Njira 11 Zabwino Zothandizira Matenda Opanda Matenda

Zamkati

• 1. Kulamulira zomwe zingayambitse
• Zizolowezi
• Mankhwala
• Mavuto azaumoyo
• Zina zoyambitsa
• 2. Zizolowezi zabwino zogona
• 3. Iron ndi mavitamini owonjezera
• 4. Kuchita masewera olimbitsa thupi
• 5. Yoga ndikutambasula
• 6. Kutikita
• 7. Mankhwala akuchipatala
• Mankhwala osokoneza bongo
• Gabapentin
• Benzodiazepines
• Opioids
• 8. Kukutira phazi (restiffic)
• 9. Kupanikizika kwa mpweya
• 10.Pacibration pad (Pumulirani)
• 11. Makina owonera pafupi kwambiri (NIRS)
• Chithandizo chosasunga zochepa zasayansi
• Mankhwala otentha ndi ozizira
• Kubwereza kwama transcranial maginito kukondoweza (rTMS)
• Kukondoweza kwamagetsi kwamagetsi (TENS)
• Kutema mphini
• Kuchita opaleshoni yamitsempha ya varicose
• Kutenga

Kodi restless legs syndrome ndi chiyani?

Matenda a miyendo yopanda mpumulo (RLS), omwe amadziwikanso kuti matenda a Willis-Ekbom, ndi omwe amachititsa kuti azimva kusasangalala, nthawi zambiri m'miyendo. Zomvekazi zafotokozedwa kuti ndi zowopsya, zokwawa, zokwawa, ndikupangitsa chidwi chachikulu kusuntha chiwalo chomwe chakhudzidwa.

Zizindikiro za RLS zimachitika munthu atakhala pansi, kupumula, kapena kugona, ndipo nthawi zambiri kumachitika usiku. Kusuntha komwe kumayambitsidwa ndi RLS kumatchedwa kusuntha kwa miyendo yamagulu (PLMS). Chifukwa cha kusunthaku, RLS imatha kubweretsa mavuto akulu ogona.

Anthu ena ali ndi RLS yoyamba, yomwe ilibe chifukwa chodziwika. Ena ali ndi RLS yachiwiri, yomwe imalumikizidwa ndimavuto amitsempha, kutenga mimba, kuchepa kwachitsulo, kapena kulephera kwa impso.

Kwa anthu ambiri omwe ali ndi RLS, zizindikiro ndizochepa. Koma ngati zizindikilo zanu ndizocheperako, RLS imatha kusintha moyo wanu. Zitha kukulepheretsani kugona mokwanira, ndikupangitsani mavuto pamaganizidwe ndi kulingalira masana, ntchito yanu, komanso zochitika zanu.

Chifukwa cha mavutowa, RLS imatha kubweretsa nkhawa komanso kukhumudwa. Ndipo mukakhala ndi vutoli, zimaipiraipira. Itha kufalikira mbali zina za thupi lanu, monga mikono yanu ().

Chifukwa cha zomwe RLS ikhoza kukhala nazo pamoyo wanu, chithandizo ndikofunikira. Njira zochiritsira ndizosiyanasiyana, chifukwa chomwe chimayambitsa RLS sichidziwika kwenikweni. Mwachitsanzo, ofufuza ena amati RLS imayamba chifukwa cha zovuta zamaubongo am'magazi dopamine, pomwe ena amati zimakhudzana ndi kufalikira koyipa.

Apa tikulemba chithandizo chabwino kwambiri cha RLS. Zina mwa izi mungayesere panokha. Ena omwe mungakambirane ndi adotolo, omwe angakuthandizeni kupanga mapulani azithandizo kuti muchepetse matenda anu a RLS.

1. Kulamulira zomwe zingayambitse

Gawo lanu loyamba polankhula ndi RLS liyenera kudziwa ngati pali china chomwe chikuyambitsa. Ngakhale RLS imatha kukhala yokhudzana ndi zinthu zomwe simungathe kuzilamulira, monga ma genetics kapena mimba, zifukwa zina zomwe zingachitike zimatha kuthana ndi vutoli.

