I nupui emaw, i pasal emaw chuan zing i thawh veleh, "Zankhuain min kick a, mut mut pawh i phal lo" tiin a hau che em? A nih loh leh i muhil nasa hle a, mahse zing lamah nilengin inspired lo leh chau takin i tho thin em? Heng thilte chhan hi mut laia thil thleng, i hriat loh pawh a ni thei. Chu chu vawiinah kan sawi dawn a ni.
A awlsam zawngin PLMS chu eng nge ni?
PLMS hi Periodic Limb Movements of Sleep tihna a ni a . Sinhala tawng chuan "mut laiin taksa peng hrang hrang inthlak danglam" tihna a ni. Hei hi movement disorder a ni. Hetiang dinhmunah hian i mut laiin i kut leh/ emaw i ke chu i thunun lohvin a inher emaw, a inher emaw nawn leh thin. Heng chetnate hian i mut a tibuai thei a ni. Mi thenkhat chuan he natna hi `sleep-related myoclonus syndrome` an ti bawk.
A tam zawkah chuan heng chetna hi keah a thleng thin. Ngaihtuah teh, i ke ruh lian tak chu a sei a, i ke ruh, i khup leh i hip erawh a inher chhuak thung. I ke pet ang mai a ni. A then phei chuan kut ah pawh hetiang hi a thleng thei bawk.
PLMS hi a awm mai mai lo tlangpui. 80%-90% vel ah chuan Restless Legs Syndrome (RLS) tia kan hriat vek natna nen a thleng thin. Hei bakah hian PLMS hi a hnuaia damdawi lam harsatna dangte nen pawh hmuh tur a awm bawk:
- Obstructive Sleep Apnea: Hei hi mut laiin thawk a tawp thin.
- Narcolepsy: Nitin mutthilh lutuk.
- REM Sleep Behavior Disorder: Mut laiin mumang a lemchan.
- Uremia: Kidney failure avanga thisenah toxins a awm khawm.
- Spinal Cord Tumor: Ruhro (spinal cord) a lo awm thin a ni.
- ADHD (Attention-Deficit/Hyperactivity Disorder): Ngaihtuahna tlakchham leh thiltih tam lutuk.
PLMS leh PLMD hi eng nge an danglamna?
Heng hming pahnih hi a inang hle a, chuvang chuan a buaithlak deuh thei. Mahse, an pahnih inkarah hian danglamna tlemte mahse pawimawh tak a awm. Fiah takin i hrethiam ang u.
A awlsam zawngin, doctor-te chuan heng taksa peng hrang hrang (a chunga kan sawi tak natna ang chi) hi a chhan dang an hmuh loh chuan PLMD (Periodic Limb Movement Disorder) tiin an sawi thin. Mahse heng taksa peng hrang hrangte hi damdawi lam natna dang nen a lo awm dun a nih chuan PLMS (Periodic Limb Movements of Sleep) an ti a ni.
An pahnih zingah hian PLMD hi a tlem zawk a, mahse PLMS hi a tam zawk.
| Nihna | Hrilhfiahna |
|---|---|
| PLMS (Mut laiin taksa peng hrang hrang inthlak danglamna) . | Restless Legs Syndrome (RLS) hi mut natna a ni a, damdawi lam thil dang (e.g., Restless Legs Syndrome, Sleep Apnea) nen pawh a inzawm fo thin. Hei hi a awm dan tlangpui a ni. |
| PLMD (Periodic Limb Movement Disorder) 1. A rilru a hah lutuk chuan a rilru a buai em em a. | Mut laiin ke ruhte a inher a, mahse a chhan dang hriat theih a awm lo . Hei hi thil awm lo tak a ni. |
Hetiang dinhmun hi engtiang chiahin nge a awm?
Zirchiangtute chuan puitling 4% leh 11% inkar leh naupang 5% leh 8% te chuan PLMS emaw PLMD emaw an vei niin an chhut. Heng taksa peng hrang hrangte hi mut chungchanga zirchiannaah hian a awm fo thin.
PLMS vei hian eng symptom nge a lantir?
PLMS vei te hian mut kaihhnawih harsatna an neih avangin an doctor an pan fo thin. A bulpui berte chu:
- Nilengin hah lutuk leh mutthilh lutuk.
- Mu thei lo.
