Imilenze yesifo imilenze yinkinga yangempela. I-RLS yimeko apho iimvakalelo ezingathandeki zivela kwimida engezantsi. Njengomthetho, ukungathandeki kubonakala kusihlwa okanye ebusuku. Ukuze ahlalise imeko yakhe, umntu kufuneka ahambe okanye adibanise ngeenyawo zakhe, azihlaziye, ezibangelwa ukuphazamiseka kokulala.
Imisipha yemilenze engenasiphelo - izizathu
Ingxaki ingaba yiprayimari (idiopathic) okanye isibini (impawu). I-syndrome yeemilenze ezingenasiphelo zokuqala zingabikho kuma-50% amatyala. Esi sifo sikhula ngokukhawuleza, kungabikho isizathu esicacileyo. Izizathu ze-RLS eziphambili zibonakala zicacile kwaye zivela ngasemva:
- ukungaphumeleli kwindlala;
- isifo sikashukela;
- Sjogren's syndrome ;
- uremere;
- amyloidosis;
- i-rheumatoid arthritis ;
- inkunkuma ye-anemia;
- Isifo sikaParkinson;
- Multiple sclerosis;
- ukulimala okanye ukulimala kwentambo yomgca;
- ingxaki ye-thyroid gland;
- i-radiculopathy ye-discogenic;
- utywala;
- i cryoglobulinemia;
- ukungakwazi ukuphelelwa yinto engapheliyo;
- i-folic acid engapheliyo i-hypovitaminosis okanye i-cyanocobalamin;
- izifo zemilambo yegazi;
- porphyria polyneuropathy.
Iimilenze zesifo esingenasiphelo - iimpawu
Ukubonakaliswa kwezifo kuhlala kucacile ngokukhawuleza ngexesha. Kwiimeko ezininzi, i-RLS, i-syndrome imilenze yokuphumla, ikhumbuza ngokwalo ngokuhlwa kwaye ebusuku, kwaye ukuphakama komsebenzi wayo kwizigulane ezininzi kuwela kwikota ukusuka ku-00-00 ukuya ku-04-00. Ukuqala ukucinga malunga nendlela yokulahla imilenze yokuphumla imilenze, kufuneka ukhawuleze ekuboneni iimpawu ezinjalo:
- intlungu ebuhlungu kumalungu amancinane;
- ukuvakalelwa nokutshisa, ukulula, ukuqina, ukukhwela, ukubetha emilenzeni;
- ukunyakaza kwamalungu ngexesha lokulala;
- umnqweno wokuhamba rhoqo emilenzeni (oku kuchazwa yinyaniso yokuba kuphela ukunyuka, kungakhathaliseki okwethutyana, kodwa kunciphisa ubunzima);
- isimo esicinezelekileyo esichasene nemvelaphi yokungabikho kokulala okungapheliyo, ukungazinzi rhoqo emilenzeni, ukungonakali kwamandla okusebenza.
Imithi yemilenze engenasiphelo - unyango
Okokuqala, emva kokuxilongwa kwe-RLS, kuyimfuneko ukufumana ukuba isigulane sithatha nawaphi na amayeza, kwaye ukuba kunjalo, ukuba ungabandakanyi abo banokuphucula iimpawu zokugula:
- Metoclopramide;
- Neuroleptics (Azaleptin);
- antihistamines (iLatatadine);
- Abaphili be-H2-receptor (i-Nizatidine);
- amayeza e-lithium;
- Terbutaline;
- Nifedipine nabanye.
Ukuthetha malunga nendlela yokuphilisa imilenze yesifo esingenasiphelo, iingcali zicebisa ukuba zingabikho ngokugqithiseleyo kwaye ziphephe ukunyanzelisa umzimba. Unceda ukunciphisa ukutya. Iziphumo ezintle kwingxaki yokugula kwengxaki yomlenze ibonisa ukungaphumeleli kwekhofi kunye neminye imveliso equkethe i-caffeine (njenge-cola okanye ushokolethi, umzekelo). Ayinakuthintela umdalelo otywala. Kubalulekile ukubuyisela kunye nokuthobela umbuso onempilo womhla.
