Ukwelapha Kubandakanya Imithi Yokwelapha, i-Prazosin, ne-SSRI
Sonke sinephupho elibi noma ama- nightmares . Kodwa uma une-post-traumatic disorder disorder (PTSD), ungase uhlushwe yizinsuku ezigcwele ubusuku kunokuba ungakwazi ukubala. Funda mayelana nalesi simo, ukuthi uhlobene kanjani nokuphazamiseka kokulala njengama-nightmares, nokuthi yiziphi izinketho zokwelashwa ezitholakalayo.
I-PTSD iyakuthinta kanjani futhi ukulala kaningi?
I-PTSD iyinhlanganisela yezimpawu ezenzeka ngenxa yengozi.
Kubonakala ngemicabango engathandeki, izinkathazo, kanye nokuqhaqhazela kwezenzakalo ezidabukisayo ezedlule.
Uma uhlushwa yi-PTSD, ungase uhlangabezane nokuhlukunyezwa okubekezele. Lokhu kungenzeka phakathi nosuku noma ebusuku. Izinkumbulo zasebusuku zivame ukuzibonakalisa njengeziphopho ezicindezelayo noma izibhamu lapho kutholakala khona umcimbi. Ngaphezu kwalokho, izinkumbulo zansuku zonke ezingathandeki, ezibizwa ngokuthi ama-flashbacks, zingase zenzeke.
Ngokuqinisekile uzoqaphela ukuthi uye wakhuphuka, okusho ukuthi usebenza ngokwengeziwe emvelweni wakho. Lokhu kungase kuhlotshaniswe nokukhathazeka okukhulu . Lezi zimpawu zingabangela ubunzima bokuwa noma ukulala, okuyisici sokulala .
Kucatshangwa ukuthi ama-nightmares avela ku-5% wabo bonke abantu. Ekucwaningweni kwamaVeterans aseVietnam, u-52% wabika ama-nightmares okwenzeka ngokujwayelekile. Uma othile ehlangene nezimpawu zePTSD, u-71% kuya ku-96% unezinsuku zokulala ebusuku.
Lokhu kubonakala sengathi kuphakeme phakathi kwalabo bantu abanenkinga yokukhathazeka noma yokukhathazeka okukhona. Lezi zingxabano zingase zenzeke izikhathi eziningi ngesonto futhi zingaba nzima kakhulu, ziphazamise ukulala komuntu othintekayo nabanye emndenini.
Kungani i-PTSD ithinta ukulala?
Isiyaluyalu ngokwaso sibonakala siphumela ekusebenzisaneni kwezakhi zofuzo.
Olunye ucwaningo lubonisa ukuthi izici zofuzo ezithinta ukuthuthwa kwe-serotonin, ikhemikhali ebuchosheni obudlulisela izimpawu, zingadlala indima. I-Serotonin, ngaphezu kwalokho, inemiphumela ebalulekile ekunciphiseni imizwelo nokulala.
I-PTSD nama-Nightmares: Ingabe Kukhona Ukwelashwa Okuzosiza?
Izinto ezibuhlungu kanye nama-flashbacks ezihlobene ne-PTSD zivame ukuhambisana nokukhathazeka okwanda futhi ngokuvamile ukuhlaselwa kwesibindi. Uhlobo lokululekwa olubizwa ngokuthi i-cognitive therapy therapy (CBT) luboniswe ukuthi luphumelela kakhulu ekuphatheni ama-nightmares ahlobene ne-PTSD. Le ukwelashwa kungakusiza ukuba uqonde futhi ushintshe imicabango mayelana nokuhlukumezeka nokuphendula kwakho okuhleliwe kubo.
Kunama-sub-izinhlobo amaningi we-CBT atholakalayo, kuhlanganise ne-Ctnitive Processing Therapy (CPT).
I-CPT isiza ukukuqeqesha ukuba ubeke esikhundleni sale micabango engalungile ngemicabango enembile nakakhulu kakhulu ecindezelayo. Kungakusiza ekubhekaneni nemizwa yentukuthelo, inecala, nokwesaba okuhlotshaniswa nokuhlukunyezwa kwangaphambili. Udokotela angakusiza ukucubungula umcimbi, ufunde ukuthi ungazitshali, futhi uthola ukuthi lesi sigameko akusona iphutha lakho.
Ngokwelashwa okuvelele, uzothola ukwesaba okuncane ngezinkumbulo zakho. Noma yimaphi imicabango, imizwa, noma izimo ezikukhumbuza ngokuhlukunyezwa kuzoba nzima kakhulu.