Izi zitha kukhala zizolowezi za tsiku ndi tsiku, mankhwala omwe mukumwa, matenda omwe muli nawo, kapena zina zoyambitsa.

Zizolowezi

Kugwiritsa ntchito caffeine, mowa, ndi fodya kumatha kukulitsa zizindikilo za RL. Kuchepetsa izi kungakuthandizeni kuchepetsa zizindikilo zanu za RLS (2).

Mankhwala

Mankhwala ena amatha kuyambitsa kapena kukulitsa zizindikilo za RLS. Zitsanzo ndi izi: (, 2, 3).

• antihistamines akale monga diphenhydramine (Benadryl)
• Mankhwala osokoneza bongo monga metoclopramide (Reglan) kapena prochlorperazine (Compro)
• Mankhwala oletsa antipsychotic monga haloperidol (Haldol) kapena olanzapine (Zyprexa)
• lifiyamu (Lithobid)
• serotonin reuptake inhibitors (SSRIs) monga fluoxetine (Prozac), sertraline (Zoloft), kapena escitalopram (Lexapro)
• tricyclic antidepressants monga amitriptyline (Elavil) kapena amoxapine (Asendin)
• tramadol (Ultram)
• levothyroxine (Levoxyl)

Onetsetsani kuti dokotala akudziwa zamankhwala onse omwe mukumwa, mankhwala onse komanso pakauntala. Lankhulani ndi dokotala wanu ngati angapangitse RLS yanu kuipiraipira, makamaka ngati mukumwa mankhwala aliwonse omwe atchulidwa pamwambapa.

Mavuto azaumoyo

Matenda ena apezeka kuti akukhudzana ndi RLS. Matenda omaliza a impso, kapena ESRD, komanso kuwonongeka kwamitsempha ya matenda ashuga amalumikizidwa ndi RLS. Kuchepa kwa magazi m'thupi kwachitsulo kumalumikizanso kwambiri ndi RLS (onani chitsulo pansipa) (4,,).

Muyenera kukambirana ndi dokotala momwe mbiri yanu ingakhudzire RLS yanu, makamaka ngati muli ndi izi.

Zina zoyambitsa

Anthu ena amati kudya shuga wambiri kapena kuvala zovala zolimba kumakulitsa zizindikilo za RLS. Ngakhale kulibe kafukufuku wambiri kuti athandizire kulumikizana uku, mungafune kugwiritsa ntchito mayesero ndi zolakwika kuti muwone zomwe zikuwoneka kuti zimakhudza zidziwitso zanu.

Gawo loyamba pochizira RLS liyenera kudziwa ngati pali china chomwe chikuyambitsa. Muyenera kuganizira zizolowezi zakumwa mowa kapena kusuta, mankhwala ena kapena zathanzi, ndi zina zomwe zingayambitse matenda anu a RLS.

2. Zizolowezi zabwino zogona

Kukhala ndi zizolowezi zabwino zogona ndikofunikira kwa aliyense, koma makamaka makamaka kwa anthu omwe amavutika kugona, monga omwe ali ndi RLS.

Ngakhale kugona bwino sikungathetsere vuto lanu la RLS, kungakuthandizeni kuchepetsa kugona komwe mumakhala nako. Yesani malangizo otsatirawa kuti mulole kuti kugona kwanu kukhale kopumula komanso kobwezeretsa momwe mungathere.

• Pita ukagone ndi kudzuka nthawi yofanana tsiku lililonse.
• Sungani malo anu ogona ozizira, odekha, komanso amdima.
• Musachepetse zododometsa, monga TV ndi foni, m'chipinda chanu chogona.
• Pewani zowonera zamagetsi kwa maola awiri kapena atatu musanagone. Kuwala kwa buluu kuchokera pazowonera izi kumatha kutaya nyimbo yanu ya circadian, yomwe imakuthandizani kuti muzitha kugona mwachilengedwe (7).

Ngakhale sangathetse mavuto anu a RLS, kugona mokwanira kumatha kukupatsani tulo tofa nato ndipo kumathandizanso kuthana ndi zovuta zina za RLS.

