Uma Uvuka Uphelelwe amandla
Isici esiyinhloko sesifo esingapheliyo sokukhathala ( ME / CFS) ubuthongo obungafaneleki obukhipha ukukhathala. Kubizwa ngokuthi ukulala okungavuseleli noma okungekho ukubuyisa. Kungakhathaliseki ukuthi abantu abanoMe / CFS balele kangakanani, abaze bavuke bazizwa behlanzekile futhi balungele usuku.
Abacwaningi bathola kabanzi mayelana nokulala okungapheliyo eM ME / CFS, kufaka phakathi izici zalo zomtholampilo, umthelela wayo, nokuthi ungaphathwa kanjani.
Yini Okungaqabuli Ukulala?
Ukulala okungaqabuli akuyona into efanayo nokulala (okungahle kube khona nabantu abanalesi simo.) Akusho ukuthi ulala isikhathi esingakanani noma ukuthi kunzima kangakanani ukufika lapho.
Esikhundleni salokho, igama elithi sleep sleepless isetshenziswa ukuchaza ukulala okulula ukuthi, ngisho nangemva kobusuku obugcwele, akushiyi ukuphumula. Abantu abaneMe / CFS bavame ukuvuka bekhathele futhi bezwa sengathi abazange balale nhlobo-kungakhathaliseki ukuthi base belele isikhathi esingakanani. Imiphumela yokulala engapheliyo ingaphezu kokukhathala nje.
Ukulala okungaqabulayo kubonakala kubangelwa inkinga yokuthi umzimba wakho ulawula kanjani ukulala, okubizwa ngokuthi i-homeostasis yokulala. Ngenkathi abantu abane-ME / CFS bangase babe nokuphazamiseka kokulala, izifundo eziningi zisekela inkolelo yokuthi ukukhathala kwabo okuqhubekayo, okukhathala okubangelwa ukulala ekhayaostasis okungafaneleki futhi hhayi kwezinye izifo zokulala. Eqinisweni, ukutadisha kuka-2013 okushicilelwe ekubukeni kwe- Sleep Medicine akutholakali ubufakazi bokuthi ukwelapha ukukhathazeka kokulala kokuncipha kunciphisa ukukhathala kwalesi simo.
Impact
Izimpawu eziningi ze-ME / CFS zihlongozwa ukuthi zizungeze ubuthongo obungapheli. Zihlanganisa:
- ukukhathala okungapheli
- ubuthongo bemini
- ukuhlushwa okuncane nokunye ukukhubazeka kwengqondo ( ubuchopho bubuchopho )
- ukwanda komzwelo ebuhlungu ( hyperalgesia )
- ukukhubazeka okujwayelekile
Kungani u-Sleep Ungabuyisanga ku-ME / CFS?
Ucwaningo oluningi lubike ukungafani okulinganiselwe endleleni abantu abane-ME / CFS balele ngayo, kubandakanya:
- ubuchopho-ukungafani okungafani ezinyathelweni eziningana zokulala
- isikhathi eside sokulala esifushane
- isikhathi esiningi sokubeka uphapheme embhedeni
- ukulala okungaphansi kwe-REM nezinye izinto ezihlobene ne-REM
- ukuhluka kwezinga lokushaya kwenhliziyo eliphansi ebusuku, okuphakamisa ukukhubazeka okuzimele
Ucwaningo olusakhulayo lusekela ukucabangela kokuzimela kwamandla ku-ME / CFS, okuyinto enenkinga ohlelweni lwe-neon autonomic (ANS). I-ANS yenziwe izinhlelo zokuzwela nozwela, ezisebenza ngokulinganisela komunye nomunye.
Uma isistimu yomzwelo enozwela ivuliwe, ikubeka ekumoyeni-noma-indiza yemodi. Ngakolunye uhlangothi, ukuvuselelwa kwe-parasympathetic kubizwa ngokuthi i-rest-and-digest mode.
Uma uzwela futhi uhlasele imingcele ngenxa yokukhubazeka okuzimele, kungakubeka esimweni sokuvuswa nokuphakama lapho uzama ukulala. Kufana nokuthi umzali omusha uhlala ephapheme kanjani umntwana okhalayo, engalokothi alele ubuthongo obuhle, obukhulu.
