11 Qhov kev kho mob zoo tshaj plaws rau cov ceg tsis tswm

Zoo Siab

• 1. Txiav txim ntsig txog cov peev txheej uas tsim nyog
• Cwj Pwm
• Cov Tshuaj Kho Mob
• Cov mob
• Lwm yam chiv keeb
• 2. Kev noj qab nyob zoo pw tsaug zog
• 3. Cov hlau thiab cov tshuaj vitamins
• 4. Kev tawm dag zog
• 5. Yoga thiab ncab
• 6. Zaws
• 7. Tshuaj noj tshuaj
• Tshuaj Dopaminergic
• Gabapentin
• Benzodiazepines
• Kev Siv Opioids
• 8. Qhwv ko taw (so tsis taus)
• 9. Pneumatic nias
• 10. Kev co ncoo (Relaxis)
• 11. ze-infrared spectroscopy (NIRS)
• Kev kho mob nrog kev thim rov qab scientific tsawg dua
• Kev kho kub thiab txias
• Transcranial sib nqus stimulation (rTMS)
• Transcutaneous hluav taws xob hlab stimulation (TENS)
• Kev Siv Tshuaj Tua Tsiaj
• Kev phais rau varicose leeg
• Cov nqa mus

Yuav ua li cas yog nyob tsis tswm ceg mob?

Nyob tsis tswm ceg mob caj pas (RLS), kuj tseem hu ua tus mob Willis-Ekbom, yog ib qho mob uas ua rau tsis xis nyob, feem ntau mob hauv cov ceg. Cov kev paub zoo no tau piav txog qhov zoo nkauj, nkag, nkag siab, thiab ua rau muaj kev ntxhov siab rau kev tshem tawm tus ceg.

Cov tsos mob RLS feem ntau tshwm sim thaum tus neeg ntawd zaum, so, lossis pw tsaug zog, thiab feem ntau tshwm sim thaum hmo ntuj. Qhov txav los ntawm RLS yog hu ua qee ntu kev nqhis ntawm kev pw tsaug zog (PLMS). Vim tias cov kev txav no, RLS tuaj yeem ua rau muaj mob tsaug zog txaus.

Qee cov neeg muaj thawj RLS, uas tsis paub meej. Lwm tus muaj RLS theem nrab, uas feem ntau cuam tshuam nrog cov hlab ntsha teeb meem, cev xeeb tub, tsis muaj hlau, lossis mob raum tsis ua haujlwm.

Rau cov neeg feem coob uas muaj RLS, cov tsos mob yeej mob sib khuav. Tab sis yog tias koj cov tsos mob muaj mob me rau mob hnyav, RLS tuaj yeem cuam tshuam loj rau koj lub neej. Nws tuaj yeem tiv thaiv koj los ntawm kev pw tsaug zog kom txaus, thiab yog li ua rau muaj teeb meem nrog kev ua haujlwm nruab hnub thiab xav, koj txoj haujlwm, thiab koj cov haujlwm.

Raws li qhov teeb meem no, RLS tuaj yeem ua rau muaj kev ntxhov siab thiab kev ntxhov siab. Thiab sijhawm ntev koj muaj tus mob, nws yuav mob hnyav dua. Nws tuaj yeem kis mus rau lwm qhov ntawm koj lub cev, xws li koj sab caj npab ().

Vim tias qhov cuam tshuam RLS tuaj yeem muaj rau koj lub neej, kev kho yog qhov tseem ceeb. Cov hau kev ntawm kev kho yog muaj ntau yam, vim tias lub hauv paus RLS tsis tau paub tiag. Piv txwv, qee cov kws tshawb nrhiav hais tias RLS tshwm sim los ntawm teeb meem nrog lub hlwb tshuaj dopamine, hos lwm tus hais tias nws cuam tshuam nrog kev ncig tsis zoo.

Ntawm no peb teev cov kev kho mob zoo tshaj plaws rau RLS. Qee qhov no koj tuaj yeem sim ntawm koj tus kheej. Lwm tus koj tuaj yeem sab laj nrog koj tus kws kho mob, uas tuaj yeem pab koj tsim phiaj xwm kho mob kom pab daws koj cov tsos mob RLS.

1. Txiav txim ntsig txog cov peev txheej uas tsim nyog

Koj thawj thawj kauj ruam ntawm kev hais RLS yuav tsum tau xam yog tias muaj qee yam ua rau nws. Thaum RLS tuaj yeem cuam tshuam nrog cov khoom feem ntau tawm ntawm koj txoj kev tswjhwm, xws li cov caj ces lossis cev xeeb tub, muaj lwm yam tuaj yeem daws tau.

