Mukadzi wako kana murume wako anokutuka here paunomuka mangwanani, achiti, "Wakandirova husiku hwese uye hauna kana kundibvumira kurara zvakanaka"? Kana kuti unorara zvakaoma, asi unomuka mangwanani uchinzwa usina kufemerwa uye wakaneta zuva rese? Chikonzero chezvinhu izvi chingave chimwe chinhu chinoitika panguva yekurara chausingatombozivi nezvacho. Ndizvo zvatichataura nezvazvo nhasi.
Zvichitaurwa zviri nyore, chii chinonzi PLMS?
PLMS inomiririra Periodic Limb Movements of Sleep . MuchiSinhala, zvinoreva "kufamba kwemakumbo panguva yekurara." Uku kusagadzikana kwekufamba. Mumamiriro ezvinhu aya, maoko ako ne/kana makumbo ako anodzokororwa kana kudhonza-dhonza pasina kudzora iwe paunenge wakarara. Kufamba uku kunogona kukanganisa kurara kwako. Vamwe vanhu vanodanawo chirwere ichi kuti `sleep-related myoclonus syndrome`.
Kazhinji, kufamba uku kunoitika mumakumbo. Fungidzira, chigunwe chako chikuru chakatambanudzwa, ukuwo chigunwe chako, ibvi, nehudyu zvakapfava. Zvakafanana nekukakava tsoka yako. Mune zvimwe zviitiko, izvi zvinogonawo kuitika mumaoko.
PLMS haiwanzoitiki yoga. Muzviitiko zvinenge 80%-90%, inoitika nechirwere chatinoziva tese seRestless Legs Syndrome (RLS) . Pamusoro pezvo, PLMS inoonekwawo nezvimwe zvirwere zvinotevera:
- Kupera Kwemhepo Muhope: Ichi chirwere chinomisa kufema panguva yekurara.
- Kurara zvisina tsarukano: Kurara zvakanyanya masikati.
- Dambudziko reREM Sleep Behavior: Kutevedzera zviroto panguva yekurara.
- Uremia: Kuunganidzwa kwechepfu muropa nekuda kwekutadza kushanda kweitsvo.
- Dumbu remusana: Bundu rinoitika mumusana.
- ADHD (Attention-Deficit/Hyperactivity Disorder): Kusanyatsoteerera uye kusanyatsoteerera.
Ndeupi musiyano uripo pakati pePLMS nePLMD?
Mazita maviri aya akafanana zvikuru, saka zvinogona kuvhiringa zvishoma. Asi pane musiyano mudiki asi unokosha pakati pawo. Ngatizvinzwisisei zvakajeka.
Zvichitaurwa zviri nyore, kana vanachiremba vasingakwanise kuwana chimwe chikonzero chekugwinha kwemakumbo aya (sezvirwere zvataurwa pamusoro apa), vanoti PLMD (Periodic Limb Movement Disorder) . Asi kana makumbo aya achigwinha pamwe chete nechimwe chirwere, zvinonzi PLMS (Periodic Limb Movements of Sleep) .
Pazviviri izvi, PLMD haiwanzoitiki, asi PLMS inowanikwa zvakanyanya.
| Chinzvimbo | Tsananguro |
|---|---|
| Kufamba Kwemakumbo Nemakumbo Kwenguva Dzose Kwekurara (PLMS) | Restless Legs Syndrome (RLS) chirwere chekurara chinowanzobatanidzwa nezvimwe zvirwere (semuenzaniso, Restless Legs Syndrome, Sleep Apnea). Ichi ndicho chirwere chinowanzoitika . |
| Dambudziko rekufamba kwemakumbo nemakumbo (PLMD) | Kukwenya kwemakumbo panguva yekurara, asi hapana chimwe chikonzero chinozivikanwa . Ichi chirwere chisingawanzoitiki . |
Dambudziko iri rakajairika zvakadii?
Vaongorori vanofungidzira kuti pakati pe4% ne11% yevanhu vakuru uye 5% ne8% yevana vanotambura nePLMS kana PLMD. Kufamba kwemakumbo uku kwakajairika muzvidzidzo zvekurara.
Ndezvipi zviratidzo zvinoratidzwa nemunhu ane PLMS?
Vanhu vane PLMS vanowanzo shanyira vanachiremba vavo nekuda kwematambudziko ane chekuita nekurara. Matambudziko makuru ndeaya:
- Kuneta zvakanyanya uye hope masikati.
- Kushaya hope.
