Nyob tsis tswm ceg mob

Nyob tsis tswm ceg mob ntsws (RLS) yog qhov teeb meem mob hlwb uas ua rau koj mloog zoo li tsis xav ua kom sawv thiab taug kev los yog taug kev. Koj tsis xis nyob tshwj tsis yog koj txav koj ob sab ceg. Kev txav nres nres qhov tsis zoo rau lub sijhawm luv.

Qhov kev tsis zoo no tseem muaj dua lub npe hu ua nyob tsis tswm ceg / mob Willis-Ekbom (RLS / WED).

Tsis muaj leej twg paub tseeb tias ua li cas RLS. Nws yuav yog vim muaj teeb meem nrog txoj hauv kev hlwb hlwb siv dopamine. Dopamine yog lub hlwb ua haujlwm uas pab ua kom cov leeg muaj zog.

RLS yuav txuas nrog rau qee yam kev mob. Nws yuav tshwm sim ntau zaus rau cov neeg uas:

• Mob raum
• Mob ntshav qab zib
• Hlau, magnesium, lossis folic acid tsis txaus
• Kab mob Parkinson
• Mob paj hlwb peripheral
• Cev xeeb tub
• Ntau yam sclerosis

RLS kuj yuav tshwm sim rau cov neeg uas:

• Siv qee yam tshuaj xws li calcium channel blockers, lithium, lossis neuroleptics
• Yog siv ceev xwmphem sedative siv
• Siv cov khoom qab zib

RLS tshwm sim feem ntau rau cov laus thiab cov laus. Poj niam feem ntau muaj RLS ntau dua li tus txiv neej.

RLS feem ntau dhau mus rau hauv cov tsev neeg. Qhov no tuaj yeem yog ib qho xwm txheej thaum cov tsos mob pib thaum yau.

RLS ua rau kev tsis kaj siab nyob rau hauv koj cov ceg qis. Cov kev xav no ua rau tsis txaus ntseeg txhawm rau txav koj ob sab ceg. Koj yuav xav tias:

• Nkoj nce thiab nqis
• Kev thab plaub, rub, lossis rub tawm
• Hlawv lossis nrov
• Qog, caj pas, lossis mob
• Khaus lossis gnawing
• Tingling, pins thiab koob nyob hauv taw

Cov ncus:

• Muaj kev tsis zoo thaum hmo ntuj thaum koj pw rau lub ntsiab lus uas nws tuaj yeem cuam tshuam nrog kev pw tsaug zog thiab ua kom tus neeg mob tsaug zog
• Qee zaum tshwm sim thaum nruab hnub
• Pib lossis ua tsis zoo dua thaum koj pw lossis zaum ntev ntev
• Yuav nyob ntev li 1 teev lossis ntev dua
• Qee zaum kuj tshwm sim hauv cov ceg, ceg lossis caj npab sab saud
• Muaj kev ntxhov siab thaum koj tsiv lossis ncab ntev npaum li koj tau txav mus los

Cov tsos mob tuaj yeem ua rau nws tsis yooj yim zaum thaum huab cua lossis tsheb mus ncig, lossis los ntawm chav kawm lossis rooj sib tham.

Kev ntxhov siab lossis ntxhov siab tuaj yeem ua rau cov tsos mob hnyav dua.

Cov neeg feem coob uas muaj RLS muaj caj dab caj dab thaum lawv tsaug zog. Tus mob no yog hu ua ntu sij hawm ntawm kev tsis meej.

Tag nrho cov tsos mob no ua rau nws tsaug zog. Kev pw tsis tsaug zog tuaj yeem ua rau:

• Nruab hnub pw tsaug zog
• Ntxhov siab los yog kev nyuaj siab
• Tsis meej pem
• Nyuaj tsis xav kom meej meej

Tsis muaj ib qho kev sim tshwj xeeb rau RLS. Koj tus kws kho mob yuav siv koj li keeb kwm kho mob thiab kuaj ib ce. Koj tuaj yeem kuaj ntshav thiab lwm yam kev kuaj mob kom txiav txim siab txog cov xwm txheej uas tuaj yeem ua rau cov tsos mob zoo sib xws.

