Unyango luquka i-Arthritis, Prazosin, kunye ne-SSRI Medication
Sonke sineempophiso ezimbi okanye iindlobongela . Kodwa ukuba unesifo sengxaki esiphezulu sokukhathazeka (PTSD), unokuhlaselwa yimihla ngemihla egcwele ubusuku ngaphezu kokuba unako ukubala. Funda malunga nale meko, indlela ehambelana ngayo nokuphazamiseka kokulala njengama-nightmares, kwaye ziziphi iindlela zokwelapha ezikhoyo.
Njani kwaye i-PTSD ithinte njani ixesha lokulala?
I-PTSD idibanisa iimpawu ezivela ngenxa yesifo.
Ibonakala ngeengcamango ezingenangqondo, izibilini, kunye neengqungquthela zeziganeko ezidlulayo.
Ukuba unesifo se-PTSD, unokuhlala ufumana ubunzima obuye wanyamezela. Oku kuya kwenzeka emini okanye ebusuku. Izinkumbulo zasebusuku zibonakalisa njengeempazamo eziphazamisayo okanye iindlobongela apho isiganeko sixhaswa khona. Ukongezelela, iinkumbulo zemihla ngemihla, ezibizwa ngokuba yi-flashbacks, zenzeka.
Uyakubona ukuba uye wenyusa ukuvusa, oku kuthetha ukuba usebenza ngokuthe ngqo kwimeko yakho. Oku kunokunxulumaniswa nokuxhalabisa okukhulu. Ezi zimpawu zingakhokelela ekubeni ubunzima behla okanye bahlale belele, okuyizinto ezibalalisa ukulala .
Kuqikelelwa ukuba ubusuku bobusuku buvela kwi-5% yabantu bonke. Kwisifundo seVietnam esilwa nama-veterans, ama-52% abike ama-nightmares ayenzeka ngokuqhelekileyo. Xa umntu ufumene iimpawu zePTSD, u-71% ukuya kwi-96% uneempawu zobusuku.
Oku kubonakala kukuphakamileyo phakathi kwabo bantu abanenkxalabo yokuxhalaba okanye yokuphazamiseka kokuphazamiseka. Ezi ntlungu zingabanjwa ngamaxesha amaninzi ngeveki kwaye zinokuba nzima, ziphazamise ukulala komntu ochaphazelekayo kunye nabanye ekhaya.
Kutheni i-PTSD ichaphazela ukulala?
Isifo ngokwaso sibonakala siphumela kwi-intsebenziswano yemvelo.
Olunye uphando lubonisa ukuba izinto eziphathekayo ezichaphazela ukuthuthwa kwe-serotonin, iikhemikhali ebuchosheni obudlulisela iimpawu, zingadlala indima. I-Serotonin, ngaphezu koko, ineempembelelo ezibalulekileyo ekumanyeni iimvakalelo nokulala.
I-PTSD kunye neengqungquthela: Ngaba kukho unyango oluya kunceda?
Iimpawu ezibuhlungu kunye ne-flashbacks ezinxulumene ne-PTSD zihlala zihamba kunye nokuxhalabisa kwaye zihlala zihlaselwa. Uhlobo lokucebisa olubizwa ngokuba yi-CBT) luye lwaboniswa lulona lusebenza kakuhle ekuphatheni iindlobongela ezihlobene ne-PTSD. Olu unyango lunokukunceda uqonde kwaye utshintshe iingcamango malunga neentlungu kunye neempendulo zakho.
Kukho iintlobo ezininzi ze-CBT ezikhoyo, kubandakanywa neCynitive Processing Treatment (CPT).
I-CPT inceda ukukuqeqesha ukuba ufakele ezi ngcamango ezingalunganga ngeengcamango ezichanekileyo nangaphezulu. Inokukunceda ekujonganeni neemvakalelo zomsindo, ityala, kunye noloyiko oluhambelana neengxaki ezidlulileyo. Umgqirha unokukunceda ukuba uqhube umcimbi, funda ukuba ungazitshali, uze ufumene ukuba isiganeko asiyonto yakho.
