I-Dreaming Ukukhubazeka Kwengqondo Ingase iqhubeke ne-REM Ukulala
Ukugula ukukhubazeka kubonakala kungenakwenzeka. Uvuka kusukela ebuthongweni. Njengoba ulala embhedeni, uzizwa sengathi omunye umi phezu kwakho ebumnyameni. Uzama ukuhambisa ikhanda lakho kancane ukuze uthathe ukubuka okucashile, kodwa awukwazi. Omunye-into-ngokuqinisekile ukukubambe phansi. Uzama ukulwa, ukuxosha izingalo nemilenze yakho, kepha usuqhwa endaweni. I-panic ishiya phezu kwakho njengoba ukukhubazeka kwakho kuqhubeka.
Uzofa? Usuvele ufile? Yize lokhu kungase kuzwakale kungenangqondo, ukulala ukukhubazeka ngempela kuyinto yangempela. Ziyini izimpawu zokulala nokukhubazeka? Funda mayelana namaqiniso, izici, imvamisa, kanye nokwelapha kwalesi simo nokuthi uhlobene kanjani nezici zokulala ze-REM eziqhubekayo ekuvukeni.
Yini Ngokuqondile Ukulala Nokukhubazeka?
Okokuqala, ake sihlole amanye amaqiniso mayelana nesimo. Uma uhlangabezane nokunye okufanayo ngenkathi uvuka , uyazi kahle izinto ezingenakulibaleka zokukhubazeka ukulala. Ngencazelo, ukubuthwa ukukhubazeka kungakwazi ukuhamba noma ukukhuluma njengomuntu ohamba ebuthongweni ukuze avuke, ngaphandle kokuthola okunye okubonakalayo.
Lapho elele ukukhubazeka, lokhu kwenzeka kaningi ngenkathi kuvuswa (hypnopompic) ngokuphambene nokulala (i- hypnagogic ), okuvame kakhulu ku-narcolepsy. Kungenzeka ukuthi kungenzeka ukuthi kwenzeke ekuseni ngoba kungukuthi ukulala kwe-eye ngokushesha (REM) ukulala okuhambisana nokuphupha okucacile.
Izimpawu Nezici Zokulala Ukulala
Kunezinye izici ezivamile ezibonisa izimpawu zokukhubazeka kokulala , kufaka phakathi:
- Ukunyakaza kwamehlo kuvame ukugcinwa.
- Kuvame ukwenzeka lapho ulele emhlane.
- Ukuboniswa okubonakalayo nokucwaninga okuvame ukuvela futhi kungabandakanya umqondo wokuba khona okubi, kokuthinteka, noma amazwi okuzwa noma umsindo emkhathini.
- Ngezinye izikhathi ubuso noma abantu bangase babonakale embhedeni.
- Umqondo wokuphefumula (noma ukucindezeleka esifubeni, ngisho nomuntu omi esifubeni sakhe) kungenzeka ukuthi ukhona. Usengakwazi ukuphefumula, ngenxa yomsebenzi ogcinwe umfutho we-diaphragm.
Ukulala Ukukhubazeka Kuvele Kanjani?
Kuyinto evamile futhi ingahle ibhekwe ngabangu-20% kuya kwabangu-60% abantu, kuye ngokuthi abantu bahlolwe kanjani. Ekucwaningweni kwabafundi basekolishi, kutholakala ukuthi u-21% waba nesinye isiqephu sokulala ukukhubazeka, kodwa kuphela 4% eneziqephu ezingu-5 noma ngaphezulu.
Yini Ebangela Ukulala Ukukhubazeka?
Kucatshangwa ukuthi kuncishiswe ukulala, ukucindezeleka, nokulala isikhathi sokuphazamiseka. Ekuhlolweni, kuboniswe ukuthi kwenzeka ngokuphazanyiswa kokunyakaza kwamehlo okusheshayo (REM), noma ukuphupha ukulala. Kubuye kuhlotshaniswe neziphazamiso zokukhathazeka okungase ziholele ekulele ubuthongo, ukulala ukulala nokulala.
Nakuba kungase kube nezinkinga ezithile, ekugcineni ukulala ukukhubazeka kuthathwa njengenkinga ngokulawulwa kwe-REM. Phakathi nalesi sigaba sokulala, umzimba uhlale ukhululekile ukuze amaphupho angenzi lutho. Uma lokhu kuphumula, noma i-atonia, kwenzeka ngesikhathi umuntu ephapheme, kungabangela ukukhubazeka okwesikhashana. Ezinye izakhi zokulala ephusheni zingaphinde zingene ekuvukeni.
