Ka riria koe e tō wahine, e tō tāne rānei i tō oho ake i te ata, me te kī, "I whana koe i ahau i te pō katoa, ā, kāore au i tukua kia moe tika"? He moe roa rānei tōu, engari ka oho ake koe i te ata me te kore hihiri me te ngenge i te rā katoa? Ko te take o ēnei mea he mea pea e tupu ana i te wā moe kāore koe i te mōhio. Koinei te mea ka kōrerohia e tātou i tēnei rā.
He aha te PLMS?
Ko te PLMS he whakarāpopototanga mō te Periodic Limb Movements of Sleep . I te reo Sinhala, ko tōna tikanga he "ngā nekehanga ā-wāhanga i te wā e moe ana." He mate nekehanga tēnei. I roto i tēnei āhuatanga, ka nekeneke, ka nekeneke rānei ō ringaringa, ō waewae rānei, me te kore e taea e koe te whakahaere i a koe e moe ana. Ka taea e ēnei nekehanga te whakararuraru i tō moe. Ka karangatia hoki tēnei āhuatanga e ētahi tāngata ko te 'sleep-related myoclonus syndrome'.
I te nuinga o te wā, ka puta ēnei nekehanga i ngā waewae. Whakaarohia, kua totoro tō māikuku nui, ko tō pona waewae, tō turi, me tō hope kua piko. He rite ki te whana i tō waewae. I ētahi wā, ka puta anō hoki tēnei i ngā ringaringa.
Kāore te PLMS e puta ko ia anake. I roto i te 80%-90% o ngā take, ka puta mai me te mate e mōhiotia ana e tātou katoa ko te Restless Legs Syndrome (RLS) . Hei tāpiri, ka kitea hoki te PLMS me ēnei mate hauora e whai ake nei:
- Te Apnea Moe Ārai: He āhuatanga tēnei e mutu ai te manawa i te wā e moe ana.
- Narcolepsy: Te hiamoe nui i te awatea.
- Mate Whanoke o te Moe REM: Te whakaari i ngā moemoeā i te wā e moe ana.
- Uremia: Te kohikohinga o ngā paitini i roto i te toto nā te ngoikore o te whatukuhu.
- Puku o te Taura Tuaiwi: He pukupuku e puta ana i roto i te taura tuaiwi.
- ADHD (Mate Kore-Aro/Mate Kore-Hirahira): Kore-aro me te kori-hirahira.
He aha te rerekētanga i waenga i te PLMS me te PLMD?
He tino ōrite ēnei ingoa e rua, nō reira ka pōhēhē pea. Engari he rerekētanga iti engari he mea nui kei waenganui i a rāua. Kia mārama tātou.
Ki te kī ngāwari, ki te kore e kitea e ngā tākuta tētahi atu take mō ēnei peka e wiri ana (pērā i ngā mate kua whakahuatia i runga ake nei), ka kiia ko te PLMD (Periodic Limb Movement Disorder) . Engari ki te puta tahi mai ēnei peka e wiri ana me tētahi atu mate hauora, ka kiia ko te PLMS (Periodic Limb Movements of Sleep) .
O ngā mea e rua, he onge ake te PLMD, engari he nui ake te kitea o te PLMS.
| Tūnga | Whakaahuatanga |
|---|---|
| PLMS (Ngā Nekehanga Waewae o te Moe) | Ko te Restless Legs Syndrome (RLS) he mate moe e hono pinepine ana ki ētahi atu mate hauora (hei tauira, Restless Legs Syndrome, Sleep Apnea). Koinei te mate e tino kitea ana . |
| PLMD (Te Mate Nekehanga o ngā Waewae Ā-Wā) | Te wiri o ngā waewae i te wā e moe ana, engari kāore he take kē atu e taea te tautuhi . He āhuatanga onge tēnei. |
He pēhea te noa o tēnei āhuatanga?
E ai ki ngā whakatau tata a ngā kairangahau kei waenganui i te 4% me te 11% o ngā pakeke me te 5% me te 8% o ngā tamariki e pāngia ana e te PLMS, te PLMD rānei. He mea tino noa ēnei nekehanga o ngā peka i roto i ngā rangahau moe.
He aha ngā tohu e whakaatuhia ana e te tangata whai PLMS?
He maha ngā wā ka toro atu te hunga whai PLMS ki tā rātou tākuta nā te mea he raruraru moe tō rātou. Ko ngā raruraru matua ko:
- Te ngenge nui me te hiamoe i te awatea.
- Te kore moe.