Cov xwm txheej no tuaj yeem yog tus cwj pwm niaj hnub, cov tshuaj uas koj noj, noj qab haus huv koj muaj, lossis lwm yam chiv keeb.

Cwj Pwm

Kev siv cov dej qab zib, cawv, thiab luam yeeb tuaj yeem ua rau cov tsos mob RL ntau dua. Txo cov tshuaj no yuav pab txo koj cov tsos mob RLS (2).

Cov Tshuaj Kho Mob

Qee yam tshuaj siv tau tuaj yeem ua rau lossis ua rau mob RLS ntxiv. Piv txwv li cov nram no: (,, 2, 3).

• cov tshuaj antihistamines qub xws li diphenhydramine (Benadryl)
• antinausea cov tshuaj xws li metoclopramide (Reglan) lossis prochlorperazine (Compro)
• cov tshuaj tiv thaiv kev puas hlwb xws li haloperidol (Haldol) lossis olanzapine (Zyprexa)
• lithium (Lithobid)
• xaiv serotonin reuptake inhibitors (SSRIs) xws li fluoxetine (Prozac), sertraline (Zoloft), lossis escitalopram (Lexapro)
• tricyclic antidepressants xws li amitriptyline (Elavil) lossis amoxapine (Asendin)
• tramadol (Ultram)
• levothyroxine (Levoxyl)

Nco ntsoov tias koj tus kws kho mob paub txog txhua yam tshuaj koj siv, cov tshuaj noj thiab cov txee. Tham nrog koj tus kws kho mob txog seb lawv puas tuaj yeem ua rau koj qhov RLS tsis zoo, tshwj xeeb yog tias koj tab tom noj ib yam tshuaj uas tau teev saud.

Cov mob

Qee qhov xwm txheej kev noj qab haus huv tau pom tias cuam tshuam nrog RLS. Kev mob rau cov mob raum (raum), lossis ESRD, thiab cov hlab ntsha puas los ntawm ntshav qab zib tau txuas nrog RLS. Kev mob ntshav tsis muaj hlau tseem muaj kev sib txuas zoo nrog RLS (saib hlau hauv qab) (4,,).

Koj yuav tsum tham nrog koj tus kws kho mob seb koj li keeb kwm kev noj qab haus huv yuav cuam tshuam koj RLS li cas, tshwj xeeb yog koj muaj tej yam xwm txheej no.

Lwm yam chiv keeb

Qee tus neeg yuav thov tias noj ntau yam qab zib lossis hnav khaub ncaws nruj yuav ua rau lawv tus mob RLS nyuaj ntxiv. Txawm tias tsis muaj ntau qhov kev tshawb fawb los txhawb cov kev sib txuas no, koj yuav xav siv qee qhov kev sim siab thiab yuam kev los saib qhov zoo li yuav cuam tshuam rau koj tus kheej cov tsos mob.

Thawj kauj ruam hauv kev kho RLS yuav tsum xam tawm yog tias muaj qee yam ua rau nws mob. Koj yuav tsum txiav txim siab txog kev coj ua xws li kev haus dej haus cawv lossis haus luam yeeb, qee yam tshuaj los yog kev noj qab haus huv, thiab lwm yam ua rau lawv cuam tshuam rau koj cov tsos mob RLS.

2. Kev noj qab nyob zoo pw tsaug zog

Muaj kev coj zoo pw tsaug zog yog qhov zoo rau txhua tus, tab sis tej zaum tshwj xeeb tshaj yog rau cov neeg uas muaj teeb meem tsaug zog, xws li cov uas muaj RLS.

Thaum pw tsaug zog zoo dua yuav daws tsis tau koj tus mob RLS, nws tuaj yeem pab koj txo txoj kev pw tsaug zog uas koj raug mob los ntawm koj tus mob. Sim cov lus qhia hauv qab no los ua kom koj txoj kev pw tsaug zog zoo li rov zoo thiab kho kom zoo li qub tau.

• Mus pw thiab sawv nyob rau tib lub sijhawm txhua hnub.
• Ua kom koj qhov chaw pw tsaug zog txias, ntsiag to, thiab tsaus ntuj.
• Khaws cov kev ntxhov siab, xws li TV thiab xov tooj, kom tsawg kawg hauv koj chav pw.
• Zam cov ntxaij vab tshaus hauv ob rau peb teev ua ntej koj mus pw. Lub teeb xiav los ntawm cov ntxaij vab tshaus tuaj yeem pov koj lub suab hauv circadian, uas pab koj ua kom lub cev pw tsaug zog puag ncig (7).

