{"id":13572,"date":"2023-09-23T11:14:38","date_gmt":"2023-09-23T09:14:38","guid":{"rendered":"https:\/\/www.czech-neuro.cz\/?page_id=13572"},"modified":"2023-10-03T10:09:51","modified_gmt":"2023-10-03T08:09:51","slug":"syndrom-neklidnych-nohou","status":"publish","type":"page","link":"https:\/\/www.czech-neuro.cz\/pro-pacienty\/syndrom-neklidnych-nohou\/","title":{"rendered":"Syndrom neklidn\u00fdch nohou"},"content":{"rendered":"

Mezin\u00e1rodn\u00ed den Syndromu neklidn\u00fdch nohou – 23.9.<\/h4>\n

Den neklidn\u00fdch nohou se ka\u017edoro\u010dn\u011b p\u0159ipom\u00edn\u00e1 23. z\u00e1\u0159\u00ed, aby se zv\u00fd\u0161ila informovanost o tomto zdravotn\u00edm stavu nebo syndromu. Willisova-Ekbomova choroba je celo\u017eivotn\u00ed neurologick\u00e9 onemocn\u011bn\u00ed charakterizovan\u00e9 neukojitelnou touhou pohybovat nohama, aby se ulevilo od nep\u0159\u00edjemn\u00fdch pocit\u016f.<\/p>\n

Odborn\u00e1 spole\u010dnost European Restless Legs Syndrom Study Group<\/strong> vytvo\u0159ila informa\u010dn\u00ed video RLS Information (eurlssg.org)<\/a><\/p>\n

\n

O syndromu neklidn\u00fdch nohou (RLS)<\/strong><\/p>\n

Syndrom neklidn\u00fdch nohou (RLS) je senzomotorick\u00e1 porucha, kter\u00e1 je definov\u00e1na p\u0159\u00edtomnost\u00ed n\u00e1sleduj\u00edc\u00edch \u010dty\u0159 z\u00e1kladn\u00edch klinick\u00fdch krit\u00e9ri\u00ed:<\/p>\n

1. Nutk\u00e1n\u00ed pohybovat nohama nebo jin\u00fdmi \u010d\u00e1stmi t\u011bla doprov\u00e1zen\u00e9 nebo vyvolan\u00e9 nep\u0159\u00edjemn\u00fdmi pocity;
\n2. Nutk\u00e1n\u00ed k pohybu nebo nep\u0159\u00edjemn\u00e9 pocity se zvy\u0161uj\u00ed nebo zhor\u0161uj\u00ed b\u011bhem klidu nebo ne\u010dinnosti;
\n3. Nutk\u00e1n\u00ed k pohybu nebo nep\u0159\u00edjemn\u00e9 pocity jsou \u010d\u00e1ste\u010dn\u011b nebo zcela zm\u00edrn\u011bny pohybem;
\n4. Nutk\u00e1n\u00ed k pohybu nebo nep\u0159\u00edjemn\u00e9 pocity jsou hor\u0161\u00ed v noci nebo se objevuj\u00ed pouze v noci.<\/p>\n

Podp\u016frn\u00e9 klinick\u00e9 p\u0159\u00edznaky<\/strong>
\nExistuje n\u011bkolik podp\u016frn\u00fdch klinick\u00fdch p\u0159\u00edznak\u016f, kter\u00e9 mohou pomoci vy\u0159e\u0161it p\u0159\u00edpadnou diagnostickou nejistotu:<\/p>\n

Pozitivn\u00ed rodinn\u00e1 anamn\u00e9za; pozitivn\u00ed odpov\u011b\u010f na dopaminergn\u00ed l\u00e9\u010dbu; soub\u011b\u017en\u011b se vyskytuj\u00edc\u00ed periodick\u00e9 pohyby nohou (PLM) b\u011bhem bd\u011bn\u00ed nebo sp\u00e1nku.<\/p>\n

P\u0159idru\u017een\u00e9 znaky<\/strong>
\nExistuj\u00ed v\u00fdznamn\u00e9 klinick\u00e9 p\u0159\u00edznaky, kter\u00e9 byly identifikov\u00e1ny jako souvisej\u00edc\u00ed s RLS, a to n\u00e1sleduj\u00edc\u00ed:<\/p>\n

Neurologick\u00e9 vy\u0161et\u0159en\u00ed je u idiopatick\u00e9 nebo famili\u00e1rn\u00ed formy RLS norm\u00e1ln\u00ed, ale u star\u0161\u00ed, rychleji progreduj\u00edc\u00ed nefamili\u00e1rn\u00ed formy m\u016f\u017ee vykazovat zn\u00e1mky p\u0159idru\u017een\u00e9 perifern\u00ed neuropatie nebo radikulopatie; \u010dastou st\u00ed\u017enost\u00ed jsou poruchy sp\u00e1nku.<\/p>\n

Symptomy RLS maj\u00ed \u010dasto v\u00fdznamn\u00fd negativn\u00ed dopad na ka\u017edodenn\u00ed aktivity kv\u016fli naru\u0161en\u00ed sp\u00e1nku, kter\u00e9 zp\u016fsobuj\u00ed, a neschopnosti udr\u017eet se v klidu, co\u017e zp\u016fsobuje obt\u00ed\u017ee p\u0159i pr\u00e1ci, cestov\u00e1n\u00ed a spole\u010densk\u00fdch aktivit\u00e1ch.<\/p>\n

