukulawula izimbangela ezingaba khona
• Imikhuba
• Imithi
• Izimo zezempilo
• Ezinye izimbangela
• 2. Imikhuba yokulala enempilo
• 3. Izengezo zensimbi novithamini
• 4. Ukuzivocavoca umzimba
• 5. I-Yoga nokuzelula
• 6. Ukubhucungwa
• 7. Imithi kadokotela
• Izidakamizwa ze-Dopaminergic
• UGabapentin
• I-Benzodiazepines
• Ama-opioid
• 8. Ukugoqwa kwezinyawo (restiffic)
• 9. Ukucindezelwa komoya
• I-Vibration pad (i-Relaxis)
• 11.I-spectroscopy eseduze ne-infrared (NIRS)
• Ukwelashwa okunesipele esingaphansi kwesayensi
• Ukwelashwa okushisayo nokubandayo
• Ukuphindaphinda okuphindaphindayo kwamagnetic transcranial (rTMS)
• I-transcutaneous electrical nerve stimulation (TENS)
• Ukuthoma
• Ukuhlinzwa kwemithambo ye-varicose
• Ukuthatha

Yini i-restless legs syndrome?

I-Restless legs syndrome (RLS), eyaziwa nangokuthi isifo sikaWillis-Ekbom, yisimo esidala imizwa engakhululekile, imvamisa emilenzeni. Le mizwa ichazwe njengokushwabana, ukukhasa, imizwa ekhasa, futhi kubangela isifiso esinamandla sokuhambisa isitho esithintekile.

Izimpawu ze-RLS zivame ukwenzeka lapho umuntu ehleli, ephumula, noma elele, futhi kwenzeka kaningi ebusuku. Ukunyakaza okubangelwa yi-RLS kubizwa ukunyakaza kwezitho ngezikhathi ezithile zokulala (PLMS). Ngenxa yalokhu kuhamba, i-RLS ingadala izinkinga ezinkulu zokulala.

Abanye abantu bane-RLS eyinhloko, engenasizathu esaziwayo. Abanye bane-RLS yesibili, evame ukuhlotshaniswa nezinkinga zemizwa, ukukhulelwa, ukuntuleka kwensimbi, noma ukwehluleka kwezinso okungamahlalakhona.

Kubantu abaningi abane-RLS, izimpawu zimnene. Kepha uma izimpawu zakho ziphakathi kokuqina, i-RLS ingaba nomthelela omkhulu empilweni yakho. Kungakuvimbela ukulala ngokwanele, futhi ngaleyo ndlela kubangele izinkinga ngokugxila nasemcabangweni wasemini, umsebenzi wakho, kanye nemisebenzi yakho yokuzijabulisa.

Ngenxa yalezi zinkinga, i-RLS ingaholela ekukhathazekeni nasekucindezelekeni. Futhi uma unalesi simo isikhathi eside, kungaba kubi kakhulu. Ingasakazeka nakwezinye izingxenye zomzimba wakho, njengezingalo zakho ().

Ngenxa yemiphumela i-RLS engaba nayo empilweni yakho, ukwelashwa kubalulekile. Izindlela zokwelashwa ziyahlukahluka, njengoba imbangela eyinhloko ye-RLS ingaziwa ngempela. Isibonelo, abanye abacwaningi basikisela ukuthi i-RLS idalwa yizinkinga nge-brain chemical dopamine, kanti abanye basikisela ukuthi ihlobene nokusakazeka okungalungile.

Lapha sibala ukwelashwa okuhle kakhulu kwe-RLS. Ezinye zalezi ungazizama uwedwa. Abanye ongaxoxa nabo nodokotela wakho, abangakusiza ukuthi wakhe uhlelo lokwelashwa ukusiza ukukhulula izimpawu zakho ze-RLS.

1. Ukulawula izimbangela ezingaba khona

Isinyathelo sakho sokuqala sokubhekana ne-RLS kufanele kube ukuthola ukuthi ngabe kukhona okukubangelayo. Ngenkathi i-RLS ingahlotshaniswa nezinto ongeke uzilawule, njenge-genetics noma ukukhulelwa, ezinye izinto ezingahle zibhekwe.

Lezi zinto zingaba imikhuba yansuku zonke, imishanguzo oyisebenzisayo, izimo zempilo onazo, noma ezinye izimbangela.

