Èbu nusi tututu alɔ̃dɔdɔ nye ŋu kpɔa? Ɣeaɖewoɣi la, míesusuna be alɔ̃dɔdɔ nye míaƒe ŋkuwo ƒoƒo kple mlɔ aba dzi hena ɣeyiɣi aɖe ko, alo? Gake, nyateƒea sesẽ wu, nya ɣaɣla, eye wòle vevie na míaƒe ŋutilã. Ne míedɔ alɔ̃ nyuie o la, míaƒe ŋutilã kple ahɔhɔ̃ mate ŋu awɔ dɔ nyuie o. Esia tae atikewɔwɔ ƒe akpa aɖe si le eɖokui si gɔ̃ hã li si woɖo ɖi be woaƒo nu tso alɔ̃dɔdɔ kple nya siwo do ƒome kplii ŋu ɖo.
Nukae nye alɔ̃dɔdɔ eye nukatae wòle vevie na mí nenema gbegbe ɖo?
Kpuie ko la, alɔ̃dɔdɔ nye dzɔdzɔmenuwɔna si wɔnɛ be míaƒe ŋutilã kple ahɔhɔ̃ te ŋu ɖina ɖe eme. Togbɔ be alɔ̃dɔdɔ adze nu bɔbɔe le gɔmedzedzea me hã la, le dzɔdzɔmeŋutinunya ƒe nya nu la, esesẽ ŋutɔ eye womese egɔme bliboe haɖe o.
Bu eŋu kpɔ, ne mèdɔa alɔ̃ nyuie o, alo ne wò alɔ̃dɔdɔ ƒe nyonyome mede ŋgɔ o la, èse egɔme, alo? Wò ŋutilã sena le eɖokui me be yele kuvia wɔm, wò ta le kpekpem. Ne míedɔ alɔ̃ nyuie o la, míaƒe ŋutilã kple ahɔhɔ̃ mate ŋu awɔ dɔ nyuie gbesiagbe o .
Ènya nusita míedɔa alɔ̃a?
Egbegbe atikewɔwɔ ƒe gɔmesese le alɔ̃dɔdɔ ŋu le abe jigsaw puzzle si wotsɔ ƒo ƒui ene. Woate ŋu ade dzesi kakɛawo dometɔ aɖewo, eye alesi nɔnɔmetata gã la le ƒe susu aɖe le mía si, gake míekpɔ alesi tututu wo katã sɔ ɖekae haɖe o.
Míaƒe ŋutilã wɔa dɔ le ŋudzɔnɔnɔ kple alɔ̃dɔdɔ ƒe tsatsam dzi le ŋkekea me katã. Ne míele alɔ̃ dɔm ko hafi nu aɖewo dzɔna. Ne míedɔ alɔ̃ la, míaƒe ŋutilã "ŋusẽ dzi ɖena kpɔtɔna," eye ɖoɖo geɖe, siwo dome ahɔhɔ̃ hã le, tsia blewu.
Nu vevi siwo dzɔna ne míele alɔ̃ dɔm la dometɔ aɖewoe nye esi:
- Ŋusẽzazã kple edzadzraɖo: Le ŋkekea me katã la, míaƒe ŋutilã ƒe lãmenugbagbeviwo zãa nunɔamesi siwo wodzra ɖo tsɔ wɔa woƒe dɔe. Ne míedɔ alɔ̃ la, míaƒe ŋutilã mezãa ŋusẽ boo o. Esia wɔnɛ be lãmenugbagbevi mawo gaɖoa woƒe nuzazãwo me eye wodzrana ɖo ɖe ŋkeke si kplɔe ɖo ŋu.
- Ðokuiɖɔɖɔɖo kple dɔyɔyɔ: Esi míaƒe dɔwɔwɔ dzi ɖe kpɔtɔ ta la, enɔa bɔbɔe na ŋutilãa be wòada abi eye wòaɖɔ kuxiwo ɖo ne míele ŋudzɔ. Ne míedze dɔ la, ɖeɖi tea mía ŋu eye míehiãna be míagbɔ ɖe eme geɖe wu.
- Ahɔhɔ̃a dzi kpɔkpɔ: Ne míele alɔ̃ dɔm la, míaƒe ahɔhɔ̃ trɔa asi le míaƒe ŋkuɖodzinyawo kple nusiwo míesrɔ̃ ŋu heɖoa wo ɖe ɖoɖo nu. Abe alesi agbalẽdzraɖoƒedzikpɔla aƒo agbalẽwo nu ƒu ahaɖo wo ɖe ɖoɖo nu le ŋkekea ƒe nuwuwu ene. Esia wɔnɛ be nu siwo míesrɔ̃ heɖo ŋkui la zazã nɔa bɔbɔe eye wòwɔa dɔ nyuie wu.
Alɔ̃dɔdɔ agbɔsɔsɔme kae míehiã?
Alɔ̃dɔdɔ to vovo na amesiame. Alesi amewo dɔa alɔ̃e kple alɔ̃dɔdɔ agbɔsɔsɔme si wohiã ate ŋu ato vovo ŋutɔ. Azɔ hã, gaƒoƒo agbɔsɔsɔme si nàdɔ alɔ̃ si anyo na wò lãmesẽ ate ŋu atrɔ le ɣeyiɣi aɖe megbe.
Le goawo katã me la, agbɔsɔsɔme siwo wokafu be woadɔ alɔ̃ le ƒe si woxɔ nue nye:
- Vidzĩ yeyewo (ɣleti 0-3): gaƒoƒo 14-17
- Vidzĩwo (ɣleti 4-12): gaƒoƒo 12-16 (alɔ̃dɔdɔ hã le eme) .