3. Iron ndi mavitamini owonjezera

Kuperewera kwachitsulo kumaganiziridwa kuti ndichimodzi mwazomwe zimayambitsa RLS. Kafukufuku wowerengeka wasonyeza kuti zowonjezera ma iron zimathandizira kuchepetsa zizindikiro za RLS (, 3).

Kuyesa magazi kosavuta kumatha kuwona kuchepa kwa ayironi, chifukwa chake ngati mukuganiza kuti ili lingakhale vuto kwa inu, lankhulani ndi dokotala wanu.

Ngati mukuyesa kuti muli ndi vuto lachitsulo, dokotala wanu angakulimbikitseni zowonjezera mavitamini, zomwe mungapeze ku pharmacy yanu. Nthawi zina, pamafunika chitsulo (IV) chachitsulo (, 8).

Kuphatikiza apo, kuchepa kwa vitamini D kumatha kulumikizidwa ndi RLS. Kafukufuku wa 2014 adapeza kuti mavitamini D othandizira amathandizira kuchepetsa zizindikiro za RLS mwa anthu omwe ali ndi RLS komanso kuchepa kwa vitamini D ().

Ndipo kwa anthu omwe ali ndi hemodialysis, mavitamini C ndi E zowonjezerapo zitha kuthandiza kuthana ndi matenda a RLS (4,).

Zowonjezera ndi chitsulo kapena mavitamini D, C, kapena E zitha kuthandiza anthu ena omwe ali ndi RLS. Dokotala wanu angakuuzeni ngati kuyesa zowonjezera mankhwala kungakhale lingaliro labwino kwa inu.

4. Kuchita masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi kungakuthandizeni kumva bwino ngati muli ndi RLS.

National Institutes of Health imanena kuti kuchita masewera olimbitsa thupi pang'ono kumathandizira kuchepetsa zizindikilo zochepa za RLS (3).

Ndipo kafukufuku wa 2006 wa anthu 23 omwe ali ndi RLS adapeza kuti kuchita masewera olimbitsa thupi komanso kupewetsa zolimbitsa thupi, zomwe zimachitika katatu pamlungu kwa milungu 12, zachepetsa kwambiri ma RLS ().

Kafukufuku wina apezanso kuti zolimbitsa thupi ndizothandiza kwambiri ku RLS, makamaka kwa anthu omwe ali ndi ESRD (4,).

Popeza maphunziro awa, kuphatikiza ena omwe akuwonetsa kuti zochitika zitha kuthandiza kupititsa patsogolo kugona, zolimbitsa thupi zimawoneka ngati zoyenera kwa anthu omwe ali ndi RLS ().

Malangizo amodzi ochokera ku Restless Legs Foundation - zolimbitsa thupi pang'ono. Osalimbikira kufikira zopweteka ndi zowawa, chifukwa izi zitha kupangitsa kuti RLS zizindikire (14).

Popeza maubwino ake ochepetsa zizindikiro za RLS ndikuthandizira kugona, kuchita masewera olimbitsa thupi nthawi zonse ndichizolowezi chabwino kwa anthu omwe ali ndi RLS.

5. Yoga ndikutambasula

Monga mitundu ina ya masewera olimbitsa thupi, yoga ndi zolimbitsa thupi zawonetsedwa kuti zimapindulitsa anthu omwe ali ndi RLS ().

Kafukufuku wa milungu isanu ndi itatu ya akazi 10 a 2013 adapeza kuti yoga idathandizira kuchepetsa zizindikilo za RLS. Zathandizanso kuti azikhala osangalala komanso kuti asamapanikizike kwambiri, zomwe zimawathandizanso kugona. Ndipo kafukufuku wa 2012 adawonetsa kuti yoga imathandizira kugona mwa amayi 20 omwe ali ndi RLS (,).

Kafukufuku wina adawonetsa kuti zolimbitsa thupi zidasintha kwambiri zizindikiritso za RLS za anthu omwe ali ndi hemodialysis ().

