Ingabe i-RLS ifaka isandla ekukhathaleni kwakho?
Ukucwaninga kubonisa ukuthi abantu abane- multiple sclerosis (MS) bangamathuba amane okuba nesifo esingenakuphumula kunabantu abangabantu abaningi.
I-restless leg syndrome (i-RLS) yinkinga yobuthongo obangela ukuhamba kweminyango ngokuzenzekelayo, amahora okuhlwa, futhi lokhu kuhambelana nokuzwa okungathandeki.
Ukuxilongwa
I-syndrome yemilenze engenamphetho itholakala uma kutholakala izinqubo ezilandelayo:
- Kukhona isifiso sokuhambisa imilenze (ngokuvamile ebangelwa noma ehambisane nokuzwa okungakhululekile noma okungajabulisi emilenzeni).
- Lesi sifiso sokuhamba siba sibi nakakhulu uma usesekhona, ngokuvamile silele phansi, kodwa singase senzeke lapho sihlezi.
- Ukuhamba ngezinyawo (okungenani kancane) isifiso sokuhambisa noma ukuzwa okungajabulisi, ngenkathi ukunyakaza kuqhubeka.
- Isifiso sibi nakakhulu ebusuku kunathi emini.
Ngokusho kocwaningo, abantu abane-MS abanenkinga yezifo ezimbi kakhulu, i-MS eqhubekayo, nezilonda emthonjeni womlomo wesibeletho (intanyeni yendawo yomgogodla) zisengozini enkulu yokuba nesifo esingenasici somlenze.
Abaxhasi be-RLS
Kunezimpawu ezimbalwa ezihlobene ne-MS ezingakwazi ukulingisa lokho kwesifo esingenalutho somlenze.
Isibonelo, abantu abane-MS bangase babe nezinkinga zokusakaza , okwenzeka lapho umlenze unyakaza futhi umuntu akakwazi ukugoba okuhlangene. Lezi zenza isigungu, ngokuvamile umlenze, ukuba siphume emzimbeni.
Ama-spasms ama-muscle avame ukuthinta i-quadriceps (imisipha emikhulu ngaphambili kwethanga), okwenza umlenze ongezantsi uqondise.
Eqinisweni, ezinye izifo eziphuthumayo zingase zenzeke ngokungazelelwe futhi ziqine kangangokuthi umuntu angakwazi ukuwa esihlalweni noma embhedeni. Lezi zihluke kakhulu kokuhlangenwe nakho kwe-RLS.
Ukunyakaza kwe-extensor kungukunyakaza okungenakuzikhethela, kunokuba "ukugqugquzela." Abakhululekile ukunyakaza, kepha kungaba yimiphumela yokuzama ukuhamba, njengokungena embhede noma ukuzama ukuthuthela esihlalweni sabakhubazekile.
Ngaphezu kwalokho, ukuzwa okungajabulisi, okubizwa ngokuthi i-paresthesias, kuyimpawu evamile kakhulu ye-MS, futhi ngokuyinhloko kwenzeka ezinyaweni nasezinyaweni ezincane. Bazizwa benjenge-numbness noma ukubetha, noma izikhonkwane-nezinsizi ukuhlanganiswa kokubili.
Le mizwa nayo ihluke kakhulu emibonweni engathandeki ye-RLS, njengoba kungekho ukuphumula kubo lapho umuntu ehamba (ukunyakaza kungabangela ukuthi lezi zinzwa ziqiniseke). Ngokuvamile zikhona ngosuku, hhayi nje ebusuku kuphela.
I-RLS kanye nokukhathala okuhlobene ne-MS
Uma unayo i-RLS, mhlawumbe kunomthelela ekukhatheni kwakho okuhlobene ne-MS ngokubangela ukuba ulahlekelwe ukulala. Lokhu kuthiwa ukukhathala kwesibili, njengoba ukhathala kungenxa yempawu noma ukulala.
