1 -
Izimbangela ze-Cancer ezihlobene nokungazinziUkuqwashisa kubantu abanomdlavuza kuvamile kakhulu kodwa akutholanga ukunakekelwa okuncane ngokuphathelene nezingozi eziba khona. Akukhona nje ukuthi ukulala nokushona kunomthelela omkhulu wokuphila kwabantu abanomdlavuza, kodwa kubonakala sengathi kunomthelela omubi kwisilinganiso sokusinda.
Ukungaboni kahle kuchazwa njengokuthi ubunzima bokulala buhlala imizuzu engama-30 noma ngaphezulu futhi / noma ukuvuka kwebusuku okungeza imizuzu engama-30 noma ngaphezulu, okuhambisana nokukhathala kwesikhashana.
Njengoba kubalulekile ukuqonda izimbangela ngaphambi kokuba zixoxe ngemithi yokwelashwa, ake siqale ngokuchaza ezinye zezimbangela nezinkinga zokungabi nabuthongo kubantu abanomdlavuza. Lokhu kufaka phakathi izinguquko zezinto eziphilayo ezihambisana nokukhula kwesisu, ukwelapha umdlavuza, izimpawu ezihlobene nomdlavuza kanye nemithi yokwelapha, kanye nokulala okuvamile kanye nezimo zezokwelapha ezikhona.
2 -
Ukukhula kweCanscer kubangela ukushonaUkukhula kwesimila ngokwakho kuthinta izinqubo zezinto ezinokwemvelo eziphilayo emzimbeni. Uma ukhumbule abantu bebeka ukulala ebuthongweni okhulayo kwentsha, isithombe sisho ngokucacile.
Nakuba kuncane okungenziwa ngokuqondile ngenxa yalesi sizathu sokulala, ngaphandle kokuphatha umdlavuza kuyisikhumbuzo sokuthi ngokuvamile izimbangela eziningi zokuntula ukulala nokukhathala zisebenza ndawonye kubantu abanomdlavuza okubangele izimpawu. Ukulawula lezo zimbangela esiziphethe ngazo, kubaluleke kakhulu.
3 -
Izinguquko Zomzimba Ezibangelwa I-CancerLapho ukhuluma mayelana nezinguquko zomzimba ezihambisana nesifo somdlavuza, ngokuvamile ukuhlinzeka ngukucabanga kuqala. Izinqubo zokuhlinzwa zomdlavuza zingaholela ekuqotheni ngezindlela eziningi. Inqubo yokulungisa elandela ukuhlinzwa ikhulisa izinqubo zezinto eziphilayo ezinokuthi zingabangela ukulele nokukhathala. Ukwengeza, ukulala phakathi nosuku (njengokungezwani kwesifo esijwayelekile) kuhlangene nokuphazamiseka kokulala okungenakugwenywa ebusuku ukuhlola izimpawu ezibalulekile, kungaholela esimweni lapho ukuleleka kuqala khona kakhulu ekutholeni ukwelashwa.
4 -
Ukwelapha I-CancerKokubili uketshezi lwe-chemotherapy kanye nokwelapha imishanguzo kungaholela ekufeni kweselula, okuholela ekushintsheni kwamangqamuzana okuholela ekukhatheni nasekuphazamiseni ukulala. Imithi eminingi esetshenziswa kanye ne-chemotherapy ingashintsha amashejuli okulala.
I-steroids, efana ne-dexamethasone, ivame ukudala isimo se-hyperarousal izinsuku ezimbalwa, okungase kulandelwe isidingo esikhulu sokulala. Abantu abanomdlavuza bangase bafise ukusebenzisana nodokotela babo ukuze bahlele izifo zabo ze-chemotherapy kanye ne-steroids ekuqaleni kosuku ukusiza ukunciphisa lesi sizathu sokulala.
5 -
Izimpawu zeCanscer and Cancer TreatmentsKunezibonakaliso eziningi zomdlavuza nomdlavuza ongadlala ingozi ngokulala. Ezinye zazo zihlanganisa:
- Ubuhlungu
- I-nausea nokuhlanza
- I-neipathy neuropathy
- Isikhukhula
- Ukuphelelwa umoya
- Ukushisa okushisayo
- Itching
- Uhudo
6 -
I-Cancer EmotionsImizwelo evamile ehambisana nokuxilongwa komdlavuza ingase ihlukumeze ikhono lokulala. Njengoba izingqondo zethu zibukeza okwenzekayo, izimpawu zokukhathazeka nokucindezeleka ngokuvamile zibonakala zikhuphuka lapho ilanga lihla.
