Q&A loea: Ka hoʻomaopopo ʻana i ka Synless Leg Syndrome

Anter

• He aha ke kumu kūpono o kaʻu mau hōʻailona a me nā hōʻailona?
• Aia paha kekahi kumu ʻē aʻe?
• He aha nā koho lapaʻau e loaʻa ai?
• Aia kekahi mau mea kōkua mea kōkua e kōkua?
• He aha nā lāʻau āu e paipai pinepine ai? He aha nā hopena ʻē aʻe e hiki ai?
• Loaʻa iaʻu kēia mau ʻano olakino ʻē aʻe. Pehea e hiki ai iaʻu ke hoʻokele maikaʻi iā lākou?
• He aha nā kaʻina mālama pono e hoʻomaikaʻi ai i kaʻu mau ʻōuli?
• Kōkua anei ka hoʻoikaika kino? He aha ke ʻano ʻoi loa?
• Loaʻa iā ʻoe he mau pūnaewele e koi aku i kahi e hiki ai iaʻu ke kiʻi i ka ʻike hou aku? Ma hea e hiki ai iaʻu ke loaʻa i kahi hui kākoʻo no ka poʻe me nā wāwae wāwae hoʻomaha ʻole?

ʻO Kauka Nitun Verma ke alakaʻi lapaʻau lapaʻau hiamoe ma ka moku ʻo San Francisco Bay, ka luna o ka Wakinekona Township Center no nā maʻi moe ma Fremont, Kaleponi, a me ka mea kākau o ka Epocrates.com alakaʻi no RLS.

He aha ke kumu kūpono o kaʻu mau hōʻailona a me nā hōʻailona?

I kēia manawa ua manaʻo ʻia ʻo ke kumu he pae haʻahaʻa o kahi neurotransmitter i kapa ʻia ʻo dopamine e hoʻohana nei i ka hao ma ke ʻano he hale kūkulu. Nā pae haʻahaʻa o ka dopamine, a i ʻole nā ​​lāʻau e hoʻohaʻahaʻa iā ia, e hoʻokumu i nā ʻōuli maʻamau o nā manaʻo hōʻoluʻolu ʻole i nā wāwae (i kekahi manawa nā lima) i ke ahiahi.

Aia paha kekahi kumu ʻē aʻe?

Hiki i nā kumu ʻē aʻe ke hāpai keiki, kekahi antidepressants, antihistamines e like me Benadryl, a me nā kōleʻa ʻole. Loaʻa i kahi RLS kahi ʻāpana genetika - holo ʻia i loko o nā ʻohana.

He aha nā koho lapaʻau e loaʻa ai?

ʻO ka koho mua loa a ʻoi loa ka massage. Kōkua ka lomilomi ʻana i nā wāwae i kēlā me kēia ahiahi e pale i nā hōʻailona ma ka hapanui o ka manawa. ʻO ka lomilomi ma mua o ke kōkua ʻana o ka hiamoe. Paipai wau iā ia ma ke ʻano he lālani mua ma mua o ka noʻonoʻo ʻana i nā lāʻau. Hiki ke kōkua i nā compresses mehana a i ʻole nā ​​kaomi anu. ʻO kaʻu mau maʻi e hoʻohana ana i nā lomilomi uila (e like me nā mea no ka ʻeha hope) loaʻa nā pōmaikaʻi nui.

ʻO ka hana hou e hoʻololi i nā lāʻau i hiki ke hōʻino i nā hōʻailona e like me kekahi antidepressants a me antihistamines. Inā ʻike kāu kauka he haʻahaʻa kou i nā hao, ʻo ka pani ʻana e hiki ke kōkua pū kekahi. Hoʻohana ka hopena hope loa i nā lāʻau i hana ʻia e mālama i ka hoʻomaha
nā wāwae, a ʻo ka nūhou maikaʻi he holomua i ka ʻimi ʻana i nā lāʻau hou.

Aia kekahi mau mea kōkua mea kōkua e kōkua?

Inā haʻahaʻa ʻoe i ka hao, ʻo ka mea kōkua maikaʻi he hao no kekahi mau mahina e ʻike inā he kōkua kēlā. Hiki i ka hao ke hoʻonāukiuki iā GI, akā naʻe, ke paipai wale nei wau no ka poʻe haʻahaʻa i ka hao. Ke aʻo ʻia nei ka magnesium i kēia manawa ma ke ʻano he lapaʻau, akā ʻaʻole lawa ka ʻikepili e hāʻawi iā ia ma ke ʻano he lāʻau kūhelu.

