Xa Uvuka Uphelile
Isici esibalulekileyo sokugula okungapheliyo ( ME / CFS) ubuthongo obunobunzima obubukhululi ukukhathala. Kubizwa ngokuba ukulala okungapheliyo okanye ukubuyisela ukubuyisela. Kungakhathaliseki ukuba baninzi abantu abahlala ne-ME / CFS, abazange bavuke beziva behla kwaye bekulungele imini.
Abaphengululi bafumanisa ngakumbi ngokungafihlisi ubuthongo kwi-ME / CFS, kubandakanywa nempawu zonyango, impembelelo yayo, nendlela yokuphathwa ngayo.
Yintoni Eyona Ukuphucula Ukulala?
Ukulala okungaqabuliyo akukho nto efana nokulala (okungenzeka ukuba kubekho nabantu abaneli meko.) Akukona ukuba ulala ixesha elingakanani okanye ukuba kunzima kangakanani ukuya khona.
Esikhundleni saloo nto, igama lokulala elingapheliyo lisetyenziselwa ukuchaza ubuthongo obukhulu bokuthi, nangona emva kobusuku obupheleleyo, akushiyi ukuphumla. Abantu abane-ME / CFS babedla ukuvuka bephelelwe amandla kwaye bazive ngathi abazange balale nantoni-kungakhathaliseki ukuba balele kangakanani. Imiphumo yokulala engapheliyo ingaphelelanga nje ukukhathala.
Ukulala okungaqabuliyo kukholelwa ukuba kubangelwa ingxaki ngendlela umzimba wakho ulawula ukulala, okubizwa ngokuba yi-homeostasis yokulala. Ngelixa abantu abane-ME / CFS banakho ukuphazamiseka kokulala, izifundo ezininzi zixhasa i-theory yokuba ukunyamezela kwabo, ukukhathala okukhulu kuvela kwi-homeostasis yokulala ebuthathaka kwaye kungekhona kwezinye izifo zokulala. Enyanisweni, uphando olwenziwa ngo-2013 olupapashwe kwiMpilo yezoLwaphulo lwaButhongo alufumaneki ubungqina bokuba unyango lweengxaki zokulala ubuthintelo lunciphisa ukhathala kwezi meko.
Impact
Iimpawu ezininzi ze-ME / CFS zichazwe ukuba zitshone, ubuncinane kwinqanaba, ukusuka ekuphumeni ukulala. Ziquka:
- ukukhathala okungapheliyo
- ubuthongo bemini
- uxinzelelo olubi kunye nezinye iimpembelelo ezingqondweni ( ingqondo yengqondo )
- ukwandisa ubuhlungu kwintlungu ( hyperalgesia )
- ukukhubazeka jikelele
Kutheni i-Sleep isingaqabuli kwi-ME / CFS?
Izifundo ezininzi zichaze ukungafani okulinganayo kwindlela abantu abane-ME / CFS balala ngayo, kuquka:
- ingqungquthela yengqondo engavumelekanga kwizigaba eziliqela zokulala
- ixesha lokulala elifutshane
- ixesha elide livuke ebhedeni
- ukulala okungaphantsi kwe-REM kunye nezinye izinto ezingafaniyo ze-REM
- ukuhluka kwezinga lentliziyo emini, ukubonisa ukukhubazeka okuzimeleyo
Umzimba wophando okhulayo uxhasa i-hypothesis yokungasebenzi ngokuzimeleyo kwi-ME / CFS, enengxaki kwinkqubo ye-nervous autonomic system (ANS). I-ANS yenziwe yinkqubo enobubele kunye ne-parasympathetic nervous, esebenza ngokulinganayo.
Xa inkqubo ye-nervous sympathetic is activated, ikubeka kwimimandla yokulwa-okanye-yendiza. Ngakolunye uhlangothi, ukusebenziselwa i-parasympathetic kubhekiswa kwindlela yokuphumla kunye nokugaya.
Ukuba uvelwano kunye ne-parasympathetic ayiphumelelanga ngenxa yokungasebenzi ngokuzimela, kunokukubeka kwindawo ephakamileyo yokuvusa nokuqonda xa uzama ukulala. Kuninzi nje ukuba umzali omtsha uhlala ephaphele njani umntwana okhalayo, engazange ahlale ebuthongweni obuhle, ebuthongweni obukhulu.
