Iyo 11 Kurapa Kwakanyanya kweRestless Legs Syndrome

Zvemukati

• 1. Kutonga zvingakonzera
• Tsika
• Mishonga
• Mamiriro ehutano
• Zvimwe zvinokonzera
• 2. Nzira dzakanaka dzekurara
• 3. Iron nemavhitamini zvinowedzera
• 4. Rovedza muviri
• 5. Yoga uye kutambanudza
• 6. Massage
• 7. Mishonga yemishonga
• Dopaminergic zvinodhaka
• Gabapentin
• Benzodiazepines
• Opioid
• 8.Kuputira tsoka (restiffic)
• 9. Pneumatic kudzvinyirira
• 10.Pibration pad (Relaxis)
• 11.Pedyo-infrared spectroscopy (NIRS)
• Marapirwo ane mashoma masayendisiti backup
• Kupisa uye kutonhora kurapwa
• Kudzokorora transcranial magnetic kukurudzira (rTMS)
• Transcutaneous magetsi etsinga kukurudzira (TENS)
• Kugadzirira
• Kuvhiya kwevaricose veins
• Kutora

Chii chinonzi restless legs syndrome?

Restless legs syndrome (RLS), inozivikanwawo sehosha yeWillis-Ekbom, mamiriro ezvinhu anokonzeresa kusagadzikana, kazhinji mumakumbo. Aya manzwiro akatsanangurwa seanotutira, achikambaira, anokambaira manzwiro, uye anokonzeresa chishuwo chikuru chekufambisa gumbo rakabatwa

Zviratidzo zveRLS zvinowanzoitika kana munhu akagara, achizorora, kana akarara, uye zvinowanzoitika husiku. Iko kufamba kunokonzerwa neRLS kunonzi kufamba kwenguva nhengo dzekurara (PLMS). Nekuda kwekufamba uku, RLS inogona kukonzera matambudziko akakomba ekurara.

Vamwe vanhu vane yekutanga RLS, iyo isina inozivikanwa chikonzero. Vamwe vane yechipiri RLS, iyo inowanzo sangana nematambudziko etsinga, nhumbu, kushomeka kwesimbi, kana kusingaperi kweitsvo kukundikana.

Kune vanhu vazhinji vane RLS, zviratidzo zvinyoro. Asi kana zviratidzo zvako zviri pakati nepakati kusvika zvakanyanya, RLS inogona kukanganisa hupenyu hwako. Inogona kukutadzisa kurara zvakakwana, uye nekudaro ichikonzera matambudziko nekutarisa kwemasikati uye kufunga, rako basa, uye zviitiko zvako zvekudyidzana.

Nekuda kwematambudziko aya, RLS inogona kutungamira mukushushikana uye kushushikana. Uye iyo yakareba iwe uine iyo mamiriro, iyo yakaipa iyo inogona kuwedzera. Inogona kutopararira kune dzimwe nhengo dzomuviri wako, senge maoko ako ().

Nekuda kwemhedzisiro iyo RLS inogona kuve nayo pahupenyu hwako, kurapwa kwakakosha. Maitiro ekurapa akasiyana, sezvo chikonzero cheRLS chisinganyatso kuzivikanwa. Semuenzaniso, vamwe vaongorori vanoti RLS inokonzerwa nematambudziko nehuropi chemakemikari dopamine, nepo vamwe vachiratidza kuti zvine chekuita nekutenderera kwakashata.

Pano tinonyora dzakanakisa kurapwa kweRLS. Zvimwe zvacho unogona kuzviedza wega. Vamwe vaunogona kukurukura nachiremba wako, uyo anogona kukubatsira kugadzira chirongwa chekurapa kuti ubatsire kusunungura zviratidzo zvako zveRLS.

1. Kutonga zvingakonzera

Nhanho yako yekutanga kugadzirisa RLS inofanira kunge iri yekuona kana paine chiri kuchikonzera. Nepo RLS ichigona kuve ichienderana nezvinhu izvo zvakanyanya zviri kunze kwesimba rako, senge genetics kana nhumbu, zvimwe zvinogona kuitika zvinogona kugadziriswa.

