Izimpawu ezandayo ku-RLS zingase zibe ngenxa yemithi ephindaphindiwe
Kulabo abathola izimpawu eziphazamisayo ze- syndrome engenamaphiko (RLS) , noma isifo se-Willis-Ekbom, ukwelashwa ngemithi emincane ye-dopamine kungaba i-godsend. Le mithi ingafaka iSinemet (levodopa / carbidopa), Mirapex (pramipexole), i-Requip (i-ropinirole) ne-Neupro (i-rotigotine patch). Kodwa ngezinye izikhathi, le mithi ingabangela iphutha eliphindaphindiwe elibizwa nge-augmentation, lapho izimpawu ziba zimbi nakakhulu.
Kuyini ukukhushulwa ku-RLS futhi kungabhekiswa kanjani?
Kuyini ukungenelela ku-Restless Legs Syndrome?
Ukungenelela kwenzeka uma, ngemuva kokuqala ukwelashwa, izimpawu zemilenze yezinyawo ezingapheli zenzeka ngaphambi kosuku, zisakaze kwezinye izingxenye zomzimba (ikakhulukazi izingalo), ziba namandla kakhulu futhi zenzeke ngokushesha ngesikhathi sokuphumula. Ukunyuka kwegazi kuningi kwenzeka njalo ezinyangeni eziyisithupha zokuqala ukwelashwa noma uma ukwelashwa kwemithi kuyenyuka. Ngisho noma engekho ekuqaleni, ingase ithuthuke ngokuhamba kwesikhathi esikhathini sokwelapha.
Izimbangela Nezimo Zengozi Yokungenelela
Nakuba imbangela eqondile yokukhushulwa kwegazi ingaziwa, ivame ukuvela njengomphumela ohlangothini wemithi yokwandisa i-neurotransmitter ebizwa ngokuthi i-dopamine. Ngokuvamile kwenzeka nge-levodopa / carbidopa (Sinemet); Ucwaningo lubonisa ukuthi abantu abangu-27% kuya kwabangu-82% kulokhu kutholakala kwezempilo. Kungase futhi kwenzeke kancane kancane ngemithi elandelayo:
- I-Tramadol (Ultram)
- I-Pramipexole (Mirapex)
- I-Ropinirole (i-Requip)
- I-Rotigotine isikebhe (Neupro)
Ngaphezu kwalokho, kunezici ezithile ezingozini ezitholakale kulabo abathola ukukhushulwa. Lokhu kufaka phakathi ukusebenzisa imithi ephakeme yokwelapha nokugcina izitho zomzimba ezincane njengoba kulinganiswa ngezinga le-ferritin elibonisa ukungabi nensimbi .
Ngenhlanhla, kukhona ubufakazi obuncane bokuthi imithi ethuthukisa i-GABA ihlotshaniswa nokukhushulwa. Ngakho-ke, le mithi ejwayelekile ingase ibe yindlela ephephile uma izimpawu zakho ziba zimbi:
- I-Neurontin (i-Gabapentin)
- I-Horizant (Gabapentin enacarbil)
- I-Lyrica (i-Pregabalin)
Imithi eyenza ngezindlela ezehlukene, kuhlanganise ne- benzodiazepines nemithi ye-narcotic noma i-opioid nayo ayinakwenzeka ukuthi ibangele ukukhushulwa. Le mithi kadokotela ingasetshenziswa ngendlela efanayo nezimpawu ezingenakwenzeka ze-RLS ezingaphenduli kahle empilweni yangaphambili.
Indlela Yokudlulisa ukungathandwa kwabathelisi esikubona ku-RLS
Uma uthola ukungenelela kokubalulekile, kubalulekile ukukhuluma nodokotela wakho wokulala. Kwezinye izimo, ukwehla kwe-RLS kungase kube imbangela eyinhloko yezimpawu ezikhulayo. Lokhu kungadinga izinguquko emgomweni jikelele wemithi noma ukusetshenziswa ngezikhathi ezithile kwemithi yokubonisa izimpawu.
Kunezici ezithile ezivusa amadlingozi ezifana ne-caffeine nokusetshenziswa kotshwala, ezinye izidakamizwa, ukungabi nokuzivocavoca, ukulala ngokwanele namazinga aphansi ensimbi okufanele ahlolwe futhi aqondiswe.
Imithi oyisebenzisayo ingase ibe nzima kakhulu izimpawu zakho. Uma uthatha kakhudlwana, izimpawu zakho zizobe zibi kakhulu. Kungadingeka ukunciphisa umthamo wakho wemithi, ukuyeke ngokuphelele, noma ucabange ezinye izindlela zokwelapha.
Uma imithi ye-dopamine ibangela izimpawu ezimbi, kungase kudingekile ukuthi uthathe ikhefu isikhathi eside. Ngezinye izikhathi kungenzeka ukuthi ubuyekeze ukusetshenziswa kwesidakamizwa ngemuva kokuphumula.
Njengalokhu njalo, kunconywa ukuthi uqhubeke ukwelashwa kwakho kuze kube yilapho uhlolwa ngudokotela wakho futhi isimo sakho singaxoxwa ngokuningiliziwe. Le ngxoxo enolwazi izovumela ukuthi izinqumo ezifanele zenziwe ukuze kuqinisekiswe isimo sakho. Kungase kudingeke ukuthi ngezinye izikhathi kudingeke ukuba uhlolwe ngokwengeziwe ngososayensi, njenge-neurologist noma uchwepheshe wezokwelapha.
> Umthombo:
"Ukuqonda ukungenelela kanye ne-RLS: Umhlahlandlela Wokusiza Ukulawula Nokuphatha I-RLS Yakho." I-Restless Legs Syndrome Foundation.