De 10 richtlijnen voor het omgaan met rusteloze benen syndroom

Rusteloze benen syndroom (RLS) is een frequente en chronische aandoening. Het bestaat uit een onstuitbare drang om de benen in verband met onaangename sensaties bewegen, niet pijnlijk, vaak omschreven als tintelingen, of puncties, bijvoorbeeld. Deze worden verergerd door rust, terwijl de beweging een gevoel van opluchting produceert. De etiologie van deze wanorde is onbekend, hoewel de cerebrale ijzer ontoereikendheid en de veranderingen in neurotransmissie van dopamine als mogelijke oorzaken worden beschouwd.

Volgens de Spaanse vereniging van rusteloze benen syndroom (AESPI), ongeveer 80% van de mensen met deze aandoening uit te voeren periodieke bewegingen van de ledematen tijdens de slaap. Het is een schudden die optreedt met een frequentie van 20 tot 30 seconden tijdens de nacht en, meestal, waardoor continue onderbrekingen van de slaap.

Een van de grootste klachten van de SPI patiënten is hoe hun kwaliteit van leven wordt verlaagd, in het gezicht van chronische slaaptekort, waardoor vermoeidheid, slapeloosheid vele malen, en zelfs een daling van het vermogen om zich te concentreren tijdens de dag, naast die van invloed zijn op uw toestand van Geest.

Kenmerken van de ziekte

In een interview met Infosalus, Dr Pilar Rubio, van de klinische fysiologie dienst van de universitari i Politècnic La Fe Hospital in Valencia, wijst erop dat de SPI kan worden gepresenteerd op elke leeftijd, zowel in de kindertijd en in de volwassenheid; Hoewel het waarschuwt dat het overheerst vanaf het derde of vierde decennium van het leven, en de frequentie stijgt met toenemende leeftijd.

“de aandoening kan spontaan optreden of worden geassocieerd met andere pathologieën waaronder ijzertekort of een eindstadium nierfalen. Het is ook verbonden met processen zoals diabetes mellitus, reumatologische wanorde, evenals neurologische voorwaarden, met inbegrip van de ziekte van Parkinson. In gastro-intestinale aandoeningen zoals coeliakie en de ziekte van Crohn, deze vereniging is ook beschreven, “voegt de deskundige.

Op zijn beurt, het geeft aan dat de symptomen van rusteloze benen kan worden veroorzaakt door het gebruik van sommige geneesmiddelen zoals antidepressiva. Bovendien, tijdens de zwangerschap, en vooral tijdens de laatste maanden, tot 20% van de vrouwen te ontwikkelen SPI. Na de bevalling verdwijnen de symptomen vaak. Echter, er is een duidelijke relatie tussen het aantal zwangerschappen en de kans op het ontwikkelen van chronische RLS.

Aan de andere kant, Rubio stelt dat het een aandoening die spontaan kan verschijnen, hoewel 40% van de patiënten hebben een positieve familiegeschiedenis van rusteloze benen, “dat wil zeggen, het heeft een erfelijke factor, die het patroon van autosomaal dominante erfenis”.

De diagnose is gemaakt met een adequate klinische geschiedenis, voegt de specialist. Er zijn geen speciale studies vereist, tenzij een associatie met andere slaapstoornissen wordt vermoed, zoals periodieke beenbewegingen. “in dat geval zou de diagnose worden gesteld met polysomnogram,” voegt hij eraan toe.

Over de behandeling, de deskundige van de klinische fysiologie team van het ziekenhuis La Fe van Valencia wijst erop dat het symptomatisch is en gepersonaliseerd. “momenteel een breed scala van geneesmiddelen is verkrijgbaar bij ijzer in verband met vitamine C, Dopaminerge drugs, gabapentine, benzodiazepinen, onder anderen die de symptomen te verbeteren,” zegt hij.

Tips om het te overwinnen

Daarom, van de AESPI adviseren om te gaan met de ziekte, afgezien van farmacologische behandeling:

1.-onderhoud regelmatig slaap schema’s, naar bed gaan en het opstaan op hetzelfde moment, en de mogelijkheid om een rustige en comfortabele slaapomgeving hebben.

2.-Vermijd het verbruik van spannende stoffen, cafeïne type, en alcohol, en vooral in de avond.

3.-Voer zachte oefening, niet vermoeiend, in de middag als stretching, of ontspanning, bijvoorbeeld, maar ook zachte massage in de benen geassocieerd met warm-koude baden.

4.-Vermijd bepaalde geneesmiddelen die kunnen verergeren de symptomen (antihistaminica, sommige sedativa dat blok dopamine, en bepaalde antidepressiva)

5.-spreek openlijk over de SPI met familie en vrienden.

6.-niet vechten tegen het schilderij. Als u probeert om de behoefte te onderdrukken te bewegen, kunnen uw symptomen slechter worden. Een goede oefening programma kan helpen het lichaam beter omgaan met de ziekte. Regelmatige lichaamsbeweging kan handhaven flexibiliteit, het bevorderen van een goede houding, onderhouden van sterke spieren en lenige gewrichten.

7.-Schrijf een droomdagboek. Houd een overzicht van medicijnen en strategieën die helpen of uw gevecht met RLS te verlichten en te delen met uw arts.

8.-krijg groter. Misschien vindt u het meer comfortabel als u verheffen het Bureau of planken tot een hoogte die u toelaat om op te staan terwijl u werkt of lezen.

9.-bezetten de geest. Als u houdt het actief, de symptomen van RLS kan afnemen.

10.-begin en beëindig de dag met het uitrekken zich. Complementaire therapieën kunnen fysiek en emotioneel helpen met RLS. Zoals yoga, Tai Chi, muziektherapie en acupunctuur. In feite zijn sommige worden aangeboden in het proces van rehabilitatie van de SPI.

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