- Ðevi siwo le zɔzɔm (ƒe 1-2): gaƒoƒo 11-14 (alɔ̃dɔdɔ hã le eme) .
- Ðevi siwo mekpɔ de suku haɖe o (ƒe 3-5): gaƒoƒo 10-13 (alɔ̃dɔdɔ hã le eme) .
- Ðevi siwo xɔ ƒe 6-12 le suku (ƒe 6-12): gaƒoƒo 9-12
- Ƒewuiviwo (ƒe 13-18): gaƒoƒo 8-10
- Ame tsitsiwo (ƒe 18+): gaƒoƒo 7-9
Togbɔ be alɔ̃dɔdɔ ƒe agbɔsɔsɔ siawo sɔ na ame akpa gãtɔ hã la, womesɔ na amesiame o. Ðewohĩ ahiã be ame aɖewo adɔ alɔ̃ geɖe wu, bubuwo hã ahiã be woadɔ alɔ̃ vie wu. Vovototo si le alɔ̃dɔdɔ agbɔsɔsɔme si nèhiã me ate ŋu atso domenyiŋusẽfianu gɔ̃ hã gbɔ . Le kpɔɖeŋu me, ame aɖewo ateŋu anyi nɔnɔme si nye ``alɔ̃dɔla kpui`` ƒe dome tso wo dzilawo gbɔ.
Wò ŋutɔ wò nɔnɔmewo kple wò lãmesẽ hã ate ŋu akpɔ ŋusẽ ɖe alɔ̃dɔdɔ ƒe agbɔsɔsɔ si nèhiã dzi. Ne èle dɔ lém, nèle hayahayam tso abi si nèxɔ me, alo nèle atike wɔm na wò la, ɖewohĩ ahiã be nàdɔ alɔ̃ geɖe wu. Ne èfɔ fu la, ɖewohĩ ahiã be nàdɔ alɔ̃ geɖe wu le vidzidɔ ƒe ɣleti etɔ̃ gbãtɔ me.
Ne nyabiase aɖewo le asiwò ku ɖe alɔ̃dɔdɔ agbɔsɔsɔme si nèhiã ŋu, vevietɔ ne eto vovo na agbɔsɔsɔ si wokafu na wò ƒexɔxɔ ƒe hatsotso la, ƒo nu kple wò ƒomea ƒe ɖɔkta . Ate ŋu akpe ɖe ŋuwò nàse egɔme nenye be vovototoa ate ŋu anye kuxi si ŋu wòle be woaku nu me le le atikewɔwɔ me.
Ðe nèdi be yeadɔ alɔ̃ ɣesiaɣia? Ðe wònyo be nàdɔ alɔ̃ viea?
Ao, se aɖeke meli si gblɔ be ele be nàdɔ wò alɔ̃dɔdɔ katã zi ɖeka o. Le nyateƒe me la, alɔ̃dɔdɔ ƒe kɔnyinyiwo toa vovo tso dekɔnuwo gbɔ yi bubu gbɔ kple ɣeyiɣi yi ɣeyiɣi. Le ŋutinya me la, dekɔnu aɖewo ma woƒe zãdɔa ɖe akpa eve me. Le xexeame godoo la, dekɔnu geɖe gakpɔtɔ wɔa alɔ̃dɔdɔ kpuie le ŋkeke me ƒe numame. Woawo ŋutɔ ƒe nyawo gɔ̃ hã le wo si na esia le woƒe gbewo me (abe "siesta" le Spaingbedolawo ƒe dukɔwo me, alo "inemuri" le Japan, alɔ̃ kpui aɖe si woxɔna le dɔwɔƒe ene).
Gake abe nusianu ene la, alɔ̃dɔdɔ fũ akpa ate ŋu agblẽ nu le ame ŋu. Alɔ̃dɔdɔ fũ ate ŋu akpɔ ŋusẽ ɖe wò alɔ̃dɔdɔ ƒe nyonyome dzi le zã me. Ate ŋu ana wò lãmesẽkuxi aɖewo hã nadzi ɖe edzi. Ne èdɔa alɔ̃ edziedzi le ŋkekea me, alo ne èle agbagba dzem be yeawɔe la, ƒo nu kple wò ɖɔkta. To mɔ sia dzi la, àte ŋu akpɔ viɖe geɖe tso wò alɔ̃dɔdɔ me evɔ nu gbegblẽ aɖeke manɔmee.
Alɔ̃dɔdɔ ƒe afɔɖeɖe kawoe?
Alɔ̃dɔdɔ mefia be wò ahɔhɔ̃ megale dɔ wɔm kura o. Togbɔ be mènya xexe si ƒo xlã wò boo o hã la, dɔwɔwɔ ƒe seƒe aɖe le wò ahɔhɔ̃ me si woate ŋu ade dzesii. Kpɔɖeŋu aɖewo li siwo ate ŋu agblɔ alesi wò ahɔhɔ̃ le dɔ wɔme. Eŋutinunyalawo ɖo kpɔɖeŋu siawo ɖe ɖoɖo nu ɖe akpa vovovowo me. Akpa siawo le hatsotso eve me le mɔ gbadza nu: Ŋku ƒe Ʋuʋu Kabakaba (REM) alɔ̃dɔdɔ kple Non-REM (NREM) alɔ̃dɔdɔ.
