Restless Leg Syndrome kapena matenda a Willis-Ekbom

1 -

Kutaya kwa Iron

Ngakhale kuti anthu ambiri omwe ali ndi miyendo yopanda kupuma (RLS) sangathe kudziwa chifukwa cha matenda awo, nthawi zambiri zimachokera ku zifukwa zina zomwe zimayambitsa matendawa. Izi zimabweretsa magawo awiri a chikhalidwe, choyamba RLS (cha chifukwa chosadziwika komanso nthawi zambiri achibale) ndi yachiwiri RLS. Pali zinthu zambiri zomwe zingadziteteze ku zizindikiro za RLS.

Chikhalidwe choyamba chomwe chingayambitse zizindikiro za RLS ndi kusowa kwa chitsulo. Ubale pakati pa kusowa kwachitsulo ndi zizindikiro za RLS zakhala zikuphunzira kwambiri. M'maphunziro angapo ofufuzira, m'mapezeka magazi ndi mchere wamtundu wa anthu omwe akudwala RLS. Pansi pazitsulo, zowonjezera zizindikiro. Kujambula kwa maginito (MRI) kumasonyeza kuti zitsulo zomwe zimapezeka mu ubongo zimatchedwa substantia nigra ndizochepa kwa anthu omwe ali ndi RLS poyerekeza ndi anthu omwe amadziwika bwino, omwe angabweretse vutoli. Kuonjezera apo, kufufuza kwaumphawi kwatsimikiziranso kusintha kumeneku mu ubongo.

Choncho ndikulimbikitsidwa kuti muyambe kuyang'ana ngati muli ndi zizindikiro za RLS. Kuonjezerapo, mayesero a chitsulo chosamalidwa ngati mmwamba ali otsika ayenera kuchitidwa. Ngakhale anthu ena omwe ali ndi machitidwe abwino amagwira ntchito yowonjezera.

2 -

Mapeto-siteji Matenda a Impso

RLS ndi wamba kwambiri pakati pa anthu omwe akudwala matenda a impso , makamaka omwe amadalira dialysis. Zomwe zachitikazo zakhala zikuchokera 6 mpaka 60 peresenti. Sindikudziŵa bwinobwino zomwe zingakhale zopereka kwa RLS mu gulu lino. Kutaya magazi m'thupi, kusowa kwachitsulo, kapena mahomoni ochepa otchedwa parathyroid angakhale ndi gawo pogwiritsa ntchito maphunziro osiyanasiyana. Nthaŵi zina, kuchiza magazi m'thupi ndi mankhwala a erythropoietin kapena chitsulo m'malo mwake zakhala zogwira mtima.

3 -

Matenda a shuga

Kwa anthu omwe ali ndi mtundu wachiwiri kapena matenda a shuga , RLS ikhoza kuyamba. Ngati shuga imasiyidwa yosayendetsedwa, kuwonongeka kwa mitsempha kungabweretse. Izi zikuganiza kuti zimachitika chifukwa cha shuga lalikulu m'magazi. Izi zingachititse kuwonongeka kwa mitsempha yaing'ono yomwe imatulutsa mitsempha yotchedwa vaso nervorum. Pamene izi zidzasungunuka, mitsempha idzawonongeka. Kawirikawiri izi zimayambitsa matenda a ubongo, omwe ali ndi kupweteka komanso mapini komanso nsapato. Izi zikhoza kukweza miyendo komanso kukhudza manja. Ogwirizana ndi kusintha kwachisokonezo, anthu ena adzakhala ndi zizindikiro za RLS. Choncho, zikuganiziridwa kuti matenda a shuga angakhale okhawo omwe angathe kudzipangira okha RLS. Kwa anthu omwe adzidwa ndi ziphuphu komanso impso, zizindikiro zawo za RLS zakula bwino.

4 -

Multiple Sclerosis

Pali umboni wochuluka wochuluka wakuti mabala ambiri a sclerosis akuwoneka kuti akugwirizana ndi chiopsezo chowonjezeka cha RLS. Zina mwa maphunzirowa zikutsutsana, komabe. Mu imodzi mwa maphunziro akuluakulu omwe anaphatikizapo maphunziro 1,500, kuchuluka kwa RLS kunali 19% mwa anthu omwe ali ndi MS poyerekezera ndi 4 peresenti ya anthu omwe alibe.

5 -

Matenda a Parkinson

Zimaganizidwa kuti RLS ndi matenda a Parkinson angayambidwe ndi vuto lomwelo, lomwe limasokonezeka mu neurotransmitter dopamine. Izi sizikumveka bwino, komabe. Ziribe kanthu, RLS ikhoza kukhalapo mwa anthu omwe ali ndi matenda a Parkinson, omwe akufala kuyambira pa 0 mpaka 20.8 peresenti, mosiyana malinga ndi phunzirolo. Matenda a Parkinson nthawi zambiri amatanthauza kusadziletsa (kutchedwa akathisia) komwe kumachitika ndi RLS, zomwe zimapangitsa kuti zikhale zovuta kusiyanitsa pakati pa matendawa. Pamene zikhalidwe zonsezi zilipo, RLS kawirikawiri imachitika pambuyo pa matenda a Parkinson.

