Txiv ceg tsis xis nyob tau piav qhia nyob rau hauv nruab nrab ntawm lub xyoo pua nees nkaum los ntawm ib tus kws paub zoo txog paj hlwb los ntawm Switzerland - Karl Axel Ekbom. Thiab txawm hais tias tus kab mob no tau kawm ntev lawm, tab sis qhov teeb meem no tseem cuam tshuam.
Kev piav qhia ntawm pathology
Tus mob no yog ib yam kab mob neurological uas tshwm sim los ntawm paresthesia ntawm sab qis thiab lawv lub cev muaj zog ntau dhau thaum so lossis thaum pw tsaug zog.
Raws li kev txheeb cais, 10-25% ntawm lub ntiaj teb cov pej xeem muaj cov tsos mob ntawm tus mob no. Txawm hais tias tus kab mob no tuaj yeem tshwm sim nyob rau txhua lub hnub nyoog, nws feem ntau tshwm sim ntawm cov neeg laus hnub nyoog nruab nrab thiab cov neeg laus, txawm hais tias muaj cov tsos mob ntawm cov ceg tsis muaj zog tau pom hauv cov menyuam yaus. Kuj tseem muaj qhov kev xav tias cov poj niam raug tus kab mob no ib thiab ib nrab feem ntau dua li cov txiv neej.
Qhov kev ua txhaum cai no feem ntau tshwm sim hauv cov poj niam cev xeeb tub, yog li ntawd, cov poj niam ua rau insomnia loj heev thiab kev puas siab puas ntsws uas tsis tuaj yeem koom nrog kev ua tiavcev xeeb tub.
Kev kho mob ntawm ceg tsis xis nyob yuav raug tham hauv kab lus no.
Kev tshwm sim ntawm pathology hauv menyuam yaus
Cov kab mob zoo li no hauv cov menyuam yaus feem ntau yog qhov tsis tseeb ntawm tus mob hu ua "mob loj hlob". Muaj cov kev tshawb fawb soj ntsuam uas tau pom tias cov ceg tsis xis nyob thaum yau yog tshwm sim los ntawm cov niam txiv tsis saib xyuas, ua rau muaj kev puas siab puas ntsws. Lwm tus kws tshaj lij ntseeg tias qhov kev tsis sib haum xeeb no yog qhov tshwm sim ntawm lub cev muaj zog hyperactivity hauv cov menyuam yaus thaum nruab hnub. Cov laj thawj tseeb thiab tsis paub meej txog kev loj hlob ntawm tus mob no hauv cov menyuam yaus thiab cov tub ntxhais hluas tseem tsis tau qhia meej, tab sis nws twb tau ua pov thawj tias tus kab mob no tau nce ntau xyoo thiab tsis daws nws tus kheej.
Syndrome hauv cov poj niam cev xeeb tub
Cov ceg tsis xis nyob feem ntau pom thaum cev xeeb tub - txog li 15-30% ntawm cov neeg mob. Feem ntau, cov tsos mob pib tshwm sim hauv peb lub hlis thib peb, thiab tom qab ntawd tus kab mob ploj mus los ntawm nws tus kheej thaum thawj lub hlis ntawm niam. Tab sis koj kuj yuav tsum paub tias qhov teeb meem no tuaj yeem cuam tshuam ncaj qha rau cov teeb meem uas twb muaj lawm hauv lub cev, suav nrog cov hlau tsis muaj hlau tsis txaus.
Cas of Restless Leg Syndrome
Qhov laj thawj tseem ceeb yog keeb kwm. Tus mob no nyob rau hauv 40-60% ntawm cov neeg mob muaj nyob rau hauv cov txheeb ze. Peb tab tom tham txog autosomal dominant thiab recessive hom qub txeeg qub teg.
Secondary ua rau tsis xis nyob ceg ceg:
- qis hemoglobin;
- deficithlau;
- mob ntshav qab zib;
- kab mob endocrine;
- ncua sijhawm tam sim no hypovitaminosis;
- mob caj dab rheumatoid;
- kab mob raum ua rau khaws cov tshuaj lom hauv lub cev;
- kab mob obstructive pulmonary;
- qaug cawv qaug cawv;
- kab mob ntawm cov hlab plawv;
- cov txheej txheem autoimmune hauv lub cev;
- neurological ntshawv siab;
- kev raug mob ntawm tus txha caj qaum thiab lub paj hlwb peripheral, nrog rau peripheral neuropathies ntawm ntau lub hauv paus.
Thaum cev xeeb tub, hormonal cuam tshuam, venous congestion nyob rau hauv qis extremities thiab tsis muaj folic acid thiab hlau tuaj yeem tshwm sim.
Leej twg ua koob tsheej?
