Xav txog seb, koj tsaug zog zoo. Tam sim ntawd koj sawv los hws, koj lub hauv siab mob. Koj tau ua npau suav txaus ntshai heev. Nws tseem zoo li koj tig hauv koj lub taub hau. Nws tsis ua li cas rau ib lossis ob hnub, tab sis yog tias koj pheej ua npau suav phem li no, koj hnub tag nrho tuaj yeem yog qhov tsis zoo. Tej zaum koj kuj muaj qhov mob no hu ua "Kev Nyuaj Siab Npau Suav" . Peb puas yuav tham txog qhov no kom meej hnub no?
Qhov "Npau suav phem" no yog dab tsi?
Hais yooj yim xwb, "Kev Npau Suav Phem" yog qhov tshwm sim ntawm kev npau suav ntau zaus, pom tseeb heev, thiab txaus ntshai. Cov npau suav no ua rau koj ntxhov siab heev lossis tiv thaiv koj ua tsis tau koj cov dej num txhua hnub kom raug. Qhov no kuj yog ib hom kev coj cwj pwm tsis zoo uas tshwm sim thaum pw tsaug zog, uas peb hu ua "Parasomnias" .
Qhov hnyav ntawm tus mob no yuav txawv, nyob ntawm seb koj muaj cov npau suav no ntau npaum li cas:
- Me: Tsawg dua ib zaug hauv ib lub lim tiam.
- Nruab Nrab: Ib zaug ib lub lim tiam lossis ntau dua, tab sis tsis yog txhua hmo.
- Hnyav: Kuv muaj kev npau suav phem txhua hmo.
Tsis tas li ntawd, nws tau nyob ntev npaum li cas kuj cuam tshuam rau:
- Mob luv luv '(Kev mob npau suav phem heev)': Kav ntev li ib hlis lossis tsawg dua.
- Lub sijhawm luv luv nruab nrab '(Subacute nightmare disorder): Muaj tsawg kawg yog ib hlis, tab sis tsawg dua rau lub hlis.
- Kev mob npau suav phem ntev mus ntev: kav ntev li rau lub hlis lossis ntau dua.
Feem ntau ntawm cov kev npau suav phem no tshwm sim thaum lub sijhawm ib nrab ntawm kev pw tsaug zog, hu ua REM (kev pw tsaug zog sai sai) . Qhov tshwj xeeb txog kev mob npau suav phem yog tias koj nco qab tus npau suav meej thaum koj sawv. Qhov no txawv ntawm kev ntshai thaum pw tsaug zog. Tus mob no tuaj yeem cuam tshuam rau koj txoj kev pw tsaug zog thiab tuaj yeem cuam tshuam rau koj lub neej zoo. Nws kuj tseem tuaj yeem ua rau cov mob hlwb tsis zoo, xws li kev nyuaj siab lossis kev ntxhov siab.
Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?
Qhov "Npau suav phem" no tuaj yeem tshwm sim rau txhua tus neeg, txij li menyuam yaus mus txog rau cov neeg laus.
Txawm li cas los xij, qee tus neeg yuav muaj feem ntau dua los tsim nws, tshwj xeeb tshaj yog tias koj muaj ib qho ntawm cov mob hauv qab no:
- Kev puas siab puas ntsws REM (RBD)
- Kev mob qaug dab peg
- Kev pw tsaug zog tsis taus pa
- Kev Mob Txav Mus Los Ntawm Ib Leeg (PLMD)
- Kev ntxhov siab tom qab raug mob (PTSD)
- Kev ntxhov siab dav dav
- Kev ntxhov siab ntawm zej zog
- Kev Nyuaj Siab
Koj puas paub tias cov neeg uas muaj kev ntxhov siab vim muaj kev sib raug zoo lossis kev ntxhov siab dav dav muaj feem yuav muaj kev ntxhov siab thaum hmo ntuj ntau dua peb npaug? Tsis tas li ntawd, tus mob no cuam tshuam rau ntawm 50% thiab 90% ntawm cov neeg uas muaj PTSD.
Tus mob no feem ntau tshwm sim li cas?