Sizidziwikiratu kwa ofufuza chifukwa chake yoga ndi ntchito zotambasula zimagwira ntchito, ndipo kufufuza kwina kungakhale kopindulitsa. Koma popatsidwa zotsatirazi, mungafune kuwonjezera mwana wa ng'ombe ndi mwendo wakumtunda pazomwe mumachita zolimbitsa thupi tsiku ndi tsiku.

Ngakhale sizikudziwika bwino chifukwa chake, yoga ndi zochitika zina zotambasula zitha kuthandiza kuthana ndi RLS.

6. Kutikita

Kusisita minofu yanu yamiyendo kungathandize kuchepetsa zizindikiro zanu za RLS.Mabungwe ambiri azaumoyo, monga National Institutes of Health ndi National Sleep Foundation, amati ndi chithandizo chanyumba (3, 18, 19).

Ngakhale kulibe kafukufuku wina wambiri yemwe amathandizira kutikita minofu ngati chithandizo cha RLS, kafukufuku wa 2007 adawonetsa phindu lake.

Mayi wina wazaka 35 yemwe adatikisidwa mwendo kwa mphindi 45 kawiri pamlungu kwa milungu itatu anali atakhala ndi ziwonetsero za RLS nthawi yonseyi. Ma massage ake anali ndi njira zingapo, kuphatikiza kutikita ku Sweden ndikukakamira kutulutsa minofu ya mwendo (20).

Zizindikiro zake za RLS zidachepa atatha kutikita minofu iwiri, ndipo sizinayambire kubwerera mpaka milungu iwiri kutha kwa kutikita minofu kutha (20).

Wolemba kafukufukuyu adati kuwonjezeka kwa kutulutsidwa kwa dopamine komwe kumayambitsidwa ndi kutikita minofu kungakhale chifukwa cha maubwino. Komanso, kutikita minofu kwawonetsedwa kuti kumapangitsa kuti magazi aziyenda bwino, kuti izi zitha kukhala chifukwa cha zotsatira zake pa RLS (20,,).

Monga bonasi yowonjezerapo, kutikita minofu kumatha kuthandizira kupumula, komwe kumatha kuthandizira kugona kwanu.

Kaya chifukwa chake ndi chiyani, kutikita mwendo ndi njira yosavuta komanso yotsitsimutsa yomwe ingathandize kuchepetsa zizindikiro za RLS.

7. Mankhwala akuchipatala

Mankhwala ndi mankhwala ofunikira ku RLS pang'ono kapena pang'ono. Mankhwala a Dopaminergic ndiwo mankhwala oyamba omwe amapatsidwa. Zimathandiza kuthetsa zizindikiro za RLS, koma zimatha kuyambitsa zovuta zina komanso mavuto ena ().

Mitundu ina yamankhwala imathandizanso kuthana ndi matenda a RLS osayambitsa mavuto amtundu womwewo.

Mankhwala osokoneza bongo

Mankhwala a Dopaminergic amachulukitsa kutulutsa kwa dopamine muubongo wanu. Dopamine ndi mankhwala omwe amathandiza kuti thupi liziyenda bwino ().

Mankhwala a Dopaminergic mwina amathandiza kuthetsa zizindikiro za RLS chifukwa vutoli limalumikizidwa ndi zovuta pakupanga thupi kwa dopamine.

Mankhwala atatu a dopaminergic avomerezedwa ndi US Food and Drug Administration (FDA) kuti athetse RLS yoyambira:

• Chizindikiro (Mirapex) (23)
• ropinirole (Chofunika) (24)
• zozungulira (Neupro) (25)

Ngakhale mankhwala a dopaminergic awonetsedwa kuti amathandizira kukonza zizindikiro za RLS, kugwiritsa ntchito nthawi yayitali kumatha kukulitsa zizindikilo. Chodabwitsa ichi chimatchedwa kuwonjezera. Pofuna kuchepetsa vutoli, madokotala amapereka mankhwala ochepetsa kwambiri (,).