Txawm tias lawv yuav tsis daws koj cov tsos mob RLS, kev ua kom pw tsaug zog zoo tuaj yeem txhim kho koj txoj kev pw tsaug zog thiab tuaj yeem pab qee qhov cuam tshuam ntawm RLS.

3. Cov hlau thiab cov tshuaj vitamins

Hlau tsis muaj peev xwm xav tau yog ib qho ua haujlwm tseem ceeb ntawm RLS. Ntau cov kev tshawb fawb pom tau tias cov tshuaj noj muaj hlau tuaj yeem pab txo cov tsos mob RLS (, 3).

Kev kuaj ntshav yooj yim tuaj yeem kuaj xyuas cov hlau tsis muaj zog, yog li yog koj xav tias qhov no tuaj yeem tsim teeb meem rau koj, tham nrog koj tus kws kho mob.

Yog tias koj ntsuas qhov zoo rau cov hlau tsis muaj zog, koj tus kws kho mob yuav qhia cov tshuaj noj muaj hlau qhov ncauj, uas koj tuaj yeem nrhiav tau hauv koj lub tsev muag tshuaj hauv zos. Muaj qee kis, xav tau cov hlau (IV) hlau ((8)).

Ib qho ntxiv, cov vitamin D tsis txaus yuav raug txuas nrog RLS. Kev tshawb nrhiav xyoo 2014 tau pom tias cov tshuaj vitamin D pab txo cov tsos mob RLS hauv cov neeg muaj RLS thiab vitamin D tsis txaus ().

Thiab rau cov tib neeg muaj mob hemodialysis, tshuaj vitamin C thiab E pab tuaj yeem pab txo cov tsos mob RLS (4,).

Kev txhawb nqa ntxiv nrog hlau lossis vitamins D, C, lossis E tuaj yeem pab qee tus neeg mob RLS. Koj tus kws kho mob tuaj yeem qhia koj yog tias sim cov tshuaj yuav zoo rau koj.

4. Kev tawm dag zog

Kev tawm dag zog tuaj yeem pab koj zoo yog tias koj muaj RLS.

Lub National Institutes of Health tau hais tias kev tawm dag zog me ntsis yuav pab txo cov tsos mob RLS me me (3).

Thiab kev tshawb nrhiav xyoo 2006 ntawm 23 tus neeg nrog RLS pom tias kev tawm dag zog aerobic thiab kev tawm tsam lub cev qis dua, ua peb zaug nyob rau ib lub lis piam rau 12 lub lis piam, txo qis RLS cov tsos mob ().

Lwm txoj kev tshawb nrhiav kuj tau pom tias kev qoj ib ce zoo heev rau RLS, tshwj xeeb tshaj yog cov neeg muaj ESRD (4,).

Muab cov kev tshawb fawb no, ntxiv rau lwm tus qhia tias kev ua si tuaj yeem pab txhim kho kev pw tsaug zog, qoj ib ce zoo li lub cev haum rau cov neeg uas muaj RLS ().

Ib qhov kev pom zoo los ntawm Kev Nyab Xeeb Ceg Ntoo - ua ib ce muaj zog. Tsis txhob ua haujlwm txog qhov mob thiab qhov mob, vim tias qhov no yuav ua rau koj tus mob RLS mob ntxiv (14).

Muab nws cov txiaj ntsig los txo RLS cov tsos mob thiab txhim kho pw tsaug zog, kev tawm dag zog tas li yog qhov kev coj ua zoo rau kev tsim kho rau cov neeg muaj RLS.

5. Yoga thiab ncab

Zoo li lwm hom kev tawm dag zog, yoga thiab ncab ce tau pom tias muaj txiaj ntsig zoo rau cov neeg muaj RLS ().

Xyoo 2013 yim lub lim tiam ntawm 10 tus poj niam pom tias yoga pab txo lawv cov tsos mob RLS. Nws kuj tseem pab txhim kho lawv lub siab thiab txo lawv cov kev ntxhov siab, uas yuav ua rau lawv pw tsaug zog zoo dua. Thiab ib qho kev tshawb nrhiav xyoo 2012 qhia tias yoga txhim kho pw hauv 20 tus poj niam nrog RLS (,).