Imikhuba

Ukusetshenziswa kwe-caffeine, utshwala nogwayi kungakhulisa izimpawu ze-RL. Ukunciphisa lezi zinto kungasiza ukunciphisa izimpawu zakho ze-RLS (2).

Imithi

Imithi ethile ingadala noma ibe nzima izimpawu ze-RLS. Izibonelo zifaka: (, 2, 3).

• ama-antihistamine amadala njenge-diphenhydramine (iBenadryl)
• izidakamizwa ze-antinausea ezifana ne-metoclopramide (Reglan) noma i-prochlorperazine (Compro)
• imishanguzo yokulwa nezengqondo efana ne-haloperidol (Haldol) noma i-olanzapine (iZyprexa)
• i-lithium (i-Lithobid)
• i-serotonin reuptake inhibitors ekhethiwe (i-SSRIs) efana ne-fluoxetine (i-Prozac), i-sertraline (i-Zoloft), noma i-escitalopram (i-Lexapro)
• i-tricyclic antidepressants efana ne-amitriptyline (Elavil) noma i-amoxapine (Asendin)
• i-tramadol (Ultram)
• i-levothyroxine (Levoxyl)

Qiniseka ukuthi udokotela wakho uyazi ngazo zonke izidakamizwa oziphuzayo, kokubili kadokotela nangaphezulu kwekhawunta. Khuluma nodokotela wakho mayelana nokuthi kungenzeka yini ukuthi enza i-RLS yakho ibe yimbi, ikakhulukazi uma uthatha noma yimiphi imithi ebhalwe ngenhla.

Izimo zezempilo

Izimo ezithile zezempilo zitholakale zihlobene ne-RLS. Isifo se-end-stage renal (i-kidney), noma i-ESRD, nokulimala kwemizwa yesifo sikashukela kuye kwaxhunyaniswa ne-RLS. Ukushoda kwe-iron anemia futhi kunokuxhumana okuqinile ne-RLS (bona i-iron engezansi) (4,,).

Kufanele uxoxe nodokotela wakho ukuthi umlando wakho wezempilo ungayithinta kanjani i-RLS yakho, ikakhulukazi uma unanoma iyiphi yalezi zimo.

Ezinye izimbangela

Abanye abantu bathi ukudla ushukela omningi noma ukugqoka izingubo eziqinile kukhulisa izimpawu zabo ze-RLS. Ngenkathi kungekho lucwaningo oluningi lokulondoloza lezi zixhumanisi, ungahle uthande ukusebenzisa ezinye izilingo nephutha ukuze ubone okubonakala kuthinta izimpawu zakho.

Isinyathelo sokuqala ekwelapheni i-RLS kufanele sicabange ukuthi ngabe kukhona okukubangelayo. Kufanele ucabangele imikhuba enjengokuphuza utshwala noma ukubhema, imishanguzo ethile noma izimo zezempilo, nezinye izinto ezibangela umthelela wakho kuzimpawu zakho ze-RLS.

2. Imikhuba yokulala enempilo

Ukuba nemikhuba emihle yokulala kuyalulekwa kunoma ngubani, kepha mhlawumbe ikakhulukazi kubantu abanenkinga yokulala, njengaleyo ene-RLS.

Ngenkathi ukulala kangcono kungahle kungazixazululi izimpawu zakho ze-RLS, kungakusiza ukuqeda ukulahlekelwa ubuthongo obhekene nesimo sakho. Zama amathiphu alandelayo ukuze wenze ukulala kwakho kuphumule futhi kubuyise ngangokunokwenzeka.

• Lala futhi uvuke ngezikhathi ezifanayo usuku ngalunye.
• Gcina indawo yakho yokulala ipholile, ithule futhi imnyama.
• Gcina iziphazamiso, njenge-TV nefoni, zilinganiselwe egumbini lakho lokulala.
• Gwema izikrini zikagesi amahora amabili kuya kwamathathu ngaphambi kokulala. Ukukhanya okuluhlaza okwesibhakabhaka okuvela kulezi zikrini kungalahla isigqi sakho se-circadian, esikusiza ugcine umjikelezo wokulala wemvelo (7).

Ngenkathi kungenzeka zingazixazululi izimpawu zakho ze-RLS, imikhuba yokulala enempilo ingakuthuthukisa ukulala kwakho futhi ingasiza ekuqedeni eminye yemiphumela ye-RLS.

