Izinguquko zokulala zingase zibe uphawu lokuqala lwe-dementia

Ukulimala ebuchosheni kungashintsha ukulala kwephasitiki

Esinye sezibonakaliso zokuqala ezingase ziphakamise inkinga ebuchosheni, njengengqondo ye- dementia , kungase kube ukuphazanyiswa kwamaphethini okulala. Kungani iziguli zingalali? Funda ukuthi izinguquko ebuchosheni zingathinta kanjani amaphethini okulala ngenxa yokulimala kwezakhi ezibucayi nokuthi izimo ezitholakala ezindaweni eziphilayo ezisize zingase zibe nzima kangakanani lemiphumela.

Indlela Ukuguqulwa Ngayo Ubuntshisekelo Kukuthinta Ukulala Ngomqondo Wokugula

I -nucleus ephezulu (SCN) e- hypothalamus yobuchopho inesibopho sokulawula amaphethini ethu okulala.

Lokhu kuvame ukubizwa ngokuthi yisigqi se-circadian ngoba la maphethri avame ukuphikelela esikhathini esiseduze.

Ngezinhlobo eziningi zezifo ezingenayo i-neurodegenerative - kuhlanganise nokukhubazeka okufana nesifo se-Alzheimer , kanye nezinkinga zokunyakaza ezifana nesifo sika-Parkinson - izindawo ezithile zobuchopho zingase zinciphise ngokuhamba kwesikhathi. Ama-Brain cell (neurons) angase angabe esabela kancane kumakhemikhali abizwa ngokuthi ama-neurotransmitters, noma ama-debris angakha ukuphazamisa umsebenzi wabo. Ukuguqulwa kobuchopho bomhlaba jikelele, okuthiwa i-atrophy, kungase kwenzeke njengoba i-neurons ngayinye ifa. Ngaphezu kwalokho, izifunda ezithile zobuchopho zingase zilahleke.

Uma i-SCN ilahlekile, ikhono lethu lokugcina iphethini elijwayelekile lokulala lizophazamiseka kabi. Lokhu kungabonakala ngezimo ezihlukahlukene ze-circadian dishy . Ngokuvamile, asebekhulile bazobhekana nesifo se-sleep syndrome esiphezulu . Lokhu kuhilela isifiso sokulala nokuvuka ekuseni. Lesi sifiso sokushintsha isimiso sabo sokulala singase singakwazi ukulawula futhi singabonisa izinguquko ebuchosheni njengoba kudala.

Ukuthungatha kanye nemithelela yokuphazamiseka kokulala kwabanakekeli

Ngaphezu kwalokho, abantu abaningi abanokukhubazeka ngokweqile, njengokwenzeka ekudemeni kwengqondo, kungenzeka bephazamise imijikelezo yokulala. Bangase bathole isifiso sabo sokulala ebusuku siyancipha ngenkathi besuka emini. Ngezinye izikhathi abathandekayo bangase basolise ukuwohloka komqondo uma umuntu eqala ukwenza imisebenzi engavamile ebusuku, njengokungena endlini ngehora lesi-3 ekuseni noma eminye imisebenzi.

Ukulala okungapheli-amakhemikhali akhe ngokuvamile kubonisa okungenani izikhathi ezingu-3 zokulala emahoreni angu-24, ukulala ubuthongo ngokuvame ukuvinjelwa.

Isimo sundowning, lapho umuntu one-dementia eqhubeka edidekile futhi ecasulwa ngesikhathi sasebusuku, angase abhekane nenkinga yesigqi se-circadian. Lokhu kuziphatha kuphethwe ngokuphumelelayo nokukhanya okukhanyayo kanye ne-melatonin, engase isebenze njengezikhathi zesikhathi sokuvuselelwa kabusha.

Ngokuvamile iziguli ezine-dementia zizodideka kancane uma zigcinwa endaweni ejwayelekile, njengekhaya elihlala ekhaya, kunokuba kube nesibhedlela noma indawo yokuhlengikaza ekhaya. Ngaphezu kwalokho, ukusetshenziselwa isimiso kungase kuqinise imemori yabo kanye nokuziphatha futhi kuvumele impumelelo enkulu. Kungenzeka futhi ukuthi kungenzeka ukuthi i-sundowning imelela izimpahla eziphelile; okungukuthi, ekupheleni kosuku lo muntu engasenalo amandla engqondo ukuze ahlale eqaphele ngokuma nokucabanga kwawo. Ngenxa yalokho, baba noma bangase babonakale bedidekile kakhulu.

