Ke hoʻohewa nei kāu wahine a kāne paha iā ʻoe i kou ala ʻana i ke kakahiaka, me ka ʻī ʻana, "Ua kīkē ʻoe iaʻu i ka pō a pau a ʻaʻole hoʻi i hoʻokuʻu iaʻu e hiamoe pono"? A i ʻole hiamoe nui ʻoe, akā ala aʻe i ke kakahiaka me ka manaʻo ʻole o ka hoʻoikaika a me ka luhi i ka lā a pau? ʻO ke kumu o kēia mau mea paha he mea ia e hana ʻia ana i ka wā hiamoe āu i ʻike ʻole ai. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka PLMS?
ʻO PLMS ke kū nei no Periodic Limb Movements of Sleep . Ma ka ʻōlelo Sinhala, ʻo ia hoʻi "nā neʻe ʻana o nā lālā periodic i ka wā hiamoe." He maʻi neʻe kēia. Ma kēia kūlana, ʻoni pinepine a ʻoni paha kou mau lima a me/a i ʻole kou mau wāwae me kou kaohi ʻole i kou wā e hiamoe ana. Hiki i kēia mau neʻe ke hoʻopilikia i kāu hiamoe. Ua kapa pū kekahi poʻe i kēia kūlana ʻo 'sleep-related myoclonus syndrome'.
ʻO ka hapa nui o ka manawa, hana ʻia kēia mau neʻe ʻana ma nā wāwae. E noʻonoʻo, ua hoʻolōʻihi ʻia kou manamana wāwae nui, ʻoiai ua kulou kou kuʻekuʻe wāwae, kuli, a me ka ʻūhā. Ua like ia me ke kīkē ʻana i kou wāwae. I kekahi mau hihia, hiki ke hana ʻia kēia ma nā lima.
ʻAʻole maʻamau ka PLMS i hana hoʻokahi. Ma kahi o 80%-90% o nā hihia, hana ʻia ia me ke kūlana a mākou e ʻike nei ʻo Restless Legs Syndrome (RLS) . Eia kekahi, ʻike ʻia ka PLMS me nā kūlana olakino ʻē aʻe:
- ʻO ka Obstructive Sleep Apnea: ʻO kēia ke ʻano e pau ai ka hanu ʻana i ka wā hiamoe.
- Narcolepsy: Hiamoe nui i ke ao.
- Ka maʻi hiamoe REM: Ke hana nei i nā moeʻuhane i ka wā hiamoe.
- ʻUremia: Ka hōʻiliʻili ʻana o nā mea ʻawahia i loko o ke koko ma muli o ka hāʻule ʻana o ka puʻupaʻa.
- ʻO ka puʻupuʻu o ke kaula kuamoʻo: He puʻupuʻu e kū mai ana i loko o ke kaula kuamoʻo.
- ADHD (Attention-Deficit/Hyperactivity Disorder): Ka hemahema o ka nānā ʻana a me ka hyperactivity.
He aha ka ʻokoʻa ma waena o PLMS a me PLMD?
Ua like loa kēia mau inoa ʻelua, no laila hiki ke huikau iki. Akā, aia kahi ʻokoʻa liʻiliʻi akā koʻikoʻi ma waena o nā mea ʻelua. E hoʻomaopopo pono kākou.
I ka ʻōlelo maʻalahi, inā ʻaʻole hiki i nā kauka ke loaʻa i kekahi kumu ʻē aʻe no kēia mau ʻūlū ʻana o nā lālā (e like me nā maʻi i ʻōlelo ʻia ma luna), kapa lākou ia he PLMD (Periodic Limb Movement Disorder) . Akā inā hui pū kēia mau ʻūlū ʻana o nā lālā me kekahi maʻi olakino ʻē aʻe, kapa lākou ia he PLMS (Periodic Limb Movements of Sleep) .