Kuphatikiza apo, mankhwalawa amatha kukhala opanda mphamvu pakapita nthawi. Pofuna kuchepetsa kapena kupewa mavuto onsewa, dokotala akhoza kukupatsani mankhwala a dopaminergic ndi mitundu ina ya mankhwala ochizira RLS ().

Gabapentin

Mankhwala achinayi omwe avomerezedwa ndi a FDA kuti azitha RLS amatchedwa gabapentin (Horizant). Awa ndi mankhwala oletsa kuthana ndi vuto lanu (27).

Sizimamveka bwino momwe gabapentin imagwirira ntchito kuti athetse vuto la RLS, koma kafukufuku akuwonetsa kuti ndiwothandiza ().

Pakafukufuku wina, anthu 24 omwe ali ndi RLS adathandizidwa ndi gabapentin kapena placebo milungu isanu ndi umodzi. Omwe amathandizidwa ndi gabapentin anali atagona bwino ndikuchepetsa kusuntha kwamiyendo kuchokera ku RLS, pomwe omwe amathandizidwa ndi placebo sanatero ().

Kafukufuku wina anayerekezera kugwiritsa ntchito gabapentin ndi kugwiritsa ntchito ropinirole (imodzi mwa mankhwala omwe FDA imavomereza kuti ichiritse RLS). Anthu eyiti omwe ali ndi RLS amamwa mankhwalawa kwa milungu inayi, ndipo magulu onse awiriwa adapeza mpumulo wofanana ndi zisonyezo za RLS ().

Benzodiazepines

Benzodiazepines ndi mankhwala omwe amagwiritsidwa ntchito kuthana ndi nkhawa komanso kugona tulo. Clonazepam (Klonopin) ndi mitundu ina ya mankhwalawa nthawi zambiri amapatsidwa kwa anthu omwe ali ndi RLS kuphatikiza mankhwala ena (30).

Ngakhale mankhwalawa sangathetsere okha RLS, phindu lawo la kugona bwino lingathandize kwambiri anthu omwe ali ndi RLS (30).

Opioids

Opioids amagwiritsidwa ntchito pochiza ululu. Nthawi zina, nthawi zambiri mankhwala ena akapanda kuthandiza kapena amachititsa kuti achuluke, ma opioid amatha kugwiritsidwa ntchito mosamala pamlingo wochepa kuti athandize RLS (, 8).

Kutulutsa kwa nthawi yayitali oxycodone / naloxone (Targinact) ndi opioid imodzi yomwe ingathandize kuthetsa zizindikilo za RLS ndikuthandizira kugona (4). Komabe, chifukwa chazitsogozo zatsopano zomwe zikukonzedwa zogwiritsa ntchito ma opioid, iyi iyenera kukhala njira yomaliza.

Monga ma opioid onse, kugwiritsa ntchito mankhwalawa kuyenera kuyang'aniridwa mosamala ndi dokotala, chifukwa chowopsa chogwiritsa ntchito molakwika komanso kudalira.

Ngati muli ndi RLS yokwanira, dokotala wanu angakupatseni mankhwala amodzi kapena angapo. Mankhwala a Dopaminergic nthawi zambiri ndi mankhwala oyamba a RLS, koma amatha kuyambitsa mavuto ndi kukulitsa, chifukwa chake kugwiritsa ntchito kuyenera kuyang'aniridwa mosamala.

8. Kukutira phazi (restiffic)

Kukutira mwendo kwawonetsedwa kuti zithandizire kuthetsa RLS.

Wotchedwa restiffic, wokulunga phazi umapanikiza mfundo zina pansi pa phazi lako. Kupanikizika kumatumiza uthenga kuubongo wanu, womwe umayankha ndikumauza minofu yomwe yakhudzidwa ndi RLS kuti ipumule. Izi zimathandiza kuthetsa zizindikiro zanu za RLS (31).

Kafukufuku wa 2013 wa anthu 30 omwe amagwiritsa ntchito zokutira phazi kwamasabata asanu ndi atatu adapeza kusintha kwakukulu kwa zizindikilo za RLS ndi kugona bwino (32).

