Ngexesha elithile, sonke siya kuba neengxaki zokulala. Kwabanye abantu abaphila ne-HIV, ezinye izinto zingabandakanya ngokugqithiseleyo imiba yokulala. Ingaba kuyimpembelelo yezilwanyana ezithile ze-HIV okanye iimeko ezinjengezobusuku zobusuku ezingahle zenzeke, ukungakwazi ukulala kungakwazi ukuphuma kwindawo yomntu jikelele.
Ukungabikho kokulala komgangatho kungabangela ixesha lokukhathala emini, ukwenza kube nzima ukusebenza, ukuya esikolweni, nokuba uqhubeke nemisebenzi yemihla ngemihla. Imisebenzi elula esiyithathayo ngokukhawuleza ibe yinto enkulu yokukhupha umzimba kunye nengqondo.
Ekuhambeni kwexesha, amandla omzimba wokulwa nokusulela isifo ayancitshiswa, ukubeka umntu engozini yokugula nezifo ezinxulumene ne-HIV.
Kutheni Sifuna Ukulala?
Ngokomyinge sichitha malunga nesithathu ebomini bethu bokulala (okanye iiyure ezisibhozo ebusuku). Ukuphazamiseka kwisixa okanye umgangatho wobuthongo esiwutholayo kuthatha umonakalo kwiimvakalelo, amanqanaba emandla kunye noxinaniso. Ukulala kubandakanya indima ebalulekileyo kwimeko yomzimba wethu wokuzikhusela, kunye nokulala ukulala nokungapheli kokulala kudla ngokumalunga nokuphendula komzimba oswelekileyo.
Uhlobo lokulala ebusuku lubandakanya izigaba ezininzi ezide ubude ukusuka emihlanu imizuzu ukuya kwiiyure ezimbalwa. Isigaba ngasinye siqala ngokulala, isigaba apho unokuvuswa lula.
Ukusuka apho, njengoko amagqabi akho engqondo ephuza kwaye uqhubela phambili kwinto eyaziwa ngokuba yi-REM ukulala, umzimba wakho uhamba uhamba kwaye ukwazi ukufeza ubuthongo obunzulu, ukuphumla okufunekayo ukuze uzive ulungele kwaye ucacile.
Ukuphazamiseka okude okanye okuqhelekileyo kwezi zijikelezo kuthatha kuphela nayiphi na inzuzo onokuyenza ngokufanelekileyo, ubusuku obuhle bokulala
Kutheni kubangelwa iingxaki zokulala
Kukho izizathu ezininzi zokuba abantu abane-HIV banokuba neengxaki zokulala. Phakathi kwabo:
- Ukuxhalabisa ngokuqhelekileyo kuyinto engokwemvelo yokuba nesifo esibi esingapheliyo. Ukwesaba okungaziwa, ukuxhaphaza abanye, okanye ukuchazela isimo sakho se-HIV kwabanye kuya kuqikelela ukuba uthatha umthwalo wokuba ulale.
- Ukuxinezeleka kubonakala ngokungakwazi ukulala okanye ukulala ebusuku. Kubantu abanentsholongwane kaGawulayo, iimvakalelo ezingekho ngonyango okanye kwixesha elizayo zingabangela iimvakalelo zokuphelelwa lithemba. Ukwenza izinto zibe zibi nakakhulu, amanye amayeza asetyenziswa ukuphatha uxinzelelo angakuthintela amandla akho okuphumla ebusuku.
- Ukukhathazeka ngemali kunokugcina nabani na ubusuku. Inyaniso elula kukuba i-HIV ixabisa imali, nangenxa yabano-inshurensi kwaye babhaliswa kwiinkqubo zoncedo lweziyobisi . Uxinzelelo olunxulumene nempembelelo yemali yesifo kunokuphazamisa ukukwazi ukulala kakuhle.
- Izifo ezinxulumene ne-HIV zingaphazamisa iipatheni zokulala njengoko zivusa iiprotheni ezithile ezilawula iipatheni zokulala Nangona kungasacacanga ukuba yiyiphi idigri ezi proteins ezinokusichaphazela, ixhasa ukuqala kokuqala kweyeza-antiretroviral ukwenzela ukunciphisa umthwalo wonke usulelo olungathandwanga.
- Iimvumi zentsholongwane kaGawulayo zinganokuphazamisa ukulala. Ngelixa ezininzi iziyobisi ezisetyenziselwa ukuphatha i-HIV azihambelani neengxaki zokulala, siyazi ukuba uSusva (efavirenz) unxulumene nokungazinzi kunye nephupha elicacileyo kwinani labantu abaninzi. Uninzi lubika ukuba, nangemva kokulala ubusuku bonke, abaziva bahlaziyekile okanye bahlaziywe. Uninzi lwezi mpawu, nangona kunjalo, ziyaziwa ukulungisa kwisithuba esinye ukuya kwiiveki ezimbalwa zokuqala isiza.
- Iimpawu ezinxulumene neHIV zingasoloko zichaphazela kakhulu amandla okulala. Ezi ziquka ngezinye izivakalelo ezibuhlungu ze- peripheral neuropathy , kunye nomnxanxu, umonakalo wesibindi sokukhupha ebusuku .
- Ukulala nge-apnea yimeko ebonakaliswa ngamaxesha okuphefumula engekho ebuthongweni. Abantu abanomphefumlo obuthongo baphapha ngokwabo baxhamla baze bahlasele umoya. Nangona kungekho nxu lumene phakathi kwe-HIV kunye ne-apnea yokulala, kukho ubungqina bokuba i-HIV ingabangela ukwandiswa kweetoni kunye ne-adenoids, ingakumbi kulabo abangakhange baphathwe okanye bangaphili.
Ubuthongo luyingxenye ebalulekileyo yobomi obunempilo ngakumbi kubantu abaphila ne-HIV. Ukubeka nje, umzimba ophilileyo ungumzimba ophumle kakuhle. Ukuba unobungozi bokulala okanye uhlale ulele, thetha nomboneleli wakho wezempilo ukunceda ukuchonga okanye ukulungisa le micimbi.
Ingaba itshintsho imishanguzo, ukuqala unyango lwe-antiretroviral , okanye ukufuna ukucebisa ukuxhaswa ngokomzwelo okanye kwengqondo, ukubaluleka kokulala ubusuku obuqhelekileyo akunakuze kube phantsi. Ekugqibeleni, akugcini nje ngokuhlala uphilile; ngokuphathelele ukugcina isimo sengqondo esilungileyo ukuze uqinisekise ubomi obude kwaye obonwabileyo ukuba ungumntu ophila ne-HIV.
Imithombo:
Taibi, D. "Ukuphazamiseka kokulala kwabantu abaphila ne-HIV." Abahlengikazi bakwa-Assoc AIDS AIDS . Jan 2013; 24 (1 Suppl): S72-S85. I-Doi: 10.1016 / j.jana.2012.10.006.
Gemma, C., et al. "Igciwane le-immunodeficiency virus glycoproteins 160 kunye no-41 utshintshe ubuthongo bokulala nobungqondo beekota." J Neuroimmunol. Juni 1, 1999; 97 (1-2): 94-101.