ʻO nā mea ʻelua, ʻoi aku ka laha ʻole o ka PLMD, akā ʻoi aku ka maʻamau o ka PLMS.
| Kūlana | Wehewehena |
|---|---|
| PLMS (Nā Neʻe ʻana o nā Limb Kau o ka Hiamoe) | ʻO ka Restless Legs Syndrome (RLS) kahi maʻi hiamoe e pili pinepine ʻia me nā kūlana olakino ʻē aʻe (e.g., Restless Legs Syndrome, Sleep Apnea). ʻO kēia ke kūlana maʻamau . |
| PLMD (Ka Maʻi Neʻe ʻana o nā Limb Kau) | ʻO ka ʻūlū ʻana o nā lālā i ka wā hiamoe, akā ʻaʻohe kumu ʻē aʻe i ʻike ʻia . He maʻi laha ʻole kēia. |
Pehea ka maʻamau o kēia ʻano?
Ua manaʻo nā kānaka noiʻi ma waena o 4% a me 11% o nā mākua a me 5% a me 8% o nā keiki e loaʻa ana i ka PLMS a i ʻole PLMD. He mea maʻamau loa kēia mau neʻe ʻana o nā lālā i nā haʻawina hiamoe.
He aha nā hōʻailona e hōʻike ai kekahi me PLMS?
Hoʻokipa pinepine ka poʻe me PLMS i kā lākou kauka ma muli o nā pilikia e pili ana i ka hiamoe. ʻO nā mea nui:
- Ka luhi nui a me ka hiamoe i ke ao.
- ʻAʻole hiki ke hiamoe.
ʻO ke kanaka me PLMS a i ʻole PLMD, e wili a ʻūlū paha ko lākou mau lima a wāwae paha no 20 a 40 kekona i ka manawa hiamoe. ʻO ka mea kupanaha, nui ka poʻe me kēia maʻi i ʻike ʻole e hana ʻia ana kēia mau neʻe ʻana . Akā, e ʻōlelo paha kā lākou hoa moe, "Ke kīkēkē nei ʻoe i ka pō."
Ala pinepine kekahi poʻe mai ka hiamoe ma muli o kēia mau neʻe ʻana a paʻakikī ke hiamoe.
He aha ke kumu o ka PLMS?
ʻO kaʻoiaʻiʻo, ʻaʻole ʻike nā kānaka noiʻi i ke kumu pololei o ka PLMS. Manaʻo lākou ua hana ʻia e kahi pilikia a i ʻole kahi mea ʻē i loko o ko kākou iwi kuamoʻo. ʻO ia hoʻi, aia paha he pilikia me nā hōʻailona e puka mai ana mai ka lolo a i ʻole ke kaula kuamoʻo e hoʻoulu ai i kā mākou neʻe ʻana i ka wā hiamoe.
Eia kekahi, ua ʻike ʻia kekahi mau lāʻau lapaʻau e hoʻonui i ka PLMS. ʻO kekahi o kēia mau mea:
- Kekahi mau lāʻau lapaʻau no ke kaumaha (Nā lāʻau antidepressants): ʻO nā laʻana e komo pū me ka mirtazapine, venlafaxine, sertraline, fluoxetine a me ka amitriptyline.
- Kekahi mau lāʻau lapaʻau no nā maʻi allergies (Antihistamine).
- Kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo (Antipsychotics/neuroleptics).
Nā mea pilikia e hoʻonui ai i ka pilikia o kēia ʻano
Hiki i kekahi o kēia mau kūlana a i ʻole nā maʻamau ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i ka PLMS. E nānā kākou i ke ʻano o lākou.
| Kumu pilikia | Pehea e pili ai |
|---|---|
| Anemia | ʻO ka haʻahaʻa o ka hao i loko o ke koko e hoʻopilikia i kahi kemika i loko o ka lolo i kapa ʻia ʻo dopamine, he mea nui ia no ka kaohi ʻana i ka neʻe ʻana. |
| ʻOi aku ma mua o 65 mau makahiki | ʻOi aku ka likelika o ia mau kūlana me ka makahiki ma muli o nā loli i loko o ka ʻōnaehana nerve. |
| ʻO ka neuropathy e pili ana i ka maʻi diabetes | ʻO ka hōʻino ʻana o nā aʻalolo i hoʻokumu ʻia e ka maʻi diabetes hiki ke hana i kēia ʻano neʻe kaohi ʻole ʻia. |
| Moʻolelo ʻohana | Inā loaʻa kekahi o kou ʻohana i ka Restless Legs Syndrome, PLMS, a i ʻole PLMD, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana iā ia. |
| Momona | Ua hōʻike ʻia e ka noiʻi ua pili pū ka momona nui i kēia maʻi. |
| Ka nele o ka hana kino | ʻO ka nohona noho wale me ka ʻole o ka hoʻoikaika kino he mea pilikia nō hoʻi. |
| Puhipaka | Hoʻonui ka puhipaka i ka pilikia no ka mea he hopena maikaʻi ʻole ia i ka ʻōnaehana nerve a me ke kahe koko. |
Pehea e ʻike ʻia ai ka PLMS?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ke ʻike ʻoe i ke kauka, e nīnau ʻo ia e pili ana i kou mōʻaukala olakino. A laila, aia kahi hoʻāʻo i hana nui ʻia e hōʻoia i kēia kūlana. Ua kapa ʻia ʻo ia he Polysomnogram (PSG) . Ua kapa pū kekahi poʻe iā ia he 'Sleep Study' .
ʻO kēia ka noho ʻana i ka pō ma kahi haukapila a i ʻole ke kikowaena aʻo hiamoe, a me ka nānā ʻia ʻana o kou kino i kou wā e hiamoe ana. Hoʻopili lākou i kekahi mau mea ʻike liʻiliʻi i kou kino. ʻO kēia mau mea ʻike,
- Ka hana o kou lolo (nā nalu lolo)
- Ka helu o ka puʻuwai
- ʻAno hanu
- Pae oxygen koko
- A ʻo ka mea nui loa, hoʻopaʻa ia i nā neʻe ʻana o nā lima a me nā wāwae .
Me kēia hoʻāʻo, ua ʻike ʻia kahi pākeke me PLMS inā ʻoi aku ka neʻe ʻana o nā lālā ma mua o 15 mau manawa i ka hola . No ke keiki, ʻoi aku ka neʻe ʻana o nā lālā ma mua o 5 mau manawa i ka hola.
Hiki i kēia haʻawina hiamoe ke kōkua i ka hoʻoholo ʻana inā he mau pilikia hiamoe ʻē aʻe kāu, e like me ka apnea hiamoe. Hiki i kāu kauka ke kauoha i nā hoʻāʻo koko e nānā i nā kumu ʻē aʻe.
He aha nā lāʻau lapaʻau no PLMS?
ʻAʻohe lāʻau lapaʻau kūikawā no PLMS. Eia nō naʻe, kuhikuhi pinepine nā kauka i nā lāʻau lapaʻau like i hoʻohana ʻia no ka Restless Legs Syndrome (RLS). No ka mea he pilina ikaika ma waena o RLS a me PLMS, hiki i kēlā mau lāʻau lapaʻau ke kūpono no PLMS. ʻO kekahi o kēia mau lāʻau lapaʻau:
- ʻO Pramipexole
- ʻO Ropinirole
- ʻO ka Rotigotine
- ʻO Gabapentin
- ʻO Pregabalin
Eia kekahi, ke aʻo nei nā kānaka noiʻi i kekahi mau lāʻau ʻē aʻe, me Clonazepam, Melatonin, Valproate, a me Selegiline.
ʻO ka mea nui, inā ʻoe e lawe nei i ka lāʻau lapaʻau no ke kaumaha a i ʻole kekahi maʻi ʻē aʻe, hiki paha i ka lāʻau lapaʻau ke hoʻonui i kāu PLMS. Inā kānalua ʻia kēia, hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau ʻē aʻe.
Akā e hoʻomanaʻo i hoʻokahi mea: Mai hoʻōki koke i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke kamaʻilio ʻana me kāu kauka, no kekahi kumu. Hiki i kēia ke hana i nā hopena ʻaoʻao koʻikoʻi.
Hiki paha i kēia kūlana ke loaʻa nā hopena lōʻihi?
Hiki i ka PLMS ke hoʻololi nui i ka maikaʻi o kāu hiamoe, a hiki iā ia ke hoʻopilikia i ka hiamoe o kāu hoa.