3. Izengezo zensimbi novithamini

Ukushoda kwe-Iron kucatshangwa ukuthi kungenye yezimbangela ezinkulu ze-RLS. Ucwaningo oluningi luye lwabonisa ukuthi izithako zensimbi zingasiza ekunciphiseni izimpawu ze-RLS (, 3).

Ukuhlolwa kwegazi okulula kungabheka ukuntuleka kwensimbi, ngakho-ke uma ucabanga ukuthi lokhu kungaba yinkinga kuwe, khuluma nodokotela wakho.

Uma uhlola ukutholakala kokuntuleka kwensimbi, udokotela wakho angancoma izithako zensimbi yomlomo, ongazithola ekhemisi langakini. Kwezinye izimo, insimbi efakwa emthanjeni (IV) ingadingeka (, 8).

Ngaphezu kwalokho, ukushoda kukavithamini D kungaxhunyaniswa ne-RLS. Ucwaningo lwango-2014 lwathola ukuthi izengezo zikavithamini D zinciphisa izimpawu ze-RLS kubantu abane-RLS nokushoda kukavithamini D ().

Futhi kubantu abaku-hemodialysis, amavithamini C no-E angasiza ekunciphiseni izimpawu ze-RLS (4,).

Ukwengeza nge-iron noma amavithamini D, C, noma u-E kungasiza abantu abathile abane-RLS. Udokotela wakho angakutshela ukuthi ukuzama izengezo kungaba umqondo omuhle yini kuwe.

4. Ukuzivocavoca umzimba

Ukuzivocavoca umzimba kungakusiza uzizwe ungcono uma une-RLS.

INational Institutes of Health ithi ukuzivocavoca umzimba ngokulingene kungasiza ekunciphiseni izimpawu ze-RLS (3).

Futhi ucwaningo lwango-2006 lwabantu abangama-23 abane-RLS luthole ukuthi ukuzivocavoca umzimba kanye nokuqeqeshwa komzimba okuphansi, okwenziwe kathathu ngesonto amasonto ayi-12, kwehle kakhulu izimpawu ze-RLS ().

Olunye ucwaningo luthole ukuzivocavoca kusebenza kahle kakhulu kwi-RLS, ikakhulukazi kubantu abane-ESRD (4,).

Njengoba kunikezwe lezi zifundo, kanye nokunye okukhombisa ukuthi umsebenzi ungasiza ukuthuthukisa ukulala, ukuzivocavoca kubonakala kufanelekile ngokwemvelo kubantu abane-RLS ().

Isincomo esisodwa esivela ku-Restless Legs Foundation - ukuzivocavoca ngokulinganisela. Ungasebenzi uze ufike ezinhlungwini nasezinhlungwini, ngoba lokhu kungenza izimpawu zakho ze-RLS zibe zimbi kakhulu (14).

Njengoba kunikezwe izinzuzo zayo zokunciphisa izimpawu ze-RLS nokwenza ngcono ukulala, ukuzivocavoca umzimba njalo kuwumkhuba omuhle ukuthuthukisa abantu abane-RLS.

5. I-Yoga nokuzelula

Njengezinye izinhlobo zokuzivocavoca, i-yoga nokuzilolonga kukhonjisiwe kunezinzuzo kubantu abane-RLS ().

Ucwaningo lwamasonto ayisishiyagalombili luka-2013 lwabesifazane abayi-10 luthole ukuthi i-yoga isize ukunciphisa izimpawu ze-RLS. Iphinde yasiza ukuthuthukisa imizwa yabo nokunciphisa amazinga abo okuxineka, okungabuye kuthuthukise ukulala kwabo. Futhi ucwaningo luka-2012 lukhombise ukuthi i-yoga ithuthukise ukulala kubantu besifazane abangama-20 abane-RLS (,).

Olunye ucwaningo lukhombise ukuthi ukuzilolonga kwenze ngcono kakhulu kwizimpawu ze-RLS zabantu abaku-hemodialysis ().

Akucaci ngokuphelele kubacwaningi ukuthi kungani i-yoga nokwelula kusebenza, futhi olunye ucwaningo luzoba lusizo. Kepha uma unikezwe le miphumela, ungahle uthande ukwengeza ithole kanye nemilenze engenhla kunqubo yakho yokuzivocavoca yansuku zonke.

