Yu wɛf ɔ man kin kɔl yu jɔs lɛk aw yu wek na mɔnin, se "Yu kik mi ɔl nɛt ɛn yu nɔ ivin mek a slip fayn"? Ɔ yu kin slip tranga wan, bɔt yu wek na mɔnin ɛn fil se yu nɔ gɛt inspɛkshɔn ɛn yu taya ɔl di de? Di rizin fɔ dɛn tin ya kin bi sɔntin we kin apin we yu de slip we yu nɔ ivin no bɔt. Na dat wi go tok abaut tide.
Fɔ tɔk am simpul wan, wetin na PLMS?
PLMS tinap fɔ di Piɔriɔdik Limb Muvmɛnt dɛn fɔ Slip . Insay Sinhala, i min "di limb muvmɛnt dɛn we de muv wan wan tɛm we yu de slip." Dis na wan prɔblɛm we de mek pɔsin muv. pan dis kכndyushכn, yu an dεm εn/כ yu lεg dεm de twitch כ twitch rεpεtεd we yu nכ de kכntrכl we yu de slip. Dɛn muvmɛnt ya kin mek yu nɔ slip fayn. sכm pipul dεn kin kכl dis kכndyushכn bak `slip-related myoclonus syndrome`.
Bɔku tɛm, dɛn muvmɛnt ya kin apin na di leg dɛn. Imajin, yu big fut de es, we yu anklɛ, yu ni, ɛn yu hip de fleks. I tan lɛk se yu de kik yu fut. Sɔntɛnde, dis kin apin bak na di an.
PLMS nɔ kin apin in wan. Na lɛk 80%-90% pan di kes dɛm, i kin apin wit di kɔndishɔn we wi ɔl no as Restless Legs Syndrome (RLS) . Apat frɔm dat, dɛn kin si PLMS bak wit dɛn ɔda mɛrɛsin ya:
- Obstructive Sleep Apnea: Dis na wan sik wae de kam wae yu de blo kin stɔp wae yu de slip.
- Narkolepsi: Na fɔ slip pasmak insay di de.
- REM Slip Bihayvya Disɔda: Fɔ akt aw yu de drim we yu de slip.
- Yuremia: Di pɔyzin dɛn we de na di blɔd kin gɛda bikɔs di kidni nɔ de wok fayn.
- Spinal Kɔd Tכmכro: Na tכmכro we de apin na di spεnal kכd.
- ADHD (Attention-Deficit/Hyperactivity Disorder): Atɛnshɔn dɛfisit ɛn haypa aktiviti.
Wetin na di difrɛns bitwin PLMS ɛn PLMD?
Dɛn tu nem ya rili fiba, so i kin mek pɔsin kɔnfyus smɔl. Bɔt smɔl bɔt impɔtant difrɛns de bitwin dɛn tu. Lɛ wi ɔndastand am klia wan.
Fɔ tɔk am simpul wan, if dɔktɔ dɛn nɔ ebul fɔ fɛn ɛni ɔda tin we kin mek dɛn an ɛn fut dɛn ya kin shek shek (lɛk di sik dɛn we wi dɔn tɔk bɔt), dɛn kin kɔl am PLMD (Periodic Limb Movement Disorder) . Bɔt if dɛn limb ya we de twitch apin togɛda wit ɔda mɛrɛsin, dɛn kin kɔl am PLMS (Periodic Limb Movements of Sleep) .
Fɔ di tu, PLMD nɔ kin bɔku smɔl, bɔt PLMS kin bɔku.
| Pozishɔn | Tɔk bɔt |
|---|---|
| PLMS (Di Limb Muvmɛnt dɛn we pɔsin kin muv wan wan tɛm we pɔsin slip) . | Rɛstlɛs Lɛg Sindrom (RLS) na wan sik we de mek pɔsin slip we kin gɛt fɔ du wit ɔda mɛrɛsin (e.g., Rɛstlɛs Lɛg Sindrom, Slip Apnea). Dis na de sik wae kin pasmak . |
| PLMD (Disɔda we de mek di bɔdi muv wan wan tɛm) . | di limb dεm we de twit we yu de slip, b כt nכ כda tin we dεn kin no . Dis na tin we nɔ kin apin so ɔltɛm . |
Aw dis sik kin kɔmɔn?
