Cov Kws Paub Q&A: To taub cov ceg tsis tswm

Zoo Siab

• Dab tsi yog qhov feem ntau ua rau kuv cov tsos mob thiab cov tsos mob?
• Puas muaj lwm qhov ua rau muaj peev xwm?
• Muaj cov kev kho mob dab tsi?
• Puas muaj cov khoom noj muaj txiaj ntsig uas yuav pab tau?
• Cov tshuaj uas koj ib txwm pom zoo ua yog dabtsi? Kev mob tshwm sim tsis zoo yog dabtsi?
• Kuv muaj lwm yam mob no. Kuv yuav ua licas tswj tau lawv kom zoo?
• Cov kauj ruam saib xyuas tus kheej uas yuav txhim kho kuv tus mob zoo li cas?
• Kev tawm dag zog puas pab tau? Dab tsi yog qhov zoo tshaj plaws?
• Koj puas muaj ib lub vev xaib uas koj qhia qhov twg kuv tuaj yeem tau txais cov ntaub ntawv ntau? Kuv yuav mus nrhiav qhov pab txhawb rau cov neeg muaj ceg tsis tswm zoo li cas qhov twg?

Dr. Nitun Verma yog tus kws kho mob pw tsaug zog hauv San Francisco Bay Area, tus thawj coj ntawm Washington Township Center for Sleep Disorder hauv Fremont, California, thiab tus sau phau ntawv Epocrates.com qhia rau RLS.

Dab tsi yog qhov feem ntau ua rau kuv cov tsos mob thiab cov tsos mob?

Tam sim no nws ntseeg tias qhov ua rau yog qib qis ntawm cov neurotransmitter hu ua dopamine uas siv hlau ua lub tsev thaiv. Kev noj tshuaj dopamine qis dua, lossis cov tshuaj noj uas ua rau qis dua, ua rau cov tsos mob ua ntej tsis zoo nyob hauv cov ceg (qee zaum caj npab) feem ntau thaum yav tsaus ntuj.

Puas muaj lwm qhov ua rau muaj peev xwm?

Lwm qhov ua rau tuaj yeem yog cev xeeb tub, qee cov tshuaj tiv thaiv kab mob siab, tshuaj tiv thaiv antihistamines xws li Benadryl, thiab lub raum tsis ua haujlwm. RLS muaj cov khoom siv caj ces-nws zoo li khiav hauv tsev neeg.

Muaj cov kev kho mob dab tsi?

Qhov kev xaiv thawj zaug thiab feem ntau zoo tshaj plaws yog zaws. Zaws txhais ceg txhua yav tsaus ntuj pab tiv thaiv cov tsos mob feem ntau. Zaws ua ntej pw tsaug zog pab. Kuv pom zoo kom nws ua thawj kab kev kho mob ua ntej xaiv cov tshuaj. Kev sov los yog txias txias yuav pab tau. Kuv cov neeg mob uas siv hluav taws xob zaws (xws li cov mob nraub qaum) tau txais txiaj ntsig zoo.

Cov kauj ruam tom ntej yog kev hloov pauv cov tshuaj uas yuav ua kom cov tsos mob xws li qee yam tshuaj tiv thaiv kab mob siab thiab tshuaj tiv thaiv antihistamines. Yog tias koj tus kws kho mob pom tias koj muaj cov hlau qis, hloov nws kuj tuaj yeem pab tau thiab. Qhov kawg ntawm yog siv cov tshuaj uas ua rau kho tsis tswm
txhais ceg, thiab qhov xwm zoo yog tias muaj kev nce qib hauv kev nrhiav tshuaj tshiab.

Puas muaj cov khoom noj muaj txiaj ntsig uas yuav pab tau?

Yog tias koj nyob hauv cov hlau tsawg, ib qho zoo ntxiv yuav yog hlau rau ob peb lub hlis kom pom tias qhov ntawd yuav pab tau. Cov hlau tuaj yeem ua rau GI chim siab, tab sis yog li ntawd, kuv tsuas yog xav kom nws rau cov neeg uas tsis tshua muaj hlau. Magnesium tau tab tom kawm tam sim no los ua kev kho mob, tab sis tsis muaj cov ntaub ntawv txaus txaus los muab nws ua ib qho kev kho mob.

Cov tshuaj uas koj ib txwm pom zoo ua yog dabtsi? Kev mob tshwm sim tsis zoo yog dabtsi?