PLMS emaw PLMD vei chuan a mut laiin a kut emaw, a ke emaw chu a vawi khatah second 20 atanga 40 vel a inher emaw, a inher emaw a ni. Mak tak maiin he natna vei tam tak chuan heng movement te hi a thleng tih an hre lo . Mahse an mutna kawppui chuan, "Zan lamah i kick a ni," a ti mai thei.
Mi thenkhat chu heng chetna avang hian mut atanga an harh fo thin a, muthilh harsa an ti thin.
Eng thilin nge PLMS hi a thlen?
Dik tak chuan zirchiangtute chuan PLMS awm chhan dik tak hi an la hre lo . Kan ruhro (spinal cord)-a harsatna emaw, thil danglam emaw avanga lo awm niin an ngai. Chu chu, mut laiin kan duh loh zawnga kan chetna thlentu thluak emaw, ruhro emaw atanga signal lo chhuakteah harsatna a awm thei tihna a ni.
Tin, damdawi thenkhat chuan PLMS a ti na tih hmuhchhuah a ni bawk. Chung zinga ṭhenkhat chu:
- Depression damdawi thenkhat (Antidepressants): Entirna atan `mirtazapine`, `venlafaxine`, `sertraline`, `fluoxetine` leh `amitriptyline` te hi a ni.
- Allergy natna damdawi thenkhat (Antihistamines).
- Rilru natna damdawi thenkhat (Antipsychotics/neuroleptics).
Hetiang natna vei theihna tipungtu risk factors
A hnuaia dinhmun emaw tih dan emaw hian PLMS vei theihna a tipung thei a ni. Eng nge an nih i han thlir teh ang.
| Risk factor a ni | Engtin nge a nghawng |
|---|---|
| Thisen tlakchhamna (Anaemia). | Thisen a iron level hniam hian thluaka chemical pakhat dopamine an tih chu a nghawng a, hei hi chetna control nana pawimawh tak a ni. |
| Kum 65 chunglam a nih vang a ni | Chutiang dinhmun chu kum upat danah a pung chho zel a, hei hi nervous system inthlak danglam vang a ni. |
| Diabetes kaihhnawih neuropathy | Zunthlum vanga nerve chhiat hian hetiang ang chetna hi thunun theih loh a thlen thei a ni. |
| Chhungkaw chanchin | I chhungkuaa mi pakhatin Restless Legs Syndrome, PLMS, emaw PLMD emaw a neih chuan nang pawhin i vei theihna a sang zawk a ni. |
| Thau lutuk | Research atanga a lan dan chuan thau lutuk pawh hi he natna nen hian a inzawm tlat a ni. |
| Taksa tihchak loh | Exercise tel lova thut reng pawh hi risk factor a ni. |
| Meizial zuk | Meizial hian a hlauhawmna a tipung a, a chhan chu nervous system leh thisen kal dan a nghawng tha lo hle. |
Engtin nge PLMS hi hmuhchhuah a nih?
Heng symptoms te hi i neih chuan doctor i hmuh hunah i medical history a zawt ang. Tichuan, test a awm a, chu chu he natna hi finfiah nan tih a ni ber. Polysomnogram (PSG) an ti a ni. Mi thenkhat chuan ‘Sleep Study’ an ti bawk.
Hei hian damdawi in emaw, mut zirna hmun emaw-ah zan khat riah a, i mut laiin i taksa enfiah tir a huam a ni. I taksaah sensor te te tlemte an dah a. Heng sensor te hian, .
- I thluak hnathawh (brain waves) .
- Lungphun a thawk chhuak
- Thâwk chhuah dan
- Thisenah oxygen level a awm
- Tin , a pawimawh ber chu kut leh ke incheina a record a ni .
He test hmang hian puitling pakhat chu darkar khatah vawi 15 aia tam kut leh ke inthlak danglamna a awm chuan PLMS a vei tih hmuhchhuah a ni . Naupang tan chuan darkar khatah vawi 5 aia tam chetna a awm thin.
He mut chungchanga zirchianna hian mut harsatna dang, sleep apnea ang chi i neih leh neih loh hriat theih nan a pui thei bawk. I doctor pawhin a chhan dang enfiah turin thisen test a ti thei bawk.
PLMS enkawl dan tur chu engte nge ni?
