Ukwenza iMiphumo ingakhokelela ekulimaleni, iphendule kwiMithi
Indoda ephuphayo yokulwa nesilwanyana sasendle kwaye ivuke ukuzithoba umfazi wayo ngengalo. Omnye amaphupha okugxuma phezu kwengozi kwaye avuke ebhedeni aze afike phantsi. Emva kokuphosa i-punch ebuthongweni, indoda iya kumgqirha ngokukhawuleza ukuze iqhube uphononongo. Ukuba wena okanye umntu obathandayo uye waphupha amaphupha ngelixa ulele ubuthongo, ingaba yimeko eyaziwa ngokuba yi-REM yokukhubazeka kwesifo.
Ziziphi iimpawu, izizathu, kunye nonyango le meko? Funda malunga nokuba le ngxaki ingafumaneka njani kwaye iphathwe ukukhusela ukulimala.
Inkcazo
Ngelo busuku, ngokwemvelo sithuthuka ngokusebenzisa izigaba zokulala , kuquka ukuhamba kwamehlo okukhawuleza (REM) ukulala . I-REM iqhelekileyo ibonakaliswe ngumsebenzi wobuchopho obukhulu kunye nokuphupha-kunye nokukwazi ukusebenzisa izihlunu zethu, ngaphandle kwemisipha yethu yamehlo kunye nesicathulo (esivumela ukuba siphefumle). Ukulala kwe-REM kwenzeka ngexesha elizeleyo ubusuku malunga nemitha engama-90, kwaye kugxininiswa kwisithathu sokugqibela sobusuku njengoko ixesha liba lide ngakumbi ngaphambi kokuvuka.
Ukuba ezinye izihlunu zethu zikhubazeke kakuhle, sinokwenza imisebenzi enzima kwaye senze amaphupha ethu ngelixa sihlala silele. Oku kuthiwa yi-REM yokukhubazeka kwemiba. Le ngxaki ingakhokelela ekulimaleni kwengozi, kubandakanywa nokulimala kwamalingani okulala.
Iimpawu
Uninzi lwabantu abanalolu daba lubonisa amaphupha angafuniyo kwaye acacileyo abandakanya abaphangi okanye abahlaseli (abantu okanye izilwanyana).
Kukho ukuziphatha okumalunga nokuphupha okuphuphayo. Ukuziphatha okuqhelekileyo kubandakanya:
- Ukuthetha okanye ukumemeza
- Ukuhleka
- Ukufikelela
- Ukuqhawula
- Ukukhahlela
- Ukuhlahlela okanye ukuwela embhedeni
- Ukuqalisa
- Ifenisha yokutshiza
Ezi zihlandlo zihlala zibangele ukulimala kumntu okanye kumlingane wabo wokulala. Ukulimala kunokuba kuyinto encinci (njengemivimbo, ukukhawulwa, okanye ukusika) okanye ubunzima (njengamathambo aphukileyo okanye ukuphuma kumbilini).
Abantu abahluphekileyo banokukhalaza ukuphazamiseka ubuthongo okanye ukulala ngokweqile emini .
Ingxaki yokuziphatha ye-REM ichaphazela abantu abane okanye abahlanu kwi-1,000. Kwimiba engama-90% amacala, kwenzeka kumadoda ase-50s okanye kwi-60s.
Ukuxilongwa
Kwiimeko ezininzi, imbali ebhaliweyo yokuziphatha kwamaphupha kunye nesifundo sokulala esifanelekileyo esibizwa ngokuthi i- polysomnogram (PSG) siya kukwanela ukuseka ukuxilongwa. I-PSG iya kubakho ukubonakalisa ukungabikho okungavumelekanga kwithethini ye-muscle (ebonisa umsebenzi) ngexesha lokulala kwe-REM, okuvumela ukukwazi ukwenza ngokungafanelekanga amaphupha. Kwakhona kubalulekile ukubhala ukungabikho kwemisebenzi yombane kwi- EEG ngenxa yokubanjelwa kwamanye amaxesha ngenxa yezinye iinkqubo ezibangelwa ukuhamba ngokungaqhelekanga ngexesha lokulala.
