Ngaba umfazi okanye umyeni wakho uyakukhalimela kwangoko xa uvuka kusasa, esithi, "Undikhabe ubusuku bonke kwaye awundivumeli nokuba ndilale kakuhle"? Okanye ulala nzima kakhulu, kodwa uvuke kusasa uzive ungaphefumlelwanga kwaye udiniwe imini yonke? Isizathu sezi zinto sisenokuba yinto eyenzeka ngexesha lokulala ongazi nokuba iyenzeka njani. Yiloo nto siza kuthetha ngayo namhlanje.
Kalula nje, yintoni i-PLMS?
I-PLMS imele iPeriodic Limb Movements of Sleep . NgesiSinhala, ithetha "iintshukumo zemilenze eziqhubekayo ngexesha lokulala." Le yingxaki yokuhamba. Kule meko, iingalo zakho kunye/okanye imilenze yakho iphinda-phinda okanye ishukume ngaphandle kolawulo lwakho ngelixa ulele. Ezi ntshukumo zinokuphazamisa ubuthongo bakho. Abanye abantu babiza le meko ngokuthi 'sleep-related myoclonus syndrome'.
Uninzi lwexesha, ezi ntshukumo zenzeka emilenzeni. Khawuthelekelele, uzwane lwakho olukhulu lunwetshiwe, ngelixa iqatha lakho, idolo, kunye nesinqe sakho zigobile. Kufana nokukhaba unyawo lwakho. Kwezinye iimeko, oku kunokwenzeka nasezandleni.
I-PLMS ayisoloko isenzeka yodwa. Kwiimeko ezimalunga nama-80%-90%, iyenzeka kwimeko esiyaziyo sonke njenge- Restless Legs Syndrome (RLS) . Ukongeza, i-PLMS ikwabonakala nakwezinye iimeko zonyango ezilandelayo:
- I-Obstructive Sleep Apnea: Le yimeko apho ukuphefumla kuyeka khona ngexesha lokulala.
- I-Narcolepsy: Ukulala kakhulu emini.
- Ingxaki Yokuziphatha Kwi-REM Sleep: Ukulinganisa amaphupha ngexesha lokulala.
- I-uremia: Ukuqokelelwa kweetyhefu egazini ngenxa yokungasebenzi kakuhle kwezintso.
- Ithumba lomqolo: Ithumba elivela kwithambo lomqolo.
- I-ADHD (Ingxaki Yokunqongophala Kwengqalelo/Ukuphazamiseka Kokusebenza Kakhulu): Ukunqongophala Kwengqalelo kunye nokusebenza kakhulu.
Yintoni umahluko phakathi kwe-PLMS kunye ne-PLMD?
La magama mabini afana kakhulu, ngoko ke kunokuba yinto edidayo kancinci. Kodwa kukho umahluko omncinci kodwa obalulekileyo phakathi kwala magama mabini. Masiwuqonde kakuhle.
Ngamafutshane, ukuba oogqirha abanakufumana esinye isizathu sale milenze ishukumayo (njengezifo ezikhankanyiweyo apha ngasentla), bayibiza ngokuba yi -PLMD (Periodic Limb Movement Disorder) . Kodwa ukuba la malungu ashukumayo ayenzeka kunye nenye imeko yezonyango, kuthiwa yi -PLMS (Periodic Limb Movements of Sleep) .
Kwezi zimbini, i-PLMD ayiqhelekanga kangako, kodwa i-PLMS ixhaphake ngakumbi.
| Imeko | Inkcazo |
|---|---|
| Iintshukumo Zokulala Ezihamba Ngamaxesha Onke (i-PLMS) | I-Restless Legs Syndrome (RLS) sisifo sokulala esidla ngokunxulunyaniswa nezinye iimeko zempilo (umz., i-Restless Legs Syndrome, i-Sleep Apnea). Le yeyona meko ixhaphakileyo . |
| I-PLMD (Ingxaki Yokushukuma Kwamalungu Ngamaxesha Athile) | Ukujijeka kwamalungu omzimba ngexesha lokulala, kodwa akukho sizathu sibonakalayo . Esi sisifo esingaqhelekanga . |
Ixhaphake kangakanani le meko?
Abaphandi baqikelela ukuba phakathi kwe-4% kunye ne-11% yabantu abadala kunye ne-5% kunye ne-8% yabantwana banesifo se-PLMS okanye i-PLMD. Ezi ntshukumo zamalungu zixhaphake kakhulu kwizifundo zokulala.
Zeziphi iimpawu ezibonakaliswa ngumntu one-PLMS?
Abantu abane-PLMS badla ngokuya koogqirha babo ngenxa yeengxaki ezinxulumene nokulala. Ezona ziphambili zezi:
- Ukudinwa kakhulu kunye nokulala emini.
- Ukungalali.