6 -

Mimba

Sikuti zinthu zonse zomwe zingayambitse RLS ndizovuta. Ndipotu, kukhala ndi pakati kumawoneka kuti sikumangowonjezera chabe koma komanso kuchuluka kwa zizindikiro za RLS. Pa kafukufuku wa amayi okwana 626, 10 peresenti yokha anali ndi zizindikiro za RLS asanakhale ndi pakati koma izi zawonjezeka kufika pa 27 peresenti panthawi yoyembekezera. Zikuwoneka ngati zikuipiraipira mu trimester yachitatu. Nkhani yabwino ndi yakuti zizindikiro zimakula bwino pambuyo pa kubereka. Sizidziwikiratu chomwe chimayambitsa kuchulukitsa kwa RLS pa nthawi ya mimba. Zitha kukhala chifukwa cha kusowa kwachitsulo kapena kuperewera kapena chifukwa cha kusintha kwa mahomoni komwe kumakhudzana ndi kukhala ndi pakati.

7 -

Rheumatic Disease

Pali zinthu zambiri monga matenda a nyamakazi, matenda a Sjogren, ndi fibromyalgia omwe angakhale ndi mayanjano a RLS. Chiyanjano ichi sichidziwika. Mu kafukufuku wina, 25 peresenti ya anthu omwe ali ndi nyamakazi ya nyamakazi anali ndi zizindikiro za RLS poyerekeza ndi 4 peresenti yokha ya iwo omwe ali ndi osteoarthritis. Mu phunziro lina, odwala 42 mwa 135 omwe ali ndi fibromyalgia anali ndi RLS. Chifukwa chenicheni cha mgwirizano umenewu sichimvetsetsedwa bwino.

8 -

Mitsempha ya Varicose

Nthaŵi zina, magazi osauka amayenda m'milingo yakhala ikugwirizana ndi RLS. Makamaka, mitsempha yofooka yomwe imasokoneza ndikumakhala yosasangalatsa yakhala ikudzudzulidwa. Mitsempha imeneyi imapangidwa ndi mtundu wa buluu ndipo imakhala chizindikiro chosalephera. Pofufuza odwala 1,397 okhala ndi mitsempha ya varicose, anthu okwana 312 adadandaula za zizindikiro za RLS.

Kuchiza kwa mitsempha ya varicose kunatsimikizira kukhala othandiza kuthetsa zizindikiro zina za RLS. Sclerotherapy inachititsa kuti anthu 98 peresenti apitirire kusintha, mothandizidwa ndi zaka 72 peresenti. Mankhwalawa, kuphatikizapo hyrdoxyethylrutoside, amasonyezanso kuti ali odzichepetsa.

9 -

Zochitika Zina

Kupitirira zochitika zomwe tafotokozazi, pali mavuto ena ambiri omwe amawoneka kuti akugwirizana ndi zizindikiro za RLS. Izi zikuphatikizapo:

• Kunenepa kwambiri
• Hypothyroidism
• Kuthamanga kwa magazi
• Matenda a mtima
• Mavuto a m'mimba
• Vitamini zoperewera
• Kugwiritsa ntchito caffeine mopitirira muyeso
• Shuga ya m'magazi
• Lumbosacral radiculopathy
• Mimba ya msana
• Kugwiritsira ntchito mianserin (mankhwala opatsirana pogonana)

Ngati muli ndi miyendo yopanda phokoso, mwamwayi muli mankhwala omwe amagwiritsidwa ntchito pa chithandizo .

> Zotsatira:

> Allen, RP et al. "MRI Kuyeza kwa Ubongo Iron kwa Odwala Ndi Matenda Osapepuka Matenda." Neurology 2001; 56: 263.

> Connor, JR ndi al. Kufufuza kwa matenda a ubongo kumapangitsa kuti munthu asagwiritse ntchito ubongo pogwiritsa ntchito mankhwala osokoneza bongo. " Neurology 2003; 61: 304.

> Earley, CJ ndi al. "Zosayembekezereka mu zifukwa za CSF za Ferritin ndi Transferrin mu Matenda Osabisa Matenda." Neurology 2000; 54: 1698.

> Kavanagh, D et al. "Matenda Opanda Pachifuwa M'mitenda Odwala pa Dialysis." Am J Kidney Dis 2004; 43: 763.

> Lee, JE et al. "Zomwe Zimakhudza Kukula kwa Mitsempha Yosalepheretsa Matenda M'mitenda Ndi Matenda a Parkinson." Mov Disord 2009; 24: 579.

> Manconi, M et al. "Matenda a miyendo yopanda mapeto ndi mimba." Neurology 2004; 63: 1065. American Academy of Sleep Medicine. "Mayiko Akumayiko Onse Ovutika Maganizo." Magazini yachiwiri. 2005.

> Manconi, M et al. "Multicenter Case-Control Study pa Restless Legs Syndrome mu Multiple Sclerosis: REMS Study." Kugona 2008; 31: 944.

> Merlino, G. et al. "Mgwirizano wa Matenda Osapumula Mitsempha ndi Ukhondo Womwe Mukugona mu Mtundu Wachiwiri wa shuga: Phunziro la Kulamulira Mlandu." Kugona 2007; 30: 866.

> Walters, A. "Matenda Osapumula Amagazi ndi Maulendo Omwe Amasintha Nthaŵi Yogona." Kupitiriza. Neurol 2007; 13 (3): 115-138.