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Iimbangela zeCarcer ezixhumene ne-InsomniaUkungazinzanga kubantu abanomdla kuqhelekileyo kodwa uye wafumana ingqwalasela encinane malunga neengozi ezibangelwayo. Akukhona nje ukuba ukulala ngenxa yokulahla kubaluleke kakhulu kwimpumelelo yobomi kubantu abanomdlavuza, kodwa kubonakala ngathi kunempembelelo embi kwinqanaba lokusinda.
Ukusalalisa kuchazwa njengobunzima bokulala ubusuku obungama-30 okanye ngaphezulu kunye / okanye ukuvuswa kwebusuku kwongezelela kwiminithi engama-30 okanye ngaphezulu, edibene nokukhathala kwamini.
Ekubeni kunceda ukuqonda izizathu ngaphambi kokuxoxa ngonyango, makhe siqale ngokuchaza ezinye zezizathu kunye nemingcipheko yokungazinzi kubantu abanomdlavuza. Ezi ziquka ukuguqulwa kwezinto eziphilayo ezinxulumene nokukhula kwesisu, unyango lwezonyango, iimpawu ezinxulumene nomhlaza nomhlaza wonyango, kunye nokulala nokuhlala kunye nezimo zonyango.
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Ukukhula kweCarcer kubangela ukungabikho kwe-insomniaUkukhula kwe-tumor ngokwayo kuchaphazela iinkqubo ze-biochemical and molecular processes eyenziwa emzimbeni. Ukuba ukhumbule abantu besichaza ngobuthongo obusakhulayo, kufuneka umfanekiso ucace ngakumbi.
Nangona kuncinci okunokuthi kwenziwe ngokuthe ngqo ngenxa yesi sizathu sosila, ngaphandle kokunyanga umhlaza kuyisikhumbuzo sokuba amaxesha amaninzi abangela ukungazinzi kunye nokukhathala asebenza kunye nabantu abanomdla wokubangela iimpawu. Ukulawula ezo zinto ezibangela ukuba sinokulawula, ziba zibaluleke kakhulu.
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Iinguqu Zemvelo ezibangelwa yiCancerXa uthetha ngeenguqu eziphathekayo ezihambisana nokuxilongwa komhlaza, utyando luhlala lucinga kuqala. Iinkqubo zokuphanda umhlaza zingakhokelela ekugqithweni kweendlela ezininzi. Inkqubo yokulungisa eyenza emva kokuhlinzwa iyandisa iinkqubo zezinto eziphilayo ezinokubangela ukulala nokungakhathali. Ukongezelela, ukulala ngexesha lomhla (njenge-anesthetic jikelele) kunye nokuphazamiseka kokulala okungenakukupheka ebusuku ukujonga iimpawu ezibalulekileyo, kunokukhokelela kwimeko apho ukungazinzi kuqala ngokukhawuleza kwonyango lomhlaza.
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Unyango lomhlazaZombili i-chemotherapy kunye neyeza zonyango zingakhokelela ekufeni kweseli, nto leyo ekhokelela ekutshintsheni kweemodeli ezibangelwa ukukhathala nokuphazamiseka kokulala. Amachiza amaninzi asetyenziswa kunye ne-chemotherapy anokuguqula iishedyuli zokulala.
I-Steroids, efana ne-dexamethasone, idla ngokubangela ukuba imeko yexinzelelo yimihla embalwa, eyokulandelwa yimfuneko enkulu yokulala. Abantu abanomhlaza banqwenela ukusebenza kunye noogqirha babo ukuba banqwelise i-chemotherapy kunye ne-steroids ngaphambili kwimihla yokunceda ukunciphisa oku kubangela ukulala.
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Iimpawu zeCarcer kunye neCreatcer TreatmentsKukho iimpawu ezininzi zomhlaza kunye nomhlaza wonyango onokuyidlala ngokulala. Ezinye zezi ziquka:
- Ubuhlungu
- Isihlunu kunye nokuhlanza
- I-peripheral neuropathy
- Isiqhamo
- Ukuqhawukelwa ngumphefumlo
- Ukutshisa okushisayo
- Ukutshiza
- Uhudo
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Imvakalelo yeCarcerIimvakalelo eziqhelekileyo ezihamba kunye nokuxilongwa komhlaza zingabangela ubuhlungu ukukwazi ukulala. Njengoko iingqondo zethu zihlolisisa oko kwenzekayo, iimpawu zokuxhalabisa nokuxinezeleka zivame ukubonakala zikhulu xa ilanga lihla.
