In "Detective Conan", many characters look extremely similar and can only be distinguished by different hairstyles, costumes or other logos.
Kudo Shinchi &3333Hathoku Heiji
Muri Ran &Mila Princess
Kudo Yusaku &Hiyashi
In the medical community, there are some diseases that are quite similar, making people stupid and can't tell them clearly.
What is PLMD?
PLMD (periodic limb movements disorder) is a sleep disorder characterized by repeated attacks during the sleep period and is characterized by stereotyped limb movements. is also called periodic limb movement disorder.
is mainly contracted by the anterior tibialis muscle. One or both sides of the toes and ankles are suddenly dorsiflexed and twitched. Each time is 0.5 to 5 seconds, and should be at least 3 consecutive times, with a interval of 5 to 90 seconds, which often occurs during light sleep.
1. The difference between PLMD and restless leg syndrome
Scan the lightly, PLMD is easily confused with restless leg syndrome.
In addition to the reason why "the symptoms mostly appear in the legs", "high comorbidity rate" is also one of the reasons that is easy to confuse.
80% - 90% of patients with PLMD also suffer from restless leg syndrome. is really the sisters of era , and will never be separated. Although
is very similar, the two are actually different diagnoses that are mutually exclusive and are two diseases.
is like Shinichi Kudo and Kidd, although he looks the same, one is a detective and the other is a thief.
PLMD refers to the stereotyped limb activities that occur repeatedly during the sleep period.
is characterized by repetitive and rhythmic cramps or twitches in the legs.
Hypersal pain is mild, and the general symptoms are weakness, weakness, numbness,
Even if the cramps are like chicken feet, the patient himself is basically Disaware of the movement of the limbs and the damage caused to sleep.
restless leg syndrome is different, it is a sensorimotor disorder disease.
Its main clinical manifestation is that when sleeping at night, the deep part of the lower limbs is like insects crawling, with a tear, peristaltic, burning or itching sensation.
Hypersals have strong pain and are often unbearable.
Hypers need to keep moving the lower limbs or walking down the ground to temporarily relieve it.
2. The incidence of PLMD
3PLMD is related to age.
is rare in children, rare in young people, and common in the elderly.
30-50 years old, the incidence rate is 50%; it is about 29% over 50 years old; it is over 65 years old, the incidence rate is close to 44%.
And as you age, the incidence of PLMD will increase significantly.
Although PLMD is rare in children, if the child suffers from sleep apnea or neuropsychiatric diseases, the risk of PLMS will be greatly increased.
Fortunately, in the matter of " equality of men and women ", PLMD can achieve equality, that is, there is no gender difference in the incidence of PLMD, and the impact on men and women is basically the same.
3. What causes PLMD?
PLMD is divided into primary and secondary.
For primary PLMD, scientists have not yet identified the specific reasons, but have given two potential factors:
First, the brain lacks dopamine , which weakens people's ability to control muscles.
pamine is a neurochemical produced in the mind and plays a crucial role in controlling movement.
2 is poor communication between nerve cells along the spinal cord , resulting in dysregulation of the motor innervation trunk muscle. There are many reasons for secondary PLMD. Including: diabetes , iron deficiency, pregnancy, caffeine , spinal cord injury or tumor, uremia , chronic liver failure, anemia , neurological disorder (such as attention deficit hyperactivity disorder , multiple sclerosis , Parkinson's disease ) , side effects of drugs (including certain drugs for treating depression , antipsychotic drugs, central stimulants) , etc.
4. What are the dangers of PLMD?
PLMD seems to be not very harmful, but muscle twitching affects sleep quality, but in fact, the harm of PLMD is far more than that.
Frequent muscle twitching at night will cause patients to show fatigue, memory fatigue, insufficient energy and depression throughout the day, which will further affect work and life.
, especially in elderly patients, frequent insomnia will induce to cause cardiovascular and cerebrovascular diseases .
has the cause of some PLMD patients and is related to potassium ion . When drinking, overfilled, and hungry, it is easy to experience low potassium ion. In addition, causes periodic limb paralysis , that is, limb paralysis, hands and feet are not strong, has difficulty breathing, choking and coughing when drinking water.
There are many causes of PLMD, so the treatment methods are also different.
Medical treatment, cognitive behavioral treatment, surgical treatment, massage treatment...Most patients can be relieved after receiving treatment, and the earlier the treatment, the better the effect, the slower the progress of the disease, and the smaller the chance of complications.
Don’t ignore the treatment because of the small disease. I hope that uu can be vigilant about every small problem in the body. ❤️
