Zinthu Zimaphatikizanso Insomnia, Parasomnias, ndi Sleep Apnea
Kodi mukudziwa kuti ndi zinthu zingati zomwe zingasokoneze tulo? Khulupirirani kapena ayi, pali mitundu yoposa 80 ya matenda ogona. Nthawi zina zimakhala zothandiza, kuchokera m'maganizo ndi maganizo a zachipatala, kuti muwone mndandanda wautali wa nkhani za kugona zomwe zingakhale zakukhudzani. Fufuzani mndandanda wa mndandanda wa zovuta za kugona zomwe amagwiritsidwa ntchito ndi madokotala, ndipo mwina mungadabwe kuti mudapumula bwanji!
Kusanthula mndandanda wazinthu monga izi zilipo kuti zida zoyenera za mankhwala a ICD 9 zikhoze kugwiritsidwa ntchito pazinthu zowonjezera ndi inshuwalansi, komanso zingakuthandizeni kulemba vuto lomwe limakulepheretsani kugona ndi kugontha.
Insomnias
Kugonjetsedwa kumatanthauzanso ngati kuvutika kugwa kapena kugona tulo kapena kugona komwe sikungotsitsimutse. Icho chingakhoze kuchitika pa zifukwa zambiri. Zingakhale zogwirizana ndi zovuta za kugona kapena zochitika zina zamankhwala, kuphatikizapo mavuto a maganizo ndi kugwiritsa ntchito mankhwala osokoneza bongo. Zitha kuchitika kwa ana. Mwina sipangakhale chifukwa chodziwika bwino. Kugonjetsedwa kumaphwanyidwa mwazimenezi:
Matenda osokonekera ( kugona kwambiri ) (307,41)
Psychophysiologic insomnia (307,42)
Kutaya tulo koopsya (poyamba anali kugona molakwika) (307,42)
Kugona kwa Idiopathic (307,42)
Kusagona chifukwa cha matenda a maganizo (307,42)
Ukhondo wathanzi wochuluka (V69.4)
Kulephera kugona kwa ubwana (307,42)
Mtundu wothandizira kugonana
Kulekanitsa-kuyika mtundu wa kugona
Mtundu wofanana
Kusagona chifukwa cha mankhwala kapena mankhwala (292.85)
Kusagona chifukwa cha matenda (327.01)
Kulephera kugona osati chifukwa cha chinthu kapena chidziwitso cha physiologic, chosadziwika (780.52)
Physiologic (organic) kusowa tulo, osadziwika; (kusowa kwa madzi, NOS) (327.00)
Matenda Okhudzana ndi Kutentha Kwambiri
Kupuma kumatha kusokonezeka kwambiri pogona. Kugona ndi chidziwitso. Ngakhale kuti sadziwa kanthu, zimakhala zovuta kuti mphepo ikhale yotseguka ndipo izi zingachititse kuti zikhale ngati matenda obisala. Ngati ubongo umalephera kuyambitsa mpweya, vuto limatchedwa apnea yakugona pakati.
Ngati mphepo ikugwa, imatha kutchedwa obstructive sleep apnea. Matendawa angayambitse chifukwa cha mavuto omwe amabwera pakubereka, momwe zimakhalira pamtunda, mavuto ena azachipatala, kapena kugwiritsa ntchito mankhwala. Matenda opuma okhudzana ndi tulo ndi awa:
Central Sleep Apnea Syndromes
Matenda apakati apakati apakati (327.21)
Kugonana kwapakati pakati pa Cheyne Stokes kupuma kupuma (768.04)
Kugonana kwapakati pakati pamtunda chifukwa cha kupuma kwapamwamba kwa periodic (327.22)
Kugonana kwapakati pakati chifukwa cha matenda, osati Cheyne-Stokes (327.27)
Matenda apakati apakati chifukwa cha mankhwala kapena mankhwala (327.29)
Matenda oyambirira ogona tulo (770.81)
Kuletsa Kugonana kwa Apnea Syndromes
Kuletsa kugona tulo, munthu wamkulu (327.23)
Kupewa kugona tulo, matenda (327.23)
Matenda a Hypoventilation okhudzana ndi tulo ndi Matenda a Chiwerewere
Kugonana ndi nonobstructive alveolar hypoventilation, idiopathic (327.24)
Matenda a Congenital central alveolar hypoventilation (327.25)
Kugonana ndi Hypoventilation ndi Hypoxemia Chifukwa Chakudwala
Tizilombo toyambitsa tulo tomwe timakhala tulo kapena hypocemia chifukwa cha matenda osokoneza bongo (327.26)