`NREM` ƒe akpa etɔ̃e li. Ne èdɔ alɔ̃ la, zi geɖe la, ègena ɖe `NREM` ƒe afɔɖeɖe 1 lia me, emegbe nètrɔna ɖe `NREM` ƒe afɔɖeɖe 2 kple 3. Le ema megbe la, ègena ɖe `REM` alɔ̃dɔdɔ me eye nèdzea drɔ̃ekuku gɔme. Le `REM` ƒe tsatsam gbãtɔ megbe la, èdzea alɔ̃dɔdɔ ƒe tsatsam yeye gɔme eye nètrɔna yia afɔɖeɖe 1 alo 2 lia dzi, eye tsatsam la gadzea egɔme ake.
Zi geɖe la, tsatsam ɖeka xɔa miniti 90 va ɖo 120 hafi esi kplɔe ɖo dzea egɔme. Ame akpa gãtɔ toa tsatsam ene alo atɔ̃ me le zã ɖeka me (ne wodɔ alɔ̃ gaƒoƒo enyi blibo).
Nukae nye NREM alɔ̃dɔdɔ?
Afɔɖeɖe 1 (Afɔɖeɖe 1 NREM) .
`NREM` alɔ̃dɔdɔ ƒe akpa gbãtɔe nye alɔ̃dɔdɔ si me kɔ wu. Ège ɖe afɔɖeɖe sia me ne ènya dɔ alɔ̃ ko. Zi geɖe la, aɖabaƒoƒo ʋɛ aɖewo koe wòxɔna, si nye wò alɔ̃dɔdɔ ƒe ɣeyiɣi ƒe 5% lɔƒo. Emegbe wò alɔ̃dɔdɔ gade to ɖe edzi, eye nège ɖe `NREM` ƒe afɔɖeɖe 2 lia me.
Afɔɖeɖe 2 (Afɔɖeɖe 2 NREM) .
Akpa 2 lia hã nye alɔ̃dɔdɔ fafɛ, gake egoglo wu afɔɖeɖe 1. Le akpa sia me la, wò ahɔhɔ̃ ƒe ƒutsotsoewo dzi ɖena kpɔtɔna, eye wòtɔa te wòdzena le elektrikŋusẽ ƒe ʋuʋu kpui sesẽwo dome. Eŋutinunyalawo xɔe se be gbagbã siawoe nye alesi nèwɔa ɖoɖo ɖe ŋkuɖodzinyawo kple nyatakaka siwo tso wò ŋudzɔɣiwo ŋu.
`NREM` ƒe afɔɖeɖe 2 lia ƒe alɔ̃dɔdɔ nye wò alɔ̃dɔdɔ ƒe ɣeyiɣi ƒe 45% lɔƒo (ewu afɔɖeɖe bubu ɖesiaɖe). Ètoa `NREM` ƒe afɔɖeɖe 2 ƒe tsatsam geɖe me, zi geɖe la, edidi wu esi do ŋgɔ. Le afɔɖeɖe 2 lia megbe la, èyia `NREM` ƒe afɔɖeɖe 3 lia, alo `REM` alɔ̃dɔdɔ me.
Afɔɖeɖe 3 (Afɔɖeɖe 3 NREM) .
Afɔɖeɖe 3 lia nye `NREM` alɔ̃dɔdɔ ƒe akpa si goglo wu. Exɔa abe 25% ene le ame tsitsiwo ƒe alɔ̃dɔdɔ ƒe ɣeyiɣi bliboa me. Gake vidzĩwo kple ɖevi suewo hiã alɔ̃dɔdɔ le afɔɖeɖe 3 lia me geɖe wu, eye wòhiã be nàdɔ alɔ̃ vie ne èle tsitsim.
Le afɔɖeɖe 3 lia me la, wò ahɔhɔ̃ ƒe ƒutsotsoewo nɔa blewu, gake ŋusẽ le wo ŋu. Wò ŋutilã wɔa alɔ̃dɔdɔ ƒe akpa sia si me goglo ŋutɔ ŋudɔ tsɔ daa abiwo eye wòdoa ŋusẽ wò dɔlélenutsiŋutete . Ahɔhɔ̃ ƒe dɔwɔwɔ ƒe gbagbã siwo dzɔna le afɔɖeɖe 2 lia me ate ŋu adzɔ le afɔɖeɖe 3 lia hã me, eye ahɔhɔ̃ ƒe ƒutsotsoe siwo ku ɖe akpa 3 lia koŋ ŋu kpena ɖe ame ŋu be woaɖu gbagbã mawo dzi.
Ne èdi be yease le ye ɖokui me be yegbɔ ɖe eme ne yenyɔ la, ehiã be nàdɔ alɔ̃ `NREM` ƒe afɔɖeɖe 3 lia.Ne mèdɔ alɔ̃ le afɔɖeɖe 3 lia me nyuie o la, ɖeɖi tea ŋuwò eye nèle kuvia wɔm, ne èdɔ alɔ̃ ɣeyiɣi didi gɔ̃ hã. Esia tae wò ŋutilã dzea agbagba le eɖokui si be yeatsɔ alɔ̃dɔdɔ ƒe afɔɖeɖe 3 lia alesi yeate ŋui akpe ɖe wò alɔ̃dɔdɔ ƒe ɖoɖowɔɖi ŋu kaba ale si yeate ŋui. Le `NREM` ƒe afɔɖeɖe 3 megbe la, wò ŋutilã yia `NREM` ƒe afɔɖeɖe 2 lia me, si nye agbonudzɔla na `REM` alɔ̃.
Esi wònye be NREM ƒe afɔɖeɖe 3 lia ƒe alɔ̃dɔdɔ de to ale gbegbe ta la, esesẽna be woanyɔ ame aɖe. Ne wonyɔ la, woate ŋu akpɔ tɔtɔ alo "susu ƒe afu" si woyɔna be "alɔ̃dɔdɔ ƒe dɔmawɔmawɔ nyuie." Alɔ̃dɔdɔ ƒe dɔmawɔmawɔ nyuie ƒe nɔnɔme sia nɔa anyi abe miniti 30 ene.
