{"id":13611,"date":"2023-10-20T13:28:48","date_gmt":"2023-10-20T13:28:48","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=13611"},"modified":"2023-10-20T13:28:52","modified_gmt":"2023-10-20T13:28:52","slug":"llr-policy-for-restless-leg-syndrome","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-restless-leg-syndrome\/","title":{"rendered":"Polityka LLR dotycz\u0105ca zespo\u0142u niespokojnych n\u00f3g \u00a0"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Kategoria<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kryteria progowe<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zesp\u00f3\u0142 niespokojnych n\u00f3g (RLS) to zaburzenie neurologiczne charakteryzuj\u0105ce si\u0119 nieprzyjemnymi odczuciami w nogach i niekontrolowan\u0105 potrzeb\u0105 poruszania si\u0119 w spoczynku w celu z\u0142agodzenia tych uczu\u0107. Wra\u017cenia RLS s\u0105 cz\u0119sto opisywane przez ludzi jako pieczenie, pe\u0142zanie, szarpanie lub przypominaj\u0105ce owady pe\u0142zaj\u0105ce po nogach. Cz\u0119sto\u015b\u0107 wyst\u0119powania w Wielkiej Brytanii wynosi 3-15% populacji i mo\u017ce wyst\u0119powa\u0107 u obu p\u0142ci, ale mo\u017ce wyst\u0119powa\u0107 nieco wi\u0119ksza cz\u0119sto\u015b\u0107 wyst\u0119powania u kobiet. Mo\u017ce wyst\u0105pi\u0107 w ka\u017cdym wieku, jednak nasilenie choroby wzrasta wraz z wiekiem. U ka\u017cdej osoby nasilenie odczu\u0107 mo\u017ce by\u0107 r\u00f3\u017cne, od niewygodnych, przez irytuj\u0105ce, a\u017c do bolesnych. Odczucia te cz\u0119sto nazywane s\u0105 parestezj\u0105 (nieprawid\u0142owe uczucie) lub dysestezj\u0105 (nieprzyjemne, nieprawid\u0142owe uczucie).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Wed\u0142ug RLS: UK, zesp\u00f3\u0142 niespokojnych n\u00f3g mo\u017cna postawi\u0107, je\u015bli pacjent spe\u0142nia ka\u017cde z poni\u017cszych kryteri\u00f3w<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ch\u0119\u0107 poruszenia nogami; mo\u017ce wi\u0105za\u0107 si\u0119 z nietypowymi odczuciami<\/li>\n\n\n\n<li>objawy wyst\u0119puj\u0105 w spoczynku lub w okresach bezczynno\u015bci<\/li>\n\n\n\n<li>cz\u0119\u015bciowo lub ca\u0142kowicie przywracane poprzez poruszanie ko\u0144czyn\u0105<\/li>\n\n\n\n<li>nocne pogorszenie lub pojawienie si\u0119 objaw\u00f3w w nocy<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Le\u017cenie lub pr\u00f3ba relaksu mo\u017ce aktywowa\u0107 objawy, w wyniku czego osoby cierpi\u0105ce na t\u0119 chorob\u0119 mog\u0105 mie\u0107 trudno\u015bci z zasypianiem lub utrzymaniem snu. Nieleczona choroba mo\u017ce prowadzi\u0107 do wyczerpania pacjenta w ci\u0105gu dnia i wykonywania codziennych czynno\u015bci; relacje osobiste mog\u0105 zosta\u0107 powa\u017cnie naruszone.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Je\u015bli nie ma pewno\u015bci co do diagnozy, lekarze pierwszego kontaktu mog\u0105 zasi\u0119gn\u0105\u0107 porady i wskaz\u00f3wek za po\u015brednictwem ERS<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Uprawnienia<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>LLR ICB wspiera skierowanie pacjenta do opieki specjalistycznej, gdy pacjent spe\u0142nia poni\u017csze kryteria<\/strong><br><br>Objawy nale\u017cy ocenia\u0107 za pomoc\u0105 kwestionariusza mi\u0119dzynarodowej skali oceny zespo\u0142u niespokojnych n\u00f3g (za\u0142\u0105cznik A) w celu okre\u015blenia wp\u0142ywu na jako\u015b\u0107 \u017cycia danej osoby<br><br>o W przypadku pacjent\u00f3w z \u0142agodnymi objawami zapewnij pewno\u015b\u0107 i promuj \u015brodki samopomocy, kilka z nich wymieniono poni\u017cej<br>o Pacjenci z objawami umiarkowanymi do ci\u0119\u017ckich<br><br>Niefarmakologiczne interwencje terapeutyczne zosta\u0142y wyczerpane\/wykluczone<br><br>o \u0106wiczenia relaksacyjne<br>o Techniki odwracania uwagi<br>o Dobra higiena snu<br>o Rozci\u0105ganie i masowanie dotkni\u0119tej ko\u0144czyny<br>o Abstynencja od kofeiny, nikotyny i alkoholu<br>o Rzu\u0107 palenie<br>o Umiarkowane \u0107wiczenia<br>o Rozwa\u017c wp\u0142yw lek\u00f3w, kt\u00f3re mog\u0105 powodowa\u0107\/zaostrza\u0107 RLS<br>o Wyklucz przyczyny wt\u00f3rne, np. niedob\u00f3r \u017celaza, ci\u0105\u017ca, niewydolno\u015b\u0107 nerek<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Szczeg\u00f3\u0142owe informacje dotycz\u0105ce leczenia farmakologicznego zespo\u0142u niespokojnych n\u00f3g mo\u017cna znale\u017a\u0107 na stronie internetowej Leicestershire Medicines Strategy Group<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.areaprescribingcommitteeleicesterleicestershirerutland.nhs.uk\/\">Strona g\u0142\u00f3wna \u2013 Komitet ds. przepisywania lek\u00f3w w Leicester, Leicestershire i Rutland (areaprescribingcommitteeleicesterleicestershirerutland.nhs.uk)<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Przewodnictwo<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><a href=\"https:\/\/cks.nice.org.uk\/restless-legs-syndrome#!scenario\">https:\/\/cks.nice.org.uk\/restless-legs-syndrome#!scenario<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>za\u0142\u0105cznik A<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"1010\" src=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Restless-Legs-Appendix.png?resize=800%2C1010&#038;ssl=1\" alt=\"\" class=\"wp-image-13612\" srcset=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Restless-Legs-Appendix.png?resize=811%2C1024&amp;ssl=1 811w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Restless-Legs-Appendix.png?resize=238%2C300&amp;ssl=1 238w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Restless-Legs-Appendix.png?resize=768%2C970&amp;ssl=1 768w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Restless-Legs-Appendix.png?resize=10%2C12&amp;ssl=1 10w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Restless-Legs-Appendix.png?w=1039&amp;ssl=1 1039w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Data przegl\u0105du ARP 81: 2026 r<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"<p>Category Threshold Criteria Restless legs syndrome (RLS) is a neurological disorder characterized by unpleasant sensations in the legs and an uncontrollable urge to move when at rest in an effort [&hellip;]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[57],"tags":[67,83],"class_list":["post-13611","post","type-post","status-publish","format-standard","hentry","category-policies","tag-neurology","tag-threshold"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>LLR Policy for Restless Leg Syndrome \u00a0 - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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