Kodi RLS ikuthandizira ku kutopa kwanu?
Kafukufuku amasonyeza kuti anthu omwe ali ndi multiple sclerosis (MS) amakhala ndi mwayi wokwanira kuti akhale ndi vuto lopuma m'mimba kuposa anthu ambiri.
Matenda osabisala (RLS) ndi matenda ogona omwe amachititsa kuti miyendo ikugwedezeka nthawi yamadzulo, ndipo izi zimagwirizana ndi zowawa.
Kudziwa
Matenda a miyendo yopanda chilema amapezeka pamene zotsatirazi zikutsatiridwa:
- Pali chilakolako choyendetsa miyendo (kawirikawiri imayambitsidwa kapena imakhala yovuta kapena yosasangalatsa m'milingo).
- Izi zimafuna kuti muziyenda poyipa pamene mudakali, nthawi zambiri kugona pansi, koma zingakhalenso ngati mukukhala.
- Kusunthira pafupi (easly) chilakolako chofuna kusunthira kapena kusasangalatsa, pamene gululo likupitirira.
- Zovutazo zimakhala zovuta kwambiri usiku kuposa masana.
Malingana ndi kafukufuku, anthu omwe ali ndi MS omwe ali ndi matenda oopsa kwambiri, MS, komanso zotupa m'kamwa mwa msana (m'dera la khosi) ali pachiopsezo chachikulu chokhala ndi matenda osabisala.
Otsutsa a RLS
Pali zizindikiro zokhudzana ndi MS zomwe zimatha kufanana ndi matenda osalimba.
Mwachitsanzo, anthu omwe ali ndi MS akhoza kukhala ndi zovuta zowonjezereka , zomwe zimachitika pamene chiwalo chimakhala cholimba ndipo munthuyo sangathe kuigwedeza. Izi zimayambitsa chiwalo, kawirikawiri mwendo, kuchoka kutali ndi thupi.
Mitundu ya minofu imakhudza kwambiri quadriceps (minofu yaikulu kutsogolo kwa ntchafu), kuchititsa kuti phazi lamanzere liwongolere.
Ndipotu, malo ena amatha kukhala mwadzidzidzi ndi amphamvu kuti munthuyo akhoza kugwa pa mpando kapena bedi. Izi ndi zosiyana kwambiri ndi zomwe zinachitikira RLS.
Kupuma kwapadera kumakhala kusinthasintha, osati "kukhudzidwa." Iwo samasulidwa ndi kuyenda, koma zitha kukhala zotsatira za kuyesa kusunthira, monga kutembenuka pa kama kapena kuyesera kupita ku chikuku.
Kuonjezera apo, zovuta zosangalatsa, zomwe zimatchedwa paresthesias, ndizodziwika kwambiri za MS, ndipo zimapezeka makamaka m'munsi mwa miyendo ndi mapazi. Iwo amamva ngati kutentha kapena kugwedeza, kapena pini-ndi-singano kuphatikiza zonse ziwiri.
Maganizo amenewa ndi osiyana kwambiri ndi zovuta za RLS, popeza palibe mpumulo kwa iwo pamene munthu akusunthira (kusuntha kungathe kuchititsa kuti zowawazi zikhale zolimba). Amakhalansopo patsiku, osati usiku.
RLS ndi Fatigue Yokhudzana ndi MS
Ngati muli ndi RLS, zikutheka kuti zikuthandizani kufooka kwanu kwa MS pakuchititsani kugona tulo. Izi zimatchedwa kutopa kwachiwiri, monga kutopa ndiko chifukwa cha zizindikiro kapena kusowa tulo.
Chomwe chimayambitsa kutopa kwa anthu omwe ali ndi MS, komabe, ndikutayika kwa matenda a MS wokha. Zambiri mwa zomwe ife timakhala ndi MS kumverera zimatchedwa "lachisoni," zomwe zimatopa kwambiri zomwe sizikugwirizana kwambiri ndi ntchito yowonjezereka. Ichi ndi chowopsya, chosatheka-kufotokoza, kutaya mokwanira ndi chimodzi mwa zizindikiro za MS.
