RLS Inobatsira Mukuneta Kwako Here?
Kutsvakurudza kunoratidza kuti vanhu vane multiple sclerosis (MS) vane nguva inenge yakawanda inowanzoita kuti vave nechirwere chegumbo chisingaverengeki pane vanhu vari vanhu vakawanda.
Restless leg syndrome (RLS) chirwere chehope chinokonzera kusununguka, kufunganya kwemakumbo maawa manheru, uye izvi zvinosangana nekunzwa kusingafadzi.
Kuziva
Simba risingaregi maziso rinowanikwa apo zvinotevera zvinosangana:
- Pane chido chekutamisa makumbo (kazhinji kunokonzerwa kana kuendeswa kusanzwisisika kana kusanzwisisika mumakumbo).
- Izvi zvinokurudzira kuchinja zvinowedzera kana iwe uchiripo, kazhinji urere pasi, asi zvinogonawo kuitika kana ugere.
- Kufamba-famba pedes (zvishoma nezvishoma) chido chokutama kana kufara kusingafadzi, nechisimba ichi chinopfuurira.
- Izvo zvinokurudzira zvakanyanya usiku kunze kwepakati pezuva.
Maererano nekutsvakurudza, vanhu vane MS vane chirwere chakanyanya chirwere, MS inopfuurira, uye zvipembenene mumutsipa wavo wepervical cord (neck area) vari pangozi yakakura yekuve nemarwadzo emakumbo asina simba.
Vanosangana neRLS
Kune zviratidzo zviviri zvinosangana neM MS zvinogona kutevedzera izvo zvekusagadzikana kwemakumbo.
Semuenzaniso, vanhu vane MS vangangodaro vari kutarisana nemhepo , izvo zvinoitika kana chikwata chichiomesera uye munhu wacho asingagoni kukotanidza kubatana. Izvi zvinokonzera chikamu, kazhinji gumbo, kuti chibve kubva mumuviri.
Tsvina dzemuviri dzinowanzokonzera quadriceps (misi mikuru iri mberi kwehudyu), zvichiita kuti gumbo rezasi rigadzirwe.
Ichokwadi, zvimwe zvinyararire zvinogona kunge zvisinganzwisisiki uye zvakasimba zvokuti munhu anogona kugwa kubva pachigaro kana mubhedha. Izvi zvakasiyana chaizvo nezvakaitika zveRLS.
Kuwedzera kwepasimusi kunofambisa kushamwaridzana, panzvimbo ye "kukurudzira." Havasunungurwi nekufamba, asi zvinogona kuva mugumisiro wekuedza kutama, zvakadai sekutendeuka mubhedha kana kuedza kuenda kuwiricheya.
Mukuwedzera, kusuruvara kusingafadzi, kunozivikanwa separesthesias, chiratidzo chakakurumbira cheSMS, uye chinonyanya kuitika mumakumbo makumbo netsoka. Vanonzwa sechinhu chisina kumira kana kumira, kana pini-uye-nenyuchi kusanganiswa kwezvose.
Manzwiro ayawo akasiyana zvikuru nemanzwiro asina kufadza eRLS, sezvo pasina ruzivo kubva kwavari kana munhu ari kufamba (kushandiswa kunogona kuita kuti izvi zvinzwike kuwedzere). Vanowanzovapo panguva, uye kwete usiku chete.
RLS uye MS-Related Fatigue
Kana iwe uine RLS, zvinogona kunge zvichiita kuti uwedzere kunetseka kwako neW MS-kukukonzera iwe kurasikirwa nehope. Izvi zvinonzi kushushikana kwechipiri, sezvo kuneta kunokonzerwa nezviratidzo kana kusuruvara.