Risach pipul dεm se bitwin 4% εn 11% pan di big pipul dεm εn 5% εn 8% pan di pikin dεm de sɔfa wit PLMS כ PLMD. Dɛn limb muvmɛnt ya kin rili kɔmɔn pan slip stɔdi.
Us sayn dɛm pɔrsin wae gɛt PLMS kin sho?
Pipul wae gɛt PLMS kin go to dɛn dɔktɔ bikɔs ɔf prɔblɛm wae gɛt fɔ du wit slip. Di men wan dɛn na:
- Taya pasmak ɛn slip insay di de.
- Nɔ ebul slip.
Pɔsin we gɛt PLMS ɔ PLMD kin gɛt in an ɔ in leg dɛn kin twitch ɔ jɔk fɔ 20 to 40 sɛkɔn wan tɛm we i de slip. I sɔprayz fɔ no se bɔku pipul dɛn we gɛt dis sik nɔ no se dɛn muvmɛnt ya de apin . Bɔt dɛn bed patna kin se, "Yu de kik na nɛt."
Sɔm pipul dɛn kin wek bɔku tɛm frɔm slip bikɔs ɔf dɛn muvmɛnt ya ɛn i nɔ kin izi fɔ dɛn fɔ slip.
Wetin kin mek pɔsin gɛt PLMS?
Infakt, di wan dɛn we de stɔdi bɔt dis stil nɔ no di rayt tin we kin mek pɔsin gɛt PLMS. Dɛn tink se na prɔblɛm ɔ abnɔmal tin na wi spɛnal kɔd kin mek i apin. Dat min se, prɔblɛm kin de wit di signal dɛn we de kɔmɔt na di bren ɔ spɛshal kɔd we kin mek wi muv we wi nɔ want we wi de slip.
Apat frɔm dat, dɛn dɔn si se sɔm mɛrɛsin dɛn kin mek PLMS wɔs. Sɔm pan dɛn tin ya na:
- Sɔm mɛrɛsin fɔ pwɛl hat (Antidipreshan): Sɔm ɛgzampul na `mirtazapine`, `venlafaxine`, `sertraline`, `fluoxetine` ɛn `amitriptyline`.
- Sɔm mɛrɛsin fɔ alɛji (Antihistamines).
- Sɔm mɛrɛsin fɔ mental sik (Antipsychotics/neuroleptics).
Risk factor dɛm wae de inkrisayz de risk fɔ dis kɔndishɔn
Ɛni wan pan dɛn kɔndishɔn ɔ abit ya kin mek yu gɛt mɔ risk fɔ gɛt PLMS. Lɛ wi tek wan luk pan wetin dɛn bi.
| Risk factor | Aw i kin afɛkt |
|---|---|
| Anemia we nɔ gɛt bɛtɛ blɔd | Di ayɔn we smɔl na di blɔd kin afɛkt wan kemikal na di bren we dɛn kɔl dopamine, we impɔtant fɔ kɔntrol di muvmɛnt. |
| Bikɔs i dɔn pas 65 ia | di chans fכ dis kayn kכndyushכn de inkrεs wit di ej biכs fכ chenj dεm na di nεv sεstem. |
| Nyuropathy we gɛt fɔ du wit dayabitis | Di nerve damej wae kin kam wit dayabitis kin mek dis kayn muvmɛnt wae nɔr kin kɔntrol. |
| Famili istri | If pɔrsin na yu famili gɛt Restless Legs Syndrome, PLMS, ɔr PLMD, yu kin gɛt dis sik bak. |
| Fat | Risach dɔn sho se fɔ gɛt bɔku bɔku bɔdi kin gɛt fɔ du bak wit dis sik. |
| Fɔ nɔ ebul fɔ du bɔku tin dɛn fɔ du | If pɔsin sidɔm ɛn nɔ du ɛksɛsayz, dat kin mek i gɛt prɔblɛm bak. |
| Fɔ smok | Smok kin mek di risk bɔku bikɔs i kin afɛkt di nervɔs sistɛm ɛn di blɔd sakulayshɔn bad bad wan. |
Aw dɛn kin no PLMS?