Ukuxinezeleka kunye nokukhululwa kwama-hormone oxinzelelo kudlala indima, kwaye ukuxinezeleka kunokuqhubeka nokuqhubeka nobomi emva kokuxilongwa komhlaza. Okokuqala, kukho uxinzelelo lokuxilongwa, olulandelwa ukwesaba ukuphindaphinda okanye ukuqhubela phambili xa umhlaza unomile, okanye ukwesaba ukufa ukuba umhlaza uyaqhubeka nokuqhubeka. Inqaku elilandelayo liza kuhlaziya ezinye iindlela apho ukulawula uxinzelelo kunokuba nefuthe elibi kakhulu ekulawuleni le nto ibangela ukulala.
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UkungasebenziUkufumana umzimba omncinci emini kungenza ukuba nzima ukulala ubusuku, kwaye kukho ezininzi iimeko apho ukungasebenzi kuyenzeka ngokuqhelekileyo ngomhlaza. Ukuziphatha okudlulileyo kunokunyanzeliswa zizibhedlele, izikimu ze-chemotherapy, iiseshoni zeemitha, ukuhanjelwa kwee-oncology, nokubangelwa intlungu kunye nemiphumo yomhlaza ngokwawo.
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Iimeko Zonyango EzikhoyoIzimo zonyango ngaphezu komhlaza zibangela ezibalulekileyo zokulala. Iimeko ezimbalwa ezihambelana ngokugqithisileyo ziquka:
- Ukulala kancinci yimeko eqhelekileyo ephawulwe ngamaxesha afutshane (i-literally, akukho breath) ebusuku. Unokudibanisa ukulala nomgudu wokulala ngokugqithisela okanye ukugcoba, kodwa khangela izinto ezimangalisa ukuphalaza ukulala .
- Iingxaki zeTyroid ziqhelekileyo ngokubanzi, kwaye ziyakwenzeka ngokumalunga nomhlaza okanye i-chemotherapy ngokunjalo. Ukuba ezinye iimbangela zingabonakali ukuba zenze ubunzima bakho, buza ugqirha wakho ngale ndlela. Khangela ezi zinto ezili-10 ukuba wazi malunga neengxaki ze-thyroid kunye nokukhathala .
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YendaloUkuba unake wazama ukuphumla ubusuku obuhle esibhedlele, uyazi ukuba kubaluleke kangakanani ukuhlala kwindawo ebuthongo . Izaziso, izibane ezikhanyayo, kunye nomabonwakude konke kunokuphazamisa ukuqala kokulala. Ngokuqinisekileyo kukho amaxesha apho isibhedlele yindawo engcono kakhulu, kodwa thabatha umzuzu ukuthetha nomongikazi wakho. Ngamanye amaxesha izinto ezincinci, ezifana nokutsala ikhethini, okanye ukunyuka kwigumbi apho kukho ukungqubuzana, kungenza konke umehluko.
Akusiyo nje indawo engummangaliso. Ukucinga malunga nokwesaba kwakho, malunga neengxoxo kunye nabahlobo okanye amalungu osapho awakucasulayo, okanye uzama ukubhalwa uludwe oluza kusengqondweni yakho, unokukunceda.
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Iingxaki zokulalaAbantu ababethelela ixesha lokulala, banenkinga enkulu yokulala. Kuthatha ixesha elithile ukuba umzimba uphucule emva kokubukela iindaba okanye ukuxoxa ngesihloko esicinezelekileyo. Ngamanye amaxesha konke okufunekayo ekupheliseni le nkxalaleko yokulala-bhoxa kuyimfuneko yokulala yokulala ngaphambi kwezinto ezivumela ukuba umzimba wakho wazi ukuba lixesha lokuphumla.
Ixesha elidlulileyo lokuchitha embhedeni, okanye ukulala kwithuba elongezelelweyo lexesha emva kwemini, kungenza kube nzima ukulala ebusuku. Ukuba nokulindela ukulala okungekho nto kungabangela nokuba usweleke. Ukuba umzimba wakho uphilisa kwimithi yokwelapha ungadinga ukulala okungakumbi - kodwa kungekhona yonke imini esetyenziselwe ukulala.
Imithombo:
I-American Society ye-Clinical Oncology. Iingxaki zokulala: Ukungazinzi. Fumaneka ngo-11 / 30/15. http://www.cancer.net/kuvakalisa-khenkca- ukunakekelwa / ngaphandle-effects/sleeping-problems-insomnia
National Cancer Institute. Ukungabikho kwi-Cancer Patients. Ukuhlaziywa 05/22/15. http://www.cancer.gov/about-cancer/treatment/side-effects/sleep-disorders-pdq#section/_3
Roscoe, J. et al. Ukukhathala okuhlobene nomhlaza kunye nokuphazamiseka kokulala. Oncologist . 2007. Isondlo 1: 35-42.