Ukucindezeleka nokukhululwa kwama-hormone okucindezeleka nakho kudla indima, futhi lokhu kucindezeleka kungaphikelela kulo lonke impilo emva kokuthola ukuthi unomdlavuza. Okokuqala, kukhona ukucindezeleka kokuxilongwa, okulandelwa ukwesaba ukuphindaphinda noma ukuqhubeka uma umdlavuza uzinzile, noma ukwesaba ukufa uma umdlavuza uyaqhubeka noma uqhubeka. Isihloko esilandelayo sizobukeza izindlela ezithile lapho ukulawula ukucindezeleka kungaba nomthelela omuhle kakhulu ekulawuleni lesi sizathu esivamile sokuntula ubuthongo.
7 -
Ukungasebenzi kokusebenzaUkuzivocavoca umzimba kancane emini kungenza ukuthi kunzima kakhulu ukulala ebusuku, futhi kunezimo eziningi lapho ukungasebenzi kusebenza khona ngokujwayelekile ngomdlavuza. Ukuziphatha ngokweqile kungaphoqelelwa izibhedlela, ama-chemotherapy sessions, ama-radiation sessions, ukuhambela ukuvakashelwa kwe-oncology, nangenxa yobuhlungu nemiphumela emibi yomdlavuza uqobo.
8 -
Imibandela Yezokwelapha EkhonaIzimo zokwelapha ngaphezu komdlavuza kuyimbangela ebalulekile yokulala. Izimo ezimbalwa ezihambisana kakhulu nokuqwashisa zibandakanya:
- I-apnea yokulala yinto evamile ekhonjiswe ngezikhathi ezincane ze-apnea (ngokoqobo, akukho umoya) ebusuku. Ungase uhlobanise i-apnea yokulala nokuqhathanisa noma ukuhlunga, kodwa hlola lezi zibonakaliso ezimangalisayo zokuphefumula kokulala ukuze ugcine engqondweni.
- Izinkinga ze-thyroid zivamile ngokuvamile, futhi zingase zenzeke ngokuhlobene nomdlavuza noma i-chemotherapy. Uma ezinye izimbangela zingabonakali ukuthi zinezela ukubangela ukulala kwakho, cela udokotela wakho ngalokhu kungenzeka. Hlola lezizinto ezingu-10 ukuze wazi ngezinkinga ze-thyroid nokukhathala .
9 -
ImveloUma wake wazama ukuphumula ubusuku obuhle esibhedlela, uyazi ukuthi kubaluleke kangakanani ukuthi ube nokulala okuhle . Imisindo, izibani ezikhanyayo, nethelevishini konke kungaphazamisa ukuqala kokulala. Kunezikhathi ezithile ukuthi isibhedlela siyindawo engcono kakhulu, kodwa uthathe umzuzu ukukhuluma nomhlengikazi wakho. Ngesinye isikhathi izinto ezincane, njengokutshela ikhethini, noma ukuthuthela egumbini lapho kunezingxabano, zingenza umehluko.
Akuyona nje imvelo engokwemvelo. Uma ucabanga ngokwesaba kwakho, mayelana nezingxoxo nabangani noma amalungu omndeni abakucasulayo, noma uzama ukubhala uhlu olwenziwe engqondweni yakho, angakugcina futhi.
10 -
Izindlela ezimbi zokulalaAbantu abaqeda isikhathi sokulala banenkinga enkulu yokulala. Kuthatha okwesikhashana umzimba ukuba uzolehlisa ngemuva kokubuka izindaba noma ukuxoxa ngesihloko esicindezelayo. Ngezinye izikhathi konke okudingekayo ekuqedeni lesi sizathu sokuqwashisa yisikhathi sokulala sokulala esandulela imikhuba eyenza umzimba wakho wazi ukuthi sekuyisikhathi sokuphumula.
Isikhathi esiningi esichithwa embhedeni, noma ukulala isikhathi eside enkathini ntambama, kungenza kube nzima ukulala ebusuku. Ukuba nokulindela okungalindelekile ukulala kungase kubangele nokulala. Uma umzimba wakho uphulukisa emithonjeni yomdlavuza ungadinga ukulala okungaphezulu - kodwa hhayi usuku lonke oluchitha embhedeni.
Imithombo:
I-American Society of Clinical Oncology. Izinkinga zokulala: Ukushona. Ifinyelele ngo-11/30/15. http://www.cancer.net/navigating-cancer-care/side-effects/sleeping-problems-insomnia
I-National Cancer Institute. Ukuqwashisa ezigulini zeCanscer. Kubuyekezwe 05/22/15. http://www.cancer.gov/about-cancer/treatment/side-effects/sleep-disorders-pdq#section/_3
Roscoe, J. et al. Ukukhathala okuhlobene nomdlavuza nokuphazamiseka kokulala. Oncologist . 2007. 12 Isamba 1: 35-42.