Iimimiselo zibandakanya iNtomnia, i-Parasomnias, ne-Sleep Apnea
Uyazi ukuba zininzi izimo zingaphazamisa ubuthongo? Yikholwa okanye akunjalo, kukho iindidi ezingama-80 ezahlukeneyo zokuphazamiseka kokulala. Ngamanye amaxesha kunceda, ukusuka kwingqondo yengqondo kunye nombono wezokwelapha, ukujonga uluhlu olude lwemiba yokulala engenokukuchaphazela. Dlulisa amehlo kuloluhlu olubanzi lweengxaki zokulala ezisetyenziswe oogqirha, kwaye unokuzibuza ukuba uye wakwazi njani ukuphumla!
Izintlu zokuxilonga ezifana nalezi zikhona ukwenzela ukuba iikhowudi ze-ICD 9 ezifanelekileyo zonyango zingasetyenziselwa ukuhlawula kunye nenjongo yomshuwalense wezempilo, kodwa kunokukunceda ukuba ubhale ingxaki ephazamisayo ukukwazi kwakho ukulala nokuziva uhlaziyekile.
Insomnias
Ukusalalisa kuchazwa njengobunzima bokuwa okanye ukulala ubuthongo okanye ubuthongo obungaqabuliyo. Kungenzeka ngezizathu ezininzi. Ingaba inxulumene nemikhwa yokulala engafanelekanga okanye ezinye iimeko zonyango, kuquka iingxaki zengqondo kunye nokusetyenziswa kweziyobisi. Kungenzeka kubantwana. Kusenokungabikho nto ebonwe ngokucacileyo. I-insomnia iphulwe kwiimeko ezilandelayo:
Ulungiso lokulala ubuthongo (ubumnyama obunzima ) (307.41)
I-Psychophysiologic insomnia (307.42)
Ukulahla kwe-paradoxical (kwangaphambili ulele ukungaqondi kakuhle komntu) (307.42)
Idiopathic insomnia (307.42)
Ukungazinzanga ngenxa yengxaki yengqondo (307.42)
Ukunganelanga ubuthongo bokulala (V69.4)
Ukulahla kokuziphatha kwabantwana (307.42)
Uhlobo lobudlelwane bokulala
Uhlobo lokulala lokumisela
Udidi oludibeneyo
Ukulahla ngenxa yeziyobisi okanye izinto (292.85)
Ukuqhawula ngenxa yokugula kwimeko (327.01)
Ukungabikho ngenxa yento okanye imeko eyaziwayo ye-physiologic, engachazwanga (780.52)
I-Physiologic (organic) yokungakwazi ukulala, engachazwanga; (ukungabikho komzimba, i-NOS) (327.00)
Ukuphazamiseka Okuphefumulayo Ukulala
Ukuphefumula kunokuphazamiseka kakhulu ngexesha lokulala. Ukulala yindawo yokungazi. Nangona ungazi lutho, kunzima ukugcina indlela evulekileyo kwaye oku kungakhokelela kwiimeko ezinjenge-apnea yokulala. Ukuba ubuchopho buhluleka ukuqala umoya, ingxaki ebizwa ngokuba yi-central apnea yokulala ingenzeka.
Ukuba i-airway iyawa, ingabizwa ngokuba yi-obstructive sleep apnea. Ezi ngxaki zingakhokelela ngenxa yeengxaki ezikhoyo ngexesha lokuzalwa, indlela yokuhamba kwendlela yokuhamba, ezinye iingxaki zonyango, okanye ukusetyenziswa kwamachiza. Izifo zokuphefumla ezinxulumene nokulala ziquka:
Central Sleep Apnea Syndromes
I-apnea yokulala ephambili yaseprayimari (327.21)
I-apnea yokulala ebumbene ngenxa yePeyne Stokes iphethini yokuphefumla (768.04)
Ukuphefumula okuphambili kwindlala ngenxa yokuphefumula ngokukhawuleza kwimizuzu emibini (327.22)
Ukuphefumula kwe-apnea ebumbeni ngenxa yemo yezokwelapha, kungekhona i-Cheyne-Stokes (327.27)
I-apnea yokulala ebumbene ngenxa yeliza okanye into (327.29)
I-apnea yokulala esemgangathweni yobusana (770.81)
Ukukhusela i-Apnea Syndromes yokulala
Ukukhusela i-apnea yokulala, umntu omdala (327.23)
Ukukhusela i-apnea yokulala, umntwana (327.23)
I-Hypoventilation ne-Syndromes Hypoxemic
I-hypoventilation ye-alveolar hypovetillar non-structural sleeping, idiopathic (327.24)
I-congenital central alveolar hypoventilation syndrome (327.25)
I-Hypoventilation ne-Hypoxemia ejongene nobuthongo ngenxa yobume bonyango
Ubuncwane obusondelene nobuthongo okanye u-hypoxemia ngenxa ye-pullinary parenchymal okanye i-pathology pathology (327.26)
Ukuchithwa kwe-hypoventilation okanye u-hypoxemia ngenxa yokulala komqobo (327.26)