Yize kungacaci ukuthi kungani, i-yoga nokunye ukuzilolonga kungasiza ekunciphiseni izimpawu ze-RLS.

6. Ukubhucungwa

Ukubhucunga imisipha yakho yomlenze kungasiza ekunciphiseni izimpawu zakho ze-RLS. Izinhlangano eziningi zezempilo, ezinjengeNational Institutes of Health kanye neNational Sleep Foundation, ziphakamisa njengokwelapha ekhaya (3, 18, 19).

Yize lungekho olunye ucwaningo oluningi olusekela ukubhucungwa njengokwelashwa kwe-RLS, ucwaningo lwamacala e-2007 lukhombise izinzuzo zalo.

Owesifazane oneminyaka engama-35 obenemassage yemilenze yemizuzu engu-45 kabili ngesonto amasonto amathathu ubesezithuthukisile izimpawu ze-RLS phakathi naleso sikhathi. Ukusikwa kwakhe kwakubandakanya amasu amaningi, kufaka phakathi ukubhucungwa kweSweden nokucindezela okuqondile kwezicubu zomlenze (20).

Izimpawu zakhe ze-RLS zancipha ngemuva kokwelashwa okubili kokuhlikihla, futhi azange ziqale ukubuya kuze kube amasonto amabili ngemuva kokuphela kwemithi yokubhucungwa (20).

Umbhali walolo cwaningo uphakamise ukuthi ukukhishwa okwandayo kwe-dopamine okubangelwa ukusikwa kungaba yisizathu sezinzuzo. Futhi, ukubhucungwa kukhonjisiwe kuthuthukisa ukusakazwa kwegazi, ngakho-ke lokho kungaba yisizathu semiphumela yaso ku-RLS (20,,).

Njengebhonasi eyengeziwe, ukubhucungwa kungasiza ekuphumuleni, okungasiza ekuthuthukiseni ukulala kwakho.

Noma ngabe siyini isizathu, ukusikhipha emlenzeni kuyindlela elula futhi ephumuzayo engasiza ekunciphiseni izimpawu zakho ze-RLS.

7. Imithi kadokotela

Imithi iyindlela yokwelashwa esemqoka ye-RLS elinganiselayo kuya kwelinzima. Izidakamizwa ze-Dopaminergic imishanguzo yokuqala ebekiwe. Ziyasebenza ekuqedeni izimpawu ze-RLS, kepha zingadala imiphumela emibi nezinye izinkinga ().

Ezinye izinhlobo zemithi nazo zingasiza ekunciphiseni izimpawu ze-RLS ngaphandle kokubangela lezi zinhlobo ezifanayo zezinkinga.

Izidakamizwa ze-Dopaminergic

Izidakamizwa ze-Dopaminergic zandisa ukukhishwa kwe-dopamine ebuchosheni bakho. I-Dopamine yikhemikhali esiza ukunika amandla ukunyakaza okujwayelekile komzimba ().

Izidakamizwa ze-Dopaminergic cishe zingasiza ekunciphiseni izimpawu ze-RLS ngoba isimo sihambisana nezinkinga ekukhiqizeni umzimba kwe-dopamine.

Imithi emithathu ye-dopaminergic ivunyelwe yi-U.S. Food and Drug Administration (FDA) ukwelapha i-RLS eyinhloko ngokulingene:

• I-pramipexole (Mirapex) (23)
• I-ropinirole (i-Requip) (24)
• i-rotigotine (i-Neupro) (25)

Ngenkathi izidakamizwa ze-dopaminergic zikhonjisiwe ukusiza ukuthuthukisa izimpawu ze-RLS, ukusetshenziswa kwesikhathi eside kungazenza zibe zimbi izimpawu. Lo mkhuba ubizwa ngokuthi ukwengezwa. Ukusiza ukubambezela le nkinga, odokotela bajwayele ukunquma isilinganiso esiphansi kakhulu salezi zidakamizwa (,).

Ngaphezu kwalokho, le mithi ingasebenza kancane ngokuhamba kwesikhathi. Ukusiza ukubambezeleka noma ukuvimbela zombili lezi zinkinga, udokotela wakho angakunikeza inhlanganisela yezidakamizwa ze-dopaminergic nezinye izinhlobo zemithi yokwelapha i-RLS ().

