Kodi mumakhala ndi tulo tomwe timayenda nthawi ndi nthawi (PLMS)?

Kodi mkazi kapena mwamuna wanu amakudzudzulani mukangodzuka m'mawa, nati, "Mwandimenya usiku wonse ndipo simunandilole kugona bwino"? Kapena mumagona movutikira kwambiri, koma mumadzuka m'mawa mukumva kuti simunalimbikitsidwe komanso mutopa tsiku lonse? Chifukwa cha zinthuzi chikhoza kukhala chinthu chomwe chimachitika mukugona chomwe simukudziwa nkomwe. Ndicho chimene tikambirana lero.

Mwachidule, kodi PLMS ndi chiyani?

PLMS imayimira Periodic Limb Movements of Sleep . Mu Chisinhala, limatanthauza "kusuntha kwa miyendo nthawi ndi nthawi mukugona." Ichi ndi vuto la kuyenda. Pa vutoli, manja ndi/kapena miyendo yanu imagwedezeka mobwerezabwereza popanda kulamulira kwanu pamene mukugona. Kusuntha kumeneku kungasokoneze tulo tanu. Anthu ena amatchanso vutoli kuti 'sleep-related myoclonus syndrome'.

Nthawi zambiri, mayendedwe amenewa amachitika m'miyendo. Tangoganizirani, chala chanu chachikulu cha phazi chimatambasulidwa, pomwe bondo lanu, ndi chiuno chanu zimapindika. Zili ngati kukankha phazi lanu. Nthawi zina, izi zitha kuchitikanso m'manja.

Matenda a PLMS nthawi zambiri samachitika okha. Pafupifupi 80%-90% ya milandu, amapezeka ndi matenda omwe tonse timawadziwa kuti Restless Legs Syndrome (RLS) . Kuphatikiza apo, PLMS imapezekanso ndi matenda ena otsatirawa:

• Kulephera kupuma mokwanira: Izi ndi vuto lomwe limaletsa kupuma munthu akagona.
• Kugona tulo tofa nato: Kugona tulo tofa nato masana.
• Matenda a REM Sleep Behavior: Kuchita zinthu zomwe munthu amalota akamagona.
• Uremia: Kuchulukana kwa poizoni m'magazi chifukwa cha kulephera kwa impso.
• Chotupa cha msana: Chotupa chomwe chimapezeka mu msana.
• ADHD (Kusowa Chidwi/Kusagwira Ntchito Mopitirira Muyeso): Kusowa Chidwi ndi Kusagwira Ntchito Mopitirira Muyeso.

Kodi kusiyana pakati pa PLMS ndi PLMD ndi kotani?

Mayina awiriwa ndi ofanana kwambiri, kotero zingakhale zosokoneza pang'ono. Koma pali kusiyana kochepa koma kofunikira pakati pa awiriwa. Tiyeni timvetse bwino.

Mwa awiriwa, PLMD ndi yosowa kwambiri, koma PLMS ndi yofala kwambiri.

Kodi vutoli ndi lofala bwanji?

Ofufuza akuyerekeza kuti pakati pa 4% ndi 11% ya akuluakulu ndi 5% ndi 8% ya ana amadwala PLMS kapena PLMD. Kusuntha kwa miyendo kumeneku kumachitika kawirikawiri m'maphunziro okhudza kugona.

Kodi munthu amene ali ndi PLMS amasonyeza zizindikiro zotani?

Anthu omwe ali ndi PLMS nthawi zambiri amapita kwa dokotala wawo chifukwa cha mavuto okhudzana ndi tulo. Akuluakulu ndi awa:

• Kutopa kwambiri komanso kugona tulo masana.
• Kusowa tulo.

Munthu amene ali ndi PLMS kapena PLMD manja kapena miyendo yake imagwedezeka kapena kugwedezeka kwa masekondi 20 mpaka 40 nthawi imodzi akamagona. Chodabwitsa n'chakuti, anthu ambiri omwe ali ndi vutoli sadziwa kuti mayendedwe amenewa akuchitika . Koma mnzanu wa pabedi anganene kuti, "Mukumenyana usiku."

Anthu ena amadzuka nthawi zambiri kuchokera ku tulo chifukwa cha mayendedwe amenewa ndipo amavutika kugona.

Kodi chimayambitsa PLMS ndi chiyani?

Ndipotu, ofufuza sakudziwabe chomwe chimayambitsa PLMS. Amaganiza kuti izi zimachitika chifukwa cha vuto kapena kusayenda bwino kwa msana wathu. Izi zikutanthauza kuti, pakhoza kukhala vuto ndi zizindikiro zochokera muubongo kapena msana zomwe zimayambitsa kuyenda kwathu kosafunikira panthawi yogona.

Kuphatikiza apo, mankhwala ena apezeka kuti akuwonjezera PLMS. Ena mwa awa ndi awa:

• Mankhwala ena ochizira kuvutika maganizo (Madokotala Oletsa Kuvutika Maganizo): Zitsanzo zake ndi monga `mirtazapine`, `venlafaxine`, `sertraline`, `fluoxetine` ndi `amitriptyline`.
• Mankhwala ena a ziwengo (Antihistamines).
• Mankhwala ena a matenda amisala (Antipsychotics/neuroleptics).

