Ðe alɔ̃madɔmadɔ hã le fu ɖem na wò le drɔ̃e baɖawo ta? Mina míasrɔ̃ nusianu tso Nightmare Disorder ŋu!

Tsɔe be, èle alɔ̃ dɔm nyuie. Kasia nènyɔ le fifia me, eye wò akɔta le ʋuʋum. Èku drɔ̃e dziŋɔ aɖe ŋutɔ. Egasena le eɖokui me kokoko abe ɖe nèle tsatsam le ta me ene. Menyo o ŋkeke ɖeka alo eve, gake ne èyi edzi le drɔ̃e gbegblẽwo kum alea la, wò ŋkeke bliboa ate ŋu anye tɔtɔ. Ðewohĩ nɔnɔme sia si woyɔna be ``Drɔ̃e Baɖa'' hã le ŋuwò. Ðe míaƒo nu tso esia ŋu tsitotsito egbea?

Nukae nye ``Drɔ̃e baɖa ƒe Dɔléle'' sia?

Kpuie ko la, ``Drɔ̃e baɖa ƒe Dɔléle`` nye drɔ̃e siwo ku enuenu, siwo me kɔ ŋutɔ, siwo doa vɔvɔ̃ na ame la ƒe dzɔdzɔ. Drɔ̃e siawo hea nuxaxa gã aɖe vɛ na wò alo xea mɔ na wò be màte ŋu awɔ wò gbesiagbedɔwo nyuie o. Esia hã nye nuwɔna ƒe tɔtrɔ ƒomevi aɖe si dzɔna le alɔ̃dɔdɔ me, si míeyɔna be ``Parasomnias`` .

Nɔnɔme sia ƒe sesẽ ate ŋu ato vovo, le zi nenie nèku drɔ̃e siawo nu:

• Fafɛ: Menye zi ɖeka le kwasiɖa me o.
• Le titina: Zi ɖeka le kwasiɖa me alo esi wu nenema, gake menye zã sia zã o.
• Sesẽ: Mekua drɔ̃e baɖawo zã sia zã.

Azɔ hã, ɣeyiɣi didi si wòxɔ hã kpɔa ŋusẽ ɖe:

• Ɣeyiɣi kpui aɖe ƒe `(Acute nightmare disorder)`: Enɔa anyi ɣleti ɖeka alo esi mede nenema o.
• Ɣeyiɣi kpui aɖe ƒe titina `(Subacute nightmare disorder): Enɔa anyi ɣleti ɖeka ya teti, gake medea ɣleti ade o.
• Drɔ̃e baɖa ƒe dɔléle si nɔa anyi didi: enɔa anyi ɣleti ade alo esi wu nenema.

Drɔ̃e baɖa siawo ƒe akpa gãtɔ dzɔna le alɔ̃dɔdɔ ƒe afã evelia me, si woyɔna be REM (ŋku ƒe ʋuʋu kabakaba) alɔ̃dɔdɔ . Nu tɔxɛ si le drɔ̃e baɖa ƒe dɔléle ŋue nye be èɖoa ŋku drɔ̃ea dzi nyuie ne ènyɔ. Esia to vovo na alɔ̃dɔdɔ ƒe ŋɔdzidoname. Nɔnɔme sia ate ŋu agblẽ nu le wò alɔ̃dɔdɔ ŋu ŋutɔ eye ate ŋu akpɔ ŋusẽ ɖe wò agbenɔnɔ dzi. Ate ŋu ana susu ƒe lãmesẽkuxi siwo le ete abe blanuiléle alo dzimaɖitsitsi ene hã nagagblẽ ɖe edzi.

Ameka dzie nɔnɔme sia gblẽ nu le wu?

``Drɔ̃e baɖa'' sia ateŋu adze ame sia ame dzi, tso ɖevi suewo dzi va ɖo ame tsitsiwo dzi.