UGabapentin

Umuthi wesine ovunyelwe yi-FDA ukwelapha i-RLS ubizwa nge-gabapentin (Horizant). Lo ngumuthi wokwelapha isisu (27).

Akuqondakali ngokuphelele ukuthi i-gabapentin isebenza kanjani ukukhulula izimpawu ze-RLS, kepha izifundo zibonisa ukuthi iyasebenza ().

Kwesinye isifundo, abantu abangama-24 abane-RLS baphathwa nge-gabapentin noma nge-placebo amasonto ayisithupha.Labo abaphathwa nge-gabapentin babenze ngcono ukulala futhi banciphisa ukunyakaza kwemilenze kusuka ku-RLS, kuyilapho labo abaphathwa nge-placebo bengazange ().

Olunye ucwaningo lwaqhathanisa ukusetshenziswa kwe-gabapentin nokusetshenziswa kwe-ropinirole (esinye sezidakamizwa ezivunyelwe yi-FDA ukwelapha i-RLS). Abantu abayisishiyagalombili abane-RLS bathathe umuthi ngamunye emavikini amane, futhi womabili amaqembu athola amazinga afanayo okusindiswa yizimpawu ze-RLS ().

I-Benzodiazepines

I-Benzodiazepines yizidakamizwa ezisetshenziselwa ukwelapha ukukhathazeka nezinkinga zokulala. I-Clonazepam (i-Klonopin) nezinye izinhlobo zale mithi zivame ukunikezwa abantu abane-RLS ngokuhambisana nezinye izidakamizwa (30).

Ngenkathi le mithi kungenzeka ingazikhululi ngokwazo izimpawu ze-RLS, inzuzo yazo yokulala okuthuthukile ingasiza kakhulu abantu abane-RLS (30).

Ama-opioid

Ama-opioid ngokuvamile asetshenziselwa ukwelapha ubuhlungu. Kwezinye izimo, imvamisa lapho eminye imithi ingasizi noma ibangela ukukhushulwa, ama-opioid angasetshenziswa ngokucophelela ngemithamo ephansi ukusiza ukuphatha i-RLS (, 8).

Ukukhishwa isikhathi eside i-oxycodone / naloxone (Targinact) yi-opioid eyodwa engasiza ekunciphiseni izimpawu ze-RLS futhi ithuthukise ukulala (4). Kodwa-ke, ngenxa yeziqondiso ezintsha ezenzelwe ukusetshenziswa kwama-opioid, lokhu kufanele kube yisinqumo sokugcina.

Njengawo wonke ama-opioid, ukusetshenziswa kwale mithi kufanele kubhekwe ngokucophelela ngudokotela, ngenxa yengozi yokusebenzisa kabi nokuncika.

Uma une-RLS elinganiselayo kuya kwelinzima, udokotela wakho kungenzeka aphakamise umuthi owodwa noma ngaphezulu. Izidakamizwa ze-Dopaminergic ngokuvamile ziyindlela yokuqala yokwelashwa ye-RLS, kepha ingadala imiphumela emibi nokwengezwa, ngakho-ke ukusetshenziswa kwayo kufanele kuphathwe ngokucophelela.

8. Ukugoqwa kwezinyawo (restiffic)

Ukugoqwa kwezinyawo kukhonjisiwe ukusiza ukukhulula izimpawu ze-RLS.

Ebizwa ngokuthi yi-restiffic, ukugoqwa konyawo kufaka ingcindezi kumaphuzu athile phansi konyawo lwakho. Ingcindezi ithumela imiyalezo ebuchosheni bakho, yona ephendula ngokutshela imisipha ethintwe yi-RLS ukuthi iphumule. Lokhu kusiza ukukhulula izimpawu zakho ze-RLS (31).

Ucwaningo lwango-2013 lwabantu abangama-30 abasebenzisa ukugoqa unyawo amasonto ayisishiyagalombili luthole ukuthuthuka okukhulu kwizimpawu ze-RLS nekhwalithi yokulala (32).

Ukugoqwa kwezinyawo okubuyisayo kutholakala ngemithi kadokotela kuphela, futhi ngewebhusayithi yenkampani, kubiza cishe ama- $ 200. Kungakhokhelwa noma kungavikelelwa ngumshuwalense wakho (31).