Munhu ane PLMS kana PLMD maoko ake kana makumbo ake anogwinha-gwinha kana kuzununguka kwemasekondi makumi maviri kusvika makumi mana panguva yekurara. Zvinoshamisa kuti vanhu vazhinji vane chirwere ichi havazivi kuti mafambiro aya ari kuitika . Asi mumwe wavo pamubhedha anogona kuti, "Uri kukamba husiku."
Vamwe vanhu vanomuka kakawanda kubva muhope nekuda kwemafambiro aya uye vanonetseka nekurara.
Chii chinokonzera PLMS?
Kutaura zvazviri, vaongorori havasati vaziva chikonzero chaicho chePLMS. Vanofunga kuti inokonzerwa nedambudziko kana kusarongeka kwemusana wedu. Kureva kuti, panogona kunge paine dambudziko nemasaini anobva kuuropi kana kumusana anokonzera kufamba kwedu tisingazvidi panguva yekurara.
Pamusoro pezvo, mimwe mishonga yakawanikwa ichikonzera kuwedzera kwePLMS. Mimwe yacho inosanganisira:
- Mimwe mishonga yekuderedza kushungurudzika (Mishonga yekuora mwoyo): Mienzaniso inosanganisira `mirtazapine`, `venlafaxine`, `sertraline`, `fluoxetine` uye `amitriptyline`.
- Mimwe mishonga yekurapa allergies (Antihistamines).
- Mimwe mishonga yekurapa chirwere chepfungwa (Antipsychotics/neuroleptics).
Zvinhu zvinokonzera njodzi zvinowedzera njodzi yechirwere ichi
Chero chipi zvacho chezvirwere zvinotevera kana tsika dzinogona kuwedzera njodzi yako yekubatwa nePLMS. Ngationei kuti chii.
| Chinhu chine njodzi | Zvinokanganisa sei |
|---|---|
| Kushaya ropa | Kushomeka kwesimbi muropa kunokanganisa kemikari iri muuropi inonzi dopamine, iyo inokosha pakudzora kufamba kwemuviri. |
| Kuva nemakore anopfuura makumi matanhatu nemashanu ekuberekwa | Mikana yezvirwere zvakadaro inowedzera nekukura nekuda kwekuchinja kwetsinga. |
| Neuropathy ine chekuita nechirwere cheshuga | Kukuvadzwa kwetsinga kunokonzerwa nechirwere cheshuga kunogona kukonzera mafambiro asina kudzorwa akadai. |
| Nhoroondo yemhuri | Kana mumwe munhu mumhuri yako aine Restless Legs Syndrome, PLMS, kana PLMD, uri panjodzi huru yekuibatawo. |
| Kufuta | Ongororo yakaratidza kuti kufuta kwakabatanawo nechirwere ichi. |
| Kusaita mabasa emuviri | Kugara pasi pasina kurovedza muviri chinhu chine njodziwo. |
| Kusvuta | Kusvuta kunowedzera njodzi nekuti kunokanganisa tsinga dzemuviri uye kufamba kweropa. |
Kuongororwa kwePLMS kunoonekwa sei?
Kana uine zviratidzo izvi, paunoona chiremba, anokubvunza nezvenhoroondo yako yehutano. Zvadaro, pane bvunzo inonyanya kuitwa kusimbisa chirwere ichi. Inonzi Polysomnogram (PSG) . Vamwe vanhu vanoidaidzawo kuti 'Sleep Study' .
Izvi zvinosanganisira kugara muchipatara kana panzvimbo yekuongorora hope, uye kugara uchitariswa muviri wako paunenge wakarara. Vanoisa masensa madiki mashoma mumuviri wako. Masensa aya,
- Basa rehuropi hwako (mafungu ehuropi)
- Kurova kwemoyo
- Maitiro ekufema
- Mwero weokisijeni muropa
- Uye chinonyanya kukosha ndechekuti inonyora mafambiro emaoko nemakumbo .
Nekuyedzwa uku, munhu mukuru anowanikwa aine PLMS kana kufamba kwemakumbo kukaitika kanopfuura ka15 paawa . Kumwana, kufamba uku kunoitika kanopfuura ka5 paawa.
Chidzidzo ichi chekurara chinogonawo kubatsira kuona kana uine mamwe matambudziko ekurara, akadai sekushaya hope. Chiremba wako anogonawo kuraira kuongororwa kweropa kuti aone zvimwe zvikonzero.
Ndezvipi zvinorapwa zvePLMS?
