Imishanguzo yeMithi, Utywala kunye nokuLawula iMithi ingabangela i-Parasomnias
Ngaba kunokwenzeka ukuba unyango okanye into efana notywala okanye ezinye iziyobisi zibangele ukuziphatha ngokulala? Usenokuba weva ngabantu abenza izinto ezihlekisayo phantsi kweempembelelo ze- Ambien , kodwa ngaba zikhona ezinye iimbangela zokuziphatha zokulala ezibizwa ngokuba yi- parasomnias ? Funda malunga nolwalamano phakathi kwezinto kunye nokulala, ukulala ukutya, ukuqhuba ukulala, kunye nokukhubazeka kokuziphatha kwe-REM .
Yiyiphi imithi eyenza abantu bahlale belala?
Kukho iintlobo zamachiza ezinokubangela ukuziphatha ngokulala, ukusuka kwii-antidepressants ukuya kumachiza aphatha isifo se-Alzheimer. Ngamachiza atyathwe apha ngezantsi, igama legama eliqhelekileyo lihlwini lilandelwe ligama eliqhelekileyo kwi-parenthesis. Zininzi zezi zinto zichaphazela ukulawulwa kwemisipha ngexesha lokuhamba kwamehlo okukhawuleza (REM) ukulala. Esikhundleni sokukhubazeka ngokuqhelekileyo kokukhubazeka , iitoni zomzimba ziyanda kwaye kuba lula ukwenza amaphupha. Oku kunokukhokelela ekuhambeni nasekuziphatheni kokulala njengokubetheka, ukukhaba, ukubetha, ukuxhuma ebhedeni, ukuthetha kunye neminye imisebenzi.
Iimichiza eziqhelekileyo ezisetyenziselwa ukuvuselela i-tone ye-muscle kwi-REM kunye nokukhubazeka kwe-REM yi-serotonin e-reuptake inhibitors (SSRIs) ekhethiweyo. Ezi ziquka:
- Celexa (citalopram)
- Lexapro (escitalopram)
- Prozac (i-fluoxetine)
- Luvox (i-fluvoxamine)
- Paxil (paroxetine)
- Zoloft (sertraline)
Ukongezelela, i-tricyclic antidepressants (TCAs) inokubangela ukuba ithoni ye-muscle yandile kwi-REM kunye neendlela zokuziphatha ngokuphupha.
Amayeza eTCA aquka:
- Elavil (amitriptyline)
- Pamelor (nortriptyline)
- I-Norpramin (desipramine)
- Silenor (doxepin)
- ETofranil (imipramine)
Ezinye iziyeza zonyango ezinokuthi zibangele ukukhubazeka kwe-REM ziquka i-Effexor (venlafaxine) ne-Remeron (mirtazapine). Nangona esetyenziswa kangangoko ngenxa yeminye imiphumo emibi, i-monoamine oxidase inhibitors njenge-Eldepryl (selegiline) inokuthi ifake.
Ekugqibeleni, i-anticholinesterase imithi ye-inhibitor eyanciphisa ukuphahlaka kwe-acetylcholine kwaye isetyenziselwa ukuphatha isifo se-Alzheimer ingakhokelela ekuziphatheni kokulala. La mayeza aquka:
- Aricept (dopezil)
- Exelon (rivastigmine)
- Razadyne (galantamine)
- Namenda (memantine)
Kukho ubungqina bokuba imithi ebizwa ngokuba yi-beta blockers, esetyenziswa rhoqo ekuphatheni uxinzelelo oluphezulu lwegazi okanye izinga lentliziyo elikhawulezayo (i-tachycardia), lingabangela i-hallucinations ehlobene nokulala. La mayeza enyango angabandakanya:
- Coreg (i-carvedilol)
- Inderal (propranolol)
- Lopressor okanye iTrolrol XL (i-metoprolol)
- I-sorine (sotalol)
- Tenormin (i-atenolol)
- Timolol
- ITrandate (labetalol)
- I-Zebeta (i-bisoprolol)
Ekugqibeleni, imishanguzo yemithi esetyenziselwa ukuphathwa ngongobunzima ingabangela i-non-REM parasomnias. Ezi ziphatha zibandakanya ukulala , ukulala kunye nokulala ngokuqhuba. Kunokwenzeka ukuba isondo sokulala kunye nezenzo zobundlobongela zenzeke. Kukholelwa ukuba la mayeza ayicinezela amandla okuvusa (ngokuphakamisa umgca wokuvusa) kwaye oku kungonakalisa inkumbulo nokuqonda. Nangona inxalenye yengqondo iphelile, inxalenye evumela ukunyakaza kunye nemisebenzi inokusebenza. Ezi zonyango zibizwa ngokuba yi-sedatives okanye hypnotics kwaye ziquka:
Nangona iyeza zonyango zingabangela ukuba i-parasomnias ibe yimpembelelo yecala, akuzona izinto kuphela ezinokubangela ukuba le mihla yokulala.
Ngaba Utywala okanye Iziyobisi Ziyabangela Ukulala?