Ukusongelwa ngonyawo okubuyayo kudinga incwadi kadokotela kanye nokutshalwa kwemali kokuqala, kepha kunganikeza ukukhululeka kwe-RLS ngokufaka ingcindezi kumaphuzu athile phansi konyawo.

9. Ukucindezelwa komoya

Uma ngabe uke walala esibhedlela esibhedlela, kungenzeka ukuthi waba nokucinana komoya. Le ndlela yokwelapha isebenzisa “umkhono” onqamula emlenzeni wakho futhi uvuthise futhi uvimbe, uwukhame ngobunono futhi ukhulule isitho sakho.

Esibhedlela, i-pneumatic compression device (PCD) ijwayele ukusetshenziselwa ukuthuthukisa ukujikeleza kwegazi nokuvikela amahlule egazi. Ukusakazwa okuthuthukisiwe futhi kungaba yisizathu sokuthi ukucindezelwa kwe-pneumatic kuboniswe ukusiza ukukhulula izimpawu ze-RLS ().

Abanye abacwaningi bakholelwa ukuthi imbangela ye-RLS amazinga aphansi e-oksijini ezingalweni. Bacabanga ukuthi umzimba uphendula le nkinga ngokwandisa ukusakazeka ngezicubu zemisipha ezenzeka lapho umuntu ehambisa isitho sakhe somzimba ().

Kungakhathaliseki ukuthi siyini isizathu, olunye ucwaningo luye lwabonisa ukuthi ukucindezelwa kwe-pneumatic kungasiza ekunciphiseni izimpawu ze-RLS.

Ucwaningo olwenziwa ngo-2009 lwabantu abangama-35 abasebenzisa i-PCD okungenani ihora nsuku zonke inyanga yonke babezithuthukise kakhulu izimpawu ze-RLS, ikhwalithi yokulala nokusebenza kwasemini. Kodwa-ke, olunye ucwaningo alukhombisanga imiphumela efanayo (,).

Amanye ama-PCD aqashiwe, kanti amanye angathengwa ekhawunteni noma ngencwadi kadokotela. Ukutholakala komshuwalense we-PCD kungaba lula ukukuthola kubantu abangakwazi ukubekezelela umuthi we-RLS (, 35).

I-PCD yindlela yokwelashwa engeyona eyomuthi engathengwa phezu kwekhawunta noma ngencwadi kadokotela. Kungasiza ukukhulula izimpawu ze-RLS ngokuthuthukisa ukusakazwa kwemilenze yakho. Imiphumela yocwaningo kule divayisi iphikisiwe.

I-Vibration pad (i-Relaxis)

Iphedi yokudlidliza ebizwa nge-Relaxis pad ingahle ingakhululi izimpawu zakho ze-RLS, kepha ingakusiza ulale kangcono (4).

Usebenzisa iphedi yokudlidliza ngenkathi uphumule noma ulele. Ubeka iphedi endaweni ethintekile, njengomlenze wakho, bese ulisethela ebunzimeni bokudlidliza obufunayo. Iphedi lidlidliza imizuzu engama-30 bese liyazivalela ().

Umqondo ngemuva kwephedi ukuthi ukudlidlizela kunikeza "ukuphikisa." Lokho wukuthi, babhala ngaphezulu imizwa engakhululekile ebangelwa yi-RLS ngakho-ke uzizwa ukudlidlizela esikhundleni sezimpawu zakho ().

Alukho ucwaningo oluningi olutholakalayo ku-Relaxis pad, futhi alukhonjisiwe ukukhulula empeleni izimpawu ze-RLS. Kodwa-ke, kukhonjisiwe ukuthuthukisa ukulala ().

Eqinisweni, isifundo esisodwa sathola ukuthi sisebenza ngempumelelo ekuthuthukiseni ubuthongo njengezidakamizwa ezine ze-RLS ezivunyiwe yi-FDA: i-ropinirole, i-pramipexole, i-gabapentin, ne-rotigotine (36).

Iphedi ye-Relaxis itholakala kuphela ngemithi kadokotela wakho. Ngewebhusayithi yenkampani, le divayisi ayimboziwe ngumshuwalense, futhi ibiza ngaphezulu kancane kuka- $ 600 (37).