Lwm qhov kev tshawb fawb pom tias kev ncab ce ua rau muaj kev txhim kho tseem ceeb hauv RLS cov tsos mob ntawm cov neeg ntawm hemodialysis ().

Nws tsis tshua meej rau cov kws tshawb nrhiav vim li cas yoga thiab ncab ua haujlwm, thiab kev tshawb fawb ntxiv yuav muaj txiaj ntsig. Tab sis muab cov txiaj ntsig tau no, koj tuaj yeem xav ntxiv qee qhov plab hlaub thiab sab ceg ncab rau koj txoj kev tawm dag zog txhua hnub.

Txawm hais tias nws tsis paub meej vim li cas, yoga thiab lwm qhov ncab ce yuav pab daws cov tsos mob RLS.

6. Zaws

Kev zaws koj txhais ceg leeg yuav pab kom yooj yim koj cov tsos mob RLS.Ntau lub koom haum saib xyuas kev noj qab haus huv, xws li National Institutes of Health thiab National Sleep Foundation, qhia nws ua qhov kev kho mob hauv tsev (3, 18, 19).

Txawm hais tias tsis muaj ntau ntawm lwm qhov kev tshawb fawb uas thim rov qab zaws li kev kho RLS, ib txoj kev tshawb nrhiav txog xyoo 2007 qhia txog nws cov txiaj ntsig.

Ib tug pojniam muaj hnub nyoog 35 xyoos uas tau mob ceg 45 feeb ua ob zaug ib asthiv rau peb asthiv tau muaj cov tsos mob RLS zoo dua nyob rau lub sijhawm ntawd. Nws zaws nrog ntau cov tswv yim, suav nrog Swedish zaws thiab ncaj qha rau cov leeg nqaij (20).

Nws cov tsos mob RLS tau zoo nyob tom qab ob txoj kev kho zaws, thiab tsis pib rov qab los txog txij li ob lub lis piam tom qab cov zaws zis tau xaus (20).

Tus sau ntawm qhov kev tshawb fawb no tau hais tias kev nce dopamine tshwm sim los ntawm kev zaws yog qhov laj thawj ntawm cov txiaj ntsig. Kuj, zaws tau pom tias yuav ua kom cov ntshav ncig, yog li ntawd yuav yog qhov laj thawj ntawm nws qhov cuam tshuam rau RLS (20,,).

Ua ib qho ntxiv rau, zaws tuaj yeem pab rau kev so, uas yuav pab txhim kho koj txoj kev tsaug zog.

Txawm li cas los xij, txhais taw zaws yog ib qho yooj yim thiab so kho mob uas tuaj yeem pab koj cov tsos mob RLS yooj yim.

7. Tshuaj noj tshuaj

Cov tshuaj yog kev kho mob tseem ceeb rau mob hnyav mus rau mob hnyav RLS. Dopaminergic cov tshuaj feem ntau yog thawj cov tshuaj tau sau tseg. Lawv tau txais txiaj ntsig zoo hauv kev txo cov tsos mob RLS, tab sis lawv tuaj yeem ua rau phiv thiab lwm yam teeb meem ().

Lwm hom tshuaj kuj tseem tuaj yeem pab txo cov tsos mob RLS yam tsis ua rau tib cov teeb meem no.

Tshuaj Dopaminergic

Cov tshuaj Dopaminergic ntau ntxiv ua rau tso dopamine tso rau hauv koj lub hlwb. Dopamine yog ib qho tshuaj lom neeg uas pab ua kom lub cev ua kom lub cev zoo li qub ().

Dopaminergic tshuaj yuav pab daws cov tsos mob RLS vim tias tus mob cuam tshuam nrog teeb meem hauv lub cev tsim tshuaj dopamine.

Peb cov tshuaj dopaminergic tau pom zoo los ntawm Asmeskas Lub Chaw Tswj Xyuas Khoom Noj thiab Tshuaj (FDA) los kho mob tsis hais nruab nrab mus txog rau theem tseem ceeb RLS:

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

Thaum tshuaj dopaminergic tau pom tias yuav pab txhim kho RLS cov tsos mob, kev siv mus sij hawm ntev tuaj yeem ua rau cov tsos mob hnyav dua. Qhov tshwm sim no yog hu ua kev txhawb nqa. Txhawm rau pab ncua qhov teeb meem no, cov kws kho mob feem ntau sau ntawv yuav qis tshaj cov tshuaj no (,).

