Ukuhlupheka Kwezinyawo Ezingekho Zithulile: Izimpawu, Izimbangela, Nokwelashwa

Ukuhlupheka kwezinyawo ezingekho zithulile (RLS) kuyisimo sengqondo esenza kube nezizathu ezingathandeki ezinyaweni zakho, kanye nesifiso esikhulu sokuzihambisa. Lokhu kuvame ukuqala lapho uzama ukuphumula, ikakhulukazi kusihlwa noma ebusuku.

Ungase uzizwe sengathi izinzwani zakho ziyaqhubeka, zithinta, noma zishisa ngaphakathi. Ubuhlungu buvame ukuzwakala ngaphakathi kwemisipha yakho yenyawo futhi kungakwenza kube nzima ukuhlala uzolile noma ulele. Ukuhambisa izinzwani zakho kuvame ukunika impumuzo yesikhashana, kodwa lezizathu zivame ukubuyela lapho uyeka ukuzihambisa.

Ziyini izimpawu zokuhlupheka kwezinyawo ezingekho zithulile?

Isimpawu esiyinhloko yisifiso esingenakuphikwa sokuhambisa izinzwani zakho, ngokuvamile sihambisana nezizathu ezingathandeki. Lezizizathu zivame ukuqala noma zibe zimbi lapho uphumula, uhleli, noma ulele phansi.

Nawa izimpawu ezivame kakhulu ongazihlangabezana nazo:

• Ukuqhubeka, ukuya, noma ukuthinta okujulile ngaphakathi kwezinzwani zakho
• Ukusha noma ubuhlungu kwemisipha yakho yenyawo
• Ukuhudula, ukubetha, noma ukuthinta okungathi uyaswela
• Ukuzwa okufana nokukhipha umbani
• Ukungahlali uzolile nokungahlali izinzwani zakho zizoma
• Izimpawu ezibe zimbi kusihlwa noma ebusuku
• Impumuzo yesikhashana lapho uhambisa, uolula, noma uthinta izinzwani zakho

Abanye abantu nabo bahlangabezana nokuhamba kwelungu lomzimba njalo ngesikhathi sokulala. Lezi yizinyathelo eziphindaphindayo zokukhahlela noma ukuqhaqhazela okuvela njalo ngemizuzwana engu-15 kuya kwengu-40 ubusuku bonke. Umlingani wakho wokulala angaqaphela lezi zinyathelo ngisho noma ungaziqapheli.

Kwezinye izikhathi, i-RLS ingathinta izandla zakho kanye nezinzwani zakho. Izizathu zingase zibe khona nakwezinye izingxenye zomzimba wakho, nakuba lokhu kungavamile kunokuthi kuthinte izinzwani.

Ziyini izinhlobo zokuhlupheka kwezinyawo ezingekho zithulile?

Kunezinhlobo ezimbili eziyinhloko ze-RLS, nokuqonda ukuthi yiluphi uhlobo olukuyo kungakusiza ukuqondisa ukwelashwa kwakho. Ukwahlukaniswa kubalulekile ngoba ngokuvamile zinazo izimbangela ezihlukile futhi zingase ziphendule ngokuhlukile ekwelapheni.

I-RLS eyinhloko iyinhlobo evamile futhi ibonakala iphela emindenini. Lolu hlobo ngokuvamile luqala ngaphambi kweminyaka engu-45 futhi luya libi kakhulu ngokuhamba kwesikhathi. Uma une-RLS eyinhloko, cishe awunaso isifo esingaphansi esibangela izimpawu zakho.

I-RLS yesibili ithuthukiswa ngenxa yesimo sezempilo noma isimo esingaphansi. Lolu hlobo ngokuvamile luqala ngemuva kweminyaka engu-45 futhi lungase luqale ngokushesha. Izici ezivamile zihlanganisa ukukhulelwa, ukuswela insimbi, isifo sokugaya, noma imithi ethile. I-RLS yesibili ngokuvamile iphucuka lapho imbangela ephambili ilashwa.

Yini ebangela ukuhlupheka kwezinyawo ezingekho zithulile?