Izvi zvinhu zvinogona kuve zvezuva nezuva maitiro, mishonga yauri kutora, mamiriro ehutano aunayo, kana zvimwe zvinokonzeresa.

Tsika

Iko kushandiswa kwecaffeine, doro, uye fodya kunogona kuwedzera zviratidzo zveRL. Kuganhurira zvinhu izvi kunogona kubatsira kudzikisa zviratidzo zvako zveRLS (2).

Mishonga

Mimwe mishonga inogona kukonzera kana kuwedzera zviratidzo zveRLS. Mienzaniso inosanganisira: (, 2, 3).

• antihistamines ekare senge diphenhydramine (Benadryl)
• antinausea zvinodhaka zvakadai se metoclopramide (Reglan) kana prochlorperazine (Compro)
• antipsychotic zvinodhaka zvakadai se haloperidol (Haldol) kana olanzapine (Zyprexa)
• lithium (Lithobid)
• serotonin reuptake inhibitors (SSRIs) inosarudzika yakadai se fluoxetine (Prozac), sertraline (Zoloft), kana escitalopram (Lexapro)
• tricyclic antidepressants senge amitriptyline (Elavil) kana amoxapine (Asendin)
• tramadol (Ultram)
• levothyroxine (Levoxyl)

Ita shuwa kuti chiremba wako anoziva nezvese madhiragi auri kutora, zvese mushonga uye pamusoro pekambani. Taura nachiremba wako nezvekuti vangave vari kuita kuti RLS yako iwedzere, kunyanya kana iwe uri kutora chero yemimwe mishonga yakanyorwa pamusoro.

Mamiriro ehutano

Humwe hutano mamiriro akawanikwa aine hukama neRLS. End-stage renal (itsvo) chirwere, kana ESRD, uye kukuvara kwetsinga kubva kuchirwere cheshuga zvakabatana neRLS. Iron kushomeka anemia zvakare ine hukama hwakasimba neRLS (ona iron pazasi) (4,,).

Iwe unofanirwa kutaurirana nachiremba wako kuti nhoroondo yako yehutano ingakanganisa sei RLS yako, kunyanya kana iwe uine chero eaya mamiriro.

Zvimwe zvinokonzera

Vamwe vanhu vanoti kudya shuga yakawanda kana kupfeka mbatya dzakaomarara kunowedzera zviratidzo zveRLS. Kunyange pasina hutsva hwakawanda kutsigira kubatana uku, ungangoda kushandisa kumwe kuyedza uye kukanganisa kuti uone zvinoita sekukanganisa zviratidzo zvako.

Nhanho yekutanga yekurapa RLS inofanira kunge iri yekuziva kana paine chiri kuikonzera. Iwe unofanirwa kufunga nezve tsika dzakadai kunwa doro kana kusvuta, mimwe mishonga kana mamiriro ehutano, uye zvimwe zvinokonzeresa kukanganisa kwavo zviratidzo zveRLS.

2. Nzira dzakanaka dzekurara

Kuva netsika dzakanaka dzekurara zvinokurudzirwa kune chero munhu, asi pamwe kunyanya kune vanhu vane dambudziko rekurara, sevaya vane RLS.

Kunyangwe kurara zvirinani kusingagadzirise zviratidzo zvako zveRLS, zvinogona kukubatsira kudzora kurara kwaunotambura nemamiriro ako. Edza matipi anotevera kuita kuti kurara kwako kuve kuzorodza uye kudzoreredza sezvinobvira.

• Enda kunorara uye kumuka panguva dzakafanana zuva rega rega.
• Chengetedza nzvimbo yako yekurara inotonhorera, yakanyarara, uye ine rima.
• Chengetedza zvinovhiringidza, senge TV nefoni, kusvika padiki mune yako yekurara.
• Dzivisa zvigadzirwa zvemagetsi kwemaawa maviri kana matatu usati warara. Chiedza chebhuruu kubva pane izvi skrini chinogona kukanda yako circadian mutinhimira, iyo inokubatsira iwe kugara wakasununguka kurara kutenderera (7).

