Ngesinye isikhathi, sonke sizoba nezinkinga zokulala. Kwabanye abantu abaphila negciwane lesandulela ngculaza, ezinye izici zingabangela kakhulu izinkinga zokulala. Kungakhathaliseki ukuthi imiphumela yemithi ethile yegciwane lesandulela ngculazi noma izimo ezifana nokujula ebusuku okungase kwenzeke ngezinye izikhathi, ukuhluleka ukulala kungase kuphume umqondo wokuphila komuntu jikelele.
Ukuntula izinga lokulala kungabangela izikhathi zokukhathala phakathi nosuku, okwenze kube nzima ukusebenza, ukuya esikoleni, noma ngisho nokuqhuba imisebenzi yansuku zonke. Imisebenzi elula esiyithatha kalula ngokungazelelwe iba yikhulu elikhulu emzimbeni nasemqondweni.
Ngokuhamba kwesikhathi, ikhono lomzimba lokulwa nokutheleleka liyanciphisa, labeka umuntu engozini yokugula okuhambisana ne-HIV kanye nezinkinga.
Kungani Kudingeka Silale?
Ngokwesilinganiso sichitha cishe ingxenye yesithathu yokulala kwethu (noma amahora angu-8 ebusuku). Ukuphazanyiswa kwesilinganiso noma izinga lokulala esikutholayo kuthatha umonakalo emanzini, amazinga wamandla, nokuhlushwa. Ukulala nakho kudla indima ebalulekile esimweni somzimba wethu wokuzivikela omzimba, ukulala nokulala okungapheli nokulala ukuvame ukuhambisana nomphendvulo omzimba ompofu.
Ukulala okujwayelekile okubusuku kubandakanya izigaba eziningi ezide ubude kusukela kumaminithi amahlanu kuya emahoreni ambalwa. Isigaba ngasinye siqala ukulala okuncane, isiteji lapho ungavuswa khona kalula.
Ukusuka lapho, njengoba amagagasi akho obuchopho ehamba kancane futhi kancane kancane uthuthukela kulokho okubizwa ngokuthi ukulala kwe-REM, ukunyakaza komzimba wakho kuyashesha futhi ukwazi ukufeza ukulala okujulile nokuphumula okudingeka ukuba uzizwe uhlanzekile futhi ucacile.
Ukuphazamiseka okuqhubekayo noma okuvamile kwale mijikelezo kuthatha kuphela noma yikuphi ukuzuza ongakwenza ngokulala okulungile, okuhle ebusuku
Okwenza Kubangelwe Izinkinga Zokulala
Kunezizathu eziningi abantu abane-HIV abangase babe nezinkinga zokulala. Phakathi kwazo:
- Ukukhathazeka kuvame ukuyingxenye yemvelo yokugula okungapheli. Ukwesaba okungaziwa, kokutheleleka kwabanye, noma ukudalula isimo sakho se-HIV kwabanye kungacabangela ukuthi uyakwazi ukulala.
- Ukucindezeleka kubonakala ukungakwazi ukulala noma ukulala ebusuku. Kubantu abanesandulela ngculaza, imizwa engafanele mayelana nokwelapha noma ikusasa labo ingabangela imizwa yokuphelelwa ithemba. Ukwenza izinto zibe zimbi nakakhulu, ezinye izidakamizwa ezisetshenziselwa ukuphatha ukucindezeleka zingathinta ikhono lakho lokuphumula ebusuku.
- Ukukhathazeka ngokwezezimali kungagcina noma ubani ebusuku. Iqiniso liwukuthi i-HIV idinga imali, ngisho nalabo abanomshwalense futhi ababhalisile ezinhlelweni zokusiza izidakamizwa . Ukucindezeleka okuhlobene nomthelela wezezimali wesifo kungaphazamisa ikhono lethu lokulala kahle.
- Izifo ezithinta i-HIV zingaphazamisa amaphethini okulala njengoba zivuselela amaprotheni athile alawula amaphethini okulala Nakuba kungakaqondakali ukuthi yiziphi iziqu ezinamaprotheni angasithinta, ixhasa ukuqala kokuqala kokwelashwa kwama-antiretroviral ukuze kunciphise umthwalo wonke ukutheleleka okungalashwa.
- Imithi ye-HIV ingase iphazamise ubuthongo ngezinye izikhathi. Nakuba izidakamizwa eziningi ezisetshenziselwa ukwelapha i-HIV azihlobene nezezinkinga zokulala, siyazi ukuthi uSusvava (efavirenz) uhlotshaniswa nokuqwashisa kanye nephupho elicacile kunani labantu abathintekayo ekwelapheni. Abaningi babika ukuthi, ngisho nangemva kokulala ubusuku bonke, abazizwa beqabulekile noma baqondwe kahle. Iningi lemiphumela, noma kunjalo, liyaziwa ukuxazulula ngaphakathi kwamasonto ambalwa ukuqala umuthi.
- Izimpawu ezihambisana negciwane lesandulela ngculazi zingase zithinte kakhulu ikhono lomuntu lokulala. Lokhu kufaka hlangana ukuzwa okubuhlungu ngezinye iinkhathi ze- peripheral neuropathy , kanye nomuthi omanzi, onobunzima bokuzikhukhumeza ebusuku .
- I-apnea yokulala yinkinga ebonakala ngezikhathi zokuphefumula engekho lapho ulele. Abantu abane-apnea yokulala bavuka bethinta futhi bashaya umoya. Nakuba kungekho ukuxhumana okuqondile phakathi kwe-HIV nokulala, kunebufakazi bokuthi i-HIV ingabangela ukwandiswa kwamathani namadenesidi, ikakhulukazi kulabo abangaphathwa kabi noma abanezifo eziphambili.
Ukulala yingxenye ebalulekile yokuphila okunempilo ikakhulukazi kubantu abaphila negciwane lesandulela ngculaza. Kalula nje, umzimba onempilo ungumzimba ophumule kahle. Uma unenkinga yokulala noma ukulala, khuluma nomhlinzeki wakho wezempilo ukusiza ukukhomba noma ukuxazulula lezi zinkinga.
Kungakhathaliseki ukuthi kushintsha imithi, ukuqala ukwelashwa kwe-antiretroviral , noma ukufuna ukwelulekwa ukusekelwa ngokomzwelo noma kwengqondo, ukubaluleka kokulala ubusuku obuvamile ngeke kuphele phansi. Ekugcineni, akukhona kuphela ngokuhlala uphilile; kungcono ukugcina umbono omuhle ukuze uqinisekise impilo enhle futhi ejabulisayo uma ungumuntu ophila negciwane lesandulela ngculazi.
Imithombo:
Taibi, D. "Ukuphazanyiswa Kwokulala Abantu abaphila negciwane lesandulela ngculazi." I-Assoc Abahlengikazi be-AIDS . Jan 2013; 24 (I-Suppl 1): S72-S85. I-Doi: 10.1016 / j.jana.2012.10.006.
Gemma, C., et al. "I-virus immunodeficiency virus ye-glycoprotein engu-160 no-41 ishintsha ukushisa nokulala kwengqondo yamagundane." J Neuroimmunol. Juni 1, 1999; 97 (1-2): 94-101.