Imbangela eqondile ye-RLS ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ihilela izinkinga zendlela ubuchopho bakho obusebenza ngayo i-dopamine. I-dopamine iyithunyelwe lemikhiqizo ekusiza ukulawula ukuhamba kwemisipha nokuxhumanisa.

Izici eziningi zingase zifake isandla ekuthuthukiseni i-RLS:

• I-genetics - cishe amaphesenti angu-40 kuya kwangu-60 abantu abane-RLS banamalungu omndeni aneleli simo
• Ukuswela insimbi, ngisho noma ungenasifo se-anemia
• Ukukhulelwa, ikakhulukazi ekhathini lesithathu
• Isifo sokugaya nokugaya
• Isifo sikashukela ne-peripheral neuropathy
• Isifo se-Parkinson nezinye izifo zokunyakaza
• Isifo se-rheumatoid arthritis ne-fibromyalgia

Imithi ethile ingase futhi iqhube noma ibe zimbi izimpawu ze-RLS. Lokhu kuhlanganisa amanye ama-antidepressants, ama-antihistamines, imithi yokulwa nokuhlanza, kanye nemithi ye-antipsychotic. I-caffeine, utshwala, ne-nicotine kungase futhi kwenze izimpawu zakho zibe zimbi.

Kwezinye izikhathi, i-RLS ingase ihlotshaniswe nokulimala komgogodla, i-multiple sclerosis, noma ezinye izimo zengqondo. Abanye abantu bathuthukisa i-RLS ngemuva kokuhlinzwa okukhulu noma phakathi nezinkathi zokuphumula ebuthongweni isikhathi eside.

Nini okumele ubheke udokotela ngokuhlupheka kwezinyawo ezingekho zithulile?

Kufanele ucabange ukuya kudokotela uma ubuhlungu benyawo bakho bukhubaza ukulala kwakho noma imisebenzi yakho yansuku zonke. Abantu abaningi balinda izinyanga noma ngisho neminyaka ngaphambi kokufuna usizo, becabanga ukuthi izimpawu zabo azibalulekile ngokwanele ukufuna ukunakekelwa kwezokwelapha.

Hlela i-aphoyintimenti uma uhlangabezana nokuhlupheka kokulala njalo, ukukhathala kosuku, noma ubunzima bokuqonda ngenxa yokulala okubi. I-RLS ingathinta kakhulu ikhwalithi yokuphila kwakho, futhi kukhona ukwelashwa okuphumelelayo okutholakalayo.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthuthukisa ubuhlungu obukhulu benyawo ngokuzumayo kanye nezinye izimpawu ezinkulu. Lokhu kungase kuhlanganise ukufiphaza, ukukhula okukhulu, ukushintsha kwesikhumba, noma izimpawu ze-blood clots njengokubuhlungu kwesibindi nokuqhuma ngokuzumayo.

Kubalulekile futhi ukubona udokotela uma uthatha imithi futhi uqaphela ukuthi izimpawu zakho ze-RLS ziye zaba zimbi. Umhlinzeki wakho wezempilo angakusiza ukuthola ukuthi imithi yakho ingase ibe nomthelela ezimpawu zakho futhi iphakamise ezinye uma kudingeka.

Ziyini izici ezingase zikhulise ingozi yokuhlupheka kwezinyawo ezingekho zithulile?

Izici eziningi zingase zikhulise amathuba akho okuthuthukisa i-RLS, nakuba ukuba nezici ezingase zikhulise ingozi akusho ukuthi uzokuthuthukisa leli simo. Ukuqonda lezi zici kungakusiza wena nodokotela wakho ukuthola izici ezingase zikhulise ingozi.

Nawa izici eziyinhloko ezingase zikhulise ingozi okumele uzazi:

• Umlando womndeni - ukuba namalungu omndeni ane-RLS kukhuphula kakhulu ingozi yakho
• Ukuba owesifazane - abesifazane banethuba elingaphezulu kabili lokuba ne-RLS kunamadoda
• Iminyaka - izimpawu ngokuvamile ziya libi kakhulu njengoba ukhula
• Ukukhulelwa - amaphesenti angu-25 abesifazane abakhulelwe bahlangabezana ne-RLS
• Ukuswela insimbi noma ukunciphisa izitolo zensimbi
• Isifo sokugaya esingapheli
• Isifo sikashukela nokulimala kwama-nerve
• Ezinye izimo ze-autoimmune

Izici zokuphila zingase futhi zidlale indima. Ukungabi khona kokuzivocavoca okuvamile, ukusetshenziswa okukhulu kwe-caffeine, kanye nezikhathi zokulala ezingavamile kungase kukhulise ingozi yakho. Ukuhlupheka nokukhathazeka kungase futhi kuqalise noma kube zimbi izimpawu kwabanye abantu.