Cov tshuaj dopamine tuaj yeem pab tau, tab sis qee zaum muaj kev cuam tshuam lub cev ntawm lub cev tau siv rau nws yog tias noj ntau dua. Lwm chav kawm ntawm cov tshuaj yog cuam tshuam nrog gabapentin, ib yam tshuaj uas keeb kwm siv rau qaug dab peg. Muaj qee yam tshuaj tshiab xws li Neupro, ib qho dopamine tso koj tso rau ntawm koj cov tawv nqaij es tsis txhob nqos ua ntsiav tshuaj. Horizant yog cov tshuaj tshiab gabapentin / neurontin-kev noj tshuaj uas xav tau tsawg dua kev noj tshuaj piv rau cov tshuaj qub.

Kev muab tshuaj rau qhov mob tsis ua haujlwm rau RLS. Yog tias lawv tau pab, tej zaum koj muaj lwm yam ntxiv. Kuv tau muaj coob tus neeg noj tshuaj pab pw tsaug zog. Benadryl yog cov khoom siv hauv feem ntau ntawm kev kho mob no thiab ua rau cov tsos mob RLS tsis zoo. Tom qab ntawd lawv siv cov koob tshuaj ntau dua thiab nws teeb tsa ua qhov tsis zoo. Lwm cov tshuaj uas ua rau nws tsis zoo: dopamine antagonists, lithium carbonate, tshuaj tua kab mob xws li tricyclics, SSRIs (Paxil, Prozac, thiab lwm yam). Wellbutrin (buproprion) yog cov tshuaj tiv thaiv kev ntxhov siab uas yog kev zam thiab tsis tau muaj

qhia kom nce cov tsos mob ntawm RLS.

Kuv muaj lwm yam mob no. Kuv yuav ua licas tswj tau lawv kom zoo?

Yog tias koj tseem muaj kev nyuaj siab, koj tuaj yeem noj tshuaj uas ua rau muaj tus mob RLS ntau dua. Tsis txhob tso tseg los ntawm koj tus kheej, tab sis nug koj tus kws kho mob yog tias lwm yam kev tiv thaiv kev ntxhov siab tuaj yeem ua haujlwm hloov. Buproprion yog tshuaj tua kab mob uas tuaj yeem pab RLS cov tsos mob nyob rau qee kis.

Cov neeg muaj RLS tsis txhob pw ntau ntau, thiab kev pw tsaug zog tsawg yuav cuam tshuam nrog kev nyuaj siab, ntshav qab zib thiab ntshav siab. Tab sis nws yog ib qho nyuaj rau kev kho mob ntshav siab yam tsis muaj teeb meem pw tsaug zog, ib yam nkaus. Hmoov tsis zoo, feem ntau pw tsaug zog hauv cov neeg mob no.

Cov kauj ruam saib xyuas tus kheej uas yuav txhim kho kuv tus mob zoo li cas?

Qhov zoo tshaj plaws saib xyuas tus kheej yog ua zaws koj ob txhais ceg ib hmos. Yog tias koj pom tias cov tsos mob pib thaum lub sijhawm, xws li hais tias 9 teev, ces zaws ntawm 8 txog 9 teev. Qee zaum zaws ua ntej cov tsos mob pib tuaj yeem ua haujlwm zoo tshaj.

Kev tawm dag zog puas pab tau? Dab tsi yog qhov zoo tshaj plaws?

Cov kev tawm dag zog uas muaj feem cuam tshuam rau cov leeg nqaij cuam tshuam yog qhov zoo tshaj plaws, tab sis lawv yuav tsum tsis txhob siv lub zog heev. Txawm tias taug kev thiab ncab yuav ua kom zoo txaus.

Koj puas muaj ib lub vev xaib uas koj qhia qhov twg kuv tuaj yeem tau txais cov ntaub ntawv ntau? Kuv yuav mus nrhiav qhov pab txhawb rau cov neeg muaj ceg tsis tswm zoo li cas qhov twg?

www.sleepeducation.org yog lub vev xaib zoo uas siv los ntawm Asmeskas Academy ntawm Kev Tshawb Fawb pw uas muaj cov ntaub ntawv ntawm RLS. Nws tuaj yeem pab qhia koj mus rau ib pab pawg txhawb nqa hauv ib cheeb tsam.