If yu gɛt dɛn sik ya, we yu go to dɔktɔ, i go aks yu bɔt yu mɛdikal histri. Dɔn, wan tɛst de we dɛn kin du mɔ fɔ kɔnfirm dis kɔndishɔn. Dɛn kɔl am Polisomnogram (PSG) . Sɔm pipul dɛn kin kɔl am bak ‘Slip Stɔdi’ .
Dis kin min fɔ de na ɔspitul ɔ slip stɔdi sɛnta fɔ wan nɛt, ɛn fɔ mek dɛn de wach yu bɔdi we yu de slip. Dɛn kin ataya sɔm smɔl smɔl tin dɛn we de mek yu bɔdi gɛt sɛns. Dɛn sɛns ya, .
- Yu bren aktiviti (bren wev) .
- At rit we yu de bit
- Di we aw pɔsin de blo
- Blɔd ɔksijɛn lɛvɛl
- Ɛn di tin we impɔtant pas ɔl na dat, i de rayt aw di an ɛn leg dɛn de muv .
wit dis tεst, dεn kin no se big pɔsin gεt PLMS if di limb dεm we de muv pas 15 tεm pan awa . fכ pikin, di muvmεnt dεm de apin pas 5 tεm pan awa.
Dis slip stɔdi kin ɛp bak fɔ no if yu gɛt ɔda prɔblɛm dɛn we yu kin gɛt pan slip, lɛk we yu nɔ kin ebul fɔ blo. Yu dɔktɔ kin tɛl yu bak fɔ du blɔd tɛst fɔ chɛk fɔ ɔda tin dɛn we kin mek yu gɛt am.
Wetin na di tritmɛnt dɛm fɔ PLMS?
No patikyula tritmɛnt nɔ de fɔ PLMS. Bɔt, dɔktɔ dɛn kin gi dɛn di sem mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn di sik we dɛn kɔl Restless Legs Syndrome (RLS). Bikɔs strɔng link de bitwin RLS ɛn PLMS, dɛn mɛrɛsin dɛn de kin wok bak fɔ PLMS. Sɔm pan dɛn mɛrɛsin ya na:
- `Pramipeksol`
- `Ropinirol`
- `Rotigotin`
- `Gabapentin`
- `Prɛgabalin`
Apat frɔm dat, sɔm pipul dɛn we de stɔdi bɔt dis de stɔdi bɔt bɔku ɔda mɛrɛsin dɛn, lɛk Klɔnazepam, Mɛlatonin, Valproɛt, ɛn Sɛlɛjilin.
Impɔtant, if yu dɔn ɔlrɛdi de tek mɛrɛsin fɔ pwɛl hat ɔr ɔda sik, i pɔsibul se de mɛrɛsin kin de mek yu PLMS wɔs. If yu tink se na dis, yu dɔktɔ kin gi yu ɔda mɛrɛsin insted.
Bɔt mɛmba wan tin: Nɔ ɛva, fɔ ɛni rizin, stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz wantɛm wantɛm we yu nɔ tɔk to yu dɔktɔ. Dis kin mek yu gɛt siriɔs sayd ɛfɛkt.
Yu tink se dis tin we kin apin kin afɛkt am fɔ lɔng tɛm?