Gake anɔ eme be ame aɖewo axɔe, vevietɔ ne dɔléle siawo dometɔ aɖe le ŋuwò:

• REM ƒe nuwɔna ƒe kuxi (RBD) .
• Alɔ̃dɔdɔ ƒe dɔléle
• Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe
• Afɔ kple afɔ ƒe ʋuʋu ɣeaɖewoɣi (PLMD) .
• Nuteɖeamedzi le afɔku megbe (PTSD) .
• Dzimaɖitsitsi ƒe dɔléle si bɔ
• Hadomegbenɔnɔ ƒe dzimaɖitsitsi ƒe dɔléle
• Teteɖeanyi

Ènya be amesiwo ŋu hadomedzimaɖitsitsi ƒe dɔléle alo dzimaɖitsitsi si bɔ ɖe amewo katã me le la ate ŋu axɔ drɔ̃e baɖa ƒe dɔléle zi gbɔ zi etɔ̃a? Azɔ hã, nɔnɔme sia dzea amesiwo ŋu PTSD le ƒe 50% va ɖo 90% dzi.

Aleke gbegbee nɔnɔme sia bɔe?

Togbɔ be akɔntabubu aɖeke meli tututu le Sri Lanka o hã la, wogblɔ be amewo katã ƒe 2% va ɖo 8% le dukɔ abe Amerika ene me la, ``Drɔ̃e Baɖa ƒe Dɔléle sia le wo ŋu.'' Ema mebɔ abe alesi nàsusui ene o.

Nukae nye ``Drɔ̃e baɖa ƒe dɔléle'' ƒe dzesiwo?

Dzesi vevitɔe nye drɔ̃e baɖawo kuku enuenu . Togbɔ be esɔ be nàku drɔ̃e baɖawo ɣeaɖewoɣi hã la, ne èku drɔ̃e baɖawo edziedzi eye wodoa kplamatse wò gbesiagbedɔwo la, àte ŋu axɔ ``Drɔ̃e baɖawo ƒe Dɔléle''.

Nyati siwo bɔ ɖe drɔ̃e baɖa siawo me enye:

• Wò agbe le afɔku me .
• Nu gblẽ le wò ŋutilã ƒe nyonyo ŋu .
• Afɔku na wò dedienɔnɔ .

Bu eŋu kpɔ, ame aɖe le yowòme tim, èle gegem tso teƒe kɔkɔ aɖe, alo èle nɔnɔme si me kpekpeɖeŋu aɖeke mele kura o me. Esiawoe nye drɔ̃e siwo dzena zi geɖe.

Ne èku drɔ̃e baɖa aɖe la, àte ŋu akpɔ ŋutilã me dzesiwo hã abe:

• Fifia ƒe ʋuʋu
• Yagbɔgbɔ sesẽ
• Dzi ƒe tsotso

Seselelãme vevitɔ si drɔ̃e baɖawo hena vɛ enye vɔvɔ̃ . Gake seselelãme bubuwo hã ate ŋu ado mo ɖa, abe:

• Dziku
• Dzitsitsi
• Ŋukpedodo ame
• Ŋunyɔnu
• Ŋkpe
• Blanuiléle

Ŋutilã me dzesi kple seselelãme siawo ate ŋu ado mo ɖa le drɔ̃ekuku me, ne nyɔ tso drɔ̃ea me, alo emegbe ne wole ŋku ɖom drɔ̃ea dzi.

Nightmare Disorder hã ate ŋu ana nàto nusiwo gbɔna me:

• Mood changes , le kpɔɖeŋu me, dzimaɖitsitsi alo blanuiléle.
• Alɔ̃dɔdɔ ƒe didi (le vɔvɔ̃ be yeagaku drɔ̃e bubu ta).
• Ðeɖi te eŋu ŋutɔ .
• Ŋkeke me alɔ̃dɔdɔ (Hypersomnia) .
• Esesẽna be susu nanɔ nu ŋu .
• Nuwɔna me kuxiwo .
• Dɔwɔwɔ alo suku ƒe dɔwɔwɔ ƒe gbegblẽ .
• Hadomegbenɔnɔ ƒe gbegblẽ .

Alɔ̃dɔdɔ nyuie le vevie ŋutɔ na míaƒe lãmesẽ bliboa. Eyata ne èsusu be ``Drɔ̃e vɔ̃ɖi'' le ye ŋu la, ele vevie ŋutɔ be nàƒo nu kple ɖɔkta.

Nukatae ``Drɔ̃e baɖa ƒe Dɔléle'' sia dzɔna?

Le nyateƒe me la, numekulawo gale nu srɔ̃m tso alɔ̃dɔdɔ kple ale si wòkpɔa ŋusẽ ɖe mía dzii ŋu. Togbɔ be woke ɖe nu geɖe ŋu tso alɔ̃dɔdɔ, drɔ̃ekuku, kple drɔ̃e baɖawo ŋu hã la, nu geɖe gali siwo míenya o.

