Mitemo Inosanganisira Insomnia, Parasomnias, uye Sleep Apnea
Unoziva here kuti mitemo yakawanda inogona kukanganisa kurara? Unotenda kana kwete, pane makumi mapfumbamwe makumi matatu ehutano hwekurara. Dzimwe nguva zvinobatsira, kubva mune zvepfungwa uyewo maonero ekurapa, kutarisa urongwa hurefu hwehutano hwakagadzikana hunogona kukukanganisa iwe. Dzokorora izvi zvakanyatsorongwa zvinetso zvekurara zvinoshandiswa navanachiremba, uye iwe unganetseka kuti wakambogona sei kuwana zororo zvachose!
Kuongororwa kwezvirongwa zvakadai sezviripo kuitira kuti ICD 9 yakakodzera yekurapa inogona kushandiswa pakubhadhara uye yehutano inshuwarano zvinangwa, asi dzinogona kukubatsira kuti urevere dambudziko rinokanganisa kukwanisa kwako kurara uye kunzwa uchinatsigiswa.
Insomnias
Kunyunyuta kunotsanangurwa sekutambudzika kuwira kana kuramba uchirara kana kurara izvo hazvisi kungozorodza. Inogona kuitika nekuda kwezvikonzero zvakawanda. Inogona kunge yakabatana nekutadza kurara kana zvimwe zvirwere, kusanganisira zvinetso zvepfungwa uye kushandiswa kwezvinodhaka. Zvinogona kuitika kuvana. Ikoko hakugoni kuva nechikonzero chakajeka chaicho. Kushushikana kwakaputsika kusvika mumamiriro ezvinhu anotevera:
Kugadziriswa kurara chirwere ( kusuruvara kwakanyanya ) (307.41)
Psychophysiologic kusuruvara (307.42)
Kunyanya kusuruvara kweupombwe (kare kare kurara kusina kuonekwa) (307.42)
Idiopathic kusuwa (307.42)
Kunyunyuta nemhaka yehutano hwepfungwa (307,42)
Kusakwana kwehutano hwehutano (V69.4)
Kurara kwekuita kwehuduku (307,42)
Kurara-kusangana sangano reboka
Chiremera-kugadzirira kurara
Chikwata chakabatanidzwa
Kunyunyuta nemhaka yemishonga kana zvinhu (292.85)
Kunyunyuta nekuda kwechiremba mamiriro (327.01)
Kunyunyuta kwete nekuda kwechimwe chinhu kana kuzivikanwa physiologic chimiro, chisina kutaurwa (780.52)
Physiologic (organic) kusuruvara, kusingazivikanwi; (kurara kwehupenyu, NOS) (327.00)
Kurara-Kunobatana Kunetseka Kwokufema
Kusuruvara kunogona kuvhiringidzika zvikuru munguva yehope. Kurara ndechekusaziva. Kunyange zvazvo usina chizivo, zvinova zvakaoma kuchengetedza mhepo inovhurika uye izvi zvinogona kutungamirira kumamiriro ezvinhu akafanana nehope yepamusoro. Kana uropi husingakwanisi kutanga kufema, dambudziko rinonzi central apnea yokurara inogona kuitika.
Kana iyo inofamba gwara, inogona kunzi "obstructive sleep apnea". Zvinetso izvi zvingaguma nekuda kwezvinetso zvinowanikwa pakuberekwa, kutenderera kwemhepo, mamwe matambudziko ezvoutano, kana kushandiswa kwemishonga. Matambudziko ekufema ane chokuita nekurara anosanganisira:
Central Sleep Apnea Syndromes
Primary primary sleep apnea (327.21)
Central sleep apnea nemhaka Cheyne Stokes breathing pattern (768.04)
Central apnea yokurara nekuda kwekukwirira kweperiodic periodic (327.22)
Central apnea yokurara nekuda kwechiremba, kwete Cheyne-Stokes (327.27)
Central apnea kubatwa nekuda kwechirwere kana chinhu (327.29)
Kunyanya kuberekwa kwepabonde kubva paucheche (770.81)
Kuvhiringidza Kurara kweApnea Syndromes
Kuvhiringidza kurara kwepabonde, munhu mukuru (327.23)
Kuvhiringidza kubatwa nehope, chirwere chepabonde (327.23)
Kurara-Kunobatana Hypoventilation uye Syndromes Hypoxemic
Kurara-inonzi nonobstructive alveolar hypoventilation, idiopathic (327.24)
Congenital central alveolar hypoventilation syndrome (327.25)
Kurara-Kunoenderana neHypoventilation uye Hypoxemia Nemhaka yeUrapa Mamiriro
Kurara-inofanirwa nehuvhavhadziro kana hypo hypoemia nekuda kwepermonary parenchymal kana vascular pathology (327.26)
