ʻO ka 11 maikaʻi maikaʻi loa no Restless Legs Syndrome

Anter

• 1. Ka hoʻoponopono ʻana i nā kumu kūpono
• Nā ʻano maʻamau
• Nā Lapaʻau
• Nā kūlana olakino
• Nā mea hoʻoulu ʻē aʻe
• 2. Nā hana hiamoe olakino
• 3. ʻO nā mea hoʻohui hao a me nā huamoa
• 4. Hoʻomaʻamaʻa
• 5. Yoga a me ka hoʻolōʻihi
• 6. lomilomi
• 7. Nā lāʻau lapaʻau kuhikuhi
• Nā lāʻau Dopaminergic
• Gabapentin
• ʻO Benzodiazepines
• Nā Opioid
• 8. Wili wāwae (restiffic)
• 9. Pākuʻi pneumatic
• 10. Pākuʻi uila (Relaxis)
• 11. spectroscopy infrared kokoke loa (NIRS)
• Nā hana me ka hoʻoliʻiliʻi ʻepekema liʻiliʻi
• Nā hoʻoponopono wela a anuanu hoʻi
• Hoʻopiʻi hou i ka transcranial magnetic stimulate (rTMS)
• ʻO ka stimcure uila uila transcutaneus (TENS)
• Acupuncture
• ʻO ke kaha no nā veins varicose
• ʻO ka lawe lawe ʻana

He aha ka maʻi wāwae wāwae hoʻomaha?

ʻO ka maʻi hoʻomaha wāwae hoʻomaha ʻole (RLS), ʻo Willis-Ekbom ka maʻi, kahi ʻano e hoʻonāukiuki ai i nā manaʻo hōʻoluʻolu ʻole, pinepine i nā wāwae. Ua wehewehe ʻia kēia mau manaʻo e like me ke kani, ke kolo, nā mea kolo, a ke kumu o ka makemake nui e hoʻoneʻe i ka lālā i hoʻopili ʻia.

Kū pinepine nā hōʻailona RLS ke noho ke kanaka, hoʻomaha, a hiamoe paha, a pinepine i ka pō. Kāhea ʻia nā neʻe e RLS i nā neʻe manawa o ka hiamoe (PLMS). Ma muli o kēia neʻe ʻana, hiki i ka RLS ke hana i nā pilikia hiamoe nui.

Loaʻa i kekahi poʻe RLS mua, ʻaʻohe kumu i ʻike ʻia. ʻO kekahi he RLS lua, kahi e pili pinepine ʻia me nā pilikia nerve, hāpai keiki, hemahema hao, a i ʻole kūleʻa kīnā ʻole mau.

No ka hapanui o ka poʻe me RLS, akahai nā ʻōuli. Akā inā he kaulike kou mau hōʻailona, ​​hiki i ka RLS ke hoʻololi i kou ola. Hiki iā ia ke pale iā ʻoe mai ka hiamoe ʻana, a pēlā e hoʻopilikia ai i ka nānā ʻana i ke ao a me ka noʻonoʻo, kāu hana, a me kāu mau hana kaiaulu.

Ma muli o kēia mau pilikia, hiki i ka RLS ke alakaʻi i ka hopohopo a me ke kaumaha. A ʻo ka lōʻihi o kou loaʻa ʻana i kēia ʻano, ʻoi aku ka maikaʻi o ka maikaʻi. Hiki iā ia ke hoʻolaha i nā wahi ʻē aʻe o kou kino, e like me kou mau lima ().

Ma muli o nā hopena a RLS i hiki i kou ola, nui ka mālama ʻana. ʻOkoʻa nā ʻano hana o ka mālama ʻana, no ka mea, ʻaʻole i ʻike maoli ʻia ke kumu kumu o ka RLS. ʻO kahi laʻana, manaʻo kekahi mau kānaka noiʻi e pili ana ka RLS i nā pilikia me ka dopamine kemika lolo, ʻoiai e ʻōlelo ana kekahi e pili ana i ka maikaʻi o ka holo.

Maʻaneʻi mākou e papa inoa ai i nā lapaʻau maikaʻi loa no RLS. Hiki i kekahi o kēia mau mea iā ʻoe ke hoʻāʻo iho. Hiki i kekahi poʻe ke kūkākūkā me kāu kauka, ka mea hiki ke kōkua iā ʻoe e hana i kahi hoʻolālā e kōkua ai e hōʻoluʻolu i kāu mau hōʻailona RLS.

1. Ka hoʻoponopono ʻana i nā kumu kūpono

ʻO kāu hana mua i ka kamaʻilio ʻana iā RLS e ʻike inā he mea ke kumu o ia. ʻOiai hiki i ka RLS ke pili i nā mea i waho o kāu kaohi, e like me nā genetics a i ʻole ka hāpai ʻana, hiki ke ʻōlelo ʻia nā kumu ʻē aʻe.

