I-Restless Legs Syndrome

Abantu abane-restless legs syndrome (RLS) bazizwa benesidingo esikhulu sokunyakazisa imilenze yabo, okungenza kokubili ukulala nemisebenzi yansuku zonke kube nzima. Odokotela baphinde babize lesi sifo se-neurological disorder i-Willis-Ekbom. Lesi simo singaqala kunoma ibuphi ubudala futhi sivame ukuba sibi kakhulu njengoba abantu bekhula.

Ake sihlole ukuthi kusho ukuthini isifo semilenze engaphumuli kanye nezimpawu ze-RLS, kungani kwenzeka, izinketho zokwelapha, kanye nesikhathi esifanele sokukhuluma nodokotela. Abafundi bazothola amakhambi asekhaya awusizo kanye nezimpendulo zemibuzo evamile mayelana nokuphatha lesi simo esiyinselele.

Iyini i-Restless Legs Syndrome (RLS)?

I-Restless legs syndrome yisifo sezinzwa esidala isifiso esingenakuvinjelwa sokuhambisa imilenze. I-RLS ihlukile ezimweni ezijwayelekile zobuhlungu ngoba idala imizwa engakhululekile ekujuleni kwezitho eziba ngcono ngokuhamba. Abantu bangase futhi bezwe ubuhlungu emilenzeni.

Izimpawu Ze-Restless Legs Syndrome

Abantu abane-RLS baba nesidingo esikhulu sokuhambisa imilenze yabo. Le mizwa ivame ukuza nemizwa engemihle echazwa ngokuthi:

• Ukukhasa, ukunwaya noma ukushoshozela
• Ukudonsa, ukushaya noma ukuqaqamba
• Imizwa kagesi noma yokuluma
• Ubusuku nezikhathi zokungenzi lutho kwenza izimpawu zibe zimbi nakakhulu, okuphazamisa ukulala. 

Ucwaningo lubonisa ukuthi iningi lemilenze yeziguli ze-RLS inyakaza ngokuzenzakalelayo njalo ngemizuzwana engu-15-40 ubusuku bonke, isimo esaziwa ngokuthi ukunyakaza kwezitho ngezikhathi ezithile phakathi nokulala.

Izimbangela ze-Restless Legs Syndrome

Odokotela abakwazi ukuhlonza imbangela ethile ezimweni eziningi (idiopathic RLS). Ososayensi bakholelwa ukuthi ukungalingani kwe-dopamine kudlala indima ebaluleke kakhulu. Umzimba usebenzisa i-dopamine ukulawula ukunyakaza kwemisipha, okuchaza ukuthi kungani ukuphazamisa izindlela ze-dopamine kungase kubangele ukunyakaza kwemilenze okuzenzakalelayo. Abanye abantu baba ne-RLS ngenxa yezimo ezinjengalezi iron ukuntula, ukwehluleka kwezinso, ukukhulelwa, noma peripheral neuropathy.

Izingozi Zezingozi

I-syndrome ayibandlululi, ithinta kokubili izingane kanye nentsha. Ingozi ye-RLS iyanda ngezinye izici ezifana nalezi:

• Ubulili: Abesifazane babhekene nengozi ephindwe kabili
• Ubudala: Ingozi iyanda ngemva kweminyaka engama-50
• Umlando womndeni: I-50% yamacala anezixhumanisi zofuzo
• Ukukhulelwa: Ukukhulelwa kwandisa ingozi kakhulu - cishe amaphesenti angu-20 abesifazane baba nezimpawu phakathi nezinyanga zabo ezintathu zokugcina.
• Isizinda sobuhlanga: Abantu abavela ezifundeni zaseMedithera babhekene nengozi enkulu kunabantu baseMpumalanga Asia 

Izinkinga ze-Restless Legs Syndrome

I-RLS yenza okungaphezu nje kokubangela ukungakhululeki. 

• Kuphazamisa kakhulu ukulala, okuholela ekukhathaleni emini futhi kunciphisa izinga lempilo. 
• Abantu abangalali ngokwanele bavame ukukhula ukukhathazeka futhi ukucindezeleka futhi ube nenkinga yokugxila. 
• Ucwaningo luthole ukuthi izimo ezinzima ze-rerestless feet syndrome zithwala ubungozi obukhulu bezinkinga zenhliziyo kanye umfutho wegazi ophakeme.