Kurara kunofungidzira hypoventilation kana hypoxemia nekuda kwekudzivirira kunodzika kwemhepo (327.26)
Kurara kwehutano hwehutano kana hypocemia nekuda kwehutano hwemuranda neuromuscular or chest (327.26)
Zvimwe Kurara-Kunobata Kuora Kunetseka
Kurara kwepabonde kana chirwere chinopfurikidza nekufema, chisingazivikanwi (320.20)
Hypersomnias yeCentral Origin
Kurara kwezuva masikati kunonzi kubatwa. Izvi zvinowanzoitika nekuda kwekushaiwa kwehope. Zvisinei, zvinogonawo kuitika mumamiriro ezvinhu akadai seancolepsy. Inogona kunge yakabatana nekushandiswa kwemishonga kana zvimwe zvinetso zveutano. Panewo zvinhu zvisingashamisi zvinogona kuratidzira sehope huru. Hypersomnias iyo inogona kuteverwa kuuropi, kana iyo yepakati inotangira, inosanganisira:
Dambudziko rekusagadzikana ne cataplexy (347.01)
Chirwere chisina kukwana pasina cataplexy (347.00)
Kusaputsika kwepfungwa nemhaka yehutano hwemamiriro (347.10)
Kusaputsika, kusingazivikanwi (347.00)
Kudzokorora kwakapedzisira (780.54)
Kleine-Levin Syndrome (327.13)
Kuenda kumwedzi-yakabatana hypersomnia (327.13)
Idiopathic hypersomnia ane nguva refu yenguva (327.11)
Idiopathic hypersomnia pasina nguva refu yakarara (327.12)
Kuzvibata kwakakonzerwa nokusakwana kwechirwere chirwere (307.44)
Hypersomnia nemhaka yehutano hwemamiriro (327.14)
Hypersomnia nemhaka yemishonga kana chinhu (292.85)
Hypersomnia kwete nekuda kwenyama kana kuzivikanwa physiologic mamiriro (327.15)
Physiologic (organic) kugadzirisa, kusingazivikanwi (organic hypersomnia, NOS) (327.10)
Circadian Rhythm Kurara Kuora
Nzira yemuviri yekurara nekumuka inonzi " circadian rhythm" . Kana izvi zvikavhiringidzika kana kusarudzwa zvisina kunaka, zvinogona kukonzera kukanganisika kwemaitiro ekurara kwekurara. Yakawanda kupfuura yose ndeyejet yag. Vechidiki vanogona kutambudzwa nekunonoka kwechikamu chehope. Vanhu vanoshanda masikati kana masikati mashizha vanogona kupinda mumatambudziko ekurara. Izvozvo zvinokonzerwa nehutano hwekurara zvinosanganisira:
Circadian rhythm sleep disorder, kunonoka kwehope yechirongwa chemuviri (327.31)
Circadian rhythm sleep disorder, chirwere chepamusoro chemahombekombe (327.32)
Circadian rhythm sleep disorder, chirwere chisina kukodzera chekurara (327.33)
Circadian rhythm sleep disorder, chirongwa chisina rusununguko (nonentrained) (327.34)
Circadian rhythm sleep disorder, jet lag type (327.35)
Circadian rhythm sleep disorder, shift-work type type (327.36)
Circadian rhythm matambudziko ekurara nemhaka yechirwere chekurapa (327.39)
Zvimwe circadian rhythm sleep disorder (327.39)
Zvimwe circadian rhythm kurara chirwere nemhaka yemishonga kana zvinhu (292.85)
Parasomnias
Parasomnias inowanzoita maitiro ekurara asina kukodzera anogona kuwirirana nemhando mbiri dzakakura dzehope: kwete-REM uye kurara kwe REM . Izvi zvinowanzoshungurudza vana, asi vazhinji vanoramba vari vakuru. Zvimwe zvinogona kuva chirwere chechirwere chemunguva yemberi, kusanganisira kusangana pakati peHIV nehutachiona hwezvirwere uye zvirwere zveusurodegenerative zvakadai saPasinson's disease uye chirwere cheAlzheimer. Zvinogona kunge zvinotyisa kana zvinotyisa, zvisinganzwisisiki kana zvinowanikwa. Mamiriro acho angave akafanana seanoita mahombekombe kana kuveza. Zvinogona kuenzaniswa nekushandiswa kwemishonga kana zvimwe zvinetso zveutano. Mamiriro aya anosanganisira:
Matambudziko eArousal (kubva kune-Non-REM Kurara)
Confusional arousals (327.41)
Kurara (307.46)
Kurara Zvinotyisa (307.46)
Parasomnias Kazhinji Akasanganiswa neR sleep
