Ingabe umkakho noma umyeni wakho uyakuthethisa ngokushesha nje lapho uvuka ekuseni, ethi, "Ungikhahlele ubusuku bonke futhi awungivumelanga nokuba ngilale kahle"? Noma ulala kanzima kakhulu, kodwa uvuke ekuseni uzizwa ungaphefumulelwe futhi ukhathele usuku lonke? Isizathu salezi zinto kungaba yinto eyenzeka ngesikhathi sokulala ongazi ngisho nokuyazi. Yilokho esizokhuluma ngakho namuhla.
Kalula nje, iyini i-PLMS?
I-PLMS imele i- Periodic Limb Movements of Sleep . NgesiSinhala, isho "ukunyakaza kwezitho ngezikhathi ezithile ngesikhathi sokulala." Lokhu ukuphazamiseka kokunyakaza. Kulesi simo, izingalo zakho kanye/noma imilenze yakho iyanyakaza noma iyanyakaza ngokuphindaphindiwe ngaphandle kokulawula kwakho ngenkathi ulele. Lokhu kunyakaza kungaphazamisa ubuthongo bakho. Abanye abantu babiza lesi simo ngokuthi 'i-sleep-related myoclonus syndrome'.
Esikhathini esiningi, lokhu kunyakaza kwenzeka emilenzeni. Cabanga nje, uzwane lwakho olukhulu lunwetshiwe, kuyilapho iqakala lakho, idolo, kanye nesinqe sakho kugobile. Kufana nokukhahlela unyawo lwakho. Kwezinye izimo, lokhu kungenzeka nasezandleni.
I-PLMS ayivamile ukwenzeka yodwa. Ezimweni ezingaba ngu-80%-90%, yenzeka ngesimo sonke esisazi ngokuthi i-Restless Legs Syndrome (RLS) . Ngaphezu kwalokho, i-PLMS iyabonakala nakwezinye izimo zezokwelapha ezilandelayo:
- I-Obstructive Sleep Apnea: Lesi yisimo lapho ukuphefumula kuyeka khona ngesikhathi sokulala.
- I-Narcolepsy: Ukulala ngokweqile emini.
- Isifo Sokuziphatha Kokulala Okusheshayo: Ukulingisa amaphupho ngesikhathi sokulala.
- I-uremia: Ukuqongelela ubuthi egazini ngenxa yokwehluleka kwezinso.
- Ithumba Lomgogodla: Isimila esenzeka emgogodleni.
- I-ADHD (Ukukhubazeka Kokunaka/Ukuphazamiseka Kokunaka): Ukuntuleka Kokunaka kanye nokusebenza ngokweqile.
Uyini umehluko phakathi kwe-PLMS ne-PLMD?
La magama amabili afana kakhulu, ngakho-ke kungaba yinto edidayo kancane. Kodwa kunomehluko omncane kodwa obalulekile phakathi kwala magama amabili. Masiwuqonde kahle.
Kalula nje, uma odokotela bengakwazi ukuthola esinye isizathu salezi zitho ezinyakazayo (njengezifo ezishiwo ngenhla), bazibiza ngokuthi i-PLMD (Periodic Limb Movement Disorder) . Kodwa uma lezi zitho ezinyakazayo zenzeka kanye nesinye isimo sezokwelapha, kubizwa ngokuthi i-PLMS (Periodic Limb Movements of Sleep) .
Kulezi ezimbili, i-PLMD ayivamile, kodwa i-PLMS ivame kakhulu.
| Isimo | Incazelo |
|---|---|
| Ukunyakaza Kwezitho Zokulala Okuvamile (i-PLMS) | I-Restless Legs Syndrome (RLS) yisifo sokulala esivame ukuhlotshaniswa nezinye izimo zezokwelapha (isb., i-Restless Legs Syndrome, i-Sleep Apnea). Lesi yisimo esivame kakhulu . |
| I-PLMD (Isifo Sokunyakaza Kwezitho Ezivamile) | Ukujikijela kwamalungu ngesikhathi sokulala, kodwa akukho okunye okubonakalayo . Lesi yisimo esingavamile . |
Sivame kangakanani lesi simo?
Abacwaningi balinganisela ukuthi phakathi kuka-4% no-11% wabantu abadala kanye no-5% no-8% wezingane bahlushwa yi-PLMS noma i-PLMD. Lokhu kunyakaza kwamalungu kuvamile kakhulu ezifundweni zokulala.
Yiziphi izimpawu eziboniswa umuntu one-PLMS?
Abantu abane-PLMS bavame ukuvakashela odokotela babo ngenxa yezinkinga ezihlobene nokulala. Eziyinhloko yilezi:
- Ukukhathala ngokweqile kanye nokulala emini.
- Ukungalali.
