Kukhala ndi FMS ndi RLS
Anthu ambiri omwe ali ndi fibromyalgia (FMS) ali ndi vuto la kugona, ndipo matenda a miyendo yopanda chilema (RLS) ndi ofanana. Malinga ndi kafukufuku wofalitsidwa mu 2009 ndi European Neurology , anthu 64 peresenti ya anthu omwe ali ndi FMS anali ndi RLS.
Madokotala ambiri, ochita kafukufuku, ndi odwala FMS adzakuuzani kuti mukugona bwino, zizindikiro zanu za FMS zidzakhala zovuta. Kugona mokwanira usiku , komatu, n'kosavuta kunena kuposa kuchita.
Gawo loyamba la kugona bwino ndiko kupeza ndi kuthana ndi mavuto aliwonse ogona omwe mungakhale nawo, omwe nthawi zambiri amaphatikizapo phunziro la kugona .
Kodi Matenda a Mitsempha Yosalekeza Ndi Chiyani?
Anthu omwe ali ndi RLS ali ndi zozizwitsa zachilendo m'milingo yawo, monga zokwawa, kuyaka, kuyendayenda kapena kugwedeza malingaliro. Nthawi zina izi zimakhala zochepa kwambiri, pomwe nthawi zina zimakhala zopweteka. Zomwe zimayambira mukamasuka, zikutanthauza kuti zingakulepheretseni kugona kapena kukudzutsani maulendo angapo usiku wonse, kukupangitsani kuti mutope komanso kuti mukhale ndi nthawi yovuta.
RLS ndi chikhalidwe cha ubongo, koma sitikudziwa chomwe chimayambitsa. Mavuto ena akhoza kukhala ndi chibadwa, pamene ena amakhulupirira kuti ali okhudzana ndi:
- Anemia
- Mimba (makamaka mu trimester yotsiriza)
- Matenda osatha, kuphatikizapo:
- Matenda a shuga
- Matenda a Parkinson
- Kulephera kwa impso
- Matenda a ubongo
Nchifukwa chiyani FMS ndi RLS zimagwirizana?
Mpaka pano, sitidziwa zomwe zimayambitsa FMS kapena RLS.
Mpaka titaphunzira zambiri za izi, ife sitingamvetse chifukwa chake nthawi zambiri amapezeka pamodzi.
Ma FMS ndi RLS amaonedwa kuti ali ndi ubongo, kotero iwo akhoza kukhala ndi njira zofanana mu ubongo ndi / kapena mitsempha .
Lingaliro ndi kukula kwa chithandizo cha sayansi ndikuti zonsezi ndizopakatikati zokhudzidwa ndi syndromes .
Kuzindikira Matenda Osapuma Opanda Matenda
Palibe chidziwitso chimodzi chokha choyesa RLS, kotero madokotala ambiri amachipeza chifukwa cha zizindikiro zanu ndi mbiri yachipatala.
Njira zozindikiritsira za RLS zikuphatikizapo:
- Chikhumbo chosuntha miyendo, nthawi zambiri chimagwirizana ndi zozizwitsa zosamvetseka
- Zizindikiro zomwe zilipo (kapena zoyipa) mukapuma; kuyenda kumapereka mpumulo wa nthawi yochepa
- Kutsekeka kwa magalimoto
- Zizindikiro zoopsa usiku
Dokotala wanu akhoza kuyesa mayeso kuti azindikire zifukwa zina zomwe zimayambitsa zizindikiro zanu, ndipo iye angayambitsenso phunziro la kugona.
Zizindikiro za FMS & RLS
FMS ndi RLS zimagawana zizindikiro izi:
- Kugonana kwanthaŵi yamadzulo
- Mavuto ndi maganizo
Chizindikiro chachikulu cha RLS ndi zovuta kumvetsa (paresthesias) kapena zosautsa (dysesthesias) m'milingo ndi chilakolako chosasunthika chofuna kusuntha zokhudzidwa izi. FMS ingaphatikizepo paresthesia kapena dysesthesia, koma kukhumba kusuntha ndi kuwonjezeka zizindikiro panthawi yachisangalalo ndizosiyana ndi RLS.