Kunyangwe ivo vasingakwanise kugadzirisa ako RLS zviratidzo, tsika dzakanaka dzekurara dzinogona kusimudzira hope dzako uye dzinogona kubatsira kudzora mimwe yemhedzisiro yeRLS.

3. Iron nemavhitamini zvinowedzera

Kushomeka kwesimbi kunofungidzirwa kuve chimwe chezvikonzero zvikuru zveRLS. Ongororo dzinoverengeka dzakaratidza kuti iron inowedzera inogona kubatsira kurerutsa RLS zviratidzo (, 3).

Ongororo yeropa yakapusa inogona kutarisa kushomeka kwesimbi, saka kana iwe uchifunga kuti ichi chingave chinetso kwauri, taura nachiremba wako.

Kana iwe ukaedza zvakanaka kushomeka kwesimbi, chiremba wako anogona kukurudzira muromo wematare zvinowedzera, izvo iwe zvaunogona kuwana kune yako yemunharaunda pharmacy. Mune zvimwe zviitiko, intravenous (IV) iron inogona kudikanwa (, 8).

Uye zvakare, kushomeka kwevhitamini D kunogona kubatanidzwa neRLS. Chidzidzo chegore ra2014 chakawana kuti vhitamini D inowedzera zvinoderedza zviratidzo zveRLS muvanhu vane RLS uye kushomeka kwevhitamini D ().

Uye kune vanhu vane hemodialysis, mavitamini C uye E zvinowedzera zvinogona kubatsira kubvisa RLS zviratidzo (4,).

Kuwedzera nesimbi kana mavhitaminzi D, C, kana E zvinogona kubatsira vamwe vanhu vane RLS. Chiremba wako anogona kukuudza kana kuyedza zvinowedzera kungave zano rakanaka kwauri.

4. Rovedza muviri

Kurovedza muviri kunogona kukubatsira kuti unzwe zvirinani kana uine RLS.

National Institutes of Health inotaura kuti kurovedza muviri zvine mwero kunogona kubatsira kudzikisira zvinyoro RLS zviratidzo (3).

Uye ongororo ya2006 yevanhu makumi maviri nevatatu vane RLS yakawana kuti kurovedza muviri kweaerobic uye kudzikisira kudzidzira kushomeka kwemuviri, kunoitwa katatu pasvondo kwemavhiki gumi nemaviri, kwakadzikira zvakanyanya zviratidzo zveRLS ().

Zvimwe zvidzidzo zvakawanawo kurovedza muviri kunoshanda kwazvo kune RLS, kunyanya kune vanhu vane ESRD (4,).

Zvichipa izvi zvidzidzo, pamwe nezvimwe zvinoratidza kuti chiitiko chinogona kubatsira kuvandudza kurara, kurovedza muviri kunoratidzika kunge kwakakodzera kune vanhu vane RLS ().

Imwe kurudziro kubva kuRestless Legs Foundation - kurovedza muviri zvine mwero. Usashande kusvika padanho rekurwadziwa nemarwadzo, nekuti izvi zvinogona kuita kuti zviratidzo zvako zveRLS zviwedzere (14).

Zvichipa mabhenefiti ayo ekuderedza zviratidzo zveRLS uye kugadzirisa kurara, kugara uchirovedza muviri itsika yakanaka yekuvandudza kune vanhu vane RLS.

5. Yoga uye kutambanudza

Sedzimwe mhando dzekurovedza muviri, iyo yoga uye kutambanudza maekisesaizi kwakaratidzirwa kuve kune mabhenefiti kune vanhu vane RLS ().

Chidzidzo che2018-vhiki sere yevakadzi gumi vakaona kuti iyo yoga yakabatsira kudzikisa zviratidzo zveRLS. Izvo zvakare zvakabatsira kuvandudza manzwiro avo uye kudzikisira kushushikana kwavo, izvo zvinogona kuvandudza kurara kwavo. Uye ongororo ya2012 yakaratidza kuti iyo yoga yakavandudza kurara mumadzimai makumi maviri ane RLS (,).

Chimwe chidzidzo chakaratidza kuti kutambanudza maekisesaizi kwakagadzirisa zvakanyanya muzviratidzo zveRLS zvevanhu pahemodialysis ().

