Iinguqu zokulala zingaba nguMqondiso wokuqala weDementia

Ukulimala kwengqondo kunokutshintsha ukulala kwimizila ye-circadian

Esinye sezibonakaliso zangaphambili ezingasichazela ingxaki ngengqondo, njengengqondo, kunokuphazamiseka kwimizekelo yokulala. Kutheni iziguli zingalali? Funda indlela utshintsho kwengqondo oluchaphazela ngayo iipatheni zokulala ngenxa yokulimala kwezakhiwo ezibalulekileyo kunye nendlela iimeko ezikhoyo kwiindawo eziphilayo ezincedisayo zingalimaza ngayo le miphumo.

Ukutshintsha kweBongo kuthinta njani ukulala kwi-Dementia

I -nucleus ye-suprachiasmatic (SCN) kwi- hypothalamus yengqondo ijongene nokulawula iipatheni zethu zokulala.

Oku kudla ngokuba yi- circadian ishythm kuba ezi patheni zihlala ziqhubeka kwixesha elisondeleyo.

Zininzi iintlobo zezifo ezingenayo i-neurodeergenerative - eziquka ukuphazamiseka kwengqondo ezifana nesifo se-Alzheimer , kwakunye nokuphazamiseka kwentshukumo efana nesifo sika-Parkinson - iindawo ezithile zeengqondo ziyakunciphisa ngokuhamba kwesikhathi. Iimbilini ze-Brain (i-neurons) zingabonakali kakhulu kwiikhemikhali ezibizwa ngokuthi i-neurotransmitters, okanye i-debris ingabangela ukuphazamisa umsebenzi wabo. Ukuguqulwa kwengqondo kwehlabathi, ebizwa ngokuthi i-atrophy, inokwenzeka ukuba i-neurons nganye ife. Ukongezelela, imimandla ethile yengqondo ingalahleka.

Ukuba i-SCN ilahlekile, ukukwazi kwethu ukugcina iphethini yokulala ngokuqhelekileyo kuya kuthinteka kakhulu. Oku kungabonakalisa kwiingxaki ezahlukeneyo ze- circadian . Ngokuqhelekileyo, abakhulileyo baya kuba nesifo esiphambili se-syndrome . Oku kuquka umnqweno wokulala nokuvuka ekuseni. Lo mnqweno wokutshintsha ishedyuli yabo yokulala ingaba ngaphaya kolawulo lwawo kwaye ingabonisa utshintsho kwingqondo njengoko lidala.

UkuSundula kunye neempembelelo zokuphazamiseka koButhongo kwabanakekeli

Ukongezelela, abaninzi abantu abanokukhubazeka ngokwemvakalelo, njengokuba kwenzeka kwi-dementia, banokuphazamisa imijikelezo yokulala. Basenokufumana umnqweno wabo wokulala ebusuku bayekezela xa belala emini. Ngamanye amaxesha abantu abathandekayo banokukrokraza ngenxa yesifo sengqondo xa umntu eqala ukwenza imisebenzi engaqhelekanga ebusuku, njengento yokucoca indlu nge-3 okanye enye imisebenzi.

Iipateni zokulala ezingaqhelekanga zibonisa ubuncinane amaxesha amathathu okulala kwiiyure ezingama-24, ngokulala ubusuku obuthathaka.

Ingqungquthela yokutshatyalaliswa kwelanga, apho umntu onomdemokhrasi eqhubeka edidekile kwaye ephazamisekile ngobusuku, angabonisa ingxaki yesiqhelo se-circadian. Le ndlela iphathwe ngokufanelekileyo ngokukhanya okukhanya kunye ne-melatonin, enokuthi isebenze njengexesha lokuhlaziywa kwakhona.

Ngokuqhelekileyo izigulane ezinomdla wokugula komzimba ziya kudideka xa zigcinwa kwindawo eziqhelekileyo, njengekhaya elihlala kuyo, kunokuhlala kwisibhedlele okanye kwindawo yokunakekela abantwana. Ukongezelela, ukusetyenziswa kwenkqubo kunokuqinisa imemori yabo kunye nokuziphatha kwaye bavumele impumelelo enkulu. Kwakhona kungenzeka ukuba ukuhlwa kwelanga kubonisa ukugcinwa kwamanzi okugcina; oko kukuthi, ekupheleni kosuku umntu ongenalo amandla engqondo ukuze ahlale eqaphile malunga nokuqhelaniswa nokucinga kwabo. Ngenxa yoko, baba okanye bangabonakala bedidekile.