Nukae nye REM alɔ̃dɔdɔ?
Ŋku ƒe Ʋuʋu Kaba (REM) ƒe alɔ̃dɔdɔ nye alɔ̃dɔdɔ ƒe akpa si me drɔ̃e akpa gãtɔ kuna le. Exɔ ŋkɔ tso alesi wò ŋkuwo ʋãna le wò ŋkume te ne èle drɔ̃e kum. Le REM alɔ̃dɔdɔ me la, wò ahɔhɔ̃ ƒe dɔwɔwɔ sɔ kple wò ahɔhɔ̃ tɔ ŋutɔ ne èle ŋudzɔ.
REM alɔ̃dɔdɔ nyea wò alɔ̃dɔdɔ ƒe ɣeyiɣi bliboa ƒe 25% lɔƒo. Zi geɖe la, alɔ̃dɔdɔ ƒe tsatsam ƒe REM ƒe tsatsam gbãtɔ nyea kpuitɔ kekeake, eye wòxɔa abe miniti 10 ene. Tsitretsitsi ɖesiaɖe si kplɔe ɖo didi wu esi do ŋgɔ, eye wòxɔa gaƒoƒo ɖeka.
Nukae nye alɔ̃dɔdɔ ƒe kuxiwo? Nukawoe nye esiwo bɔ wu?
Woyɔa nɔnɔme siwo doa kplamatse alɔ̃dɔdɔ alo ŋudzɔnɔnɔ be ``Alɔ̃dɔdɔ ƒe Dɔlélewo.`` Alɔ̃dɔdɔ ƒe kuxiwo ƒe hatsotso vevi ade li:
- Titinadɔ siwo hea alɔ̃dɔdɔ fũu akpa vɛ (e.g., Narcolepsy).
- Circadian rhythm alɔ̃dɔdɔ-nyɔnyrɔ̃ ƒe dɔlélewo (e.g., `Jet lag`, `Shift work sleep disorder`).
- Alɔ̃ madɔmadɔ.
- Parasomnias (nuwɔna siwo mesɔ o le alɔ̃dɔdɔ me).
- Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe (e.g., alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe).
- Ʋuʋu ƒe kuxi siwo do ƒome kple alɔ̃dɔdɔ (e.g., afɔ siwo me dziɖeɖi mele o ƒe dɔléle).
Parasomnia ate ŋu ato vovo ŋutɔ. Wo dometɔ aɖewo kpɔa ŋusẽ ɖe `NREM` alɔ̃dɔdɔ ko dzi, gake bubuwo ya kpɔa ŋusẽ ɖe `REM` alɔ̃dɔdɔ ko dzi. Woma wo ɖe hatsotsowo me le `NREM` alo `REM` ƒe afɔɖeɖe nu abe alesi gbɔna ene:
NREM alɔ̃dɔdɔ ƒe afɔɖeɖe 1 kple 2
- Alɔ̃dɔdɔ dzea egɔme alo eƒe ʋuʋu (Sleep myoclonus).
- Ta ƒe dɔléle si le wowóm.
- Aɖuwo ƒoƒo (`Bruxism`).
- Afɔ kple afɔ ƒe ʋuʋu ɣeaɖewoɣi (PLMD).
NREM alɔ̃dɔdɔ ƒe akpa 3 lia
- Zã me ŋɔdzidoname (alo alɔ̃dɔdɔ ƒe ŋɔdzidoname).
- Alɔ̃dɔdɔ (Somnabulism).
- Tɔtɔ ƒe nyɔnyrɔ̃ (nyɔnyrɔ̃ ƒe akpa aɖe kple alɔ̃dɔdɔ ƒe dɔmawɔmawɔ nyuie).
- Afɔ kple afɔ ƒe ʋuʋu ɣeaɖewoɣi (PLMD).
- Nuɖuɖukuxi si do ƒome kple alɔ̃dɔdɔ.
REM alɔ̃dɔdɔ
- Drɔ̃e baɖawo kple drɔ̃e baɖawo ƒe dɔléle.
- REM alɔ̃dɔdɔ ƒe nuwɔna ƒe kuxi.
- Hypnagogic kple hypnopompic ƒe susumenuwo.
Dodokpɔ kawoe ate ŋu akpe ɖe ŋunye manya ɣeyiɣi didi si medɔa alɔ̃ kple ɣeyiɣi didi si medɔa alɔ̃ nyuie?
Woate ŋu azã dodokpɔ vovovowo atsɔ anya nɔnɔme siwo do ƒome kple alɔ̃dɔdɔ. Wo dometɔ aɖewoe nye:
- Alɔ̃dɔdɔ ŋuti numekuku (le nudokpɔƒe): Mɔnu vevitɔ kekeake si me wodzro tsitotsito wue nye polysomnogram. Esia nye zã ɖeka ƒe alɔ̃dɔdɔ ŋuti numekuku le alɔ̃dɔdɔ ŋuti nudokpɔƒe.
- Alɔ̃dɔdɔ ŋuti numekukuwo (le aƒeme): Esiawo me mekɔ tututu o, gake woateŋu awɔe le aƒeme to ``aƒeme alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe dodokpɔmɔ̃`` zazã me. Ðeko ɖɔktawo zãa esia tsɔ ɖoa kpe edzi nenye be ``Obstructive Sleep Apnea`` le ame aɖe ŋu.