Hazvinyatso kujeka kune vaongorori kuti nei iyo yoga nekutambanudza inoshanda, uye kumwe kutsvagurudza kungabatsira. Asi ukapihwa mhedzisiro iyi, ungangoda kuwedzera imwe mhuru uye yepamusoro gumbo rinotambanuka kune yako yemazuva ese yekurovedza muviri.

Kunyangwe zvisiri kujeka nei, iyo yoga uye kumwe kutambanudza maekisesaizi kunogona kubatsira kubvisa RLS zviratidzo.

6. Massage

Kupuruzira makumbo ako emakumbo kunogona kubatsira kurerutsa zviratidzo zveRLS.Masangano mazhinji ezvehutano, akadai seNational Institutes of Health neNational Sleep Foundation, anozviratidza sekurapa pamba (3, 18, 19).

Kunyangwe pasina zvimwe zvakawanda zvekutsvagisa izvo zvinotsigira kukwiza muviri seRLS kurapwa, 2007 kesi yekuongorora yakaratidza mabhenefiti ayo.

Mukadzi ane makore makumi matatu nemashanu ekuberekwa aive nemaminetsi makumi mashanu emaminetsi emakumbo kaviri pasvondo kwevhiki nhatu aive avandudza zviratidzo zveRLS panguva yese iyoyo. Massage yake yaisanganisira akasiyana matekinoroji, kusanganisira chiSweden masaja uye kumanikidza kwakananga kumhasuru dzemakumbo (20).

Zviratidzo zvake zveRLS zvakadzora mushure mekurapwa kwemaviri, uye haana kutanga kudzoka kusvika vhiki mbiri mushure mekumisikidzwa regimen (20).

Munyori wechidzidzo ichocho akataura kuti kuwedzerwa kusunungurwa kwedopamine kunokonzerwa nekukwiza muviri kunogona kuva chikonzero chemibairo. Zvakare, kukwiza muviri kwakaratidzirwa kunatsiridza kutenderera, saka icho chingave chiri chikonzero chemhedzisiro yazvo paRLS (20,,).

Sebhonasi yakawedzerwa, kukwiza muviri kunogona kubatsira mukuzorora, izvo zvinogona kubatsira kuvandudza hope dzako.

Chero chingave chikonzero, kukwiza gumbo iri nyore uye inozorodza kurapwa kunogona kubatsira kudzikamisa zviratidzo zvako zveRLS.

7. Mishonga yemishonga

Mishonga yekurapa yakakosha kune ine mwero kusvika kune yakaoma RLS. Dopaminergic zvinodhaka zvinowanzove mishonga yekutanga yakatemwa. Izvo zvinoshanda mukuderedza zviratidzo zveRLS, asi zvinogona kukonzera mhedzisiro uye mamwe matambudziko ().

Mamwe marudzi emishonga anogona zvakare kubatsira kubvisa RLS zviratidzo pasina kukonzera aya mamwe marudzi ematambudziko.

Dopaminergic zvinodhaka

Dopaminergic zvinodhaka zvinowedzera kusunungurwa kwedopamine muuropi yako. Dopamine kemikari inobatsira kugonesa yakajairika kufamba kwemuviri ().

Dopaminergic zvinodhaka zvinogona kubatsira kubvisa zviratidzo zveRLS nekuti mamiriro acho ane hukama nematambudziko mukugadzirwa kwemuviri wedopamine.

Mishonga mitatu yedopaminergic yakagamuchirwa neU.S.Food and Drug Administration (FDA) kurapa zvine mwero kusvika kune yakakomba yekutanga RLS:

• pramipexole (Mirapex) (23)
• ropinirole (Chinodiwa) (24)
• rotigotine (Neupro) (25)

Kunyange madopaminergic madhiragi akaratidzirwa kubatsira kuvandudza RLS zviratidzo, kushandiswa kwenguva refu kunogona kunyanyisa zviratidzo. Ichi chinoshamisa chinonzi kuwedzera. Kubatsira kunonoka dambudziko iri, vanachiremba vanowanzo gadza yakaderera inogoneka dosi yemishonga iyi (,).