Txawm hais tias tsis muaj cov ntaub ntawv tseeb hauv Sri Lanka, nws tau hais tias ntawm 2% thiab 8% ntawm cov pej xeem hauv lub tebchaws zoo li Asmeskas muaj qhov "Npau suav phem." Qhov ntawd tsis yog qhov tsawg li koj xav.
Cov tsos mob ntawm "Nightmare Disorder" yog dab tsi?
Cov tsos mob tseem ceeb yog ua npau suav phem ntau zaus . Txawm hais tias nws yog ib txwm muaj npau suav phem qee zaum, yog tias koj muaj lawv tsis tu ncua thiab lawv cuam tshuam rau koj cov dej num txhua hnub, koj yuav muaj "Kev Nyuaj Siab Npau Suav".
Cov ntsiab lus tseem ceeb hauv cov npau suav phem no yog:
- Koj lub neej raug hem .
- Kev puas tsuaj rau koj lub cev noj qab haus huv .
- Kev hem thawj rau koj txoj kev nyab xeeb .
Xav txog seb, muaj ib tug neeg tab tom caum koj, koj poob ntawm qhov chaw siab, lossis koj nyob rau hauv qhov xwm txheej tsis muaj zog heev. Cov no yog cov npau suav uas tshwm sim feem ntau.
Thaum koj muaj kev npau suav phem, koj kuj tseem yuav muaj cov tsos mob ntawm lub cev xws li:
- Tawm hws
- Ua pa nyuaj
- Lub plawv dhia ceev
Qhov kev xav tseem ceeb uas ua rau muaj kev npau suav phem yog kev ntshai . Txawm li cas los xij, lwm yam kev xav kuj tseem yuav tshwm sim, xws li:
- Kev chim siab
- Kev ntxhov siab
- Kev txaj muag
- Kev ntxub ntxaug
- Kev txaj muag
- Kev tu siab
Cov tsos mob ntawm lub cev thiab kev xav no tuaj yeem tshwm sim thaum lub sijhawm npau suav, thaum sawv los ntawm kev npau suav, lossis tom qab thaum nco txog kev npau suav.
Kev Mob Npau Suav kuj tseem tuaj yeem ua rau koj muaj cov hauv qab no:
- Kev hloov pauv ntawm lub siab , piv txwv li, kev ntxhov siab lossis kev nyuaj siab.
- Tsis kam mus pw tsaug zog (vim ntshai muaj lwm tus npau suav).
- Nkees heev .
- Kev tsaug zog thaum nruab hnub (Hypersomnia) .
- Nyuaj siab rau kev tsom ntsoov .
- Teeb meem kev coj cwj pwm .
- Kev ua tsis tau zoo ntawm kev ua haujlwm lossis kev kawm ntawv .
- Kev cuam tshuam ntawm kev sib raug zoo hauv zej zog .
Kev pw tsaug zog zoo yog qhov tseem ceeb heev rau peb txoj kev noj qab haus huv tag nrho. Yog li ntawd, yog tias koj xav tias koj muaj "Kev Npau Suav Tsis Zoo", nws yog ib qho tseem ceeb heev uas yuav tsum tau nrog kws kho mob tham.
Vim li cas qhov "Npau suav phem" no thiaj tshwm sim?
Qhov tseeb, cov kws tshawb fawb tseem tab tom kawm txog kev pw tsaug zog thiab nws cuam tshuam li cas rau peb. Txawm hais tias lawv tau tshawb pom ntau yam txog kev pw tsaug zog, kev npau suav, thiab kev ua npau suav phem, tseem muaj ntau yam uas peb tsis paub.
Cov kws tshawb nrhiav tsis paub qhov ua rau muaj kev npau suav phem thiab kev mob npau suav phem.Tiam sis, lawv muaj kev xav sib txawv.
Muaj ib lub tswv yim hais tias qhov mob no tej zaum yuav yog los ntawm kev ua ub ua no ntau dhau, uas yog ib qho xwm txheej ntawm kev ua ub ua no ntau dhau uas sib sau ua ke thoob plaws hnub thiab txuas ntxiv mus txog hmo ntuj. Kev ua ub ua no ntau dhau yog ib qho xwm txheej ntawm lub siab uas koj pheej chim siab, npau taws, thiab tsis ntseeg txhua yam. Qhov no yog ib qho tsos mob ntawm PTSD thiab kev pw tsaug zog tsis taus. Qhov kev ua ub ua no ntau dhau no tuaj yeem ua rau qee qhov ntawm lub hlwb ua haujlwm ntau dhau thaum koj pw tsaug zog, ua rau muaj kev npau suav phem.