Restless Leg Syndrome yog qee zaum pom nyob rau hauv cov neeg mob uas muaj cov xwm txheej hauv qab no:
- Parkinson's disease;
- tseem ceeb tshee;
- Tourette syndrome;
- Huntington's disease;
- amyotrophic lateral sclerosis;
- post-polio syndrome.
Nws tseem tsis tau paub meej tias qhov kev sib xyaw ua ke no yog vim qhov xwm txheej (vim qhov muaj ntau ntawm tus mob), muaj cov txheej txheem pathogenetic los yog siv tshuaj tsis raug.
siv tshuaj tsis txaus
Cov ceg tsis xis nyob feem ntau yog qhov tshwm sim ntawm qee yam tshuaj (antihistamines,tshuaj antidepressants, tshuaj tiv thaiv qaug dab peg, tshuaj tiv thaiv ntuav, thiab tshuaj tiv thaiv hypertensive). Tsis tshua muaj, muaj cov xwm txheej thaum kev tsim txom cov dej qab zib nrog cov ntsiab lus siab ntawm caffeine ua rau qhov tshwm sim no.
Tus Kab Mob Tsis Txaus Siab Li Cas tshwm sim nws tus kheej? Xav paub ntau ntxiv tom qab.
Symptoms
Ntau tus neeg mob hais tias ob txhais ceg tsis xis nyob yog thaum koj mus pw, tab sis koj tsaug zog tsis tau. Muaj convulsions, khaus, kub hnyiab, nkag, loog hauv ob txhais ceg. Qee tus piav txog lawv cov kev xav zoo li no: tingling, twitching, zoo li hluav taws xob tam sim no, trembling, nplawm hauv qab ntawm daim tawv nqaij. Yog li ntawd, muaj lub siab xav txav ob txhais ceg lossis lwm qhov ntawm lub cev kom tshem tawm qhov tsis xis nyob hauv cov ceg tawv lossis tsawg kawg txo nws me ntsis. Cov tsos mob tseem muaj xws li kev txav tsis tau ntawm ib lossis ob txhais ceg ntawm ib ntus. Yog tias ob txhais ceg koom nrog ib zaug, ces lawv txav mus ib txhij, qee zaus, kev txav ntawm txhua tus tuaj yeem ua tau sib txawv.
Nyiaj
Distinctive feature: mob nyob rau hauv lub syndrome nyob ntawm seb lub cev muaj zog kev ua si thiab posture. Nws tshwm sim tias qhov mob tshwm sim thiab hnyav dua thaum tus neeg tsis muaj zog lossis nyob hauv qhov chaw zaum, tab sis feem ntau lawv tshwm sim thaum pw thiab txo qis thaum tsiv. Txhawm rau tshem tawm qhov tsis xis nyob, ib tus neeg sim ncab lossis khoov cov ceg, rub, zaws, co lawv, tig ib ncig hauv txaj, sawv thiab txav mus los ntawm chav tsev, lossis yooj yim tshaj.taug ko taw. Txhua tus neeg muaj nws tus kheej cov kev taw qhia uas pab nws tshem tawm qhov tsis xis nyob hauv cov ceg. Nyob rau tib lub sijhawm, qhov tsis xis nyob yuav tsawg dua lossis ploj mus, tab sis sai li sai tau thaum tus neeg pw tsaug zog, thiab qee zaum tsuas yog nres, cov kev xav no rov ua dua.
Kev tshwm sim ntawm cov tsos mob ntawm tus mob no feem ntau muaj lub sijhawm meej, tshwm sim thiab loj hlob nyob rau yav tsaus ntuj lossis hmo ntuj. Hauv qhov xwm txheej hnyav heev, qhov zoo li circadian atherosclerosis ploj mus, thiab tsis xis nyob ib txwm muaj.
Nws tshwm sim tias cov tsos mob ntawm tus mob idiopathic lossis thawj tus mob tshwm sim ntau dua lub sijhawm, tab sis qee tus neeg tuaj yeem mus rau ntau lub lis piam lossis ntau hli yam tsis tau soj ntsuam cov tsos mob ntawm tus mob. Yog tias tsis xis nyob ob txhais ceg tshwm sim vim muaj mob, tawm tsam keeb kwm ntawm kev noj tshuaj lossis cev xeeb tub, ces nws yuav ploj mus sai li sai tau thaum qhov tshwm sim tshwm sim ploj. Yuav ua li cas kho cov ceg tsis xis nyob yog qhov txaus siab rau ntau tus. Xav paub ntau ntxiv tom qab.