Xa unyango olukhuselekileyo, uya kufunda ukuba ungabesabi kangako ngeemvakalelo zakho. Naziphi na iingcamango, iimvakalelo, okanye iimeko ezikukhumbuza ngayo intlungu iya kuba nzima.
Ngokucinga malunga neentlungu ezilawulwayo, kwindawo ekhuselekileyo, uya kuba nexinzelelo okanye ungakhathazeki malunga nesiganeko. Oku kufezwe ngenye inxaxheba ngokungafuneki. Oku kukukunceda ukulungisa iingcinga kunye nokukhumbuza iinkumbulo ezimbi ngokusebenzisana nabo ngokunyuka. Kwezinye iimeko, ukungenelela okubizwa ngokuthi "ukukhukula" kusetyenziselwa ukujongana neengcinga ezininzi ezimbi ngokukhawuleza. Ukongeza, iindlela zokuphucula - ezifana nokuphefumla okanye ukuphumla kwemisipha - kunokudibaniswa ukunceda ukuxhalabisa xa uhlolisisa imemori ephazamisayo.
Ukunyuswa kweejoka kunye nokubuyisela
Olu unyango lukunceda ukuba utshintshe indlela osabela ngayo kwiikhumbuzo ezibuhlungu.
Ngexa ucinga okanye uthetha ngezi zikhumbuzo, ugxininisa ingqondo yakho kwezinye izinto. Ezi ziquka ukuhamba kwamehlo, iipompo zandla, okanye izandi eziphindaphindiweyo. Umgqirha unokushukumisa isandla phambi kwakho kwaye ulandele ukunyakaza ngamehlo akho. Oku kubonakala kuncedo, kodwa akucaci ukuba ukuxubusha ingozi leyo ngokwayo ngokwaneleyo okanye ukuba ukunyakaza kuyincenye yonyango.
Indima yeMedication kwi-PTSD kunye neNtshonalanga
Ngaphandle kwezi zonyango, amayeza anokuba negalelo ekuphatheni iimpawu ze-PTSD. Kukho ezinye ezijoliswe kwiimpawu ezithile. Kwimeko yeembambano, iyeza elibizwa ngokuba yi- prazosin lifunyenwe liphumelele. Iimiphumo zaso ziquka amaconsi exinzelelo lwegazi, intloko, kunye nokunyaniseka.
Kukho ezinye iimpawu zonyango ezingaphumelela ekuphatheni iimpawu ezinxulumene ne-PTSD. Ezi ziquka i-serotonin e-reuptake inhibitors (SSRIs) ekhethiweyo esetyenziselwa ukuphatha uxhalaba kunye nokudakumba, okufana ne:
- Citalopram (Celexa)
- Fluoxetine (Prozac)
- I-Paroxetine (Paxil)
- Sertraline (Zoloft)
Kwiimeko ezininzi, ukudibanisa imithi efanelekileyo kunye neyeza kunokusebenza kakuhle ukuphucula okanye ukulungisa imeko.
ILizwi
Ukuvuleka malunga neendlongo zakho okanye ezinye izinto ezixhalabileyo kunye nogqirha wakho kukuqala kokufumana ukuphumla komsindo oyifunayo. Qala ngokuba nencoko ecacileyo malunga neenkxalabo zakho kwaye uqale ukufumana uncedo oluya kukushiya ulale ngokubhetele.
Imithombo:
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IZiko leSizwe lePTSD. Isebe leMerika yeeMfazwe .
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Stein, DJ kunye al . "Ingxaki yokuxinezeleka emva kwexesha elilandelayo: amayeza kunye nezopolitiko." Lancet . 2007; 369: 139.
Taylor, FB et al . "Iimpembelelo zePrazosin kwiimilinganiselo zokulala ezijoliswe kuyo kunye neempawu zekliniki ezibangelwa yintlungu yokuxinwa kwe-posttraumatic disorder: i-studybo elawulwa yi-placebo." Biol Psychiatry. 2008: 63: 629.
Vieweg, WV et al . I-posttraumatic disorder disorder: i-clinical features, i-pathophysiology, kunye nonyango. " Am J Med . 2006; 119: 383.
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