Kunezinkinga ezihlukahlukene zempilo ukuthi umuntu onayo i-IBS cishe unakho kunomuntu ongenayo i-IBS . Okumangalisa ukuthi, i-restless leg syndrome (RLS) ingenye yazo! Akubonakali ukwenza umqondo onengqondo - kungenzeka kanjani ukuthi ukugula kwengqondo kuhlotshaniswa nokugula kwamathumbu? Ake sibuke ukuthi yi-RLS nokuthi yiziphi ezinye zezizathu ezingase zibe khona ngokuhlangana kwayo ne-IBS.
Iyini i-Restless Leg Syndrome?
I-RLS yinkinga yokunyakaza lapho umuntu ehlangabezana nezikhalazo ezingakhululekile ukuhambisa imilenze. Izimpawu zenzeka ngezikhathi zokuphumula noma ukungasebenzi, ikakhulukazi kusihlwa nasebusuku. Lezi zikhalo ezicindezelayo zivame ukukhululeka ngokunyakaza. Kulinganiselwa ukuthi i-RLS ithinta cishe u-5% wabantu. Lesi sifo sithinta abesifazane abaningi kunamadoda, kanti nakuba kuthinta kakhulu abantu abadala, kuphazamisa inamba ephakeme kakhulu yezingane.
Kubantu abaningi, i-RLS ayiyona intukuthelo encane. Izimpawu ze-RLS zingaba namandla ngokwanele ukuphazamisa ubuthongo, okungaholela ekukhathaleni nasekuphazamiseni ukusebenza kwansuku zonke. Kubi kakhulu, ukukhathala okubangelwa i-RLS kungathinta kabi umsebenzi wakhe, ubuhlobo bomndeni, nokuphila komphakathi. Abanye abantu abane-RLS bahlangabezana nobunzima bokucindezeleka, ukuhlushwa nokukhumbula inkumbulo.
I-RLS Experience
Nge-RLS, isifiso sokuhambisa imilenze singase sihambe ngokweqile kusuka ekungenelisekeni ngokukhululekile kuya ebuhlungu kakhulu.
Amagama asetshenziselwa ukuchaza lesi sifungo afaka ukungakhululeki, ukungathandeki, ukuhamba ngezinyoni, ukudonsa nokubhoboza. Ukuzwa okufanayo kwamanye izingxenye zomzimba kukhona okungajwayelekile, kepha akusizwanga. Ukuzizwa kungase kuthinte izinhlangothi zombili zomzimba, kodwa abanye abantu bazizwa izinzwa kuphela ohlangothini olulodwa noma olunye.
Izimpawu zivame ukuhluka, kokubili ngokwezinga elikhulu nangokwemigomo yokuthi kwenzeka kaningi kangakanani.
I-Movement ingakwazi ukukhulula okwesikhashana ukuzwa okungajabulisayo kuze kube yilapho umuntu ebuyela esimweni sokuphumula, lapho kwenzeka khona ukuzwa. Ukuze uthole ukukhululeka kwesibonakaliso, abantu abane-RLS bazama izinto ezihlukahlukene, kuhlanganise ukugwedla noma ukululaza imilenze ngenkathi behlezi, bejikijela futhi bejikila embhedeni, noma empeleni bevuka bese behamba phansi. Izimpawu zingancipha ekuseni, zivumele ukulala okuphumule okwengeziwe.
Izimpawu ze-RLS zingase zibe nzima ngemva komsebenzi omatasa, osebenzayo. Ngaphandle kokuqala kokuhlwa, abantu abane-RLS bangase babe nezibonakaliso ngesikhathi sokuhlala isikhathi eside sokuhlala, isib. Ukuhamba ngemoto, ukugibela indiza, kanye nezindawo zokuzijabulisa ezifana nama-movie. Izimpawu ze-RLS zingaphazamisa ikhono lokuhlala ngokuphumula ngenkathi ziqhuba ukuzivocavoca umzimba .