Uye zvakare, iyi mishonga inogona kushomeka nekufamba kwenguva. Kuti ubatsire kunonoka kana kudzivirira ese maviri eaya matambudziko, chiremba wako anogona kuraira musanganiswa wemishonga yedopaminergic nemamwe marudzi emishonga yekurapa RLS ().

Gabapentin

Mushonga wechina wakabvumidzwa neDFA kurapa RLS inonzi gabapentin (Horizant). Uyu mushonga unodzivirira (27).

Hazvina kunyatsonzwisiswa mashandiro anoita gabapentin kubvisa zviratidzo zveRLS, asi zvidzidzo zvinoratidza kuti inoshanda ().

Mune kumwe kuongorora, vanhu makumi maviri nevana vane RLS vakaporeswa ne gabapentin kana placebo kwemavhiki matanhatu. Vaya vanorapwa ne gabapentin vaive vavandudza kurara uye kudzikisa kufamba kwemakumbo kubva kuRLS, nepo avo vaibatwa ne placebo vasina ().

Chimwe chidzidzo chakafananidza kushandiswa kwe gabapentin nekushandisa ropinirole (imwe yemishonga inogamuchirwa neDFA yekurapa RLS). Vanhu vasere vane RLS vakatora imwe yemishonga kwemavhiki mana, uye mapoka ese ari maviri akawana mazinga akafanana ezororo kubva kuRLS zviratidzo ().

Benzodiazepines

Benzodiazepines mishonga inoshandiswa kurapa kushushikana uye matambudziko ekurara. Clonazepam (Klonopin) uye mamwe marudzi emishonga iyi anowanzo gadzirirwa vanhu vane RLS pamwe chete nemimwe mishonga (30).

Nepo mishonga iyi isingakwanise kubvisa zviratidzo zveRLS pachavo, kubatsirwa kwavo kwekurara kwekurara kunogona kubatsira zvakanyanya kuvanhu vane RLS (30).

Opioid

Opioid inowanzo shandiswa kurapa marwadzo. Mune zvimwe zviitiko, kazhinji kana imwe mishonga isingabatsire kana kukonzera kuwedzerwa, maopioid anogona kushandiswa zvakaringana mumadosi mashoma kubatsira kurapa RLS (, 8).

Yakareba-kuburitsa oxycodone / naloxone (Targinact) ndeimwe opioid iyo inogona kubatsira kubvisa RLS zviratidzo uye nekuvandudza kurara (4). Nekudaro, nekuda kwemazano matsva ari kugadzirirwa ekushandisa maopioid, iyi inofanirwa kuve yekupedzisira nzira.

Sezvazvakaita nemaopioid ese, kushandiswa kwemishonga iyi kunofanira kutarisirwa nachiremba, nekuda kwenjodzi yekushandisa zvisizvo uye kuvimba.

Kana iwe uine zvine mwero kune zvakanyanya RLS, chiremba wako angangodaro ataure imwe kana yakawanda mishonga. Dopaminergic zvinodhaka zvinowanzoitwa yekutanga RLS kurapwa, asi inogona kukonzera mhedzisiro uye kuwedzera, saka mashandisiro avo anofanira kutarisirwa zvakaringana.

8.Kuputira tsoka (restiffic)

Kuputira tsoka kwakaratidzwa kubatsira kubvisa zviratidzo zveRLS.

Inodaidzwa restiffic, yekumonera tsoka inoisa kumanikidza kune mamwe mapoinzi pasi petsoka dzako. Iko kumanikidza kunotumira mameseji kuuropi yako, iyo inopindura nekuudza mhasuru dzakabatwa neRLS kuti dzigadzikane. Izvi zvinobatsira kubvisa ako RLS zviratidzo (31).

Chidzidzo che2013 chevanhu makumi matatu vachishandisa kuputira kwetsoka kwemavhiki masere vakawana shanduko huru muzviratidzo zveRLS uye mhando yekurara (32).

Yekudzora tsoka yekumonera inowanikwa nemushonga chete, uye pawebhusaiti yekambani, inoita madhora mazana maviri. Inogona kana isingafukidzirwe neinishuwarenzi (31).

