Nyanzvi Q&A: Kunzwisisa Restless Leg Syndrome
Zvemukati
- Ndeipi inonyanya kukonzera zviratidzo zvangu nezviratidzo?
- Pane zvimwe zvikonzero zvingangodaro here?
- Ndedzipi nzira dzekurapa dziripo?
- Pane here zvekuwedzera zvinovaka muviri izvo zvinogona kubatsira?
- Ndeapi mishonga aunowanzo kurudzira? Ndezvipi zvingangoitika mhedzisiro?
- Ndine aya mamwe mamiriro ehutano. Ndingaite sei kuti ndivanyatsozvibata pamwe chete?
- Ndeapi matanho ekuzvichengeta anogona kuvandudza zviratidzo zvangu?
- Kurovedza muviri kunobatsira here? Ndeupi mhando wakanaka?
- Une mamwe mawebhusaiti aunokurudzira kwandinogona kuwana rumwe ruzivo? Ndekupi kwandingawane boka rekutsigira vanhu vane zororo makumbo syndrome?
Dr. Nitun Verma ndiye anotungamira chiremba wemishonga yekurara muSan Francisco Bay Area, director weWashington Township Center yeZvinetso Zvekurara muFremont, California, uye munyori we Epocrates.com gwara reRLS.
Ndeipi inonyanya kukonzera zviratidzo zvangu nezviratidzo?
Parizvino zvinofungidzirwa kuti chikonzero chiri chidanho chepasi cheiyo neurotransmitter inonzi dopamine iyo inoshandisa simbi sedziviriro. Dzakadzika nhanho dze dopamine, kana mishonga inoidzikisa, inokonzeresa echinyakare zviratidzo zvekusagadzikana manzwiro mumakumbo (dzimwe nguva maoko) kazhinji manheru.
Pane zvimwe zvikonzero zvingangodaro here?
Zvimwe zvikonzero zvinogona kuve nhumbu, zvimwe zvinodzvinyirira, antihistamines senge Benadryl, uye itsvo kutadza. RLS ine chemagetsi-inowanzo mhanya mumhuri.
Ndedzipi nzira dzekurapa dziripo?
Yekutanga uye kazhinji sarudzo yakanakisa ndeye kukwiza muviri. Kukwiza makumbo manheru ega ega kunobatsira kudzivirira zviratidzo nguva zhinji. Massage usati warara inobatsira. Ini ndinorikurudzira sekutanga-kurapwa kwekutanga usati watarisa mishonga. Kumanikidza kunodziya kana kumanikidza kunotonhora kunogona kubatsira. Varwere vangu vanoshandisa kukwiza kwemagetsi (senge iwo ekurwadziwa kumashure) vanowana mabhenefiti makuru.
Nhanho inotevera ndeyekuchinjisa kunze mishonga inogona kukuvadza zviratidzo senge mamwe antidepressants uye antihistamines. Kana chiremba wako akaona kuti iwe une mashoma masimbi esimbi, kutsiva kwacho kunogona kubatsira, zvakare. Iyo yekupedzisira sarudzo iri kushandisa mishonga yakagadzirirwa kurapa kusagadzikana
makumbo, uye nhau dzakanaka ndedzekuti pave nekufambira mberi mukutsvaga mishonga mitsva.
Pane here zvekuwedzera zvinovaka muviri izvo zvinogona kubatsira?
Kana iwe wakaderera musimbi, yakanaka yekuwedzera ingave iron kwemwedzi mishoma kuti uone kana izvozvo zvichibatsira. Iron inogona kukonzeresa GI kugumbuka, zvakadaro, saka ini ndinongoikurudzira kune vanhu vakaderera mune iron. Magnesium iri kudzidziswa izvozvi sekurapa, asi hapana data rakaringana rekuipa seyekurapa kwepamutemo.
Ndeapi mishonga aunowanzo kurudzira? Ndezvipi zvingangoitika mhedzisiro?
Dopamine mishonga inogona kubatsira, asi dzimwe nguva inogona kuve nemhedzisiro mhedzisiro yemuviri kujairira iyo kana ikatorwa pamwero wakakwira. Imwe kirasi yemishonga ine hukama neagabapentin, mushonga unoshandiswa kare kubatika. Kune mimwe mishonga mitsva yakadai seNeupro, dopamine chigamba chaunoisa paganda rako pane kumedza sepiritsi. Horizant ndeye itsva gabapentin / neurontin-inosangana mishonga inoda kushandurwa kushoma kwemadhosi kana ichienzaniswa neyekare mishonga.
Zvinodzora marwadzo hazvishande kune RLS. Kana vakabatsira, iwe unogona kunge uine chimwe chinhu. Ndakaita kuti vanhu vazhinji vatore-pamusoro-e-counter kurara zvinoyamura. Benadryl chinhu chinowanikwa mune mazhinji marapirwo aya uye chinoita kuti zviratidzo zveRLS zviwedzere. Vanobva vatora mizinga yakatokwira uye inoisa mweya wakashata. Mimwe mishonga inoita kuti iwedzere kuipa: vanopikisana nedopamine, lithium carbonate, mishonga yekudzvinyirira yakaita se tricyclics, SSRIs (Paxil, Prozac, nezvimwewo). Wellbutrin (buproprion) chinhu chinodzvinyirira icho chiri chakasarudzika uye chisati chave chiri
inoratidzwa kuwedzera zviratidzo zveRLS.
Ndine aya mamwe mamiriro ehutano. Ndingaite sei kuti ndivanyatsozvibata pamwe chete?
Kana iwe zvakare uine kushushikana, unogona kunge uri pamushonga unowedzera zviratidzo zveRLS. Usazvimise wega, asi bvunza chiremba wako kana imwe mhando yeanodzvinyirira inogona kushanda panzvimbo. Buproprion is antidipressant iyo inogona kubatsira RLS zviratidzo mune dzimwe nguva.
Vanhu vane RLS havarara zvakanyanya, uye kurara kushoma kwakabatana nekushushikana, chirwere cheshuga, uye neBP. Asi zvakaoma kurapa yakakwira BP pasina kugadzirisa dambudziko rekurara, futi. Nehurombo, kurara kunowanzo kufuratirwa muvarwere ava.
Ndeapi matanho ekuzvichengeta anogona kuvandudza zviratidzo zvangu?
Nhanho yekuzvitarisira yakanakisa kukwiza makumbo ako husiku. Kana iwe ukaona kuti zviratidzo zvinotanga pane imwe nguva, sekureva 9 pm, wozokwiza pakati pe8 na9 pm Dzimwe nguva kukwiza muviri zviratidzo zvisati zvatanga zvinogona kushanda zvakanyanya.
Kurovedza muviri kunobatsira here? Ndeupi mhando wakanaka?
Maekisesaizi ane chekuita nemhasuru dzakakanganiswa zvakanakisa, asi haafanire kuve akaomarara. Kunyangwe kufamba nekutambanudza zvichave zvakanaka zvakakwana.
Une mamwe mawebhusaiti aunokurudzira kwandinogona kuwana rumwe ruzivo? Ndekupi kwandingawane boka rekutsigira vanhu vane zororo makumbo syndrome?
www.sleepeducation.org inzvimbo huru inoitwa neAmerican Academy yeSleep Medicine ine ruzivo nezveRLS. Iyo inogona kubatsira kunongedza iwe kune yemuno rutsigiro boka.