Umntu one-PLMS okanye i-PLMD iingalo okanye imilenze yakhe iyaqhaqhazela okanye ixhuzule imizuzwana engama-20 ukuya kwengama-40 ngexesha lokulala. Okumangalisayo kukuba, abantu abaninzi abanale meko abazi ukuba ezi ntshukumo ziyenzeka . Kodwa iqabane lakhe ebhedini linokuthi, "Uyakhaba ebusuku."
Abanye abantu bavuka rhoqo ebuthongweni ngenxa yezi ntshukumo baze babe nobunzima bokulala.
Yintoni ebangela i-PLMS?
Enyanisweni, abaphandi abakayazi eyona nto ibangela i-PLMS. Bacinga ukuba ibangelwa yingxaki okanye ukungaqhelekanga kwi-spinal cord yethu. Oko kukuthi, kunokubakho ingxaki ngemiqondiso evela kwingqondo okanye kwi-spinal cord ebangela iintshukumo zethu ezizenzekelayo xa silele.
Ukongeza, amanye amayeza afunyenwe ebangela ukuba i-PLMS ibe mandundu ngakumbi. Amanye ala mayeza aquka:
- Amanye amayeza okudakumba (Amayeza okudakumba): Imizekelo ibandakanya i-`mirtazapine`, i-`venlafaxine`, i-`sertraline`, i-`fluoxetine` kunye ne-`amitriptyline`.
- Amanye amayeza okunyanga ii-allergies (ii-Antihistamines).
- Amanye amayeza okugula ngengqondo (Antipsychotics/neuroleptics).
Izinto ezibangela umngcipheko ezinyusa umngcipheko wale meko
Nayiphi na kwezi meko okanye imikhwa ilandelayo inokunyusa umngcipheko wakho wokuba ne-PLMS. Makhe sijonge ukuba ziyintoni na.
| Into enobungozi | Indlela echaphazela ngayo |
|---|---|
| I-anemia | Amanqanaba aphantsi e-iron egazini achaphazela ikhemikhali ebuchotsheni ebizwa ngokuba yi-dopamine, ebalulekileyo ekulawuleni intshukumo. |
| Ukuba uneminyaka engaphezu kwama-65 ubudala | Amathuba okuba nezi meko ayanda ngokukhula ngenxa yotshintsho kwinkqubo yemithambo-luvo. |
| I-neuropathy enxulumene nesifo seswekile | Ukonakala kwemithambo-luvo okubangelwa sisifo seswekile kunokubangela olu hlobo lweentshukumo ezingalawulekiyo. |
| Imbali yosapho | Ukuba kukho umntu kusapho lwakho one-Restless Legs Syndrome, i-PLMS, okanye i-PLMD, nawe usemngciphekweni omkhulu wokuba nayo. |
| Ukutyeba kakhulu | Uphando lubonise ukuba ukutyeba kakhulu kunxulunyaniswa nale meko. |
| Ukungabikho komsebenzi womzimba | Ubomi bokuhlala phantsi ngaphandle kokuzilolonga bukwangumngcipheko. |
| Ukutshaya | Ukutshaya kwandisa umngcipheko kuba kuchaphazela kakubi inkqubo yemithambo-luvo kunye nokujikeleza kwegazi. |
Ifunyaniswa njani i-PLMS?
Ukuba unale mpawu, xa ubona ugqirha, uza kukubuza ngembali yakho yezonyango. Emva koko, kukho uvavanyo olwenziwa ukuqinisekisa le meko. Lubizwa ngokuba yiPolysomnogram (PSG) . Abanye abantu balubiza ngokuba 'luPhando lokuLala' .
Oku kuquka ukuhlala ubusuku bonke esibhedlele okanye kwiziko lokufunda ukulala, kunye nokujonga umzimba wakho ngelixa ulele. Bancamathisela iisensa ezincinci emzimbeni wakho. Ezi sensa,
- Umsebenzi wakho wengqondo (amaza engqondo)
- Inqanaba lentliziyo
- Ipatheni yokuphefumla
- Inqanaba leoksijini egazini
- Kwaye okona kubaluleke kakhulu, irekhoda iintshukumo zeengalo nemilenze .
Ngolu vavanyo, umntu omdala ufunyaniswa ene-PLMS ukuba iintshukumo zelungu zenzeka ngaphezu kwe-15 ngeyure . Kumntwana, iintshukumo zenzeka ngaphezu kwe-5 ngeyure.
Olu phononongo lokulala lunokukunceda ekufumaniseni ukuba unezinye iingxaki zokulala, ezifana ne-sleep apnea. Ugqirha wakho unokuyalela uvavanyo lwegazi ukuze kuhlolwe ezinye izizathu.
Ziziphi iindlela zonyango ze-PLMS?