ʻO kēia mau kumu i maʻa mau i kēlā me kēia lā, nā lāʻau lapaʻau āu e lawe nei, nā kūlana olakino āu, a i ʻole nā ​​mea hoʻoulu ʻē aʻe.

Nā ʻano maʻamau

ʻO ka hoʻohana ʻana i ka caffeine, ʻāpala, a me ka paka hiki ke hoʻonāukiuki i nā hōʻailona RLs. ʻO ka palena ʻana i kēia mau mea hiki ke kōkua i ka hōʻemi ʻana i kāu mau hōʻailona RLS (2).

Nā Lapaʻau

Hiki i kekahi mau lāʻau ke kumu a hōʻino paha i nā hōʻailona RLS. ʻO nā laʻana me: (, 2, 3).

• antihistamines kahiko e like me diphenhydramine (Benadryl)
• nā lāʻau antinausea e like me metoclopramide (Reglan) a i ʻole prochlorperazine (Compro)
• nā lāʻau antipsychotic e like me haloperidol (Haldol) a i ʻole olanzapine (Zyprexa)
• likiuma (Lithobid)
• nā mea hoʻoliʻiliʻi serotonin reuptake (SSRIs) e like me fluoxetine (Prozac), sertraline (Zoloft), a i ʻole escitalopram (Lexapro)
• antidepressants tricyclic e like me amitriptyline (Elavil) a i ʻole amoxapine (Asendin)
• tramadol (Ultram)
• levothyroxine (Levoxyl)

E ʻike pono i kāu kauka e pili ana i nā lāʻau āpau āu e lawe nei, nā kuhikuhi ʻelua a ma luna o ka pā. E kamaʻilio me kāu kauka inā hiki iā lākou ke hōʻino i kāu RLS, keu hoʻi inā e lawe ʻoe i kekahi o nā lāʻau i helu ʻia ma luna.

Nā kūlana olakino

Ua ʻike ʻia kekahi ʻano olakino pili i ka RLS. Hoʻopili ʻia ka maʻi hōʻino (kidney), a ESRD paha, a me nā ʻino nerve mai ka maʻi diabetes me RLS. He pilina paʻa loa ka anemia hemahema hao me RLS (e ʻike i ka hao ma lalo) (4,,).

Pono ʻoe e kūkākūkā me kāu kauka pehea ka hopena o kāu mōʻaukala olakino i kāu RLS, keu hoʻi inā loaʻa iā ʻoe kekahi o kēia mau ʻano.

Nā mea hoʻoulu ʻē aʻe

Wahi a kekahi poʻe, ʻo ka ʻai ʻana i ke kō a me ke kau ʻana i nā kapa paʻa e hoʻonāukiuki ai i kā lākou mau hōʻailona RLS. ʻOiai ʻaʻohe nui o ka noiʻi e kākoʻo i kēia mau pilina, makemake paha ʻoe e hoʻohana i kahi hoʻokolohua a me nā hemahema e ʻike ai i ka mea e like me ka hopena o kāu mau hōʻailona ponoʻī.

ʻO ka hana mua i ka mālama ʻana iā RLS e ʻike inā ke kumu nei kekahi mea iā ia. Pono ʻoe e noʻonoʻo i nā ʻano maʻamau e like me ka inu ʻana i ka ʻalekohola a puhipaka paha, kekahi mau lāʻau a i ʻole nā ​​kūlana olakino, a me nā mea hoʻouluulu ʻē aʻe no kā lākou hopena ma kāu RLS hōʻailona.

2. Nā hana hiamoe olakino

ʻO ka loaʻa ʻana o nā ʻano hiamoe maikaʻi kūpono no kēlā me kēia, akā malia paha no ka poʻe i pilikia i ka hiamoe, e like me nā RLS.

ʻOiai ʻaʻole e hoʻonā maikaʻi ka hiamoe ʻana i kāu mau hōʻailona RLS, hiki iā ia ke kōkua iā ʻoe e offset i ka hiamoe hiamoe āu e ʻeha ai i kāu ʻano. E hoʻāʻo i nā ʻōlelo aʻoaʻo aʻe e hana i kou hiamoe me ka hoʻomaha a me ka hoʻihoʻi ʻana i hiki.

• E hiamoe a ala i nā manawa like i kēlā me kēia lā.
• E mālama i kou wahi hiamoe, mālie, a ʻeleʻele hoʻi.
• E mālama i nā mea hoʻohuli, e like me ke kīwī a me ke kelepona, i kahi mea liʻiliʻi i kou lumi moe.
• Hōʻalo i nā pale uila no nā hola ʻelua a ʻekolu paha ma mua o kou hiamoe ʻana. Hiki i ke kukui polū mai kēia mau pale ke hoʻolei i kāu lekiō circadian, kahi e kōkua ai iā ʻoe e mālama i kahi pōʻaiapoe hiamoe maʻamau (7).

