Isina zororo makumbo chirwere

Restless legs syndrome (RLS) idambudziko remitsipa rinokonzeresa kuti unzwe chishuwo chisingamiswe chekumuka nekumhanya kana kufamba. Iwe unonzwa kusagadzikana kunze kwekunge iwe uchifambisa makumbo ako. Kufamba kunomisa kusanzwisisika kwekunzwa kwenguva pfupi.

Ichi chirwere chinonziwo kusagadzikana makumbo syndrome / Willis-Ekbom chirwere (RLS / WED).

Hapana anoziva chaizvo chinokonzeresa RLS. Zvinogona kunge zvichikonzerwa nedambudziko nenzira iyo maseru ehuropi anoshandisa dopamine. Dopamine ikemikari yeuropi inobatsira nekufamba kwetsandanyama.

RLS inogona kuve yakabatana kune mamwe mamiriro. Zvinogona kuitika kazhinji kune vanhu vane:

• Chirwere chetsvo chisingaperi
• Chirwere cheshuga
• Iron, magnesium, kana kushomeka kwe folic acid
• Parkinson chirwere
• Peripheral neuropathy
• Kubata pamuviri
• Multiple sclerosis

RLS inogona zvakare kuitika kune vanhu avo:

• Shandisa mimwe mishonga yakaita secalcium chiteshi blockers, lithium, kana neuroleptics
• Uri kumisa kushandiswa kwekunyaradza
• Shandisa caffeine

RLS inoitika kazhinji muvakuru vane makore ari pakati nepakati uye vakuru. Vakadzi vanowanzove neRLS kupfuura varume.

RLS inowanzo pfuudzwa mumhuri. Izvi zvinogona kuve chinhu chinokonzera apo zviratidzo zvinotanga pazera diki.

RLS inotungamira kumanzwiro asingafadzi mumakumbo ako epasi. Aya manzwiro anokonzeresa kusamiswa chishuwo chekutamisa makumbo ako. Unogona kunzwa:

• Zvinokambaira uye zvinokambaira
• Kupopota, kudhonza, kana kukweva
• Kutsva kana kusunga
• Kuchema, kurova, kana kurwadziwa
• Kuvava kana kuruma
• Kucheka, mapini uye tsono mutsoka

Aya manzwiro:

• Zvakanyanya kuipa husiku paunorara pasi kusvika pangangoita kukanganisa kurara uye kuita kuti murwere amuke
• Dzimwe nguva zvinoitika mukati mezuva
• Kutanga kana kuwedzera kuipa kana iwe ukarara pasi kana kugara kwenguva refu yenguva
• Inogona kugara kweawa rimwe kana kupfuura
• Dzimwe nguva zvakare zvinoitika mumakumbo epamusoro, tsoka, kana maoko
• Unozorodzwa paunofamba kana kutambanudza chero bedzi uchiramba uchifamba

Zviratidzo zvinogona kuita kuti zvive zvakaoma kugara panguva yemhepo kana kufamba kwemotokari, kana kuburikidza nemakirasi kana misangano.

Kushungurudzika kana kushungurudzika mupfungwa kunogona kuita kuti zviratidzo zviwedzere.

Vazhinji vanhu vane RLS vane mutserendende wemakumbo pavanorara. Aya mamiriro anonzi periodic limb kufamba kusagadzikana.

Zvese izvi zviratidzo zvinoita kuti zvive zvakaoma kurara. Kushaya hope kunogona kutungamira ku:

• Kurara masikati
• Kuzvidya mwoyo kana kuora mwoyo
• Kuvhiringidzika
• Zvakaoma kufunga zvakajeka

Iko hakuna chaiyo bvunzo yeRLS. Anokuchengetedza hutano anotora nhoroondo yako yekurapa uye oongorora muviri. Iwe unogona kunge uine kuongororwa kweropa uye mimwe bvunzo kutonga kunze mamiriro anogona kukonzera zvakafanana zviratidzo.

Kazhinji, mupi wako anoona kana uine RLS zvichienderana nezviratidzo zvako.

RLS haigone kurapwa. Zvisinei, kurapwa kunogona kubatsira kubvisa zviratidzo.

Dzimwe shanduko dzemararamiro dzinogona kukubatsira iwe kurarama nemamiriro acho uye kurerutsa zviratidzo.

• Wana nguva yakakwana yokurara. Enda kunorara uye kumuka panguva imwechete zuva rega rega. Ita shuwa kuti mubhedha wako nekamuri yekurara zvakagadzikana.
• Edza kushandisa zvinopisa kana kutonhora mapakeji pamakumbo ako.
• Batsira mhasuru dzako kuti dzizorore nekutetepa zvinyoro, kukwiza muviri, uye nekugeza kwekudziya.
• Tora nguva kunze kwezuva rako kuti uzorore chete. Edza iyo yoga, kufungisisa, kana dzimwe nzira dzekudzora kusagadzikana.
• Dzivisa caffeine, doro, uye fodya. Vanogona kuita kuti zviratidzo zviwedzere.

Wako mupi anogona kupa mishonga yekurapa RLS.

Mimwe mishonga inobatsira kudzora zviratidzo:

• Pramipexole (Mirapex)
• Ropinirole (Chinodiwa)
• Mashoma madhizaizi emishonga yekunwa

Mimwe mishonga inogona kukubatsira kurara:

• Sinemet (mubatanidzwa carbidopa-levodopa), mushonga unorwisa-Parkinson
• Gabapentin uye pregabalin
• Clonazepam kana zvimwe zvinodzivirira

Mishonga yekukubatsira iwe kurara inogona kukonzera kurara masikati.

Kurapa mamiriro ane zviratidzo zvakafanana senge peripheral neuropathy kana kushomeka kwesimbi kunogona kubatsira zvakare kubvisa zviratidzo.

RLS haina ngozi. Zvisinei, zvinogona kusagadzikana, zvichiita kuti zvive zvakaoma kurara uye zvinokanganisa hupenyu hwako.

Unogona kusakwanisa kurara zvakanaka (kushaya hope).

Dana kuti usangane nemupi wako kana:

• Iwe une zviratidzo zveRLS
• Kurara kwako kwakanganiswa
• Zviratidzo zvinowedzera kuwedzera

Iko hakuna nzira yekudzivirira RLS.

Willis-Ekbom chirwere; Nocturnal myoclonus; RLS; Akathisia

• Kutya system

Allen RP, Montplaisir J, Walters AS, Ferini-Strambi L, Hogl B. Kusazorora makumbo chirwere uye nguva nenguva kufamba kwemaoko panguva yekurara. Mune: Kryger M, Roth T, Dement WC, eds. Nheyo uye Maitiro Ekurara Mushonga. 6th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 95.

Chokroverty S, Avidan AY. Kurara uye kusagadzikana kwaro. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 102.

Winkelman JW, Armstrong MJ, Allen RP, et al. Dzidzira hutungamiriri pfupiso: kurapwa kwekusagadzikana kwemakumbo syndrome muvakuru: mushumo weGuideline Development, Kuparadzira, uye Implementation Subcommittee yeAmerican Academy yeNeurology. Neurology. 2016; 87 (24): 2585-2593. PMID: 27856776 www.ncbi.nlm.nih.gov/pubmed/27856776.