He aha nā lāʻau āu e paipai pinepine ai? He aha nā hopena ʻē aʻe e hiki ai?

Hiki ke kōkua i ka lāʻau Dopamine, akā hiki ke loaʻa i kekahi manawa ka hopena ʻaoʻao o ke kino e maʻa inā lawe ʻia i nā koina kiʻekiʻe. ʻO kekahi papa o ka lāʻau e pili ana i ka gabapentin, kahi lāʻau i hoʻohana mōʻaukala ʻia no ka hopu ʻana. Aia kekahi mau lāʻau hou e like me Neupro, kahi lāʻau dopamine kau i kou ʻili ma kahi o ka ale ʻana ma ke ʻano he pila. ʻO Horizant kahi lāʻau hou e pili ana i ka gabapentin / neurontin e pono ai ka hoʻoliʻiliʻi liʻiliʻi o nā lāʻau i hoʻohālikelike ʻia i nā lāʻau kahiko.

ʻAʻole hana nā mea hōʻeha ʻeha no RLS. Inā kōkua lākou, loaʻa paha iā ʻoe kahi mea ʻē aʻe. He nui ka poʻe aʻu i lawe i nā mea kōkua hiamoe ma mua o ka pā. ʻO Benadryl kahi mea hana i ka hapa nui o kēia mau ʻano hana a hoʻomāinoino i nā hōʻailona RLS. A laila lawe lākou i nā mea i ʻoi aku ke kiʻekiʻe a hoʻonohonoho ia i kahi ʻaoʻao maikaʻi ʻole. Nā lāʻau ʻē aʻe i ʻoi aku ka maikaʻi: dopamine antagonists, lithium carbonate, antidepressants e like me tricyclics, SSRIs (Paxil, Prozac, etc.). ʻO Wellbutrin (buproprion) kahi antidepressant he ʻokoʻa ia a ʻaʻole i hala

hōʻike ʻia e hoʻonui i nā hōʻailona o RLS.

Loaʻa iaʻu kēia mau ʻano olakino ʻē aʻe. Pehea e hiki ai iaʻu ke hoʻokele maikaʻi iā lākou?

Inā loaʻa iā ʻoe ke kaumaha, hiki paha ʻoe i ka lāʻau lapaʻau e hōʻino ai i nā hōʻailona RLS. Mai hoʻokū iā ʻoe iho, akā e nīnau i kāu kauka inā hiki ke hana i kahi ʻano antidepressant ʻē aʻe. ʻO Buproprion kahi antidepressant i hiki ke kōkua i nā hōʻailona RLS i kekahi mau hihia.

ʻAʻole hiamoe ka poʻe me RLS, a pili ka liʻiliʻi o ka hiamoe me ke kaumaha, diabetes, a me ke kiʻekiʻe o ke koko. Akā paʻakikī e mālama i ke koko kiʻekiʻe me ka ʻole o ka pane ʻana i ka pilikia o ka hiamoe pū kekahi. Minamina, nānā pinepine ʻole ʻia ka hiamoe i kēia mau maʻi.

He aha nā kaʻina mālama pono e hoʻomaikaʻi ai i kaʻu mau ʻōuli?

ʻO ke kaʻina mālama pono ʻoi loa ka lomilomi ʻana i kou mau wāwae i ka pō. Inā ʻike ʻoe e hoʻomaka nā ʻōuli i kekahi manawa, e like me ka ʻōlelo 9 i ke ahiahi, a laila lomilomi ma waena o 8 a me 9 pm I kekahi manawa lomilomi ma mua o ka hoʻomaka ʻana o nā hōʻailona hiki ke hana maikaʻi loa.

Kōkua anei ka hoʻoikaika kino? He aha ke ʻano ʻoi loa?

ʻOi aku ka maikaʻi o nā hoʻoikaika kino e pili ana i nāʻiʻo i hoʻopilikia ʻia, akā ʻaʻole pono e koʻikoʻi loa. ʻOiai ka hele wāwae a me ke kikoo e lawa pono.

Loaʻa iā ʻoe he mau pūnaewele e koi aku i kahi e hiki ai iaʻu ke kiʻi i ka ʻike hou aku? Ma hea e hiki ai iaʻu ke loaʻa i kahi hui kākoʻo no ka poʻe me nā wāwae wāwae hoʻomaha ʻole?

He kahua maikaʻi loa ʻo www.sidureducation.org e ka American Academy of Sleep Medicine e loaʻa ana ka ʻike ma RLS. Hiki iā ia ke kōkua iā ʻoe e kuhikuhi iā ʻoe i kahi hui kākoʻo kūloko.