Ukuphonononga ngokuqhelekileyo kuqhelekileyo kwimeko yokuziphatha ye-REM xa kungekho nxu lumene ne-neurodeergenerative disorder. Nangona kunjalo, le meko ibonakala ngokusesikweni kwezinye izifo.
Iimeko ezidibeneyo
Ingxaki yokuziphatha kwe-REM ihlala ihambelana nezinye iingxaki ze-neurologic, kwaye izigulane ezingama-50% ziza kuba nesinye isifo esifana nesifo sika-Parkinson, isifo sengqondo sengqondo kunye nemizimba ye-Lewy , kunye ne-multiple atrophy system.
Ngaphandle kokuba kungekho nxu lumene neurologic kwi-presentation, i-65% yezigulane ezinokukhubazeka kwe-REM ziza kuqhubeka nokuphuhlisa iminyaka ye-Parkinson okanye i-dementia okanye emashumi eminyaka kamva.
Kuye kucetyiswa ukuba ukukhubazeka kwesimilo se-REM kungabonakalisa isilathisi esinokubaluleka kokuthintela kwangaphambili kwezi ngxaki. Akuyena wonke umntu okhulisa le meko.
Kukho uhlobo oluthile oluqhelekileyo lwe-REM yokukhubazeka kwesifo esingabangela izilonda zengqondo ezinjenge-stroke, i-tumor, okanye kwi-demyelination njengoko inokwenzeka kwi-multiple sclerosis. Olunye ubonakaliso lunokuthi lube nesiphumo samachiza athile (kubandakanywa neengxaki zokuxhatshazwayo kunye nabanye abachaphazela ingqondo), ukuxiliswa kweziyobisi, okanye ukurhoxiswa kotywala okanye utywala.
Ezinye iziphazamiso zokuCamngca ngexesha loLwahlulo oluhlukeneyo
Kukho ezinye iimbandezelo ezinokuthi zineempawu ezifana neengxaki zokuziphatha ze-REM kwaye kufuneka ziqwalaselwe. Ngamanye amaxesha ibizwa ngokuba yi-pseudo-RBD. Ngokuqhelekileyo, ezi ngxaki zingabangela ukunyakaza okungavamile ebusuku okanye ubuthongo obuninzi bomini , kwaye zibandakanya:
- Ukutshatyalaliswa kwemini
- Ukukhubazeka kokulala kokugula
- I-NREM ilala iparasomnias
- Ingxaki yokuhamba kwentsholongwane yexesha
- Ukuhlaselwa kwesoyiko ebusuku
- I-post-traumatic disorder stress (PTSD)
- Ezinye izifo zengqondo
Ezi ezinye izizathu zokuziphatha kwamaphupha azinxulumene nophuhliso lwezinye izifo ezichazwe ngasentla. Ulwaphulo lujoliswe kumbangela ongundoqo.
Unyango
Ngokuqhelekileyo, unyango lweengxaki zokuziphatha ze-REM lujolise ekugcineni umntu ochaphazelekayo kunye nabanye bekhuselekile. Oku kubandakanya ukwenza indawo yokulala ibe yindawo ephephile ngokususa ii-nightstands nezinto ezibukhali. Kwezinye iimeko, i-padding eyongezelelweyo ecaleni kwebhedi inokuba luncedo. Abanye abantu kufuneka bavale umnyango okanye iifestile ukuze bazigcine bengena embi. Xa ukufuduka kugxothwe ngempumelelo ngamachiza, kuncinci ukukhusela okufunekayo.
I-clonazepam yonyango yonyango olunempumelelo kakhulu kwizigulane ezininzi. Ingabangela ukudideka kobusuku ebuthongweni okanye emini, kodwa ke oko kungenza kube nzima kwabanye. Ngenye indlela, i-doses ephezulu ye- melatonin iboniswe ukuba isebenzayo kwizilingo ezimbalwa.
Ukuba unenkxalabo yokuba unokuba neempawu ezibonisa ukukhubazeka kokuziphatha kwe-REM, qalisa ngokuthetha nawe ugqirha uze ufumane unyango kwaye unyango olufunekayo ukuhlala ukhuselekile ngexesha lokulala.
Umthombo:
Mowzoon, N et al . "I-Neurology ye-Sleep Disorders." Ukubuyiselwa kweBhodi ye-Neurology: Isikhokelo esibonakalisiweyo. 2007; 738-739.