Numekulawo menya nusi tututu gbɔ drɔ̃e baɖawo kple drɔ̃e baɖawo ƒe dɔléle tsona o .Gake, woƒe nukpɔsusu to vovo.

Nufiafia ɖekae nye be nɔnɔme sia ate ŋu atso hyperarousal, si nye nuwɔna si nu sẽ ƒe nɔnɔme si ƒoa ƒu le ŋkekea me katã eye wòyia edzi vaseɖe zã me gbɔ. Hyperarousal nye susu ƒe nɔnɔme si me nèdoa dziku, doa dziku, eye nèkea ɖi le nusianu ŋu ɣesiaɣi. Esia nye PTSD kple alɔ̃madɔmadɔ ƒe dzesi si bɔ. Gbɔdzɔgbɔdzɔ sia ate ŋu ana ahɔhɔ̃a ƒe akpa aɖewo nawɔ dɔ akpa ne èle alɔ̃ dɔm, si ana nàku drɔ̃e baɖawo.

Nukpɔsusu bubu aɖe li ku ɖe nukpɔsusu si nye ``Vɔvɔ̃ tsɔtsrɔ̃ ŋu.`` Le nɔnɔme siwo sɔ me la, míaƒe ahɔhɔ̃ te ŋu tsɔa ŋkuɖodzinya dziŋɔwo doa ƒome kple nu yeye siwo medo ƒome kple wo nɔewo o, si wɔnɛ be woɖea mɔ na alɔ̃dɔdɔ kple drɔ̃e siwo sɔ. Woyɔa esia be ``Vɔvɔ̃ tsɔtsrɔ̃.`` Le ``vɔvɔ̃ ƒe tsɔtsrɔ̃ si gblẽ`` nufiafia sia nu la, amesiwo ŋu ``Drɔ̃e baɖa ƒe dɔléle`` le ƒe ahɔhɔ̃ yia edzi wɔa ŋkuɖodzinu dziŋɔwo ŋudɔ le alɔ̃dɔdɔ gɔ̃ hã me. Le nufiafia sia nu la, amesiwo wòsesẽna na be woaɖu woƒe seselelãmewo dzi le nɔnɔme siwo me nuteɖeamedzi le me, eye wowɔa nu ɖe ​​nuteɖeamedzi ŋu le mɔ gbegblẽ nu la te ŋu kua drɔ̃e baɖawo.

Aleke woawɔ ade dzesi ``(Drɔ̃e baɖa ƒe Dɔléle)``?

Atikewɔwɔ me dodokpɔ aɖeke koŋ meli si woatsɔ anya esia o. Ke boŋ ɖɔktawo awɔ wò drɔ̃e baɖawo kple dzesi bubuwo ƒe ŋutinya nyui aɖe . Woabia nya tso wò atikewɔwɔ kple susu ƒe lãmesẽ ŋutinya hã ŋu.

Atike aɖewo hã ate ŋu ana woaku drɔ̃e baɖawo . Eyata wò ɖɔkta ate ŋu abia nya tso atike ɖe sia ɖe si zãm nèle fifia ŋu, alo ate ŋu abia be woado atikewo kpɔ akpɔe ɖa be ema gbɔe wòtso hã. Atikewo kple nusiwo ate ŋu ana ame naku drɔ̃e baɖawo dometɔ aɖewoe nye:

• Beta-blockers (atike ƒomevi aɖe si wonana na ʋu ƒe sisi) .
• Blanuilélenutsitikewo
• Nicotine (si tso atamanuwo kple atamanono me) .

Drɔ̃e gbegblẽwo ate ŋu atso atikeawo ɖeɖeɖa ƒe dzesi siwo dona tso eme ne èdzudzɔ atikewo abe aha sesẽ ene zazã zi ɖeka hã gbɔ.

Aleke wodaa ``Drɔ̃e baɖa ƒe Dɔléle''?

Be nàda esia la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atikewɔmɔnu vovovowo, siwo dometɔ aɖewoe nye susumedɔdada ( nuƒoƒo ƒe atikewɔwɔ) kple atikewo .