Yini eyenza i-RLS?
Akekho owazi ngokuqinisekile ukuthi yini ebangela i-RLS. Abacwaningi baye baqaphela lokhu okulandelayo njengababambe iqhaza kule nkinga:
- I-Genetic predisposition
- Izinkinga nge-neurotransmitter dopamine
- Izinkinga nge-metabolism yensimbi
- Izinkinga ngesistimu yesimiso sezimoto izindlela
I-RLS ingazibonakalisa okwesibili kwezinye izinkinga zempilo.
Izimpawu nazo zingabangela noma zikhungatheke ngemiphumela emibi yemithi, ukusetshenziswa kotshwala nokulala kokulala. Ukukhulelwa, ikakhulukazi i-trimester yokugcina, kungaba yimbangela yezimpawu ze-RLS.
Ihlangana ne-IBS
Izifundo zibonisa ukuthi abanye abantu abanezinkinga ezithile zamathumbu banesilinganiso esiphezulu se-RLS, kuhlanganise nesifo se-celiac , isifo se-Crohn ne-IBS.
Ukuhlolwa kokuzihlanganisa kwezidumbu ezimbili kubonisa ukuthi iziguli ze-IBS zisengozini enkulu ye-RLS futhi ngokufanayo. Izilinganiso zokufunda zibonisa ukuthi cishe ingxenye eyodwa kweyesine kuya kweyodwa kweziguli ze-IBS zingase zibe ne-RLS. Esinye isifundo esincane senza ukukhanya okuncane okuthakazelisayo (kodwa okuphambili kakhulu!) Ngokungafani phakathi kwe- IBS sub-types .
Ukuqoqwa okuphezulu kwezimpikiswano ezimbili kwenzeka kubahlanganyeli abacwaningayo ababene-IBS-D (62%), abanomthelela omncane kulabo ababambiqhaza abane-IBS-Mixed (33%) futhi abangabonakali ngokuncane kokubambisana kwabahlanganyeli abane-IBS-C ( 4%).
Ukutadisha okuncane kakhulu ngokuzihlanganisa phakathi kwezifo ezimbili kwabuye kwaba nomphumela omuhle. Abahlanganyeli bokufunda ababenabo bobabili i-IBS kanye ne-RLS nabo babe nethuba lokubona izimpawu ezingxenyeni ezingenhla zegciwane lokugaya, kuhlanganise nobuhlungu besisu, isicasucu nokuhlanza.
Kungani kuhlangana? Abacwaningi babheka imibono ehlukahlukene, kuhlanganise nendima ye-metabolism encane ye-iron, ukuvuvukala, isistimu enkulu yokungasebenzi kanye nokukhukhulwa kwamagciwane amancane emathunjini (SIBO). Kuzo zonke izinkolelo, i-SIBO ithola ukunakwa kakhulu, njengoba uzobona maduzane.
I-RLS, i-IBS ne-SIBO
Ucwaningo oluthile luye lwaqhutshwa lubuka i-SIBO njengesixhumanisi esingenzeka phakathi kwe-RLS ne-IBS. Ekutadisheni kokuqala kweziguli ezingama-RLS ezingama-32, iSIBO itholakale ku-69% yazo! Ngaphambi kokuba sihlaziye kakhulu ngalokhu, kubalulekile ukuqaphela ukuthi ukuhlolwa kwe-SIBO kwenziwa ngokusebenzisa ukuhlolwa kokuphefumula , indlela ephikisanayo ngokusebenza kwayo.