Kwezinye izikhathi, i-RLS ingase ithuthukiswe ngemuva kokwelashwa kwe-spinal anesthesia, ukutheleleka okuthile, noma njengomphumela we-chemotherapy. Abanye abantu baqaphela izimpawu zabo zokuqala phakathi nezinkathi zokungasebenzi isikhathi eside noma ngemuva kokwanda okukhulu kwesisindo.

Ziyini izinhlanganisela ezingase zenzeke ngokuhlupheka kwezinyawo ezingekho zithulile?

Inhlanganisela evamile ye-RLS ukungabi khona kokulala okungapheli, okungaba nomthelela omkhulu empilweni yakho nasempilweni yakho yansuku zonke. Ukulala okubi kungakushiya uzizwa ukhathele, uthukuthele, futhi ungakwazi ukuqonda phakathi nosuku.

Ukuhlupheka kokulala okuvela ku-RLS kungase kuholele ezinkingeni eziningi ezilandelayo:

• Ukukhathala kosuku nokunciphisa ukukhiqiza
• Ubunzima bokuqonda nezinselele zememori
• Ukushintsha kwesimo sengqondo, kuhlanganise ukucindezeleka nokukhathazeka
• Ukungasebenzi kahle kokuphila komphakathi
• Ukungasebenzi kahle kokuphila komphakathi
• Ukunciphisa ikhwalithi yokuphila nokusebenza komphakathi

Ngokokuhamba kwesikhathi, ukungabi khona kokulala okungapheli kungase futhi kuthonye impilo yakho yomzimba. Ungase uhlangabezane nokuwohloka kokusebenza komzimba, ukwanda kwenkinga yezifo ze-cardiovascular, nobunzima bokuhlala unesisindo esinempilo.

Kwezinye izikhathi, i-RLS eqinile ingase iholele ekulimala komuntu ngokwakhe ngenxa yokususa, ukukhahlela, noma ukushaya izinzwani ngokuzama ukuqeda izimpawu. Abanye abantu bathuthukisa ukulimala kwesikhumba noma ukutheleleka ngenxa yokukhahlela noma ukususa okuqhubekayo.

Ukuhlupheka Kwezinyawo Ezingekho Zithulile kungavikeleka kanjani?

Nakuba ungakwazi ukuvimba izinhlobo ze-RLS ezivela e-genetics, ungathatha izinyathelo zokunciphisa ingozi yakho yokuthuthukisa i-RLS yesibili noma unciphise ubukhulu besimpawu. Gxila ekuhlaleni unesisindo esihle futhi ulungise izimo ezingaphansi ezingase ziqalise i-RLS.

Nawa amasu okuvimbela asebenzayo angase akusize:

• Gcina amazinga ensimbi anele ngokudla noma nge-supplements uma kunconywa
• Zivocavoca njalo, kodwa gwema ukuzivocavoca okukhulu eduze nesikhathi sokulala
• Yenza isimiso sokulala esiqinile
• Limita i-caffeine, utshwala, ne-nicotine, ikakhulukazi kusihlwa
• Lawula ukucindezeleka ngezindlela zokuphumula
• Welapha izimo ezingaphansi njengesifo sikashukela noma isifo sokugaya

Uma ukhulelwe, ukuolula okuthambile ne-prenatal massage kungase kusize ukunciphisa ingozi yakho yokuthuthukisa i-RLS ehlobene nokukhulelwa. Ukugcina umzimba uqinisile nokuphumula ngokwanele kungase futhi kuvikele ngesikhathi sokukhulelwa.

Qaphela imithi engase iqalise izimpawu ze-RLS. Uma uqaphela izimpawu eziqala noma zibe zimbi ngemuva kokuqala imithi entsha, xoxa ngezinye izindlela nomhlinzeki wakho wezempilo.