Iphedi yokudlidliza ye-Relaxis idinga incwadi kadokotela futhi ibiza ngaphezu kwama- $ 600. Ingahle ingaziphathi izimpawu zangempela ze-RLS, kepha imiphumela yayo yokuqhathanisa ingakusiza ulale kangcono.

11.I-spectroscopy eseduze ne-infrared (NIRS)

Ukwelashwa okungasetshenziswanga okusasetshenziswa kabanzi ngale njongo kungasiza ekunciphiseni izimpawu ze-RLS.

Lokhu kwelashwa okungenabuhlungu kubizwa ngokuthi i-spectroscopy eseduze kwe-infrared (NIRS). Ngama-NIRS, imishayo ekhanyayo enobude obude obude isetshenziselwa ukungena esikhunjeni. Ukukhanya kubangela ukuthi imithambo yegazi ivuleke, yande ukusakazwa kwegazi ().

Enye inkolelo ithi i-RLS ibangelwa amazinga aphansi e-oxygen endaweni ethintekile. Kucatshangwa ukuthi ukusakazeka okwandisiwe okubangelwa yi-NIRS kukhuphula lelo zinga le-oxygen, kusiza ukukhulula izimpawu ze-RLS ().

Ucwaningo oluningi luthole lokhu kwelashwa kusebenza. Ucwaningo olulodwa lwaphatha abantu abangama-21 abane-RLS nge-NIRS kathathu ngesonto amasonto amane. Kokubili ukusakazwa nezimpawu ze-RLS kubonise ukuthuthuka okuphawulekayo ().

Okunye kukhombisile ukuthi abantu abelashwa ngezokwelapha eziyishumi nambili zemizuzu engama-30 ze-NIRS ngaphezu kwamasonto amane nakho kwehlise kakhulu izimpawu ze-RLS. Izimpawu zithuthukisiwe kwaze kwaba amasonto amane ngemuva kokuphela kokwelashwa ().

Amadivayisi we-NIRS angathengwa ku-inthanethi ngama-dollar angamakhulu amaningana kuya ngaphezulu kwe- $ 1,000 ().

Idivayisi ye-NIRS ingabiza amadola angamakhulu amaningana, kepha imiphumela ehlala isikhathi eside yalokhu kwelashwa okungahlaseli ingakulungela ukutshalwa kwemali.

Ukwelashwa okunesipele esingaphansi kwesayensi

Le mithi engenhla inocwaningo oluthile lokuxhasa ukusetshenziswa kwayo. Ezinye izindlela zokwelapha zinobufakazi obuncane, kepha zisengasebenzela abanye abantu abane-RLS.

Ukwelashwa okushisayo nokubandayo

Ngenkathi kungekho ucwaningo oluningi olusekelwa ngokusebenzisa ukushisa nokubanda ukukhulula izimpawu ze-RLS, izinhlangano eziningi zezempilo ziyakuncoma. Kubandakanya iNational Sleep Foundation kanye neRestless Legs Syndrome Foundation (19, 40).

Lezi zinhlangano ziphakamisa ukugeza ngamanzi ashisayo noma abandayo ngaphambi kokulala, noma ukufaka amaphakethe ashisayo noma abandayo emilenzeni yakho (18).

Izimpawu ze-RLS zabanye abantu zibhebhethekiswa amakhaza, kanti abanye banezinkinga ngokushisa. Lokhu kungachaza izinzuzo zalezi zindlela ezishisayo noma ezibandayo.

Ukuphindaphinda okuphindaphindayo kwamagnetic transcranial (rTMS)

Inqubo engeyona ehlaselayo esetshenziselwa ukwelapha ukudangala ingasiza ekunciphiseni izimpawu ze-RLS. Kuze kube manje, izifundo zikhawulelwe futhi kudingeka olunye ucwaningo, kepha imiphumela iyathembisa (4, 41,).

I-transcranial magnetic stimulation (rTMS) ephindaphindwayo ithumela imizwa kazibuthe ezindaweni ezithile zobuchopho.

Akucaci ngokuphelele ukuthi kungani i-rTMS ingasiza ekunciphiseni izimpawu ze-RLS. Enye inkolelo ukuthi izifiso zandisa ukukhishwa kwe-dopamine ebuchosheni. Okunye kuphakamisa ukuthi i-rTMS ingasiza ukwehlisa i-hyperarousal ezingxenyeni zobuchopho ezihlotshaniswa ne-RLS (43).