Akukho nyango luthile lwe-PLMS. Nangona kunjalo, oogqirha badla ngokunika amayeza afanayo asetyenziswa kwi-Restless Legs Syndrome (RLS). Ngenxa yokuba kukho unxibelelwano oluqinileyo phakathi kwe-RLS kunye ne-PLMS, loo mayeza angasebenza nakwi-PLMS. Amanye ala mayeza aquka:
- `Pramipexole`
- `I-Ropinirole`
- 'I-Rotigotine'
- `Gabapentin`
- `I-Pregabalin`
Ukongeza, abaphandi bafunda ezinye iziyobisi ezininzi, kuquka iClonazepam, iMelatonin, iValproate, kunye neSelegiline.
Okubalulekileyo kukuba, ukuba sele usebenzisa amayeza okudakumba okanye enye imeko, kusenokwenzeka ukuba amayeza anokwenza i-PLMS yakho ibe mandundu. Ukuba oku kurhanelwa, ugqirha wakho unokukunika elinye iyeza endaweni yoko.
Kodwa khumbula into enye: Ungaze, nangasiphi na isizathu, uyeke ukuthatha amayeza akho okanye utshintshe umthamo ngequbuliso ngaphandle kokuthetha nogqirha wakho. Oku kunokubangela iziphumo ebezingalindelekanga ezibi kakhulu.
Ngaba le meko ingaba nemiphumo yexesha elide?
I-PLMS inokuchaphazela kakhulu umgangatho wokulala kwakho, kwaye inokuphazamisa nokulala kweqabane lakho.
Akukho phando lungako okwangoku malunga nemiphumo yexesha elide ye-PLMS. Nangona kunjalo, ezinye izifundo zibonise ukuba abantu abaneengxaki zokulala ezifana ne-PLMS banamathuba amaninzi okuba noxinzelelo lwegazi oluphezulu . Uxinzelelo lwegazi oluphezulu luyandisa umngcipheko wezifo ezizayo ezifana nestroke kunye nokuhlaselwa yintliziyo. Ke ngoko, kubaluleke kakhulu ukuthetha nogqirha wakho malunga nendlela yokulawula le ngozi.
Ngaba ikho indlela yokuthintela i-PLMS?
Ekubeni unobangela ochanekileyo ungaziwa, akukho ndlela ithile yokuwuthintela. Nangona kunjalo, ukulawula izinto ezinobungozi esizixubushe ngasentla kunokunciphisa amathuba okuba le meko yenzeke. Umzekelo,
- Ukuba uyatshaya, yeka.
- Ukuzilolonga (ukuzilolonga).
- Ukulawula ubunzima bomzimba.
- Ukufumana unyango olufanelekileyo kwiimeko ezifana ne-anemia.
Ndifanele ndimbone nini ugqirha?
Ukuba ufunyaniswe une-PLMS, bona ugqirha wakho kwakhona ukuba:
- Ukuba ubonakalisa iimpawu ezintsha okanye ukuba iimpawu zakho zangoku ziya zisiba mandundu.
- Ukuba unyango oluthathayo lubangela iziphumo ebezingalindelekanga ezingathandekiyo.
Ngaba i-PLMS yimbangela yesifo sikaParkinson?
Olu loyiko oluxhaphakileyo kubantu abaninzi. Nangona abantu abanesifo sikaParkinson benokuba neentshukumo zamalungu xa belele, akukho phando luye lwabonisa ukuba i-PLMS okanye i-PLMD zizibonakaliso zokuqala zesifo sikaParkinson. Ngoko ke musa ukuyoyika ngokungeyomfuneko.
Okokugqibela, ukuba uneengxaki zokulala, okanye ukuba uzive udiniwe nokuba ulele kakuhle, kubalulekile ukuthetha nogqirha. Ukulala kakuhle kubalulekile kwimpilo yethu iyonke. I-PLMS isenokungabi yimbangela yengxaki yakho, kodwa kungcono ukuba uvavanywe kwaye ufumane impendulo ngokuqinisekileyo. Ungathandabuzi ukubuza ugqirha wakho nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
Umyalezo Wokuya Ekhaya
- I-PLMS yimeko apho ufumana ukuxhuzula amalungu akho ngokungazikhetheliyo xa ulele. Oku kunokubangela ukozela kakhulu nokudinwa emini.
- Ixesha elininzi, umntu onesi sifo akasazi. Ngumntu olala naso omxelela ngaso.
- Oku kunokunxulunyaniswa nezinye iimeko (ezifana ne-Restless Legs Syndrome, i-Sleep Apnea). Ukuba kwenzeka ngaphandle kwesizathu esibonakalayo, kuthiwa yi-PLMD.
- Ukuze kuchongwe ngokuchanekileyo le meko, kufuneka kwenziwe uvavanyo olubizwa ngokuba yi-Sleep Study (Polysomnogram).
- Kukho amayeza okunyanga, kwaye kubalulekile nokulawula izinto ezinokubangela umngcipheko.
- Ukuba uneengxaki zokulala, qiniseka ukuba ubona ugqirha ukuze akunike ingcebiso.
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