Ukukhathazeka ngokweqile Kungase Kuholele Ekuqothukeni
Lapho ukucindezeleka kuthatha impilo yakho, ungase uthole kunzima ukususa ukukhathazeka okubangelwayo. Kungabonakala njengokukhathazeka okuqhubekayo noma ukungezwani okungeke kushiye imisipha yakho. Kuyini ukukhathazeka okujwayelekile kokukhathazeka? Ukucindezeleka noma ukukhathazeka kuthinta kanjani ukulala? Kungabangela kanjani ukungabi nokulala ? Funda mayelana nobuhlobo phakathi kokucindezeleka, ukukhathazeka, nobunzima bokulala.
Yini Okujwayelekile Yokukhathazeka Ngokukhathazeka?
Kungakhathaliseki ukuthi isiteshi sakho siphila ekuphileni, ukucindezeleka kuvamile. Kungabangela izinkathazo ezingeke zihambe. Uma lezi zinkinga zidlula amandla akho okubhekana nazo, kungase kube nzima ukusebenza emini futhi akunakwenzeka ukulala ebusuku. Ziyini izimpawu zokukhathazeka okujwayelekile?
Nakuba abantu abangu-18% bekhalaza ngokukhathazeka ngonyaka onikeziwe, ukukhathazeka okwenziwe jikelele (GAD) akuvamile kakhulu (kulinganiselwa ukuthi kwenzeka kubantu abangu-3%). Lithinta abesifazane abaningi uma kuqhathaniswa namadoda. I-GAD ichazwa ukukhathazeka noma ukukhathazeka okungapheli, okweqile, nokweqile okuhlala okungenani izinyanga ezingu-6. Kukhona izinsuku ezingaphezulu kunalokho. Ngaphezu kwalokho, ukukhathazeka okuvelela lesi simo kuthinta izici eziningi zokuphila, kubandakanya umsebenzi noma isikole kanye neminye imisebenzi. Lokhu kunzima ukulawula. Kuningi ezinye izimpawu ezihlobene ne-GAD, kufaka phakathi:
- Ukuphumula noma umuzwa "onqenqemeni"
- Ukukhathala kalula
- Ukuhlushwa okuncane
- Ukuthukuthela
- Ukungezwani kwemisipha
- Ukuqwashisa noma ukulala okungenakuphumula
I-GAD iyimpilo engapheli futhi ayifuni ukuzitholela ngokuphelele. Kuvame ukuba nemvelo yokuxubha nokuxuba, ngezikhathi ezingase zibe ngcono noma ezimbi kakhulu. Ngokuvamile kuhlangene nokucindezeleka . I-GAD inemiphumela ebalulekile ekulele.
Ukucindezeleka, Ukukhathazeka, Nokuthola Ukushona
Ukukhathazeka okwenziwe i-GAD kuvame ukuphazamisa ikhono lokulala futhi kuholele ekubhekaneni nokulala. Lokhu akulindelekile. Ukukhathazeka kungase kubhekwe njengokukhula okungalungile kwempendulo ebizwa ngokuthi i-arousal. Kukholelwa ukuthi ukuvuswa kwavela ukusigcina siqaphele izinsongo, ukuze sikwazi ukusabela ngokufanele futhi sizivikele. Kuwusizo ukwethuka lapho izingonyama ezilambile zikhona ku-prowl. Kodwa-ke, uma lesi simiso singena ngendlela engafanele ku-overdrive, kunemiphumela emibi.
Ukuphazamiseka kokulala kungenye yezinkinga eziyinhloko ezingase zikhule, zithinte abantu abangu-56-75% abane-GAD. Cabanga uvuke njengensimbi ehamba phambili. It yenza ukunaka kwakho, kukunika ukuhlala up futhi uqaphele. Iphinde igwebe izinzwa zakho kancane. Lapho insimbi ilokhu ikhala ebusuku, kunzima ukulala. Lokhu kungaholela enkingeni yokulala, ukulala, noma ukulala okungaqabuli nje. Lezi zihlanganiswa ngokubizwa ngokuthi ukuleleka.
Izinkathazo eziholela ekwenzeni ukhathazeka nokukhathazeka okukhulu zingase zifike phambili uma ulala ebusuku. Lapho iziphazamiso zosuku zixoshwa, izimpikiswano mayelana nomsebenzi wakho, ezezimali, noma ubuhlobo zingase zifike phezulu.
Ukulukhuni ukulala kungase kukhululeke isethi yayo yezinkathazo mayelana nemithelela ekusebenzeni ngosuku olulandelayo. Ukwehla kokulala kungaholela kwezinye izinkinga ezivame ukubonisa i-GAD, kubandakanya ubunzima bokuhlushwa nokuzizwa.
Uma kubhekwe ubuthongo babantu abane-GAD, kunezinto ezitholakalayo ezitholakala ezihambisana nokuxilongwa kokuntula ukulala. Ucwaningo oluhlelekile lokuhlola, oluthiwa i- polysomnogram , luzobonisa ukukhula kwesikhathi sokulala (isikhathi esithathayo ukulala) nokuvuka okukhulu ngemva kokulala. Isamba sokulala sincishisiwe. Labo abane-GAD bangaba nokuvusa ekuseni ekuseni, uphawu oluvame ukuvela ekucindezelekeni (okuyinto ebonisa ukuqala okusheshayo kokulala kwe-REM ).
Ukwelashwa Kwe-Generalized Anxiety Disorder
Izinketho zokwelapha zengozi ejwayelekile yokukhathazeka zifana nalabo asetshenziselwa ezinye izinkinga zokukhathazeka. Le ndlela ihlanganisa ukusetshenziswa kwemithi, ukwelashwa kokuziphatha kwengqondo, kanye namasu okuphumula. Njengoba i-GAD ivame ukugula okungapheli, ingase ihilele ukwelashwa okwesikhathi eside eminyakeni eminingi.
I-Benzodiazepines yiyona imithi evame ukusetshenziswa kakhulu ekunciphiseni ukukhathazeka. Ngokuyinhloko, i-alprazolam ne-clonazepam ivame ukushiwo. Yize le mithi ingasetshenziselwa ukwelashwa kwesikhashana sokulala, kungasiza kakhulu ukuxazulula ukukhathazeka. Ngaphezu kwalokho, isetshenziswa se-serotonin reuptake inhibitors (SSRIs) esetshenziselwa i-venlafaxine.
Ukwelashwa kokuziphatha okunengqondo kuyasebenza kakhulu ukuphatha i-GAD. Leli gciwane livame ukuphathwa yizinqondo ezingokwengqondo eziqeqeshwe ngokukhethekile noma izifo zengqondo. Kuyindlela yokwelashwa ethandwayo kubantu asebekhulile abangase babe nezinkinga ezimbi ezivela emithini ye-benzodiazepine, kuhlanganise nobungozi bokuwa okulimazayo.
Kulabo abahlushwa ukukhathazeka nokungakhathazeki okungalawulwa, ikakhulukazi uma lokhu kubangela ukulala, qalisa ngokukhuluma nodokotela wakho oyinhloko ongakudokotela ongase ancoma ukuthunyelwa kumuntu wezifo zengqondo.
Imithombo:
Manual Diagnostic and Statistical of Disorders Mental (DSM-IV), American Psychiatric Press , edition 4, 1994.
Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." I-ExpertConsult , umagazini we-5, 2011, iphe. 1477-1478.