Chovala chamapazi chobwezeretsa chimapezeka ndi mankhwala okhaokha, ndipo patsamba la kampaniyo, zimawononga $ 200. Itha kukhala kapena kuti isapezeke ndi inshuwaransi yanu (31).

Kukutira mwendo wopumulirako kumafuna mankhwala ndi ndalama zoyambirira, koma kumatha kupereka mpumulo ku RLS pogwiritsa ntchito mfundo zina pansi pa phazi.

9. Kupanikizika kwa mpweya

Ngati munakhalapo usiku kuchipatala, mwina mwakhala mukuvutika ndi mpweya. Chithandizochi chimagwiritsa ntchito "malaya" omwe amapita mwendo wanu ndikukhwimitsa ndikutuluka, ndikufinya modekha ndikumasula chiwalo chanu.

Mu chipatala, pulogalamu yamagetsi yamagetsi (PCD) imagwiritsidwa ntchito kupititsa patsogolo kufalikira ndi kuteteza magazi kuundana. Kutulutsa koyenda bwino kutha kukhala chifukwa chake kupsinjika kwa pneumatic kwawonetsedwa kuti kuthandizira kuthetsa zizindikilo za RLS ().

Ofufuza ena amakhulupirira kuti chifukwa cha RLS ndi mpweya wochepa kwambiri m'miyendo. Amaganiza kuti thupi limayankha vutoli powonjezera kufalikira kudzera minyewa yomwe imachitika munthu akamayendetsa chiwalo ().

Kaya chifukwa chake ndi chiyani, kafukufuku wina wasonyeza kuti kupsinjika kwa mpweya kumathandizira kuthetsa zizindikilo za RLS.

Kafukufuku wa 2009 wa anthu 35 omwe adagwiritsa ntchito PCD kwa ola limodzi tsiku lililonse kwa mwezi anali atasintha bwino mawonekedwe a RLS, magonedwe, komanso magwiridwe antchito masana. Komabe, kafukufuku wina sanawonetse zomwezo (,).

Ma PCD ena amabwereka, ndipo ena amatha kugulidwa pa kauntala kapena ndi mankhwala. Kupeza inshuwaransi kwa PCD kungakhale kosavuta kupeza kwa anthu omwe sangalolere mankhwala a RLS (, 35).

PCD ndi mankhwala osagwiritsa ntchito mankhwala omwe angagulidwe pa kauntala kapena ndi mankhwala. Zitha kuthandizira kuthetsa zisonyezo za RLS powongolera kufalikira kwamiyendo yanu. Zotsatira zakufufuza kwa chipangizochi zakhala zotsutsana.

10.Pacibration pad (Pumulirani)

Pedi logwedera lotchedwa Relaxis pad mwina sichingathetsere ma RLS, koma lingakuthandizeni kugona bwino (4).

Mumagwiritsa ntchito pedi yolumikizira mukamapuma kapena kugona. Mumayika pedi pamalo omwe akhudzidwa, monga mwendo wanu, ndikuyiyika pakukula kwakanthawi kofunika. Padiyo imanjenjemera kwa mphindi 30 kenako imadzitseka ().

Lingaliro kuseli kwa pad ndikuti kunjenjemera kumapereka "kutsutsana." Ndiye kuti, amapitilira zovuta zomwe zimachitika chifukwa cha RLS kotero mumangomva kugwedezeka m'malo mwazizindikiro zanu ().

Palibe kafukufuku wambiri yemwe amapezeka pa Relaxis pad, ndipo sanawonetsedwe kuti athetseretu RLS. Komabe, zawonetsedwa kuti zikuthandizira kugona ().

M'malo mwake, kafukufuku wina adawona kuti ndi othandiza pakusintha tulo monga mankhwala anayi ovomerezeka a RLS a FDA: ropinirole, pramipexole, gabapentin, ndi rotigotine (36).

Phukusi la Relaxis limapezeka pokhapokha polemba mankhwala kuchokera kwa dokotala wanu. Pa tsamba lawebusayiti, chipangizocho sichikhala ndi inshuwaransi, ndipo chimawononga ndalama zoposa $ 600 (37).