- Electroencephalogram (EEG): Esia dea dzesi ahɔhɔ̃ ƒe ƒutsotsoewo heŋlɔa wo ɖi. Wò ɖɔkta, si nye ahɔhɔ̃ŋutinunyala zi geɖe la, alé ŋku ɖe wò ahɔhɔ̃ ƒe dɔwɔwɔ ŋu be yeadi dɔwɔna ɖesiaɖe si mesɔ o si ate ŋu ahe alɔ̃dɔdɔ ƒe kuxiwo alo nɔnɔme bubuwo vɛ na wò. Alɔ̃dɔdɔ geɖe ƒe dodokpɔ bia be woadzidze EEG (electroencephalogram) ahakpɔe.
- Actigraphy: Esia bia be woado mɔ̃ aɖe si le abe gaƒoɖokui ene. Eléa ŋku ɖe wò alɔ̃dɔdɔ ŋu eye wòkpɔnɛ be alɔ̃dɔdɔ ƒe tsatsam to vovo na esi nèzãna ɖaa hã. Esia nye nu vevi aɖe si ana woade dzesi ɣeyiɣi ƒe didime ƒe kuxiwo.
- Multiple Sleep Latency Test (MSLT): Esia doa ame kpɔna nenye be ame aɖe dina be yeadɔ alɔ̃ le ŋkeke me hã. Esia le vevie ŋutɔ le Narcolepsy ƒe dɔléle didi me.
- Maintenance of Wakefulness Test (MWT): Esia doa ame kpɔna nenye be ame ate ŋu axe mɔ ɖe alɔ̃dɔdɔ nu le ɣeyiɣi siwo me ne menye nenema o la, adɔ alɔ̃ bɔbɔe hã. Esia bɔ ɖe dedienɔnɔ dodokpɔ na amesiwo ŋu nɔnɔmewo abe alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ene le eye wokua ʋu nyuie.
Ne alɔ̃madɔmadɔ alo alɔ̃dɔdɔ ƒe kuxi aɖe le ŋuwò la, woate ŋu awɔ dodokpɔ bubuwo. Wò ɖɔkta agblɔ dodokpɔ siwo wòkafu na wò eye wòaɖo nyabiase bubu ɖesiaɖe si anɔ asiwò la ŋu na wò.
Nukawoe nye atike siwo wozãna na alɔ̃dɔdɔ ƒe kuxiwo zi geɖe?
Atike vovovo geɖewo li na alɔ̃dɔdɔ ƒe kuxiwo kple alɔ̃dɔdɔ ƒe kuxiwo. Ðewohĩ kuxi aɖewo mahiã be woawɔ atike aɖeke na wo o, gake bubuwo ya ahiã be woakpɔ wo dzi le woƒe agbemeŋkekewo katã me alo woawɔ atike na wo (eƒe kpɔɖeŋu aɖee nye CPAP na amesiwo ŋu alɔ̃dɔdɔ ƒe gbɔgbɔtsixe tsia tre ɖo). Wò ɖɔkta ate ŋu agblɔ atike siwo ate ŋu akpe ɖe wò nɔnɔmea ŋu (ne woli) kple tiatia siwo li na wò ŋu nya geɖe na wò.
Nukae mate ŋu awɔ be madɔ alɔ̃ nyuie, si me dziɖeɖi le? (Alɔ̃dɔdɔ ƒe Dzadzɛnyenye) .
Ne èbia ɖokuiwò kpɔ be, "Aleke mawɔ adɔ alɔ̃ nyuie?" menye wò ɖeka koe le eme o. Nu ʋɛ aɖewo li nàte ŋu awɔ be wòanɔ bɔbɔe be nàdɔ alɔ̃ nyuie si nèhiã. Nuwɔna siawo katã dzena le nusi ɖɔktawo yɔna be "alɔ̃dɔdɔ ƒe dzadzɛnyenye" te. Woawoe nye:
- Wɔ alɔ̃dɔdɔ ƒe ɖoɖowɔɖi eye nàlé eme ɖe asi: Mlɔ anyi eye nànyɔ le ɣeyiɣi ɖeka me gbesiagbe, le kwasiɖanuwuwuwo kple ŋkekenyuiwo gɔ̃ hã me. Ne èwɔa nu ɣesiaɣi la, ate ŋu ana tɔtrɔ gã aɖe nava le alesi nèdɔa alɔ̃e kple alesi nèdɔa alɔ̃ nyuie me.
- Ðo ɣeyiɣi si nàmlɔ anyi: Tia ɣeyiɣi si nàmlɔ anyi si ana nàdɔ alɔ̃ agbɔsɔsɔme si wokafu na wò le wò ƒexɔxɔ nu.
- Ðo ɖoɖo aɖe anyi do ŋgɔ na mlɔƒe: Nu siawo wɔwɔ ate ŋu "ana hehe" wò ahɔhɔ̃ be alɔ̃dɔdɔ gbɔna. Le ɣeyiɣi aɖe megbe la, wò ahɔhɔ̃ atrɔ ɖe hehe sia ŋu.
- Mègamlɔ anyi ne mèse le ɖokuiwò me be alɔ̃ le ye wum o: Ne mlɔ anyi eye nègale alɔ̃ dɔm la, wɔ nusiwo akpe ɖe ŋuwò nàɖe dzi ɖi ahaɖe dzi ɖi (vevietɔ nusiwo le wò mlɔƒe ƒe ɖoɖowɔɖi me, abe nuxexlẽ ene).
