Syndrome wāwae hoʻomaha ʻole

ʻO ka maʻi wāwae hoʻomaha ʻole (RLS) kahi pilikia ʻōnaehana e hoʻonāukiuki iā ʻoe e ala aʻe a wikiwiki a hele wāwae paha. ʻAʻole ʻoe e ʻoluʻolu ke ʻole ʻoe e neʻe i kou mau wāwae. Ke hoʻoneʻe nei i ka neʻe ʻana i ka manaʻo ʻoluʻolu ʻole no kahi manawa pōkole.

ʻIke ʻia kēia maʻi ʻo ka maʻi hoʻomaha ʻole o nā wāwae / Willis-Ekbom maʻi (RLS / WED).

ʻAʻohe mea i ʻike pono i ke kumu o RLS. Ma muli paha o kahi pilikia me ke ʻano o ka hoʻohana ʻana o nā hunaola lolo me ka dopamine. ʻO Dopamine kahi lāʻau lolo e kōkua ai i ka neʻe ʻana o nā mākala.

Pili paha ʻo RLS i kekahi mau ʻano ʻē aʻe. Hiki pinepine paha i nā poʻe me:

• Maʻi maʻi ʻōniʻoniʻo
• Diabetes
• ʻO ka hao, magnesium, a i ʻole defic acid acid
• Maʻi ʻo Parkinson
• Neuropathy ākea
• Hapai keiki
• Sclerosis lehulehu

Loaʻa paha ʻo RLS i ka poʻe:

• E hoʻohana i kekahi mau lāʻau e like me ka blockers channel calcium, lithium, a i ʻole neuroleptics
• Ke hoʻōki nei i ka hoʻohana hoʻomāinoino
• E hoʻohana i ka caffeine

Hana pinepine ʻo RLS i ka wā waena a me nā mākua ʻelemakule. Loaʻa ka RLS ma mua o nā kāne.

Hoʻohui ʻia ʻo RLS i nā ʻohana. He kumu paha kēia ke hoʻomaka nā ʻōuli i ka wā ʻōpio.

Alakaʻi ʻo RLS i nā manaʻo ʻoluʻolu ʻole i kou mau wāwae lalo. Hoʻokumu kēia mau manaʻo i kahi koi paʻa ʻole e neʻe i kou mau wāwae. Manaʻo paha ʻoe:

• Kokolo a kolo ana
• Hoʻomaʻū, huki ʻana, a i ʻole huki ʻana
• Hoʻā ahi a i ʻole ke kai ʻana
• ʻEha, ʻū ʻana, a ʻeha hoʻi
• ʻEā a ʻehaʻeha paha
• ʻO ke kīkō ʻana, nā kui a me nā nila i nā wāwae

ʻO kēia mau manaʻo:

• ʻOi aku ka maikaʻi i ka pō ke moe ʻoe i lalo a hiki i kahi e pilikia ai ka hiamoe a kiaʻi ka mea maʻi
• Kū i kekahi manawa i ka lā
• E hoʻomaka a i ʻole e ʻoi aku ka maikaʻi ke moe ʻoe i lalo a noho paha no nā wā lōʻihi
• Mei paha no 1 hola a ʻoi aku paha
• I kekahi manawa e hana ʻia ma nā wāwae kiʻekiʻe, nā wāwae, a i ʻole nā ​​lima
• Hōʻoluʻolu ʻoe ke neʻe a hoʻolōʻihi paha i kou neʻe mau ʻana

Hiki i nā ʻōuli ke paʻakikī i ka noho ʻana i ka wā lewa a kaʻa kaʻa paha, a i ʻole ma o nā papa a i ʻole nā ​​hālāwai.

Hiki i ke kaumaha a i ʻole ka huhū aloha ke hana i nā ʻōuli maikaʻi loa.

ʻO ka hapa nui o ka poʻe me RLS ka neʻe ʻana o ka wāwae i ka wā e hiamoe ai lākou. Kapa ʻia kēia ʻano maʻi maʻi neʻe wā.

ʻO kēia mau ʻōuli a pau ke paʻakikī i ka hiamoe. Hiki i ka hiamoe ʻole ke alakaʻi i:

• Ka hiamoe o ke ao
• Ka pīhoihoi a i ʻole ke kaumaha
• Huikau
• Paakiki ka noʻonoʻo ʻana

ʻAʻohe hōʻike kikoʻī no RLS. E lawe kāu mea mālama ola i kāu mōʻaukala olakino a hana i kahi hoʻokolohua kino. Loaʻa paha iā ʻoe nā hoʻokolohua koko a me nā hoʻokolohua ʻē aʻe e kāpae i nā kūlana i hiki ke kumu i nā ʻōuli like.