ʻOiai ʻaʻole hiki iā lākou ke hoʻonā i kāu mau hōʻailona RLS, hiki i nā ʻano hiamoe olakino ke hoʻomaikaʻi i kou hiamoe a kōkua paha i ka hoʻopiʻi ʻana i kekahi o nā hopena o RLS.

3. ʻO nā mea hoʻohui hao a me nā huamoa

Manaʻo ʻia ka hemahema hao kekahi o nā kumu nui o RLS. Ua hōʻike ʻia kekahi mau noiʻi ʻana hiki i nā mea hoʻohui hao ke kōkua i ka hoʻomaʻalahi ʻana i nā hōʻailona RLS (, 3).

Hiki i kahi hoʻokolohua koko maʻalahi ke nānā no ka hemahema hao, no laila inā ʻoe e noʻonoʻo he pilikia paha kēia iā ʻoe, e kamaʻilio me kāu kauka.

Inā hōʻoia ʻoe i ka maikaʻi no ka hemahema hao, hiki i kāu kauka ke koi aku i nā mea hoʻohui hao waha, a hiki iā ʻoe ke loaʻa ma kāu kauka lāʻau kūloko. I kekahi mau hihia, pono ka hao (IV) i ka hao (, 8).

Hoʻohui ʻia, hiki ke hoʻopili ʻia ka lawa ʻole o ka wikamina D me RLS. Ua ʻike ʻia kahi noiʻi ma 2014 e hoʻoliʻiliʻi nā huaora D i nā hōʻailona RLS i ka poʻe me ka RLS a me ka lawa ʻole o ka wikamina D ().

A no ka poʻe ma ka hemodialysis, hiki i nā huakino C a me nā mea hoʻopihapiha E ke kōkua i ka hoʻokuʻu ʻana i nā hōʻailona RLS (4,).

Hiki i ke kōkua me ka hao a i ʻole nā ​​wikamina D, C, a i ʻole E ke kōkua i kekahi poʻe me RLS. Hiki i kāu kauka ke haʻi iā ʻoe inā he mea maikaʻi ke hoʻāʻo ʻana i nā mea hoʻopiha.

4. Hoʻomaʻamaʻa

Hiki i ka hoʻoikaika kino ke kōkua iā ʻoe e hōʻoluʻolu inā he RLS kāu.

Ua ʻōlelo ʻo National Institutes of Health e hiki ke kōkua i ka hoʻohaʻahaʻa kūpono e hōʻoluʻolu i nā ʻōuli RLS mālie (3).

A ua ʻike ʻia kahi noiʻi 2006 o 23 poʻe me RLS i ka hoʻomaʻamaʻa aerobic a me ka hoʻomaʻamaʻa hoʻoikaika kino haʻahaʻa, i hana ʻia ʻekolu mau manawa i kēlā me kēia pule no 12 mau pule, ua hoʻoliʻiliʻi nui i nā hōʻailona RLS ().

Ua loaʻa kekahi mau haʻawina ʻē aʻe i ka hoʻoikaika kino no RLS, keu hoʻi i ka poʻe me ESRD (4,).

Hāʻawi ʻia i kēia mau haʻawina, a me nā mea ʻē aʻe e hōʻike ana i ka hana hiki ke kōkua i ka hoʻomaikaʻi ʻana i ka hiamoe, me he mea lā he mea kūlohelohe ka poʻe no RLS ().

Hoʻokahi ʻōlelo aʻoaʻo mai ka Restless Legs Foundation - hoʻoikaika i ka hoʻohaʻahaʻa. Mai hana i kahi o nā ʻeha a me nā ʻeha, no ka mea hiki i kēia ke hōʻino i kāu mau hōʻailona RLS (14).

Hāʻawi ʻia i nā pōmaikaʻi no ka hōʻemi ʻana i nā hōʻailona RLS a me ka hoʻomaikaʻi ʻana i ka hiamoe, kahi hoʻomaʻamaʻa maʻamau kahi maʻa maikaʻi e hoʻomohala no nā poʻe me RLS.

5. Yoga a me ka hoʻolōʻihi

E like me nā ʻano hoʻoikaika kino ʻē aʻe, ua hōʻike ʻia nā yoga a me nā hoʻolālā hoʻolōʻihi e loaʻa nā pōmaikaʻi no nā poʻe me RLS ().

Ua ʻike ʻia kahi makahiki he ʻewalu pule ma 2013 o 10 mau wahine i kōkua ka yoga i ka hoʻēmi ʻana i ko lākou mau hōʻailona RLS. Ua kōkua ia i ka hoʻomaikaʻi ʻana i ko lākou naʻau a hoʻoliʻiliʻi i ko lākou mau pae koʻikoʻi, kahi e hoʻomaikaʻi ai i ko lākou hiamoe. A ua hōʻike ʻia kahi noiʻi 2012 ua hoʻomaikaʻi ka yoga i ka hiamoe ma 20 mau wahine me RLS (,).

