Kulinganiselwa ukuthi abantu abangafika ku-70% abanesifo se-Alzheimer bazobhekana nokuphazamiseka kokulala ebusuku. Odokotela batusa izindlela ezihlukahlukene zokubhekana nazo, kusukela emithini yemishanguzo kuya ekushintsheni kwimihla ngemihla.
Kungani Kuphazamiseka Ukuphazamiseka?
Abacwaningi abaqiniseki kahle ukuthi kungani abantu abanesifo se-Alzheimer behleka ukuphazamiseka kokulala.
Abanye abacwaningi basho ukuthi ukuphazamiseka kokulala kuhlobene nezinkinga zokuphefumula, isimo esivamile kubantu abane-Alzheimer's disease. Izifundo ziye zabika ukuthi iziguli ezingama-30% kuya ku-70% ezine-Alzheimer's disease ziphefumula ukulala. Ukuphefumula okuphazamisekile ukulala kuyilebula yeqembu lezinkinga ezibangela ukuphefumula okungavamile ngesikhathi sokulala. I-apnea yokulala yisibonelo esivame kakhulu salesi sifo.
Ngezindlela ezingaqondakali ngokuphelele, isifo se-Alzheimer sibheka nokuthi sithinta isigqi somuntu ngamunye. Isigqi se-Circadian, isimiso semvelo somzimba, sinesibopho sokuvumela ubuchopho ukuba buphumule ebusuku futhi bukhuthazwe emini. Abantu abane-Alzheimer's disease ngokuvamile bakuthola kunzima ukulala ebusuku, futhi bayoba nobunzima bokuhlala bephapheme emini. Ucwaningo olwenziwa ngo-2007 olwanyatheliswa encwadini yezokwelapha I- Gerontology lathola ukuthi abantu abanesifo se-Alzheimer bavame ukukhuphuka komzimba womzimba, okwakungaphazamisa isigqi esivamile.
Kucatshangwa ukuthi ukushaywa umoya, noma ukuvuvukala ebuchosheni, kungase futhi kuthinte isigqi se-circadian.
Ukulala kunzima kuvame ukuhlanganiswa nokukhuphuka kwezimpawu ezifana nokukhungatheka , ukuphazamiseka nokuphindaphinda , njengokulingisa amazwi nezenzo zomnakekeli, ngesikhathi sokuhlwa nakusihlwa.
Lesi simo sibhekwa ngokuthi sundowning . Ngokusho kwe-Alzheimer's Association, ukushona kwelanga kungabangelwa ukukhathala nokuhluleka ukuhlukanisa iqiniso namaphupho.
Yini Engayinciphisa Ukuphazamiseka Kwebuthongo?
Ngaphambi kokuya kwiKhabhinethi yezokwelapha, abanakekeli bangazama ezinye zezici ezilandelayo:
- Uma kucatshangwa ukuthi ukuphefumula okuphazamisekile ukulala, cabanga ngendlela yokwelashwa okuqhubekayo enhle. Lokhu ukwelashwa kuhilela ukusetshenziswa komshini ohlinzeka isiguli ngomoya oqhubekayo. Ucwaningo luye lwabonisa le thrafikhi ukuthi iphumelele phakathi kweziguli ze-Alzheimer's disease.
- Namathela esimisweni samalanga onke , ubeka izikhathi ezivamile zokuvuka ekuseni nokulala ebusuku.
- Ukusekela isimiso sokuzivocavoca nsuku zonke, kodwa gcina amahora amane ngaphambi kokulala ukuze wenze imisebenzi eminingi ethule.
- Gcina i-TV nokunye ukuvezwa kwesikrini njengamakhompiyutha okungenani, ikakhulukazi phakathi nehora lesine ngaphambi kokulala.
- Setha ukukhanya kwebusuku bese unikeza "into yesikhashana," okusiza ukuguqulwa komuntu ngamunye kusukela emini kuya kusihlwa. Le nto ingaba ingubo, izinto zokugqoka noma ngisho nesilwane esinyene, kodwa sisebenzise kuphela ebusuku.
- Ukunciphisa ukusetshenziswa kukagwayi, iziphuzo ze-caffeinated no-alcohol.
- Khuthaza ukuchayeka kwansuku zonke elangeni.
- Eminye imithi ingakhuphuka, ngakho khuluma nodokotela noma wemithi mayelana nokuthi imithi ingase iphazamise ubuthongo. Cabanga ngokushintsha imithi noma isimiso somuthi, ukugwema ukunikeza izidakamizwa kusihlwa.
Ingabe Imithi Ingasiza Ukuphatha Izinkinga Zokulala?
Uhlu lwemithi ephethe ukuphazamiseka kokulala lude, futhi luhlanganisa izidakamizwa ezivela ku-tricyclic anti-depressants, njengePhamelor noma i-Aventyl (i-nortiptyline), kumaphilisi okulala asendlini njenge-Ativan (lorazepam). I-Aricept (donepezil), imithi esele ivunyiwe ukukhawulela okwesikhashana ukuqhuma kwesifo se-Alzheimer, nayo iboniswe ukwandisa ukugcwala kwe-oksijeni ezigulini ezinokuphefumula okuphazamiseka kokulala okuphathelene nokulala okuphathelene ne-Alzheimer's.
I-Melatonin , i-hormone ekhiqizwa ngokwemvelo, ngezinye izikhathi isetshenziselwa nomgomo wokusiza ubuthongo kubantu abane-dementia.
Imithi ngayinye inemiphumela emibi okufanele ixoxwe nodokotela ngaphambi kokuqala ukwelashwa.
Ngokusho kwe-Alzheimer's Association, ukusetshenziswa kwemithi yokwenza ubuthongo kufanele kugwenywe. Imithi yokulala ihlotshaniswa ne " ingozi eyengeziwe yokuwa kwamaphutha, ukudideka nokunciphisa ikhono lokuzinakekela." Ochwepheshe bacebisa ukuthi uma imithi enjalo isetshenzisiwe, inani elincanyana kakhulu lemithi edingekayo kufanele lisetshenziswe.
Imithi eminingi yokulala ingaba yinto yokuziphatha, izazi nazo zikhuthaza ukunciphisa izidakamizwa emva kokuthola isimiso sokulala esiphephile.
Imithombo:
Chong, MS, futhi. al. "Ukucindezela Komoya Okuqhubekayo Okunciphisa Ukunciphisa Ukushona Kwamasuku Ebusuku Ezigulini Ezigulayo Ezigulini Eziphethwe Izifo Eziphansi Kakhulu Ne-Alzheimer's Sleeping Disordered Breathing." I-Journal ye-American Geriatrics Society. 55. 4. Meyi 2006. 777-781. 28 Meyi 2008. (ukubhalisa).
I-Harper, i-DG, ne-. al. "Ukuphazanyiswa Kwesigqi Esiphezulu Se-Circadian Rhythm Ekugugeni nase-Alzheimer's Illness." I-American Journal of Geriatric Psychiatry. 13. May 2005. 359-368. 28 Meyi 2008.
Klegeris, Andis, et. al .. "Ukwandisa Ukushisa Komzimba Okuvamile Kwezifo Zama-Alzheimer Iziguli njengendlela Ebonakalayo Yendlela Ezingapheliyo Neuroinflammation: I-Meta-Analysis." I-Gerontology. 53. 1. 2007. 7-11. 28 Meyi 2008.
Moraes, W., et. al. "I-Donepezil Ithuthukisa Ukuvimbela I-Apnea Yokulala E-Alzheimer's Disease: Isifundo Esilawulwa Ngama-Double-Blind, Esilawulwa Ngendawo." I-British Journal ye-Chest Diseases. 133. 3. Mar. 2008. 677-683. 28 Meyi 2008.
McCurry, SM, futhi. al. "Ukwelashwa Kwebusuku Bokulala Ukulala Nokuzivocavoca Ngezifo Zama-Alzheimer: Isivivinyo Esingahleliwe, Esilawulwayo." I-Journal ye-American Geriatrics Society. 53. 5. Meyi 2005. 793-802. 28 Meyi 2008. (ukubhalisa).
"Ukulala nokuSundowning." Ukuphila Ngezifo Zama-Alzheimer . 16 Okthoba 2007. I-Alzheimer's Association. 28 Meyi 2008.
"Ukuphuza Ukulala-Okuphazamisekile." Uhlelo Lokuhlola Lokukhathazeka Kwezezwelonke Zokulala . 2003. Izikhungo zezempilo zikazwelonke. 28 Meyi 2008.
"Ukwelashwa Kwezinguquko Zokulala." Izifo Zama-Alzheimer: Ukwelapha . 26 Nov. 2007. I-Alzheimer's Association. 28 Meyi 2008.