Thaum koj sawv ntxov, koj tus poj niam lossis koj tus txiv puas cem koj, hais tias, "Koj ncaws kuv tag hmo thiab tsis pub kuv pw tsaug zog zoo"? Los yog koj puas pw tsaug zog heev, tab sis sawv ntxov tsis muaj zog thiab nkees tag hnub? Qhov laj thawj rau tej yam no tej zaum yuav yog qee yam uas tshwm sim thaum pw tsaug zog uas koj tsis paub txog. Qhov ntawd yog qhov peb yuav tham txog hnub no.
Hais yooj yim xwb, PLMS yog dab tsi?
PLMS txhais tau tias yog Periodic Limb Movements of Sleep . Hauv lus Sinhala, nws txhais tau tias "kev txav ntawm ob txhais ceg tsis tu ncua thaum pw tsaug zog." Qhov no yog kev tsis txav mus los. Hauv qhov mob no, koj txhais tes thiab/lossis ob txhais ceg co lossis co tas li yam tsis muaj koj tswj thaum koj pw tsaug zog. Cov kev txav no tuaj yeem cuam tshuam koj txoj kev pw tsaug zog. Ib txhia neeg kuj hu qhov mob no tias 'sleep-related myoclonus syndrome'.
Feem ntau, cov kev txav no tshwm sim rau ntawm ob txhais ceg. Xav txog, koj tus ntiv taw loj raug ncab, thaum koj pob luj taws, lub hauv caug, thiab lub duav raug khoov. Nws zoo li ncaws koj txhais taw. Qee zaum, qhov no kuj tuaj yeem tshwm sim rau ntawm tes.
PLMS feem ntau tsis tshwm sim ib leeg xwb. Kwv yees li ntawm 80% -90% ntawm cov neeg mob, nws tshwm sim nrog tus mob uas peb txhua tus paub tias yog Restless Legs Syndrome (RLS) . Tsis tas li ntawd, PLMS kuj pom nrog lwm yam mob hauv qab no:
- Kev Pw Tsaug Zog Tsis Taus (Obstructive Sleep Apnea): Qhov no yog ib qho mob uas ua tsis taus pa thaum pw tsaug zog.
- Narcolepsy: tsaug zog ntau dhau thaum nruab hnub.
- Kev Ua Phem Rau Lub Sijhawm Pw Tsaug Zog REM: Ua npau suav thaum pw tsaug zog.
- Uremia: Kev sib sau ua ke ntawm cov tshuaj lom hauv cov ntshav vim yog lub raum tsis ua haujlwm.
- Mob qog ntawm lub hlwb: Ib qho qog uas tshwm sim hauv lub hlwb.
- ADHD (Kev Tsis Mloog Zoo/Kev Ua Haujlwm Ntau Dhau): Kev mloog tsis zoo thiab kev ua haujlwm ntau dhau.
Qhov txawv ntawm PLMS thiab PLMD yog dab tsi?
Ob lub npe no zoo sib xws heev, yog li nws yuav ua rau me ntsis tsis meej pem. Tab sis muaj qhov sib txawv me me tab sis tseem ceeb ntawm ob qho no. Cia peb nkag siab kom meej.
Yog hais yooj yim xwb, yog cov kws kho mob nrhiav tsis tau lwm yam ua rau cov ceg tshee no (xws li cov kab mob uas tau hais los saum toj no), lawv hu nws ua PLMD (Periodic Limb Movement Disorder) . Tab sis yog tias cov ceg tshee no tshwm sim ua ke nrog lwm yam mob, lawv hu nws ua PLMS (Periodic Limb Movements of Sleep) .
Ntawm ob qho no, PLMD tsis tshua muaj, tab sis PLMS muaj ntau dua.
| Xwm txheej | Kev piav qhia |
|---|---|
| PLMS (Kev Txav Mus Los Ntawm Tes Ntawm Pw Tsaug Zog) | Kab Mob Restless Legs Syndrome (RLS) yog ib qho kev pw tsaug zog tsis taus uas feem ntau cuam tshuam nrog lwm yam mob (piv txwv li, Kab Mob Restless Legs Syndrome, Sleep Apnea). Qhov no yog qhov mob uas feem ntau tshwm sim . |
| PLMD (Kev Mob Txav Mus Los Ntawm Tes Taw Tsis Tu Ncua) | Ua rau ob txhais ceg co thaum pw tsaug zog, tab sis tsis muaj lwm yam ua rau . Qhov no yog ib qho mob tsis tshua muaj . |
Tus mob no feem ntau tshwm sim li cas?