Kev kho mob rau ceg tsis xis nyob
Nyob rau hauv tus mob, kev kho mob yuav tsum ua ntej ntawm tag nrho cov raug coj mus rau tshem tawm cov thawj kab mob. Yog li, nrog ntshav qab zib mellitus, koj yuav tsum ua tib zoo saib xyuas qhov sib npaug ntawm cov piam thaj thiab insulin, noj Metformin kom qhov mob hauv qis qis ploj mus, thiab koj yuav tsum ua kom tsis muaj hlau, folic acid thiab lwm cov vitamins thiab minerals. Kev kho mob yog cov tsos mob, thiab nrog rau kev noj tshuaj, lawv kuj siv rau kev ntsuas tsis yog tshuaj. Qhov no txhais li cas?
Kev cuam tshuam tsis yog tshuaj yeeb tshuaj
Kev kho tsis yog tshuaj muaj xws li hauv qab noTxheej xwm:
- qoj ib ce txhua hnub;
- kev taug kev yav tsaus ntuj;
- hmo ntuj sib piv da dej;
- kev noj zaub mov zoo nrog tsis suav nrog kas fes, tshuaj yej muaj zog thiab lwm yam khoom uas muaj caffeine (chocolate, coca-cola, thiab lwm yam) thaum yav tsaus ntuj thiab nruab hnub;
- txwv tsis pub haus cawv;
- txiav luam yeeb;
- tsim kom muaj kev noj qab haus huv ib hnub.
Da dej thiab massages
So sov ko taw da dej lossis lub teeb sov so ua ntej pw yuav pab tau. Nws raug nquahu kom pw hauv chav txias, ntsiag to. Kev kho mob physiotherapy qhia:
- vibromassage;
- magnetotherapy - kev siv cov chaw sib nqus uas muaj cov tshuaj tua kab mob, tiv thaiv kab mob thiab decongestant teebmeem;
- daim ntawv thov kev siv av nkos.
Vim qhov ua rau thiab kev kho mob ntawm ob txhais ceg tsis xis nyob yog cuam tshuam, nws yog ib qho tsim nyog, raws li tau hais tseg, coj mus rau txhua qhov kev txiav txim kom tshem tawm cov teeb meem tshwm sim.
Nws tseem yuav tsum tau saib xyuas tus qauv pw tsaug zog, tsim kom muaj kev nplij siab rau kev pw tsaug zog (zoo-ventilated, chav nyob ntsiag to). Diuretics yuav tsum tau zam. Ib tug cwj pwm tseem ceeb heev yog mus pw thiab sawv tib lub sij hawm txhua hnub. Maj mam, koj yuav tsum txo qis qhov siv ntawm lub teeb pom kev hauv chav li ib teev ua ntej yuav mus pw, koj tuaj yeem nyeem qee phau ntawv nthuav ua ntej yuav mus pw.
Kev siv tshuajnyiaj
Cov tshuaj tshwj xeeb rau cov ceg tsis xis nyob yuav tsum tau muab tshuaj tsuas yog nyob rau hauv cov xwm txheej uas cov kab mob cuam tshuam loj heev rau tus neeg mob lub neej, yog li ua rau pw tsaug zog tsis zoo. Thaum muaj kev tsis xis nyob hnyav, ib tus yuav tsum xaiv cov tshuaj los ntawm plaub pawg loj:
- dopaminergics;
- anticonvulsants;
- opioids;
- Ybenzodiazepine.
Benzodiazepines txhawb kev pw tsaug zog, tab sis kev siv mus ntev tuaj yeem ua rau muaj kev quav yeeb quav tshuaj. Kuj tseem muaj qhov tshwm sim ntawm lawv cov kev siv - qaug zog thaum nruab hnub, tsis muaj libido, tsis meej pem thaum hmo ntuj. Yog li, cov tshuaj no tsuas yog siv tau rau lub sijhawm txwv nruj thiab nyob rau hauv kev saib xyuas ntawm kws kho mob.
tshuaj Dopaminergic muaj txiaj ntsig zoo rau cov tsos mob ntawm ceg tawv tsis xis nyob. Tab sis lawv tuaj yeem ua rau muaj kev phiv xws li lub qhov ncauj qhuav, mob taub hau, xeev siab, kiv taub hau, mob plab thiab xeev siab. Muaj tseeb tiag, feem ntau, qhov no tshwm sim nws tus kheej hauv txoj kev me me.
Dopamine receptor agonists (DRA) tuaj yeem noj txhua hnub rau lub sijhawm ntev yam tsis muaj kev puas tsuaj loj rau kev noj qab haus huv. Kev mob tshwm sim los ntawm lawv: mob taub hau, xeev siab, qaug zog heev, kiv taub hau, tsaug zog thaum nruab hnub. Txhawm rau zam qhov tshwm sim, pib noj tshuaj nrog koob tshuaj me me. Nws yuav tsum raug sau tseg tias, thaum tshem tawm cov tsos mob ntawm cov ceg tsis xis nyob, cov tshuaj dopaminergic tsis ua.ib txwm pab kom normalize pw tsaug zog, yog li lawv yuav tsum tau noj nrog sedatives.