ʻO ka maʻamau, e hoʻoholo kāu mea hāʻawi inā loaʻa iā RLS ma muli o kāu mau ʻōuli.

ʻAʻole hiki ke hoʻōla ʻia ʻo RLS. Eia nō naʻe, hiki i ka mālama ʻana ke kōkua i ke kōkua ʻana i nā hōʻailona.

Hiki i nā loli nohona ke kōkua iā ʻoe e kūpale i ke ʻano a maʻalahi hoʻi i nā ʻōuli.

• E lawa ka hiamoe. E hiamoe a ala i ka manawa like i kēlā me kēia lā. E ʻoluʻolu e hōʻoluʻolu i kou wahi moe a me kou lumi moe.
• E hoʻāʻo e hoʻohana i nā ʻeke wela a anuanu hoʻi ma kou mau wāwae.
• Kōkua i kou mau mākala me ka hoʻomaha ʻana me nā kau mālie, nā lomilomi, a me nā ʻauʻau mehana.
• Lawe i ka manawa mai kou lā e hoʻomaha wale ai. E hoʻāʻo i ka yoga, ka noʻonoʻo ʻana, a i ʻole nā ​​ala ʻē aʻe e hōʻoluʻolu ai i ka haunaele.
• E hōʻalo i ka caffeine, i ka wai ʻona, a me ka paka. E hōʻeha paha lākou i nā ʻōuli.

Kauoha paha kāu mea hāʻawi i nā lāʻau e mālama ai iā RLS.

Kōkua kekahi mau lāʻau i ka mālama ʻana i nā ʻōuli:

• Pramipexole (Mirapex)
• Ropinirole (Koi)
• Nā lāʻau haʻahaʻa o narcotics

Hiki i nā lāʻau ʻē aʻe ke kōkua iā ʻoe e hiamoe:

• Sinemet (hoʻohui carbidopa-levodopa), kahi lāʻau anti-Parkinson
• Gabapentin a me pregabalin
• ʻO Clonazepam a i ʻole nā ​​mea hoʻomaluhia ʻē aʻe

ʻO nā lāʻau e kōkua ai iā ʻoe e hiamoe hiki ke hiamoe i ke ao.

ʻO ka mālama ʻana i nā kūlana me nā hōʻailona like e like me ke neuropathy ākea a me ka hemahema hao hiki ke kōkua i ka hōʻoluʻolu i nā ʻōuli.

ʻAʻole weliweli ʻo RLS. Eia nō naʻe, hiki ke hōʻoluʻolu ʻole, paʻakikī e hiamoe a hoʻopili i kou ʻano o ke ola.

ʻAʻole hiki iā ʻoe ke hiamoe maikaʻi (hiamoe).

Kāhea i kahi manawa me kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o RLS
• Ua hoʻopilikia ʻia kou hiamoe
• ʻOi aku ka maikaʻi o nā ʻōuli

ʻAʻohe ala e pale aku ai iā RLS.

Maʻi Willis-Ekbom; Nocturnal myoclonus; RLS; ʻO Akathisia

• ʻŌnaehana nervous

Allen RP, Montplaisir J, Walters AS, Ferini-Strambi L, Hogl B. Nā wāwae wāwae hoʻomaha ʻole a me nā neʻe o nā lālā i ka wā hiamoe. I: Kryger M, Roth T, Dement WC, hua pā. Nā Kumumanaʻo a me ka Hoʻomaʻamaʻa ʻana o ka lāʻau hiamoe. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 95.

Chokroverty S, Avidan AY. Hiamoe a me kāna mau maʻi. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 102.

Winkelman JW, Armstrong MJ, Allen RP, et al. Hōʻuluʻulu papa kuhikuhi: hoʻomaʻamaʻa i ka maʻi wāwae wāwae hoʻomaha ʻole i nā mākua: ka hōʻike o ka Development Guide, Dissemination, a me ka Subcommite Implementation o ka American Academy of Neurology. Neurology. 2016; 87 (24): 2585-2593. PMID: 27856776 www.ncbi.nlm.nih.gov/pubmed/27856776.