Phukusi la Relaxis loyenda limafuna mankhwala ndipo limadula $ 600. Sizingathetsereni zenizeni za RLS, koma zotsatira zake zotsutsana zingakuthandizeni kugona bwino.

11. Makina owonera pafupi kwambiri (NIRS)

Mankhwala osagwiritsidwa ntchito omwe sanagwiritsidwebe ntchito pazolinga izi atha kuthandizira kuthetsa zizindikiro za RLS.

Chithandizo chopwetekachi chimatchedwa pafupi-infrared spectroscopy (NIRS). Ndi NIRS, matabwa opepuka okhala ndi utali wautali amagwiritsidwa ntchito kudutsa khungu. Kuwalako kumapangitsa kuti mitsempha yamagazi izitambalala, kukulitsa kufalikira ().

Anthu ena amati RLS imayamba chifukwa cha mpweya wochepa m'deralo. Zimaganiziridwa kuti kufalikira kowonjezeka komwe kumayambitsidwa ndi NIRS kumawonjezera kuchuluka kwa okosijeni, ndikuthandizira kuthetsa zizindikiro za RLS ().

Kafukufuku wambiri wapeza kuti mankhwalawa ndi othandiza. Kafukufuku wina adathandizira anthu 21 omwe ali ndi RLS ndi NIRS katatu pamlungu kwa milungu inayi. Kuzungulira konse ndi zisonyezo za RLS kunawonetsa kusintha kwakukulu ().

Wina adawonetsa kuti anthu omwe amalandira chithandizo chamankhwala khumi ndi awiri kwa mphindi 30 za NIRS pamasabata anayi nawonso adachepetsa kwambiri zizindikilo za RLS. Zizindikiro zidasinthidwa mpaka milungu inayi chithandizo chitatha ().

Zipangizo za NIRS zitha kugulidwa pa intaneti kwa madola mazana angapo kupitirira $ 1,000 ().

Chida cha NIRS chitha kulipira madola mazana angapo, koma zoyambitsa zosakhalitsa za mankhwalawa zitha kupindulitsa.

Chithandizo chosasunga zochepa zasayansi

Mankhwalawa ali ndi kafukufuku wothandizira kugwiritsa ntchito kwawo. Mankhwala ena alibe umboni wochepa, komabe atha kugwirabe ntchito kwa anthu ena omwe ali ndi RLS.

Mankhwala otentha ndi ozizira

Ngakhale kuti palibe kafukufuku wambiri wothandizidwa pogwiritsa ntchito kutentha ndi kuzizira kuti athetse vuto la RLS, mabungwe ambiri azaumoyo amalimbikitsa izi. Amaphatikizapo National Sleep Foundation ndi Restless Legs Syndrome Foundation (19, 40).

Mabungwewa amati muzisamba madzi otentha kapena ozizira musanagone, kapena kuthira mapaketi otentha kapena ozizira kumapazi anu (18).

Zizindikiro za RLS za anthu ena zimakulitsidwa ndi kuzizira, pomwe ena amakhala ndi vuto la kutentha. Izi zitha kufotokoza phindu la mankhwala otentha kapena ozizirawa.

Kubwereza kwama transcranial maginito kukondoweza (rTMS)

Njira yosagwiritsa ntchito yomwe imagwiritsidwa ntchito pochiza kukhumudwa itha kukhala yothandiza kuthetsa zisonyezo za RLS. Pakadali pano, maphunziro akhala ochepa ndipo kafukufuku wambiri amafunikira, koma zotsatira zake zikulonjeza (4, 41,).

Kubwereza kwama transcranial magnetic stimulation (rTMS) kumatumiza zikhumbo zamagawo kumadera ena aubongo.

Sizikudziwika bwinobwino chifukwa chake ma rTMS amatha kuthandiza kuthetsa zizindikiro za RLS. Lingaliro lina ndiloti zokopa zimakulitsa kutulutsa kwa dopamine muubongo. Wina akuwonetsa kuti rTMS itha kuthandiza kuthana ndi ziwalo zina zaubongo zomwe zimalumikizidwa ndi RLS (43).

