Maemo a kenyelletsa Insomnia, Parasomnias, le Sleep Apnea
Na ua tseba hore na maemo a mangata a ka sitisa boroko joang? Lumela kapa che, ho na le mefuta e ka bang 80 ea mathata a boroko. Ka nako e 'ngoe hoa thusa, ho tloha maikutlong le ka maikutlo a bongaka, ho sheba lethathamo le lelelele la litaba tsa boroko tse ka' nang tsa u ama. Sheba lenane lena le akaretsang la mathata a ho robala a sebelisitsoeng ke lingaka, 'me u ka' na ua ipotsa hore na u kile ua khona ho phomola joang!
Tlhahlobo ea mofuta ona e teng e le hore lits'oaiso tse nepahetseng tsa ICD 9 tse sebelisoang li ka sebelisoa bakeng sa ho lefella le inshorense ea bophelo bo botle, empa li ka u thusa hore u behe bothata bo u sitisang ho robala le ho ikutloa u khatholohile.
Insomnias
Ho hlobaela ho hlalosoa e le bothata ba ho oela kapa ho robala kapa boroko bo sa khatholeng feela. E ka hlaha ka mabaka a mangata. E ka 'na ea amana le mekhoa e metle ea ho robala kapa maemo a mang a bophelo, ho akarelletsa mathata a kelello le tšebeliso ea lithethefatsi. E ka 'na ea etsahala ho bana. Ho ka 'na ha se ke ha e-ba le sesosa se hlakileng. Ho hlobaela ho senyehile ho ea ho maemo a latelang:
Mathata a ho robala a ho robala ( ho hloka boroko bo matla ) (307.41)
Ho hloka lefu la kelello (307.42)
Ho hlobaela ho sa tsitsang (pele e ne e le boroko bo sa nepahaleng) (307.42)
Boloetse ba ho se robale (307.42)
Ho tsieleha ka lebaka la boloetse ba kelello (307.42)
Ho se hloeke ha boroko (V69.4)
Boemo ba ho se robale ha bongoaneng (307.42)
Mofuta oa mekhatlo ea ho robala
Fokotsa meeli ea ho robala
Mofuta o kopanetsoeng
Ho tsieleha ka lebaka la lithethefatsi kapa thepa (292.85)
Ho tsieleha ka lebaka la boemo ba bongaka (327.01)
Ho se ts'oanehe eseng ka lebaka la ntho kapa boemo bo tsebahalang ba physiologic, bo sa boleloang (780.52)
Physiologic (organic) ho hlobaela, e sa tsejoeng; (ho hlobaela ha likokoana-hloko, NOS) (327.00)
Matšoenyeho a Amanang le ho Sithabela
Ho hema ho ka sitisoa haholo nakong ea boroko. Boroko ke boemo ba ho se tsebe letho. Ha u sa tsebe letho, ho ba thata ho boloka sefofane se bulehile 'me sena se ka lebisa maemong a kang apnea ea ho robala. Haeba boko bo sitoa ho qala phefumoloho, bothata bo bitsoang "central apnea" ea boroko bo ka 'na ba etsahala.
Haeba sefofane se oela, se ka 'na sa bitsoa ho thibela ho robala ha boroko. Mathata ana a ka bakoa ka lebaka la mathata a hlahang ha a tsoaloa, mokhoa oa sefofane, mathata a mang a bongaka, kapa tšebeliso ea meriana. Mathata a ho hema a amanang le boroko a kenyelletsa:
Central Sleep Apnea Syndromes
Mokokotlo oa ho robala boroko bo boholo (327.21)
Ho phomola ha boroko bohareng ka lebaka la Cheyne Stokes phefumoloho mokhoa (768.04)
Ho phomola ha boroko bohareng ka lebaka la ho hema ha periodic (327.22)
Ho phomola ha boroko bohareng ka lebaka la bongaka, eseng Cheyne-Stokes (327.27)
Ho phomola ha boroko bohareng ka lebaka la lithethefatsi (327.29)
Ho holofala ha boroko ho tloha bongoaneng (770.81)
Ho thibela Boroko ba Apnea Boroko
Ho thibela ho robala ha boroko, motho e moholo (327.23)
Ho thibela ho robala ha boroko, bothata ba bana (327.23)
Hypoventilation e Amanang le Boroko le Matšoao a Likokoana-hloko
Ho na le li-alveolar hypoventilation tse sa sebetsaneng le boroko, idiopathic (327.24)
Mathata a Congenital central alveolar hypoventilation (327.25)
Hypoventilation e Amanang le Boroko le Hypoxemia ka Lebaka la Bongaka
Ho ba le hypoventilation e nang le boroko kapa hypoxemia ka lebaka la lefu la parenchymal kapa la mesifa (327.26)
Ho na le hypoventilation e amanang le boroko kapa hypoxemia ka lebaka la ho thibela lifofane (327.26)
