Ukuphila ne-FMS ne-RLS
Abantu abaningi abane- fibromyalgia (i-FMS) banezinkinga zokulala, futhi imilenze ye-syndrome engenamaphutha (RLS) iyinto evamile. Ngokwesifundo esanyatheliswa ngo-2009 yi- European Neurology , amaphesenti angu-64 abantu abane-FMS nabo babe ne-RLS.
Odokotela abaningi, abacwaningi, kanye neziguli ze-FMS zizokutshela ukuthi ubuthongo kangcono, okubaluleke kakhulu izimpawu zakho ze- FMS . Ukulala ubusuku obuhle , kodwa, kulula ukushiwo kunokukwenza.
Isinyathelo sokuqala sokulala kangcono ukuxilonga nokuphatha noma yiziphi izinkinga zokulala ongase ube nazo, ngokuvamile okubandakanya isifundo sokulala .
Iyini i-Restless Legs Syndrome?
Abantu abane-RLS banezinzwa ezingavamile emilenzeni yabo, njengezinyoni ezinwabuzelayo, ezivuthayo, ezikhahlelayo noma ezithinta imizwa. Ngezinye izikhathi lezi zindlebe zincane kakhulu, kanti ezinye izikhathi zibuhlungu. Izinzwa ziqala uma uphumule, okusho ukuthi zingakuvimbela ukuba ungalali noma ukuvusa izikhathi eziningana kulo lonke ubusuku, okwenza ukhathele futhi ube nokusebenza kanzima.
I-RLS yisimo sezinzwa, kodwa asisazi ukuthi yini ebangela ukuba kube khona. Ezinye izimo zingase zibe nezimbangela zesakhi, kuyilapho ezinye zikholelwa ukuthi zihlobene no:
- I-anemia
- Ukukhulelwa (ikakhulukazi ku-trimester yokugcina)
- Izifo ezingapheli, kuhlanganise:
- Isifo sikashukela
- Isifo sikaParkinson
- Ukuhluleka kwezinso
- I-neipathy neuropathy
Kungani i-FMS ne-RLS ihamba ndawonye?
Kuze kube manje, asazi izimbangela eziyinhloko ze-FMS noma i-RLS.
Kuze sifunde kabanzi mayelana nalezi zimo, cishe ngeke siqonde ukuthi kungani bevame ukuhlangana ndawonye.
Zombili i-FMS ne-RLS zibhekwa njengezimo ze-neurological, ngakho-ke zingase zibe nezinqubo ezivamile ebuchosheni kanye / noma ohlelweni lwezinzwa .
Inkolelo ngokusekelwa kwesayensi okukhulayo yukuthi lezi zimo zombili ziyi- syndromes yokuzwela okuphakathi .
Ukubona Ukuphumula Kwemilenze Yomshoshaphansi
Ayikho i-test eyodwa yokuhlola i-RLS, ngakho-ke odokotela ngokuvamile bayayilinganisa ngokusekelwe ezimpawu zakho nomlando wezokwelapha.
I-criteria yokuhlola ye-RLS ihlanganisa:
- Isifiso sokuhambisa izitho, ngokuvamile sihlanganiswa nokuzwela okungaqondakali
- Izimpawu ezikhona (noma ngaphezulu) uma uphumla; ukunyakaza kunikeza ukukhululeka okwesikhashana
- Ukuphumula kwemoto
- Izimpawu eziphuthumayo ebusuku
Udokotela wakho angenza izivivinyo zamalebhu ukuze abone ezinye izimbangela zezimpawu zakho, futhi angase ahlele nokufunda ngokulala.
Izimpawu ze-FMS ne-RLS
I-FMS ne-RLS yabelana ngalezi zimpawu:
- Ukulala ngokweqile kwamalanga
- Izinkinga ngokuhlushwa
Uphawu oluyinhloko lwe-RLS yizinzwa ezingavamile (ama-paresthesias) noma izinzwa ezingathandeki (ama-dysesthesias) emilenzeni kanye nesifiso esingalawuleki sokuthutha ukuze kukhululwe lezi zinzwa. I-FMS ingase ifake i-paresthesia noma i-dysesthesia, kodwa isifiso sokuhambisa futhi sanda izimpawu ngesikhathi sokuphumula sihlukile ku-RLS.
