Ukugubha, Ukukhanda Kwekhanda Kungase Kuvelele Ukuzithobisa Ezinganeni
Uma ingane yakho ihamba noma ishaya isigxathu emzimbeni wayo ngaphambi nje noma ngisho nangesikhathi sokulala, lokhu kungase kubonise isimo esibizwa ngokuthi ukulala kwesidakamizwa sokunyakaza kwengqondo (RMD). Lesi simo singase siphinde siphikelele kubantu abadala. Iyini i-RMD? Iziphi izimo ezihlotshaniswa nayo nokuthi yikuphi ukuphazamiseka okufanayo okumelwe kukhishwe? Funda ngesifo sokunyakaza komzimba, kufaka phakathi izinketho zokwelapha ukugcina ingane yakho iphephile.
I-Findings ku-Rhythmic Movement Disorder
Isifo sokunyakaza komzimba (RMD) singabonwa ezinganeni ezincane ngesikhathi sokuqala noma ngesikhathi sokulala. Phakathi nalesi sikhathi, ingane ethintekile ingaduma noma ihambe ingxenye yomzimba ngendlela enesigqi. Lokhu kungahlanganisa ingalo, isandla, ikhanda, noma isiqu. Okunye ukuziphatha okufana nokukhanda ikhanda noma ukugoqa kungabonwa.
Nakuba lezi zintuthuko zingaba mnene futhi zakha uhlobo lokuzithokozisa ukuze zikwazi ukulala, zingase zibe ngaphezulu kakhulu. Ukunyakaza okungaphezulu kobudlova kungenzeka futhi ukulimala kungase kubangele.
Isimo ngezinye izikhathi sibizwa ngokuthi i- jactatio capitis nocturna noma i- rhythmie du sommeil , okubhekisela ekuchazeni kwangempela kwalesi simo kusukela ngo-1905.
Ngabe I-Rhythmic Movement Disorder ivele nini?
Izingane ezinezinkinga zokunyakaza komzimba zingase zihlakulele isimo ngaphambi kweminyaka engama-3. Ezimweni eziningi, izimpawu ziphela njengoba ingane ikhula.
Kungavamile ukuphikelela kubantu abadala.
I-RMD ivela ekuqaleni ngesikhathi sokulala, ngokuvamile kuvame ukulala noma ukungahlali okungabonakali kwe-REM . Ukunyakaza ngokuvamile kunciphisa ngesikhathi sesigaba sokulala sesi-2. Kungenzeka futhi ngesikhathi se-REM, okwakungenza kube nzima ukuhlukanisa nokukhubazeka kwe-REM .
Kunezinye izimo eziningi ezihlobene ne-RMD. Lokhu kufaka:
- Ukunakekelwa kokulahlekelwa kokugula okungenayo (ADHD)
- I-Tourette syndrome
- I-Autism
- I-Rett syndrome
- Angelman syndrome
- I-apnea yokulala
Ukuba khona kwenhlangano akusho ukuthi ingane ingathuthukisa ezinye izifo.
I-Rhythmic Movement Disorder ihlolwe kanjani?
Abazali abaningi bangase babone ukunyakaza ezinganeni zabo. Kungaba kubalulekile ukukhuluma nodokotela wezingane mayelana nokubona kwakho futhi umlando wokulala ogcwele kakhulu ungatholakala. Kunezinye izimo ezimbalwa ezingahle zilingise i-RMD futhi lezi zingadinga ukwelashwa okuhlukile.
Ukunyakaza okungalawulwayo kwengxenye yomzimba kungenzeka njengengxenye yokuthunjwa kwebusuku . Izivumelwano zemisipha, evame ukubizwa ngokuthi i-dystonia, zingase zivele zifanane nesifo sokunyakaza kwesigqi. Kunezinkinga ezithile zokulala ezinganeni ezingahle zibandakanye ukunyakaza, kufaka phakathi ama-parasomnias nokuvusa ukudideka . Ngaphezu kwalokho, ezinye izinkinga zokuziphatha zingabonakala ngezimpawu ezifana ne-RMD.
Eminye imithi ingase ibangele ukunyakaza okwedlulele ngesikhathi sokulala okuzungezile futhi kufanele kucatshangelwe. Uma ingane yakho ithatha imithi yokwelapha izidakamizwa, ukuhlanza, kanye nezimo ezithile zempilo (kubandakanya izidakamizwa zokulwa nokucindezeleka kanye neuroleptics), lokhu kungabhekwa njengesizathu esithile.
Kulezi zimo, ukuyeka imithi ngemuva kokuxoxa nayo nodokotela wezingane kungase kukhululeke ukuhamba.
Kungadingeka ukwenza izivivinyo ezimbalwa ukuhlukanisa imbangela yokunyakaza. I- electroencephalogram yesimiso (EEG) ingenziwa. Ukulala kungase kufundwe ngokomzimba nge- polysomnogram engabandakanya i-EEG njengengxenye yayo.
Yiziphi Izinketho Zokwelapha Ezivela ku-Rhythmic Movement Disorder?
Kunezinyathelo ezingathathwa ukuze unciphise ithuba lomntanakho elilimazayo phakathi nalezi zintuthuko.
Okokuqala, kubalulekile ukugcina isimiso sokulala njalo futhi ubheke izingane ezingcono zokulala .
Lezi zinyathelo zizoqinisekisa ukulala kwekhwalithi futhi zivimbele izici ezimbi ezifana nokunqotshwa kokulala.
Uma ukunyakaza kunomthelela ngokweqile noma kubudlova, okubangelwa ukuzilimaza, kungadingeka ukuthatha izinyathelo ezithile zokuphepha. Kungase kudingeke ukuhambisa umthamo ngendlela ephansi ukusuka ezindongeni zokulala noma kwezinye izinto. Ezinye izingane ezinekhanda elinzima zihlaba ubuthongo esihogweni sokuzivikela.
Kwezinye izimo, imishanguzo yokudoba ingase isetshenziselwe ukunciphisa ukunyakaza. Isibonelo, i-clonazepam yemithi, ejwayele ukusetshenziselwa ukuphatha ukukhathazeka, isetshenzisiwe. Ezinye izindlela zokuphumula ziye zabikwa ukuthi ziyasebenza.
Ezimweni eziningi, nakuba ukucindezeleka komzimba ukucindezeleka kungase kube nzima ukubona, akusizi ngalutho. Izingane azivame ukukhathazeka yiyo. Njengoba iningi lale nkinga, lingase lingadingi ukwelashwa kwesikhathi eside. Ngisho noma iphikelela, kungenzeka ukuthi ingakhathazeki ngokukhethekile kumuntu othintekayo noma kwabanye, ikakhulukazi uma ukunyakaza kunzima kakhulu.
Uma ubona ukunyakaza okungalawuleki ngesikhathi ubuthongo kumntanakho, ungase ufise ukuqala ngokungena nodokotela wezingane ukuze uxoxe uma kudingekile ukuhlolwa okwengeziwe.
Imithombo
UDurmer, JS et al . "Ukwelashwa Kwezingane Zamazinyo." Ukuqhubeka okuqhubekayo kokufunda i-Neurol 2007; 13 (3): 176.
Kohyama, J. et al . "I-Rhythmic Movement Disorder: Isifundo se-Polysomnographic kanye nesifinyeto se-Cases ezibikiwe." I-Brain Dev 2002; 24 (1): 33-38.
Stepanova, I. et al . "Rhythmic Movement Disorder in Sleep Ukuphikelela Ubuntwana kanye Adult." Ukulala ngo- 2005; 28 (7): 851-857.