I-Prescription yokulala iipilisi inokunceda ukungadibana kwexesha elifutshane
Ukuba unenkathazo engapheliyo yokuwa okanye uhlale ulele, unokuba nomdla ekufundeni malunga nokusetyenziswa kweepilisi zokulala ukuze uphephe ukulala kwakho. Enye iklasi yemithi yokugada imithi esetyenziselwa ukunyusa ubuthongo yi-benzodiazepines. Ziziphi i-benzodiazepines? Ziziphi iimachiza ezifakwe kuloluhlu? Ngubani ongayisebenzisi imithi ye-benzodiazepine?
Ukuze siphendule le mibuzo, makhe sihlolisise inkcazo evela kwi- UpToDate -inkcazo yezobuchwephesha ezithembekileyo ezisetyenziswe ngababoneleli bezempilo kunye nezigulane ngokufanayo. Emva koko, funda ngolwazi olongezelelweyo malunga noko konke oku kuthetha ntoni kuwe.
"Ii-Benzodiazepines zihlobo lonyango lwamayeza olwenza i-sedation, ukuphumla kwemisipha, kunye nokunciphisa amanqanaba okuxhalabisa. I-Benzodiazepines esetyenziswa ngokubanzi ekunyanga ukulala ngxaki iquka i-quazepam (Doral), i-triazolam (Halcion), i-estazolam (ProSom), itemazepam (i-Restoril) i-flurazepam (iDalmane), kunye ne-lorazepam (Ativan)."Abantu abathwala i-benzodiazepines kufuneka baqaphele kuba ulala ebusweni, enokuchaphazela ukhuseleko lokuhamba, ukusebenza komsebenzi kunye nokwenza izigqibo. Ukongeza, musa ukuthatha i-benzodiazepines ngotywala okanye ezinye iziyobisi ezidityayo, kwaye ungathathi ngaphezulu ugqirha wakho okanye umongikazi uyancoma. I-Benzodiazepines ixhaswa ngokubanzi ukuba isebenzise ixesha elifutshane ngenxa yokuba kuthatha ubusuku busuku kunokubangela ukuba umlutha kwixesha elide. "
Akunakugqithiswa ngokugqithiseleyo ukuba, ngokubanzi, ukusetyenziswa kwala mayeza e-benzodiazepine ngenxa yobunzima bokulala ixesha elide kudikibala. Kukho umngcipheko ophezulu wokuphuhlisa ukuxhomekeka kunye nokuxiliswa kwezi pilisi zokulala. Ukongezelela, la mayeza ayinako ukumiswa ngokukhawuleza ngenxa yengozi yokubanjwa kunye nezinye iziphumo zokuhoxiswa.
Endaweni yoko, umthamo kufuneka uphelelwe xa unyango lugqityiwe. Ukusetyenziswa kwezi zidakamizwa ukunyanga ukugula okungapheliyo akukhuthazwa, njengoko kukho ezinye iindlela.
Nangona kunjalo, ukuba emva kokubonisana ngokugqithiseleyo nogqirha wakho, kugqitywa ukuba ezi zonyango zibonakaliswa ukunyanga ukulala kwakho, unokufuna ukufunda okunye malunga nabo. Nazi iiprofayili zonyango eziqhelekileyo ze-benzodiazepine ezisetyenziselwa ukulala:
- Triazolam (Halcion)
- Estazolam (ProSom)
- Temazepam (Ukubuyisela)
Le mishanguzo ye-benzodiazepine isebenza ngokuzibophelela kubalamkeli be-chemical messenger (okanye i-neurotransmitter) kwingqondo ebizwa ngokuthi yi-GABA. Ama-neurotransmitters ahamba phakathi kweeseliti ze-nerve zokuqhuba iimpawu ngaphakathi kwengqondo. Ngokubopha kwi-GABA's receptors, i-benzodiazepines ikhuthaza ukulala.
Kukho iziganeko ezithile kunye nabantu abafanele basebenzise i-benzodiazepine iipilisi zokulala. Ukuba ukhulelwe, akufanele isetyenziswe. Amayeza e-Benzodiazepine kufuneka asetyenziswe ngokulumkisa ngabantu abanexinzelelo; kwimbali yotywala, ucuba okanye ukusetyenziswa kakubi kweziyobisi; asebekhulile; okanye kulabo abaneempumulo zokuphefumla, isibindi okanye umsebenzi wezintso.
Njengaye naziphi na iziyobisi, kukho inxaxheba yeziphumo eziqhelekileyo nezibi kakhulu.
Ngokukodwa, iimpawu zokurhoxiswa xa unyango lugqityiweyo luya kuba lukhuni kwaye lusongela ubomi. Ngoko ke, kufuneka uxoxe ngokusetyenziswa kunye nokuyeka ukuchithwa kwezi gulane ngokugqithiseleyo nodokotela wakho. Unokufuna ukuncokola ngeendlela zokuncedisa unyango olungenayo i-nonbenzodiazepine.
Ufuna ukufunda ngaphezulu? Jonga i- UpToDate isihloko, "Ukunyangwa kwe-insomnia," malunga nolwazi olungakumbi lwezokwelapha.
Umthombo:
Bonnet, uMichael et al . "Unyango lwama-insomnia." Isemgangathweno. Ukufikeleleka: Oktobha 2011.