Ukwelapha i-RLS
I-RLS yokwelashwa ingafaka imithi kanye nezinguquko zokuphila.
Ukuze uthole izimpawu ezimnene nokuzilinganisela, udokotela wakho angase akhombise ukuthi unqume noma uqede ukusetshenziswa kwe-caffeine, utshwala nogwayi. Uma unezinkinga zokudla okunomsoco, ikakhulukazi insimbi, i-folate noma i-magnesium, udokotela wakho angase asikisele ama-supplements.
Ezinye izindlela zokuphatha indlela yokuphila zihlanganisa:
- Ukugcina isimiso sokulala njalo
- Ngokuvamile, ukuzivocavoca okulinganiselayo
- Gwema ukuzivocavoca ngokweqile
- Amanzi okugeza
- Ukusikwa komlenze
- Ukusebenzisa ukushisa noma iqhwa
Lezi zindlela, kodwa, ngokuvamile azihlinzeki ngokugcwele.
Udokotela wakho angase akhethe imithi yokwelapha i-RLS. Izinhlobo ezivame kakhulu zihlanganisa:
- I-Dopaminergics: (Izibonelo Ziyihlomisa, Mirapex) Lezi zidakamizwa zenza njenge- dopamine , okuyinto ye- neurotransmitter elawula ukunyakaza kwe-muscle.
- I-Benzodiazepines: (Izibonelo ziyiValium, i-Xanax) Lezi zicindezelo eziyinhloko zesisindo sezinzwa, ngokuvamile ezisetshenziswa njengemithi ephikisana nokukhathazeka, okuphinde igweme iziphambano zomzimba.
- Ama-opiates : (Izibonelo yiDarvon, i-Percodan) Laba baphilisi baphinde baphumule futhi banganciphisa i-RLS kwabanye abantu.
- Ama-anticonvulsants: (Izibonelo yiNeurontin, Tegretol) Lezi zivame ukuvimbela ukugubha kodwa ngezinye izikhathi zisiza ekunciphiseni iziphambano zomzimba.
Eminye imithi ingenza izimpawu ze-RLS zibi nakakhulu, kubandakanya i-antinausea, i-anticonvulsant, kanye nezidakamizwa zokulwa nomuthi kanye nemithi ethile ebandayo noma ebandayo. Uma uthatha noma yikuphi kwalokhu, ungase ufune ukukhuluma nodokotela wakho mayelana nokushintsha izidakamizwa ezingenakwenzeka kakhulu ukulimaza izimpawu zakho.
I-RLS Treatment vs. FMS Ukwelashwa
I-RLS zokwelashwa azivumi ukuphikisana nezifo ze-FMS, futhi ezimweni eziningi, ukwelashwa kungasiza zombili izimo.
Abantu abaningi abane-FMS bathola usizo kuma-benzodiazepines, opiates noma ama-anticonvulsants. (Nakuba zisetshenziswa kakhulu, ama-benzodiazepines, nama-opiates aziyona ingxenye yezincomo ezisemthethweni ze-FMS.) Futhi, amasu amaningi okuphatha indlela yokuphila (i-schedule yokulala yokulala, ukuvivinya umzimba okulinganiselwe, ukugeza okushisayo) kungaba usizo ekulawuleni i-FMS.
Uma uthatha noma ucabangela imishanguzo kokubili isimo, qiniseka ukuthi ukhuluma nodokotela wakho kanye nemithi mayelana nanoma yikuphi ukusebenzisana kwezidakamizwa.
Izwi elivela
Kunzima ukuphatha isimo esisodwa sezokwelapha, futhi kunzima kakhulu ukuphatha ezimbili noma ngaphezulu.
Izindaba ezinhle ukuthi ukwelashwa kwe-RLS-kanye nokulala okungcono kwekhwalithi okungcono-cishe kunciphisa izimpawu zakho ze-FMS.
Imithombo:
I-National Institute of Neurological Disorders and Stroke. "Ishidi Lamaqiniso Angenalutho"
Stehlik R, Arvidsson L, Ulfberg J. European Neurology. 2009; 61 (2): 107-11. I-Restless Legs Syndrome Yiyona Ejwayelekile Phakathi Neziguli Zesifazane Eziphethe I-Fibromyalgia.