Izimo Zihlanganisa Ukushona, i-Parasomnias, ne-Sleep Apnea
Uyazi ukuthi zingaki izimo ezingaphazamisa ubuthongo? Yikholelwa noma cha, kunezinkinga ezingaba ngu-80 zezifo zokulala. Ngezinye izikhathi kuyasiza, kusukela kwengqondo kanye nombono wezokwelapha, ukubheka uhlu olude lwezinkinga zokulala ezisungulwe okungase zikuthinte. Dlulisa amehlo kulolu hlu olunzulu lwezinkinga zokulala ezisetshenziswa odokotela, futhi ungase uzibuze ukuthi uke wakwazi kanjani ukuphumula nhlobo!
Ukuhlonza izinhlu kufana nalokhu kukhona ukuze amakhodi wezokwelapha e-ICD 9 afanele asetshenziselwe ukukhokha kanye nenhloso yomshuwalense wezempilo, kodwa futhi angakusiza ukuthi ubhale inkinga ephazamisa ikhono lakho lokulala futhi uzizwe uliqabulekile.
Faka ama-insomnias
Ukuqwashisa kuchazwa njengobunzima bokuwa noma ukulala ubuthongo noma ukulala okungaqabuli nje. Kungenzeka ngezizathu eziningi. Kungase kuhlobene nemikhuba emibi yokulala noma ezinye izimo zezokwelapha, kuhlanganise nezinkinga zengqondo nokusetshenziswa kwezidakamizwa. Kungenzeka ezinganeni. Kungase kube khona imbangela ecacile. Ukuqwashisa kuphulwe kulezi zimo ezilandelayo:
Ukuguqulwa kwesifo sokulala ( ukuleleka okukhulu ) (307.41)
Ukushona kwengqondo (307.42)
Ukuqwashisa okweqile (okwakungakaze kube khona ukulala kwezwe) (307.42)
Ukuntula i-idiopathic (307.42)
Ukuqwashisa ngenxa yesifo sengqondo (307,42)
Ukungabi nabulungile bokulala (V69.4)
Ukuqwashisa kokuziphatha kokubuntwana (307.42)
Uhlobo lohlobo lokulala lokulala
Uhlobo lokulala lokulinganisela
Uhlobo oluhlanganisiwe
Ukungaboni ngenxa yezidakamizwa noma izinto (292.85)
Ukulahla ngenxa yesimo sezokwelapha (327.01)
Ukungalali ngenxa yesikhumba noma isimo se-physiologic esaziwayo, esingacacisiwe (780.52)
I-Physiologic (organic) yokungalali, engacacisiwe; (ukuleleka komzimba, i-NOS) (327.00)
Izinkinga zokuphuza ezihambisana nokulala
Ukuphefumula kungaphazanyiswa kakhulu ngesikhathi sokulala. Ukulala yisimo sokungazi. Ngenkathi engazi lutho, kuba nzima ukugcina umoya ovulekile futhi lokhu kungaholela ezimweni ezifana ne-apnea yokulala. Uma ubuchopho buhluleka ukuqala umoya, inkinga okuthiwa i-central apnea yokulala ingenzeka.
Uma umgwaqo wezindiza wehlela, kungase kuthiwe ukuphefumula okuphazamisayo kokulala. Lezi zinkinga zingabangelwa ngenxa yezinkinga ezikhona ngesikhathi sokuzalwa, ukuma kwe-airway, nezinye izinkinga zezokwelapha, noma ukusetshenziswa kwemithi. Izinkinga zokuphefumula ezihlobene nokulala zihlanganisa:
I-Central Sleep Apnea Syndromes
I-apnea yokulala esemqoka ebalulekile (327.21)
I-apnea yokulala yaseCentral ngenxa yephethini yokuphefumula i-Cheyne Stokes (768.04)
I-apnea yokulala yaseCentral ngenxa yokuphefumula ngezikhathi eziphakeme (327.22)
I-apnea yokulala yase-Central ngenxa yesimo sezokwelapha, hhayi i-Cheyne-Stokes (327.27)
I-apnea yokulala yokulala ephakathi ngenxa yomuthi noma into (327.29)
I-apnea yokulala esemqoka ebusheni (770.81)
Ukuvimbela Ukulala Kwe-Apnea Syndromes
I-apnea yokulala yokuvimbela, umuntu omdala (327.23)
I-apnea yokuvimbela ukulala, izingane (327.23)
I-Hypoventilation ehlobene nokulala ne-Syndromes Hypoxemic
I-hypoventilation ye-alveolar nonobstructive ehlobene nokulala, idiopathic (327.24)
I-congenital central alveolar hypoventilation syndrome (327.25)
I-Hypoventilation ne-Hypoxemia ehlobene nokulala ngenxa Yezokwelapha
I-hypoventilation ehlobene nokulala noma i-hypoxemia ngenxa ye-pulmonary parenchymal noma i-vascular pathology (327.26)
I-hypoventilation ehlobene nokulala noma i-hypoxemia ngenxa yokuvinjelwa kwemimoya ephansi (327.26)
I-hypoventilation ehlobene nokulala noma i-hypoxemia ngenxa yezifo ze-neuromuscular noma esifubeni (327.26)
Okunye ukugula okuhlobene nokulala okuhlobene nokulala
Ukuphefumula kokuphefumula noma ukugula okuhlobene nokulala, okungaziwa (320.20)
Hypersomnias of Origin Ephakathi
Ukulala ngokweqile kwansuku zonke kuthiwa i-hypersomnia. Lokhu kuvame ukungenxa yokuntuleka kokulala. Noma kunjalo, kungase kwenzeke nasezimo ezinjenge-narcolepsy. Kungase kuhlobene nokusetshenziswa kwemithi noma ezinye izinkinga zempilo. Kukhona nezimo ezingavamile ezingabonakalisa njengokulala ngokweqile. I-Hypersomnias engalandelwa ebuchosheni, noma yomsuka wangaphakathi, ifaka:
Ukuhlukumeza ngokweqile nge-cataplexy (347.01)
Ukuhlukumezeka ngaphandle kwe-cataplexy (347.00)
Ukuhlukumezeka ngenxa yesimo sezokwelapha (347.10)
Ukuhlukumeza, okungacacisiwe (347.00)
I-hypersomnia ejwayelekile (780.54)
I-Kleine-Levin syndrome (327.13)
I-hypersomnia ehlobene nesisu (327.13)
I-hypotheomia ye-Idiopathic enesikhathi eside sokulala (327.11)
Idiopathic hypersomnia ngaphandle kwesikhathi eside sokulala (327.12)
Isifo sokulala esinganele ngokwanele (307.44)
Hypersomnia ngenxa yesimo sezokwelapha (327.14)
Hypersomnia ngenxa yezidakamizwa noma izinto (292.85)
I-Hypersomnia ayingeyona ngenxa yesimo noma isimo se-physiologic esaziwa (327.15)
I-physiologic (organic) hypersomnia, engacacisiwe (i-hypersomnia ephilayo, i-NOS) (327.10)
I-Circadian Rhythm Sleep Disorders
Iphethini yemvelo yokulala nokuvuka libizwa ngokuthi isigqi se - circadian . Uma lokhu kuphazamiseka noma kungalungiswa, kungabangela ukucindezeleka kokulala kwesigqi. Okuvamile kunazo zonke i-jet lag. Intsha ingase ihlupheke ngesigaba sokulala esibambezelekile. Abantu abasebenza ngokusheshisa noma ubusuku obusuku bonke bangabhekana nezinkinga zokulala. Izingqinamba zokulala kwesidakamizwa zihlanganisa:
I-circadian isigqi sokulala kwesifo, uhlobo lokubambezeleka kwesigaba sokulala (327.31)
I-Circadian isiginci sokulala kwesifo, uhlobo oluphezulu lwesigaba sokulala (327.32)
I-circadian isiginci sokulala kwesifo, uhlobo olungajwayelekile lokulala (327.33)
I-Circadian isigqi sokulala kwesifo, uhlobo oluhamba phambili (olungavunyelwe) (327.34)
I-circadian isiginci sokulala kwesifo, uhlobo lwe-jet lag (327.35)
I-circadian isigqi sokulala kwesifo, uhlobo lokusebenza-shift (327.36)
Iziphazamiso ze-Circadian zokulala zokulala ngenxa yenkinga yezokwelapha (327.39)
Olunye uhlangothi lwe-rhythm sleep sleep (327.39)
Olunye uhlangothi lwe-rhythm sleep sleep ngenxa yezidakamizwa noma izinto (292.85)
I-Parasomnias
Ama-parasomnias ajwayelekile ukuziphatha okungavamile okungahlanganiswa nezinhlobo ezimbili zokulala: okungezona kwe-REM kanye nokulala kwe-REM . Lezi zingase zihlukumeze izingane, kodwa eziningi ziyaqhubeka zibe ngabantu abadala. Ezinye zingaba yi-harbinger yezifo zesikhathi esizayo, kufaka phakathi ubudlelwane phakathi kwe-REM yokukhubazeka kwezifo kanye nezifo ezingenayo i-neurodeergenerative njengesifo sika-Parkinson nesifo se-Alzheimer. Kungenzeka kube esesabekayo noma eyingozi, engavamile noma ejwayelekile. Imibandela ingase ibe yinto evamile njengama-nightmares noma ama-bedwetting. Kungase kuhlotshaniswe nokusetshenziswa kwemithi noma ezinye izinkinga zempilo. Lezi zimo zihlanganisa:
Izinkinga ze-Arousal (kusuka ku-Non-REM Sleep)
Ukuvusa ukudideka (327.41)
Ukulala (307.46)
Ukuphazamiseka kokulala (307.46)
I-Parasomnias Ngokuvame Ukuhlotshaniswa nokulala kwe-REM
Ukukhubazeka kokulala kwe-REM (kufaka phakathi i-parasomnia idlulela isifo nesimo dissociatus) (327.42)