Hapana mushonga chaiwo wePLMS. Zvisinei, vanachiremba vanowanzo nyora mishonga yakafanana inoshandiswa paRestless Legs Syndrome (RLS). Nekuti pane hukama hwakasimba pakati peRLS nePLMS, mishonga iyoyo inogonawo kushanda paPLMS. Mimwe yemishonga iyi inosanganisira:
- `Pramipexole`
- `Ropinirole`
- 'Rotigotine'
- `Gabapentin`
- `Pregabalin`
Pamusoro pezvo, vaongorori vari kudzidza mimwe mishonga yakati wandei, inosanganisira Clonazepam, Melatonin, Valproate, uye Selegiline.
Chinokosha ndechekuti, kana uri kutotora mushonga wekuderedza kushungurudzika kana chimwe chirwere, zvinogona kuitika kuti mushonga wacho uri kuita kuti PLMS yako iwedzere kuipa. Kana izvi zvikafungidzirwa, chiremba wako anogona kukupa mumwe mushonga panzvimbo pezvo.
Asi yeuka chinhu chimwe chete: Usambofa wakarega kutora mushonga wako kana kuchinja mushonga kamwe kamwe usina kutaura nachiremba wako. Izvi zvinogona kukonzera migumisiro yakaipa.
Mamiriro ezvinhu aya anogona kuva nemigumisiro yenguva refu here?
PLMS inogona kukanganisa zvikuru kunaka kwekurara kwako, uye inogonawo kukanganisa kurara kwemumwe wako.
Hapana tsvakurudzo yakawanda parizvino pamusoro pemigumisiro yenguva refu yePLMS. Zvisinei, zvimwe zvidzidzo zvakaratidza kuti vanhu vane matambudziko ekufamba kwehope akadai sePLMS vane mukana wekuva neBP yakakwira . BP yakakwira inowedzera njodzi yezvirwere zvakaita sestroke nemoyo mune ramangwana. Saka, zvakakosha kutaura nachiremba wako nezve maitiro ekugadzirisa njodzi iyi.
Pane nzira yekudzivirira PLMS here?
Sezvo chikonzero chaicho chisingazivikanwi, hapana nzira chaiyo yekudzivirira. Zvisinei, kugadzirisa zvinhu zvine njodzi zvatakurukura pamusoro apa kunogona kuderedza mukana wekuti chirwere ichi chiitike. Semuenzaniso,
- Kana uchisvuta, rega.
- Kushanda nesimba mumuviri (kurovedza muviri).
- Kudzora huremu hwemuviri.
- Kuwana kurapwa kwakakodzera kwezvirwere zvakaita seanemia.
Ndinofanira kuona chiremba rini?
Kana wakaonekwa uine PLMS, enda kuna chiremba wako zvakare kana:
- Kana ukatanga zviratidzo zvitsva kana kuti zviratidzo zvako zvazvino zvikawedzera.
- Kana mushonga wauri kutora uchikonzera migumisiro isingafadzi.
Ko PLMS ndiyo inotungamira chirwere cheParkinson here?
Uku kutya kunowanzoonekwa nevanhu vazhinji. Kunyangwe vanhu vane chirwere cheParkinson's disease vachigona kufamba-famba makumbo panguva yekurara, hapana tsvakurudzo yakaratidza kuti PLMS kana PLMD zviratidzo zvekutanga zvechirwere cheParkinson's. Saka usazvitya zvisina kufanira.
Chekupedzisira, kana uine matambudziko ekurara, kana kuti uchinzwa wakaneta kunyangwe warara zvakanaka, zvakakosha kutaura nachiremba. Kurara zvakanaka kwakakosha pahutano hwedu hwese. PLMS ingasave iyo yakakonzera dambudziko rako, asi zvakanaka kuti uongororwe wowana chokwadi. Usazeza kubvunza chiremba wako chero mibvunzo kana zvinokunetsa zvaungave nazvo.
Mharidzo Yekuenda Nayo Kumba
- PLMS chirwere chinoita kuti unzwe kusvetuka-svetuka kwemakumbo ako usingazvifungiri panguva yekurara. Izvi zvinogona kukonzera hope dzakawandisa uye kuneta mukati mezuva.
- Kazhinji, munhu ane chirwere ichi haazvizivi. Munhu anorara nacho ndiye anomuudza nezvazvo.
- Izvi zvinogona kusanganiswa nezvimwe zvirwere (zvakaita seRestless Legs Syndrome, Sleep Apnea). Kana zvikaitika pasina chikonzero chakajeka, zvinonzi PLMD.
- Kuti chirwere ichi chiongororwe nemazvo, bvunzo inonzi Sleep Study (Polysomnogram) inofanira kuitwa.
- Kune mishonga yekurapa, uye zvakakoshawo kudzora zvinhu zvinoisa njodzi.
- Kana uine matambudziko ekurara, taura nachiremba kuti akupe mazano.
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