Muaj lwm txoj kev xav txog lub tswv yim ntawm "Kev Ntshai ploj mus." Nyob rau hauv qhov xwm txheej ib txwm muaj, peb lub hlwb muaj peev xwm txuas cov kev nco ntshai nrog cov khoom tshiab thiab tsis muaj feem cuam tshuam, ua rau pw tsaug zog thiab npau suav ib txwm muaj. Qhov no hu ua "Kev Ntshai ploj mus." Raws li txoj kev xav "kev ntshai ploj mus tsis zoo" no, lub hlwb ntawm cov neeg uas muaj "Kev Nyuaj Siab Npau Suav" txuas ntxiv ua cov kev nco ntshai txawm tias thaum pw tsaug zog. Raws li txoj kev xav no, cov neeg uas muaj teeb meem tswj lawv txoj kev xav hauv qhov xwm txheej ntxhov siab, thiab cov neeg uas tsis teb rau kev ntxhov siab, feem ntau yuav npau suav phem.
Yuav ua li cas thiaj paub txog "(Kev Npau Suav Tsis Zoo)"?
Tsis muaj kev kuaj mob tshwj xeeb los kuaj qhov no. Hloov chaw, cov kws kho mob yuav sau keeb kwm zoo ntawm koj cov kev npau suav phem thiab lwm yam tsos mob. Lawv kuj tseem yuav nug txog koj keeb kwm kev kho mob thiab kev noj qab haus huv ntawm lub hlwb.
Qee cov tshuaj kuj ua rau koj npau suav phem . Yog li ntawd, koj tus kws kho mob yuav xav nug txog cov tshuaj uas koj tab tom noj, lossis lawv yuav hais kom koj kuaj tshuaj seb qhov ntawd puas yog qhov ua rau koj npau suav phem. Cov tshuaj thiab cov tshuaj uas ua rau koj npau suav phem muaj xws li:
- Cov tshuaj beta-blockers (ib hom tshuaj uas siv rau kev ntshav siab)
- Cov tshuaj tiv thaiv kev nyuaj siab
- Nicotine (los ntawm cov khoom luam yeeb thiab kev haus luam yeeb)
Kev npau suav phem kuj tseem tuaj yeem tshwm sim los ntawm cov tsos mob rho tawm uas tshwm sim thaum koj cia li tsum tsis txhob siv cov tshuaj xws li cawv.
Yuav kho tus mob "Nightmare Disorder" li cas?
Yuav kho qhov no, koj tus kws kho mob yuav pom zoo kom muaj ntau yam kev kho mob ua ke, suav nrog kev kho mob hlwb ( kev kho mob tham) thiab tshuaj .
Cov kev kho mob puas siab puas ntsws tseem ceeb uas siv rau "Kev Nyuaj Siab Npau Suav" yog kev kho mob raws li "Kev Kho Mob Kev Paub Txog Tus Kheej (CBT) . Ntawd yog:
- Kev Kho Mob Xyaum Siv Duab (IRT)
- Kev Kho Mob Thaum Muaj Xwm Ceev, Kev So Kom Txaus, thiab Kev Kho Mob Dua Tshiab (ERRT)
Muaj ntau yam ntxiv txog kev kho mob hlwb
Lub Koom Haum American Academy of Sleep Medicine (AASM) pom zoo kom siv IRT thiab ERRT ua cov kev kho mob zoo tshaj plaws rau kev mob npau suav phem rau cov neeg laus.
Cov kev kho mob "(IRT)" thiab "(ERRT)" no yog cov kev kho mob uas tsim los rau txhua tus neeg. Qhov no suav nrog ntau yam tseem ceeb:
- Khaws ib phau ntawv sau txog kev pw tsaug zog (pw tsaug zog sau) thiab sau cov qauv pw tsaug zog/sawv txhua hnub.
- Khaws ib phau ntawv sau txog koj txoj kev pw tsaug zog kom sau seb koj npau suav phem ntau npaum li cas thiab hnyav npaum li cas.
