I-syndrome imilenze engapheli yinkinga yangempela. I-RLS yisimo lapho imizwa engathandeki ibonakala khona emikhawulweni ephansi. Njengomthetho, ukungathandeki kwenzeka kwenzeka kusihlwa noma ebusuku. Ukuze unciphise isimo sakhe, umuntu kufanele athuthe noma agibe ngezinyawo, azihlalise, okwenza kube khona ukuphazamiseka kokulala.
Imilenze yezinyawo ezingapheli - izimbangela
Inkinga ingaba yinhloko (idiopathic) noma yesibili (isifo). I-syndrome yezinyawo zokuphumula ezingenasisekelo isebenza ngamacala angaphezu kwama-50%. Lesi sifo siqala ngokuzenzekelayo, ngaphandle kwesizathu esicacile. Izimbangela zesibili ze-RLS zicacile futhi zivela ngokumelene nesizinda:
- ukwehluleka kwezintuthwane ezingapheli;
- isifo sikashukela mellitus;
- Sjogren's syndrome ;
- uremia;
- amyloidosis;
- i-arthritis ye-rheumatoid ;
- ukungena kwensimbi
- Isifo sikaParkinson;
- I-multiple sclerosis;
- ukulimala noma ukulimala okukhulu komgogodla;
- ukuphazamiseka kwengcindezi ye-thyroid;
- i-radiculopathy ye-discogenic;
- ukuphuza utshwala;
- i-cryoglobulinemia;
- ukungabi namandla okwehla emaphethelweni aphansi;
- i-folic acid engapheliyo hypovitaminosis noma i-cyanocobalamin;
- izifo zemithambo yegazi;
- porphyria polyneuropathy.
Imilenze yezinyawo ezingapheli - izimpawu
Ukubonakaliswa kwezifo kuhlale kulinganiselwe ngesikhathi. Ezimweni eziningi, i-RLS, imilenze yezinyawo ezingenakuphumula, iyakhumbuza ngokwabo kusihlwa nasebusuku, futhi ukuphakama komsebenzi wayo ezigulini eziningi kuwela esikhathini esivela ku-00-00 kuya ku-04-00. Ukuze uqale ucabange mayelana nendlela yokukhipha imilenze ye-imilenze engenakuphumula, kufanele ngokushesha lapho ubona izimpawu ezinjalo:
- ubuhlungu obukhulu emilenzeni engaphansi;
- ukuzwa ukugubha nokushisa, ukunweba, ukuqina, ukuqhuma, ukugoqa emilenzeni;
- ukunyakaza kwamalungu ngesikhathi sokulala;
- isifiso sokuhlala sithutha izitho (lokhu kuchazwa ukuthi ukunyakaza kuphela, kungakhathaliseki ukuthi kwenzeke okwesikhashana, kodwa kunciphisa ukungakhululeki);
- isimo esidabukisayo esibhekene nesimo sokungabikho kokulala isikhathi eside, ukungahambi kahle emilenzeni, ukukhubazeka komthamo wokusebenza.
Imilenze yezinyawo ezingapheli - ukwelashwa
Okokuqala, emva kokuxilongwa kwe-RLS, kubalulekile ukuthola ukuthi isiguli sithatha yini imithi, futhi uma kunjalo, ukukhipha labo abangathuthukisa izimpawu zokugula:
- I-Metoclopramide;
- I-Neuroleptics (Azaleptin);
- ama-antihistamine (i-Loratadine);
- Abaphikisi be-H2-receptor (Nizatidine);
- imithi ye-lithium;
- I-Terbutaline;
- Nifedipine nabanye.
Ukukhuluma ngendlela yokuphulukisa imilenze yesifo esingenakuphumula, ochwepheshe bayasikhuthaza ukuba bangazitholi ngokweqile futhi bagweme ukuzama ngokweqile ngokomzimba. Isiza ukunciphisa ukudla. Imiphumela emihle enkingeni yokucindezeleka kwesiguli se-legnd syndrome ibonisa ukwehluleka kwekhofi neminye imikhiqizo equkethe i-caffeine (njenge-cola noma ushokoledi, isibonelo). Ngeke kuvimbele ukuvinjelwa kotshwala. Kubalulekile ukutakula nokunamathela embusweni ophilile wosuku.