I-hypoventilation ehlobene nobuthongo okanye i-hypoxemia ngenxa yeengxaki zodonga lwe-neuromuscular okanye esifubeni (327.26)
Olunye Uphulo Oluxhatshazayo Lokulala
Ukuphazamiseka kokulala ngomoya okanye ukugula okuhambisana nokulala, engachazwanga (320.20)
Hypersomnias weMvelaphi ephakathi
Ukulala ngokweqile kwamini kuthiwa yi-hypersomnia. Oku kudla ngokuba ngenxa yokungabikho kokulala. Nangona kunjalo, kusenokwenzeka nakwiimeko ezifana neenqanawa. Inokuthi inxulumene nokusetyenziswa kwamachiza okanye ezinye iingxaki zempilo. Kukho neemeko ezinqabileyo ezingabonakalisa ukulala ngokweqile. I-Hypersomnias enokulandelwa kwingqondo, okanye kwimvelaphi ephakathi, ifaka:
Ukuqhaqhaqhayisa kunye ne-cataplexy (347.01)
Ukuqhaqhaqhayisa ngaphandle kwe-cataplexy (347.00)
Ukuphulukana noxinzelelo ngenxa yemeko yonyango (347.10)
Ukuqhaqhaqhaqha, ukungachazwanga (347.00)
I-hypersomnia ephindaphindiweyo (780.54)
I-Kleine-Levin syndrome (327.13)
I-hypersomnia ehlobene nesisu (327.13)
Idiopathic hypersomnia ngexesha elide lokulala (327.11)
Idiopathic hypersomnia ngaphandle kwexesha elide lokulala (327.12)
Ukunyanzeliswa kwendlela yokuziphatha yobunzima (307.44)
Hypersomnia ngenxa yemeko yonyango (327.14)
Hypersomnia ngenxa yeziyobisi okanye into (292.85)
I-Hypersomnia ayikho ngenxa yezinto okanye imeko eyaziwayo ye-physiologic (327.15)
I-Physiologic (organic) i-hypersomnia, engachazwanga (i-hypersomnia ye-organic, i-NOS) (327.10)
I-Circadian Rhythm Sleep Disorders
Umzekelo womzimba womzimba wokulala nokuvuka ubizwa ngokuba yi- circadian rhythm . Xa oku kuphazanyiswa okanye kungalungiswanga, kunokubangela ukuphazamiseka kokulala kwesigxina. Eyona ndawo ixhaphake kakhulu kukude. Abaselula banokuxhatshazwa ngesigaba sokulala esibambezelekayo. Abantu abasebenza ngokukhawuleza okanye ubusuku bobusuku bangena kwiingxaki zokulala. Iziphazamiso zesisu zokulala ziquka:
I-circadian isigqirha sokulala, ukulibazisa uhlobo lwesigaba sokulala (327.31)
I-circadian isiginci sokulala kwesifo, uhlobo lwesigaba sokulala esiphezulu (327.32)
I-circadian isiginci sokulala kwesifo, uhlobo olusenokungafani lokulala (327.33)
I-circadian isiginci sokulala kwesifo, uhlobo oluhamba ngokukhululekile (olungagcinwanga) (327.34)
I-circadian isigqi sokulala kwesifo, uhlobo lwe-jet lag (327.35)
I-circadian isigqirha sokulala kwesifo, uhlobo lohlobo lokusebenza (327.36)
I-circadian isiginci sokulala kwesifo ngenxa yengxaki yonyango (327.39)
Olunye uhlobo lwesigxina sokulala kwesifo (327.39)
Enye i-circadian isiginci sokulala kwesifo ngenxa yeziyobisi okanye into (292.85)
Parasomnias
I-Parasomnias ngokuqhelekileyo iziphatho zokulala ezingaqhelekanga ezinokudibana neentlobo ezimbini ezibalulekileyo zokulala: ukulala okungabonakaliyo kunye nokulala kwe-REM . Ezi zixhaphaza ngokuqhelekileyo abantwana, kodwa abaninzi baqhubeka bekhulile. Ezinye ziba yi-harbinger yezifo zexesha elizayo, kubandakanywa umbutho phakathi kwe-REM yokugula ngengxaki kunye nezifo ezingenayo i-neurodeergenerative njengesifo sika-Parkinson nesifo se-Alzheimer. Zingaba ziyikrakra okanye ziyingozi, ziyingqumbo okanye ziqhelekileyo. Imiqathango inokuba yinto eqhelekileyo njengobusuku bokulala okanye ubhedu. Zinganxulumaniswa nokusetyenziswa kwamachiza okanye ezinye iingxaki zempilo. Ezi meko ziquka:
Ukuphazamiseka kweArousal (ukusuka kwi-Non-REM Sleep)
Ukuvusa ukudideka (327.41)
Ukulala (307.46)
Ukuphazamiseka kokulala (307.46)
I-Parasomnias Ngokuqhelekileyo inxulumene nokulala kwe-REM
Ingxaki yokuziphatha yokulala kwe-REM (kubandakanya i-parasomnia ilahleka i-disorder and dissociatus) (327.42)