Ntxiv rau, cov tshuaj no tuaj yeem ua rau tsis tshua zoo thaum lub sijhawm. Txhawm rau pab ncua lossis tiv thaiv ob qho teeb meem no, koj tus kws kho mob tuaj yeem sau tshuaj ntawm dopaminergic nrog rau lwm hom tshuaj los kho RLS ().

Gabapentin

Plaub qhov tshuaj uas tau pom zoo los ntawm FDA los kho RLS yog hu ua gabapentin (Horizant). Nov yog kev siv tshuaj antiseizure (27).

Nws tsis to taub tag nrho gabapentin ua haujlwm li cas los daws cov tsos mob RLS, tab sis kev tshawb fawb pom tias nws ua haujlwm zoo ().

Hauv ib txoj kev tshawb nrhiav, 24 tus neeg uas mob RLS raug kho nrog gabapentin lossis placebo rau rau lub lis piam. Cov uas tau kho nrog gabapentin tau zoo tuaj yeem pw tsaug zog thiab txo ceg kev txav los ntawm RLS, thaum cov neeg kho nrog cov placebo tsis tau ().

Lwm qhov kev tshawb nrhiav piv rau kev siv gabapentin nrog kev siv ropinirole (ib qho tshuaj uas tau pom zoo los ntawm FDA los kho RLS). Yim tus neeg nrog RLS tau noj txhua cov tshuaj rau plaub lub lis piam, thiab ob pawg tau ua tiav qib sib xws los ntawm kev mob tshwm sim los ntawm RLS cov tsos mob ().

Benzodiazepines

Benzodiazepines yog cov tshuaj siv los kho kev ntxhov siab thiab pw tsaug zog. Clonazepam (Klonopin) thiab lwm hom tshuaj no feem ntau tau siv rau cov neeg uas muaj RLS hauv kev sib xyaw nrog lwm cov tshuaj (30).

Thaum cov tshuaj no yuav tsis daws cov mob RLS lawv tus kheej, lawv cov txiaj ntsig ntawm kev tsaug zog dua tuaj yeem pab tau rau cov neeg muaj RLS (30).

Kev Siv Opioids

Opioids feem ntau yog siv los kho qhov mob. Muaj qee kis, feem ntau yog thaum lwm cov tshuaj tsis muaj txiaj ntsig lossis ua rau muaj kev mob ntxiv, opioids tuaj yeem siv kom zoo zoo hauv kev siv tshuaj tsawg los pab kho RLS (, 8).

Lub sijhawm ntev-tso oxygencodone / naloxone (Targinact) yog ib qho opioid uas tuaj yeem pab txo cov tsos mob RLS thiab txhim kho kev pw tsaug zog (4). Txawm li cas los xij, vim hais tias cov txheej txheem tshiab tau tsim kho rau kev siv opioids, qhov no yuav tsum yog qhov kawg.

Ib yam li txhua opioids, kev siv cov tshuaj no yuav tsum tau ua tib zoo saib xyuas los ntawm tus kws kho mob, vim lawv qhov kev pheej hmoo ntawm kev siv tsis raug thiab kev vam khom.

Yog tias koj muaj mob nrab mus rau mob RLS, koj tus kws kho mob yuav pom zoo kom qhia ib lossis ntau hom tshuaj rau koj. Dopaminergic cov tshuaj feem ntau yog thawj qhov kev kho mob RLS, tab sis lawv tuaj yeem ua rau muaj kev mob tshwm sim thiab ntxiv, yog li lawv cov kev siv yuav tsum raug tswj hwm kom zoo.

8. Qhwv ko taw (so tsis taus)

Kev qhwv caj npab tau pom tias yuav pab txo cov tsos mob RLS.

Hu ua kev tuav so, txoj phuam qhwv cajdab tso siab rau qee kis nyob hauv qab ntawm koj txhais taw. Lub siab xa xov mus rau koj lub hlwb, uas teb los ntawm qhia cov leeg cuam tshuam los ntawm RLS so kom txaus. Qhov no pab txhawb koj tus mob RLS (31).

Kev tshawb nrhiav xyoo 30 ntawm 30 tus neeg siv ko taw qhwv rau yim lub lis piam pom pom muaj kev txhim kho zoo hauv RLS cov tsos mob thiab pw tsaug zog zoo (32).

Cov ntawv qhwv uas tsis tas mus nyob tom khw tsuas muaj los ntawm cov ntawv sau tshuaj nkaus xwb, thiab rau lub tuam txhab lub vev xaib, nws raug nqi li $ 200. Tej zaum nws yuav lossis tsis them rau los ntawm koj txoj kev fajseeb (31).