Feem ntau, koj tus kws kho mob yuav txiav txim siab seb koj puas muaj RLS raws li koj cov tsos mob.

RLS yuav kho tsis tau. Txawm li cas los xij, kev kho mob tuaj yeem pab txo cov tsos mob.

Qee yam kev pauv hloov hauv lub neej tuaj yeem pab koj tiv thaiv kev mob thiab cov tsos mob yooj yim.

• Pw kom txaus. Mus pw thiab sawv tib lub sijhawm txhua txhua hnub. Nco ntsoov tias koj lub txaj thiab chav pw tau zoo nyob.
• Sim siv cov pob kub los yog txias ntawm koj ob txhais ceg.
• Pab koj cov leeg so kom txaus nrog kev ncab, zaws thiab da dej kom sov.
• Siv sijhawm nyob ib hnub los so kom txaus. Sim ua yoga, xav, lossis lwm txoj hauv kev los txo qhov nro.
• Zam kev haus kas fes, haus cawv, thiab luam yeeb. Lawv yuav ua rau cov tsos mob hnyav ntxiv.

Koj tus kws kho mob yuav sau ntawv mus yuav tshuaj los kho RLS.

Qee cov tshuaj pab tswj cov tsos mob:

• Pramipexole (Mirapex)
• Ropinirole (Requip)
• Tsawg koob tshuaj ntawm cov tshuaj yeeb yaj kiab

Lwm yam tshuaj tuaj yeem pab koj tsaug zog:

• Sinemet (sib xyaw carbidopa-levodopa), ib qho tshuaj los tiv thaiv Parkinson
• Gabapentin thiab pregabalin
• Clonazepam lossis lwm qhov kev kub ntxhov

Cov tshuaj kom pab koj tsaug zog yuav ua rau koj tsaug zog nruab hnub.

Kho cov mob uas muaj cov tsos mob zoo xws li mob leeg hlwb lossis hlau tsis muaj peev xwm kuj tuaj yeem pab txo cov tsos mob.

RLS tsis txaus ntshai. Txawm li cas los xij, nws tuaj yeem tsis xis nyob, ua rau nws tsaug zog tsis txaus thiab cuam tshuam koj lub neej zoo.

Koj yuav tsis tau pw tsaug zog zoo (insomnia).

Hu mus teem sijhawm nrog koj tus kws khomob yog:

• Koj muaj tsos mob ntawm RLS
• Koj pw tsaug zog cuam tshuam
• Cov tsos mob mob heev dua

Tsis muaj txoj hauv kev los tiv thaiv RLS.

Tus mob Willis-Ekbom; Nocturnal myoclonus; RLS; Akathisia

• Kev tswj hwm leeg

Allen RP, Montplaisir J, Walters AS, Ferini-Strambi L, Hogl B. Nyob tsis tswm ntawm cov leeg ceg thiab caj pas tsis tu ncua thaum pw tsaug zog. Hauv: Kryger M, Roth T, Dement WC, eds. Cov hauv paus ntsiab lus thiab kev coj ntawm Kev Tshuaj Tsaug ZogCov. 6 tus ed. Philadelphia, PA: Elsevier; 2017: cha 95.

Chokroverty S, Avidan AY. Pw tsaug zog thiab nws cov kev ntshawv siab. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 102.

Winkelman JW, Armstrong MJ, Allen RP, li al. Cov txheej txheem kev taw qhia cov ntsiab lus: kev kho mob ntawm cov ceg tsis tswm ntawm cov laus hauv cov neeg laus: qhia txog Kev Taw Qhia Kev Txhim Kho, Kev Qhia Tawm, thiab Kev Ua Raws Pawg ntawm American Academy of Neurology. NeurologyCov. 2016; 87 (24): 2585-2593. PMID: 27856776 www.ncbi.nlm.nih.gov/pubmed/27856776.