Ua hōʻike ʻia kahi noiʻi ʻē aʻe i ka hoʻomaʻamaʻa ʻana i nā hana i hana nui i nā hōʻailona RLS o ka poʻe ma hemodialysis ().

ʻAʻole maopopo loa i nā mea noiʻi no ke aha ʻo yoga a me nā hana ākea, aʻoi aku ka maikaʻi o ka noiʻi. Akā hāʻawi ʻia i kēia mau hopena, makemake paha ʻoe e hoʻohui i kahi keiki bipi a me luna o kou wāwae i kāu hana hoʻoikaika kino i kēlā me kēia lā.

ʻOiai ʻaʻole maopopo ke kumu, hiki i ke yoga a me nā hana hoʻonui ʻē aʻe ke kōkua i ke kōkua ʻana i nā hōʻailona RLS.

6. lomilomi

Hiki i ke lomilomi ʻana i nā mākala o kou wāwae ke kōkua i ka hōʻoluʻolu i kāu mau hōʻailona RLS.ʻO nā hui olakino he nui, e like me ka National Institutes of Health a me ka National Sleep Foundation, e ʻōlelo nei ma ke ʻano he lapaʻau ma ka home (3, 18, 19).

ʻOiai ʻaʻohe nui o nā noiʻi ʻē aʻe e kākoʻo i ka massage ma ke ʻano he mālama RLS, ua hōʻike ʻia kahi noiʻi hihia 2007 i kāna mau pono.

ʻO kahi wahine 35 makahiki nona ka lomilomi wāwae he 45 mau minuke i ʻelua mau manawa i ka pule no ʻekolu mau pule i hoʻomaikaʻi i nā hōʻailona RLS ma loko o kēlā wā holoʻokoʻa. ʻO kāna mau lomilomi nā ʻano o nā ʻenehana, e laʻa me ka lomilomi Suetena a me ke kaomi pololei i nā ʻūhā wāwae (20).

Ua māmā kāna mau hōʻailona RLS ma hope o ʻelua mau hana lomilomi, a ʻaʻole i hoʻomaka e hoʻi a hiki i ʻelua mau pule ma hope o ka pau ʻana o ka hoʻoponopono massage (20).

Ua hōʻike ka mea kākau o kēlā noi i ka hoʻonui ʻia o ka hoʻokuʻu ʻana o ka dopamine i hoʻokumu ʻia e ka lomilomi hiki ke lilo i kumu no nā keu pono. Eia kekahi, ua hōʻike ʻia ka lomilomi e hoʻomaikaʻi i ka holo ʻana, no laila he kumu ia no nā hopena ma RLS (20,,).

Ma ke ʻano he bonus hoʻohui ʻia, hiki i ka lomilomi ke kōkua i ka hoʻomaha ʻana, kahi e kōkua ai i ka hoʻomaikaʻi ʻana i kou hiamoe.

ʻO ke kumu, he maʻalahi a hoʻoluʻolu hoʻi ka lomilomi wāwae e hiki ai ke hōʻoluʻolu i kāu RLS ʻōuli.

7. Nā lāʻau lapaʻau kuhikuhi

ʻO ka lāʻau lapaʻau kahi lāʻau lapaʻau no ka RLS kaulike a paʻakikī. ʻO nā lāʻau lapaʻau Dopaminergic ka mea maʻamau i kauoha ʻia. Kūleʻa lākou i ka hoʻomaha ʻana i nā hōʻailona RLS, akā hiki iā lākou ke kumu i nā hopena a me nā pilikia ʻē aʻe ().

Hiki i nā ʻano lāʻau ʻē aʻe ke kōkua i ka hoʻopakele ʻana i nā hōʻailona RLS me ka ʻole o kēia mau pilikia like.

Nā lāʻau Dopaminergic

Hoʻonui nā lāʻau Dopaminergic i ka hoʻokuʻu ʻia o ka dopamine i kou lolo. ʻO Dopamine kahi kemika e kōkua ai i ka neʻe ʻana o ke kino maʻamau ().

Hiki paha i nā lāʻau lapaʻau Dopaminergic ke kōkua i ka hoʻopakele ʻana i nā hōʻailona RLS no ka mea pili ka maʻi me nā pilikia i ka hana o ke kino o ka dopamine.

ʻEkolu mau lāʻau dopaminergic i ʻae ʻia e ka U.S. Food and Drug Administration (FDA) e mālama i ka RLS kumu mua a koʻikoʻi.

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

ʻOiai hōʻike ʻia nā lāʻau dopaminergic e kōkua i ka hoʻomaikaʻi ʻana i nā hōʻailona RLS, hiki i ka hoʻohana wā lōʻihi ke hōʻeha i nā hōʻailona. Kapa ʻia kēia hanana he hoʻonui. I mea e hoʻopaneʻe ai i kēia pilikia, kuhikuhi pinepine nā kauka i ka hopena haʻahaʻa o kēia mau lāʻau (,).