Celo\u017eivotn\u00ed prevalence RLS se v evropsk\u00fdch studi\u00edch pohybuje mezi 3-10 % (3-6). Prevalence RLS v jihov\u00fdchodn\u00ed Evrop\u011b je o n\u011bco ni\u017e\u0161\u00ed: 3,2 % v Turecku (7) a 3,9 % ve st\u0159edn\u00edm \u0158ecku (8). Mezi osobami s RLS v b\u011b\u017en\u00e9 populaci m\u00e1 35,4-66 % st\u0159edn\u011b z\u00e1va\u017en\u00e9 a\u017e z\u00e1va\u017en\u00e9 p\u0159\u00edznaky (3,5,8-10).<\/p>\n

RLS m\u016f\u017ee b\u00fdt sekund\u00e1rn\u00ed nebo zhor\u0161en\u00fd \u0159adou onemocn\u011bn\u00ed, mezi n\u011b\u017e pat\u0159\u00ed nedostatek \u017eeleza, t\u011bhotenstv\u00ed, kone\u010dn\u00e9 stadium onemocn\u011bn\u00ed ledvin (ESRD), diabetes a revmatoidn\u00ed artritida, nebo s neurologick\u00fdmi poruchami, jako je perifern\u00ed neuropatie, radikulopatie, poruchy p\u00e1te\u0159e a r\u016fzn\u00e9 formy spinocerebel\u00e1rn\u00ed ataxie.<\/p>\n

Algoritmy pro diagnostiku a l\u00e9\u010dbu syndromu neklidn\u00fdch nohou v prim\u00e1rn\u00ed p\u00e9\u010di<\/strong><\/p>\n

\u010cl\u00e1nek: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21352569<\/a>
\nPro usnadn\u011bn\u00ed hodnocen\u00ed z\u00e1va\u017enosti RLS a sledov\u00e1n\u00ed \u00fa\u010dinnosti l\u00e9\u010dby lze pou\u017e\u00edt jednoduch\u00fd sp\u00e1nkov\u00fd den\u00edk.\u00a0Kliknut\u00edm sem si m\u016f\u017eete st\u00e1hnout \u0161ablonu den\u00edku.<\/a><\/p>\n

Evropsk\u00fd doporu\u010den\u00fd postup<\/strong>
\nKe sta\u017een\u00ed ZDE<\/a><\/p>\n

Reference:<\/strong><\/p>\n

1. Allen RP, Picchietti D, Hening WA, Trenkwalder C, Walters AS, Montplaisir J. Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med 2003;4(2):101-119.<\/p>\n

2. Hening WA, Walters AS, Allen RP, Montplaisir J, Myers A, Ferini-Strambi L. Impact, diagnosis and treatment of restless legs syndrome (RLS) in a primary care population: the REST (RLS epidemiology, symptoms, and treatment) primary care study. Sleep Med 2004;5(3):237-246.<\/p>\n

3. H\u00f6gl B, Kiechl S, Willeit J, Saletu M, Frauscher B, Seppi K, et al. Restless legs syndrome: a community-based study of prevalence, severity, and risk factors. Neurology 2005;64(11):1920-1940.<\/p>\n

4. Tison F, Crochard A, Leger D, Bouee S, Lainey E, El Hasnaoui A. Epidemiology of restless legs syndrome in French adults: a nationwide survey: the INSTANT STudy. Neurology 2005;65(2):239-246.<\/p>\n

5. Bj\u00f6rvatn B, Leissner L, Ulfberg J, Gyring J, Karlsborg M, Regeur L, et al. Prevalence, severity and risk factors of restless legs syndrome in the general adult population in two Scandinavian countries. Sleep Med 2005;6(4):307-312.<\/p>\n

6. Berger K, Luedemann J, Trenkwalder C, John U, Kessler C. Sex and the risk of restless legs syndrome in the general population. Archives of Internal Medicine 2004;164(2):196-202.<\/p>\n

7. Sevim S, Dogu O, Camdeviren H, Bugdayci R, Sasmaz T, Kaleagasi H, et al. Unexpected low precalence and unusual characteristics of RLS in Mersin, Turkey. Neurology 2003;61(11):1562-1569.<\/p>\n

8. Hadjigeorgiou GM, Stefanidis I, Dardiotis E, Aggellakis K, Sakkas GK, Xiromerisiou G, et al. Low RLS prevalence and awareness in central Greece: an epidemiological survey. Eur J Neurol 2007;14(11):1275-1280.<\/p>\n

9. Ulfberg J, Bj\u00f6rvatn B, Leissner L, Gyring J, Karlsborg M, Regeur L, et al. Comorbidity in restless legs syndrome among a sample of Swedish adults. Sleep Med 2007;8(7-8):768-772.<\/p>\n

10. Ulfberg J, Nystrom B, Carter N, Edling C. Restless Legs Syndrome among working-aged women. Eur Neurol 2001;46(1):17-19.<\/p>\n","protected":false},"excerpt":{"rendered":"

Mezin\u00e1rodn\u00ed den Syndromu neklidn\u00fdch nohou – 23.9. Den neklidn\u00fdch nohou se ka\u017edoro\u010dn\u011b p\u0159ipom\u00edn\u00e1 23. z\u00e1\u0159\u00ed, aby se zv\u00fd\u0161ila informovanost o tomto zdravotn\u00edm…<\/p>\n","protected":false},"author":23,"featured_media":0,"parent":102,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-page-without-sidebar-content.php","meta":{"_acf_changed":false,"_searchwp_excluded":"","kia_subtitle":"","footnotes":""},"class_list":["post-13572","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nSyndrom neklidn\u00fdch nohou - \u010cesk\u00e1 neurologick\u00e1 spole\u010dnost<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.czech-neuro.cz\/pro-pacienty\/syndrom-neklidnych-nohou\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Syndrom neklidn\u00fdch nohou\" \/>\n<meta property=\"og:description\" content=\"Mezin\u00e1rodn\u00ed den Syndromu neklidn\u00fdch nohou – 23.9. 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