Xa lesi sifo singenayo imilenze yesifo esingenasiphako, unyango ekhaya luquka ukuhlambalaza okuninzi okanye ukugaya izitho ngaphambi kokuba ulale, uthatha okanye ushushu okanye ubhedu. Ezinye izigulane zikuncedwa ngokuphazamiseka - ingxoxo enesiqhwithi sombuzo othile, ubuchule, nayiphi na into eyenza ingqondo, izicwangciso ze-computer.
Iipilisi ezivela kwi-Restless Leg Syndrome
Ukutyunjwa kwamachiza kufuneka kube yingcali, ngokusekelwe kwimbambano yenkinga. Nangona uthabatha unyango lwe-diagnostic ye-syndrome yemilenze engenakuphumla, kubalulekile ukunamathela kwimimiselo emininzi:
- Kufuneka uqale ngesilinganiso esincinci. Ukwandiswa kwabo kufuneka kuphuculwe kwaye kuqhubeke ukufikelela kwinqanaba elifunayo.
- Ngaphambi kokukhetha unyango ofanelekileyo, unokufuna ukuvavanya iziyobisi ezahlukeneyo.
- Ngamanye amaxesha ukudibanisa amayeza ahlukeneyo kubonisa umphumo ongcono kune-monotherapy.
Ukulwa nobuthathaka, iziyobisi ze-dopaminergic zisetyenzisiweyo - iSinemet, Parlodel, Pergolid. Kungekudala, ngokuxilongwa kweemilenze zesifo esingenasiphelo, unyango kunye neM Mirape lubekwa njalo. Eli liza lisebenza ngokukodwa ekuphatheni i-RLS kwizigulane zesifo sika-Parkinson. Ukongezelela kumachiza angentla, ingxaki incedwa ukulwa:
- i-anticonbulsants - iGabapentin, iTegretol;
- i-opiates - iMethadone, iPropoxyphene, iOxycodone;
- beta-blockers - Anaprilin;
- iipilisi zokulala - iMelaxen.
Unyango lwemizimba yemilenze engapheliyo kunye nezilwanyana zomntu
Amagqirha avumela ukusebenzisa olunye unyango kwi-RLS, kodwa kuphela xa longezelelweyo. Iyeza zonyango zinika indlela elula kodwa esebenzayo yokonyango: ukuhamba ngeeyure ngobusuku, ubushushu obunobuncinane obu-10 ngeminithi yokubhabha, ukutshiza ngomunwe kunye nesaladi elula okanye i-kefir ekudleni. Ngaphambi kokuba uphathe imilenze yokuphunga imilenze ngale ndlela, kukulungele ukubonisana nengcali.
Imilenze yesifo esingazinzileyo - iingxaki
Ukuxilongwa ngokwalo akubi kwaye kukhululeka kakhulu. Ukuba awujongani nonyango lwakhe, idiopathic yokuphulukana nesifo somlenze singabangela ubunzima bokulala, ukulala, ukuphazamiseka, ukuphazamiseka . Kwezinye izigulane, ngenxa yezimpawu ezingathandekiyo, ukukhubazeka kwezentlalontle kunye nokusebenza kwabasebenzi.
Iimilenze zesifo esingapheliyo ngexesha lokukhulelwa
Abafazi baseburhulumenteni bahlala bekhalaza ngxaki efanayo. Imilenze yesifo esingahlaliyo ngexesha lokukhulelwa ibonakaliswa ngendlela efanayo - ukugubha okanye ukudonsa intlungu emagqabeni, kwimimango yemilenze, iinyawo, iinyawo. Ukunciphisa imilenze yesifo emilenzeni ekukhulelweni kuya kunceda le miqathango:
- Kunconywa ukuba ulale umama ozayo kwikamelo elinesimo esihle ngomoya ovulekileyo.
- Ngethuba lemini, umthwalo ofanelekileyo kufuneka ube kwiinyawo zakho. Inketho efanelekileyo - ukuhamba ngokukhawuleza.
- Ungatshintsha indlela yokulala. Ngokomzekelo, iya kulala ngaphambi kokuba kukho intlungu, ukutshisa, ukubetha kunye nezinye iimpawu ze-RLS.