Kuchokera pa mpumulo, mwendo wa mwendo wambiri umachokera pa mwana wanu wamphongo ndikufuula, "Ouch!" Nchiyani chimayambitsa makungwa a miyendo usiku? Nthaŵi zina amatchedwa kavalo wa Charley, phunzirani za zopweteka za minofu zopweteka ndi zofala zomwe zimagwirizanitsa.
Kodi Chimake Chakamwa N'chiyani?
Mphungu ya mwendo imatanthawuza ngati ululu wopweteka kwambiri mwendo kapena phazi lomwe limagwirizanitsidwa ndi modzidzimutsa, modzidzimutsa.
Kupachikidwa kumeneku kumapangitsa kuti minofu yokhudzidwayo ikhale yovuta kapena yolimba. Mukafika pa phazi, zingayambitse kuti zala zazing'ono zisinthe kapena zowonjezera mosavuta.
Kuphulika uku kungayambe mwadzidzidzi, popanda chodziwitso chodziwika bwino kapena kutsogoleredwa ndi chenjezo lopweteka kwambiri, ndipo lingachoke mwadzidzidzi. Mafupa ambiri ammapazi amapita kwa masekondi angapo mpaka mphamvu imatha. Pazovuta kwambiri, ngakhale zosavuta, miyendo ya mwendo imatha kwa mphindi zingapo.
Mavulala amphongo angakhudze ng'ombe kapena minofu yaing'ono pansi pa phazi. Nthawi zambiri izi zikhoza kukhudza minofu yopanda pakhosi kumbuyo kwa ntchafu.
Mphungu imatha kupezeka panthawi yopuma kapena pamene mukugona komanso kumadzutsa kudzuka. Chifundo chingapitirire kwa maola ochuluka, zomwe zimapangitsa kuti munthu asagona tulo usiku.
Kuyesedwa kwa minofu pamatumbo a mwendo kumawombera modzidzimutsa maselo a nyanga , omwe amachititsa kuti minofu iwonongeke, motsogoleredwa ndi magulu a maselo a minofu pamtunda kufika pa 300 pamphindi (mochulukirapo kuposa modzidzimutsa minofu).
Zomwe zimapweteka zimachokera kumsokonezo wamtundu wa metabolite kapena kuchokera ku ischemia. Mavulala am'mimba osagona amaoneka kuti sanagwiritsidwe ndi kusintha kwagona kwa kugona.
Kukula
Mavulala amphongo amapezeka kwambiri: pafupifupi munthu aliyense wamkulu wazaka 50 kapena kuposerapo wawonapo kamodzi kamodzi. Ndipotu, kufalikira kumawonjezeka ndi ukalamba.
Ana 7 kapena 7 okha mwa ana kapena achinyamata ali ndi miyendo yamapazi, ndipo sichidziwika pakati pa ana aang'ono. Mosiyana ndi zimenezi, zimachitika nthawi zina mwa akuluakulu (1) mwa atatu (3) aliwonse ali ndi zaka 60 (ndi 6% ali nawo usiku uliwonse) komanso mmodzi mwa akulu akulu (1) mwazaka zoposa makumi asanu (80).
Azimayi amaonanso kuti ali ndi chiopsezo chachikulu chokhala ndi makungwa a m'mapazi. Azimayi oposa 40% ali ndi mimba ndipo nthawi zambiri amabereka nthawi zambiri.
Zimayambitsa
Mavulala am'mimba amatha kuchepera kamodzi pachaka, koma nthawi zambiri, akhoza kuchitika ndi maulendo angapo usiku uliwonse. Izi zingakutsogolereni mwamsanga kufunafuna chifukwa.
Choyamba, ndikofunikira kusiyanitsa miyendo ya mwendo kuchokera ku zofanana zina. Mitsempha yopuma yopanda chilema ingayambitse kupweteka miyendo ndi chikhumbo chosunthira kugona usiku. Zizindikiro izi zimamasulidwa ndi kusuntha ndi_kufunika - sikumagwirizana ndi minofu yopumula kapena kuyimitsa. Mapulogalamu ogona (PLMS) amatha kusinthasintha, kawirikawiri pamagulu kapena mawondo, omwe amapezeka pogona komanso osagwidwa ndi ululu. Dystonias amadziwika ndi kupangika kamodzi kwa magulu ozungulirana, monga biceps ndi triceps mu mkono, akuchita nthawi yomweyo.
Zikuoneka kuti miyendo ya mwendo imachitika pazifukwa zosiyanasiyana: chifukwa chomwe chimayambira sichitha kudziwika. Ambiri ambiri omwe ali ndi ziwalo zowuma miyendo. Komabe, zina mwazifukwa zomwe zikuwoneka zikuphatikizapo:
- Matenda a shuga
- Amyotrophic lateral sclerosis (ALS kapena matenda a Lou Gehrig)
- Matenda opatsirana
- Matenda a mitsempha
- Low potassium (hypokalemia)
- Low calcium (hypocalcemia)
- Mlingo wa magnesium (hypomagnesemia)
- Musanachite masewera olimbitsa thupi
- Kuima nthawi yaitali kuntchito
- Kutaya madzi m'thupi
- Mavuto ena amadzimadzi / electrolyte
- Kuyenda kokha kapena kuyenda
- Matenda a endocrine
- Matenda a Neuromuscular
- Chizungu cha chiwindi
- Hemodialysis
Kuphatikizanso apo, pali mankhwala ena omwe angapangitse chiopsezo chokhala ndi miyendo ya mwendo usiku. Izi zimaphatikizapo njira zothandizira pakamwa, mankhwala osokoneza bongo, teriparatide, raloxifene, diuretics, agonists omwe amatenga nthawi yaitali, komanso statins. Ngati mukudandaula za thandizo la mankhwala ovomerezeka, lankhulani ndi katswiri wanu wamagetsi kapena kuwapatsa dokotala.
Mavulala amphongo akhoza kukhala opweteka kwambiri ndipo ngati amapezeka mosalekeza, ganizirani kuunika. N'zotheka kuti mbiri yakale komanso mayeso ochepa a magazi angathandize kuzindikira zopereka zomwe zingakuthandizeni kuti mugone bwino usiku popanda kusokonezeka kowawa.
> Zosowa
> Allen RE, Kirby KA. "Kuphwanya kwala kwa usiku." Am Phys Physician . 2012; 86: 350-5.
> American Academy of Sleep Medicine. "Zochitika zapadziko lonse za matenda ogona," 3 rd ed. Darien, IL: American Academy of Sleep Medicine, 2014, masamba 299-303.
> Butler J, et al . "Kuphwa kwa mwendo wausiku kwa anthu okalamba." Postgrad Med J. 2002; 78: 596-8.
> Garrison SR, et al . "Kuphwa kwa mwendo wam'mawa ndi mankhwala omwe amatsogoleredwa ndi iwo: kuyendera motsatizana." Arch Intern Med . 2012; 172: 120-6.
> Hawke F, et al . "Zotsatira za mwana wamphongo wam'mawa wotsitsa khalidwe la kugona ndi umoyo wokhudzana ndi thanzi." Qual Life Res . 2013; 22: 1281-6.