Kocwaningo olulodwa lwango-2015, abantu abangu-14 abane-RLS banikezwe amaseshini ayi-14 ama-rTMS ngaphezulu kwezinsuku eziyi-18. Amaseshini athuthukise kakhulu izimpawu zawo ze-RLS futhi athuthukisa ukulala kwawo. Imiphumela ihlale okungenani izinyanga ezimbili ngemuva kokuphela kokwelashwa ().

I-transcutaneous electrical nerve stimulation (TENS)

Nge-transcutaneous electrical nerve stimulation (TENS), ithuluzi lithumela imisinga kagesi emincane ezingxenyeni zomzimba wakho ukusiza ukuqeda izinhlungu.

Akukho lucwaningo oluningi ngokusetshenziswa kwe-TENS ukwelapha i-RLS, kepha kungasebenza.

Umqondo ngukuthi njengephedi yokudlidliza ye-Relaxis, isebenzisa ukuphikisa. Ucwaningo oluthile lwabonisa ukuthi ukusetshenziswa kwe-TENS njalo kanye nokwelashwa kokudlidliza kuzikhulule ngokuphelele izimpawu ze-RLS yomuntu oyedwa (,).

Ukuthoma

I-acupuncture ingasiza ekwelapheni izimo eziningi zempilo, kanti i-RLS ingaba yinye yazo.

Ucwaningo lwango-2015 lwabantu abangama-38 abane-RLS abaphathwa ngokutholwa amasonto ayisithupha lubonise ukuthi umsebenzi wabo ongajwayelekile we-RLS wehliswe kakhulu ().

Kodwa-ke, kudingeka olunye ucwaningo ukuze kuqinisekiswe ukutshopa njengokwelashwa okuthembekile kwe-RLS.

Ukuhlinzwa kwemithambo ye-varicose

Kubantu abanezinkinga ezithile zokujikeleza kwegazi, ukuhlinzwa kungaba yindlela yokwelashwa ephumelela kunazo zonke kuma-RLS () abo.

Imithambo ye-Varicose yimithambo yegazi ekhulisiwe, imvamisa emilenzeni, egcwala igazi. Leli nani lenyuka legazi lingaholela ekungeneni ngokweqile kwama-venous (SVI), okusho ukuthi umzimba wakho awukwazi ukujikeleza kahle igazi. Ngenxa yalokho, amachibi egazi emilenzeni yakho.

Ocwaningweni lwango-2008, abantu abangama-35 abane-SVI ne-RLS babenenqubo ebizwa ngokuthi yi-endovenous laser ablation yokwelapha imithambo yabo ye-varicose. Kubantu abangu-35, amaphesenti angama-84 kubo abenezimpawu zabo ze-RLS ezithuthukiswe kakhulu noma zaqedwa ngokuphelele ngokuhlinzwa (47).

Futhi, kudingeka olunye ucwaningo ngalokhu kuhlinzwa njengokwelashwa kwe-RLS.

Uma unentshisekelo kunoma iyiphi yalezi zindlela zokwelashwa ezingacwaningiswanga kangako, buza udokotela wakho ngazo. Vele, ungazama ukwelashwa okushisayo nokubandayo wedwa, kepha udokotela wakho angakutshela kabanzi ngezinye izindlela zokwelapha nokuthi angakwazi yini ukukusiza.

Ukuthatha

I-RLS ingadala ukukhathazeka okukhulu, izingqinamba zokulala, nezinkinga ngokusebenza kwansuku zonke, ngakho-ke ukwelashwa kufanele kube yinto ephambili. Isinyathelo sakho sokuqala kufanele kube ukuzama izinketho zasekhaya ezikulolu hlu. Kepha uma bengakusizi, qiniseka ukuthi ukhuluma nodokotela wakho.

Udokotela wakho anganikeza imininingwane ethe xaxa mayelana nalezi zindlela zokwelashwa nokuthi yikuphi - noma okukodwa - okungaba yisinqumo esihle kuwe.

Khumbula ukuthi okusebenzela umuntu oyedwa kungahle kungasebenzi komunye, futhi kungadingeka ukuthi uzame izidakamizwa noma imishanguzo ehlukahlukene. Qhubeka uzame uze uthole uhlelo lokwelashwa olusebenzela wena (48).