Susuŋutinunya ƒe atikewɔwɔ vevi siwo wozãna na ``Drɔ̃e baɖa ƒe dɔléle`` nye atikewɔwɔ siwo wotu ɖe ``Cognitive Behavioral Therapy (CBT) .`` Eyae nye:

• Nɔnɔmetatawo Ŋuti Dzadzraɖo (IRT) .
• Atikewɔwɔ si Wotsɔna Ðea Ame Ŋu, Ðiɖiɖeme, Kple Nuŋɔŋlɔ Gbugbɔgaŋlɔ (ERRT) .

Nya geɖe tso susumedɔdada ŋu tsitotsito

Amerikatɔwo ƒe Alɔ̃dɔdɔ Ŋuti Atikewɔwɔ Ŋuti Nusrɔ̃ƒe (AASM) kafu IRT kple ERRT be wonye atike nyuitɔ kekeake na drɔ̃e baɖa ƒe dɔléle le ame tsitsiwo ŋu.

`(IRT)` kple `(ERRT)` siawo nye atikewɔwɔ siwo wowɔ ɖe ame ɖesiaɖe nu. Esia lɔ nu geɖe ɖe eme:

• Alɔ̃dɔdɔ ŋuti nuŋlɔɖigbalẽ (alɔ̃dɔdɔ ŋuti nuŋlɔɖi) wɔwɔ kple gbesiagbe alɔ̃dɔdɔ/nyɔnyrɔ̃ ƒe nɔnɔmewo ŋɔŋlɔ ɖi.
• Wɔ alɔ̃dɔdɔ ŋuti nuŋlɔɖigbalẽ be nàŋlɔ zi nenie wò drɔ̃e baɖawo ku kple alesi wòsesẽe ɖi.
• Nusɔsrɔ̃ tso drɔ̃e baɖawo ƒe nɔnɔme ŋu.
• Hehenana aɖaŋu siwo tɔa ŋku nɔnɔmetatawo, tamesusuwo, kple seselelãme siwo do ƒome kple drɔ̃e baɖawo. Esia ate ŋu aɖe drɔ̃e baɖawo kuku enuenu kple woƒe sesẽ dzi akpɔtɔ.

Dɔdamɔnu siawo siwo wotu ɖe CBT dzi ɖee fia be drɔ̃e baɖawo ɖea vi le gɔmedzedzea me, si kpena ɖe ŋuwò nèwɔa dɔ tso nudzɔdzɔ siwo va yi ŋu, gake le ɣeyiɣi aɖe megbe la, wova zua tɔtɔ.

Dɔdamɔnu siawo bua drɔ̃e baɖawo be wonye numame alo nuwɔna siwo wosrɔ̃ siwo woate ŋu atrɔ ne wowɔe . Susuŋutinunyala, abe susuŋutinunyala alo atikewɔla ene, ate ŋu akpe ɖe ŋuwò nàgakpɔ wò drɔ̃e baɖawo le susu me le mɔ bubu nu, si medoa vɔvɔ̃ na ame alo ɖea fu boo o.

Sukudɔdasiwo le vevie ŋutɔ le atikewɔwɔ sia me. Ema fia be woasrɔ̃ drɔ̃e yeye si wosusu la gbesiagbe. Taɖodzinu si le afisia enye be "wòagbugbɔ awɔ ɖoɖo ɖe" wò drɔ̃e baɖawo ŋu be woagavɔ̃ɖi boo o ne wogadze ake.

Atikewo na `(Drɔ̃e baɖa ƒe dɔléle)`

Ne susumedɔdamɔnu siwo míeyɔ va yi mekpe ɖe ŋuwò o la, wò ɖɔkta ate ŋu abu atikewo zazã ŋu.

Atike ƒomevi vovovowo li siwo ate ŋu akpe ɖe Nightmare Disorder si do ƒome kple PTSD ŋu. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• `Olanzapine ƒe atike`
• `Risperidone ƒe atike`
• `Aripiprazole ƒe atike`
• `Klonidine`
• `Cyproheptadine si wotsɔna ƒoa ƒui`
• `Fluvoxamine ƒe atike`
• `Gabapentin`
• `Nabilone`
• `Phenelzine`
• `Prazosin` (wozãa esia zi geɖe) .
• `Topiramate` ƒe agbalẽ
• `Trazodone ƒe dɔwɔwɔ`
• Blanuilélenutsitike siwo wozãna zi etɔ̃

Atike siwo ate ŋu akpe ɖe Nightmare Disorder si medo ƒome kple PTSD o ŋu dometɔ aɖewoe nye:

• `Prazosin`
• `Triazolam`

Nu vevitɔe nye be atikewo katã ate ŋu agblẽ nu le ame ŋu . Eyata ele vevie ŋutɔ be nàƒo nu tso atike aɖe koŋ ƒe viɖe kple kuxiwo ŋu na wò ɖɔkta, eye nàkpɔe ne èkpɔ eƒe nugbegblẽ le ame ŋu.