Zinthu zoopsa zomwe zimawonjezera chiopsezo cha vutoli

Chilichonse mwa zinthu zotsatirazi kapena zizolowezi zomwe zili pansipa zingakuthandizeni kukhala ndi chiopsezo chotenga matenda a PLMS. Tiyeni tiwone zomwe zili.

Kodi matenda a PLMS amapezedwa bwanji?

Ngati muli ndi zizindikiro izi, mukapita kwa dokotala, adzakufunsani za mbiri yanu yachipatala. Kenako, pali mayeso omwe amachitidwa makamaka kuti atsimikizire vutoli. Amatchedwa Polysomnogram (PSG) . Anthu ena amatchanso 'Sleep Study' .

Izi zimaphatikizapo kugona usiku wonse kuchipatala kapena malo ophunzirira za kugona, komanso kuyang'aniridwa ndi thupi lanu pamene mukugona. Amalumikiza masensa ang'onoang'ono pang'ono ku thupi lanu. Masensa awa,

• Ntchito ya ubongo wanu (mafunde a ubongo)
• Kugunda kwa mtima
• Kachitidwe ka kupuma
• Mlingo wa okosijeni m'magazi
• Ndipo chofunika kwambiri, chimalemba mayendedwe a manja ndi miyendo .

Kafukufuku wokhudza kugona uyu angathandizenso kudziwa ngati muli ndi mavuto ena okhudza kugona, monga matenda a kupuma movutikira. Dokotala wanu angakupatseninso mayeso a magazi kuti aone ngati pali zifukwa zina.

Kodi mankhwala a PLMS ndi ati?

Palibe mankhwala enieni a PLMS. Komabe, madokotala nthawi zambiri amapereka mankhwala omwewo omwe amagwiritsidwa ntchito pa Restless Legs Syndrome (RLS). Popeza pali mgwirizano wamphamvu pakati pa RLS ndi PLMS, mankhwala amenewo angathandizenso pa PLMS. Ena mwa mankhwala awa ndi awa:

• `Pramipexole`
• `Ropinirole`
• 'Rotigotine'
• `Gabapentin`
• `Pregabalin`

Kuphatikiza apo, ofufuza akufufuza mankhwala ena angapo, kuphatikizapo Clonazepam, Melatonin, Valproate, ndi Selegiline.

Chofunika kwambiri, ngati mukumwa kale mankhwala a kuvutika maganizo kapena vuto lina, n'zotheka kuti mankhwalawa akupangitsa kuti PLMS yanu ikhale yoipa kwambiri. Ngati mukukayikira izi, dokotala wanu angakupatseni mankhwala ena m'malo mwake.

Kodi vutoli lingakhale ndi zotsatirapo zake kwa nthawi yayitali?

PLMS ingakhudze kwambiri ubwino wa tulo tanu, komanso ingasokoneze tulo ta mnzanu.

Palibe kafukufuku wambiri pakadali pano wokhudza zotsatira za PLMS kwa nthawi yayitali. Komabe, kafukufuku wina wasonyeza kuti anthu omwe ali ndi vuto la kugona tulo monga PLMS ali ndi mwayi waukulu wokhala ndi kuthamanga kwa magazi . Kuthamanga kwa magazi kumawonjezera chiopsezo cha matenda amtsogolo monga sitiroko ndi matenda a mtima. Chifukwa chake, ndikofunikira kwambiri kulankhula ndi dokotala wanu za momwe mungathanirane ndi chiopsezochi.

Kodi pali njira yopewera PLMS?

Popeza chifukwa chenicheni sichikudziwika, palibe njira yeniyeni yopewera izi. Komabe, kuthana ndi zinthu zoopsa zomwe takambirana pamwambapa kungachepetse mwayi woti vutoli lichitike. Mwachitsanzo,

• Ngati mukusuta, siyani.
• Kuchita masewera olimbitsa thupi (kuchita masewera olimbitsa thupi).
• Kulamulira kulemera kwa thupi.
• Kulandira chithandizo choyenera cha matenda monga kuchepa kwa magazi m'thupi.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mwapezeka ndi PLMS, onani dokotala wanu kachiwiri ngati:

• Ngati muyamba zizindikiro zatsopano kapena ngati zizindikiro zanu zikuipiraipira.
• Ngati chithandizo chomwe mukumwa chikuyambitsa zotsatirapo zosasangalatsa.

Kodi PLMS ndiye chiyambi cha matenda a Parkinson?

Ichi ndi mantha ofala kwa anthu ambiri. Ngakhale kuti anthu omwe ali ndi matenda a Parkinson amatha kusuntha miyendo akamagona, palibe kafukufuku amene wasonyeza kuti PLMS kapena PLMD ndi chizindikiro choyamba cha matenda a Parkinson. Choncho musachite mantha mopanda chifukwa.

Pomaliza, ngati muli ndi vuto lililonse la kugona, kapena ngati mukumva kutopa ngakhale mutagona bwino, ndikofunikira kulankhula ndi dokotala. Kugona bwino ndikofunikira pa thanzi lathu lonse. PLMS mwina si chifukwa cha vuto lanu, koma ndibwino kukayezetsa ndikupeza bwino. Musazengereze kufunsa dokotala wanu mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.