Folic acid, magnesium, hlau npaj, vitamin C, B, E raug coj los ua kom lub cev muaj txiaj ntsig zoo. Muaj tsawg zaus, nws tshwm sim tias qhov mob hnyav heev tsis tuaj yeem tshem tawm los ntawm kev noj lwm yam tshuaj, ces cov tshuaj opioids raug sau tseg. Tab sis lawv cov kev siv tuaj yeem ua rau muaj kev phom sij vim tias lawv yog cov tshuaj narcotic thiab tuaj yeem ua rau muaj kev quav yeeb quav tshuaj. Anticonvulsants yog siv los ua adjuvants rau qhov tsis xis nyob ceg ceg. Thaum cev xeeb tub, cov tshuaj ntxiv thib ob tau pom zoo kom tsis txhob ua mob rau tus menyuam.
zoo heev rau kev so ntawm ceg ceg mob Mirapex. Txo cov tsos mob tsis zoo. Yuav siv tau ntev.
Yuav ua li cas cais?
Nws yog ib qho tsim nyog kom tsis suav nrog kev siv tshuaj thiab tshuaj uas tuaj yeem ua rau muaj qhov tshwm sim ntawm qhov tsis xis nyob:
- Npaj muaj cawv. Qhov kev haus cawv no tuaj yeem txo cov tsos mob rau qee lub sijhawm, tab sis yav tom ntej qhov tshwm sim ntawm tus kab mob yuav ua rau muaj kev cuam tshuam loj heev.
- Y Antiemetics xws li Reglan, Metoclopramide, Compazine, Prochlorperazine. Lawv ua rau cov tsos mob ntawm tus mob hnyav heev. Yog tias muaj qhov xav tau ceev ceev kom txo qis xeev siab thiab ntuav, Kytril lossis Zofran yuav tsum tau siv.
- Antihistamines - Dipheningidramine thiab lwm yam tshuaj tua kab mob OTC.
- Tricyclic antidepressants - Azafen, Amitriptyline thiabzoo ib yam.
- Selective serotonin reuptake inhibitor (Prozac, Trazodone), txawm hais tias muaj qee qhov txiaj ntsig zoo nrog cov tshuaj no, tshwj xeeb tshaj yog Bupropion.
- Lithium npaj.
- Calcium channel blockers (Finoptin, Corinfar).
- Cov tshuaj tiv thaiv mob hlwb (phenothiazines).
- Atypical antipsychotics (Risperidone, Olanzapine).
- Anticonvulsants (Zonizamide, Metsuximide, Phenytoin).
Kev ua neej
Yog koj tseem pw tsis tsaug zog vim tsis xis nyob hauv koj ob txhais ceg, kws kho mob qhia:
- hloov lub cev hauv txaj;
- noj tshuaj aspirin - qhov no yuav ua rau cov tsos mob tsis zoo, tab sis tsis txhob hnov qab tias tshuaj aspirin yuav tsis txo koj tus kab mob thiab tsuas yog zoo raws li kev ntsuas ib zaug;
- nce thiab taug kev ncig thaum koj ob txhais ceg xav tau txav, tsis txhob tsis kam;
- hnav thom khwm paj rwb.
Kev Tiv Thaiv
Tsis muaj ib qho kev tiv thaiv tshwj xeeb tiv thaiv thawj ceg tsis xis nyob. Koj tsuas tuaj yeem ncua nws txoj kev loj hlob. Ua li no, koj yuav tsum taug kev ntau, tsis txhob haus kas fes, cawv thiab haus luam yeeb, noj zaub mov kom zoo.
Kev tiv thaiv tus mob thib ob muaj nyob rau hauv kev kho mob raws sij hawm ntawm cov kab mob uas ua rau cov kab mob no. Tsuas yog, piv txwv li, thaum cev xeeb tub, tsis muaj kev kho mob yuav pab tau. Hauv qhov no, tus kws kho mob yuav tsum piav qhia rau tus poj niam tias qhov no yog qhov tshwm sim luv luv, thiab tom qab yug me nyuam txhua yam yuav tsum tau ua.pass.
Restless leg syndrome tshuaj xyuas
Kev tshuaj xyuas txog cov kab mob no yog qhov tsis sib xws. Rau qee tus, tus kab mob ploj mus ntawm nws tus kheej, rau qee qhov, kev kho mob tsis pab. Txhua yam yog tus kheej. Tab sis kev tswj hwm txoj kev noj qab haus huv tuaj yeem pab txo cov tsos mob.