Ukuxilongwa kwe-Restless Legs Syndrome

Odokotela bahlola izimpawu ngezingxoxo ezinemininingwane mayelana namaphethini okulala nokungakhululeki kwemilenze. 

Umlando wezokwelapha nokuhlolwa ngokomzimba: Odokotela bangase babuze iziguli uma zizwa isifiso esingenakuvinjelwa sokuhambisa imilenze yabo ngezinzwa ezingakhululekile. Lezi zimpawu ziba zimbi kakhulu ngesikhathi sokuphumula kodwa ziba ngcono ngokuhamba. Isimo siba sibi kakhulu ebusuku. Odokotela bakhipha ezinye izimbangela ezingase zibe khona.

Ukuhlolwa kwezinzwa: Odokotela bahlola ukukhalipha, amandla emisipha, nokusebenza kwezinzwa ukuze bathole izinkinga ezihlobene nezinzwa.
Ukuhlolwa kwegazi: Hlola amazinga okusansimbi ngoba ukuntula kungase kubangele i-RLS. 

Odokotela bangase basebenzise izifundo zokulala ukwembula ezinye izinkinga ezifana nenkinga yokulala ezimweni eziyinkimbinkimbi.

Ukwelashwa kweRestless Legs Syndrome

Odokotela baqala ukwelashwa ngokugxila ezindleleni eziwumsuka ezifana namazinga ensimbi aphansi. Izinguquko ezilula emikhubeni yansuku zonke zingadambisa izimpawu ezithambile. Iziguli ezinezimpawu ezimaphakathi kuya kwezinzima ngokuvamile zidinga imithi:

• Imithi yesiteshi se-calcium isebenza njengokwelashwa kokuqala
• Izidakamizwa ezikhulisa i-Dopamine ziyasiza ekuqaleni kodwa zingase zibe zimbi kakhulu izimpawu ngokuhamba kwesikhathi
• Ama-opioid asiza izimo ezinzima ezingaphenduli kwezinye izindlela zokwelapha

Kufanele Ngimbone Nini Udokotela

Kufanele ubone udokotela uma izimpawu zithinta ukulala kwakho, kubangela ukucindezeleka noma ukukhathazeka, noma kwenze kube nzima ukugxilisa ingqondo. Odokotela badlulisela iziguli kuzo izazi zezinzwa uma ukuxilongwa kuhlala kungacacile.

Ikhambi Lasekhaya Le-Restless Legs Syndrome

Izindlela eziningi zokuzinakekela zisebenza kahle njenge: 

• Ukugeza okufudumele ngaphambi kokulala, ukusebenzisa i-pad yokushisisa noma ukubhucunga imilenze yakho kunganciphisa ukungahlaliseki.
• Ucwaningo luveza ukuthi ukuhlala usebenza kunendima enkulu ekwehliseni ubungozi be-RLS, njengoba abantu abakhuthele benethuba eliphindwe kathathu lokubhekana nayo.
• Ukunciphisa ukusetshenziswa kwe-caffeine, utshwala kanye ugwayi ilawula izimpawu ngokuphawulekayo.

Isiphetho

Izigidi zabantu emhlabeni wonke zibhekana nezinselele zansuku zonke ze-restless legs syndrome. Imizwelo engakhululekile nesifiso esingalawuleki sokunyakaza singashintsha ubusuku obuthule bube ubusuku bokungalali. Noma kunjalo, iziguli zingathola ukukhululeka ngokuxilongwa okufanele kanye nezinhlelo zokwelashwa eziqondene nomuntu.

Ukukhululeka kuqala lapho uqonda izimpawu zakho. Isimo sabantu abaningi siba ngcono ngengxube yezinguquko zendlela yokuphila kanye nokwelashwa. Izinguquko ezilula ekudleni, ukuhlala usebenza, nokulala kahle kuthuthukisa izimo ezithambile. Imithi inikeza impumuzo kubantu abanezimpawu ezinamandla.