Hoʻohui ʻia, hiki i kēia mau lāʻau ke lilo i mea liʻiliʻi i ka manawa. I mea e hoʻopaneʻe ai pale aku ai i kēia mau pilikia ʻelua, hiki i kāu kauka ke kuhikuhi i ka hui pū ʻana o nā lāʻau dopaminergic me nā ʻano lāʻau ʻē aʻe e mālama iā RLS ().

Gabapentin

ʻO kahi lāʻau ʻehā i ʻāpono ʻia e ka FDA e mālama iā RLS i kapa ʻia ʻo gabapentin (Horizant). ʻO kēia kahi lāʻau antiseizure (27).

ʻAʻole maopopo maopopo i ka hana a ka gabapentin e hōʻoluʻolu i nā hōʻailona RLS, akā hōʻike nā haʻawina e maikaʻi ().

I hoʻokahi noiʻi, ua mālama ʻia nā poʻe 24 me RLS me ka gabapentin a i ʻole kahi placebo no ʻeono pule. ʻO ka poʻe i mālama ʻia me ka gabapentin i hoʻomaikaʻi i ka hiamoe a hoʻemi i ka neʻe ʻana o ka wāwae mai RLS, ʻo ka poʻe i mālama ʻia me kahi placebo ʻaʻole ().

Ua hoʻohālikelike kahi noiʻi ʻē aʻe i ka hoʻohana ʻana o gabapentin me ka hoʻohana ʻana o ropinirole (kekahi o nā lāʻau i ʻae ʻia e ka FDA e mālama iā RLS). ʻEwalu mau kānaka me RLS i lawe i kēlā me kēia lāʻau no ʻehā mau pule, a ua loaʻa i nā hui ʻelua i nā pae like o ke kōkua mai nā RLS ʻōuli ().

ʻO Benzodiazepines

ʻO Benzodiazepines nā lāʻau i hoʻohana ʻia e mālama i ka hopohopo a me nā pilikia hiamoe. ʻO Clonazepam (Klonopin) a me nā ʻano ʻē aʻe o kēia mau lāʻau i kuhikuhi pinepine ʻia no ka poʻe me RLS i hui pū ʻia me nā lāʻau ʻē aʻe (30).

ʻOiai ʻaʻole hiki i kēia mau lāʻau ke hōʻoluʻolu i nā ʻōuli RLS iā lākou iho, ʻo ko lākou pōmaikaʻi o ka hiamoe maikaʻi ʻana hiki ke kōkua maikaʻi loa no ka poʻe me RLS (30).

Nā Opioid

Hoʻohana pinepine ʻia nā Opioids e mālama i ka ʻeha. I kekahi mau hihia, maʻa mau ke kōkua ʻole nā ​​lāʻau ʻē aʻe a i ʻole ke kumu o ka hoʻonui ʻana, hiki ke hoʻohana pono ʻia nā opioids i nā lāʻau haʻahaʻa e kōkua ai e mālama iā RLS (, 8).

ʻO ka oxycodone / naloxone (Targinact) hoʻolōʻihi ʻia ʻo ia kekahi opioid i hiki ke kōkua i ke kōkua ʻana i nā hōʻailona RLS a hoʻomaikaʻi i ka hiamoe (4). Eia nō naʻe, ma muli o nā alakaʻi hou e hoʻomohala ʻia nei no ka hoʻohana ʻana i nā opioids, he ala hope loa kēia.

E like me nā opioid āpau, pono e nānā pono ʻia ka hoʻohana ʻana i kēia mau lāʻau e ke kauka, ma muli o ko lākou pilikia o ka hoʻohana pono ʻole ʻana a me ka hilinaʻi ʻana.

Inā loaʻa ka RLS kaulike a paʻakikī paha, e ʻōlelo paha kāu kauka i hoʻokahi a ʻoi paha nā lāʻau. ʻO nā lāʻau lapaʻau Dopaminergic kahi maʻamau RLS lapaʻau mua, akā hiki iā lākou ke kumu i nā hopena a me ka hoʻonui ʻana, no laila e mālama pono ʻia kā lākou hoʻohana ʻana.

8. Wili wāwae (restiffic)

Ua hōʻike ʻia kahi wahī wāwae e kōkua ai i ka hoʻopakele ʻana i nā hōʻailona RLS.

Kapa ʻia ka restiffic, kau ka wahī wāwae i kaomi ma luna o kekahi mau kiko ma ka lalo o kou wāwae. Hoʻouna nā kaomi i nā leka i kou lolo, kahi e pane ai i ka haʻi ʻana i nā mākala i hoʻopili ʻia e RLS e hoʻomaha. Kōkua kēia i ka hoʻokuʻu i kāu RLS ʻōuli (31).

ʻO kahi noi 2013 o 30 poʻe e hoʻohana ana i ka ʻūpā wāwae no ʻewalu mau pule i loaʻa he mau hoʻomaikaʻi koʻikoʻi i nā hōʻailona RLS a me ka maikaʻi o ka hiamoe (32).