Kuchiza RLS
Mankhwala a RLS angaphatikizepo mankhwala ndi kusintha kwa moyo.
Kwa zizindikiro zofatsa, dokotala wanu akhoza kukupemphani kuti muchepetse kapena kuthetsa kugwiritsa ntchito caffeine, mowa, ndi fodya. Ngati muli ndi kusowa kwa zakudya, makamaka chitsulo, folate kapena magnesium, dokotala wanu angapereke mankhwala owonjezera.
Njira zina zoyendetsera moyo zimaphatikizapo:
- Kusunga nthawi nthawi yogona
- Kuchita masewera olimbitsa thupi nthawi zonse
- Pewani kuchita masewera olimbitsa thupi
- Mafuta osambira
- Kupaka minofu
- Kugwiritsa ntchito kutentha kapena ayezi
Komabe, izi sizimapereka mpumulo wathunthu wa zizindikiro.
Dokotala wanu angapereke mankhwala oti apange RLS. Mitundu yowonjezereka ikuphatikizapo:
- Dopaminergics: (Zitsanzo ndi Zokuthandizani, Mirapex) Mankhwalawa amachititsa ngati dopamine , yomwe imakhala ndi ubongo wambiri womwe umayendetsa minofu.
- Benzodiazepines: (Zitsanzo ndi Valium, Xanax) Izi ndizopakati za mitsempha yotetezeka, zomwe zimagwiritsidwa ntchito ngati mankhwala oletsedwa, zomwe zimathandizanso kuchepetsa kupweteka kwa minofu.
- Opiates : (Zitsanzo ndi Darvon, Percodan) Amapiritsiwawa amakupumulitsani ndipo amatha kupondereza RLS mwa anthu ena.
- Anticonvulsants: (Zitsanzo ndi Neurontin, Tegretol) Izi kawirikawiri zimapewa kupweteka koma nthawi zina zimathandiza kuchepetsa kupweteka kwa minofu.
Mankhwala ena amachititsa kuti zizindikiro za RLS zikhale zovuta kwambiri, kuphatikizapo antinausea, anticonvulsant, ndi antipsychotic mankhwala ndi mankhwala ena ozizira kapena odwala. Ngati mutenga chilichonse mwa izi, mungafune kuyankhula ndi dokotala wanu za kusintha mankhwala osokoneza bongo omwe sangawonongeke zizindikiro zanu.
Matenda a RLS vs. FMS Treatment
Mankhwala a RLS samagwirizana kwambiri ndi mankhwala a FMS, ndipo nthawi zambiri, chithandizo chingathandize zinthu zonsezi.
Anthu ambiri omwe ali ndi FMS amapeza mpumulo kuchokera ku benzodiazepines, opiates kapena antiticulsants. (Ngakhale kuti amagwiritsidwa ntchito kwambiri, benzodiazepines, ndi opiates sali mbali ya mapulogalamu ovomerezeka a FMS.) Komanso njira zambiri zothandizira kuti azikhala ndi moyo (nthawi yokwanira yogona, kuchita masewera olimbitsa thupi, masewera otentha) angakhale othandiza poyang'anira FMS.
Ngati mukugwiritsa ntchito mankhwala omwe mumakhala nawo, muzitha kuyankhula ndi dokotala wanu ndi wamankhwala za njira iliyonse yothetsera mankhwala.
Mawu Ochokera
Ndi kovuta kusamalira matenda amodzi, ndipo kuli kovuta kuti muyendetse ziwiri kapena zina.
Uthenga wabwino ndi wakuti mankhwala a RLS-komanso ubwino wokhala ndi ubwino wabwino-akhoza kuthetsa zizindikiro za FMS.
Zotsatira:
National Institute of Neurological Disorders ndi Stroke. "Mapepala Opanda Mapepala Opanda Chitetezo"
Stehlik R, Arvidsson L, Ulfberg J. European Neurology. 2009; 61 (2): 107-11. Matenda Osabisala Amakhala Amodzi mwa Odwala Ambiri Amene Ali ndi Fibromyalgia.