- Ƒo asa na akaɖi siwo klẽna alo elektrɔnikmɔ̃wo (vevietɔ ne wogogo anyimlɔɣi): Kekeli si tso esiawo me si te ɖe alɔ̃dɔdɔ ŋu akpa ate ŋu agblẽ nu le wò ŋutilã ƒe alɔ̃dɔdɔ kple nyɔnyrɔ̃ ƒe dzɔdzɔmeŋutete ŋu.
- Ƒo asa na ahanono alo nuɖuɖu sesẽ aɖe ɖuɖu le ɣeyiɣi si gogo be nàmlɔ anyi: Ne dɔ le wuwòm hafi mlɔ anyi la, numeɖenu fafɛ aɖee nye tiatia nyuitɔ. Aha kple nuɖuɖu ate ŋu agblẽ alɔ̃dɔdɔ me (vevietɔ ne èno wo dometɔ ɖesiaɖe fũ). Azɔ hã, ƒo asa na aha ɖesiaɖe nono fũu akpa le ɣeyiɣi si gogo be nàmlɔ anyi. Esia awɔe be zi nenie wòahiã be nàyi tsileƒe le zã me.
- Mègaɖo ŋu ɖe alɔ̃dɔdɔtikewo ŋu o: Alɔ̃dɔdɔtikewo kple atike bubuwo zazã ɣeyiɣi didi—esiwo nàte ŋu axɔ le atikedzraƒe manɔmee gɔ̃ hã—ate ŋu akpɔ ŋusẽ gbegblẽ ɖe wò alɔ̃dɔdɔ dzi. Atike siwo ku ɖe alɔ̃dɔdɔ ŋu siwo wòle be nàzã edziedzi koe nye esiwo wò ɖɔkta ŋlɔ na wò, eye ele be nàno wo abe alesi wogblɔe ene ko.
- Lãmesẽfefe ate ŋu akpe ɖe ŋuwò: Kamedede le ŋkekea me, tsaɖiɖi ko gɔ̃ hã, ate ŋu akpe ɖe wò alɔ̃dɔdɔ ŋu.
- Zã wò xɔdɔme na xɔdɔme ƒe taɖodzinuwo ko: Ema fia alɔ̃dɔdɔ kple gbɔdɔdɔ, zi geɖe. Wò ahɔhɔ̃ zãa teƒea le mɔ siwo menya kpɔna dzea sii bɔbɔe o nu, si ate ŋu akpɔ ŋusẽ ɖe alesi nèdɔa alɔ̃e dzi.
- Lé lolo nyuie me ɖe asi: Wò kpekpeme ate ŋu akpɔ ŋusẽ ɖe wò alɔ̃dɔdɔ dzi. Le kpɔɖeŋu me, lolo akpa ate ŋu ana wò afɔku nadzi ɖe edzi be nàxɔ Obstructive Sleep Apnea.
Nukawoe nye alɔ̃dɔdɔ ƒe atikewo? Aleke wokpena ɖe ame ŋui?
Atike ƒomevi geɖewo li siwo ate ŋu akpe ɖe ŋuwò nàdɔ alɔ̃. Wotso atike siwo womeƒlena le atikedzraƒe o kple atikewo dzi va ɖo atike siwo woŋlɔ na amewo dzi. Wo dometɔ akpa gãtɔ dzena le atike siwo naa ame ƒe dzi dzea eme, siwo nana lãmekawo ƒe dɔwɔwɔ dzi ɖena kpɔtɔna, alo atike siwo naa alɔ̃dɔdɔ, siwo wotsɔ ŋkɔ na Helatɔwo ƒe alɔ̃dɔdɔ ƒe mawu, ƒe hatsotso me.
Le veviẽ:Alɔ̃dɔdɔtikewo, esiwo woate ŋu aƒle le atikedzraƒe o gɔ̃ hã, ate ŋu awɔ dɔ kple atike bubuwo. Nuwɔwɔ aduadu siawo ate ŋu anye afɔku alo awu ame gɔ̃ hã. Anyo wu be nàƒo nu kple wò ɖɔkta akpɔ egbɔ be atike siawo nono mele dedie o. Azɔ hã, ƒo asa na ahanono ne èle wo nom, eye nàƒo nu kple wò ɖɔkta tso alesi wòate ŋu awɔ dɔ kple atike bubu siwo zãm nèle ŋu.
Alɔ̃dɔdɔtike kple atike siwo doa alɔ̃dɔdɔ ɖe ŋgɔ ƒomevi aɖewo siwo ɖɔkta ŋlɔ nɛ ƒe kpɔɖeŋu aɖewoe nye:
- Z-Atikewo: Eŋutinunyalawo yɔa esiawo ɣeaɖewoɣi be ``Nonbenzodiazepines'' elabena woƒe ŋusẽkpɔɖeamedzi kple alesi wò ŋutilã wɔa dɔ tso wo ŋu la sɔ kple ``Benzodiazepines'' ŋutɔ, gake eƒe nugbegblẽ le ame ŋu le ʋɛ eye womesẽna o.
- Dual Orexin Receptor Antagonists (DORAs): DORAs xea mɔ na orexins, si nye molecule aɖe si wò ahɔhɔ̃ zãna tsɔ naa nènɔa ŋudzɔ, eyata wokpena ɖe ŋuwò nèdɔa alɔ̃. Kpɔɖeŋu aɖewoe nye daridorexant, lemborexant, kple suvorexant.
- Benzodiazepines: Togbɔ be wozãa esiawo koŋ tsɔ daa asrã alo dzimaɖitsitsi ƒe dɔlélewo hã la, wozãa wo geɖe tsɔ daa alɔ̃madɔmadɔ alo alɔ̃dɔdɔ ƒe kuxi siwo do ƒome kplii hã.