Cov kws tshawb fawb kwv yees tias ntawm 4% thiab 11% ntawm cov neeg laus thiab 5% thiab 8% ntawm cov menyuam yaus raug kev txom nyem los ntawm PLMS lossis PLMD. Cov kev txav ntawm ob txhais ceg no yog qhov tshwm sim ntau heev hauv kev tshawb fawb txog kev pw tsaug zog.
Cov tsos mob ntawm ib tus neeg uas muaj PLMS qhia txog dab tsi?
Cov neeg uas muaj PLMS feem ntau mus ntsib lawv tus kws kho mob vim muaj teeb meem ntsig txog kev pw tsaug zog. Cov teeb meem tseem ceeb yog:
- Qaug zog thiab tsaug zog ntau dhau thaum nruab hnub.
- Tsis tsaug zog.
Ib tug neeg uas muaj PLMS lossis PLMD muaj lawv txhais tes lossis ceg co lossis tshee rau 20 txog 40 vib nas this ib zaug thaum pw tsaug zog. Qhov xav tsis thoob yog tias muaj ntau tus neeg uas muaj tus mob no tsis paub tias cov kev txav no tshwm sim . Tab sis lawv tus khub pw yuav hais tias, "Koj ncaws hmo ntuj."
Muaj ib txhia neeg sawv ntau zaus los ntawm kev pw tsaug zog vim yog cov kev txav no thiab muaj teeb meem pw tsaug zog.
Dab tsi ua rau PLMS?
Qhov tseeb, cov kws tshawb nrhiav tseem tsis tau paub qhov ua rau PLMS muaj tseeb . Lawv xav tias nws yog los ntawm teeb meem lossis qhov tsis zoo hauv peb tus txha caj qaum. Qhov ntawd yog, tej zaum yuav muaj teeb meem nrog cov teeb liab los ntawm lub hlwb lossis tus txha caj qaum uas ua rau peb tsis txav thaum pw tsaug zog.
Tsis tas li ntawd xwb, qee cov tshuaj tau pom tias ua rau PLMS mob hnyav dua. Qee cov no suav nrog:
- Qee cov tshuaj kho kev nyuaj siab (Antidepressants): Piv txwv li suav nrog `mirtazapine`, `venlafaxine`, `sertraline`, `fluoxetine` thiab `amitriptyline`.
- Qee cov tshuaj kho mob ua xua (Antihistamines).
- Qee cov tshuaj kho mob hlwb (Antipsychotics / neuroleptics).
Cov yam ua rau muaj kev pheej hmoo ntawm tus mob no
Tej yam mob lossis kev coj cwj pwm hauv qab no tuaj yeem ua rau koj muaj feem yuav mob PLMS ntau ntxiv. Cia peb saib seb lawv yog dab tsi.
| Qhov ua rau muaj kev pheej hmoo | Nws cuam tshuam li cas |
|---|---|
| Kab mob ntshav tsis txaus | Cov hlau qis hauv cov ntshav cuam tshuam rau cov tshuaj hauv lub hlwb hu ua dopamine, uas yog qhov tseem ceeb rau kev tswj kev txav mus los. |
| Muaj hnub nyoog tshaj 65 xyoo | Qhov yuav muaj cov mob zoo li no nce ntxiv nrog hnub nyoog vim yog kev hloov pauv hauv lub paj hlwb. |
| Kab mob neuropathy uas cuam tshuam nrog ntshav qab zib | Kev puas tsuaj ntawm cov hlab ntsha los ntawm tus kab mob ntshav qab zib tuaj yeem ua rau muaj cov kev txav mus los uas tsis tswj tau zoo li no. |
| Keeb kwm tsev neeg | Yog tias ib tug neeg hauv koj tsev neeg muaj Restless Legs Syndrome, PLMS, lossis PLMD, koj muaj feem yuav mob nws ntau dua. |
| Kev rog dhau | Kev tshawb fawb tau qhia tias kev rog dhau kuj tseem muaj feem cuam tshuam nrog tus mob no. |
| Tsis muaj kev tawm dag zog lub cev | Kev ua neej nyob tsis txav chaw yam tsis muaj kev tawm dag zog kuj yog ib qho ua rau muaj kev pheej hmoo. |
| Haus luam yeeb | Kev haus luam yeeb ua rau muaj kev pheej hmoo ntau ntxiv vim nws cuam tshuam tsis zoo rau lub paj hlwb thiab kev ncig ntshav. |
Yuav kuaj mob PLMS li cas?
