Uma une-Parkinson isifo, ungase ube nenkinga yokulala
Izinkinga zokulala zivamile kulabo abane-Parkinson's (PD). Uma une-Parkinson futhi ubhekana nokulala okuncane, kubalulekile ukukhuluma nodokotela wakho, njengoba ukwelapha izimpawu zakho ezihlobene nokulala kungase kuthuthukise inhlalakahle yakho yonke.
Isinyathelo sokuqala ekubhekaneni nenkinga yakho yokulala sinquma imbangela yezimpande. Uma une-PD esencane noma ephakathi, kungenzeka ukuthi izinkinga zakho zokulala zihlanganisa okungenani okukodwa kwalokhu okulandelayo: ukulele, ukulala ngokweqile emini, ukunyakaza komlenze okungapheli noma okunamandla ebusuku, amaphupho amakhulu ahlobene nokukhubazeka kwe-REM, noma ukulala okuncane ngenxa ukucindezeleka.
Ngesikhathi uzodinga usizo lwezokwelapha ochwepheshe ukuze uthole ukuthi yini ebangela izinkinga zakho zokulala, lokhu okulandelayo kuzokusiza ukuthi uqonde ukuthi yini engenzeka.
Ukungalali
Uma unesibindi, kungenzeka ukuthi kunzima ukulala ubusuku obuhle. Labo abanenkinga yokuqwashisa banenkinga yokulala, futhi bangase balale ngamahora ambalwa ngesikhathi. Ucwaningo lwama-laboratory (i-polysomnographic ne-electroencephalographic (EEG)) luye lwabonisa ukuthi abantu abaneParkinson, abangacindezelekile, babonisa ukwehla ebuthongweni obunzima, ukulala kakhulu ukulala kanye nokwanda kokuhlukaniswa kokulala nokuphakama ebusuku ebusuku.
Ukulala ngokweqile kweSuku lokuSuku (EDS) ku-PD
Ukulala ngokweqile kwansuku zonke kuvamile kokubili kanye no-PD eseceleni futhi kungase kuhlobene nokulala. Uma ungakwazi ukulala ubusuku obuhle, uzozizwa ulele ngesikhathi semini. Imithi kaParkinson ingabangela nokulala ngokweqile.
Kungenzeka futhi ukuzwa "ukuhlaselwa kokulala" okungazelelwe futhi okungenakuvinjelwa, okuyinto engavamile imiphumela emibi ye-dopamine agonists pramipexole ne-ropinirole kanye nokulinganiselwa okuphezulu kwanoma imuphi umuthi we-dopaminergic.
I-Periodic Limb Movement Disorder ne-Restless Legs Syndrome
Ingabe uvame ukuzwa isifiso esingenakuvinjelwa ukuhambisa imilenze yakho nxazonke ebusuku ukuze ukhululeke?
Uma kunjalo, ungase ube nenkinga yokuhamba ngezinyawo ngezikhathi ezithile (i-PLMD) noma i-syndrome yezinyawo ezingenalutho (RLS). I-PLMD ibangela ukunyakaza okusheshayo kwemijikelezo yemilenze nezinyawo, kanti izinkinga zemilenze ezingenalutho zingabangela ukuzwela okungathandeki emilenzeni. Ngokuvamile, uma uvame ukuhambisa imilenze yakho, cishe uzovuka ubusuku bonke, unciphise ikhono lakho lokulala ubusuku obuhle. Ukunyakaza kwezitho zesikhathi esigcwele kuvamile kubantu abadala kanye nalabo abaneParkinson. Imilenze yezinyawo ezingapheliyo ihlala ihlasela abantu abadala asebekhulile nabakhulile ngaphezu kwabantu abane-PD.
REM Sleep Behavior Disorder (RBD)
Ukukhubazeka kwe-REM ukulala (RBD) kungenza ukuba wenze amaphupho abudlova, futhi kungenza kube nzima ukulala ubusuku obuhle. Ukulala kwe-REM, noma ukulala kwe-eye ngokushesha, yilona uhlobo lokulala okujulile lapho unamaphupho amakhulu kakhulu. Ngokuvamile, uma uphupha ngesikhathi sokulala kwe-REM, izimpikiswano zesisindo eziya emisipha yakho zivinjelwe ukuze ungakwazi ukwenza amaphupho akho. Ezingxenyeni zokuziphatha ze-REM, ukuthi ukuvinjwa kwemisipha ye-muscle akusekho okwenzekayo, ngakho-ke ukhululekile ukwenza amaphupho akho. Nakuba izilinganiso zihluka ngokuphawulekayo, cishe amaphesenti angaba ngu-50 eziguli ze-PD kulinganiselwa ukuthi alahlekelwe ngokwengxenye noma ephelele ye-muscular atonia ngesikhathi sokulala kwe-REM.
Ukuphazamiseka Okubangelwa Ukuphuza Ku-PD
Uma unobungozi bokuzimela, ungase ukwazi ukuthuthukisa i- apnea yokulala . Ngenhlanhla, ukuphazamiseka kokulala okuhlobene nokuphefumula akuvamile kubantu abane-Parkinson.
Ukulala nokucindezeleka eziguleni zikaPasinson
Ukucindezeleka kubonakala cishe ezigidini ezingama-40 ezikhulwini ze-PD ngesikhathi sesifo sabo. Abantu abaningi abanokucindezeleka, kuhlanganise neziguli ze-PD, nabo bazobhekana nezinkinga zokulala. Ekucindezelekeni, ukulala akukuvuseleli njengakujwayele, noma uvuka ekuseni kakhulu ekuseni. Amaphupho kubantu abacindezelekile ahlukile, futhi - ayabunjwa futhi ngokuvamile abonisa isithombe esisodwa.
Izinkinga Zokulala Ekugcineni Izigaba ze-PD
Ngaphandle kwemibandela eshiwo kakade, ngezigaba ezilandelayo ze-PD, nawe ungase uhlangabezane nezinkinga zokulala ezihlobene nemithi ephakeme yokwelapha, njengama- hallucinations .
Ngamaphesenti angama-33% wezigulane zikaParkinson phakathi nezinyathelo zangasese kanye nezikhathi zengxube ye-disorder experience, ehlobene nemiphumela emibi yemithi. I-hallucinations ijwayele ukubonakala ngokubonakalayo (ukubona izinto ezingekho ngempela) kunokuzizwa (ukuzwa izinto ezingekho ngempela). Zivame ukuhlotshaniswa nephupho elicacile.
Imithombo:
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Olson, EJ, Boeve, BF, & Silber, MH (2000). Ukunyakaza kwamehlo okuphuthumayo ukulala ukukhubazeka kokuziphatha: izibalo zabantu, imitholampilo kanye ne-laboratory ezitholakala ezimweni ezingu-93. Ubuchopho, 123 (Pt 2), 331-339.
Pappert, EJ, Goetz, CG, Niederman, FG, Raman, R., & Leurgans, S. (1999). Ama-Hallucinations, ukulala ukuhlukana, nokuguqula izimo zephupho kulesi sifo sikaParkinson. I-Mov Disord, 14 (1), 117-121.
I-Cartwright, R. (2005). Ukuphupha njengendlela yokulawulwa kwemizwelo. Ku: Izimiso Nezenzo Zokusebenzisa Imithi Yokulala. Umagazini we-4, (M. Kryger, T. Roth noW.Dement Eds); pps 565-572.
Stacy, M. (2002). Ukuphazamiseka kokulala esifubeni sikaParkinson: izifo ze-epidemiology kanye nokuphathwa. Ukuguga kwezidakamizwa, 19 (10), 733-739.