Ukuphinda ubuthongo obuthathaka obuninzi (327.43)
Ingxaki yokuhamba ebusuku (307.47)
Izifo ezinxulumene ne-dissociative zokulala (300.15)
Ukulala u-enuresis (788.36)
Ukuxuma okuhlobene nokulala ( catathrenia ) (327.49)
Ukuxhaphazwa kwentloko yesifo (327.49)
I-hallucinations ehlobene nokulala (368.16)
Ukuphazamiseka kokutya kokutya (327.49)
I-Parasomnia, engachazwanga (227.40)
I-Parasomnia ngenxa yeziyobisi okanye into (292.85)
I-Parasomnia ngenxa yemeko yonyango (327.44)
Ukuphazamiseka kweziNtu eziHlangeneyo zokulala
Kukho iintlobo ezahlukeneyo ezibangelwa ukunyakaza okwenzeka ngexesha okanye phambi kokuqala kokulala. Iimbandezelo eziqhelekileyo ziquka amazinyo agaya, amagxobhozo emilenze, imilenze yokuphumla imilenze, okanye ukunyakaza kwesigxina sexesha. Ngokubanzi, ukuphazamiseka kweziganeko ezinxulumene nokulala kuquka:
Iimilenze zesifo esingenasiphako (kuquka iintlungu zokukhula ezinxulumene nokulala) (333.49)
Inkqubo yokuhamba kwentsholongwane yokulala yokulala (327.51)
Iintlanzi zomlenze ezinxulumene nobuthongo (327.52)
Ubunzima bhuxism obuthongo (327.53)
Ukukhubazeka kwesigxina somzimba (327.59)
Ukuphazamiseka kwentshukumo yokulala, engaxeliweyo (327.59)
Ukukhubazeka okuhambelana nokulala ngenxa yokusetyenziswa kweziyobisi okanye izinto (327.59)
Ukukhubazeka okuhambelana nokulala ngenxa yokugula (327.59)
Ngaphandle kwezigaba ezikhulu zokuphazamiseka kokulala ezichazwe ngasentla, kukho iintlobo ezininzi zeemeko ezibonakalayo ukuba zenzeke. Ezi zinto zinako okanye zingabonakali imeko ye-pathological, kwaye kaninzi ayinayo. Kukho neemeko ezinxulumene neemeko ezithile zonyango. Ukongezelela koko, ezinye iingxaki zokulala zidibene ngokucacileyo nezimo zengqondo. Ukugqitywa, le miqathango eyahlukileyo yokulala ibhalwe apha ngezantsi:
Iimpawu eziPhezulu, ezibonakalayo eziqhelekileyo, kunye neengxaki ezingaphendulwanga
Ubuthongo obude (307.49)
Ukulala okufutshane (307.49)
Ukulingana (786.09)
Ukulala (307.49)
Ubuthongo buqala , i-hypnic jerks (307.47)
Ubungqingili be-sleeping myoclonus osusana (781.01)
Ukunyakaza kweenyawo ze-Hypnagogic kunye nokusebenza komzimba wesigxina ngexesha lokulala (781.01)
I-myoclonus yepropriospinal ngexesha lokulala (781.01)
I-myoclonus eqhelekileyo engxenyeni (781.01)
Ezinye izifo zokulala
Olunye uhlobo lwe-physiologic (organic) ingxaki yokulala (327.8)
Enye ingxaki yokulala engekho ngenxa yento eyaziwayo ye-physiologic condition (327.8)
Ingxaki yokulala yendalo (307.48)
Izifo zokulala ezidibene neemeko ezichanekileyo kwenye indawo
Ukulahla komzimba okubulalayo (046.8)
Fibromyalgia (729.1)
Ukuhluthwa kwesifo sokulala (345)
Intloko echaphazelekayo zokulala (784.0)
Isifo se-reflux esine -gastroesophageal ye-Sleep (530.1)
I-artery coronary ischemia (411.8)
Ukulala okungaqhelekanga ukugwinya, ukukhahlela, okanye i-laryngospasm (787.2)
Ezinye izifo zengqondo zengxaki zokuziphatha zivame ukuhlanganyelwa kwiNgcaciso yokuHlala kweziNtu zokuPhalala
Izifo zengqondo
Iingxaki zokukhathazeka
Izifo zeSomatoform
I-Schizophrenia kunye nezinye iingxaki zengqondo
Iingxaki zivame ukuqala ukuxilongwa kwiintsana, ebuntwaneni, okanye ebusheni
Izifo zobuntu
Ukuba ukholelwa ukuba unokufumana ingxaki yokulala, ufanele uthethe ngogqirha wakho wokunakekela ugqirha kwaye ujonge ukujonga ingcali yokulala ukujongana neenkxalabo zakho.
Imithombo:
"Ukwahlulelwa kwamazwe ngamazwe okuPhepha koButhongo." I-American Academy ye-Sleep Medicine , u-2nd edition, 2005.
Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." I-ExpertConsult , i-5th edition, 2011, iphe. 680-683.