Yog koj muaj cov tsos mob no, thaum koj mus ntsib kws kho mob, nws yuav nug txog koj keeb kwm kev kho mob. Tom qab ntawd, muaj kev kuaj uas feem ntau ua los xyuas kom meej qhov mob no. Nws hu ua Polysomnogram (PSG) . Ib txhia neeg kuj hu nws ua 'Kev Kawm Txog Kev Pw Tsaug Zog' .
Qhov no suav nrog kev pw ib hmos hauv tsev kho mob lossis chaw kawm txog kev pw tsaug zog, thiab kom koj lub cev saib xyuas thaum koj pw tsaug zog. Lawv txuas ob peb lub sensor me me rau koj lub cev. Cov sensor no,
- Koj lub hlwb ua haujlwm (lub hlwb nthwv dej)
- Lub plawv dhia ceev
- Qauv ua pa
- Cov pa oxygen hauv cov ntshav
- Thiab qhov tseem ceeb tshaj plaws, nws sau cov kev txav ntawm caj npab thiab ceg .
Nrog rau qhov kev kuaj no, ib tug neeg laus raug kuaj pom tias muaj PLMS yog tias qhov kev txav ntawm ob txhais ceg tshwm sim ntau dua 15 zaug hauv ib teev . Rau ib tug menyuam, qhov kev txav tshwm sim ntau dua 5 zaug hauv ib teev.
Qhov kev tshawb nrhiav txog kev pw tsaug zog no kuj tseem yuav pab txiav txim siab seb koj puas muaj lwm yam teeb meem pw tsaug zog, xws li kev pw tsaug zog apnea. Koj tus kws kho mob kuj tseem yuav hais kom kuaj ntshav kom paub seb puas muaj lwm yam ua rau.
Cov kev kho mob rau PLMS yog dab tsi?
Tsis muaj kev kho mob tshwj xeeb rau PLMS. Txawm li cas los xij, cov kws kho mob feem ntau sau ntawv rau cov tshuaj uas siv rau Restless Legs Syndrome (RLS). Vim tias muaj kev sib txuas zoo ntawm RLS thiab PLMS, cov tshuaj ntawd kuj tseem yuav ua tau zoo rau PLMS. Ib txhia ntawm cov tshuaj no suav nrog:
- `Pramipexole`
- `Ropinirole`
- `Rotigotine`
- `Gabapentin`
- `Pregabalin`
Tsis tas li ntawd xwb, cov kws tshawb nrhiav tab tom kawm txog ntau lwm yam tshuaj, suav nrog Clonazepam, Melatonin, Valproate, thiab Selegiline.
Qhov tseem ceeb, yog tias koj twb noj tshuaj rau kev nyuaj siab lossis lwm yam mob lawm, tej zaum cov tshuaj ntawd yuav ua rau koj tus mob PLMS hnyav zuj zus. Yog tias koj xav tias qhov no, koj tus kws kho mob yuav sau lwm yam tshuaj rau koj noj.
Tiam sis nco ntsoov ib yam: Tsis txhob, txawm yog vim li cas los xij, tsum tsis txhob noj koj cov tshuaj lossis hloov qhov ntau npaum li cas sai sai yam tsis tau nrog koj tus kws kho mob tham. Qhov no tuaj yeem ua rau muaj kev phiv loj heev.
Qhov xwm txheej no puas muaj peev xwm cuam tshuam mus sij hawm ntev?
PLMS tuaj yeem cuam tshuam rau qhov zoo ntawm koj txoj kev pw tsaug zog, thiab nws kuj tseem tuaj yeem cuam tshuam kev pw tsaug zog ntawm koj tus khub.
Tseem tsis tau muaj kev tshawb fawb ntau txog cov teebmeem mus sij hawm ntev ntawm PLMS. Txawm li cas los xij, qee qhov kev tshawb fawb tau qhia tias cov neeg uas muaj teeb meem kev txav mus los thaum pw tsaug zog zoo li PLMS yuav muaj ntshav siab ntau dua. Ntshav siab ua rau muaj kev pheej hmoo ntawm cov kab mob yav tom ntej xws li mob stroke thiab mob plawv nres. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog koj tus kws kho mob txog yuav ua li cas tswj qhov kev pheej hmoo no.
Puas muaj ib txoj kev los tiv thaiv PLMS?
Vim tias qhov ua rau muaj qhov teeb meem no tseem tsis tau paub meej, tsis muaj ib txoj hauv kev tshwj xeeb los tiv thaiv nws. Txawm li cas los xij, kev tswj hwm cov yam uas peb tau tham txog saum toj no tuaj yeem txo qhov muaj feem yuav muaj tus mob no. Piv txwv li,
- Yog koj haus luam yeeb, tsum.
- Ua kom lub cev muaj zog (ua si).
- Tswj qhov hnyav ntawm lub cev.
- Tau txais kev kho mob kom zoo rau cov mob xws li ntshav tsis txaus.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj tau kuaj pom tias muaj PLMS, mus ntsib koj tus kws kho mob dua yog tias:
- Yog koj muaj cov tsos mob tshiab lossis yog koj cov tsos mob tam sim no hnyav zuj zus.
- Yog tias kev kho mob uas koj tab tom noj ua rau muaj cov kev mob tshwm sim tsis zoo.
PLMS puas yog tus kab mob Parkinson ua ntej?
Qhov no yog ib qho kev ntshai uas ntau tus neeg feem ntau ntsib. Txawm hais tias cov neeg uas muaj tus kab mob Parkinson yuav muaj kev txav ntawm ob txhais ceg thaum pw tsaug zog, tsis muaj kev tshawb fawb twg tau ua pov thawj tias PLMS lossis PLMD yog ib qho cim qhia ntxov ntawm tus kab mob Parkinson. Yog li ntawd, tsis txhob ntshai nws yam tsis tsim nyog.
Thaum kawg, yog tias koj muaj teeb meem pw tsaug zog, lossis yog tias koj xav tias qaug zog txawm tias tom qab pw tsaug zog zoo lawm, nws yog ib qho tseem ceeb uas yuav tsum nrog kws kho mob tham. Kev pw tsaug zog zoo yog qhov tseem ceeb rau peb txoj kev noj qab haus huv tag nrho. PLMS tej zaum yuav tsis yog qhov ua rau koj muaj teeb meem, tab sis nws yog qhov zoo tshaj plaws los kuaj thiab nrhiav kom paub tseeb. Tsis txhob yig nug koj tus kws kho mob txog cov lus nug lossis kev txhawj xeeb uas koj muaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- PLMS yog ib qho mob uas koj yuav raug kev co ntawm koj ob txhais ceg thaum pw tsaug zog. Qhov no tuaj yeem ua rau koj tsaug zog ntau dhau thiab qaug zog thaum nruab hnub.
- Feem ntau, tus neeg uas muaj tus mob no tsis paub. Yog tus neeg uas pw nrog tus mob no ces qhia rau lawv paub.
- Qhov no tuaj yeem cuam tshuam nrog lwm yam mob (xws li Restless Legs Syndrome, Sleep Apnea). Yog tias nws tshwm sim yam tsis muaj laj thawj pom tseeb, nws hu ua PLMD.
- Yuav kom paub tseeb tias tus mob no zoo, yuav tsum tau ua ib qho kev kuaj hu ua Sleep Study (Polysomnogram).
- Muaj cov tshuaj rau kev kho mob, thiab nws tseem ceeb heev rau kev tswj cov yam uas ua rau muaj kev pheej hmoo.
- Yog tias koj muaj teeb meem nrog kev pw tsaug zog, mus ntsib kws kho mob kom tau txais lus qhia.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus