Ukuphazamiseka kokulala okungaqondakali kubantu abane-MS
Ukukhathala kuyisifo esivamile se- multiple sclerosis (MS) kanti enye engenza ngisho nemisebenzi eyisisekelo, yansuku zonke ibonakale inzima. Eqinisweni, abantu abane-MS bavame ukuchaza okuhlangenwe nakho ngokuthi "ukuchoboza" noma "ukukhipha" futhi babike ukuthi ukukhathala kwabo kungathinta konke okuvela emakhulwini ukuze bakwazi ukulala ebusuku.
Yile ngxabano yokugcina (ebhekene nobunzima bokulala) okubangela ukukhathazeka phakathi odokotela nabacwaningi ngokufanayo, abaningi babo bakholelwa ukuthi ukulala , ukulala nokulala nezinye izifo ezihlobene nokulala kutholakala kakhulu kubantu abane-MS.
Izimbangela Zokuqwashisa Kwabantu abane-MS
Ucwaningo olwenziwe ngabacwaningi e-University of California Davis School of Medicine, lwabikwa ukuthi isilinganiso sokulinganisela ukulala kwabantu abano-MS sasingamaphesenti angu-38, ngaphezu kokuphindwe kabili kwesilinganiso sikazwelonke. Ngaphezu kwalokho, amaphesenti angu-52 athi kwabathatha isikhathi esingaphezu kwehora ukulala ebusuku.
Abacwaningi baphetha ngokuthi izimpawu ze-MS ezingalawuleki noma ezibucayi zihlangene nokukhathazeka nokucindezeleka kwakuyizizathu ezinkulu. Ngenxa yalokho, ukuleleka kwakungabhekwa njengesifo esihlukile sokulala kodwa kunalokho umphumela womthwalo ngokomzimba nangokomzwelo ovame ukuhlangenwe ngabantu abane-MS.
Ezinye izinto ezibangela ukuphazamiseka okubonwa kulabo abane-MS zihlanganisa:
- Ukungahleleki okunye okungabangela ukuphefumula nokuphefumula ukuphefumula.
- Ukuphazanyiswa kwe-dopamine ne-norepinephrin (okungukuthi ama-neurotransmitters noma izithunywa zamakhemikhali ebuchosheni) kungabangela ukuhlukunyezwa nokuphazamiseka kwamaphethini okulala.
- Ukungena emini emini ngenxa yokukhathala kungabangela ukuleleka ebusuku.
- Izimpawu ze-MS ezinjengezinyawo ezingenalutho, ukushisa kwezinga lokushisa, nokulawulwa kwamagciwane kungaphazamisa nokulala.
Izinhlobo zokuqwashisa
Izimbangela kanye nokwelashwa kokulala ukulala kuhluke ngohlobo oluhlangene .
Ukuqothulwa kokuqala
Ukulahla kokuqala kuchazwa ngokuthi ukungakwazi noma ubunzima umuntu alele ekulaleni.
Kubantu abane-MS, ukungalali kokuqala kungabangwa ubuhlungu be- neuropathic noma musculoskeletal kanye nemithi ethile eyaziwa ukuthi ibangela ubunzima bokulala.
Ukuqwashisa Okuphakathi
Ukuqwashisa okuphakathi lapho uvuka ebusuku futhi awukwazi ukubuyela emuva. Kuyathakazelisa ukuthi abantu abanokukhathala kakhulu kwansuku zonke banamathuba amaningi okuzwa ukulala okuphakathi. Ezinye izimpawu ezihlobene ne-MS ezifana nezinselele ze-muscle kanye ne-nocturia (isifiso sokugaya ebusuku) kungabangela nalokhu nomphumela.
Ukuqwashisa kwe-Terminal
Ukuleleka kokuphela komzimba kuvuka nje kusencane kakhulu. Isizathu sokuntula ukuphela kokulala kubantu abane-MS akuqondakali kahle kodwa abanye bakholelwa ukuthi ukungabikho kokuchayeka emini (ikakhulu kulabo abanokucindezeleka) kungabangela lokhu.
Ukwelapha ukuleleka
Nakuba abantu abaningi becabanga ukuthi amaphilisi okulala kufanele abe ukwelashwa kokuqala kokuzikhethela ukulala, ukulala imithi kunamaphutha nokuncipha kwabo. Kuzo zonke, ngenkathi zingase zinikeze izinzuzo esikhathini esifushane, izidakamizwa zivame ukulahlekelwa ukusebenza kwazo ngokushesha futhi zingase zibe umlutha.
Abanye abantu baphendukela kumadivayisi wezokwelapha njengengcindezi eqhubekayo yomoya (CPAP) ukuze baphathe i-apnea yokulala kanye nokwelapha okukhanyayo ukukhanya kwezidakamizwa zokulala komzimba.
Nokho, lezi zimo zidinga ukuthi zitholwe yi-professional care professional kuqala.
Ngaphandle kwalezi zinhlobo zokungenelela kwezokwelapha, kunezinto wena nodokotela wakho ongayenza ukubhekana nezifo ezihlobene nokulala (futhi lokhu kuyiqiniso kungakhathaliseki ukuthi unayo i-MS noma cha)
- Thola ukukhanya okukhulu kokukhanya kwemvelo emini.
- Hlala futhi uvuke ngesikhathi esifanayo nsuku zonke, kuhlanganise nempelasonto.
- Ukuzivocavoca njalo ukuze uthuthukise ubuthongo kodwa ungakwenzi esikhathini esingamahora amane kuya kweyisithupha ngesikhathi sokulala njengoba kungakuqhathanisa.
- Nciphisa i- caffeine yakho, utshwala, ne-nicotine idla amahora ayisithupha ngaphambi kokulala.
- Yeka ukuphuza noma yimaphi ama-fluids amahora ambalwa ngaphambi kokulala.
- Zama ukusula ingqondo yakho lapho ulele. Gwema i-TV noma amadivayisi kagesi.
- Gcina ikamelo lokulala libumnyama futhi izinga lokushisa lipholile.
- Ungalokothi uphapheme phakathi nobusuku. Vuka, funda incwadi, noma wenze omunye umsebenzi ukuze ulungise ingqondo yakho ngaphambi kokubuyela embhedeni.
Izwi elivela
Uma unenkinga yokulala futhi uzame izinyathelo ezilula ezinjengezikhulunywe ngenhla ngaphandle kokukhululeka okukhulu, qiniseka ukuthi ukhuluma nengane yakho yezinzwa. Ngokubambisana, ungase ukwazi ukuthola umlandu ngemuva kwezinkinga zakho zokulala ezifana nemithi ye-MS noma uphawu olubangela noma okufaka isandla ekulaleni kwakho.
Lokho kuthiwa, ngezinye izikhathi, kudluliselwe ochwepheshe bokulala ukuze kufike empandeni yenkinga.
> Umthombo:
> I-Brass, iS .; Li, C .; kanye ne-Auerbach, S. "I-Undergagnosis Yezinkinga Zokulala Ezigulini Eziphila Nge-Multiple Sclerosis." I-Journal ye-Clinical Sleep Medicine . 2014; 10 (9): 1025-31.