Ko te tangata whai PLMS, PLMD rānei, ka nekeneke, ka oho rānei ōna ringa, ōna waewae rānei mō te 20 ki te 40 hēkona i te wā moe. He mea whakamiharo, he tokomaha te hunga whai tēnei mate kāore i te mōhio kei te tupu ēnei nekehanga . Engari ka mea pea tō rātou hoa moenga, "Kei te whana koe i te pō."
Ka oho ake ētahi tāngata i te moe nā ēnei nekehanga, ā, ka uaua ki te moe.
He aha ngā take o te PLMS?
Ina hoki, kāore anō kia mōhiotia e ngā kairangahau te tino take o te PLMS. Ki tā rātou whakaaro he raruraru, he āhua rerekē rānei kei roto i tō tātou tuaiwi. Arā, tera pea he raruraru kei roto i ngā tohu e puta mai ana i te roro, i te tuaiwi rānei e puta ai ā tātou nekehanga koretake i te wā e moe ana.
Hei tāpiritanga, kua kitea ētahi rongoā ka kino ake te PLMS. Ko ētahi o ēnei ko:
- Ētahi rongoā mō te pouri (Ngā rongoā ārai pouri): Ko ētahi tauira ko te `mirtazapine`, `venlafaxine`, `sertraline`, `fluoxetine` me te `amitriptyline`.
- Ētahi rongoā mō ngā mate pāwera (Antihistamine).
- Ētahi rongoā mō te mate hinengaro (Ngā rongoā ārai hinengaro/ngā rongoā neuroleptics).
Ngā āhuatanga mōrearea e whakanui ake ana i te mōrearea o tēnei āhuatanga
Ka taea e tētahi o ēnei āhuatanga, ngā whanonga rānei te whakanui ake i tō tupono ki te whakawhanake i te PLMS. Me titiro tātou ki ēnei āhuatanga.
| Tauwehenga mōrearea | Te pānga ki a ia |
|---|---|
| Te mate toto iti | Ka pā te iti o te rino i roto i te toto ki tētahi matū i roto i te roro e kiia nei ko te dopamine, he mea nui hei whakahaere i te nekehanga. |
| Neke atu i te 65 tau te pakeke | Ka piki ake te tūponotanga o ēnei āhuatanga i te kaumātuatanga nā ngā panonitanga o te pūnaha io. |
| Te neuropathy e pā ana ki te mate huka | Ka taea e te kino o ngā io i puta mai i te mate huka te whakaputa i ēnei momo nekehanga kore whakahaere. |
| Hītori whānau | Mena kei te pāngia tētahi o tō whānau e te Restless Legs Syndrome, PLMS, PLMD rānei, he nui ake tō tūponotanga ki te pāngia e taua mate anō hoki. |
| Momonatanga | Kua whakaatuhia e ngā rangahau he hononga anō tō te taumaha rawa ki tēnei mate. |
| Te kore o te korikori tinana | He āhuatanga mōrearea anō hoki te noho noa iho, me te kore e whakakorikori tinana. |
| Te momi hikareti | Ka whakanui ake te morearea i te momi hikareti nā te mea ka pā kino ki te pūnaha io me te tohanga toto. |
Me pēhea te tautuhi i te PLMS?
Mena kei a koe ēnei tohu, ina kite koe i te tākuta, ka pātai ia mō tō hītori hauora. Kātahi ka whakahaerehia he whakamātautau hei whakaū i tēnei āhuatanga. Ko te ingoa o tēnei he Polysomnogram (PSG) . Ka kiia hoki e ētahi he 'Rangahau Moe' .
Ko te tikanga o tēnei ko te noho mō te pō i roto i te hōhipera, i te pokapū ako moe rānei, me te aroturuki i tō tinana i a koe e moe ana. Ka tāpirihia e rātou ētahi pūoko iti ki tō tinana. Ko ēnei pūoko,
- Ngā mahi a tō roro (ngā ngaru roro)
- Te tere o te manawa
- Tauira manawa
- Taumata hāora toto
- Ā, ko te mea nui, ka tuhia ngā nekehanga o ngā ringa me ngā waewae .
Mā tēnei whakamātautau, ka kitea te mate PLMS o te pakeke mēnā neke atu i te 15 ngā nekehanga o ngā peka i te hāora . Mō te tamaiti, neke atu i te 5 ngā nekehanga i te hāora.
Ka taea hoki e tēnei rangahau moe te āwhina ki te whakatau mēnā he raruraru moe anō tāu, pērā i te apnea moe. Tērā pea ka tonoa e tō tākuta he whakamātautau toto hei tirotiro mō ētahi atu take.
He aha ngā maimoatanga mō te PLMS?
