Ukuba unesifo se-Parkinson, usenokuba neengxaki zokulala
Iingxaki zokulala ziqhelekileyo phakathi kwabo bane-Parkinson isifo (PD). Ukuba unayo i-Parkinson kwaye ufumana ukulala okungapheliyo, kubalulekile ukuthetha nodokotela wakho, njengoko unyanga iimpawu zakho ezinxulumene nobuthongo kunokuphucula impilo yakho yonke.
Isinyathelo sokuqala ekujonganeni neengxaki zakho zokulala kukugqiba imbangela. Ukuba uneminyaka yokuqala okanye ephakathi kwiphondo ye-PD, amathuba okuba iingxaki zakho zokulala zibandakanya ubuncinane kwezi zinto zilandelayo: ukulala, ukulala ubusuku, ukulala okungapheliyo okanye ukunyakaza komlenze ebusuku, amaphupha amakhulu anxulumene nengxaki yokuziphatha kwe-REM, okanye ukulala ebusweni ngenxa ukuxinezeleka.
Ngelixa uzakufuna uncedo lwezonyango lwezonyango ukufumanisa oko kubangela iingxaki zakho zokulala, ezi zilandelayo ziyakunceda uqonde oko kwenzeka.
Ukungabikho
Ukuba usweleka, mhlawumbi unokuba nzima ukulala ubusuku obuhle. Abo bangenalo ukungazinzi banenkathazo yokulala, kwaye banokulala kuphela iiyure ezimbalwa ngexesha. ILebhu (i-polysomnographic kunye ne-electroencephalographic (EEG)) izifundo zokulala ziye zabonisa ukuba abantu abaneParkinson, abangacinezelekanga, babonisa ukunciphisa ubuthongo obukhulu, ukulala kakhulu ukulala kunye nokunyuka kokulala nokulala ebusuku.
Ukulala ngokweSuku sokuSuku (EDS) kwi-PD
Ukulala ngokugqithiseleyo kwemini kuyaqheleka kokuqala nakwi-PD kwinqanaba kunye nokuba linxulumene nokulala. Ukuba awukwazi ukulala ubusuku obuhle, uya kuziva ulele ngexesha lemini. Amachiza ka-Parkinson angabangela nokuba ubuthongo obunzima.
Kwakhona kunokwenzeka ukufumana ukuhlaselwa ngokukhawuleza nokungenakunqwenelekayo "kokuhlaselwa kokulala," okuyimpembelelo engavumelekiyo ye-dopamine i-agonists i-pramipexole kunye ne-ropinirole kunye namayeza aphezulu naliphi na iziyobisi ze-dopaminergic.
I-Periodic Limb Movement Disorder kunye ne-Restless Legs Syndrome
Ngaba uhlala uziva unqwenela ukukhwelisa imilenze yakho phakathi nobusuku ukuze ukhululeke?
Ukuba kunjalo, unokuba neengxaki zentshukumo yokuhamba kwentsuku (PLMD) okanye imilenze yesifo semilenze yokuphumla (RLS). I-PLMD ibangela ukunyakaza kwesantya kweemilenze kunye neenyawo, kanti i-syndrome imilenze engenamsebenzi ibangela ukuvakala okungathandekiyo kwimilenze. Ngokuqhelekileyo, ukuba uhlala uhambisa imilenze yakho, unokuvuswa ubusuku bonke, unciphisa amandla akho okulala ubusuku obuhle. Ukunyakaza kwesigxina sexesha eliqhelekileyo kuqhelekileyo kubantu abadala kunye nalabo abaneParkinson. Iimilenze zesifo esingenasiphelo zihlala zichaphazela abantu abadala abaneminyaka eliphakathi kunye nabangaphantsi kwongeza kubantu abanePD.