Unyango
Abaphandi abazange benze iindlela ezininzi zokufumana iindlela ezifanelekileyo zokuphucula ubuthongo, ngoko ke ukunciphisa ukukhathala kunye nezinye iimpawu, kwi-ME / CFS. Kuza kubekho namhlanje, akukho nkunkuma iye yavunyelwa yi-FDA kwesi sifo.
Ucwaningo luka-2010 kwi- Pain Practice lubonise imiphumo emihle kunye neziyobisi ezixhamlayo ze-Xyrem (i-oxybide ye-sodium) .
Nangona kunjalo, eli liyeza lilawulwa ngokuqinileyo kwaye kunzima ukufumana imithi yalo.
Uphando oluthandwayo lokulala ubuthongo lwe- melatonin luxutywe, kwaye uphononongo lwe-2010 kwi- Medicinal Chemistry ekhoyo luchaza ukuba umsebenzi onyanzelekileyo ufuneka ukuba unqume ukuba uyasebenza .
Abanye abantu abanalo meko bavakalisa impumelelo ngemishanguzo yokubanceda balele, kubandakanya ukuxhatshazwa kwezilwanyana kunye ne-prescription okanye kwi-counter-counter-counter-counter. Abanye bathi izongezo ziye zabancedisa ukuba balele kangcono. Ngelishwa, sinalo uphando olululo lwezakhono ezibonisa ukuba ngaba ezi unyango ziphucula ubuthongo obungapheliyo kwi-ME / CFS.
I-ME / CFS ikholelwa ukuba ifana ne- fibromyalgia , leyo ibonisa ukulala okungapheliyo. Zonke izidakamizwa ezivunyiweyo ze-FDA ze-fibromyalgia zonke ziye zaboniswa ukuphucula ukulala kuloo mqathango. ZiyiLyrica (pregabalin) , iCymbalta (duloxetine) ne- Savella (milnacipran) . Kuze kube ngoku, akukho nanye kula machiza afundelwe kwi-ME / CFS.
Oogqirha bahlala becebisa iindlela ezifana nokufunda ukuphucula iindlela, ukuphucula indlela yokulala nokufumana uncedo kuyo nayiphi na ingxaki yokulala ongayinayo.
Ukuba i-ME / CFS iquka intlungu, ukuphathwa kakuhle kwentlungu kunokukunceda nokuphucula umgangatho wakho wobuthongo.
Ngokusebenza ngokusondeleyo kunye nogqirha wakho kwaye uzama ngonyango ohlukeneyo, unako ukufumana unyango olunceda ukunciphisa ukulala okungapheliyo ukuze ukwazi ukuphucula impilo yakho, ukusebenza kunye nomgangatho wobomi.
Imithombo:
> Mariman A, et al. I- acta > i- clinica > iBelgica. 2012 uJan-Feb; 67 (1): 19-24. Ubungakanani bokulala obuncinane bokulala nokulala komini kwisampula enkulu yezigulane ezinezifo ezingapheliyo (i-CFS).
Mariman AN, et al. Ukuhlolwa kwamayeza okulala. 2013 Juni; 17 (3): 193-9. Ukulala kwi-syndrome engapheliyo.
Mikirova N, Casciari J, Hunninghake R. Iinkqubo zonyango ezonyango kwimpilo nakwiyeza. 2012 uJan-Feb; 18 (1): 36-40. Uvavanyo lwe-metabolism yamandla kwizigulane ezinesifo esingapheliyo nesifo sengqondo ngesifo se-serum fluorescence.
> Sanchez-Barcelo EJ, et al. Ikhempi yamayeza okwangoku. 2010; 17 (19): 2070-95. Ukusetyenziswa kliniki ye-melatonin: ukuvavanywa kwezilingo zabantu.
I-Spitzer AR, u-Broadman M. Pain umkhuba: iphephandaba elisemthethweni leNational Institute of Pain. 2010 Jan-Feb; 10 (1): 54-9. Unyango lwe-narcoleptiform yokugula ubuthongo kwi-syndrome engapheliyo kunye ne-fibromyalgia ene-sodium oxbate.