- Blanuilélenutsitikewo: Esiawo ate ŋu akpɔ ŋusẽ ɖe ahɔhɔ̃meka aɖewo ƒe agbɔsɔsɔ dzi le wò ahɔhɔ̃ me. Woate ŋu akpɔ ŋusẽ ɖe ame dzi hã (esia mebɔ o).
- Barbiturates: Womezãa esiawo na alɔ̃dɔdɔ ƒe kuxiwo o. Atike yeye siwo ƒe nugbegblẽ le ame ŋu mesɔ gbɔ o li fifia, gake wogazãa barbiturates na alɔ̃madɔmadɔ (togbɔ be esia mebɔ kura o hã).
Dɔlékuiwutike siwo bɔ siwo woate ŋu aƒle le atikedzraƒe le atikedzraƒe ate ŋu anye:
- Atike siwo wua histamine: Diphenhydramine alo doxylamine le esiawo dometɔ geɖe me. Atike siawo ɖea nulɔdɔ dzi kpɔtɔna eye wònana ame geɖe dɔa alɔ̃.
- Melatonin: Wò ŋutilã zãa lãmetsi sia tsɔ ɖɔa wò alɔ̃dɔdɔ kple nyɔnyrɔ̃ ƒe tsatsam ɖo. Àte ŋu anoe hã be wòakpe ɖe ŋuwò nàdɔ alɔ̃. Togbɔ be woate ŋu aƒlee le atikedzraƒe o hã la, melatonin menye nusi wòle be nàno ne mèƒo nu kple wò ɖɔkta o (vevietɔ ne èxɔ wu ƒe 65). Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàse nenye be ele be nàno melatonin-tikewo kple alesi nàzã wo nyuie.
- Valerian ke: Ke sia nye nusi bɔ eye wòle nɔnɔme vovovowo me. Ame aɖewo noae abe atikekui ene, gake ame bubuwo ya dina be yewoawɔe wòazu tii.
Nukae nye alɔ̃dɔdɔ ƒe vevienyenye? Nukae dzɔna ne mèdɔ alɔ̃ nyuie o?
Se alɔ̃dɔdɔ ƒe vevienyenye gɔme, eye ne mèle alɔ̃ dɔm nyuie o la, àdi be yealé ŋku ɖe nu bubuwo ŋu. Nu geɖe ate ŋu akpɔ ŋusẽ ɖe alesi gbegbe nèdɔa alɔ̃e kple alesi nèdɔa alɔ̃ nyuie dzi. Alɔ̃madɔmadɔ ate ŋu agblẽ nu siawo le ɣeyiɣi kpui aɖe me:
- Reflexes blewu.
- Tamebubu alo susu tsɔtsɔ ɖo nu ŋu sesẽ.
- Seselelãme ƒe ŋusẽkpɔɖeamedzi, siwo dometɔ aɖewoe nye dzikudodo, blanuiléle, alo dzimaɖitsitsi.
- Taɖuame .
- Dɔlélenutsiŋutete ƒe dɔwɔwɔ nyuie dzi ɖeɖe kpɔtɔ kple dɔléle enuenu.
- Afɔku si le lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe kuxiwo kple suklidɔ ƒomevi evelia xɔxɔ me dzina ɖe edzi.
- Sese le eɖokui me be ɖeɖi te ye ŋu alo ɖeɖi te ye ŋu.
Ne èyi ɣeyiɣi didi akpa eye mèdɔ alɔ̃ nyuie o la, wò ŋutilã ƒe alɔ̃dɔdɔ ƒe hiahiã agblẽ ɖe edzi. Esia ate ŋu ana:
- Microsleeps: Esiawo nye ɣeyiɣi kpui siwo me ahɔhɔ̃a dɔa alɔ̃ sɛkɛnd ʋɛ aɖewo eye wògafɔna ake. Afɔku le wo me vevietɔ ne wodzɔ esime nèle ʋu kum, nèle dɔwɔnu alo mɔ̃wo zãm, alo nèle nane si abia be nàlé ŋku ɖe eŋu bliboe la wɔm.
- Asiʋuʋu: Ne mèdɔ alɔ̃ o ɣeyiɣi didi akpa la, asesẽ na wò lãmekawo be wòaɖu lãmekawo ƒe ʋuʋu kple lãmekawo ƒe ʋuʋu dzi.
- Susumenuwo: Alɔ̃madɔmadɔ ate ŋu ado kplamatse wò ahɔhɔ̃ ƒe ŋutete be wòawɔ dɔ tso xexe si ƒo xlã wò ŋuti nyatakakawo ŋu ahase wo gɔme. Esia ate ŋu ana nàkpɔ nu siwo mele afima ŋutɔŋutɔ o, ase wo, ahase wo le wo ɖokui me.
- Nuwɔna ŋumaɖɔɖo alo ŋumaɖɔɖo: Alɔ̃madɔmadɔ ate ŋu agblẽ nu le wò ahɔhɔ̃ ƒe akpa siwo kpɔa ɖokuidziɖuɖu kple ʋɔnudɔdrɔ̃ dzi.
Alɔ̃madɔmadɔ hã gblẽa nu le ame ƒe lãmesẽ ŋu ɣeyiɣi didi. Numekukuwo ɖee fia be ate ŋu awɔ akpa aɖe le nɔnɔme siawo me:
- Dzitodzito me dɔléle.
- Lãmetsiŋusẽ ƒe nɔnɔmewo abe Suklidɔ Ƒomevi 2 ene.
- Sidzedze ƒe dɔmawɔmawɔ nyuie.