Akukho ubungqina bokuba utywala kunokubangela ukulala ngokuthe ngqo. Ukuziphatha komntu ogxininisayo kuhlukile kumntu olala nje ngokulala. Utywala lubachaphazela ngokucingayo ukucinga: nangona lukhuni, alukho. Ngokwahlukileyo, umntu olalayo akayikukhumbula kona izenzo zakhe emva koko. Iimfudu, kunye nezenzo ezixakekisayo, zigcinwe ekulaleni.
Akukho sikhubekiso okanye siwa nangona kubonakala ngathi "asikho" ngengqondo. Ngokwahlukileyo, umntu oxiliswe ngotywala uya kuba ne-balance balance and failure to walk normally.
Kukholelwa ukuba utshwala lunokubangela ukulala okuqhekezayo, ingakumbi ngenxa yokugula okungapheliyo . Utywala uphinde uxoxise izihlunu zendlela ephezulu kwaye oku kunokukhokelela ekuweleni komoya kubantu abangenakho ukukhupha, okubangelwa ukuba bavuke ebuthongweni. Oku kunokubangela ukuxutywa kwamanye amazwe kunye nokukhokelela kwengozi yokulala. Nangona kunengqiqo, oku akuqinisekanga ngokuvavanywa.
Utywala obungasinokuba negalelo kunokuba nendima encinci ekuvuseleleni iziphatho zokulala, kodwa ukuhoxiswa kotywala kunokususa ezi ziqendu. Ukongezelela, kukho ubungqina bokuthi ukurhoxiswa kwezinto ezingekho mthethweni, kubandakanya i-cocaine kunye ne-amphetamine, kunokuphinda kubangele ukuziphatha kokulala. Ukongezelela, ukurhoxiswa kwimizi yobunjineli yezilwanyana ezifana ne-barbiturates kunye ne-meprobamate inokukwenza okufanayo.
Ekugqibeleni, kukho ubungqina bokusetyenziswa ngokugqithiseleyo kwe- caffeine kunye nekholethidi kunokubangela ukukhubazeka kokuziphatha kwe-REM.
Indlela yokuQonga ukuba ngaba iintlobo zentsebenziswano zixhomekeke kwizinto
Uyakwazi njani ukuba unyango okanye into oyisebenzisayo igalelo ekuziphatheni ngokulala? Okubaluleke kakhulu kukuqwalasela ixesha. Ngaba uqale ukusebenzisa le nkunkuma ngaphambi kokuqala kweempawu? Ngaba iziphatho zibuhlungu xa zisetyenziswa? Ukuba iyeza okanye into ekhutshiwe, ngaba iimpawu okanye iimpawu ziyahamba?
Ngokubanzi, kunokuba kuyimfuneko ukubonisana nodokotela wakho ochaza. Ukuba kunokwenzeka, kunokuba kuyimfuneko ukunqanda iyeza ukuba ubone ukuba i-parasomnias isisombululo.
Kwiimeko ezininzi, ukuziphatha okungavumelekanga kokuziphatha okuphawulwayo kunye namayeza e-hypnotic njenge-Ambien kwenzeka xa imali ethathwe ithatha idosi ecetywayo okanye xa ithathwa ngokungalunganga. Amanqanaba eGazi angadlulela into ebonakala ngathi ikhuselekile. Abasetyhini bayacetyiswa yi-Food and Drug Administration (FDA) ukuba bathathe amanani aphantsi ngenxa yezo mngcipheko. Xa zidibaniswe namanye amayeza asebenza kwingqondo, okanye ngotywala, izingozi zibuhlungu. Ukongezelela, amayeza angathathwa ngexesha elingafanelekanga okanye kunokufumana ixesha elaneleyo lokulala ngaphambi kokuvuka.
Ukusetyenziswa kakubi kwezi zonyango kunokudala ingozi enkulu okanye enye ingozi. Kuyafana nezinye ezinye iziyobisi ezingasetyenziswa kakubi. Akucaci ukuba izinto ezinjalo ezibangelwayo, ezibandakanya i-genetics, zibalulekile kwi-parasomnias engekho ye-REM ehambelana nokusetyenziswa kweziyobisi.
Indlela yokunciphisa izingozi zakho kunye nexesha lokufumana uncedo
Kungakhathaliseki ukuba i-trigger iyimithi enqunyiwe, utywala, okanye inkunkuma engekho mthethweni, kufuneka ufune uncedo xa ufumana ukuziphatha okuhambisana nokulala okungokulimaza wena okanye abanye. Qala ngokuthetha nogqirha wakho wokumisela kwaye, ukuba kunyanzelekile, ubone ingcali yokulala ukuchonga ezinye izinto ezinokuba negalelo kulezi ziphatha.
Ngokuphononongwa ngokucokisekileyo komngcipheko wakho, kunye nokuyeka ukunyusa amayeza okanye izinto, unokukwazi ukulala ngokukhuselekileyo ngaphandle kokwesaba ukwenza amaphupha akho ebusuku.
> Umthombo:
> I-American Academy ye-Medicine Sleep. Ulwahlulo lwaMazwe ngamazwe lweengxaki zokulala, 3rd ed. Darien, IL: I-American Academy yoLwazi lweMpilo, ngo-2014.