Tizilombo toyambitsa matenda ogona tulo kapena tizilombo toyambitsa matenda chifukwa cha kuchepetsa kuyendetsa ndege (327.26)
Matenda a hypoentilation ogona tulo kapena hypocemia chifukwa cha matenda a mitsempha ya neuromuscular kapena chifuwa (327.26)
Zovuta Zina Zolimbana ndi Kugona
Kugona kwa mpweya kapena matenda opumula ogona, osadziwika (320.20)
Hypersomnias wa Central Origin
Kugonana kwanthaŵi yamadzulo kumatchedwa kugonja. Izi nthawi zambiri zimakhala chifukwa chosowa tulo. Komabe, izi zikhoza kuchitika pakadali pano monga matenda osokoneza bongo. Zingakhale zogwirizana ndi ntchito ya mankhwala kapena mavuto ena azaumoyo. Palinso mikhalidwe yosaoneka yomwe ingasonyeze ngati kugona kwambiri. Hypersomnias zomwe zingatengedwe ku ubongo, kapena za pakati, zimaphatikizapo:
Kusagwedezeka kwambiri ndi matenda (347.01)
Kusagwedezeka kwapachiphuphu popanda kupanda kanthu (347.00)
Kusagwedezeka chifukwa cha matenda (347.10)
Kusagwedezeka kwa thupi, osatchulidwe (347.00)
Kubwezeretsa kobwerezabwereza (780.54)
Matenda a Kleine-Levin (327.13)
Kusungunuka kwokhudzana ndi msambo (327.13)
Kusokonezeka kwa Idiopathic ndi nthawi yayitali (327.11)
Kusokonezeka kwa Idiopathic popanda nthawi yayitali (327.12)
Matenda osakwanira ogona (307.44)
Mankhwala opatsirana chifukwa cha matenda (327,14)
Hypersomnia chifukwa cha mankhwala kapena mankhwala (292.85)
Hypersomnia osati chifukwa cha chinthu kapena chidziwitso cha physiologic (327.15)
Matenda a physiologic (organic), osatchulidwa (organic hypersomnia, NOS) (327.10)
Circadian Rhythm Kugona Matenda
Mmene thupi limagwirira ntchito ndi kugona ndikutchera. Izi zikasokonezedwa kapena kusokonezedwa bwino, zingayambitse vuto la kugona. Zowonjezereka kwambiri ndizomwe zimathamanga. Achinyamata angakhale ndi vuto la kuchedwa. Anthu omwe amagwira ntchito mochedwa kapena usiku amatha kugona. Mavuto a kugonana kwa circadian ndi awa:
Circadian rhythm sleep sleep, kuchedwa kugona gawo mtundu (327.31)
Circadian rhythm matenda osokoneza bongo, mtundu wapatali wa kugona (327.32)
Chizungu cha Circadian kugona, mtundu wosayenerera wa kugona (327.33)
Mtundu wa Circadian sleep sleep, mtundu wosagwira (wosadziwika) mtundu (327.34)
Mtundu wa Circadian sleep sleep, mtundu wa jet lag (327.35)
Mtundu wa Circadian kugona tulo, mtundu wothandizira (327.36)
Matenda a Circadian akugona chifukwa cha matenda (327.39)
Mavuto ena odwala matenda ogona (327.39)
Zina zowonongeka zagona chifukwa cha mankhwala kapena mankhwala (292.85)
Parasomnias
Parasomnias ndizosiyana makhalidwe osagonana omwe angagwirizane ndi mitundu ikuluikulu ya tulo: kugona kwa REM komanso REM . Izi zikhoza kuvulaza ana, koma ambiri amapitirizabe kukhala akuluakulu. Zina zingakhale zizindikiro za matenda a m'tsogolomu, kuphatikizapo mgwirizano pakati pa matenda a REM komanso matenda osokoneza bongo monga matenda a Parkinson ndi matenda a Alzheimer's. Zingakhale zoopsa kapena zoopsa, zodabwitsa kapena zofala. Mkhalidwewo ukhoza kukhala wochuluka monga zoopsa kapena kugona. Zingakhale zogwirizana ndi kugwiritsa ntchito mankhwala kapena mavuto ena azaumoyo. Izi ziphatikizapo:
Kusokonezeka kwa Arousal (kuchokera ku Non-REM Kugona)
Kukwera kwachisokonezo (327.41)
Kugona (307,46)
Zoopsa Zogona (307,46)
Parasomnias Kawirikawiri Amagwirizana ndi kugona kwa REM