- Tagbɔdɔléle.
Nukae nye ‘alɔ̃dɔdɔ ƒe fe’ sia si ŋu míese nu tsoe?
"Alɔ̃dɔdɔ ƒe fe" nye vovototo si le alɔ̃dɔdɔ nyuie ƒe agbɔsɔsɔ si nèkpɔna kple alɔ̃dɔdɔ nyui agbɔsɔsɔme si nèhiã dome. Ate ŋu ana ɖeɖi te ŋuwò wu alesi nèwɔna ɖaa, eye ɖewohĩ ahiã be nàdɔ alɔ̃ geɖe hafi ase le ɖokuiwò me be yegbɔ ɖe eme.
Numekukuwo ɖee fia be alɔ̃dɔdɔ ƒe fe si nènyi atraɖii la nuƒoƒoƒu menyo na wò o. Ðewohĩ alɔ̃dɔdɔ si bu la teƒeɖoɖo makpe ɖe ŋuwò nàtrɔ fe ma ƒe nugbegblẽ le ame ŋu o. Kpɔɖeŋu ɖekae nye alesi alɔ̃dɔdɔ ƒe fe gblẽa nu le wò lãmenugbagbeviwo ƒe dɔwɔwɔ ŋu, si ate ŋu ana suklidɔ ƒomevi evelia kple kuxi bubuwo xɔxɔ ƒe afɔkua nadzi ɖe edzi. Kpeɖodziwo li be ne èdɔ alɔ̃ geɖe wu be “wòatsɔ axe” fe si nènyi hã la, wò lãmenugbagbeviwo ƒe dɔwɔwɔ ate ŋu aɖe fe ma ƒe ŋusẽkpɔɖeamedziwo afia kokoko.
Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .
Alɔ̃dɔdɔ nye dzɔdzɔmenu si wò ŋutilã zãna tsɔ gbɔa dzi ɖi hedzraa eɖokui ɖo. Togbɔ be adze nu bɔbɔe aɖe si wòle be nàwɔ, abe ŋku mimi kple alɔ̃dɔdɔ ene hã la, alɔ̃dɔdɔ mele bɔbɔe kura o. Le nyateƒe me la, egbegbe atikewɔwɔ gakpɔtɔ le eƒe gɔmedzedze le alɔ̃dɔdɔ, nusi wòwɔna, kple alesi wòwɔa dɔe gɔmesese me.
Ne alɔ̃dɔdɔ le fu ɖem na wò la, ke menye wò ɖeka koe o. Atikewɔwɔ ƒe akpa blibo aɖe li si woɖo ɖi na alɔ̃dɔdɔ kple nɔnɔme siwo ate ŋu akpɔ ŋusẽ ɖe edzi. Ne èse le ɖokuiwò me be yele ZZZ yome tim wu alesi nèle la, ƒo nu kple ɖɔkta. Ekema àte ŋu ana nya mawo, kple wò ŋutɔ, nagaɖo mɔ nyuitɔ dzi be nàdɔ alɔ̃ nyuie. Lé be na wò alɔ̃dɔdɔ, elabena ele vevie ŋutɔ na wò lãmesẽ bliboa!
👩🏽 ⚕️ Nyabiase bubuwo (FAQs)
💬 Alɔ̃dɔdɔ agbɔsɔsɔme kae tututu ame tsitsi le mama dedie nu hiã gbesiagbe?
Ele vevie be ame tsitsi si le lãmesẽ me nadɔ alɔ̃ gaƒoƒo 7 va ɖo 9 gbesiagbe madzudzɔmadzudzɔe. Gake ehiã be ɖevi suewo kple ƒewuiviwo nadɔ alɔ̃ didi wu gaƒoƒo 9 va ɖo 10 hafi ahɔhɔ̃a natsi.
💬 Ðe míaƒe ahɔhɔ̃ dɔa alɔ̃ ne míedɔ alɔ̃a?
Ao! Le mɔ aɖe nu la, ne míedɔ alɔ̃ la, míaƒe ahɔhɔ̃ wɔa dɔ sesĩe wu le ŋkeke me. Alɔ̃dɔdɔ sia mee míedzraa nusiwo míesrɔ̃ le ŋkekea me ɖo ɖe susu me, míedzraa ŋutilã ɖo, eye míeɖea aɖi siwo le ŋutilãa me ɖa hekɔa wo ŋu.
💬 Nukatae wò telefon zazã hafi mlɔ anyi mexea mɔ na wò be màdɔ alɔ̃ o?
Ne kekeli blɔ si tso telefon, television, kple kɔmpiutadziɖoɖowo ƒe screen dzi va dze míaƒe ŋkuwo dzi la, míaƒe ahɔhɔ̃ susuna be ŋkeke mee wògakpɔtɔ. Emegbe, lãmetsi si nana míedɔa alɔ̃ si nye melatonin ƒe wɔwɔ nu tsona keŋkeŋ, si wɔnɛ be esesẽna na mí ŋutɔ be míadɔ alɔ̃.
` Alɔ̃dɔdɔ, alɔ̃dɔdɔ nyuie, alɔ̃dɔdɔ ƒe afɔɖeɖewo, alɔ̃madɔmadɔ, alɔ̃dɔdɔ ƒe kuxiwo, REM alɔ̃dɔdɔ, NREM alɔ̃dɔdɔ, alɔ̃dɔdɔ, alɔ̃dɔdɔ ƒe kuxiwo, alɔ̃madɔmadɔ, alɔ̃dɔdɔ ƒe dzadzɛnyenye, alɔ̃dɔdɔ ƒe dzadzɛnyenye











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