Iintaka Zokuqala Zingayiphendula Ukukhanya Kwebusuku kunye noMoses Melatonin
Kulabo balala ngokukhawuleza ngokuhlwa kwaye bavuke ekuseni kakhulu, kukho esinye isizathu esinokungaqhelekanga: i-dispersion-phase wake disorder. Kuthetha ukuthini isigaba sokulala esiphezulu? Kutheni le ngxaki yengqungquthela yecransdian ingenzeka? Funda malunga nale meko, indlela ekufumanisa ngayo ukuba ngubani, obunokuthi uyayifumana, kunye nokukhethwa kwonyango oluquka ukusetyenziswa kwe-melatonin kunye nokunyanga okunyanga.
Yiyiphi i-Advanced Sleep-Wake Phase Disorder?
Ukuphazamiseka kwesigaba se-sleep-up se- circadian isifo sengqondo esenza ukuba umntu alale ekuhambeni kusihlwa aze avuke kusasa, xa kuthelekiswa nabantu abaninzi. Oku kuqhubela phambili kubini kwiiyure okanye ngaphezulu iiyure ngaphambi kokuba zifunwe okanye zifunwa ixesha lokulala. Ngokomzekelo, umntu ofuna ukulala ukususela ngo-10 ukuya kwe-6 ukuya kwe-6 AM angalala ngo-8 PM kwaye avuke ngo-4: 00.
Abantu abale meko baziva belele kakhulu ngokuhlwa kakhulu kwaye balala ngokukhawuleza ngenxa yoko. Bangakhononda ukuba bavuke kusasa kwaye bangakwazi ukubuyela elele, bafumana ukulala .
- Umzekelo : U-Edith ungumfazi oneminyaka engama-78 ubudala odla ngokulala nge-7 ntambama kwaye ngokuphindaphindiweyo uya kulala ngo-8 ntambama Uyavuka ngo-4 ekuseni kwaye akanako ukulala. Unqwenela ukulala ngo-6 ubuncinane kwaye uchitha iiyure ezimbalwa zokuqala zokulala kwakhe elele ekuphumeni.
Ukuze ufumaneke, iimpawu kufuneka zibe khona ubuncinane kwiinyanga ezi-3. Kubaluleke kakhulu, kusasa kusasa kuvela nokuba kulibaziseka ekuqaleni kokulala. Ezinye izizathu zokuvuswa kwekusasa ekuseni , ezifana nokudandatheka okanye ukulala, kufuneka kukhishwe. Ukunyanzeliswa ngokuqhelekileyo akuyi kubangela ubuthongo bokuhlwa, kodwa i- apnea yokulala engapheliyo ingenzeka .
Izizathu kunye nokuxilongwa
Ukuphazamiseka kwesigaba se-sleep-up senzeke ngokuqhelekileyo kudala. Oku kungakho ngenxa yokulahleka kwemvelo kwempendulo njengengxenye yokuguga, ingakumbi phakathi kwabo baneengxaki zengqungquthela ezifana ne-cataract.
Isigaba sokulala esiphezulu sibonakala sisebenza kwiintsapho. Kubonakala ngathi kuninzi ukuguquka kwemfuyo eyenzekayo, kubandakanya i-casein kinase gene (i- CKI-delta kunye ne-CKI-epsilon ) kwakunye ne- hper1 ne- hper2 .
Ukongezelela, kunokubakho isigxina esiphakamileyo phakathi kwabantwana abaneengxaki zokuphuhlisa ezifana ne-autism.
Ukusabalalisa ngokuthe ngqo kwimeko akungaziwa, kodwa krokrelwa ukuchaphazela ngaphantsi kwe-1% yabantu.
Ukuphazamiseka kwesigaba se-sleep-up esiya kuhamba singasifumana ngokusekelwe kwimbali echanekileyo. Ukuba ulwazi oluthe vetshe lufunekayo, iigodo zokulala kunye ne- actigraphy zingasetyenziswa. Le milinganiselo idla ngokuthatyathwa ngaphezu kweeveki ezi-1 ukuya kwezi-2 ukuseka iipateni zokulala. Kwezinye iimeko, kufuneka kufundwe ukulala ukuze kubone ezinye izizathu ezinokubangela iimpawu, ezifana nokuphalaza kokulala.
Unyango
Ingxaki yokulala-ingxaki yakhe ingaphathwa kakuhle ngokusetyenziswa kwe- phototherapy . Ukuhlwa ngokuhlwa kwelanga kunokunceda ekulibalekeni ixesha lokulala. Ukuba kulukhuni ukukhanya ebusuku, ibhokisi lokukhanya lingasetyenziswa.
Ukongezelela, ezinye iinkalo zengqondo yokuziphatha yokungazinzi (CBTI) zingaqeshwa . Kwezinye iimeko, i-dose ephantsi ye- melatonin ekuseni ingasetyenziselwa, nangona iziphumo zemizila ezifana nokulala ubusuku kungabangela ingxaki.
Ukuba iimpawu ziyaqhubeka, kunokuba kuyimfuneko ukukhusela ixesha elikhethiweyo lokulala ixesha lokuphepha ukukhutshwa komntu. Ukuba unomdla malunga nesizathu sobunzima bakho bokulala, uthetha ngongcali yokulala malunga neendlela ezikhoyo zokuxilongwa nokuchongwa okufanelekileyo.
> Umthombo:
> I-American Academy ye-Medicine Sleep. Ulwahlulo lwamazwe ngamazwe okuphazamiseka kokulala, 3rd ed. Darien, IL: I-American Academy yoLwazi lweMpilo, ngo-2014.