Ukukhipha Amaphupho Kungase Kuholele Ekulimaleni, Kuphendula Imithi
Indoda iphupho lokulwa nesilwane sasendle futhi ivuke ukuzitholela ukushaya umkakhe esandleni. Amanye amaphupho okugxuma phezu kwengozi futhi evuka ekhuphuka embhedeni futhi ephansi. Ngemuva kokuphonsa isikhwama sokulala, umuntu uyaza kudokotela wakhe ngenhloso yokuthola olunye ulwazi. Uma wena noma othandekayo beke waphila amaphupho ngenkathi ulele, kungenzeka kube isimo esaziwa ngokuthi ukukhubazeka kwe-REM.
Ziyini izimpawu, izimbangela, kanye nokwelashwa kwalesi simo? Funda ukuthi le disorder ingatholakala kanjani futhi ilashwe ukuze ivimbele ukulimala.
Incazelo
Phakathi nobusuku, ngokwemvelo sithuthuka ngezigaba zokulala , kufaka phakathi ukulala kwe-eye ngokushesha (REM) yokulala . I-REM ivame ukubonakala ngokusebenza okukhulu kobuchopho nokuphupha-nokuhluleka ukusebenzisa imisipha yethu, ngaphandle kwemisipha yethu ye-eye ne-diaphragm (esivumela ukuba siphefumule). Ukulala kwe-REM kwenzeka ngezikhathi ezithile phakathi nobusuku cishe phakathi kwamaminithi angu-90, futhi kugxila kwisithathu sokugcina sobusuku njengoba izikhathi ziqhubeka isikhathi eside ngaphambi kokuvuka.
Uma ezinye izidumbu zethu zingasebenzi ngokwanele, singakwazi ukwenza imisebenzi eyinkimbinkimbi futhi senze amaphupho ethu ngenkathi sihlala silele. Lokhu kubizwa ngokuthi ukukhubazeka kwe-REM. Lesi sifo singabangela ukulimala ngengozi, kuhlanganise nokulimala kwabalingani bombhede.
Izimpawu
Iningi labantu abanalesi sifo lichaza amaphupho angajabulisayo futhi acacile abandakanya abahlaseli noma abahlaseli (abantu noma izilwane).
Kukhona ukuziphatha okuhambisana nokuphupha okwenziwe iphupho okuvame ukuhlukumezeka. Ukuziphatha okuvamile kufaka:
- Ukukhuluma noma ukumemeza
- Ukuhleka
- Ukufinyelela
- Ukushaya
- Ukushaya
- Ukugoqa noma ukuwa ebhedeni
- Ukugijima
- Ukufakela ifenisha
Lezi zindlela zokuziphatha ziholela ekulimazeni komuntu ngamunye noma umlingani wabo wombhede. Ukulimala kungase kube mncane (njengemivimbo, ukukhwabanisa, noma ukusikeka) noma okunzima (njengamathambo aphukile noma ukugeleza ngaphakathi kwengqondo).
Abantu abahluphekile bangase bakhononde ngokuphazamisa ubuthongo noma ukulala ngokweqile kwansuku zonke .
Ukukhubazeka kokuziphatha kwe-REM kuthinta abantu abane noma abahlanu kuzo zonke izinkulungwane. Ezingamaphesenti angama-90%, kwenzeka emadodeni asema-50s noma ama-60s.
Ukuxilongwa
Ezimweni eziningi, umlando obikiwe wokuziphatha ngokuphupha okuphuthumayo nokuhlola okujwayelekile okubizwa ngokuthi i- polysomnogram (PSG) kuyokwanela ukusungula ukuxilongwa. I-PSG izovame ukubonisa ukungajwayelekile okungavamile komsindo we-muscle (okubonisa umsebenzi) ngesikhathi sokulala kwe-REM, okuvumela ikhono lokungafanisi amaphupho. Kubalulekile ukubhala ukungabi khona kwemisebenzi kagesi e- EEG ngoba ukugubha kungabangela ukuhamba okungavamile ngesikhathi sokulala.
Ukucwaninga ukucwaninga ngokuvamile kuvamile ku-disorder disorder disorder uma kungekho nhlobo ye-neurodeergenerative ehambisana nayo. Noma kunjalo, isimo sivame ukuvela esimweni sezinye izinkinga.