Umuntu one-PLMS noma i-PLMD izingalo noma imilenze yakhe iyaqhaqhazela noma iyagxumagxuma imizuzwana engama-20 kuya kwengama-40 ngesikhathi elele. Okumangazayo ukuthi abantu abaningi abanalesi simo abazi ukuthi lokhu kuyenzeka . Kodwa umlingani wakhe embhedeni angase athi, "Uyakhahlela ebusuku."
Abanye abantu bavuka njalo ebuthongweni ngenxa yalezi zinguquko futhi banenkinga yokulala.
Yini ebangela i-PLMS?
Eqinisweni, abacwaningi abakayazi imbangela eqondile ye-PLMS. Bacabanga ukuthi ibangelwa inkinga noma ukungalingani emgogodleni wethu. Okusho ukuthi, kungase kube nenkinga ngezibonakaliso ezivela ebuchosheni noma emgogodleni ezibangela ukunyakaza kwethu okungahleliwe ngesikhathi sokulala.
Ngaphezu kwalokho, eminye imithi itholakale yenza kube kubi kakhulu i-PLMS. Eminye yayo ihlanganisa:
- Eminye imithi yokucindezeleka (Ama-Antidepressant): Izibonelo zifaka phakathi i-`mirtazapine`, i-`venlafaxine`, i-`sertraline`, i-`fluoxetine` kanye ne-`amitriptyline`.
- Eminye imithi yokwelapha ukungezwani komzimba (ama-Antihistamine).
- Eminye imithi yokwelapha izifo zengqondo (ama-Antipsychotics/neuroleptics).
Izici eziyingozi ezandisa ingozi yalesi simo
Noma yiziphi izimo noma imikhuba elandelayo ingandisa ingozi yakho yokuthola i-PLMS. Ake sibheke ukuthi iyini.
| Isici sengozi | Indlela okuthinta ngayo |
|---|---|
| I-anemia | Amazinga aphansi ensimbi egazini athinta ikhemikhali ebuchosheni ebizwa ngokuthi i-dopamine, ebalulekile ekulawuleni ukunyakaza. |
| Ukuba neminyaka engaphezu kwengu-65 ubudala | Amathuba ezimo ezinjalo ayanda njengoba iminyaka ikhula ngenxa yezinguquko ohlelweni lwezinzwa. |
| I-neuropathy ehlobene nesifo sikashukela | Ukulimala kwemizwa okubangelwa isifo sikashukela kungabangela lolu hlobo lokunyakaza okungalawuleki. |
| Umlando womndeni | Uma othile emndenini wakho ene-Restless Legs Syndrome, i-PLMS, noma i-PLMD, nawe usengozini enkulu yokuba nayo. |
| Ukukhuluphala ngokweqile | Ucwaningo lukhombisile ukuthi ukukhuluphala ngokweqile nakho kuhlobene nalesi simo. |
| Ukuntuleka komsebenzi womzimba | Ukuphila impilo yokuhlala phansi ngaphandle kokuvivinya umzimba nakho kuyisici esiyingozi. |
| Ukubhema | Ukubhema kwandisa ingozi ngoba kuthinta kabi uhlelo lwezinzwa kanye nokujikeleza kwegazi. |
Itholakala kanjani i-PLMS?
Uma unalezi zimpawu, uma ubona udokotela, uzobuza ngomlando wakho wezokwelapha. Bese kuba nokuhlolwa okwenziwa kakhulu ukuqinisekisa lesi simo. Kubizwa ngokuthi i-Polysomnogram (PSG) . Abanye abantu bakubiza nangokuthi 'Isifundo Sokulala' .
Lokhu kuhilela ukuhlala ubusuku bonke esibhedlela noma esikhungweni sokufunda ubuthongo, kanye nokuqapha umzimba wakho ngenkathi ulele. Banamathisela izinzwa ezimbalwa ezincane emzimbeni wakho. Lezi zinzwa,
- Umsebenzi wobuchopho bakho (amaza obuchopho)
- Isilinganiso senhliziyo
- Iphethini yokuphefumula
- Izinga le-oxygen egazini
- Futhi okubaluleke kakhulu, iqopha ukunyakaza kwezingalo nemilenze .
Ngalesi sivivinyo, umuntu omdala utholakala ene-PLMS uma ukunyakaza kwezitho kwenzeka izikhathi ezingaphezu kwezingu-15 ngehora . Kumntwana, ukunyakaza kwenzeka izikhathi ezingaphezu kwezi-5 ngehora.
Lolu cwaningo lokulala lungasiza futhi ekunqumeni ukuthi unezinye izinkinga zokulala, njenge-sleep apnea. Udokotela wakho angase futhi ayale ukuhlolwa kwegazi ukuze kuhlolwe ezinye izimbangela.
Yiziphi izindlela zokwelapha i-PLMS?