REM Sleep Sleep behavior (RBD)
Ingxaki yokuziphatha yokulala kwe-REM (RBD) inokukwenza ukuba wenze amaphupha obundlobongela, nako kunokukwenza kube nzima ukulala ubusuku obuhle. Ukulala kwe-REM, okanye ukulala kwesantya ngokukhawuleza, yindlela yobuthongo obunzima apho uphupha khona. Ngokuqhelekileyo, xa uphupha ngexesha lokulala kwe-REM, iimpembelelo zesibindi eziya kwiimisipha zakho zivaliwe ukwenzela ukuba ungeke uphumelele amaphupha akho. Kwiingxaki zokuziphatha ze-REM, ukuba ukukhutshwa kweempembelelo ze-muscle akusekho, ngoko ke ukhululekile ukuphumeza amaphupha akho. Nangona uqikelelo luhluka ngokuphawulekayo, malunga neepesenti ezingama-50 zezigulane ze-PD ziqikelelwa ukuba zilahlekelwe ngokupheleleyo okanye ziphelele ngokupheleleyo kwi-atonia ye-muscular ngexesha lokulala kwe-REM.
Ukuphazamiseka kokuphefumula okuleleyo kwi-PD
Ukuba unobungozi bokuzimela, unakho amathuba okuphuhlisa i- apnea yokulala . Ngethamsanqa, ukuphazamiseka kwezibilini ezininzi zokuphefumula akuqhelekanga phakathi kwabo baseParkinson.
Ukulala nokuxinezeleka kwiZifo ze-Parkinson
Ukuxinezeleka kubonakala kwi-40% yezigulane ze-PD ngexesha lesifo sabo. Uninzi lwabantu abanexinzelelo, kubandakanywa nezigulane zePD, nazo ziya kuba neengxaki zokulala. Kwixinzelelo, ukulala akukuhlaziyiyo njengokuba kusetyenziswa, okanye uvuka ekuseni kakhulu kusasa. Iingcamango zabantu abadandathekileyo zihlukeneyo, nazo-aziqabile kwaye zihlala zibonisa umfanekiso omnye.
Iingxaki Zokulala Ngezigaba zePD
Ukongeza kwiimeko ezikhankanywe ngaphambili, ngexesha leemigangatho ezilandelayo zePD, nawe unokufumana iingxaki zokulala ezinxulumene namayeza aphezulu amachiza, afana neengxoxo .
Njengama-33% yezigulane zikaParkinson phakathi kwexesha eliphakathi kunye nakwimigangatho yesifo sengxaki yokufumana izifo, ezichaphazelekayo kwimiphumo emibi yeyeza. I-hallucinations idla ngokubonakala ngokubonakalayo (ukubona izinto ezingekhoyo ngokwenene) kunokuba zive (ukuva izinto ezingekho apha). Zihlala zidibana neephupha ezicacileyo.
Imithombo:
Kumar, S., Bhatia, M., & Behari, M. (2002). Ukuphazamiseka kokulala e-Parkinson. I-Disv Disord, 17 (4), 775-781.
ULarsen, JP, & Tandberg, E. (2001). Ukuphazamiseka kwezibhedlele kwizigulane zesifo se-Parkinson: i-epidemiology kunye nolawulo. I-CNS izidakamizwa, 15 (4), 267-275.
Olson, EJ, Boeve, BF, & Silber, MH (2000). Ukuhamba kwamehlo okukhawuleza kwindlela yokulala yokukhubazeka: izibalo zabantu, iikliniki kunye neziphumo zebhubhoratri kwiimeko ezingama-93. Ubunzima, 123 (Pt 2), 331-339.
Pappert, EJ, Goetz, CG, Niederman, FG, Raman, R., & Leurgans, S. (1999). I-hallucinations, ukulala kwesahlulo, kunye nokuguqulwa kwamaphupha ephupha kwisifo sikaParkinson. Ukuphazamiseka kwe-Mov, 14 (1), 117-121.
I-Cartwright, R. (2005). Ukuphupha njengenkqubo yokulawula imizwelo. Ku: Imigaqo kunye nokuSebenza kweyeza zokulala. Umqulu we-4, (M. Kryger, T. Roth kunye no-W. Dement Eds); pps 565-572.
Stacy, M. (2002). Ukuphazamiseka kokulala kwi-Parkinson yesifo: i-epidemiology kunye nolawulo. Ukuguga kwezidakamizwa, 19 (10), 733-739.