Iinguqu zokulala zingaba nguMqondiso wokuqala weDementia

Ukuphazamiseka kokulala kungabonakalisa uphawu lwesifo esingaqala emva koko. Ngokomzekelo, uphando lubonisa ukuba ukunyakaza kwamehlo okukhawuleza (REM) ukuziphatha kwesifo sokulala kungathatha ukuphuhliswa kwesifo se-Parkinson okanye i- Lewy yokugula komzimba eminyaka ngaphambi kokuba le ngxaki iqhubele phambili kwezinye iindawo eziqhelekileyo.

Kubalulekile ukuqaphela ukuba ezininzi iingxaki zeengxaki zeengqondo zinezinto ezibangela ukuphazamiseka kokulala, njengoko iinkqubo zinokuchaphazela indawo yengqondo ejongene nokulawulwa kwemijikelezo yethu yokulala. Oku kunokukhokelela ekuphazamiseni le mijikelezo, kwaye ukuhluka kwezi ngqungquthela ze-circumcadian kungaba ngumqondiso wokuqala wokuba into ethile iyinto engalungile. Ngokuziqwalasela ngokuthe ngqalelo kule nguqu, sinokufumana uncedo olusisiseko kwabo bafuna.

Kulabo abanengxaki yokugula ngengqondo, kunokukho utshintsho oluthile luncedo. Kubalulekile ukugcina ixesha eliqhelekileyo lokulala. Ukukhanya kokukhanya kweMasa kubaluleke kakhulu, kwaye ukukhanya emini nasebumnyameni ebusuku kusiza ukuqinisa iindlela zokulala.

Iziphulo kufuneka zicitshiswe ngexesha lomhla ukuze kulungiswe ukulala ebusuku. Amanani aphantsi e- melatonin anokunceda kwezinye. Ezinye iipilisi zokulala kunye nemigqomo yokulala kufuneka zinciphise ngenxa yobungozi obungakumbi bokudideka, ukugcinwa kwamanzi, nokuwa. Ukuba i- apnea yokulala ikhona, kufuneka iphathwe ukunciphisa imiphumo yesikhathi eside kwimemori.

Ukuba udinga uncedo, fi kelela ugqirha wakho weentsapho uze ucinge ukuthunyelwa kwintetho yokulala xa kufuneka.

> Imithombo:

> Bachman, D. et al . "Ukutshatyalaliswa kwelanga kunye nezinye izidumbu ezinxulumene nexeshana zichaza kwizigulane zengqondo." Uhlolo loNyaka lweMithi. 57: 499-511, 2006.

> Deschenes, CL et al . "Ukwelapha kwangoku ukuphazamiseka kokulala kubantu abaneengqondo." Iingxelo zengqondo zengoku. 11 (1): 20-6, 2009 Feb.

> Dowling, GA et al . "I-Melatonin kunye nokunyanga okukhanyayo ukuphazamiseka komsebenzi kwizigulane ezisezikliniki ezine-Alzheimer's disease." Umbhalo we-American Geriatrics Society. 56 (2): 239-46, 2008 Feb.

> Gehrman, PR kunye al . "I-Melatonin ihluleka ukuphucula ukulala okanye ukuphazamiseka kwilingo elilawulwa yi-placebo elilawulwa yimizuzu engama-almheimer." I-American Journal ye-Geriatric Psychiatry. 17 (2): 166-9, 2009 Feb.

> Hickman, SE et al . "Impembelelo yonyango olukhanyayo olukhanyayo kwiimpawu ezixinzelelekileyo kubantu abaneengqondo." Umbhalo we-American Geriatrics Society. 55 (11): 1817-24, 2007 uNgove.

> Riemersma-van der Lek, uRF et al . "Impembelelo yokukhanya okukhanyayo kunye ne-melatonin kwimisebenzi engqondweni kunye nengacaciswanga kubahlali asebekhulile kwiindawo zokunakekelwa kweqela: ityala elilawulwa ngokungapheliyo." JAMA. 299 (22): 2642-55, 2008 Juni 11.

> Shub, D. et al . "Ukungabikho kwe-pharmacologic yonyango yokulala kwabantu abaneengqondo." Geriatrics . 64 (2): 22-6, 2009 Feb.