Maulendo a Malamulo Angasokoneze Kugona, Kuthandizani Kuti Anthu Asagone ndi Kugona
Kugonana kwapakati pa thupi (PLMS) ndi chimodzi mwa mavuto ogona omwe angayambitse kusuntha kwa miyendo yanu, mofanana ndi matenda a miyendo yopanda phokoso (RLS) . PLMS ndi chiyani? Phunzirani momwe miyendo imachitira usiku ingagwirizane ndi matenda ena ogona ndipo imayambitsa kugwedezeka, kugona, komanso usana.
Kufotokozera Zizindikiro Zomwe Zikuchitika M'nthaŵi Yogona (PLMS)
Mapulogalamu ogona (PLMS) nthawi zonse amatha kuyenda mofulumira kwa miyendo yomwe imapezeka mosavuta pogona pamene munthu yemwe akukhudzidwayo angakhalebe wosadziwa.
Zingaphatikizepo kukwapula, kudula, kapena kuwonjezera miyendo. Chofunika kwambiri, zizindikiro za miyendo yopanda mpumulo (RLS) zimakhala zikudziwika pakutha pamene PLMS imachitika pogona.
Kusuntha komwe kumagwirizanitsidwa ndi PLMS kawirikawiri kumaphatikizapo penti kapena kufalikira pamimba. Nthawi zina, izi zikhoza kuchitika pa bondo. Zitha kuchitika kumbali imodzi kapena kumbuyo ndi kutsogolo pakati pa mbali ya kumanzere ndi kumanja.
Zimayamba kuwonjezeka ndi ukalamba ndipo nthawi zambiri, koma nthawi zonse, zimayenda ndi miyendo yopanda phokoso zizindikiro. Ngati ma CDS amachititsa kufooka kwa tsiku ndi tsiku monga kugona kwapatsiku masana kapena kukhumudwa kwakukulu ndi kugona tulo (ngakhale kwa ogonana naye pabedi), zikhoza kutchedwa matenda osokoneza bwalo lachiwalo (PLMD).
Kuyesa Kukhazikitsa Kuzindikira kwa PLMS
Ndondomeko ya golide yowunikira za PLMS ndi phunziro la kugona lomwe limatchedwa polysomnogram . Monga gawo la phunziro ili, mophatikizapo electrode amaikidwa pa miyendo ndipo nthawizina ngakhale mikono.
Izi zimatha kuzindikira minofu iliyonse kapena kusuntha.
Kwa anthu omwe ali ndi PLMS, padzakhala kayendedwe ka kubwereza (osachepera anayi mzere) omwe angakhalepo kuyambira 1/2 mphindi kufika pa mphindi zisanu. Ngati kayendedwe kamene kamapezeka nthawi zoposa 15 pa ora akuluakulu kapena maulendo asanu pa ola ana ali osachilendo.
Ngati kayendetsedwe kake kamakhudzana ndi kuwukitsidwa kapena kudzutsidwa ku tulo, zikhoza kukhala zofunikira kwambiri. Zingakhalenso zofunikira ngati zimasokoneza bwenzi lakelo. Akadziwika paokha pa phunziro la tulo popanda zizindikiro zogwirizana kapena zovuta, palibe mankhwala ena omwe angakhale oyenera.
Ngati kusamuka sikungathe kufotokozedwa ndi matenda ena, PLMS ikhoza kukhala yodziwika bwino. Apanso, ngati kayendetsedwe kake kamabweretsa kusokonezeka, kugona tulo, ndi kugona tulo tambiri, timatchedwa PLMD.
Kutalikirana ndi PLMS kunatchulidwa pa phunziro la kugona, popanda chifukwa, silofunika ndipo samafuna mankhwala ndi mankhwala. RLS imapezeka kuti imachokera pazidziwitso za kuchipatala (kumverera kosavuta kumapezeka pamilingo yokhudzana ndi chilakolako chofuna kusuntha chomwe chimakhala madzulo pamene wagona pansi ndikutonthozedwa ndi kusuntha) ndipo palibe kuyezetsa kofunika kuti mudziwe vutoli.
Kuchiza kwa Maulendo Omwe Amakhalapo Nthaŵi Yogona (PLMS)
Mwachidziwikire, sikofunika kuti muwone ngati ma ARV ali ndi vuto ngati sakukhudzidwa ndi kusokonezeka kwa kugona. Ngati zimapangitsa kuti munthu asamangogona, asamangogona, kapena asokoneze khalidwe la kugona, ndiye kuti chithandizochi chikhoza kuganiziridwa.
Ndiponso, ngati kusuntha kuli kosokoneza bwenzi lanu, zingakhale zofunikanso kuti zitha kulamuliridwa.
Mankhwala a mankhwalawa angakhale othandiza pochiza PLMS. Mankhwala ambiri ogwiritsira ntchito RLS amathandizanso. Izi zingaphatikizepo benzodiazepines (nthawi zambiri clonazepam), Mirapex (dzina loti pramipexole), ndi Requip (ropinirole). Kusunthika kumeneku kungathenso kugwirizanitsa ndi zochitika zolepheretsa kugona tulo, ndiyeno mankhwalawa angayambitse matenda opuma.
Mawu Ochokera
Ngati miyendo yanu ikukukhumudwitsani usiku, muyenera kupanga msonkhano kuti muwonetse katswiri wa kugona ndikuyesetse bwino.
Pambuyo pa phunziro lachidziwitso, vutoli likhoza kudziwika bwino ndipo chithandizo choyenera chikhoza kuyendetsedwa. Pamene kayendedwe kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kaŵirikaŵiri kadzakhala koyenera. Mwamwayi, njira zothandizira chithandizo zimatha kuchepetsa miyendo usiku ndi kutsogolera zina zomwe mukufunikira kuti muzigwira bwino.
Zotsatira:
American Academy of Sleep Medicine. Mndandanda wa zovuta za kugona. 2d. 2005.
Lesage, S. et al . "Mavuto a miyendo yopanda phokoso komanso matenda osokoneza bongo nthawi zonse: ndondomeko ya kasamalidwe." Semin Neurol . 2004; 24: 249.