PLMS hi enkawlna bik a awm lo. Mahse, doctor-te chuan Restless Legs Syndrome (RLS) natna atana hman thin damdawi ang chiah hi an pe tlangpui. RLS leh PLMS inzawmna nghet tak a awm avangin, chu damdawi te chu PLMS tan pawh a tangkai thei hle. Chung damdawi thenkhat chu:
- `Pramipexole` tih a ni
- `Ropinirole` tih a ni
- `Rotigotine` tih a ni
- `Gabapentin` tih a ni
- `Pregabalin` tih a ni
Hei bakah hian zirchiangtute chuan damdawi dang eng emaw zat an zirchiang mek a, chung zingah chuan Clonazepam, Melatonin, Valproate, leh Selegiline te pawh an tel.
Pawimawh tak chu, depression emaw, natna dang emaw damdawi i ei tawh a nih chuan, chu damdawi chuan i PLMS a ti na zual thei a ni. Hei hi rinhlelh a nih chuan i doctor chuan damdawi dang a pe zawk mai thei.
Mahse thil pakhat hre reng ang che: Eng chhan pawh ni se, i damdawi ei kha chawlhsan emaw, i doctor nena inbiakna neih lohvin a dose thlak nghal emaw suh. Hei hian side effect na tak a thlen thei a ni.
He dinhmun hian hun rei tak chhung nghawng a nei thei ang em?
PLMS hian i mut thatna nasa takin a nghawng thei a, i kawppui mut pawh a tibuai thei bawk.
PLMS hian hun rei tak chhunga nghawng a neih dan tur zirchianna tam tak a la awm lo. Mahse, zirchianna thenkhatah chuan PLMS ang chi mutna lama harsatna nei te hian thisen sang an nei tam zawk tih hmuhchhuah a ni . Thisen sang hian nakin lawka natna hrang hrang, stroke leh heart attack te a thlen theihna a tipung a ni. Chuvangin, he hlauhawmna hi engtin nge i enkawl ang tih hi doctor nen inbiakna neih a pawimawh hle.
PLMS laka inven dan tur a awm em?
A chhan dik tak hriat a nih loh avangin ven dan tur chiang tak a awm lo. Mahse, a chunga kan sawi tawh risk factors te enkawl hian he natna hi a lo awm theihna chance a ti tlem thei a ni. Entir nan,
- Meizial i zu a nih chuan bansan rawh.
- Taksa tihchak (exercise) neih.
- Taksa rih zawng control.
- Anemia ang chi dinhmun enkawlna tha tak neih.
Engtikah nge Doctor ka hmuh ang?
PLMS i vei tih hmuhchhuah i nih chuan i doctor hmu leh la, hetiang hian:
- Symptom thar i neih chuan emaw, tuna i symptoms hi a na zual a nih chuan.
- I enkawlna hian side effect nuam lo tak a thlen a nih chuan.
PLMS hi Parkinson natna hmahruaitu a ni em?
Hei hi mi tam tak tan chuan hlauhthawnna tlanglawn tak a ni. Parkinson natna vei te hian mut laiin kut leh ke inthlakna an nei thei a, mahse zirchianna engmahin PLMS emaw PLMD emaw hi Parkinson natna chhinchhiahna hmasa ber a ni tih finfiah a la awm lo. Chuvangin tul lovah hlau suh.
A tawp berah chuan mut harsatna i neih chuan, emaw, mut that hnu pawha i chau nia i hriat chuan, Doctor nena inbiakna neih a pawimawh. Kan hriselna zawng zawng atan mut that hi a pawimawh hle. PLMS hi i harsatna thlentu a ni lo mai thei, mahse test la, chiang taka hriat chhuah a tha ber. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor zawt hreh suh.
Take-Home Thuchah a ni
- PLMS hi mut laiin i ke leh ke ruhte chu duh loh zawnga i jerking tihna a ni. Hei hian nilengin mutthilh lutuk leh hah lutuk a thlen thei a ni.
- A tam zawkah chuan he natna vei hian a hre lo. A mutpuitu hian a chanchin a hrilh thin.
- Hei hi natna dang (Restless Legs Syndrome, Sleep Apnea ang chi) nen pawh a inzawm thei. A chhan lang lova a lo awm chuan PLMD an ti a.
- He natna hi dik taka hriat theih nan chuan Sleep Study (Polysomnogram) tih test neih a ngai a ni.
- Enkawlna tur damdawi a awm a, risk factors control a pawimawh bawk.
- Mut lama harsatna i neih chuan doctor pan ngei ngei tur a ni.
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