Matenda a kugona a sleeping REM (kuphatikizapo mliri wa matenda odwala matendawa ndi dissociatus) (327,42)
Kugonana komweku kwatokha (327.43)
Matenda a mantha (307.47)
Matenda a dissociative ogona (300.15)
Kugona euresis (788.36)
Kubuula kwa kugona ( catathrenia ) (327,49)
Kugwiritsira ntchito matenda aakulu (327.49)
Zojambula zogonana (368.16)
Matenda okhudzana ndi kugona (327.49)
Parasomnia, yosatchulidwe (227.40)
Parasomnia chifukwa cha mankhwala kapena mankhwala (292.85)
Parasomnia chifukwa cha matenda (327,44)
Kusokonezeka Kwambiri Mogwirizana ndi Kugona
Pali zikhalidwe zosiyanasiyana zomwe zimabweretsa kusuntha komwe kumachitika panthawiyi kapena asanayambe kugona. Matenda omwe amafala kwambiri ndi mano okupera mano, miyendo ya miyendo, matenda a miyendo yosasinthasintha, kapena kusamuka kwa miyendo. Kwenikweni, mavuto okhudza kugonana ogonana akuphatikizapo:
Matenda a miyendo yopanda mapeto (kuphatikizapo zopweteka zokhudzana ndi kugona) (333.49)
Mimba nthawi zonse imayambitsa matenda ogona (327.51)
Mabala a miyendo yogona (327.52)
Bruxism yokhudzana ndi tulo (327.53)
Matenda ozungulirana ogwirizana ndi kugona (327.59)
Matenda osokonezeka ogona, osadziwika (327.59)
Matenda osokonezeka ogona chifukwa cha mankhwala kapena mankhwala (327.59)
Matenda osokonezeka ogona chifukwa cha matenda (327.59)
Pambuyo pa magulu akuluakulu a matenda ogona omwe atchulidwa pamwambapa, pali zinthu zosiyanasiyana zomwe zimawonekera kuti zichitike. Izi zikhoza kuimira kapena sizikuyimira matenda, ndipo nthawi zambiri sizili choncho. Palinso zinthu zomwe zimakhudzana ndi matenda enieni. Komanso, matenda ena ogona amakhala ogwirizana ndi matenda a maganizo. Kuti mukhale wangwiro, izi zili m'munsimu:
Zizindikiro Zopatulidwa, Zikuoneka Zosintha Zachibadwa, ndi Mavuto Osathetseka
Kutaya nthawi yaitali (307.49)
Kugona kochepa (307.49)
Kusungunula (786.09)
Kugona (307.49)
Kugona kumayamba , zimbudzi (307,47)
Benign sleep myoclonus akhanda (781.01)
Kuthamanga kwapansi pa mapazi ndi kusinthasintha kwa miyendo ya mimba pamene mukugona (781.01)
Matenda a myoclonus atagona (781.01)
Zovuta zowonjezera myoclonus (781.01)
Zovuta Zina Zogona
Other physiologic (organic) matenda ogona (327.8)
Matenda ena ogona osati chifukwa cha chidziwitso cha thupi (327.8)
Matenda a kugona kwa malo (307,48)
Kusokonezeka Magona Ogwirizana ndi Zolemba Zina Zina
Kuphanso kwa amayi (046.8)
Fibromyalgia (729.1)
Khunyu yokhudzana ndi tulo (345)
Mutu wokhudzana ndi tulo (784.0)
Matenda a reflux a gastroesophageal (530.1)
Mitsempha yamakono yogona ogona tulo (411.8)
Kugonana kosalimba kumameza, kukumitsa, kapena laryngospasm (787.2)
Mavuto ena a maganizo okhudzana ndi khalidwe labwino Amakhala ndi Mavuto Okhudzana ndi Kugona
Matenda a maganizo
Matenda oda nkhaŵa
Matenda a Somatoform
Schizophrenia ndi matenda ena a psychotic
Nthawi zambiri matendawa amapezeka koyamba kuyambira ali wakhanda, ubwana, kapena unyamata
Matenda a umunthu
Ngati mumakhulupirira kuti mungakhale ndi matenda ogona, muyenera kulankhula ndi dokotala wanu wamkulu ndikuganizira dokotala wogona kuti athetse nkhawa zanu.
Zotsatira:
"International Classification of Sleep Disorders." American Academy of Sleep Medicine , 2 edition, 2005.
Kryger, MH et al . "Mfundo Zothandiza Pogona Mankhwala." ExpertConsult , kope lachisanu, 2011, masamba 680-683.