Uma lesi sifo singenalutho imilenze syndrome, ukwelashwa ekhaya kuhilela massage okujulile noma ukugaya izitho ngaphambi kokulala, ukuthatha eshisayo noma ngokuphambene - ebandayo - okugeza. Ezinye iziguli zisiza ngokuphazanyiswa - ingxoxo enesiyaluyalu yombuzo othize, ubuciko, noma yikuphi umsebenzi wobuchopho, amasu omdlalo wekhompiyutha.
Amathebulethi avela ku-Restless Leg Syndrome
Ukuqokwa kwemithi kufanele kube yikhulu, esekelwe imbangela yenkinga. Ngenkathi uhlanganyela ekwelapheni ukuxilongwa kwe-syndrome yezinyawo ezingenalutho, kubalulekile ukunamathela ezimisweni ezimbalwa:
- Udinga ukuqala ngesilinganiso esincane. Ukwandisa kufanele kufinyelele kancane futhi kuqhubeke kuze kufike umphumela oyifunayo.
- Ngaphambi kokukhetha imithi efanelekile, kungadingeka uhlole izidakamizwa eziningana ezahlukene.
- Ngezinye izikhathi ukuhlanganisa imithi ehlukene kubonisa imiphumela engcono kune-monotherapy.
Ukulwa nokungahambi kahle, ukusetshenziswa kwezidakamizwa ze-dopaminergic - iSinemet, Parlodel, Pergolid. Muva nje, ngokuxilongwa kwe-syndrome yezinyawo ezingenakuphumula, ukwelashwa nge-Mirapex kunqunywe kaningi. Lesi sidakamizwa sisebenza ngokukhethekile ekwelapheni i-RLS kuziguli ezine-Parkinson's disease. Ngaphandle kwezidakamizwa ezingenhla, inkinga isisiza ukulwa:
- i-anticonvulsants - i-Gabapentin, i-Tegretol;
- opiates - Methadone, Propoxyphene, i-Oxycodone;
- beta-blockers - Anaprilin;
- amaphilisi okulala - Melaxen.
Ukwelashwa kwe-syndrome yezinyawo ezingenakuphumula nezikhambi zabantu
Imithi ivumela ukusetshenziswa kwelashwa ehlukile ku-RLS, kodwa uma kuphela eyengeziwe. Imithi yendabuko inikeza indlela elula kodwa ephumelelayo yokwelashwa: ukuhamba kwehora ngehora, bese kubanda amabhati okugeza amaminithi angu-10, ukugcoba umunwe kanye nesaladi elula noma i-kefir yokudla. Ngaphambi kokwelapha imithi yezinyawo ezingenalutho ngale ndlela, kungcono ukubonisana nochwepheshe.
Imilenze yezinyawo ezingapheli - izinkinga
Lokhu ukuxilongwa ngokwakho akujabulisi futhi kukhululeka kakhulu. Uma ungayithinti ukwelashwa kwakhe, idiopathic i-restless leg syndrome ingabangela ubunzima bokulala, ukulala, ukuphazamiseka kwemizwa, izinzwa, ukucindezeleka . Kwezinye iziguli, ngenxa yezibonakaliso ezingathandeki, ukukhubazeka komphakathi nokusebenza kwabasebenzi.
Imithi yemilenze engapheli ngesikhathi sokukhulelwa
Abesifazane kuhulumeni bavame ukukhononda ngenkinga efanayo. I-syndrome yezinyawo ezingenalutho ngesikhathi sokukhulelwa ibonakala ngendlela efanayo - ukukhala noma ukudonsa ubuhlungu ezinkalweni, izindawo zemilenze, izinyawo, izinyawo. Ukuqeda imishanguzo yezinyawo ezingenalutho ekukhulelweni kuzosiza lezi zilinganiso:
- Kunconywa ukuba ulale umama wesikhathi esizayo ekamelweni elihle kahle ngefasitela evulekile.
- Phakathi nosuku, umthwalo olinganisiwe kufanele ube ngezinyawo zakho. Okukhethwa kahle - ukuhamba ngokuzilibazisa.
- Ungashintsha imodi yokulala. Isibonelo, ulale ngaphambi kokuba ubuhlungu, ukuvutha, ukulinganisa nezinye izimpawu ze-RLS.