Ukulala okulele okulele okulele (327.43)
I-nightmare disorder (307.47)
Ukuphazamiseka okuhlobene nokulala okuphathelene nokulala (300.15)
Ukulala enuresis (788.36)
Ukububula okuhlobene nokulala ( catathrenia ) (327.49)
Ukuxilongwa kwe- head syndrome (327.49)
Ama-hallucinations ahlobene nokulala (368.16)
Ukugula okuhlobene nokulala (327.49)
I-Parasomnia, engacacisiwe (227.40)
I-parasomnia ngenxa yemithi noma into (292.85)
I-parasomnia ngenxa yesimo sezokwelapha (327.44)
Ukuphazamiseka kokuhamba okuhambisana nokulala
Kunezimo ezihlukahlukene eziholela ekuhambeni okwenzeka ngesikhathi noma ngaphambi kokuqala kokulala. Izinhlupheko ezivame kakhulu zihlanganisa ukugaya amazinyo, ama-leg cramps, ama-syndrome angenalutho, noma ukunyakaza kwezinyawo ngezikhathi ezithile. Ngokuphelele, izinkinga zokunyakaza ezihlobene nokulala zihlanganisa:
Imithi yemilenze engapheli (kuhlanganise nezinhlungu ezikhulayo ezihlobene nokulala) (333.49)
Isiyaluyalu sezinyathelo zokuhamba kwesikhathi sokulala (327.51)
Izimpande zomlenze ezihlobene nokulala (327.52)
Ibhuxism ehlobene nokulala (327.53)
Ukukhubazeka okuhambisana nokulala okuhambisana nokulala (327.59)
Ukuphazamiseka kokunyakaza okuhlobene nokulala, okungacacisiwe (327.59)
Ukukhubazeka okuhambisana nokulala ngenxa yezidakamizwa noma izinto (327.59)
Ukukhubazeka okuhambisana nokulala ngenxa yokugula (327.59)
Ngaphandle kwezigaba ezinkulu zokuphazamiseka kokulala okuchazwe ngenhla, kunezimo ezihlukahlukene ezaziwa ukuthi zenzeka. Lezi zingase zimele noma zingabonakali isimo se-pathological, futhi ngokuvamile asikwazi. Kunezimo ezihlobene nemibandela ethile yemithi. Ngaphezu kwalokho, ezinye izifo zokulala zihlotshaniswa nezimo zengqondo. Ukuze uphelele, lezi zimo ezahlukene zokulala zibalwe ngezansi:
Izimpawu Ezihlukanisiwe, Ngokusobala Izinguquko Ezijwayelekile, Nezindaba Ezixazululwe
Ukulala isikhathi eside (307.49)
Ukulala okufushane (307.49)
Ukushaya (786.09)
Ukulala (307.49)
Ukuqala ukulala, ama-hypnic jerks (307.47)
I-Benign sleep myoclonus yasebuntwaneni (781.01)
Ukuzamazama kwe-Hypnagogic kanye nokunye ukuqhuma kwemisipha ngesikhathi sokulala (781.01)
I-myoclonus ye-propriospinal ekuqaleni kokulala (781.01)
I-myoclonus ehlukana ngokweqile (781.01)
Ezinye izinkinga zokulala
Okunye physiologic (organic) disorder disorder (327.8)
Okunye ukugula okungekhona ngenxa yento eyaziwayo yesimo se-physiologic (327.8)
Isifo sokulala esingokwemvelo (307.48)
Izinkinga Zokulala Ezihlobene Nezimo Ezikhethwa Kwenye indawo
Ukulahla komndeni okubulalayo (046.8)
I-Fibromyalgia (729.1)
Isifo sokufa esihlobene nokulala (345)
Izinhloko ezihlobene nokulala (784.0)
Isifo se-reflux se-gastroesophageal sokulala (530.1)
I-artery coronary ehlobene nokulala i-ischemia (411.8)
Ukugwinya okungavamile okuhlobene nokulala, ukukhipha noma i-laryngospasm (787.2)
Ezinye izifo zengqondo zokuziphatha ezivame ukubhekana nokuhlukana okuhlukile kokuphazamiseka kokulala
Izinkinga zemizwelo
Izinkinga zokukhathazeka
Izinkinga ze-Somatoform
I-schizophrenia nezinye izinkinga ze-psychotic
Ukuphazamiseka kuvame ukutholakala okokuqala lapho usana, ubuntwana, noma ubusha
Ukukhathazeka komuntu
Uma ukholelwa ukuthi ungase ube nesifo sokulala, kufanele ukhulume nodokotela wakho wokunakekela oyinhloko futhi ucabange ukubona ochwepheshe bokulala ukubhekana nokukhathazeka kwakho.
Imithombo:
"I-International Classification of Sleep Disorders." I-American Academy of Sleep Medicine , edition 2, 2005.
Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." I-ExpertConsult , umagazini we-5, 2011, iphe. 680-683.