Loaʻa ka wahī wāwae restiffic e ke kuhikuhi wale nō, a no ka pūnaewele o ka ʻoihana, kūʻai ʻia ma kahi o $ 200. ʻAʻole paha e uhi ʻia a i ʻole e ka ʻinikua paha (31).

Pono ka wili wāwae restiffic i kahi kuhikuhi a me kahi hoʻopukapuka kālā mua, akā hiki ke hāʻawi i ka hoʻomaha RLS ma ke kau ʻana i ke kaomi ma luna o kekahi mau kiko ma lalo o ka wāwae.

9. Pākuʻi pneumatic

Inā ʻoe i noho i ka pō i ka haukapila, ua loaʻa paha ʻoe i ka compressive pneumatic. Hoʻohana kēia lapaʻau i kahi "lima lima" e hele ma luna o kou wāwae a hoʻoulu a deflates, kaomi mālie a hoʻokuʻu i kou lālā.

I ka haukapila, hoʻohana pinepine ʻia kahi mea hoʻopili pneumatic (PCD) e hoʻomaikaʻi i ke kaapuni a pale i nā kahe o ke koko. ʻO ke ʻoi o ka holo ʻana paha ke kumu i hōʻike ʻia ai ka kaomi pneumatic e kōkua ai e hōʻoluʻolu i nā hōʻailona RLS ().

Manaʻo kekahi poʻe noiʻi he kumu o RLS ka pae haʻahaʻa o ka oxygen ma nā lālā. Manaʻo lākou e pane ke kino i kēia pilikia ma ka hoʻonui ʻana i ka holo ʻana ma o nā kuʻina mākala e kū ana ke neʻe ke kanaka i ko lākou lālā ().

ʻO nā kumu āpau, ua hōʻike ʻia kahi noiʻi ʻana hiki i ka compression pneumatic ke kōkua i ke kōkua ʻana i nā hōʻailona RLS.

ʻO kahi noiʻi 2009 o 35 poʻe i hoʻohana i ka PCD ma ka liʻiliʻi i hoʻokahi hola i kēlā me kēia lā no hoʻokahi mahina ua hoʻomaikaʻi maikaʻi i nā hōʻailona RLS, ka maikaʻi o ka hiamoe, a me ka hana o ke ao. Eia naʻe, ʻaʻole i hōʻike ʻia kahi noiʻi ʻē aʻe i nā hopena like (,).

Hoʻolimalima ʻia kekahi mau PCD, a hiki i kekahi ke kūʻai aku ma luna o kahi pākuʻi a i ʻole me kahi kuhikuhi. E maʻalahi paha ka loaʻa ʻana o ka ʻinikua no ka PCD no ka poʻe hiki ʻole ke ʻae i ka lāʻau RLS (, 35).

ʻO kahi PCD kahi lāʻau lapaʻau lāʻau ʻole i hiki ke kūʻai ʻia ma luna o ka pākuʻi a i ʻole me kahi kuhikuhi. Hiki iā ia ke kōkua i ke kōkua ʻana i nā hōʻailona RLS e ka hoʻomaikaʻi ʻana i ka holo i kou mau wāwae. Ua hakakā ʻia nā hopena o ka noiʻi ʻana ma kēia hāmeʻa.

10. Pākuʻi uila (Relaxis)

ʻAʻole hiki i kahi pad vibrating i kapa ʻia ʻo Relaxis pad ke hoʻokuʻu i kāu mau hōʻailona RLS, akā hiki ke kōkua iā ʻoe e hiamoe maikaʻi (4).

Hoʻohana ʻoe i ka pad vibrating ʻoiai ʻoe e hoʻomaha a hiamoe ana paha. Kau ʻoe i ka pale ma ka wahi i hoʻopilikia ʻia, e like me kou wāwae, a hoʻonoho i ka ikaika o ka haʻalulu i makemake ʻia. Hoʻonā ka pā no 30 mau minuke a laila pio iā ia iho ().

ʻO ka manaʻo ma hope o ka pad ka hāʻawi o nā haʻalulu i "counterstimulation." ʻO ia, hoʻokahuli lākou i nā ʻano ʻoluʻolu ʻole e RLS no laila ʻike ʻoe i nā haʻalulu ma kahi o kāu mau hōʻailona ().

ʻAʻole nui ka noiʻi i loaʻa ma ka pā Relaxis, a ʻaʻole i hōʻike ʻia e hōʻoluʻolu maoli i nā hōʻailona RLS. Eia naʻe, ua hōʻike ʻia e hoʻomaikaʻi i ka hiamoe ().

I ka ʻoiaʻiʻo, ua ʻike ʻia kahi noiʻi e like me ka maikaʻi o ka hoʻomaikaʻi ʻana i ka hiamoe e like me nā lāʻau ʻehā RLS i ʻae ʻia e FDA: ropinirole, pramipexole, gabapentin, and rotigotine (36).

