Ngati muli ndi matenda a Parkinson, mungakhalenso ndi vuto logona
Matenda ogona ndi ofala pakati pa anthu omwe ali ndi Parkinson's (PD). Ngati muli ndi Parkinson ndipo simukugona tulo, ndi bwino kulankhula ndi dokotala wanu, popeza kuchiza matenda anu okhudzana ndi kugona kungakuthandizeni kukhala ndi moyo wabwino.
Njira yoyamba yothetsera vuto lanu lagona ndikutengera chifukwa. Ngati muli ndi nthawi yapakati kapena yochepa PD, mwayi wanu wa kugona umaphatikizapo chimodzi mwa zotsatirazi: kusowa tulo, kugona kwa usana, kupuma kosalekeza kapena kutaya mwendo usiku, maloto okhudzana ndi vuto la REM, kapena kusowa tulo chifukwa cha kudandaula.
Pamene mukufunikira thandizo lachipatala kuti mudziwe zomwe zikuyambitsa mavuto anu ogona, zotsatirazi zidzakuthandizani kumvetsa zomwe zingakhale zikuchitika.
Kusagona
Ngati muli ndi tulo, ndiye kuti mumakhala kovuta kuti mugone tulo tosangalatsa. Anthu omwe ali ndi vuto la kusowa tulo amavutika kugona, ndipo amangogona maola angapo pa nthawi. Mapulogalamu (polysomnographic ndi electroencephalographic (EEG)) akuphunzira za kugona asonyeza kuti anthu omwe ali ndi maganizo a Parkinson, omwe sali ovutika maganizo, amasonyeza kuchepa kwa tulo tofa nato, kugona tulo tambiri komanso kuwonjezeka kwa kugona tulo komanso kubereka usiku.
Kugonana Kwambiri kwa Masana (EDS) mu PD
Kugonana kwapadera kwa tsiku ndi tsiku kumakhala kofala kumayambiriro ndi m'katikati mwa PD ndipo akhoza kugwirizana ndi kusowa tulo. Ngati simungathe kugona tulo tosangalatsa, mudzamva kugona masana. Mankhwala a Parkinson amathandizanso kuti munthu asagone kwambiri.
N'zotheka kuwona "masewero ogona" a tsiku ndi tsiku mwadzidzidzi komanso osatsutsika, omwe amakhala ochepa kwambiri a dopamine agonists pramipexole ndi ropinirole komanso mlingo waukulu wa mankhwala alionse a dopaminergic.
Matenda a Pimboni ya Limb Movement and Restless Legs Syndrome
Kodi nthawi zambiri mumakhala ndi mtima wofuna kusuntha miyendo yanu usiku kuti mumve bwino?
Ngati ndi choncho, mukhoza kukhala ndi vuto la kuyenda kwa nthawi ndi nthawi (PLMD) kapena matenda osapumitsa miyendo (RLS). PLMD imayambitsa kuyenda kochepa kwa miyendo ndi miyendo, pamene matenda osapumitsa miyendo amachititsa kuti tizivutika kwambiri ndi miyendo. Mwachibadwa, ngati nthawi zambiri mumayendetsa miyendo yanu, mumatha kudzuka usiku wonse, ndikulepheretsani kugona tulo tosangalatsa. Kusuntha kwa miyendo nthawi zonse kumakhala kofala kwa akulu akulu komanso omwe ali ndi Parkinson. Matenda a miyendo yopanda chizolowezi nthawi zambiri amakhudza anthu akuluakulu komanso akuluakulu kuphatikizapo anthu omwe ali ndi PD.
REM Sleep Behavior Disorder (RBD)
Matenda a kugonana a REM (RBD) angakuchititseni kuchita maloto okhwima, komanso zingakulepheretseni kugona tulo. Kugona kwa REM, kapena kugona mofulumira kwa maso, ndilo kugona tulo tofa nato pamene muli ndi maloto aakulu kwambiri. Kawirikawiri, pamene mumalota pa nthawi ya tulo ya REM, mitsempha ya mitsempha imakhala yotsekedwa kotero kuti simungathe kuchita maloto anu. Mu vuto la khalidwe la REM, kuti kutseka kwa zofuna za minofu sikukuchitikanso, kotero inu ndinu omasuka kuti muchite malingaliro anu. Ngakhale kuti zowerengera zimasiyanasiyana kwambiri, pafupifupi 50 peresenti ya odwala PD amawerengedwa kuti ali ndi mbali imodzi kapena yoperewera ya atonia musanayambe kugona.
Kugonana komwe kumakhudzana ndi Kutentha kwa PD
Ngati muli ndi vuto lodziletsa, mumakhalanso ndi apnea ogona . Mwamwayi, mavuto ambiri ogona chifukwa cha kugona si ofala pakati pa anthu a Parkinson.
Kugona ndi Kuvutika Maganizo mu Matenda a Parkinson
Kusokonezeka maganizo kumawoneka pafupifupi 40% mwa odwala PD panthawi ya matenda awo. Anthu ambiri omwe ali ndi vutoli, kuphatikizapo odwala PD, amakhalanso ndi mavuto ogona. Mu kupsinjika maganizo, kugona sikukutsitsimutseni ngati momwe mumachitira, kapena mumadzuka m'mawa kwambiri. Maloto a anthu ovutika maganizo ndi osiyana, nawonso - amakhala osowa ndipo nthawi zambiri amasonyeza chithunzi chimodzi.
Mavuto Ogona Pa Maphunziro a PD
Kuwonjezera pa zomwe tatchulidwa kale, panthawi ya PD, mutha kukhala ndi mavuto ogona okhudzana ndi mankhwala opatsirana, monga kuwonetsa .
Pafupifupi 33 peresenti ya odwala a Parkinson m'zaka za m'mawa ndi mtsogolo mliri wa matendawa umakhala ndi zotsatira zokhudzana ndi mankhwala. Zizindikiro zimakhala zooneka bwino (kuona zinthu zomwe sizilipo) m'malo mowamva (kumva zinthu zomwe sizilipo). Nthawi zambiri zimagwirizanitsidwa ndi maloto omveka bwino.
Zotsatira:
Kumar, S., Bhatia, M., & Behari, M. (2002). Matenda ogona mu matenda a Parkinson. Mov Disord, 17 (4), 775-781.
Larsen, JP, & Tandberg, E. (2001). Matenda ogona chifukwa cha odwala matenda a Parkinson: matenda ndi matenda. CNS Mankhwala, 15 (4), 267-275.
Olson, EJ, Boeve, BF, & Silber, MH (2000). Kuyenda mwamsanga kwa maso kugona kwa matenda: matenda, chiwerengero, ndi ma laboratory muzochitika 93. Ubongo, 123 (Pt 2), 331-339.
Pappert, EJ, Goetz, CG, Niederman, FG, Raman, R., & Leurgans, S. (1999). Mafinya, kugona tulo, ndikusintha maloto a Dreaminson mu matenda a Parkinson. Mov Disord, 14 (1), 117-121.
Cartwright, R. (2005). Kulota monga dongosolo la machitidwe a maganizo. Mu: Makhalidwe ndi Zochita za Mankhwala Ogona. Kope lachinayi, (M. Kryger, T. Roth ndi W. Dement Eds); pps 565-572.
Stacy, M. (2002). Matenda a kugona mu matenda a Parkinson: matenda ndi matenda. Kukalamba Mankhwala Osokoneza Bongo, 19 (10), 733-739.