Ho na le hypoventilation e amanang le boroko kapa hypoxemia ka lebaka la mathata a marako a neuromuscular kapa sefubeng (327.26)
Bothata bo bong ba ho robala bo amanang le ho robala
Ho tšoaroa ke lefu la ho robala kapa ho robala ho amanang le boroko, ho sa hlalosoang (320.20)
Hypersomnias ea Motsoako o Bohareng
Boroko bo feteletseng ba letsatsi le letsatsi bo bitsoa ho qhekella. Hangata sena se bakoa ke ho hloka boroko. Leha ho le joalo, e ka 'na ea boela ea etsahala maemong a kang ho khutlela morao. E ka 'na ea amana le tšebeliso ea meriana kapa mathata a mang a bophelo. Hape ho na le maemo a sa tloaelehang a ka bonang boroko bo feteletseng. Hypersomnias tse ka fumanoang ho ea boko, kapa tsa bohlooho bo bohareng, li kenyelletsa:
Ho senyeha ho hoholo ho nang le bothata bo botle (347.01)
Ho senyeha maikutlo ho sa hlokahaleng (347.00)
Ho senyeha ha maikutlo ka lebaka la boemo ba bongaka (347.10)
Ho hloka bokooa, ho sa tsejoe (347.00)
Litšitiso tse tloaelehileng (780.54)
Lefu la Kleine-Levin (327.13)
Ho ipolaea ho amanang le khoeli (327.13)
Ho ipolaea ke idiopathic nako e telele ea ho robala (327.11)
Ho ipolaea ha idiopathic ntle le nako e telele ea ho robala (327.12)
Tlhahiso ea boitšoaro bo sa lekaneng ba ho robala (307.44)
Hypersomnia ka lebaka la boemo ba bongaka (327.14)
Hypersomnia ka lebaka la lithethefatsi kapa thepa (292.85)
Hypersomnia eseng ka lebaka la ntho kapa boemo bo tsebahalang ba physiologic (327.15)
Physiologic (organic) hypersomnia, e sa tsejoeng (li-hypersomnia, NOS) (327.10)
Circadian Rhythm Bothata ba ho robala
Mokhoa oa tlhaho oa boroko le oa ho tsoha o bitsoa pina ea circadian . Ha sena se senyeha kapa se senyehile hampe, sena se ka fella ka mathata a boroko a ho robala. E tloaelehileng haholo ho feta ke jet lag. Bacha ba ka 'na ba e-ba le nako ea ho robala e liehang. Batho ba sebetsang bosiu kapa bosiu ba ka ba le mathata a boroko. Mathata a boroko a ho robala a kenyeletsa:
Circadian rhythm ho robala bothata, ho lieha ho robala mohato oa mofuta (327.31)
Sekhahla sa Circadian sekoti sa boroko, mofuta o tsoetseng pele oa boroko (327.32)
Sekhahla sa Circadian sekoti sa ho robala, mofuta oa sepakapaka o sa tloaelehang (327.33)
Sekhahla sa Circadian sekhahla sa boroko, mofuta oa mahala (o sa thibeloang) (327.34)
Sekhahla sa Circadian sekoti sa boroko, mofuta oa jet lag (327.35)
Sekhahla sa Circadian sekoala sa boroko, mofuta oa mosebetsing (327.36)
Mathata a ho robala a Circadian ka lebaka la bothata ba bongaka (327.39)
Mofuta o mong oa li-circadian sleep sleep (327.39)
Mofuta o mong oa circadian o robala bothata ka lebaka la lithethefatsi kapa thepa (292.85)
Parasomnias
Parasomnias ke tloaelo ea ho robala e sa tloaelehang e ka amanang le mefuta e 'meli e meholo ea boroko: boroko bo seng ba REM le REM . Bana ba ka 'na ba hlorisa bana, empa ba bangata ba tsoelapele ho ba batho ba baholo. Tse ling li ka 'na tsa e-ba seoa sa mafu a nakong e tlang, ho kenyelletsa le setsoalle pakeng tsa lefu la boitšoaro la REM le mafu a mangata a kang a Parkinson le lefu la Alzheimer. E ka 'na ea e-ba e tšosang kapa e kotsi, e makatsang kapa e tloaelehileng. Maemo a ka 'na a tloaeleha joaloka litoro tsa bosiu kapa ho robala. Li ka amahanngoa le tšebeliso ea meriana kapa mathata a mang a bophelo bo botle. Maemo ana a kenyeletsa:
Mathata a Arousal (a tsoang ho Non-REM a robala)
Ho tsosoa ha maikutlo (327.41)
Ho robala (307,46)
Tšabo ea ho robala (307.46)
Parasomnias Hangata e kopantsoe le boroko ba REM
Mathata a boitšoaro ba ho robala ka boroko (ho akarelletsa le likokoana-hloko tse tsamaeang le bothata le boemo dissociatus) (327.42)