Loaʻa ka pale Relaxis e ke kauka mai kāu kauka. Ma ka pūnaewele pūnaewele, ʻaʻole uhi ʻia ka hāmeʻa e ka ʻinikua, a ʻoi aku ka uku ma mua o $ 600 (37).

Pono ka papa Relaxis haʻalulu i kahi kuhikuhi a me nā kumukūʻai ma mua o $ 600. ʻAʻole hiki iā ia ke mālama i nā hōʻailona RLS maoli, akā hiki i nā hopena counterstimulation ke kōkua iā ʻoe e hiamoe maikaʻi.

11. spectroscopy infrared kokoke loa (NIRS)

ʻO kahi lapaʻau noninvasive ʻaʻole ia e hoʻohana ākea ʻia no kēia kumu e hiki ke kōkua i ke kōkua ʻana i nā hōʻailona RLS.

Kāhea ʻia kēia lapaʻau hōʻeha ʻole kokoke i ka spectroscopy infrared (NIRS). Me nā NIRS, hoʻohana ʻia nā kaola māmā me nā nalu lōʻihi e komo i loko o ka ʻili. Hoʻonui ke kukui i nā kīʻaha koko, hoʻonui i ka holo ().

Hoʻokumu kekahi kumumanaʻo e hoʻokumu ʻia ka RLS e nā pae oxygen haʻahaʻa ma kahi i hoʻopili ʻia. Manaʻo ʻia ʻo ka hoʻonui ʻia o ka holo ʻana i hoʻokumu ʻia e NIRS e hoʻonui ai i kēlā pae oxygen, e kōkua ana e hōʻoluʻolu i nā hōʻailona RLS ().

Ua ʻike ʻia kekahi mau noiʻi i kēia lāʻau. Ua mālama hoʻokahi kahi noiʻi me 21 mau kānaka me RLS me NIRS ʻekolu manawa i kēlā me kēia pule no ʻehā pule. Ua hōʻike nā holo a me nā hōʻailona RLS i ka hoʻomaikaʻi nui ().

Ua hōʻike ʻia kekahi e ka poʻe i mālama ʻia me nā mālama he 30 mau minuke he 30 mau minuke o NIRS ma mua o ʻehā mau pule i hōʻemi loa i nā hōʻailona o RLS. Ua hoʻomaikaʻi ʻia nā ʻōuli a i ʻehā mau pule ma hope o ka pau ʻana o ka mālama ʻana ().

Hiki ke kūʻai aku i nā polokalamu NIRS ma ka pūnaewele no nā haneli kālā he nui a i ʻoi aku ma mua o $ 1,000 ().

Hiki i kahi mea hana NIRS ke kumu kūʻai i mau haneli kālā, akā ʻo nā hopena lōʻihi o kēia mālama ʻole noninvasive hiki ke kūpono i ka hoʻopukapuka.

Nā hana me ka hoʻoliʻiliʻi ʻepekema liʻiliʻi

Loaʻa i nā ʻano lāʻau i luna kekahi mau noiʻi e kākoʻo i kā lākou hoʻohana ʻana. Loaʻa nā hōʻike ʻē aʻe i nā lāʻau lapaʻau ʻē aʻe, akā hana paha ia no kekahi poʻe me RLS.

Nā hoʻoponopono wela a anuanu hoʻi

ʻOiai ʻaʻole nui ka noiʻi e kākoʻo ana i ka hoʻohana ʻana i ka wela a me ke anuanu e hōʻoluʻolu ai i nā hōʻailona RLS, he nui nā ʻoihana olakino e paipai iā ia. Hoʻopili lākou i ka National Sleep Foundation a me ka Restless Legs Syndrome Foundation (19, 40).

Hōʻike kēia mau hui i ka ʻauʻau wela a anuanu paha ma mua o ka hiamoe ʻana, a i ʻole ka hoʻopili ʻana i nā ʻeke wela a anuanu paha i kou mau wāwae (18).

Hoʻonui ʻia nā hōʻailona RLS o kekahi poʻe e ke anuanu, ʻoiai pilikia kekahi i ka wela. Hiki i kēia ke wehewehe i nā pono o kēia mau hana wela a anuanu hoʻi.

Hoʻopiʻi hou i ka transcranial magnetic stimulate (rTMS)

ʻO ke kaʻina hana noninvasive e hoʻohana maʻamau e mālama i ke kaumaha hiki ke kōkua i ka hoʻomaha ʻana i nā hōʻailona RLS. I kēia manawa, ua kaupalena ʻia nā haʻawina a ʻoi aku ka nui o ka noiʻi e pono ai, akā ke hoʻohiki nei nā hopena (4, 41,).

Hoʻouna hou ka transcranial magnetic stimulate (rTMS) i nā impe magnet i kekahi mau wahi o ka lolo.