Ukuhlupheka Kwezinyawo Ezingekho Zithulile kunqunywa kanjani?

Awekho avivinyo olulodwa lwe-RLS, ngakho udokotela wakho uzokunquma ngokusekelwe ezimpawu zakho nasemlandweni wakho wezokwelapha. Ukuxilongwa kuxhomeke ekufikeleleni ezindinganisweni ezithile ezichaza izici eziyinhloko zalesi simo.

Udokotela wakho uzokubuza ngezimpawu ezine eziyinhloko: isidingo sokuhambisa izinzwani zakho, izizathu ezingathandeki, izimpawu eziya libi kakhulu ngokuphumula, kanye nempumuzo yesikhashana ngokuhamba. Bazofuna futhi ukwazi uma izimpawu zakho zimbi kakhulu kusihlwa noma ebusuku.

Phakathi ne-aphoyintimenti yakho, udokotela wakho angase anikeze ukuhlolwa kwegazi ukuhlola izimo ezingaphansi. Lokhu ngokuvamile kuhlanganisa ukuhlolwa kwamazinga ensimbi, ukusebenza kokugaya, ushukela egazini, nokusebenza kwe-thyroid. Ukunciphisa izitolo zensimbi kuvame kakhulu kubantu abane-RLS.

Kwezinye izikhathi, udokotela wakho angase ancome ukuhlolwa kokulala. Lolu vivinyo lwebusuku lungase luthola ukuhamba kwelungu lomzimba njalo futhi lusize ukukhipha ezinye izifo zokulala. Ukuhlolwa kokulala akuvamile ukudingeka ekuxilongweni, kodwa kungase kunikeze ulwazi oluwusizo mayelana nendlela i-RLS ethinta ngayo ukulala kwakho.

Udokotela wakho angase futhi ahlole imithi yakho futhi abuze ngomlando womndeni. Ngezinye izikhathi, ukuyeka imithi ethile noma ukwelapha izimo ezingaphansi kungase kuphucuke kakhulu izimpawu ze-RLS, okusisiza ukuqinisekisa ukuxilongwa.

Ukwelashwa kokuhlupheka kwezinyawo ezingekho zithulile yini?

Ukwelashwa kwe-RLS kuxhomeke ebukhulu besimpawu zakho nokuthi unesimo esingaphansi esibangela yini. Ngoba izimpawu ezilula, ukushintsha indlela yokuphila kanye nezinye izindlela zokwelapha ekhaya kungase kube ngokwanele ukunika impumuzo.

Uma une-RLS yesibili, ukwelapha imbangela ephambili ngokuvamile yisinyathelo sokuqala. Lokhu kungase kuhlanganise ukunikezwa kwe-iron supplements ngenxa yokuswela insimbi, ukuphathwa kangcono kwesifo sikashukela, noma ukulungisa imithi eqalayo izimpawu.

Ngezimpawu ezilandelayo, udokotela wakho angase ancome imithi:

• Ama-dopamine agonists afana ne-pramipexole noma i-ropinirole
• Ama-alpha-2-delta ligands afana ne-gabapentin noma i-pregabalin
• Ama-iron supplements uma amazinga ensimbi akho aphansi
• Imithi yokululamisa imisipha noma imithi yokulala kwezinye izikhathi
• Ama-opioids ngezimo ezinzima, ezingelapheki

Ukuqala ngenani eliphansi le-dose kubalulekile, njengoba ezinye imithi ye-RLS ingase ibe nemiphumela emibi noma iholele ekubeni zimbi izimpawu ngokuhamba kwesikhathi. Udokotela wakho uzosebenza nawe ukuthola indlela yokwelapha efanele.

Kwezinye izikhathi lapho imithi ingasebenzi, ezinye izindlela zokwelapha zingase zicatshangelwe. Lokhu kungase kuhlanganise amadivayisi okucindezela emoyeni, i-transcutaneous electrical nerve stimulation, noma ngisho ne-deep brain stimulation ngezimo ezimbi kakhulu.

Ungayiphatha kanjani i-Restless Legs Syndrome ekhaya?