Iyo yekudzora tsoka yekumonera inoda tsamba uye mari yekutanga mari, asi inogona kupa RLS zororo nekuisa kumanikidza kune mamwe mapoinzi pasi petsoka.

9. Pneumatic kudzvinyirira

Kana iwe wakambogara usiku hwese muchipatara, ungangodaro wakave nekumanikidzwa kwepneumatic. Mushonga uyu unoshandisa "sleeve" inoenda pamusoro pegumbo rako uye inokwenya uye inoshatisa, zvinyoro nyoro uye kusunungura gumbo rako.

Muchipatara, pneumatic compression kifaa (PCD) inowanzo shandiswa kusimudzira kutenderera uye kudzivirira kugwamba kweropa. Kuvandudzwa kwekupararira kunogona zvakare kuve chikonzero pneumatic compression yakaratidzirwa kubatsira kubvisa RLS zviratidzo ().

Vamwe vaongorori vanodavira kuti chikonzero cheRLS mwero wakaderera weoksijeni mumakumbo. Ivo vanofunga kuti muviri unopindura kuchinetso ichi nekuwedzera kutenderera kuburikidza nemisanganiswa yemhasuru inoitika kana munhu achifambisa nhengo yake ().

Chero chingave chikonzero, kumwe kutsvagurudza kwakaratidza kuti pneumatic compression inogona kubatsira kubvisa RLS zviratidzo.

Chidzidzo che2009 chevanhu makumi matatu nevashanu vakashandisa PCD kweinenge awa zuva rega rega kwemwedzi vakanyatso kuvandudza RLS zviratidzo, kurara mhando, uye masikati basa. Nekudaro, kumwe kutsvagurudza hakuna kuratidza iwo mamwe maitiro (,).

Mamwe maPCD anorendwa, uye mamwe anogona kutengwa pamusoro pekambani kana nemushonga. Inishuwarenzi kufukidza kwePCD kungave kuri nyore kuwana kune vanhu vasingakwanise kutsungirira mishonga yeRLS (, 35).

PCD inorapwa isiri-zvinodhaka iyo inogona kutengwa pamusoro pekambani kana nemushonga. Zvinogona kubatsira kubvisa RLS zviratidzo nekuvandudza kutenderera mumakumbo ako. Mhedzisiro kubva kutsvagisirwa pachigadzirwa ichi yakapesana.

10.Pibration pad (Relaxis)

Iyo padhi inodedera inonzi iyo Relaxis pad inogona kusabvisa zviratidzo zvako zveRLS, asi inogona kukubatsira kurara zvirinani (4).

Iwe unoshandisa iyo inodedera pad paunenge uchizorora kana kurara. Iwe unoisa iyo padhi pane yakakanganiswa nzvimbo, senge gumbo rako, uye woisa kune iyo yaunoda vibration kusimba. Iyo padhi inodedera kwemaminitsi makumi matatu uye wozozvivharira ().

Pfungwa iri kuseri kwepad ndeyekuti kudedera kunopa "kupokana." Ndokunge, vanodarika kusanzwisisika kwekunzwa kunokonzerwa neRLS saka iwe unonzwa kudedera panzvimbo pezviratidzo zvako ().

Iko hakuna kwakawanda kutsvagisa kunowanikwa pane iyo Relaxis pad, uye haina kuratidzwa kunyatsogadzirisa RLS zviratidzo. Zvisinei, zvakaratidzwa kuvandudza kurara ().

Muchokwadi, kumwe kuongorora kwakakuona kuchive kunoshanda mukuvandudza kurara semana madhiragi-anotenderwa eRLS madhiragi: ropinirole, pramipexole, gabapentin, uye rotigotine (36).

Iyo Relaxis pad inowanikwa chete nemushonga kubva kuna chiremba wako. Newebsite yekambani, chishandiso hachifukidzwe neinishuwarenzi, uye zvinodhura zvishoma kudarika $ 600 (37).