Izinguquko zokulala zingase zibe uphawu lokuqala lwe-dementia

Ukuphazamiseka kokulala nakho kungaba isibonakaliso sokuqala sezifo ezingase zikhule ngokuhamba kwesikhathi. Isibonelo, ucwaningo lubonisa ukuthi ukuziphatha okusheshayo kwamehlo (REM) ukuziphatha ukulala ukugula kungase kuqala ngaphambi kokuthuthukiswa kwesifo sikaPinsinson noma ukugula komzimba weLewy amashumi eminyaka ngaphambi kokuba lezi zinkinga zithuthukise kwezinye izici ezivamile.

Kubalulekile ukuqaphela ukuthi izifo eziningi ze-neurological zinezinto ezibangela ukuphazanyiswa kokulala, njengoba izinqubo zingase zithinte indawo yengqondo ekwazi ukulawula imijikelezo yethu yokulala. Lokhu kungabangela ukuphazanyiswa kwale mijikelezo, futhi ukuhlukahluka kulezi zingqikithi zomphakathi kungase kube uphawu lokuqala lokuthi kukhona okungahambi kahle. Ngokuziqaphela ngokucophelela kulezi zinguquko, singathola usizo lokuqala kulabo abaswele.

Kulabo abanesifo sokuwohloka komqondo, kungase kube nezinguquko ezimbalwa eziwusizo. Kubalulekile ukugcina isimiso sokulala njalo. Ukuvezwa kokukhanya kwekusasa kubaluleke kakhulu, futhi ukukhanya emini nobumnyama ebusuku kusiza ukuqinisa amaphethini okulala.

Amaphutha kufanele ancishiswe ngesikhathi sosuku lokwandisa ubuthongo ebusuku. Amanani aphansi we- melatonin angase abe usizo kwabanye. Amanye amaphilisi okulala okungekho emthethweni kanye nokudokotela kufanele ayancishiswe ngenxa yezingozi ezengeziwe zokudideka, ukugcinwa kwe-urinary nokuwa. Uma i- apnea yokulala ikhona, kufanele iphathwe ukuze unciphise imiphumela yesikhathi eside ememori.

Uma udinga usizo, finyelela kudokotela wakho womndeni bese ucabangela ukudluliselwa kwesazi sokulala uma kudingeka.

> Imithombo:

> Bachman, D. et al . "Ukuthungathwa kwe-Sundowning nokunye okuphazamiseka okwesikhashana kusho iziguli ezidinga ukucindezeleka." Ukubuyekezwa Kwaminyaka Yomuthi. 57: 499-511, 2006.

> Deschenes, CL et al . "Ukwelashwa kwamanje okuphazanyiswa ukulala kubantu abanomqondo owohloka komqondo." Imibiko Yamanje Yengqondo. 11 (1): 20-6, 2009 Feb.

> Dowling, GA et al . "I-Melatonin kanye nokwelapha okukhanyayo kokuphumula kokusebenza-umsebenzi emiphakathini yezikhungo ezine-Alzheimer's disease." I-Journal ye-American Geriatrics Society. 56 (2): 239-46, 2008 Feb.

> Gehrman, PR et al . "I-Melatonin ihluleka ukuthuthukisa ukulala noma ukuhlukumezeka ekuhlolweni okulawulwa kwe-placebo okungahleliwe okungahleliwe ngeziguli zeziguli ezinezifo ezine-Alzheimer's disease." I-American Journal ye-Geriatric Psychiatry. 17 (2): 166-9, 2009 Feb.

> Hickman, SE et al . "Umthelela wokwelapha okukhanya okukhanya okukhanyayo kumpawu ezicindezelayo kubantu abane-dementia." I-Journal ye-American Geriatrics Society. 55 (11): 1817-24, 2007 Nov.

> Riemersma-van der Lek, uRF et al . "Umphumela wokukhanya okukhanyayo ne-melatonin ekusebenzeni okuqondayo nokungaqapheli kubahlali asebekhulile ezindaweni zokunakekela iqembu: ukuhlolwa okungahleliwe okulawulwe ngokungahleliwe." I-JAMA. 299 (22): 2642-55, 2008 Juni 11.

> Shub, D. et al . "Ukwelashwa okungeyona-pharmacologic yokuntula ukulala kwabantu abane-dementia." Ama-geriatrics . 64 (2): 22-6, 2009 Feb.