Kuphatikiza pa RLS, zifukwa zina zomwe zimayambitsa kutopa mwa anthu omwe ali ndi MS ndi awa:
- Kusokonezeka tulo chifukwa cha zifukwa zina, monga masewera, kupanikizika kapena nkhawa, ululu, kapena kawirikawiri amayenera kukodza usiku ( nocturia )
- Zotsatira za mankhwala
- Kuchita mwakuthupi kuti mupangidwe kwa ntchito kumayambitsidwa ndi zizindikiro
- Matenda, monga chimfine, chimfine kapena matenda opangira mkodzo
- Kupanda thanzi la thupi
Chithandizo
Malingana ndi kuchuluka kwa mavuto anu ndi matenda osapumitsa amilendo, mankhwalawa akugwiritsidwa ntchito:
- Pewani kumwa khofi, mowa, ndi chikonga
- Neurontin (gabapentin) angakhale chisankho chotsatira kwa anthu omwe ali ndi MS, monga amavomerezedwa bwino ndipo amagwiritsidwa ntchito pochizira ululu wamagazi, chizindikiro chofala kwa odwala omwe ali ndi matenda osiyanasiyana.
- Benzodiazepines kapena benzodiazepine agonists, monga diazepam (Valium) ndi clonazepam, agwiritsidwanso ntchito bwino, koma amachititsanso kuti kutopa kuwonjezeke. Amakhalanso akugwiritsidwa ntchito ngati mukusowa thandizo kwa sabata kapena awiri panthawi, chifukwa akhoza kukhala chizoloŵezi.
- Mankhwala omwe amachititsa kuti dopamine mu ubongo, monga Ropinirole (Requip), ndi pramipexole (Mirapex).
Mawu Ochokera
Ngati pali chirichonse chimene chimasokoneza munthu yemwe ali ndi MS kuti agone tulo tosangalatsa, ndikofunika kudziwa chifukwa chake ndikuchotseratu. Akafunsidwa, anthu ambiri omwe ali ndi MS amanena kuti kutopa ndi chizindikiro chawo cholepheretsa. Ngakhale kugona mokwanira sikungathetsetu kutopa, usiku wopanda tulo chifukwa cha matenda osabisala (kapena china chirichonse) chingatanthauze kusiyana pakati pa "kufika" ndi kukwanitsa kugwira ntchito.
Komanso, anthu omwe ali ndi MS amakhala ndi "zovuta zambiri" zomwe zimavuta kapena zosatheka kuchiza. Mosiyana ndi zina zotchedwa MS paresthesias, RLS ndi yotheka kwambiri. Ngati mukuganiza kuti muli ndi RLS, pitani kwa katswiri wanu wa sayansi ya zamoyo ndikuyamba kugwira ntchito yopuma.
> Zotsatira:
> Manconi M et al. Matenda Opanda Pachepa Amagwira Ntchito Yambiri M'mipiringi Yambiri ndi Correlates Ndi Cervical Cord Kuwonongeka. Mult Scler. 2008 Jan; 14 (1): 86-93.
> Zosangalatsa WG. (2017). Zochitika zachipatala ndi Kuzindikira kwa Mitsempha Yosasunthika Matenda / Willis-Ekborn Matenda ndi Matenda a Periodic Limb Movement mu Akuluakulu. Kupweteketsa HI, Avidan AY ed. Zaposachedwa. Waltham, MA: UpTiDate Inc.
> Schürks M, Bussfeld P. Multiple Sclerosis ndi Restless Legs Matenda: Kukonzekera Mwadongosolo ndi Meta-Analysis. Eur J Neurol . 2012 Apr; 20 (4): 605-15.