Esifundweni sesibili, iziguli ezingu-13 ze-IBS ezivivinya kahle nge-SIBO zisebenzisa ukuhlolwa kokuphefumula, zaphathwa nge-antibiotic rifaximin isikhathi sezinsuku ezingu-10. Ngokombiko, lezi ziguli ezingu-10 zathola "ukuthuthukiswa okungenani ngo-80%" ezimpawu zabo ze-RLS. Ngosuku olulandelayo lokulandelela, isigamu salezi ziguli sabika ukukhululeka okuphelele ku-RLS yabo. Njengenhlawulo, asikwazi ukuphetha iziphetho eziqinile esifundweni esisodwa, esincane, kodwa uma lemiphumela emihle ingabuyekezwa, kukhona ukuthi kungenzeka ukuthi ukuphatha i-SIBO kungasiza kokubili ukukhathazeka.
Abacwaningi bazama ukuthola ukuthi kungani kukhona ukungafani phakathi kwe-SIBO ne-RLS. Kungenzeka ukuthi izimbangela ezisekela ukuthuthukiswa kwe-RLS zibeka umuntu engozini ye-SIBO. Ngaphandle kwalokho, ukuvuvukala okuvela ku-SIBO kungathinta ukusebenza kwama-neurotransmitter, okuholela ekubonisweni kwe-RLS. Enye inkolelo ukuthi i-SIBO idlala indima enkingeni ye-iron metabolism ehambisana ne-RLS.
Okufanele Ukwenze Uma Unayo Bobabili
Into ebaluleke kakhulu ukuyenza uma unezinkinga zombili ukuqinisekisa ukuthi utshela udokotela wakho. Enye into yokuthi iziguli ezimbili ze-RLS kanye ne-IBS zihlangene ngayo ukuzama ukuxoxa ngezibonakaliso zokwesaba ukuthi izimpawu zabo zizoncishiswa! Uma udokotela wakho ekwenzeni ukunciphisa izimpawu zakho, noma ubanika bonke ukuba bacindezeleke, thola udokotela omusha!
Nakuba ucwaningo oluphathelene nokuxhumana phakathi kwe-SIBO, i-IBS ne-RLS luyisandulela, uma wena ngokwakho unomuzwa wokuthi i-SIBO ingaba yinkinga kuwe, cela udokotela wakho mayelana nokuhlolwa kanye / noma ukuphathwa ngeso simo.
Ukuzinakekela nokudla okunempilo kungasiza kuphela zombili izimo. Zombili lezi zimo zingase zizuze ekunciphiseni utshwala ne-caffeine. Okokugcina, utshale emgodini wokushisa noma ibhodlela lamanzi ashisayo, njengoba ukushisa kunganikeza ukukhulula kokubili izimpawu ze-IBS ne-RLS.
Imithombo:
Basu, P., et et. al. "Ukusabalala kwemithi yezinyawo ezingenakuphumula ezigulini ezine-syndrome ezicasulayo" I- World Journal of Gastroenterology 2011 17: 4404-4407.
Borji, R., et. al. "Ukubambisana Phakathi kwe-Irritable Bowel Syndrome ne-Restless Legs Syndrome: Isifundo Esiqhathanisa Neqembu Elilawulayo" I- Journal of Neurogastroenterology ne-Motility 2012 18: 426-433.
"Ishidi Lamaqiniso Okungapheli Emigqonyeni Yama-Syndrome" I- National Institute of Neurological Disorders and Stroke Ithole ngoDisemba 20, 2015.
I-Weinstock L., Fern S., noDuntley S. "Izifo zemilenze ezingapheli ezigulini ezine-syndrome ezicasulayo: impendulo kumuthi omncane we-bacterial infestation." I- Digestive Diseases and Sciences 2008 53: 1252-1256.
I-Weinstock, L. & Walters, A. "Imilenze yesifo esingenalutho ihlotshaniswa nesifo sofuba esisemathunjini kanye nokukhukhulwa kwamagciwane amancane emathumbu" Ukulala Imithi ka-2011 12: 610-3.
Yun, C., et. al. "Umphakathi phakathi kwesifo sofuba nesifo samagciwane angenalutho kubantu abaningi" Journal of Research Research 2012 21: 569-576.