Phoso ea ho robala ea ho robala e sa lebelloang (327.43)
Mathata a bosiu (307.47)
Mathata a ho itšehla thajana (300.15)
Sleep enuresis (788.36)
Ho bobola ho amanang le boroko ( catathrenia ) (327.49)
Ho phatlolla lefu la hlooho (327.49)
Li-hallucinations tse amanang le boroko (368,16)
Mathata a ho ja a amanang le boroko (327.49)
Parasomnia, e sa boleloang (227.40)
Parasomnia ka lebaka la lithethefatsi kapa ntho (292.85)
Parasomnia ka lebaka la boemo ba bongaka (327,44)
Mathata a ho tsamaisana le boroko
Ho na le maemo a fapa-fapaneng a hlahisang mehato e hlahang nakong ea pele kapa ho qala ho robala. Matšoenyeho a tloaelehileng ka ho fetisisa a kenyelletsa meno a sila, maqhubu a maoto, lefu la maoto a se nang khutso, kapa mehato ea maoto a nako le nako. Ha e le hantle, mathata a sekolo a amanang le boroko a kenyeletsa:
Matšoao a maoto a se nang phomolo (ho akarelletsa bohloko ba ho hōla bo amanang le boroko) (333.49)
Mathata a nako le nako a tsamaisana le bothata ba ho robala (327.51)
Litlhoko tsa maoto tsa boroko (327.52)
Bruxism e amanang le boroko (327.53)
Mathata a tsamaeang a ho robala a tšoeroe ke boroko (327.59)
Mathata a tsamaiso ea boroko, e sa tsejoeng (327.59)
Mathata a tsamaiso ea boroko ka lebaka la lithethefatsi kapa lisebelisoa (327.59)
Mathata a tsamaiso ea boroko ka lebaka la boemo ba bongaka (327.59)
Ka ntle ho likarolo tse kholo tsa mathata a ho robala a hlalositsoeng ka holimo, ho na le maemo a sa tšoaneng a tsejoang hore a etsahala. Tsena li ka 'na tsa emela kapa tsa se ke tsa emela boemo bo botle ba' mele, 'me hangata ha bo emele. Hape ho na le maemo a amanang le maemo a khethehileng a meriana. Ho feta moo, mathata a mang a boroko a amahanngoa le maemo a kelello. Bakeng sa phetheho, maemo ana a fapaneng a boroko a thathamisitsoe ka tlase:
Matšoao a arohaneng, ho bonahala eka ke mefuta e sa tloaelehang, le litaba tse sa rarolloeng
Ho robala nako e telele (307.49)
Ho robala nakoana (307.49)
Ho otla (786.09)
Ho robala (307.49)
Boroko bo qala , litlhapi tse ngata (307,47)
Benign sleep myoclonus ho tloha boseeng (781.01)
Ho sisinyeha ha maoto le ho fetola maoto ka leoto nakong ea boroko (781.01)
Myoclonus ea lipropyine nakong ea boroko (781.01)
Excessive fragmentary myoclonus (781.01)
Mathata a mang a Boroko
Phofo e 'ngoe ea physiologic (organic) ea boroko (327.8)
Bothata bo bong ba boroko eseng ka lebaka la ntho e tsebahalang ea boemo ba physiologic (327.8)
Bothata ba ho robala ka tikoloho (307,48)
Mathata a Boroko a Kopantsoeng le Maemo a Khethehileng ka Nako e 'Ngoe
Ho robala ha malapa a bolaeang (046.8)
Fibromyalgia (729.1)
Sethoathoa se amanang le boroko (345)
Litlhaloso tse amanang le boroko (784,0)
Maloetse a reflux a bakoang ke boroko (530.1)
Setha sa coronary se amanang le boroko ke senyesemia (411,8)
Ho sa tloaelehang ho amanang le boroko ho emisa, ho khaola kapa ho laryngospasm (787.2)
Tse ling tsa Matšoao a Maiketsetso a Boitšoaro a Atisang ho Kopana le Tlhaloso e sa Tšoaneng ea Mathata a Boroko
Mathata a moodlo
Matšoenyeho a ho tšoenyeha
Mathata a Somatoform
Schizophrenia le mathata a mang a kelello
Hangata mathata a qala ho fumanoa a sa le ngoana, bongoaneng kapa bocha
Mathata a botho
Haeba u lumela hore u ka ba le bothata ba ho robala, u lokela ho bua le ngaka ea hau ea mantlha ea tlhokomelo 'me u nahane ka ho bona setsebi sa boroko ho rarolla mathata a hau.
Lisebelisoa:
"Sebopeho sa Machaba sa Mathata a Boroko." Sekolo sa Amerika sa Boroko ba Boroko , khatiso ea bobeli, 2005.
Kryger, MH le al . "Melao-motheo le Mekhoa ea ho Sebelisa Meriana ea Boroko." ExpertConsult , khatiso ea bo5, 2011, maq. 680-683.