Ukushona Okungakutshela Ngempilo Yakho
Ukungazinzi kahle igama elisetshenziselwa ukuchaza isimo sokulala. Kungabhekisela ekuguleni okwenzeka ngokwemvelo njengengxenye yezimpawu ezihamba phambili eziqondisa ukulala kwakho / amaphethini akho. Kungabhekisela nasezinkingeni eziphazamisa isigqi se-circadian futhi zisenze silale ngokungajwayelekile, noma sihlotshaniswe nemithi ethile noma ukwelashwa okubangela ukulala.
Ukwehla kwesimo somzimba kungaba ngumqondo onzima ukuqonda njengoba kungase kube isimo somvelo, uphawu lwesifo, noma isifo esikuyo. Nokho, ngaphakathi kwemithi, leli gama lisetshenziselwa ukuchaza isimo esingavamile kunokujwayelekile.
Ukwehla kwesimo somzimba kungabonakala ngokubanzi njengento ehlobene nenye yezinto ezintathu: isimo somzimba noma sengqondo, ukwelashwa, noma isifo esenza kabi noma siphazamise isigqi se-circadian.
Izimbangela zomzimba nezengqondo
Ukulala kuyinto impendulo yemvelo ekutheleleni kanye nokugula. Ngakolunye uhlangothi, silala ngoba ukugula kusenza sizizwe siphansi. Ngakolunye uhlangothi, silala ukuze sigcine amandla ukuze sikwazi ngcono.
Kodwa izimo ezithile zifaka ngqo ekubambekeni ngokubangela izilinganiso ze-hormonal noma zamakhemikhali ebuchosheni. Ezinye zithinta ubuchopho kanye nesistimu yezinzwa ngqo, kungakhathaliseki ukulimala, ukutheleleka, noma izifo. Phakathi kwezimbangela ezikhona:
- I-Hypothyroidism (ukukhiqizwa kwe-hormone ephansi ye-thyroid)
- I-Hypermagnesemia (i-magnesium kakhulu)
- I-Hyponatremia (usawoti omncane kakhulu)
- I-hypercalcemia (i-calcium kakhulu)
- I-Meningitis (ukuvuvukala kwezicubu ezizungeze ubuchopho nomgogodla)
- Incephalitis (ukuvuvukala kobuchopho)
- Ukuhlukunyezwa kwengqondo, kufaka phakathi ingxabano
- Isifo sikashukela
- Izicubu zesibindi
- I-Fibromyalgia
- Izifo ze-bipolar
- Ukucindezeleka
Izizathu Ezihlobene Nezokwelashwa
Ukugungqika kuwumphumela ovame ukwelashwa kwemithi eminingi kadokotela nemithi eminingi. Ezinye izidakamizwa zisetshenziselwa ukusebenza kwabo ukuthula, kuyilapho abanye bebangela ukulala okungalindelekile ngenxa yomphumela wabo ohlelweni lwezinzwa zomphakathi (CNS).
Imithi engeyona imithi ingabangela ukulala okukhulu ngenxa yomphumela wabo ebuchosheni. Isibonelo esiyinhloko ukwelashwa kwama-radiation okusetshenziselwa ukwelapha umdlavuza womqondo . Kulesi simo, ukusetshenziswa kwemisebe kungabangela isimo esibizwa ngokuthi isifo se-somnolence syndrome , esibhekene nokulala ngokweqile kwansuku zonke, ukukhathala, ukuncibilikisa, nokuhlanza.
Enye yezinselele eziyinhloko zokwehluleka okuhlobene nokuphathwa kwezokwelapha ukuthi isimo sokuphathwa singase sihlotshaniswe nokulala. Oyinhloko phakathi kwalokhu ukucindezeleka komtholampilo kanye nezimo ezinjenge- polycystic syndrome ye-ovary (PCOS) , lapho ukucindezeleka nokukhathala kuvamile. Ezimweni ezinjengalezi, udokotela uzovame ukuguqula imithi noma imithi ukuze izinzuzo zokwelashwa zingagqithwanga yimiphumela emibi.