Nukae nye nɔnɔme sia ƒe ŋgɔdonya?

Mɔkpɔkpɔ na ``Drɔ̃e Baɖa`` nɔnɔme sia ateŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ.

Le ame aɖewo gome la, esia ate ŋu anyo ɖe edzi ne womewɔ atike aɖeke nɛ o . Gake le ame bubuwo gome la, dɔlélea ate ŋu anɔ anyi ƒe bla nanewo ne womedae o.

Le ``Drɔ̃e baɖa ƒe dɔléle si nɔa anyi didi`` si womewɔ atike na o, si li ɣeyiɣi didi aɖe taAfɔku si le ameɖokuiwuwu ƒe agbagbadzedze kple egbugbɔgawɔ me dzina ɖe edzi.

Le susu sia ta, eye esi wònye be alɔ̃dɔdɔ le vevie na lãmesẽ bliboa ta la, ele vevie ŋutɔ be nàdi kpekpeɖeŋu ne èle drɔ̃e baɖawo kum enuenu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èkua drɔ̃e baɖawo enuenu, eye wole nu gblẽm le wò agbenɔnɔ ŋu la, yi ɖɔkta alo susumedɔléle ŋuti aɖaŋuɖola gbɔ enumake .

Ne wokpɔ ``Drɔ̃e me dɔléle'' le ŋuwò eye wò atikewɔmɔnu siwo nèzãna fifia mele kpekpem ɖe ŋuwò o la, ƒo nu kple wò ɖɔkta tso tiatia bubuwo ŋu.

Ðe drɔ̃e baɖawo nye tagbɔdɔlélea?

Togbɔ be drɔ̃e baɖawo do ƒome kple susumedɔléle aɖewo, abe PTSD, dzimaɖitsitsi, kple blanuiléle ene hã la, womebua drɔ̃e baɖawo be enye tagbɔdɔ o . Wonye nuwɔna ƒe dɔmawɔmawɔ nyuie ƒomevi aɖe si woyɔna be parasomnias, si dzɔna le alɔ̃dɔdɔ me.

Ðe ``Drɔ̃e baɖa ƒe Dɔléle'' sɔ kple ``PTSD''?

Ame geɖe siwo ŋu nuteɖeamedzi le megbe ƒe nuteɖeamedzi (PTSD) le hã ƒe drɔ̃e baɖa ƒe dɔléle. Gake drɔ̃e baɖa ƒe dɔléle ate ŋu anɔ ŋuwò PTSD manɔmee. Esia fia be wo ame evea mesɔ o.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Alɔ̃dɔdɔ nyuie le vevie na míaƒe agbe. Ekpena ɖe míaƒe ŋutilã ŋu wòɖina ɖe eme, wògadea dzo eme, eye wòdzraa eɖokui ɖo. Nightmare Disorder ƒe amesinɔnɔ ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò alɔ̃dɔdɔ ƒe nyonyome kple wò agbenɔnɔ ƒe nyonyome dzi.

Gake, nya nyuiae nye be esia nye nɔnɔme si woate ŋu ada . Nuƒoƒo ƒe atikewɔwɔ kple atike vovovowo ate ŋu akpe ɖe ŋuwò. Eya ta, ne drɔ̃e baɖawo le tɔtɔm wò agbenɔnɔ la, mègavɔ̃ be yeayi ɖɔkta o. Menye wò ɖeka koe o, eye mɔ aɖewo li siwo dzi nàto axɔ kpekpeɖeŋu.

` Drɔ̃e baɖawo, alɔ̃dɔdɔ, susu ƒe lãmesẽ, REM alɔ̃dɔdɔ, PTSD, dzimaɖitsitsi, atikewɔwɔ