Lokhu kungase kube nakho uma isikhathi se-REM siphazamiseka.
I-apnea yokulala yokuvimbela ingabangela nokuvuswa ngenxa yokuphazamiseka kokuphefumula futhi kubangele ukulala ukukhubazeka. Lokhu kungase kuchaze nokuthi kungani ukulala ukukhubazeka kungenzeka uma umuntu elele emhlane. Izimpawu ezihlanganisiwe ezifana nokugubha, ukufakaza ukuphefumula, ukugubha noma ukuchoboza, ubuthongo besimini, ukugaya amazinyo, nokuvame ukuvuthwa ebusuku (nocturia) kungase kubhekisele kulokhu njengesizathu esiyinhloko sokulala ukukhubazeka.
Ukwelashwa Nokuphathwa Kwokulala Ukulala
Ngenhlanhla, ukulala ukukhubazeka akulimazi. Kuyinto elinganiselwe ngokwabo, ekupheleni kokungalali noma ukuvuka ngokugcwele.
Kungenzeka njalo. Uma sekuqashelwa, ukuqinisekiswa kuvame ngokwanele. Kwenzeka njalo, kanti imbangela ingase ibe yinto enobungozi. Ayikho ingozi yokufa lapho lezi ziqephu zenzeka. Kungasabeka kakhulu njengoba kwenzeka.
Yize lezi ziqephu zingase zisabe, ingozi ngokwayo ayiyona eyingozi futhi iyozixazulula ngokwayo yedwa. Akukho ukwelashwa okudingekayo, kodwa ukugwema ukulala, ukucindezeleka, nezinye izakhi kungase kube usizo. Lezi zifingqiwe emibhalweni yokulala ebuthongweni .
Kulabo abahlushwa iziqephu eziningi futhi abangakwazi ukubekezelela ukucindezeleka kwengqondo, i-serotonin receptor inhibitor (noma i-SSRI) ekhethiwe ingahle ibekiwe. Le mithi igxila ukulala kwe-REM.
Ngaphezu kwalokho, ukuhlolwa ngudokotela kungaba kubalulekile ukubhekana nokulala, impilo yengqondo, noma ezinye izinkinga zempilo ezingaphazamisa ukulala. Ngokuyinhloko, kungase kube kubalulekile ukuba ube nokuhlolwa kwe-apnea yokulala okungenzeka ibe yimbangela. Uma ibuyeka, futhi ikakhulukazi ikhungathekisa, ukuhlolwa kwesigqebhethi sokulala sokuqinisekiswa kwebhodi noma isifundo sokulala singaboniswa.
Izwi kusuka
Ukugula ukukhubazeka kuyinto esabekayo, kodwa izindaba ezinhle ukuthi ungase uqiniseke uma kufanele ubuyeke. Uma uvuka ebusuku, uzizwa ungakwazi ukuhamba, zama ukuphumula ingqondo yakho. Zitshele ukuthi uyaqonda ukuthi kwenzekani, ukuthi akuyona yangempela, nokuthi izozixazulula eyedwa emaminithini ambalwa nje. Abanye abantu baze bathande ukuhlanganyela ngokugcwele nakho, bezenze sengathi kufana nokuthi baba umdlali we-movie esabekayo. Lokhu kungakunikeza umqondo wokulawula phezu kwento engenza ube nomuzwa wokuthi awunamandla. Uma ungase uqiniseke futhi uziphazamise, uphinde ulale, isimo sizophela ngokushesha. Ingqondo iyinto engajwayelekile futhi enamandla, futhi ukulala ukukhubazeka kungenye ukubonakaliswa kwamakhono ayo amangalisayo.
> Imithombo:
> Kryger, MH et al. "Izimiso Nemikhuba Yokulala Imithi." Elsevier, edition 6, 2016.
> McCarty, DE et al. "Icala lokulala nokukhubazeka nge-hypnopompic hallucinations." I-Journal ye-Clinical Sleep Medicine . 2009; 5 (1): 83-84.
> Morton, K. "Ukhubazekile ebusuku: Ingabe Ukukhubazeka Kulele?" I- Stanford Ukulala Namaphupho . 2010.
> I-Spanos, i-NP ne-al. "Ukuvama kanye nokuxilongwa kokulala ukukhubazeka esikhungweni samanyuvesi." J Res Pers . 1995; 29: 285-305.
> I-Takeuchi, T. et al. "Izinto ezihlobene nokutholakala kokukhubazeka okuyingqayizivele yokulala ubuthongo zenziwa ngesikhathi sokulala isikhathi eside." Ukulala ngo- 2002; 25: 89-96.