REM kurara mamiriro ekusawirirana (kusanganisira chirwere chepachirwere chinosangana nedambudziko uye chimiro dissociatus) (327.42)
Kudzokorora kusarara kurara kuparara (327.43)
Nightmare disorder (307.47)
Kurara-dzakasiyana-siyana dissociative disorders (300.15)
Kurara enuresis (788.36)
Kuruma kunobata hope ( catathrenia ) (327.49)
Kuwedzera musoro wehutano (327.49)
Kurara kunokonzerwa nehope (368.16)
Kurara-chinokonzera kudya chirwere (327.49)
Parasomnia, isina kutaurwa (227.40)
Parasomnia nemhaka yemishonga kana chinhu (292.85)
Parasomnia nekuda kwechiremba (327.44)
Kurara-Kunobatanidza Kurwisana Kunetso
Kune mhando dzakasiyana dzemamiriro ezvinhu anoguma nekufamba kunoitika munguva kana kuti kusati kwatanga kutora. Matambudziko anowanzobatanidza kusanganisa mazino, makumbo emakumbo, maitiro emakumbo asingagadziki, kana kufamba kwechimiro chezviitiko. Pakuzara, zvinetso zvekurara zvine chokuita nehope zvinosanganisira:
Misodzi yemakumbo asingagadziriswe (kusanganisira marwadzo anowedzera kurara) (333.49)
Periodic limb movement inobata chirwere chokurara (327.51)
Kurara kwemakumbo makumbo (327.52)
Kurara bruxism (327.53)
Kurara-rhythmic movement disorder (327.59)
Kurara-kunokonzerwa nehutano hwekufamba, husingazivikanwi (327.59)
Kurara kunokonzerwa nechirwere chinokonzerwa nemishonga kana chinhu (327.59)
Kurara kunokonzerwa nechirwere chinokonzerwa nemamiriro ezvinhu ehutano (327.59)
Kunze kweboka guru rematambudziko ekurara akarondedzerwa pamusoro apa, kune mhando dzakasiyana dzemamiriro ezvinhu anozivikanwa kuitika. Izvi zvinogona kana kuti hazvingarevi kurwara, uye kazhinji hazviiti. Kunewo mamiriro ezvinhu anosangana nemamwe maitiro emishonga. Uyezve, mamwe matambudziko ekurara anonyatsobatanidzwa nemamiriro epfungwa. Nokukwana, izvi zvakasiyana-siyana zvehope zvakanyorwa pasi apa:
Isolated Zviratidzo, Sezviri pachena Zvimwe Zvimwe, uye Zvisingagadziriswe Matambudziko
Nguva refu yokurara (307.49)
Short sleeper (307.49)
Kuchengeta (786.09)
Sleeptalking (307.49)
Kurara kunotanga , hypnic jerks (307.47)
Benign sleep myoclonus kubva paucheche (781.01)
Hypnagogic foot kudengenyeka uye kushandura mutsara musungo panguva yekurara (781.01)
Myoclonus eprofospinal panguva yokurara (781.01)
Excessive fragmentary myoclonus (781.01)
Mamwe Matambudziko Okurara
Dzimwe physiologic (organic) chirwere chehope (327.8)
Rimwe dambudziko rehope kwete nekuda kwechizivo chinonzi physiologic chimiro (327.8)
Dambudziko rekuvata kwehupenyu (307.48)
Matambudziko Okurara Akabatana neMitemo Inoshandiswa Pamwe Pamwe
Kurasikirwa kwemhuri inouraya (046.8)
Fibromyalgia (729.1)
Kurara kunokonzerwa nehope (345)
Musoro wemusoro wakarara (784.0)
Kurara-gumoroseophageal reflux chirwere (530.1)
Chirwere chekoroni chinokonzerwa nehope ischemia (411.8)
Kurara kwakasiyana-siyana kunomedza, kunya, kana laryngospasm (787.2)
Zvimwe zvepfungwa dzepfungwa dzekuita maitiro zvinowanzowanikwa mukutarisa kwakasiyana-siyana kwekutambudzika kwehope
Matambudziko epfungwa
Matambudziko okuzvidya mwoyo
Somatoform zvinetso
Schizophrenia nedzimwe pfungwa dzepfungwa
Zvinetso zvinowanzotanga kuongororwa mucheche, huduku, kana kuti kuyaruka
Unhu hwemunhu
Kana iwe uchidavira kuti unogona kunge uine chirwere chehope, iwe unofanirwa kutaura newachiremba wako wekugadzirira uye funga kuona chiremba wekurara kuti agadzirise zvinetso zvako.
Sources:
"Kurongeka Kwepasi Pese Kwekushaya Hope." American Academy of Sleep Medicine , 2nd edition, 2005.
Kryger, MH et al . "Mazano Nezviito Zvokurapa Mishonga." ExpertConsult , 5th edition, 2011, mapeji 680-683.