ʻAʻole nui ka noiʻi ʻana e pili ana i nā hopena lōʻihi o ka PLMS. Eia nō naʻe, ua hōʻike kekahi mau noiʻi e ʻoi aku ka nui o ka poʻe me nā maʻi neʻe hiamoe e like me PLMS i ke koko kiʻekiʻe . Hoʻonui ke koko kiʻekiʻe i ka pilikia o nā maʻi e hiki mai ana e like me ka hahau ʻana a me ka hōʻeha puʻuwai. No laila, he mea nui loa e kamaʻilio me kāu kauka e pili ana i ke ʻano o ka hoʻokele ʻana i kēia pilikia.
Aia kekahi ala e pale aku ai i ka PLMS?
ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī, ʻaʻohe ala kikoʻī e pale aku ai. Eia nō naʻe, ʻo ka mālama ʻana i nā kumu pilikia a mākou i kūkākūkā ai ma luna nei hiki ke hōʻemi i ka manawa kūpono o kēia ʻano. Eia kekahi laʻana,
- Inā ʻoe e puhipaka, e hoʻōki.
- Ke hana kino ʻana (hoʻoikaika kino).
- Ke kāohi nei i ke kaumaha o ke kino.
- Loaʻa ka mālama kūpono no nā kūlana e like me ka anemia.
Āhea wau e ʻike ai i ke kauka?
Inā ua ʻike ʻia ʻoe me PLMS, e ʻike hou i kāu kauka inā:
- Inā loaʻa iā ʻoe nā hōʻailona hou a i ʻole inā e ʻoi aku ka ʻino o kāu mau hōʻailona i kēia manawa.
- Inā hoʻoulu ka lāʻau āu e lawe nei i nā hopena ʻaoʻao maikaʻi ʻole.
He mea mua anei ka PLMS i ka maʻi o Parkinson?
He makaʻu maʻamau kēia no nā poʻe he nui. ʻOiai paha e ʻike ka poʻe me ka maʻi Parkinson i ka neʻe ʻana o nā lālā i ka wā hiamoe, ʻaʻohe noiʻi i hōʻoia he hōʻailona mua ka PLMS a i ʻole PLMD o ka maʻi Parkinson. No laila, mai makaʻu nui iā ia.
ʻO ka mea hope loa, inā loaʻa iā ʻoe kekahi mau pilikia hiamoe, a inā paha ua luhi ʻoe ma hope o ka hiamoe maikaʻi ʻana, he mea nui e kamaʻilio me ke kauka. He mea nui ka hiamoe maikaʻi no ko kākou olakino holoʻokoʻa. ʻAʻole paha ʻo PLMS ke kumu o kou pilikia, akā ʻoi aku ka maikaʻi o ka hoʻāʻo ʻana a ʻike pono. Mai kānalua e nīnau i kāu kauka i nā nīnau a hopohopo paha āu e loaʻa ai.
Leka Lawe-Home
- ʻO ka PLMS kahi kūlana kahi e ʻike ai ʻoe i ka uē ʻana o kou mau lālā i ka wā hiamoe. Hiki i kēia ke hoʻoulu i ka hiamoe nui a me ka luhi i ke ao.
- ʻO ka hapa nui o ka manawa, ʻaʻole ʻike ka mea me kēia maʻi. ʻO ka mea e hiamoe ana me ia ka mea nāna e haʻi iā lākou e pili ana i ia mea.
- Hiki ke pili kēia me nā kūlana ʻē aʻe (e like me ka Restless Legs Syndrome, Sleep Apnea). Inā kū ia me ke kumu ʻole, ua kapa ʻia ʻo PLMD.
- No ka ʻike pololei ʻana i kēia ʻano, pono e hana ʻia kahi hoʻokolohua i kapa ʻia ʻo Sleep Study (Polisomnogram).
- Aia nā lāʻau lapaʻau no ka mālama ʻana, a he mea nui hoʻi e kaohi i nā kumu pilikia.
- Inā loaʻa iā ʻoe kekahi mau pilikia me ka hiamoe, e ʻike pono i ke kauka no ka ʻōlelo aʻo.
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