Akukho ukwelashwa okuqondile kwe-PLMS. Kodwa-ke, odokotela bavame ukunikeza imithi efanayo esetshenziselwa i-Restless Legs Syndrome (RLS). Ngenxa yokuthi kukhona ukuxhumana okuqinile phakathi kwe-RLS ne-PLMS, leyo mithi ingase isebenze nakwi-PLMS. Eminye yale mithi ihlanganisa:
- `I-Pramipexole`
- `I-Ropinirole`
- 'I-Rotigotine'
- `Gabapentin`
- `I-Pregabalin`
Ngaphezu kwalokho, abacwaningi bafunda ezinye izidakamizwa eziningana, okuhlanganisa i-Clonazepam, i-Melatonin, i-Valproate, ne-Selegiline.
Okubalulekile, uma usuvele uthatha imithi yokucindezeleka noma esinye isimo, kungenzeka ukuthi imithi ingase ibe yimbi kakhulu kune-PLMS yakho. Uma lokhu kusolwa, udokotela wakho angase akunike omunye umuthi esikhundleni salokho.
Kodwa khumbula into eyodwa: Ungalokothi, nganoma yisiphi isizathu, uyeke ukuphuza imithi yakho noma ushintshe umthamo ngokuzumayo ngaphandle kokukhuluma nodokotela wakho. Lokhu kungabangela imiphumela emibi kakhulu.
Ingabe lesi simo singaba nemiphumela yesikhathi eside?
I-PLMS ingathinta kakhulu ikhwalithi yokulala kwakho, futhi ingaphazamisa nokulala komlingani wakho.
Akukho ucwaningo oluningi okwamanje ngemiphumela yesikhathi eside ye-PLMS. Kodwa-ke, ezinye izifundo zikhombisile ukuthi abantu abanezinkinga zokunyakaza kokulala njenge-PLMS banamathuba amaningi okuba nomfutho wegazi ophakeme . Umfutho wegazi ophakeme wandisa ingozi yezifo zesikhathi esizayo ezifana nesifo sohlangothi kanye nokuhlaselwa yinhliziyo. Ngakho-ke, kubaluleke kakhulu ukukhuluma nodokotela wakho mayelana nendlela yokuphatha le ngozi.
Ingabe ikhona indlela yokuvimbela i-PLMS?
Njengoba imbangela eqondile ingaziwa, ayikho indlela eqondile yokuyivimbela. Kodwa-ke, ukulawula izici eziyingozi esixoxe ngazo ngenhla kunganciphisa amathuba okuba lesi simo senzeke. Isibonelo,
- Uma ubhema, yeka.
- Ukuzilolonga ngokomzimba (ukuzivocavoca umzimba).
- Ukulawula isisindo somzimba.
- Ukuthola ukwelashwa okufanele kwezimo ezifana ne-anemia.
Kufanele ngimbone nini udokotela?
Uma utholakale une-PLMS, bona udokotela wakho futhi uma:
- Uma uba nezimpawu ezintsha noma uma izimpawu zakho zamanje ziba zimbi kakhulu.
- Uma ukwelashwa okuthathayo kubangela imiphumela emibi engathandeki.
Ingabe i-PLMS iyisandulela sesifo sikaParkinson?
Lokhu kuyinto evamile kubantu abaningi. Nakuba abantu abanesifo sikaParkinson bengase babe nokunyakaza kwamalungu ngesikhathi belele, akukho ucwaningo oluye lwabonisa ukuthi i-PLMS noma i-PLMD ziyisibonakaliso sokuqala sesifo sikaParkinson. Ngakho-ke ungayesabi ngokungadingekile.
Okokugcina, uma unezinkinga zokulala, noma uma uzizwa ukhathele ngisho nangemva kokulala kahle, kubalulekile ukukhuluma nodokotela. Ukulala kahle kubalulekile empilweni yethu iyonke. I-PLMS kungenzeka ingabi imbangela yenkinga yakho, kodwa kungcono ukuhlolwa bese uthola ngokuqinisekile. Unganqikazi ukubuza udokotela wakho noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Umlayezo Wokuya Nawe Ekhaya
- I-PLMS yisimo lapho uzwa khona ukugxumagxuma kwezitho zakho ngokungazikhetheli ngesikhathi ulele. Lokhu kungabangela ukozela ngokweqile nokukhathala emini.
- Esikhathini esiningi, umuntu onalesi simo akazi. Ngumuntu olala naso ositshela ngaso.
- Lokhu kungahlotshaniswa nezinye izimo (njenge-Restless Legs Syndrome, i-Sleep Apnea). Uma kwenzeka ngaphandle kwesizathu esibonakalayo, kubizwa ngokuthi i-PLMD.
- Ukuze kutholakale lesi simo ngokunembile, kudingeka kwenziwe ukuhlolwa okubizwa ngokuthi i-Sleep Study (i-Polysomnogram).
- Kunemithi yokwelapha, futhi kubalulekile ukulawula izici eziyingozi.
- Uma unezinkinga zokulala, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho