Ukuvuka Kuphelelwe amandla
Ukulala okungaqabulayo sekuye kwaqashelwa isikhathi eside njengesici se- fibromyalgia , futhi yinto engase ihlotshaniswe nezimpawu eziningi zethu. Ucwaningo olunye lubika ukuthi abantu abangamaphesenti angama-95 abanesifo se-fibromyalgia babika ubuthongo obungapheli.
Ucwaningo olwandayo luholela ekuqondeni kangcono ukulala okungapheli kule nkinga, izici zayo, umphumela wayo kithi nokuthi zinganciphisa kanjani.
Yini Okungaqabuli Ukulala?
Ukulala okungaqabulayo, okubizwa nangokuthi ukulala okungahambi kahle, akuyona into efanayo nokulala (okungase kube khona nase-fibromyalgia). Akuhambisani nokuthi kunzima kanjani ukulala noma ukuthi ulala isikhathi eside kangakanani.
Esikhundleni salokho, ubuthongo obungapheli bukhulu mayelana nekhwalithi yokulala kwakho. Kukhanya, ngisho nangemva kokulala ubusuku obugcwele, uphakamisa uzizwe ukhathele futhi njengokungathi ulele kakhulu. Kodwa-ke, umthelela wokulala okungapheli kungase kuphele ngaphandle kokuzwa ukhathele.
Nakuba ubuthongo obungapheliyo nezinye izinkinga ezihlobene nokulala kubhekwa njengesifo se-fibromyalgia, ucwaningo lubonisa ukuthi zibophezele ekungajwayelekile ezingqondweni ze-brain and system immune system ngendlela eyinkimbinkimbi futhi, ngokwezibalo zango-2012, zingase zibe " imbangela kanye nomphumela we-fibromyalgia. "
Umthelela Wokulala Okungakhaziyo
Ukucwaninga kuhlobanisa ubuthongo obunzima emibonisweni eminingi ye-fibromyalgia, kufaka phakathi:
- Ukwandisa ububele
- Ukungatholakali kwamabili ebusuku
- Ayikho imizwa yansuku zonke yokuphila kahle
- Ukukhubazeka kwengqondo (fibro fog)
- Ukusebenza okungalungile kwemisebenzi
- Ukuhlwithwa kwasekuseni
- Ukugubha
- Ukukhathala
- Ukucindezeleka kwengqondo
Kungani Ukulala Kubuyiselwa Ku-Fibromyalgia?
Kuze kube manje, akuqondi kahle ukuthi kungani ukulala kungaqabuli kubantu abanobujamo.
Incazelo ecacile kakhulu yukuthi kunzima ukulala uma ubuhlungu, futhi abantu abaningi abane-fibromyalgia babika ubuhlungu obunzima ngokumane belele phansi emathunjini abo. Ukuthambekela kokutholwa kakhudlwana noma ukugqithiswa ngokweqile nokuthuthumela ngokweqile kungabangela nokuba nezinkinga zokulala.
Ucwaningo lubonisa ukuthi ukungasebenzi kahle ohlelweni lwezinzwa ezizimele (ANS) lungadlala indima ebalulekile.
I-ANS ihlukaniswe zibe izingxenye ezimbili - i-sympathetic (impi-noma-imodi yendiza) kanye ne-parasympathetic (imodi yokuphumula nokugaya). Ngokusho kwemibono evelayo ye-fibromyalgia, uhlelo lomzwelo oluzwelayo lubonakala lubanjwe "ku," ukuvimbela umzimba ukuba uphumule ngempela futhi ukwazi ukulala.
Lesi simo sifana nokuthi "ukulala ngeso elivulekile," njengabazali abasha abakwenzayo lapho beqaphele ukukhala konke kwengane, noma sengathi ungase ube nakho lapho ukhathazeke ngokukhethekile ngokulala kakhulu bese uvuka bese uhlola iwashi ngokuphindaphindiwe.
Ucwaningo lwango-2009 (Prados) lubonisa ukuthi ukuhlukahluka kwenhliziyo, okuyisilinganiso sokusebenza okuzimele, kwakungavamile ngesikhathi sokulala kwabahlanganyeli abane-fibromyalgia. Lokhu kusekela inkolelo yokwenza umsebenzi ozwelayo ophazamisa ukulala.
Ngenxa yokuthi ubuhlungu buphazamisa ukulala nokuhlupheka ukulala kuholela ebuhlungu, kungaba umjikelezo wokuzivuselela.
Ukuphatha Ukulala Okungakhaliyo
Ucwaningo lubonisa ukuthi imithi eminingi ingakwazi ukuthuthukisa izinga lokulala ku-fibromyalgia. Lokhu kufaka:
- I-Lyrica (i-pregabalin)
- I-Cymbalta (duloxetine) , i- Savella (i-milnacipran) nezinye i- SNRIs
- Elavil (amitriptyline)
- I-Xyrem (i-oxybate ye-sodium)
I-Lyrica, i-Cymbalta ne-Savella yi-FDA-evunyelwe ukugula. U-Elavil ungumuthi wokucindezeleka we-tricyclic, futhi i-Xyrem iyisidakamizwa esingenasisindo esilawulwa ngokuqinile.
Abanye abantu abane-fibromyalgia babika impumelelo ngezinye izinsiza zokulala noma ngaphezulu kwe-counter-counter-counter.
Ucwaningo lubonisa ukuthi ukwesekwa kwe- melatonin kungathuthukisa ukulala nobuhlungu ku-fibromyalgia.
Uma ubuthongo bakho bungaqabuki, kufanele ukhulume nodokotela wakho ngokuthi yini ongakhetha ngayo.
Imithombo:
Clauw DJ. I-PM & R: iphephandaba lokulimala, ukusebenza, nokuvuselelwa. 2010 Meyi; 2 (5): 414-30. Izindlela zokukhathala ezivela ekutadisheni ukukhathala kwesifo se-syndrome nezimo ezihlobene.
Hussain SA, et al. I-Journal ye-pineal ucwaningo. 2011, 50 (3): 267-71. i-doi: 10.1111 / j.1600-079X.2010.00836.x. Ukusetshenziswa kwe-adjuvant kwe-melatonin yokwelashwa kwe-fibromyalgia.
Moldofsky H, et al. I Journal of rheumatology. 2011 Dec; 38 (12): 2653-63. Imiphumela yesikhathi sokulala esincane kakhulu i-cyclobenzaprine ngezibonakaliso nokulala kwezilwane ezigulini ezine-fibromyalgia syndrome: isifundo esilawulwa ngokulawulwa kwe-placebo esiphundu.
Moldofsky H, et al. Journal of rheumatology. 2010 Oct; 37 (10): 2156-66. Imiphumela ye-oxybate ye-sodium kwi-physiology yokulala kanye nezimpawu zokulala / ezihlobene nokuvuka kwayo / izimpikiswano zakhe eziphathelene neziguli ezine-fibromyalgia syndrome: isifundo esilawulwa yi-doublebo blind, randomized, se-placebo.
Prados G, Miro E. Revista de neurologia. 2012 Feb 16; 54 (4): 227-40. I-Abstract ekhonjisiwe, isihloko esi-Spanish. I-Fibromyalgia nokulala: isibuyekezo.