Iyo inodedera Relaxis pad inoda mushonga uye inodhura kupfuura $ 600. Inogona kunge isingarape chaiwo maRLS zviratidzo, asi ayo ekurwisa mhedzisiro mhedzisiro inogona kukubatsira iwe kurara zvirinani.

11.Pedyo-infrared spectroscopy (NIRS)

Mushonga usinga tsvete uyo usati washandiswa zvakanyanya pachinangwa ichi unogona kubatsira kubvisa zviratidzo zveRLS.

Uku kurapwa kusingarwadzi kunodaidzwa kunongedzo-infrared spectroscopy (NIRS). NeNIRS, mabhenji akareruka ane hurefu hwakareba wavelengths anoshandiswa kupinda mukati meganda. Chiedza chinokonzera mitsipa yeropa kuwedzera, kuwedzera kutenderera ().

Imwe dzidziso inofunga kuti RLS inokonzerwa neakaderera oxygen mazinga munzvimbo yakakanganiswa. Zvinofungidzirwa kuti kuwedzera kwekutenderera kunokonzerwa neNIRS kunowedzera iro okisijeni level, zvichibatsira kudzikisira iyo RLS zviratidzo ().

Tsvakurudzo dzinoverengeka dzakawana kurapwa uku kuchishanda. Imwe ongororo yakabata vanhu makumi maviri nevaviri vane RLS neNIRS katatu pasvondo kwevhiki ina. Kutenderera kwese uye zviratidzo zveRLS zvakaratidza kuwedzera kukuru ().

Imwe yakaratidza kuti vanhu vakarapwa gumi nembiri makumi matatu emaminetsi ekurapa eNIRS kweanopfuura mavhiki mana zvakare akange aderedza zvakanyanya zviratidzo zveRLS. Zviratidzo zvakagadziridzwa kusvika kumavhiki mana mushure mekurapwa kwapera ().

NIRS zvishandiso zvinogona kutengwa pamhepo pamazana akati wandei emadhora kusvika pamadhora chiuru ().

Chigadzirwa cheNIRS chinogona kudhura mazana emadhora, asi mhedzisiro inogara kwenguva refu yekurapwa kusinga tsvete kunogona kukosha kudyara.

Marapirwo ane mashoma masayendisiti backup

Mishonga iri pamusoro apa ine imwe tsvakiridzo yekutsigira mashandisiro avo. Mimwe mishonga ine humbowo hushoma, asi inogona kushanda kune vamwe vanhu vane RLS.

Kupisa uye kutonhora kurapwa

Kunyange pasina hutsva hwakawanda hwekutsigira uchishandisa kupisa uye kutonhodza kugadzirisa RLS zviratidzo, mazhinji masangano ezvehutano anoikurudzira. Ivo vanosanganisira iyo National Sleep Foundation uye iyo isina restless Legs Syndrome Foundation (19, 40).

Aya masangano anokurudzira kutora bhati inopisa kana inotonhora usati warara, kana kuisa zvinopisa kana kutonhora mapakeji kumakumbo ako (18).

Zvimwe zviratidzo zveRLS zvevanhu zvinowedzerwa nechando, nepo vamwe vane matambudziko nekupisa. Izvi zvinogona kutsanangura zvakanakira izvi zvinopisa kana kutonhora kurapwa.

Kudzokorora transcranial magnetic kukurudzira (rTMS)

Maitiro asinga tsvete ayo anowanzo shandiswa kurapa kuora mwoyo anogona kubatsira mukuderedza zviratidzo zve RLS. Parizvino, zvidzidzo zvave zvishoma uye kutsvagisa kwakawanda kunodiwa, asi mhedzisiro iri kuvimbisa (4, 41,).

Kudzokorora transcranial magnetic kukurudzira (rTMS) kunotumira simba remagineti kune dzimwe nzvimbo dzehuropi.

Hazvinyatso kujeka kuti nei rTMS inogona kubatsira kubvisa zviratidzo zveRLS. Imwe dzidziso ndeyekuti zvishuwo zvinowedzera kusunungurwa kwedopamine muuropi. Imwe inoratidza kuti rTMS inogona kubatsira kudzikamisa hyperarousal muzvikamu zvehuropi izvo zvine hukama neRLS (43).