Pakafukufuku wina wa 2015, anthu 14 omwe ali ndi RLS adapatsidwa magawo 14 a rTMS masiku opitilira 18. Magawowa adakulitsa kwambiri zizindikiro zawo za RLS ndikuthandizira kugona kwawo. Zotsatirazo zidatenga miyezi iwiri chithandizo chitatha ().

Kukondoweza kwamagetsi kwamagetsi (TENS)

Ndi transcutaneous magetsi mitsempha kukondoweza (TENS), kachipangizo kamatumiza mafunde ang'onoang'ono amagetsi mbali zina za thupi lanu kuti athandize kupweteka.

Palibe kafukufuku wambiri wogwiritsa ntchito TENS pochizira RLS, koma itha kugwira ntchito.

Lingaliro ndiloti monga pulogalamu ya Relaxis vibrating, imagwiritsa ntchito kutsutsana. Kafukufuku wina adawonetsa kuti kugwiritsa ntchito TENS pafupipafupi limodzi ndi chithandizo chamanjenje kumachepetsa kwathunthu zizindikiritso za RLS zamunthu m'modzi (,).

Kutema mphini

Kutema mphini kumatha kuthandizira pochiza matenda ambiri, ndipo RLS itha kukhala imodzi mwazo.

Kafukufuku wa 2015 wa anthu 38 omwe ali ndi RLS omwe adachiritsidwa ndi mphini kwa milungu isanu ndi umodzi adawonetsa kuti zochitika zawo zachilendo za RLS zidachepetsedwa ().

Komabe, pamafunika kufufuza kwina kuti mutsimikizire kuti kutema mphini ndi mankhwala odalirika a RLS.

Kuchita opaleshoni yamitsempha ya varicose

Kwa anthu omwe ali ndi vuto la kuzungulira kwa magazi, opaleshoni imatha kukhala yothandiza kwambiri ku RLS () yawo.

Mitsempha ya Varicose imakulitsa mitsempha yamagazi, nthawi zambiri m'miyendo, yomwe imadzaza magazi. Kuchuluka kwa magazi kumeneku kumatha kubweretsa kufooka kwapadera (SVI), zomwe zikutanthauza kuti thupi lanu silingayendetse bwino magazi. Zotsatira zake, madamu amwazi m'miyendo mwanu.

Pakafukufuku wa 2008, anthu 35 omwe ali ndi SVI ndi RLS anali ndi njira yotchedwa endovenous laser ablation yochizira mitsempha yawo ya varicose. Mwa anthu 35, 84 peresenti ya iwo anali ndi zizindikiro zawo za RLS zomwe zidasintha kapena kuchotsedwa kwathunthu ndi opaleshoniyi (47).

Apanso, kafukufuku wina amafunika pa opaleshoni iyi ngati chithandizo cha RLS.

Ngati muli ndi chidwi ndi iliyonse yamankhwala osafufuzidwayi, funsani dokotala wanu za iwo. Zachidziwikire, mutha kuyesa nokha mankhwala otentha ndi ozizira, koma dokotala akhoza kukuwuzani zambiri zamankhwala enawo komanso ngati angakuthandizeni.

Kutenga

RLS imatha kubweretsa zovuta, zovuta kugona, komanso zovuta pakugwira ntchito tsiku ndi tsiku, chifukwa chake chithandizo chofunikira kwambiri chiyenera kukhala choyambirira. Gawo lanu loyamba liyenera kukhala kuyesa njira zakunyumba pamndandandawu. Koma ngati sakukuthandizani, onetsetsani kuti mwalankhula ndi dokotala wanu.

Dokotala wanu akhoza kukupatsani chidziwitso chambiri cha mankhwalawa ndipo ndi iti - kapena iti - yomwe ingakhale chisankho chabwino kwa inu.

Kumbukirani kuti zomwe zimagwirira ntchito munthu wina sizingagwire ntchito kwa wina, ndipo mungafunike kuyesa mankhwala osiyanasiyana kapena mankhwala. Pitirizani kuyesera mpaka mutapeza njira yothandizira yomwe ikukuthandizani (48).