Qhov ko taw so uas nyob tsis tu ncua yuav tsum muaj daim ntawv sau tshuaj thiab kev pib nqis peev, tab sis tuaj yeem muab RLS nyem los ntawm kev thov lub zog rau qee cov ntsiab lus nyob hauv qab ntawm ko taw.

9. Pneumatic nias

Yog tias koj tau pw hauv tsev kho mob txhua hmo, koj yuav tsum muaj lub tshuab ntsuas pneumatic. Qhov kev khomob no siv “tes tsho” uas mus thoob koj ob txhais ceg thiab nce thiab thim thiab tawm hws, maj mam muab nyem thiab tso koj sab tes.

Hauv tsev kho mob, lub tshuab ntsuas pneumatic (PCD) feem ntau yog siv los txhim kho ncig thiab tiv thaiv cov ntshav txhaws. Kev txhim kho ncig kuj yuav yog vim li cas pneumatic compression tau pom los pab txo cov tsos mob RLS ().

Qee cov kws tshawb nrhiav ntseeg tias ib qho ua rau RLS yog cov pa oxygen tsawg nyob hauv nqua. Lawv xav tias lub cev teb rau qhov teeb meem no los ntawm kev nce ncig ntawm cov leeg mob uas tshwm sim thaum tus neeg tsiv lawv nqua ().

Txawm li cas los xij, qee qhov kev tshawb fawb tau qhia tias pneumatic compression tuaj yeem pab txo cov tsos mob RLS.

Kev tshawb nrhiav xyoo 2009 ntawm 35 tus neeg uas tau siv PCD tsawg kawg ib teev txhua hnub hauv ib hlis rau tau pom tus cwj pwm RLS zoo dua qub, zoo pw tsaug zog, thiab ua haujlwm nruab hnub. Txawm li cas los xij, lwm txoj kev tshawb fawb tsis tau qhia cov teebmeem tib yam (,).

Qee cov PCDs tau xauj tsev, thiab lwm tus tuaj yeem yuav tom khw muag khoom lossis kom muaj ntawv sau tshuaj. Kev tuav pov hwm rau PCD tej zaum yuav yooj yim dua rau cov neeg uas tsis tuaj yeem tiv taus tshuaj RLS (, 35).

PCD yog cov tshuaj tsis siv tshuaj uas tuaj yeem yuav tom khw muag khoom lossis los ntawm ntawv sau tshuaj. Nws tuaj yeem pab daws cov tsos mob RLS los ntawm kev txhim kho ncig hauv koj ob txhais ceg. Cov txiaj ntsig los ntawm kev tshawb fawb ntawm cov khoom siv no tau muaj kev tsis sib haum xeeb.

10. Kev co ncoo (Relaxis)

Lub ncoo tsaj hu ua Relaxis pad tuaj yeem tsis daws koj cov tsos mob RLS, tab sis nws tuaj yeem pab koj tsaug zog zoo dua (4).

Koj siv lub ncov duav thaum koj nyob so lossis pw. Koj muab lub ncoo rau ntawm thaj chaw muaj kev cuam tshuam, xws li koj txhais ceg, thiab teeb nws mus rau qhov xav tau kev co. Lub ncoo vibrates rau 30 feeb thiab tom qab ntawd kaw nws tus kheej tawm ().

Lub tswv yim tom qab ntawm lub ncoo yog tias kev tshee tshee muab “kev tawm tsam.” Ntawd yog, lawv override qhov kev xav tsis zoo uas tshwm sim los ntawm RLS yog li koj xav tias kev tshee tshee tsis yog koj tus mob ().

Tsis muaj ntau cov kev tshawb fawb muaj nyob rau ntawm lub Relaxis ncoo, thiab nws tsis tau pom tias yuav pab txo cov tsos mob RLS. Txawm li cas los xij, nws tau pom tias txhim kho kev pw tsaug zog ().

Qhov tseeb, ib txoj kev tshawb nrhiav pom nws ua hauj lwm zoo hauv kev txhim kho pw tsaug zog raws li plaub qhov FDA-pom zoo RLS tshuaj: ropinirole, pramipexole, gabapentin, thiab rotigotine (36).

Lub Relaxis ncoo tsuas yog muaj ntawv sau los ntawm koj tus kws kho mob. Rau lub tuam txhab lub vev xaib, cov cuab yeej tsis muaj kev pov hwm, thiab tus nqi dhau $ 600 (37).