Abantu abaningi bathola impumuzo enkulu ezimpawu ze-RLS ngezindlela zokwelapha ekhaya nokushintsha indlela yokuphila. Lezi zindlela zokunakekela ngokwabo zingasetshenziswa zodwa ngezimpawu ezilula noma kanye nokwelashwa kwezokwelapha ngezimo ezimbi kakhulu.

Nawa amasu okulawula ekhaya asebenzayo:

• Thatha izimpahla ezishisayo noma sebenzisa ama-heating pads ezinyaweni zakho
• Faka ama-cold compresses noma ama-ice packs
• Thinta izinzwani zakho noma sebenzisa i-foam roller
• Ulule izinzwani zakho nezinyawo ngaphambi kokulala
• Gcina ingqondo yakho imatasa ngemisebenzi efana nokufunda noma imibuzo
• Zama izindlela zokuphumula njengokuphefumula okujulile noma ukuzindla

Ukwenza indawo yokulala enhle kungase futhi kusize. Gcina igumbi lakho lokulala lipholile, limnyama, futhi lizolile. Gwema izikrini okungenani ihora ngaphambi kokulala, njengoba ukukhanya oluhlaza okwesibhakabhaka kungase kuphazamise isimiso sakho sokukhahlela.

Ukuzivocavoca okuvamile, okuthambile kungase kunciphisa izimpawu ze-RLS, kodwa isikhathi sibalulekile. Zama ukuqeda ukuzivocavoca okungenani amahora amathathu ngaphambi kokulala, njengoba ukuzivocavoca okukhulu noma okwasebusuku kungase kube zimbi izimpawu zakho.

Abanye abantu bathola impumuzo ngezindlela zokwelapha ezingezona zezokwelapha njenge-yoga, i-tai chi, noma i-acupuncture. Nakuba ubufakazi besayensi ngalezi zindlela bukhulu, ngokuvamile ziphephile futhi zingase zisize ngokuphumula nokulawula ukucindezeleka.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yedokotela?

Ukulungiselela i-aphoyintimenti yakho kuzosisiza udokotela wakho ukuqonda kangcono izimpawu zakho futhi akhe uhlelo lokwelapha oluphumelelayo. Qala ngokugcina idayari yesimpawu okungenani isonto ngaphambi kwendwendwelo yakho.

Bhala lapho izimpawu zakho zenzeka khona, zizwa kanjani, nokuthi yini ezenza zibe ngcono noma zimbi. Qaphela noma yiziphi izici ezihlobene nesikhathi sosuku, imisebenzi, noma ukudla. Lolu lwazi luzoba lubalulekile ngedokotela yakho.

Lungisa uhlu oluphelele lwemithi yonke oyithathayo, kuhlanganise imithi yokuthengwa ngaphandle komthetho, ama-supplements, kanye nemithi yemifino. Imithi ethile ingase iqalise noma ibe zimbi izimpawu ze-RLS, ngakho-ke lolu lwazi lubalulekile.

Bhala umlando womndeni wakho, ikakhulukazi noma yimaphi amalungu omndeni ane-RLS, isifo se-Parkinson, noma ezinye izifo zokunyakaza. Buthana ulwazi mayelana nezimo zakho zokulala, kuhlanganise ukuthi uvuka kangaki ebusuku nokuthi ukhathele kangakanani phakathi nosuku.

Lungisa imibuzo okumele uyibuze udokotela. Ungase ufune ukwazi ngezindlela zokwelapha, imiphumela emibi, ukushintsha indlela yokuphila okungase kusize, noma ukuthi udinga yini ukuhlolwa. Ukuba nemibuso yakho ibhalwe phansi kuqinisekisa ukuthi ngeke ukhohlwe ukuyibuza ngesikhathi se-aphoyintimenti yakho.

Iyini into ebalulekile mayelana nokuhlupheka kwezinyawo ezingekho zithulile?

Ukuhlupheka kwezinyawo ezingekho zithulile kuyisimo sengqondo esiqinisekile, esingelashwa esithinta izigidi zabantu. Uma uhlangabezana nezizathu ezingathandeki zezinzwani kanye nesifiso sokuzihambisa, ikakhulukazi ebusuku, awuzicabangi izinto futhi awuwedwa.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa okuphumelelayo kutholakala. Kungaba ngokushintsha indlela yokuphila, ukulungisa izimo ezingaphansi, noma imithi, abantu abaningi abane-RLS bangathola impumuzo enkulu ezimpawu zabo.