Kāore he maimoatanga motuhake mō te PLMS. Heoi, ko ngā rongoā e tohua ana e ngā tākuta he rite tonu ki ngā rongoā e whakamahia ana mō te Restless Legs Syndrome (RLS). Nā te mea he hononga kaha i waenga i te RLS me te PLMS, tera pea ka whai hua aua rongoā mō te PLMS. Ko ētahi o ēnei rongoā ko:
- `Pramipexole`
- `Rōpinirole`
- `Rotigotine`
- `Kapapentin`
- `Pregabalin`
Hei tāpiritanga, kei te rangahauhia e ngā kairangahau ētahi atu rongoā, tae atu ki a Clonazepam, Melatonin, Valproate, me Selegiline.
He mea nui, mēnā kei te tango rongoā koe mō te pouri, mō tētahi atu mate rānei, tera pea kei te kino haere tō PLMS nā te rongoā. Mēnā kei te whakapaetia tēnei, ka tohua pea e tō tākuta tētahi atu rongoā hei utu.
Engari kia maumahara ki tētahi mea: Kaua rawa e mutu te tango i tō rongoā, ahakoa he aha te take, e whakarerekē ohorere i te horopeta me te kore kōrero ki tō tākuta. Ka pā mai pea ngā pānga kino kino.
Tērā pea ka pā mai ngā pānga mō te wā roa ki tēnei āhuatanga?
Ka pā kino te PLMS ki te kounga o tō moe, ā, ka taea hoki e ia te whakararuraru i te moe a tō hoa.
Kāore anō kia nui ngā rangahau mō ngā pānga roa o te PLMS. Heoi, kua whakaatuhia e ētahi rangahau he nui ake te tūponotanga o te hunga whai mate moe pēnei i te PLMS ki te pāngia e te toto toto tiketike . Ka piki ake te tūponotanga o ngā mate a muri ake nei pēnei i te whiu me te mate ngakau nā te toto toto tiketike. Nō reira, he mea tino nui kia kōrero koe ki tō tākuta mō te whakahaere i tēnei tūponotanga.
He ara hei ārai i te PLMS?
Nā te mea kāore i te mōhiotia te tino take, kāore he huarahi motuhake hei ārai i tēnei. Heoi, mā te whakahaere i ngā āhuatanga mōrearea i kōrerotia i runga ake nei ka taea te whakaiti i te tūponotanga o tēnei mate. Hei tauira,
- Ki te kai paipa koe, kati.
- Te whakakorikori tinana.
- Te whakahaere i te taumaha o te tinana.
- Te whiwhi maimoatanga tika mō ngā āhuatanga pēnei i te anemia.
Āhea ahau me toro atu ki te tākuta?
Mena kua tāpaetia koe kei te pāngia e te PLMS, me toro atu anō ki tō tākuta mēnā:
- Mena ka puta he tohu hou ki a koe, ki te kino haere rānei ō tohu o nāianei.
- Mena ka pā mai ngā pānga taha kino i te maimoatanga e tangohia ana e koe.
He tohu mua te PLMS ki te mate a Parkinson?
He wehi noa tēnei mō te tini o te tangata. Ahakoa ka pāngia pea te hunga e pāngia ana e te mate a Parkinson e ngā nekehanga o ō rātou waewae i te wā e moe ana, kāore anō kia kitea he tohu tōmua te PLMS, te PLMD rānei o te mate a Parkinson. Nō reira kaua e mataku rawa atu.
Hei whakamutunga, ki te mea he raruraru moe tōu, ki te mea rānei kua ngenge koe ahakoa kua moe pai koe, he mea nui kia kōrero koe ki te tākuta. He mea nui te moe pai mō tō tātou hauora whānui. Kāore pea te PLMS te take o tō raruraru, engari he pai ake kia whakamātauria kia kitea ai te pono. Kaua e mangere ki te pātai atu ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe.
Karere Tangohia ki te Kāinga
- Ko te PLMS he āhuatanga e pāngia ai koe e te nekenekehanga ā-ringa o ō waewae i te wā e moe ana. Ka taea e tēnei te whakararuraru nui me te ngenge i te awatea.
- I te nuinga o te wā, kāore te tangata whai mate pēnei e mōhio ana. Ko te tangata e moe ana me tēnei mate e kōrero ana ki a rātou mō tēnei mate.
- Ka pā pea tēnei ki ētahi atu āhuatanga (pēnei i te Restless Legs Syndrome, te Sleep Apnea). Mēnā ka puta mai, kāore he take e kitea ana, ka kiia ko te PLMD.
- Hei tautuhi tika i tēnei mate, me whakahaere he whakamātautau e kiia nei ko te Rangahau Moe (Polysomnogram).
- He rongoā kei reira hei rongoā, ā, he mea nui anō hoki kia whakahaerea ngā āhuatanga mōrearea.
- Mena he raruraru moe tōu, me toro atu ki te tākuta mō ētahi tohutohu.
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