Ukuhamba Kwemigodi Kungaphazamisa Ubuthongo, Ncedisa Ukusalalisa Nokulala
Ukuhamba kwesigxina sokulala (i-PLMS) ngenye yeengxaki zokulala ezingabangela ukunyakaza kweemilenze zakho, kufana ne- syndrome yemilenze yokuphumla (RLS) . Ziziphi iiplm Funda indlela ukunyakaza kwemilenze ebusuku kuhambelana nokunye ukuphazamiseka kokulala kwaye kukhokelela ekuphazamiseni ukuphazamiseka, ukulala, nokulala ubusuku.
Ukucacisa ukunyakaza kwamaLungu okuPhepha okuPhezulu (PLMS)
Ukuhamba kwesigxina sokulala (PLMS) kubandakanya ukunyakaza okukhawuleza kwemilenze eyenzeka ngokungabikho ngexesha lokulala kwaye umntu ochaphazelekayo unokuhlala engazi.
Kungabandakanya ukukhaba, ukunqumla, okanye ukwandisa imilenze. Okubaluleke kakhulu, iimpawu zeemilenze zesifo semilenze (RLS) ziyaqatshelwa ngexesha lovuko ngelixa i-PLMS iqhubeka ngexesha lokulala.
Ukunyakaza okuhambelana ne-PLMS kaninzi kubandakanya ukuhamba okanye ukongezwa kwinqanaba. Kwezinye iimeko, oku kuya kwenzeka nasemadolweni. Ingenzeka kwicala elinye okanye omnye umva naphambili phakathi kwamacala asekhohlo nakwesokudla.
Iyakwandisa ukwanda kunye nobudala kwaye kaninzi, kodwa ayisoloko ihamba, ihamba nemilenze yokuphumla imilenze. Ukuba i-PLMS ibangela ukukhubazeka kwemini njengobuthongo obuninzi bemini okanye ukuphazamiseka okukhulu kokulala nokulala (mhlawumbi ukuya kumlingane wokulala), kunokuthiwa yi-disorder disorder disorder (PLMD) ngezikhathi ezithile.
Ukuvavanya ukusekwa kweNgcaciso ye-PLMS
Umgangatho wegolide wokuxilongwa kwe-PLMS yi- sleep sleep ebizwa ngokuba yi- polysomnogram . Njengengxenye yale sifundo, ama-electrode angenawo afakwe kwiimilenze ngamanye amaxesha kunye neengalo.
Ezi ziyakwazi ukubona nayiphi na imivimbo yesisu okanye ukunyakaza.
Kubantu abano-PLMS, kuya kubakho ukunyakaza okuphindaphindiweyo (ubuncinane emine emgceni) ongapheli ukusuka kwi-1/2 yesibili ukuya kumasekhondi ama-5. Ukuba ezi ntshukumo zenzeka ngaphezu kwamaxesha ama-15 ngeyure kubantu abadala okanye amaxesha ama-5 ngeyure kubantwana abaqhelekanga.
Ukuba ukuhamba kuhambelana nokuvuswa okanye ukuvuswa kokulala, bangabonakala bebalulekileyo. Zingabonakala zibalulekile ukuba ziphazamise kumlingane womntu. Xa ziqatshelwe ngokwahlukileyo kwisifundo sokulala ngaphandle kweempawu ezichaphazelekayo okanye iimpembelelo, akukho mfuneko yokwenza unyango olungaphezulu.
Ukuba ukunyakaza akukwazi ukuchazwa ngenye i-disorder, i-PLMS inokuthi ixilongwe. Kwakhona, ukuba ukunyakaza kuholele ekuphazamiseni ubuthongo, ukulala, nokulala ngokwemini, kubizwa ngokuba yi-PLMD.
Ukuxhomekeka nge-PLMS echazwe kwisifundo sokulala, ngaphandle kwesizathu, asinayo kwaye ayifuni unyango ngamachiza. I-RLS ifunyaniswa ngokusekelwe kwiinkqubo zeklinikhi (ingxaki engaxhalabisayo kaninzi iboniswe kwimilenze ehambelana nesibongo sokuhamba esenzeke ngokuhlwa xa ilele kwaye ikhululekile ngokunyakaza) kwaye akukho vavanyo olufunekayo ukuxilonga loo mqathango.
Unyango lweMiyodic Movements of Sleep (i-PLMS)
Ngokuqhelekileyo, akuyimfuneko ukuphatha i-PLMS ukuba umntu ochaphazelekayo akanakho izikhalazo zokuphazamiseka kokulala. Ukuba kubangele ukuba inxenye okanye i-totalous stimulation from sleep, igalelo lokusabalalisa okanye ukuphazamisa umgangatho wobuthongo, ngoko unyango lunokuqwalaselwa.
Kwakhona, ukuba ukunyakaza kukuphazamisa kumlingane wokulala, kuya kuba lunqwenelekayo ukuba ube phantsi kolawulo.
Iyezayeza zonyango zingasebenza ekuphatheni i-PLMS. Zininzi zamachiza ezisetyenziselwa ukuphatha i-RLS nazo zinceda. Ezi zibandakanya i-benzodiazepines (ngokuqhelekileyo i-clonazepam), iM Mirapex (igama eliqhelekileyo elingu-pramipexole), kunye ne- Artificial (igama eliqhelekileyo elithi ropinirole). Ezi ntshukumo zinokuthi zenzeke ngokubhekiselele kwiziganeko zokuphazamiseka kokulala kwe-apnea, kwaye ke unyango luya kujolisa ingxaki yokuphefumula.
ILizwi
Ukuba ukunyakaza komlenze wakho kukuphazamisa kuwe ebusuku, kufuneka wenze i-aphoyintimenti yokubona ingcali yokulala kwaye imeko yakho ihlolwe kakuhle.
Emva kwesifundo sokuxilonga, isizathu sichongwa ngokuchanekileyo kwaye unyango olufanelekileyo luya kulandelwa. Njengoko ukunyakaza kungaphumelela kwisibini kwimiphumo yokuphefumla, kuyakufuneka ukuba uqinisekise ukuba ukuphazamiseka kwe-apnea akuyi kubangela ukuphazamiseka. Ngethamsanqa, ukhetho olusebenzayo lunokuzinqanda imilenze ebusuku kwaye lukhokele konke okufuneka usebenze kakuhle.
Imithombo:
I-American Academy yoLondolozo lweMpilo. Ulwahlulo lwamazwe ngamazwe lweengxaki zokulala. Wesi-2. 2005.
Lesage, S. et al . "Iimilenze zesifo esingenasiphelo kunye neengxaki zentshukumo yokuhamba kwentshukumo: ukuhlaziywa kolawulo." Semin Neurol . 2004; 24: 249.