Iziguli ezilandela uhlelo lwazo lokunakekelwa zivame ukuphatha isimo sazo. Alikho ikhambi elihlala njalo le-restless legs syndrome okwamanje, kodwa intuthuko kwisayensi yezokwelapha iyaqhubeka nokwenza ngcono esikwaziyo ngalesi simo semizwa.

Qaphela ukuthi ukuthola usizo kusenesikhathi ngokuvamile kusebenza kangcono. Kufanele ukhulume nodokotela uma ukungakhululeki emlenzeni kuqhubeka kuphazamisa ukulala kwakho. Udokotela wakho uzokusiza ukuthola ukuthi i-restless legs syndrome noma enye into ebangela izimpawu zakho.

Imibuzo Evame Ukubuzwa

1. Indlela yokukhulula i-restless leg syndrome?

Ungakwazi ukulawula izimpawu ngokushintsha indlela yokuphila elula: 

• Ukuzivocavoca okuphakathi njalo 
• Ukugeza okufudumele ngaphambi kokulala noma ukubhucungwa kwemilenze
• Ukukhululwa kuvame ukuvela ekululekeni, ekushisiseni amaphedi, noma kumaphedi adlidlizayo emilenzeni yakho engemuva. 
• Yehlisa i-caffeine, utshwala nogwayi.

2. Yikuphi ukuntula kwamavithamini okubangela imilenze engaphumuli?

Ukushoda kwensimbi kugqama njengokuxhumana okuyinhloko okunomsoco ku-restless legs syndrome. Ososayensi bathole izixhumanisi kuvithamini D, B12, i-magnesium, nokushoda kwe-folate futhi. 

3. Yikuphi ukudla okudala imilenze engaphumuli?

Izimpawu zakho zingaba zimbi kakhulu ngenxa ye-caffeine, utshwala, ne-nicotine, ikakhulukazi ngaphambi nje kokulala. Ukudla okulayishwe ushukela ocolisisiwe kanye nezinto ezigayiwe eziqukethe izithasiselo ezifana ne-MSG kungase kwandise ukuvuvukala futhi kwenze ukungakhululeki kwe-RLS kube kubi nakakhulu.

4. Iyiphi indawo engcono kakhulu yokulala ukuze uthole imilenze engaphumuli?

Ososayensi abakakayikhombi indawo yokulala ekahle okwamanje. Abanye abantu bazizwa bengcono ngokulala ngecele nomcamelo phakathi kwemilenze yabo. Abanye bathola impumuzo ngokulala ngomhlane imilenze iphakanyiswe kancane - lokhu kusiza igazi ligeleze kangcono emisipha nasemalungeni.

5. Iyini imbangela ye-Restless Leg Syndrome?

Odokotela abakwazi ukukhomba imbangela ezimweni eziningi. Ucwaningo lukhomba ukungalingani kwe-dopamine ebuchosheni okuthinta ukulawula ukunyakaza. Izakhi zakho zofuzo zinengxenye, ikakhulukazi uma izimpawu ziqala ngaphambi kweminyaka yobudala engama-40. I-RLS yesibili ivela ezimeni ezifana nokuntuleka kwensimbi, ukukhulelwa, noma ukwehluleka kwezinso.

6. Kungani imilenze engaphumuli iba yimbi kakhulu ebusuku?

Amazinga akho e-dopamine ngokwemvelo ehla njengoba kusondela kusihlwa, okungase kuchaze ukuthi kungani izimpawu ziqala ebusuku. Ukukhathala kwenza yonke into ibe yimbi kakhulu, kanjalo nokulala phansi. Izimpawu zabanye abantu ziba zimbi kakhulu noma ngabe kunini lapho behlala noma belele.

7. Ngiyithola kanjani impumuzo ngokushesha emilenzeni engaphumuli ebusuku?

Qala ukunyakaza ngokushesha lapho uzwa imizwa - hambahamba, welule, noma unikine imilenze yakho. Zama ukubhucunga izindawo ezithintekile noma usebenzise amaphakethe ashisayo/abandayo. Gcina ingqondo yakho imatasa ngezindida, izincwadi, noma imidlalo yevidiyo. Ukuphefumula okujulile kungasiza ekunciphiseni ukungezwani okwenza izimpawu zibe zimbi nakakhulu.

CARE Medical Team