Isizathu esiyinhloko sokukhathala kubantu abane-MS, noma kunjalo, ukuxoshwa kwenqubo yesifo se-MS ngokwayo. Iningi lalabo abahlala ne-MS banomuzwa kuthiwa "ukuhlushwa," okuyinto ukhathala okukhulu okungahlobene ngqo nomsebenzi owandile. Lokhu kuyingozi, okungenakwenzeka-ukuchaza, ukukhathala okwezinye izimpawu ezivamile ze-MS.
Ngaphezu kwe-RLS, ezinye izimbangela eziyinhloko zokukhathala kubantu abane-MS zihlanganisa:
- Ukuphazamiseka kokulala ngenxa yezizathu ezithile, njengeziphazamisi, ukucindezeleka noma ukukhathazeka, ubuhlungu, noma ukuvame ukuvuthwa ebusuku ( nocturia )
- Imiphumela emibi yemithi
- Ukuzikhandla komzimba ukwakha ukulahlekelwa umsebenzi kubangelwa izimpawu
- Izifo, ezifana nemikhuhlane, uketshezi noma izifo ezithinta umchamo
- Ukungabi nomzimba ngokomzimba
Ukwelapha
Kuye ngezikhathi zezinkinga zakho ezinezinkinga zemilenze ezingenalutho, lezi zindlela zokwelapha ezilandelayo ziyasetshenziswa:
- Ukugwema i-caffeine, utshwala, ne-nicotine
- I-Neurontin (gabapentin) ingase ibe ukukhetha okulandelayo kubantu abane-MS, njengoba ibekezelela kahle futhi isetshenziselwa ukwelapha ubuhlungu be-neuropathic, uphawu oluvamile kwiziguli ezine-multiple sclerosis.
- I-Benzodiazepines noma i-benzodiazepine agonists, njenge-diazepam (i-Valium) ne-clonazepam, nayo isetshenzisiwe ngempumelelo, kodwa ingabangela ukukhathala kwanda. Futhi kungenzeka ukuthi asetshenziselwa kuphela uma udinga usizo oluthile ngesonto noma amabili ngesikhathi, njengoba kungaba ngumkhuba wokwenza umkhuba.
- Imithi eyandisa i-dopamine ebuchosheni, njengeRopinirole (Requip), kanye ne-pramipexole (Mirapex).
Izwi elivela
Uma kukhona okuphazamisa umuntu onama-MS elele ubuthongo obuhle, kubaluleke kakhulu ukuthola imbangela futhi uyiqede ngangokunokwenzeka. Lapho ebuzwa, iningi labantu abane-MS lithi ukukhathala yisifo sabo sokukhubaza kakhulu. Nakuba ukulala okuhle kungase kungabikho ukukhathala, ubusuku obungalali ngenxa yokugula okungenalutho (noma yini enye) kungase kuchaze umehluko phakathi "kokuthola" nokuqedela ukukwazi ukusebenza.
Futhi, labo abane-MS bahlala "nezinzwa ezingathandeki" ezinzima kakhulu noma ezingenakwenzeka ukuphatha. Ngokungafani namanye ama-paresthesias ahlobene ne-MS, i-RLS iyaphathwa kakhulu. Uma ucabanga ukuthi une-RLS, hamba ukhulume ne-neurologist yakho bese uqala ukusebenza ngokuphumula.
> Imithombo:
> Manconi M et al. I-Restless Legs Syndrome I-Common Finding ku-Multiple Sclerosis kanye Ne-correlates Ne-Cervical Cord Ukulimala. I-Mult Scler. 2008 Jan; 14 (1): 86-93.
> Hlanganisa i-WG. (2017). Izici zezokwelapha kanye nokuxilongwa kwe-Restless Legs Syndrome / I-Willis-Ekborn Disease kanye ne-Periodic Limb Movement Disorder kubantu abadala. U-Hurtig HI, u-Avidan AY uhleli. Kusesikhathini. Waltham, MA: UpTiDate Inc.
> Schürks M, Bussfeld P. Multiple Sclerosis kanye ne-Restless Legs Syndrome: Ukubuyekeza Okuhlelekile kanye nokuhlaziywa kwe-Meta-Analysis. I-Eur J Neurol . 2012 Apr; 20 (4): 605-15.