March 21, 2019 is the 19th "World Sleep Day". The theme of this year's event is: "Healthy Sleep, Education and Brain Protection".
But in fact, many patients with chronic diseases have extremely poor sleep quality, especially the elderly, who are deeply disturbed by it.
In the quiet night, when you are sleepy, you suddenly feel sore and swelling from your calf. You can only get up from the bed and walk or toss and turn on the bed. I was both sleepy and couldn't sleep, and I was so entangled until dawn all night.
A busy afternoon, when you are tightly entangled by work, it is difficult to solve. At this time, the itchy feeling goes up from your legs, making you have to shake it; but in this way, the leader's sharp eyes will attract you, and you can only shout in your heart: "I can't do it!" ”
Many patients mentioned that indescribable discomfort will appear in the legs at night, such as: peristalsis, ant walking, itching, burning, electric shock, etc., located deep in the muscles. After moving, the limbs will improve, and they will return to the bed and appear again. , it is difficult to fall asleep, it is extremely painful.
Therefore, there are many patients who visit the sleep clinic. Some patients also visited orthopedics, and it is difficult to detect positive results when taking leg X-rays. Since the cause of the disease was not found and the treatment was not properly received, he could only continue to endure it. Moreover, mild patients do not pay enough attention to it, so those who are serious will seek medical treatment. In addition, few patients will go to the neurology department for treatment... The misdiagnosis rate of
is very high!
From the surface, the skin is neither red nor swollen. Massage and tapping will relieve the symptoms, which inevitably makes people feel a little "pretentious"; but in fact, this feeling of having nowhere to put is really unbearable.
is not only the legs, but also the arms, torso or head.
This phenomenon is actually seen in many diseases, such as uremia, iron deficiency anemia, folic acid and vitamin B12 deficiency, pregnancy, Sjogren's syndrome , Parkinson's disease , peripheral neuropathy, metabolic diseases, thyroid disease , cardiovascular disease , etc., also include some drugs; some patients have diseases related to family genetics. It has a very vivid name, called restless leg syndrome .
Restless leg syndrome is usually caused by other diseases, so when treating, you must mainly treat the primary disease, or stop taking the disease-induced drugs, supplemented with iron supplements, sedatives, antidepressants, and gabapentin. and dopaminergic drugs. Of course, these medications must be performed under the guidance of a neurologist.
In addition to this, non-drug treatment is something that everyone can do, and it is very helpful to slow down symptoms and is also something that needs to be coordinated when performing drug treatment.
method is as follows:
1. Sleeping environment: brightness, sound, temperature and humidity, vibration, air, bedroom decorations, pajamas, pillows, sheets, bedding and mattresses, must be safe and private.
2. Quit smoking, drink less coffee.
3. According to your own situation, adhere to regular physical exercise every day. You can do gentle physical exercise 3 hours before bedtime, but avoid vigorous exercise and avoid fatigue, frightened and trauma.
4. Take a hot bath and massage before going to bed.
5. First solve the problem in your mind before going to bed.
6. Dietary regulation: Try not to eat before going to bed. If you eat, you can choose oatmeal and rice paste to avoid excessive liquid and food.
7. Use heating pads or ice packs on your legs, and use a vibrating mattress at night.
At the same time, you can also try physical therapy and compression treatment for the legs to relieve symptoms.
In short, restless leg syndrome is a curable disease. Timely and correct treatment can greatly alleviate the patient's physiological and psychological symptoms and reduce stress.
Expert: Wang Huijie
Shenyang Red Cross Hospital (Shenyang Geriatric Hospital) Chief Physician. Graduated from Chinese Medical University with a postgraduate degree.Currently a member of the Sleep Science Branch of the Chinese Society of Geriatrics and Geriatric Medicine, Executive Director of the Geriatric Medicine Professional Committee of the Liaoning Cell Biology Society, Director of the Liaoning Cerebrovascular Disease Medicine Collaborative Innovation Alliance, Member of the Brain Disease Professional Committee of the Liaoning Association of Traditional Chinese Medicine, Liaoning Cell Member of the Professional Committee of the Society of Biology Alzheimer's Dementia and Cognitive Disorder , Member of the Professional Committee of the Society of Liaoning Cell Biology, Member of the Cerebrovascular Disease Branch of the Society of Liaoning Cell Biology, and Expert in Shenyang Special Disease Identification. He has been working in neurology for 15 years.
is good at: rescue and treatment of various critical and critical cases in neurology, and has profound attainments in cerebrovascular diseases, epilepsy, Parkinson's disease, and cognitive dysfunction.
