Katswiri wa Q&A: Kumvetsetsa Restless Leg Syndrome

Zamkati

• Kodi chomwe chimayambitsa zisonyezo zanga ndi chiani kwambiri?
• Kodi pali zina zomwe zingayambitse?
• Kodi ndi njira ziti zamankhwala zomwe zingapezeke?
• Kodi pali zowonjezera zowonjezera zomwe zingathandize?
• Kodi mumakonda kulandira mankhwala ati? Kodi zotsatira zake zingakhale zotani?
• Ndili ndi matenda enawa. Ndingathe bwanji kuwayang'anira bwino limodzi?
• Kodi ndi njira ziti zodzisamalirira zomwe zingawongolere matenda anga?
• Kodi kuchita masewera olimbitsa thupi kumathandiza? Ndi mtundu wanji wabwino kwambiri?
• Kodi muli ndi masamba aliwonse omwe mumalangiza komwe nditha kudziwa zambiri? Kodi ndingapeze kuti gulu lothandizira anthu omwe ali ndi vuto la miyendo yopuma?

Dr.Nitun Verma ndiye dokotala wamkulu wothandizira kugona tulo ku San Francisco Bay Area, director of the Washington Township Center for Sleep Disways ku Fremont, California, komanso wolemba buku la Epocrates.com la RLS.

Kodi chomwe chimayambitsa zisonyezo zanga ndi chiani kwambiri?

Pakadali pano akukhulupirira kuti chifukwa chake ndi gawo lochepa la ma neurotransmitter otchedwa dopamine omwe amagwiritsa ntchito chitsulo ngati zomangira. Magulu otsika a dopamine, kapena mankhwala omwe amatsitsa, amachititsa zizindikilo zakanthawi kochepa pamiyendo (nthawi zina mikono) nthawi zambiri madzulo.

Kodi pali zina zomwe zingayambitse?

Zoyambitsa zina zimatha kukhala ndi pakati, mankhwala opatsirana opanikizika, ma antihistamine monga Benadryl, ndi impso kulephera. RLS ili ndi chibadwa - imakonda kuyenda m'mabanja.

Kodi ndi njira ziti zamankhwala zomwe zingapezeke?

Njira yoyamba komanso yabwino kwambiri ndikutikita minofu. Kusisita miyendo usiku uliwonse kumathandiza kupewa zizindikilo nthawi zambiri. Kusisita musanagone kumathandiza. Ndikulangiza ngati chithandizo choyamba musanalandire mankhwala. Kupanikizana kotentha kapena kuzizira kumatha kuthandizira. Odwala anga omwe amagwiritsa ntchito kutikita magetsi (monga omwe amamva kupweteka kwa msana) amapeza zabwino zambiri.

Gawo lotsatira ndikusinthanitsa mankhwala omwe angawonjezere zizindikiro monga ma anti-depressants ndi antihistamines. Ngati dokotala akupeza kuti muli ndi chitsulo chochepa, m'malo mwake kungathandizenso. Njira yomaliza ndikugwiritsa ntchito mankhwala opangidwa kuti athetse vuto
miyendo, ndipo nkhani yabwino ndiyakuti pakhala kupita patsogolo pakupeza mankhwala atsopano.

Kodi pali zowonjezera zowonjezera zomwe zingathandize?

Ngati mulibe chitsulo chochepa, chowonjezera chabwino chingakhale chitsulo kwa miyezi ingapo kuti muwone ngati zingathandize. Iron imatha kukhumudwitsa GI, komabe, ndimangolimbikitsa izi kwa anthu omwe alibe chitsulo. Magnesium ikuwerengedwa pompano ngati chithandizo, koma palibe zambiri zokwanira kuti zingaperekedwe ngati chithandizo chovomerezeka.

Kodi mumakonda kulandira mankhwala ati? Kodi zotsatira zake zingakhale zotani?

Mankhwala a Dopamine amatha kuthandiza, koma nthawi zina amatha kukhala ndi zotsatira zoyipa zomwe thupi limazolowera ngati atamwa kwambiri. Gulu lina la mankhwala limakhudzana ndi gabapentin, mankhwala omwe amagwiritsidwa ntchito kale khunyu. Pali mankhwala atsopano monga Neupro, chigamba cha dopamine chomwe mumayika pakhungu lanu m'malo momeza ngati piritsi. Horizant ndi mankhwala atsopano okhudzana ndi gabapentin / neurontin omwe amafunikira kusintha pang'ono kwa mankhwala poyerekeza ndi mankhwala akale.

Zothandizira kupweteka sizigwira ntchito kwa RLS. Ngati athandiza, mwina muli ndi china chake. Ndakhala ndikulamula anthu ambiri kuti azigwiritsa ntchito zothandizira kugula tulo. Benadryl ndichowonjezera pazowonjezera zamankhwalawa ndipo zimapangitsa kuti RLS zizindikire. Kenako amatenga mlingo waukulu kwambiri ndipo umayamba kuyipa. Mankhwala ena omwe amachititsa kuti ziwonongeke: otsutsana ndi dopamine, lithiamu carbonate, mankhwala opatsirana pogonana monga tricyclics, SSRIs (Paxil, Prozac, etc.). Wellbutrin (buproprion) ndi mankhwala opondereza omwe ali osiyana ndi omwe sanakhaleko

asonyeza kuwonjezera zizindikiro za RLS.

Ndili ndi matenda enawa. Ndingathe bwanji kuwayang'anira bwino limodzi?

Ngati inunso muli ndi matenda ovutika maganizo, mwina mungamwe mankhwala omwe amafooketsa zizindikiro za RLS. Osayimitsa wekha, koma funsani dokotala ngati mtundu wina wa mankhwala opatsirana amatha kugwira ntchito m'malo mwake. Buproprion ndi antidepressant yomwe ingathandize ziwonetsero za RLS nthawi zina.

Anthu omwe ali ndi RLS sagona mokwanira, ndipo kugona pang'ono kumalumikizidwa ndi kukhumudwa, matenda ashuga, komanso kuthamanga kwa magazi. Koma ndizovuta kuthana ndi kuthamanga kwa magazi osayankhanso vuto lakugona. Tsoka ilo, kugona nthawi zambiri kumanyalanyazidwa mwa odwalawa.

Kodi ndi njira ziti zodzisamalirira zomwe zingawongolere matenda anga?

Njira yodzisamalirira bwino ndikutikita miyendo usiku uliwonse. Mukawona kuti zizindikirazo zimayamba nthawi inayake, monga 9 koloko masana, kenako sanizani pakati pa 8 ndi 9 pm Nthawi zina kusisita matendawa asanayambe kumatha kugwira bwino ntchito.

Kodi kuchita masewera olimbitsa thupi kumathandiza? Ndi mtundu wanji wabwino kwambiri?

Zochita zolimbitsa thupi zokhudzana ndi minofu yomwe yakhudzidwa ndizabwino kwambiri, koma siziyenera kukhala zovuta kwambiri. Ngakhale kuyenda ndikutambasula kumakhala kokwanira.

Kodi muli ndi masamba aliwonse omwe mumalangiza komwe nditha kudziwa zambiri? Kodi ndingapeze kuti gulu lothandizira anthu omwe ali ndi vuto la miyendo yopuma?

www.sleepeducation.org ndi tsamba lalikulu lomwe limayendetsedwa ndi American Academy of Sleep Medicine lomwe lili ndi chidziwitso pa RLS. Itha kukuthandizani kukulozerani ku gulu lothandizira.