Isifo Sokuphulukisa Singaletha Ngezinkinga Zokulala
Ukufa kwesifo kungukukhubazeka kokuqubuka okuphindaphindiwe okungase kuqukethe izinguquko ezicashile ekunakekeleni kwangaphandle noma ngisho nokudumala ngokomzimba. Izifo ze-Epilepsy zingase zibe yinto esabekayo kulabo abahlangabezana nabo nalabo ababafakaza.
Kulabo ababhekene nesifo sokuphuza, lo mzabalazo awuhlali njalo unembeza wezinkinga. Cishe u-15% kuya ku-30% wabo bonke abantu ababhekene nesifo sokuwa nesifo sokuphuza bayobhekana nesifo sokulala esikhathini esithile, ngokukhethekile noma ngokuyinhloko.
Ukulala, noma ukuntuleka kwalo, kubonakala sengathi kuhlotshaniswa ngqo nezinguquko ezengeziwe emisebenzini kagesi yobuchopho obuvame ukuba yizici zokugubha. Lezi zinguquko kumsebenzi kagesi zingalinganiswa ne- EEG . Lezi zinguquko, noma ukukhishwa kwe-epileptiform, kuvame ukuqhubeka ngesikhathi sokulala kwe-NREM futhi ikakhulukazi ngesikhathi sokulala kwe-wave-wave . Kubonakala sengathi ngesikhathi se- REM , noma i-Rap Eye Movement ilele, isiteji lapho kuphupha kwenzeka, lezi zinto ezikhishwayo ziyasuswa futhi umsebenzi ongavamile kagesi uthinta ubuchopho obungaphansi.
Yikuphi ukuphazamiseka kwesifo sokuphefumula okuhlangene nokulala kokulala?
Kunezinkinga ezimbalwa zokuhlushwa kwesithuthwane ezihlobene eduze nokubhekene nokulala. Lokhu kuphazamiseka kwesithuthwane kuhlanganisa:
- I-epilepsy yangaphambili ye-lobe
- I-temporal lobe isifo sokufa
- Isithuthwane sesisu se-myoclonic
- Ukuhlushwa kwengane ebuntwaneni ngama-spikes we-centrotemporal
- Ukufa kwesifo nge-generic tonic-clonic ekuthineni
Ziyini Imiphumela Yezinkinga Zokulala?
Kungaba nemiphumela emibi kakhulu yokubamba ukulala.
Uma ukuzamazama kwenzeka okwenzeka ebusuku, kungaholela ngqo ekuvuseni okwenyukayo bese kuhlukaniswa nokulala. Lokhu kuholela ebusweni obuningi besichithwa ngezigaba zokulala okulula futhi kunciphise inani eliphelele lokulala okujulile kwe-REM. Ngenxa yalokho, umuntu olele ebuthongweni angase azwe ubuthongo obuningi obusuku lwezinsuku ngoba abatholanga ukulala okujulile, ukulala okujulile njengoba kudingekile kusihlwa.
Ngakolunye uhlangothi, ukulala okungalahleki kungathinta kakhulu ukuthambekela komuntu wokuthola ukugubha. Ukungatholi ngokwanele kunciphisa umkhawulo womuntu wokuthumba, okusho ukuthi kuba lula kakhulu ukuthola ukugubha. Kulesi simo, abantu abalala kancane bavame ukubhekana nokugwinya okungenzeka. Njengoba lokhu kwenzeka ngenxa yokwanda kwezimoto zokukhishwa okungavamile kagesi ebuchosheni, ukulahlwa kokulala kuvame ukusetshenziswa njengendlela yokuthola ukuhlunga.
Kuyathakazelisa ukuthi abantu abanesifo sokuphuza ngokwemithi - okusho ukuthi bayaqhubeka bexoshwa, naphezu kokuthobela imithi efanele - kaningi baphelelwa ukuphefumula ukulala , ngamaphesenti angama-30%. Kungenzeka ukuthi babe nokuhlukunyezwa uma kuqhathaniswa nabantu abanesifo esifana nesifo sofuba kodwa ngaphandle kokuphefumula kokulala . Izindaba ezinhle ukuthi ukwelashwa kwe-apnea yokulala kuholela ekulawuleni okungcono ukuthumba.
Imithi Yokwelapha Ingamthinta Kanjani Ukulala?
Imithi evame ukusetshenziselwa ukwelapha isithuthwane ingabangela nezinguquko zokulala . Ezinye zingabangela ubuthongo obuningi obusuku lwe-day njengomphumela ohlangothini. Zihlanganisa benzodiazepines , carbamazepine, phenobarbital, topiramate, kanye ne-gabapentin.
Ezinye imithi yokwelashwa , njenge-felbamate, ingabangela ubuthongo .
Kubalulekile ukuqaphela ukuphazanyiswa kokulala noma ukulala ngokweqile njengemiphumela emibi yalezi zidakamizwa bese uletha lezi zinkinga udokotela wakho, ngoba lokhu kungabangela ezinye izinkinga.
Umthombo:
Mowzoon, N et al. "I-Neurology Yezinkinga Zokulala." Ukubukezwa kweBhodi ye-Neurology: Umhlahlandlela odwetshiwe. 2007; 744.