Ukunyakaza Kwemigomo Kungaphazamisa Ukulala, Ukufakazela Ku-Insomnia nokulala
Ukunyakaza kokulala kwesinye isikhathi (i-PLMS) kungenye yezinkinga zokulala ezingabangela ukunyakaza kweminye imilenze yakho, kufana nemilenze yesifo esingenalutho (RLS) . Iyini i-PLMS? Funda ukuthi ukunyakaza kwemilenze ebusuku kungahlobana kanjani nezinye izifo zokulala futhi kubangele ukulala ukuphazanyiswa, ukulala, ngisho nokulala ubusika.
Ukuchaza Ukunyakaza Kwama-Periodic Limb of Sleep (PLMS)
Ukunyakaza kokulala kwesinye isikhathi (PLMS) kuqukethe ukunyakaza okusheshayo kwemilenze eyenzeka ngokungahambisani ngesikhathi sokulala nokuthi umuntu othintekayo angahlala engazi.
Kungase kuhilele ukukhahlela, ukuguqula, noma ukunwetshwa kwemilenze. Okubaluleke kakhulu, izimpawu zokuphumula zemilenze (RLS) ziphawulwa ngenkathi kuvuka ngesikhathi i-PLMS yenzeka ngesikhathi sokulala.
Ukunyakaza okuhambisana ne-PLMS ngokuvamile kuvame ukuhamba noma ukunwetshwa kwesikhumba. Kwezinye izimo, lokhu kungase kwenzeke nasemadolweni. Kungenzeka ngakolunye uhlangothi noma okunye emuva nangemva phakathi kwezinhlangothi ezingakwesokunxele nezingakwesokudla.
Kuvame ukwanda ngeminyaka futhi ngokuvamile, kodwa njalo, kuhambisana nezimpawu ezingenalutho zemilenze. Uma i-PLMS ibangela ukukhubazeka kwansuku zonke njengokulala ngokweqile kwansuku zonke noma ukuphazamiseka okubalulekile kokulala nokulala (ngisho nomlingani wombhede), kungase kuthiwa yi-periodic movement movement disorder (PLMD).
Ukuvivinya Ukusekela Ukuxilongwa kwe-PLMS
Isimo segolide sokuxilongwa kwe-PLMS yisifundo sokulala esibizwa ngokuthi i- polysomnogram . Njengengxenye yalolu cwaningo, ama-electrode angaphandle afakwa emilenzeni kanti ngezinye izikhathi ngisho nezingalo.
Lezi ziyakwazi ukuthola ukuchotshozwa kwamasipha noma ukunyakaza.
Kubantu abano-PLMS, kuzoba nokunyakaza okuphindaphindiwe (okungenani ezine ohlwini) okungase kuhlale kusuka ku-1/2 yesibili kuya kumasekhondi angu-5. Uma lezi zinyama zenzeka izikhathi ezingaphezu kuka-15 ngehora kubantu abadala noma izikhathi ezingu-5 ngehora ezinganeni ezingavamile.
Uma ukunyakaza kuhlotshaniswa nokuvuswa noma ukuvuswa kokulala, kungase kube okubaluleke nakakhulu. Zingase zibonakale zibalulekile uma ziphazamisa kumlingani wombhede. Uma ziphawulwa ngokuzihlukanisa ekufundeni kokulala ngaphandle kwempawu ezihambisanayo noma impikiswano, akukho ukwelashwa okuqhubekayo okungadingeka.
Uma ukunyakaza kungakwazi ukuchazwa esinye isifo, i-PLMS ingase ibe ukuxilongwa okusobala. Futhi, uma ukunyakaza kuholele ekuphazamiseni ukulala, ukulele, nokulala ngokweqile kwansuku zonke, kubizwa ngokuthi i-PLMD.
Ihlukaniswe nge-PLMS ephawulwe ngesifundo sokulala, ngaphandle kwalokho, ayibalulekile futhi ayidingi ukwelashwa ngemithi. I-RLS itholakale isekelwe kwimigomo yemitholampilo (umuzwa ongenakuzwakalayo ovame ukuphawulwa emilenzeni ehambisana nesifiso sokuhamba esenzeke kusihlwa lapho ulele futhi ukhululekile ukunyakaza) futhi akukho ukuhlolwa okudingekayo ukuze uhlolwe leso simo.
Ukwelashwa Kwama-Periodic Limb Movements of Sleep (i-PLMS)
Ngokuvamile, akudingekile ukuphatha i-PLMS uma umuntu othintekile engenayo izikhalazo zokuphazamiseka kokulala. Uma kubangela ukuvuthwa okuyingxenye noma okuphelele kokulala, okufaka ekuqotheni noma ukunciphisa izinga lokulala, khona-ke ukwelashwa kungacatshangelwa.
Futhi, uma ukunyakaza kuphazamisa kumlingani wombhede, kungase kube nesifiso sokuzilawula.
Imithi ye-prescription ingaba ngempumelelo ekwelapheni i-PLMS. Izidakamizwa eziningi ezisetshenziswa ukuphatha i-RLS nazo ziyasiza. Lezi zingabandakanya i-benzodiazepines (ngokuvamile i-clonazepam), i- Mirapex (igama elivamile elithi pramipexole), futhi i- Requip (igama elivamile elithi ropinirole). Lezi zintuthuko zingase zenzeke maqondana nezenzakalo zokuvimbela ukulala kwe-sleep apnea, bese kuthi ukwelashwa kuzobhebhethekisa ukugula okuphefumulayo.
Izwi elivela
Uma ukunyakaza komlenze kwakho kukuphazamisa kuwe ebusuku, kufanele wenze i-aphoyintimenti ukuze ubone isazi sokulala futhi ube nesimo sakho sihlolwe kahle.
Ngemuva kokutadisha ukuhlolwa, imbangela ingabonakala kahle futhi ukwelashwa okufanele kungase kulandelwe. Njengoba ukunyakaza kungase kwenzeke emaphethelweni okuphefumula, kuzodingeka ukuthi kuqinisekiswe ukuthi i-apnea yokulala ayibangeli ukuphazanyiswa. Ngenhlanhla, izinketho zokwelashwa eziphumelelayo zinganciphisa imilenze ebusuku futhi ziholele konke okudingayo ukuze usebenze ngokusemandleni akho.
Imithombo:
I-American Academy ye-Sleep Medicine. Ukuhlukaniswa ngamazwe ngamazwe okuphazamiseka kokulala. I-2nd ed. 2005.
Lesage, S. et al . "I-syndrome yezinyawo ezingenalutho kanye nokuphazamiseka kwesikhashana sokuhamba komzimba: ukubuyekezwa kokuphathwa." Semin Neurol . 2004; 24: 249.