PLMS kin afɛkt di kwaliti fɔ yu slip bad bad wan, ɛn i kin ambɔg yu patna in slip bak.
Nɔr bɔrku risach nɔr de yet bɔt di lɔng tɛm ifɛkt dɛm wae PLMS kin gɛt. Bɔt sɔm stɔdi dɛn dɔn sho se pipul dɛn we gɛt prɔblɛm wit slip muvmɛnt lɛk PLMS kin gɛt ay blɔd prɛshɔn . Ay blɔd prɛshɔn kin mek yu gɛt sik dɛn we yu go gɛt tumara bambay lɛk strok ɛn at atak. So, e fayn fɔ tɔk to yu dɔktɔ bɔt aw fɔ kɔntrol dis risk.
I gɛt we fɔ mek yu nɔ gɛt PLMS?
Bikɔs wi nɔ no di rayt tin we kin mek i apin, no patikyula we nɔ de fɔ mek i nɔ apin. Bɔt fɔ manej di risk factor dɛm wae wi bin dɔn tɔk bɔt ɔp kin ridyus di chans fɔ mek dis kɔndishɔn apin. Fɔ ɛgzampul,
- If yu de smok, stɔp.
- Fɔ de du tin wit yu bɔdi (we yu de du ɛksɛsayz).
- Fɔ kɔntrol di bɔdi wet.
- Fɔ gɛt di rayt tritmɛnt fɔ kɔndishɔn lɛk anemia.
Ustɛm a fɔ go to dɔktɔ?
If dɛn dɔn no se yu gɛt PLMS, go to yu dɔktɔ bak if:
- If yu gɛt nyu sik ɔr if yu sik naw de wɔs.
- If di tritmɛnt we yu de tek de mek yu gɛt sayd ɛfɛkt we nɔ fayn.
Yu tink se PLMS na prɛkursɔ fɔ Pakinsin sik?
Dis na tin we bɔku pipul dɛn kin fred. Pan ɔl we pipul dɛm wae gɛt dis sik kin gɛt bɔdi wae de muv wae dɛn de slip, nɔr risach nɔr dɔn pruv se PLMS ɔr PLMD na fɔs sayn fɔ Pakinsin sik. So nɔ fred am we yu nɔ nid fɔ fred.
Fɔ dɔn, if yu gɛt ɛni prɔblɛm wit slip, ɔ if yu fil taya ivin afta yu dɔn slip fayn, i impɔtant fɔ tɔk to dɔktɔ. Gud slip impɔtant fɔ wi ɔl wɛlbɔdi. PLMS nɔr kin bi di kɔz fɔ yu prɔblɛm, bɔt i bɛtɛ fɔ mek yu du tɛst ɛn no fɔ tru. Nɔ shek fɔ aks yu dɔktɔ ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- PLMS na wan kɔndishɔn we yu kin gɛt yu an ɛn fut dɛn we yu nɔ want fɔ jɔk we yu de slip. Dis kin mek yu slip pasmak ɛn taya insay di de.
- Bɔrku tɛm, de pɔrsin wae gɛt dis sik nɔr kin no am. Na di pɔsin we de slip wit am de tɛl dɛn bɔt am.
- Dis kin gɛt fɔ du wit ɔda tin dɛm (lɛk Restless Legs Syndrome, Sleep Apnea). If i apin we nɔ gɛt ɛni rizin we mek i apin, dɛn kin kɔl am PLMD.
- Fɔ no dis sik kɔrɛkt wan, dɛn nid fɔ du wan tɛst we dɛn kɔl Slip Stɔdi (Polysomnogram).
- Mɛrɛsin de fɔ tritmɛnt, ɛn i impɔtant bak fɔ kɔntrol di tin dɛn we kin mek pɔsin gɛt dis sik.
- If yu gɛt ɛni prɔblɛm wit slip, go mɔs go to dɔktɔ fɔ advays.
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