Lub vibrating Relaxis ncoo xav tau cov tshuaj xaj thiab raug nqi ntau dua $ 600. Nws yuav tsis kho cov tsos mob RLS tseeb, tab sis nws cov kev tawm tsam yuav pab koj tsaug zog zoo dua.

11. ze-infrared spectroscopy (NIRS)

Ib txoj kev kho mob txawv txawv uas tseem tsis tau siv dav rau qhov laj thawj no tuaj yeem pab daws cov tsos mob RLS.

Qhov kev kho mob tsis mob no yog hu ua ze-infrared spectroscopy (NIRS). Nrog NIRS, cov kab teeb ci nrog cov nplaim ntev ntev yog siv los nkag rau ntawm daim tawv nqaij. Lub teeb ua rau cov hlab ntsha mus rau qhov muag, nce ncig ().

Ib qho kev tshawb xav tawm tias RLS tshwm sim los ntawm cov pa oxygen tsawg nyob hauv thaj chaw muaj teeb meem. Nws tau xav tias qhov muaj zog ntau ntxiv los ntawm NIRS nce qib pa ntxiv, pab daws cov tsos mob RLS ().

Ntau cov kev tshawb fawb pom tias qhov kev kho no ua tau zoo. Ib txoj kev tshawb nrhiav tau kho 21 tus neeg RLS nrog NIRS peb zaug hauv ib lub lis piam rau plaub lub lis piam. Ob leeg ncig thiab RLS cov tsos mob pom pom muaj kev txhim kho tseem ceeb ().

Ib qho ntxiv tau pom tias cov neeg tau kho nrog kaum ob lub sijhawm 30 feeb ntawm NIRS kev kho mob hauv plaub lub lis piam tseem tau txo qis cov tsos mob ntawm RLS. Cov tsos mob tau zoo tuaj mus txog plaub lub lis piam tom qab kho tas ().

NIRS cov khoom siv tuaj yeem yuav hauv online rau ntau pua las mus txog ntau dua $ 1,000 ().

Ib lub cuab yeej siv NIRS tuaj yeem siv nyiaj ntau pua duas las, tab sis kev cuam tshuam ntev ntev ntawm qhov kev kho tsis zoo no yuav tsim nyog rau kev nqis peev.

Kev kho mob nrog kev thim rov qab scientific tsawg dua

Cov kev kho mob saum toj no muaj qee qhov kev tshawb fawb los txhawb lawv siv. Lwm cov kev kho mob muaj cov pov thawj tsawg dua, tab sis kuj tseem tuaj yeem ua haujlwm rau qee tus neeg nrog RLS.

Kev kho kub thiab txias

Thaum tsis muaj cov kev tshawb fawb siv ntau los siv rov qab siv cua sov thiab mob khaub thuas kom zoo rau txo cov tsos mob RLS, ntau lub koom haum saib xyuas kev noj qab haus huv pom zoo. Lawv suav nrog Lub Tebchaws Kev Tshawb Fawb Kev Tsaug Zog thiab Lub Hauv Paus Qaws Zog Tsis So (19, 40).

Cov koom haum no tau hais kom da dej kub lossis txias ua ntej mus pw, lossis thov pob kub lossis txias rau koj ob txhais ceg (18).

Qee tus neeg cov tsos mob RLS raug mob hnyav los ntawm txias, thaum lwm tus neeg muaj teeb meem nrog cua sov. Qhov no tuaj yeem piav qhia cov txiaj ntsig ntawm kev kho kub lossis txias.

Transcranial sib nqus stimulation (rTMS)

Cov txheej txheem sib kis uas niaj zaus siv los kho kev nyuaj siab tuaj yeem pab daws tau cov tsos mob RLS. Txog tam sim no, cov kev tshawb fawb tau txwv thiab kev tshawb fawb ntxiv yog xav tau, tab sis cov txiaj ntsig tau muaj kev cia siab (4, 41,).

Rov qab transcranial sib nqus stimulation (rTMS) xa cov kev sib nqus impulses rau qee qhov chaw ntawm lub hlwb.

Nws tsis paub meej tias vim li cas rTMS tuaj yeem pab txo cov tsos mob RLS. Ib qho kev tshawb xav yog tias cov impulses nce tso dopamine hauv hlwb. Lwm qhov qhia tau hais tias rTMS tuaj yeem pab txo qhov hyperarousal hauv qee qhov ntawm lub hlwb uas cuam tshuam nrog RLS (43).

Hauv ib lub xyoo 2015 kev tshawb fawb, 14 cov neeg uas muaj RLS tau muab 14 ntu ntawm rTMS tshaj 18 hnub. Cov ntu sib qhia tau zoo dua lawv cov tsos mob RLS thiab txhim kho lawv kev pw tsaug zog. Cov txiaj ntsig tshwm sim tsawg kawg yog ob lub hlis tom qab kev kho mob tas ().

Transcutaneous hluav taws xob hlab stimulation (TENS)

Nrog transcutaneous hluav taws xob cov leeg txav (TENS), ib qho khoom siv xa hluav taws xob me me rau qee qhov ntawm koj lub cev kom pab txo qhov mob.

Tsis muaj ntau qhov kev tshawb fawb txog kev siv TENS los kho RLS, tab sis nws tuaj yeem ua haujlwm.

Lub tswv yim hais tias zoo li lub Relaxis vibrating ncoo, nws siv kev tawm tsam. Ib txoj kev tshawb nrhiav qhia tau hais tias kev siv TENS nrog rau kev kho tshee kom ua rau tus txiv neej RLS cov tsos mob (,).

Kev Siv Tshuaj Tua Tsiaj

Acupuncture tuaj yeem pab tau hauv kev kho mob ntau yam mob, thiab RLS tej zaum yuav yog ib qho ntawm lawv.

Kev tshawb fawb 2015 ntawm 38 tus neeg mob RLS uas tau kho mob acupuncture rau lub lis piam pom tias lawv cov ceg tsis zoo ntawm RLS raug txo qis heev ().

Txawm li cas los xij, kev tshawb fawb ntxiv yog xav paub tseeb txog kev kho mob acupuncture ua ib txoj kev kho mob siab rau RLS.

Kev phais rau varicose leeg

Rau cov neeg muaj qee cov teeb meem ntshav khov, kev phais yuav yog txoj kev kho mob zoo tshaj plaws rau lawv cov RLS ().

Varicose leeg yog txhab ntshav kom dav, ntau zaus hauv ob txhais ceg, uas ua kom ntshav nrog ntshav. Qhov ntshav ntxiv no tuaj yeem ua rau lub cev tsis muaj qhov txhab tsis txaus (SVI), uas txhais tau tias koj lub cev tsis tuaj yeem tso ntshav tau zoo. Raws li qhov tshwm sim, cov qe ntshav hauv koj txhais ceg.

Hauv kev tshawb xyoo 2008, 35 tus neeg nrog SVI thiab RLS muaj tus txheej txheem hu ua endovenous laser ablation los kho lawv cov leeg ntshav. Ntawm 35 tus neeg, 84 feem pua ​​ntawm lawv muaj lawv cov RLS cov tsos mob tau zoo dua lossis tshem tawm tag nrho los ntawm kev phais mob (47).

Ib zaug ntxiv, kev tshawb fawb ntxiv yog xav tau ntawm kev phais mob no uas yog kev kho mob rau RLS.

Yog tias koj xav paub txog ib qho ntawm cov kev kho tsis tau tshawb fawb no, nug koj tus kws kho mob txog lawv. Yog lawm, koj tuaj yeem sim kho kub thiab txias los ntawm koj tus kheej, tab sis koj tus kws kho mob tuaj yeem qhia koj ntau dua txog lwm txoj kev kho mob thiab seb lawv puas tuaj yeem pab koj.

Cov nqa mus

RLS tuaj yeem ua rau muaj kev mob siab, teeb meem pw tsaug zog, thiab teeb meem nrog kev ua haujlwm txhua hnub, yog li kev kho yuav tsum yog qhov tseem ceeb. Koj thawj kauj ruam yuav tsum yog los sim cov kev xaiv hauv tsev ntawm daim ntawv no. Tab sis yog tias lawv tsis pab koj, nco ntsoov nrog koj tus kws kho mob tham.

Koj tus kws kho mob tuaj yeem muab cov ntaub ntawv ntau ntxiv txog txhua yam ntawm cov kev kho no thiab qhov twg - lossis cov twg - yuav yog qhov kev xaiv zoo rau koj.

Nco ntsoov tias dab tsi ua haujlwm rau ib tus neeg yuav tsis ua haujlwm rau lwm tus, thiab koj yuav xav sim ntau yam tshuaj lossis kev kho mob sib txawv. Sim ua kom txog thaum koj pom txoj kev npaj khomob uas ua haujlwm rau koj (48).