Ezinye zezigaba zezidakamizwa ngokuvamile ezihlotshaniswa nokungahlali kahle zihlanganisa:
- Ama-analgesics (kufaka phakathi ama-opiates) asetshenziselwa ukuphatha ubuhlungu
- Ama-antidepressants
- Ama-Antiepileptics asetshenziselwa ukwelashwa
- Ama-antihistamines asetshenziselwa ukuphatha ukungezwani komzimba
- Ama-Antihypertensives asetshenziselwa ukuphatha ukucindezelwa kwegazi eliphezulu
- Antipsychotics
- I-dopamine agonists esetshenziselwa ukuphatha izimo ezifana nesifo sika-Parkinson
- Ama-tranquilizers
Izikhalazo ze-Circadian Rhythm
Izingqinamba zomculo we-Circadian yizo ezithinta "iwashi langaphakathi". Lokhu okungajwayelekile ukulala kungabangelwa imithombo yangaphandle (extrinsic) noma ukungasebenzi kwangaphakathi (ngaphakathi) kokulala kwethu / amaphethini ethu.
Izifo zokulala zokudlwengula zivame ukugxila kwisici esisodwa esiyinhloko: ukungatholi ngokwanele ebusuku. Umzimba ufisa ukulala njalo, ukulala ngesikhathi esisodwa njalo ebusuku futhi ukuphakama ngesikhathi esifanayo njalo ekuseni.
Noma yikuphi ukuphazamiseka kuleli phethini kungakhipha isigqi se-circadian futhi kuholele ekuqothuleni nasebusuku bokulala .
Lokhu kuhlobene nokuhlangenwe nakho okunjenge-jet lag (okubangelwa izinguquko zendawo yesikhathi) kanye nemibandela enjenge-shift work disorder disorder (SWSD), lapho umsebenzi wokushintshana ojikelezayo noma ojikelezayo kungabangela umuntu ukuba abe nesisindo phakathi kokungalali kanye ne-hypersomnia (ukulala ngokweqile). I-apnea yokulala , lapho umuntu eyeke ukuphefumula khona phakathi ebusuku, nayo iyimbangela evamile.
Izinkinga zokulala zangaphakathi azibangelwa izimo zemvelo noma ukushintsha ngokuzithandela ohlelweni lokulala. Kunalokho, zihlotshaniswa newashi yangaphakathi elingafanele elibangela ukulala okungavamile / amaphethini akhe. Izibonelo zalokhu zihlanganisa:
- I-Advanced-phase phase disorder (ASPD), lapho umuntu elala khona futhi elala ngokushesha, ngokuvamile ngaphambi kokushona kwelanga, futhi evuka ekuseni, ngokuvamile ngaphambi kokuphuma kwelanga
- Isikhathi sokulahla kwesifo sokulala esincane (DSPD), lapho umuntu engase alele kuze kube sekuseni futhi avame ukulala phakathi nemini
- Ukulala okungavamile-ukuvuka kwesifo somzimba, lapho umuntu elala khona phakathi nesikhathi esingamahora angu-24 kodwa akanayo isimiso sokulala sokulala njalo
Ukuphazamiseka kwe-intrinsic kuvame ukubhekwa njengokungaqapheli noma i-hypersomnia esikhundleni sokuthi "i-glitch" emkhatsini wokulala / ukuhamba kwayo enembile. Ukuze ucindezele izinto ngisho nangaphezulu, akekho oqiniseke ukuthi yiziphi izici eziphilayo noma izifo ezenza ukuthi lezi zingavamile.
Izwi elivela
Ukulala kwansuku zonke nokulalaza kunenkinga ngezizathu eziningi. Zingathinta ukuqwashisa kwakho, imizwelo, kanye nekhono lokugxila, kanye nokuphazamisa imibhobho yakho yokulala ebusuku. Uma, isibonelo, ubuthongo bangela ukuba ulale emaminithini angaphezu kwengu-10 kuya kwangu-15 emini, ungathola ukuthi uhlushwa ngokungazelelwe ukulala ubusuku.
Uma ubhekene nokungajwayelekile okulele, kubalulekile ukubona udokotela wakho ukuze akwazi ukukhomba imbangela. Isixazululo singase sibe lula njengokushintsha imithi, noma ukuhlolwa kungabonisa inkinga yezokwelapha okungenzeka ukuthi ayitholakali.
Uma inkinga yokulala ingu-idiopathic (okusho ukuthi imvelaphi engaziwa), kuzodingeka ukuthi uthole ukudluliselwa kudokotela ozobhekana nokuphazamiseka kokulala.
> Imithombo:
> Slater, G. no Steier, J. "Ukulala ngokweqile emini ebuthongweni bokulala." J Thorac Dis. 2012; 4 (6): 608-16; I-DOI: 10.3978 / j.issn.2072-1438.2012.10.07.
> Zhu, L. noZee, P. "I-Circadian Rhythm Sleep Disorders." I-Neurol Clin. 2012; 30 (4): 1167-91; I-DOI: 10.1016 / j.ncl.2012.08.011.