Ngokucabanga ngokuhlukunyezwa endaweni ephephile, ephephile, kancane kancane ungacindezelwa kancane noma ucindezeleke ngalesi senzakalo. Lokhu kufezwa ngokuyingxenye ngokusebenzisa ukukhishwa kwemisebenzi. Lokhu kukusiza ukuba ulungise imicabango ecasulayo futhi ususe izinkumbulo ezimbi ngokusebenzisana nabo ngokweqile. Kwezinye izimo, ukungenela okubizwa ngokuthi "ukukhukhula" kusetshenziselwa ukubhekana nezinkumbulo eziningi ezimbi ngesikhathi esisodwa. Ngaphezu kwalokho, amasu okuphumula - njengokuphefumula noma ukuphumula kwemisipha - ingahlanganiswa ukusiza ukukhulula ukukhathazeka lapho uhlola inkumbulo ecindezelayo.
Ukuhlehliswa kwe-Eye Movement nokubuyisela emuva
Lokhu ukwelashwa kukusiza ukuba ushintshe indlela osabela ngayo ezinkumbulo ezibuhlungu.
Ngenkathi ucabanga noma ukhuluma ngalezi zikhumbuzo, ugxila engqondweni yakho kwezinye izici. Lezi zingabandakanya ukunyakaza kwamehlo, amathinta ngesandla, noma ngisho nemisindo ephindaphinda. Udokotela angagudluza isandla phambi kwakho futhi umane ulandele ukunyakaza ngamehlo akho. Lokhu kubonakala kuwusizo, kodwa akucaci ukuthi ukuxoxa ngokuhlukunyezwa ngokwalo ngokwanele noma uma ukunyakaza kuyingxenye ebalulekile yokwelashwa.
Indima yemithi e-PTSD nasezibucayi
Ngaphandle kwalezi zindlela zokwelashwa, imishanguzo ingase ibe nendima ekwelapheni izimpawu ze-PTSD. Kukhona ezinye eziqondiswa ezibonisweni ezithile. Endabeni yezibuhlungu, imithi ebizwa ngokuthi i- prazosin itholakale isebenza kahle. Imithelela yaso emibi ihlanganisa amaconsi e-blood pressure, ikhanda lokukhwabanisa, kanye nokuzithemba.
Kunezinhlobo eziningi zemithi yokwelashwa ezingaphumelela ekwelapheni izimpawu ezihlobene ne-PTSD. Lokhu kufaka phakathi i-serotonin reuptake inhibitors (SSRIs) ekhethiwe esetshenziselwa ukuphatha ukukhathazeka nokucindezeleka, njengokuthi:
- I-Citalopram (Celexa)
- I-Fluoxetine (i-Prozac)
- I-Paroxetine (i-Paxil)
- I-Sertraline (Zoloft)
Ezimweni eziningi, ukuhlanganiswa kwemithi efanele kanye nokwelashwa kungasebenza kakhulu ukuthuthukisa noma ukuxazulula lesi simo.
Izwi elivela
Ukuvuleka mayelana nezinkinga zakho zobusuku noma ukukhathazeka ngokulala nodokotela wakho yisinyathelo sokuqala sokuphumula umsindo oyidingayo. Qala ngokuba nengxoxo ecacile mayelana nokukhathazeka kwakho bese uqala ukuthola usizo oluzokushiya ukulala kangcono.
Imithombo:
UBisson, J. "Ukucindezeleka kokucindezeleka ngemva kokudabuka." BMJ . 2007; 334: 789.
Miller, LJ. "I-Prazosin yokwelapha ukuphazamiseka kokucindezeleka kokuhamba kwesikhathi ngemuva kokuphazamiseka kokulala." Pharmacotherapy 2008; 28: 656.
Isikhungo sikazwelonke se-PTSD. Umnyango we-US of Veterans Affairs .
U-Raskind, MA et al . "Ukunciphisa Izinkinga Zokuzibulala Nezinye izifo ze-PTSD ekulweni nama-Veterans nge-Prazosin: Isifundo Esilawulwa Ngendawo." Am J Psychiatry . 2003; 160: 371.
Stein, DJ et al . "Isifo sokucindezeleka ngemuva kokudabuka: umuthi nezombusazwe." I-Lancet . 2007; 369: 139.
Taylor, FB et al . "Imiphumela ye-Prazosin ngezinyathelo zokulala zokuzimela kanye nezimpawu zomtholampilo ezibangelwa yizimo eziphuthumayo zokucindezeleka kwe-posttraumatic: isifundo esilawulwa yi-placebo." Biol Psychiatry. 2008; 63: 629.
Vieweg, WV et al . "I-Posttraumatic stress disorder: izici zokwelapha, ukuphika kwegazi, nokuphathwa." Am J Med . 2006; 119: 383.
UJehuda, R. "Ukucindezeleka kokucindezeleka okulandela emva kwesikhathi." N Engl J Med . 2002; 346: 108.