Mune imwe ongororo ya2015, vanhu gumi nevana vane RLS vakapihwa zvikamu gumi nemana zveRTMS kwemazuva gumi nemasere. Zvirongwa zvakawedzera zvakanyanya zviratidzo zveRLS uye nekuvandudza kurara kwavo. Mhedzisiro yacho yakagara kweinenge mwedzi miviri mushure mekurapwa kwapera ().

Transcutaneous magetsi etsinga kukurudzira (TENS)

Ne transcutaneous magetsi etsinga inosimudzira (TENS), mudziyo unotumira madiki emagetsi magetsi kune zvikamu zvemuviri wako kubatsira kubvisa marwadzo.

Iko hakuna kwakawanda kutsvagisa nezvekushandiswa kweTENS kurapa RLS, asi inogona kushanda.

Pfungwa ndeyekuti seRelaxis vibrating pad, inoshandisa kupokana. Imwe ongororo yakaratidza kuti kugara uchishandiswa kweTENS pamwe nekurapwa kwekuzungunusa kwakanyatso gonesa zviratidzo zveRLS zvemurume mumwe (,).

Kugadzirira

Kugadziriswa kunogona kubatsira pakurapa kwehutano hwakawanda, uye RLS inogona kunge iri imwe yacho.

Chidzidzo chegore ra2015 chevanhu makumi matatu nemasere vane RLS vakabatwa nekurapwa kwemaawa matanhatu kwemavhiki chakaratidza kuti chiitiko chavo chisina kujairika cheRLS chakadzikira zvakanyanya ().

Nekudaro, kumwe kutsvagurudza kunodiwa kuratidza acupuncture seyakavimbika kurapwa kweRLS.

Kuvhiya kwevaricose veins

Kune vanhu vane zvimwe zvinhu zvinotenderera, kuvhiyiwa kunogona kuve kurapwa kwakanyanya kune yavo RLS ().

Varicose mutsinga inowedzerwa midziyo yeropa, kazhinji mumakumbo, iyo inozadza neropa. Uku kuwanda kweropa kunogona kutungamira mukusakwana kwehutachiona hwehutachiona (SVI), zvinoreva kuti muviri wako haugone kufambisa ropa. Nekuda kweizvozvo, madziva eropa mumakumbo ako.

Mune ongororo ya2008, vanhu makumi matatu neshanu vane SVI neRLS vaive nehurongwa hunodaidzwa kuti endovenous laser ablation yekurapa yavo varicose mutsinga. Pakati pevanhu makumi matatu neshanu, makumi masere nemana kubva muzana vaive nezviratidzo zveRLS zvakagadziriswa zvakanyanya kana kubviswa zvachose nekuvhiya (47).

Zvekare, kumwe kutsvagurudza kunodiwa pakuvhiya uku sekurapa kweRLS.

Kana iwe uchifarira chero eaya marapirwo mashoma-asina kuongororwa, bvunza chiremba wako nezvawo. Ehe, iwe unogona kuyedza kupisa uye kutonhora kurapwa wega, asi chiremba wako anogona kukuudza zvakawanda nezve mamwe marapirwo uye kana vangangokwanisa kukubatsira iwe.

Kutora

RLS inogona kukonzera kusagadzikana kwakanyanya, nyaya dzekurara, uye matambudziko nekushanda kwemazuva ese, saka kurapwa kunofanira kuve kwekutanga. Nhanho yako yekutanga inofanira kunge iri yekuedza sarudzo dzekumba pane ino runyorwa. Asi kana vasingakubatsire, iva nechokwadi chekutaura nachiremba wako.

Chiremba wako anogona kupa rumwe ruzivo nezve imwe yeiyi marapirwo uye ndeipi - kana iyo - inogona kunge iri sarudzo yakanaka kwauri.

Ramba uchifunga kuti izvo zvinoshandira mumwe munhu zvinogona kusashandira mumwe, uye ungangoda kuyedza akati wandei akasiyana madhiragi kana marapirwo. Ramba uchiedza kudzamara wawana chirongwa chekurapa chinokushandira (48).