Izimo ezihlanganisiwe
Ukukhubazeka kokuziphatha kwe-REM kuvame ukuhlotshaniswa nezinye izifo ze-neurologic, futhi iziguli ezingaphezu kuka-50% ziyoba nesinye isifo esifana nesifo sika-Parkinson, isifo sengqondo somzimba se-Lewy , nemizimba eminingi ye-atrophy.
Ngisho noma kungekho isifo se-neurologic ehambisanayo ekubonisweni, iziguli ezingu-65% ezine-DIS behavior disorder zizoqhubeka nokuthuthukisa iminyaka ka-Parkinson noma i-dementia noma amashumi eminyaka kamuva.
Kuye kwaphakanyiswa ukuthi ukukhubazeka kokuziphatha kwe-REM kungase kube inkomba ewusizo yokuvimbela kuqala lezi zinkinga. Akuwona wonke umuntu owenza lezi zimo ezihambisanayo.
Kukhona uhlobo oluthile oluyinkimbinkimbi lwe-REM yokuphazamiseka kwengqondo okungase kubangele izilonda zobuchopho zesakhiwo ezifana nesifo sokushaya isisu, isisu, noma ukuxoshwa komzimba njengoba kungenzeka ku-multiple sclerosis. Okunye ukubonakaliswa kungase kwenzeke njengomphumela wemithi ethile (kuhlanganise nokucindezeleka nokunye okuthinta ubuchopho), ukuphuza izidakamizwa, noma ukuhoxiswa emithini yokuphuza utshwala noma yokudambisa.
Okunye Ukuphazamiseka Okufanele Ucabangele Ngesikhathi Ukuthola Ukuhlukana Okuhlukile
Kunezinye izinkinga ezimbalwa ezingase zibe nezimpawu ezifana nokukhubazeka kwe-REM futhi lokhu kufanele kucatshangelwe. Lezi zikhathi ezithile zibizwa ngokuthi i-pseudo-RBD. Ngokuvamile, lezi zinkinga zingabangela ukunyakaza okungavamile ebusuku noma ubuthongo obuningi besonto , futhi kufaka:
- Ukuthunjwa kwebusuku
- I-apnea yokulala yokuvimbela
- I-NREM ilale i-parasomnias
- Isiyaluyalu sokunyakaza kwendikimba yesikhathi esigcwele
- Ukuhlaselwa kwesibindi sebusuku
- I-post-traumatic stress disorder (PTSD)
- Okunye ukugula kwengqondo
Lezi ezinye izimbangela zokuziphatha okwenziwe iphupho azihambisani nokuthuthukiswa kwezinye izifo ezingenayo i-neurodeergenerative echazwe ngenhla. Ukwelashwa kugxile ekubambeni imbangela engaphansi.
Ukwelapha
Ngokuvamile, ukwelashwa kwesifo sokukhubazeka kwe-REM kugxile ekugcineni umuntu othintekile nabanye bephephile. Lokhu kuhilela ukwenza igumbi lokulala libe indawo ephephile ngokususa ama-nightstand nezinto ezibukhali. Kwezinye izimo, ukwengeza ngaphezulu kombhede kungase kube usizo. Abanye abantu badinga ukuvala umnyango noma amafasitela ukuze bazigcine bengena embi. Lapho ukunyakaza kususwe ngokuphumelelayo ngemithi, kungadingeka ukuthi kuqashwe izinyathelo zokuphepha.
I-clonazepam yezokwelapha iyindlela yokwelapha ephumelelayo kakhulu ezigulini eziningi. Kungabangela ukudideka ebusuku ukulala noma ukulala emini, ngakho-ke, lokhu kungenza kube nzima kwabanye. Ngenye indlela, ukulinganisa okuphezulu kwe- melatonin kuye kwaboniswa ukuthi kuphumelele ezinkingeni ezimbalwa ezincane.
Uma ukhathazekile ukuthi ungase ube nezimpawu ezibonisa ukukhubazeka kokuziphatha kwe-REM, qala ngokukhuluma nawe udokotela futhi uthole ukuxilongwa kanye nokwelashwa okudingayo ukuze uhlale uphephile ngesikhathi sokulala.
Umthombo:
Mowzoon, N et al . "I-Neurology Yezinkinga Zokulala." Ukubukezwa kweBhodi ye-Neurology: Umhlahlandlela odwetshiwe. 2007; 738-739.