Chinonyanya kukonzera kuneta kwevanhu vane MS, zvisinei, kuregererwa kwehutachiona hweSMS pachako. Zvakawanda zvekuti isu isu tinorarama neMS tiri kunzwa zvinonzi "kushungurudzika," uko kuneta kukuru kunenge kusina kuwirirana zvakananga nekuwedzera kwebasa. Ichi ndicho chinotyisa, chisingaiti-ku-kutsanangura, kupwanya kuneta kwechimwe chezviratidzo zvinozivikanwa zvikuru zveSMS.
Mukuwedzera kune RLS, zvimwe zvinokonzera kukonzera muvanhu vane MS zvinosanganisira:
- Kurara kunokonzerwa nekuda kwezvimwe zvinokonzera, semapasimusi, kuora mwoyo kana kufunganya, marwadzo, kana kuti kazhinji inoda kurinha usiku ( nocturia )
- Mishonga migumisiro
- Kuedza kwepanyama kuumba kurasikirwa kwebasa kunokonzerwa nezviratidzo
- Zvirwere, zvakadai semaperembudzi, chirwere chepfupa kana kukonzera zvirwere
- Kushaya muviri kwakakwana
Kurapa
Zvichienderana nehuwandu hwekutambudzika kwako nemarwadzo asina mitsipa asina kumira, zvinorapwa zvinotevera zvinoshandiswa:
- Kudzivisa caffeine, doro, uye nicotine
- Neurontin (gabapentin) inogona kunge iri sarudzo inotevera kune vanhu vane MS, sezvo yakanyatsorambidzwa uye inoshandiswa kurapa marwadzo europathic, chiratidzo chinowanzoonekwa nevarwere vane multiple sclerosis.
- Benzodiazepines kana benzodiazepine agonist, yakadai se diazepam (Valium) uye clonazepam, zvakare yakashandiswa kubudirira, asi inogona kuita kuti kuneta kuwedzere. Zvimwewo zvinongoshandiswa chete kana iwe uchida rubatsiro kwevhiki kana maviri panguva imwe, sezvo zvingave tsika yekuumba.
- Mishonga inowedzera dopamine muuropi, yakadai saRopinirole (Requip), uye pramipexole (Mirapex).
Shoko Rinobva
Kana pane chimwe chinhu chinopindira nemunhu ane MS kuwana huro hwakanaka hweusiku, zvakakosha kuziva chikonzero chacho uye kuchibvisa kusvika pakukwanisika. Apo pavakabvunzwa, vanhu vakawanda vane MS vanoti kuneta ndicho chiratidzo chavanonyanya kuvhiringidza. Kunyange zvazvo kurara kwakanaka hakukwanise kubvisa kuneta, usiku husina hope nemhaka yekusagadzikana kwemakumbo (kana chimwe chinhu) chingareve musiyano pakati pe "kutora" uye kukwana kusakwanisa kushanda.
Uyewo, avo vane MS vanorarama ne "mafungiro asina kunaka" ayo akaoma kana kuti asingakwanisi kurapa. Kusiyana nedzimwe sangano re MS-rakasangana, RLS inoporesa zvikuru. Kana iwe uchifunga kuti une RLS, enda kutaura neurologist yako uye utange kushanda pakuwana zororo.
> Sources:
> Manconi M et al. Mishonga Isingagadziriswi Idzo Maitiro Anowanzowanika mu Multiple Sclerosis uye Correlates NaCervical Cord Kukuvara. Mult Scler. 2008 Jan; 14 (1): 86-93.
> Ondo WG. (2017). Zvirongwa zveKliniki uye Kuongororwa Kwemakumbo Asina Simba Syndrome / Willis-Ekborn Disease uye Periodic Limb Movement Disorder muVakuru. Hurtig HI, Avidan AY ed. Kusvika pari zvino. Waltham, MA: UpTiDate Inc.
> Schürks M, Bussfeld P. Multiple Sclerosis uye Restless Legs Syndrome: Ongororo yeChechi uye Meta-Kuongorora. Eur J Neurol . 2012 Apr; 20 (4): 605-15.