Ukwelapha
Abacwaningi abazange benze izindlela eziningi zokuthola izindlela eziphumelelayo zokuthuthukisa ubuthongo, ngakho-ke ukunciphisa ukukhathala nezinye izimpawu, ku-ME / CFS. Kuze kube manje, akukho muthi oye wavunyelwa yi-FDA yalesi sifo.
Ucwaningo lwe-2010 ngo- Practice Pain lubonise imiphumela emihle nge-drug syndrome Xyrem (i-oxybate ye-sodium) .
Kodwa-ke, lesi sidakamizwa silawulwa ngokuqinile futhi ngokuvamile kunzima ukuthola imithi yalo.
Ucwaningo oluthandwayo lokulala olubhekene ne- melatonin luhlanganisiwe , futhi ukubuyekezwa kuka-2010 ku- Medicine Chemistry yamanje kusho ukuthi umsebenzi omningi udingeka ukuthi unqume ukuthi kusebenza yini.
Abanye abantu abanalesi simo babika impumelelo ngemithi yokubasiza ukuba balele, kuhlanganise nezidakamizwa zokulwa nokucindezeleka noma izinsiza zokulala ezingaphezu kwe-counter. Abanye bathi izithako ziye zazisiza zilele kangcono. Ngeshwa, sinokucwaninga kwekhwalithi encane okungafani nalokho okubonisa ukuthi lezi zindlela zokwelapha empeleni zithuthukisa ukulala okungapheliyo eM ME / CFS.
I-ME / CFS ikholelwa ukuthi ifana ne- fibromyalgia , ebuye ilale ubuthongo obungapheli. Izidakamizwa ezintathu ezivunyelwe i-FDA ze-fibromyalgia zonke ziye zaboniswa ukuthuthukisa ukulala kuleso simo. ZiyiLyrica (pregabalin) , i- Cymbalta (duloxetine) ne- Savella (i-milnacipran) . Kuze kube manje, akekho kulezi zidakamizwa eziye zafundwa nge-ME / CFS.
Odokotela bavame ukuncoma izindlela ezifana nokufunda amasu okuphumula, ukuthuthukisa imikhuba yokulala nokuthola usizo kunoma yiziphi izinkinga zokulala ongase ube nazo.
Uma i-ME / CFS yakho ihilela ubuhlungu, ukuphathwa kahle kobuhlungu kungasiza ekuthuthukiseni izinga lakho lokulala.
Ngokusebenza eduze nodokotela wakho futhi uhlola ngezindlela ezahlukene zokwelashwa, ungathola ukuthola ukwelashwa okusiza ekunciphiseni ukulala okungapheli ukuze ukwazi ukuthuthukisa impilo yakho, ukusebenza, kanye nekhwalithi yokuphila.
Imithombo:
> Mariman A, et al. I-Acta > i-clinica > i-Belgica. 2012 Jan-Feb; 67 (1): 19-24. Ikhwalithi yokulala engacabangi kanye nokulala kwesikhashana esampula enkulu yeziguli ezine-syndrome ezingapheli (CFS).
I-Mariman AN, et al. Ukubuyekezwa kwemithi yokulala. 2013 Jun; 17 (3): 193-9. Hlala ebuchosheni obungapheli syndrome.
UMikirova N, Casciari J, Hunninghake R. Ukwelapha okunye okuphathelene nempilo nemithi. 2012 Jan-Feb; 18 (1): 36-40. Ukuhlolwa kwe-metabolism yamandla ezigulini ezinesifo esingapheliyo sokukhathala yi-serum fluorescence.
> Sanchez-Barcelo EJ, et al. Imithi yamakhemikhali yamanje. 2010; 17 (19): 2070-95. Ukusetshenziswa kwemitholampilo ye-melatonin: ukuhlolwa kokuhlolwa kwabantu.
I-Spitzer AR, umkhuba we-Broadman M. Pain: iphephandaba elisemthethweni le-World Institute of Pain. 2010 Jan-Feb; 10 (1): 54-9. Ukwelashwa kwe-narcoleptiform yokulala ukugula ekuguleni okungapheli kwesifo kanye ne-fibromyalgia ne-sodium oxbate.