Ungavumeli izimpawu ze-RLS ziphuce impilo yakho isikhathi eside. Nakuba leli simo lingase libe lukhathazayo futhi likhathazayo, ukusebenza nomhlinzeki wezempilo kungakusiza ukwakha uhlelo lokwelapha olusebenza ngesimo sakho esithile.

Khumbula ukuthi i-RLS ngokuvamile iyisimo esingapheli, okusho ukuthi kungase kudingeke ukulawulwa okuqhubekayo kunokwelashwa okukodwa. Noma kunjalo, ngendlela efanele, unganciphisa izimpawu futhi ugcine ikhwalithi enhle yokuphila.

Imibuzo evame ukubuzwa mayelana nokuhlupheka kwezinyawo ezingekho zithulile

Ingabe ukuhlupheka kwezinyawo ezingekho zithulile kungase kuphele ngokwalo?

I-RLS ehlobene nokukhulelwa ngokuvamile iphucuka ngemuva kokubeletha, futhi i-RLS yesibili ingase iphele lapho imbangela ephambili ilashwa. Noma kunjalo, i-RLS eyinhloko ngokuvamile iyisimo sempilo esidinga ukulawulwa okuqhubekayo. Abanye abantu bahlangabezana nezinkathi lapho izimpawu zingathandeki kakhulu, kodwa leli simo alipheli ngokuphelele ngaphandle kokwelashwa.

Ingabe ukuhlupheka kwezinyawo ezingekho zithulile kuyingozi?

I-RLS ngokwayo ayiyona ingozi noma ayiyona ingozi eyingozi, kodwa ingathinta kakhulu ikhwalithi yokuphila kwakho ngokuphazamiseka kokulala. Ukungabi khona kokulala okungapheli okuvela ku-RLS kungase kuholele ekukhatheleni kosuku, ukushintsha kwesimo sengqondo, nobunzima bokuqonda. Ukukhathazeka okukhulu kwezempilo yimiphumela emibi yokulala okubi kunalesi simo ngokwalo.

Kungani ukuhambisa izinzwani zami kusiza ezimpawu ze-RLS?

Ukuhamba kunika impumuzo yesikhashana ngoba kusebenza uhlelo lwakho lwezinzwa futhi kuthatha izizathu ezingathandeki. Ukuhamba, ukuolula, noma ukuthinta izinzwani zakho kungaphazamisa izimpawu ezingavamile zezinzwa ezibangela izimpawu ze-RLS. Noma kunjalo, impumuzo ngokuvamile iyasesikhashana, futhi izimpawu ngokuvamile zibuyela lapho uyeka ukuhamba.

Ingabe ukudla kungathinta ukuhlupheka kwezinyawo ezingekho zithulile?

Yebo, izici ezithile zokudla zingase zithinte izimpawu ze-RLS. I-caffeine, utshwala, kanye nokudla okukhulu eduze nesikhathi sokulala kungase kube zimbi izimpawu. Ukudla okunensimbi kungase kusize uma unesifo sokuswela insimbi, kodwa ama-iron supplements kufanele athathwe kuphela uma kunconywa udokotela wakho. Abanye abantu bathola ukuthi ukugwema ushukela nokudla okuqediwe kusihlwa kusize ukunciphisa izimpawu.

Ingabe ukuhlupheka kwezinyawo ezingekho zithulile kuvame kakhulu ezinhlwini ezithile zokuzalwa?

I-RLS ingase ibe khona kunoma iyiphi iminyaka, kuhlanganise nobuntwana, kodwa iba yinto evamile futhi ngokuvamile iba zimbi kakhulu ngokuhamba kweminyaka. Abesifazane banethuba elingaphezulu kabili kunamadoda lokuba ne-RLS. Leli simo ngokuvamile liqala ebudaleni, nakuba abantu abaningi abane-RLS eqinile babika ukuba nezimpawu ezilula kusukela ebuntwaneni eziye zaba zimbi kakhulu ngokuhamba kwesikhathi.