ʻAʻole maopopo loa ke kumu e hiki ai i ka rTMS ke kōkua i ke kōkua ʻana i nā hōʻailona RLS. Hoʻokahi kumumanaʻo e hoʻonui nā impulses i ka hoʻokuʻu o ka dopamine i ka lolo. Hōʻike kekahi i hiki i ka rTMS ke kōkua e hōʻoluʻolu i ka hyperarousal i nā ʻāpana o ka lolo e pili ana me RLS (43).

I hoʻokahi makahiki 2015 hoʻopaʻa haʻawina, 14 poʻe me RLS i hāʻawi ʻia he 14 mau kau o rTMS ma mua o 18 mau lā. Ua hoʻomaikaʻi nui nā kau i kā lākou RLS ʻōuli a hoʻomaikaʻi i ko lākou hiamoe. Ua mau nā hopena ma kahi o ʻelua mau mahina ma hope o ka pau ʻana o ka mālama ʻana ().

ʻO ka stimcure uila uila transcutaneus (TENS)

Me ka hoʻoulu uila uila transcutaneus (TENS), hoʻouna kahi mea i nā kahawai uila i nā ʻāpana o kou kino e kōkua i ka ʻeha.

ʻAʻole nui ka noiʻi ma ka hoʻohana ʻana o TENS e mālama iā RLS, akā hiki ke holo.

ʻO ka manaʻo e like me ka Relaxis vibrating pad, hoʻohana ia i ka counterstimulation. Ua hōʻike ʻia kahi noiʻi i ka hoʻohana mau ʻana o ka TENS me kahi haʻalulu haʻalulu ua hoʻomaha loa i nā hōʻailona RLS a kekahi kāne (,).

Acupuncture

Hiki ke kōkua i ka Acupuncture i ka mālama ʻana i nā ʻano olakino he nui, a ʻo RLS paha kekahi o lākou.

ʻO kahi noi 2015 o 38 mau kānaka me RLS i mālama ʻia me ka acupuncture no ʻeono pule i hōʻike ʻia ua hoʻemi nui ʻia kā lākou hana wāwae wāwae mai RLS ().

Eia nō naʻe, pono hou ʻia kahi noiʻi hou e hōʻoia i ka acupuncture ma ke ʻano he lapaʻau pono no RLS.

ʻO ke kaha no nā veins varicose

No ka poʻe me kekahi pilikia kaapuni, hiki i ke kahakaha ke lapaʻau maikaʻi loa no kā lākou RLS ().

Hoʻonui ʻia nā veins varicose i nā kīʻaha koko, pinepine i nā wāwae, i piha i ke koko. Hiki i kēia hoʻonui ʻia o ke koko ke alakaʻi i ka lawa ʻole o ka venous insidence (SVI), ʻo ia hoʻi ʻaʻole hiki i kou kino ke hoʻopuni kūpono i ke koko. ʻO ka hopena, loko ka wai i kou mau wāwae.

Ma kahi noi 2008, 35 mau kānaka me SVI a me RLS i loaʻa kahi hana i kapa ʻia he endovenous laser ablasi e mālama ai i ko lākou veins varicose. Mai ka 35 poʻe, 84 pākēneka o lākou i loaʻa i kā lākou RLS hōʻailona me ka hoʻomaikaʻi a hoʻopau loa ʻia e ke ʻoki (47).

Eia hou, pono hou aku kahi noiʻi e pili ana i kēia ʻoki ma ke ʻano he lapaʻau no RLS.

Inā makemake ʻoe i kekahi o kēia mau ʻano lāʻau noiʻi liʻiliʻi, e nīnau i kāu kauka e pili ana iā lākou. ʻOiaʻiʻo, hiki iā ʻoe ke hoʻāʻo i nā mālama wela a me nā anuanu iā ʻoe iho, akā hiki i kāu kauka ke haʻi hou aku iā ʻoe e pili ana i nā ʻano lāʻau ʻē aʻe a inā paha e hiki iā lākou ke kōkua iā ʻoe.

ʻO ka lawe lawe ʻana

Hiki i ka RLS ke hoʻonāukiuki i ka nui o ka pilikia, nā pilikia hiamoe, a me nā pilikia me ka hana o kēlā me kēia lā, no laila he mea nui ka mālama ʻana. ʻO kāu hana mua e hoʻāʻo i nā koho ma ka home ma kēia papa inoa. Akā inā ʻaʻole lākou e kōkua iā ʻoe, e kamaʻilio me kāu kauka.

Hiki i kāu kauka ke hāʻawi i ka ʻike hou aku e pili ana i kēlā me kēia o nā ʻano lapaʻau a ʻo kahi - a i ʻole hoʻokahi - koho maikaʻi paha nāu.

E hoʻomanaʻo i ka mea e hana no kekahi kanaka ʻaʻole holo paha no kekahi, a pono paha ʻoe e hoʻāʻo i nā lāʻau ʻokoʻa a i ʻole nā ​​lāʻau lapaʻau. E hoʻomau i ka hoʻāʻo ʻana a hiki i ka wā e ʻike ai ʻoe i ka papa hana e pono ai nāu (48).