- Kawm txog qhov xwm txheej ntawm kev npau suav phem.
- Kev cob qhia cov txuj ci uas tsom mus rau cov duab, kev xav, thiab kev xav uas cuam tshuam nrog kev npau suav phem. Qhov no tuaj yeem txo qhov zaus thiab qhov hnyav ntawm kev npau suav phem.
Cov kev kho mob raws li CBT no qhia tias kev npau suav phem thaum xub thawj muaj txiaj ntsig zoo, pab koj ua tiav cov xwm txheej yav dhau los, tab sis dhau sijhawm lawv ua rau muaj kev cuam tshuam.
Cov kev kho mob no saib cov kev npau suav phem ua ib yam kev coj ua lossis kev coj cwj pwm uas tau kawm uas tuaj yeem hloov pauv yog tias xyaum ua . Tus kws tshaj lij kev noj qab haus huv ntawm lub hlwb, xws li tus kws kho mob hlwb lossis tus kws kho mob hlwb, tuaj yeem pab koj rov xav txog koj cov kev npau suav phem hauv txoj kev sib txawv, ib qho uas tsis txaus ntshai lossis ntxhov siab.
Kev ua haujlwm hauv tsev yog qhov tseem ceeb heev rau txoj kev kho mob no. Qhov ntawd txhais tau tias yuav tsum rov ua dua zaj npau suav tshiab txhua hnub. Lub hom phiaj ntawm no yog "hloov kho" koj cov kev npau suav phem kom tsis txhob ntshai yog tias lawv rov tshwm sim dua.
Cov Tshuaj Rau '(Kev Npau Suav Tsis Zoo)'
Yog tias cov kev kho mob puas siab puas ntsws uas tau hais ua ntej tsis pab, koj tus kws kho mob yuav xav txog kev siv tshuaj.
Muaj ntau hom tshuaj uas tuaj yeem pab kho tus kab mob Nightmare Disorder uas cuam tshuam nrog PTSD. Nov yog ob peb yam piv txwv:
- `Olanzapine`
- `Risperidone`
- Aripiprazole
- 'Clonidine'
- `Cyproheptadine`
- Tshuaj Fluvoxamine
- `Gabapentin`
- `Nabilone`
- `Phenelzine`
- `Prazosin` (qhov no feem ntau siv)
- `Topiramate`
- `Trazodone`
- Cov tshuaj tiv thaiv kev ntxhov siab tricyclic
Cov tshuaj uas yuav pab tau rau kev mob Nightmare Disorder uas tsis muaj feem cuam tshuam nrog PTSD suav nrog:
- `Prazosin`
- `Triazolam`
Qhov tseem ceeb tshaj plaws yog tias txhua yam tshuaj muaj tej yam tshwm sim . Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham txog qhov zoo thiab qhov tsis zoo ntawm ib yam tshuaj tshwj xeeb, thiab mus ntsib nws yog tias koj muaj tej yam tshwm sim.
Qhov kev kwv yees ntawm tus mob no yog dab tsi?
Qhov kev xav ntawm tus mob "Nightmare Disorder" no yuav txawv ntawm ib tus neeg mus rau ib tus neeg.
Rau ib txhia neeg, qhov no yuav zoo dua yam tsis tas kho . Txawm li cas los xij, rau lwm tus, tus mob no tuaj yeem nyob ntev txog ntau xyoo yog tias tsis kho.
Vim yog tsis tau kho, "kev mob npau suav phem ntev ntev"Qhov kev pheej hmoo ntawm kev sim thiab rov ua dua kev tua tus kheej nce ntxiv.
Vim li no, thiab vim tias kev pw tsaug zog yog qhov tseem ceeb rau kev noj qab haus huv tag nrho, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab yog tias koj ntsib kev npau suav phem ntau zaus.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj muaj kev npau suav phem ntau zaus, thiab lawv cuam tshuam rau koj lub neej, mus ntsib kws kho mob lossis tus kws pab tswv yim kev noj qab haus huv ntawm lub hlwb tam sim ntawd .
Yog tias koj tau kuaj pom tias koj muaj "Kev Mob Npau Suav Tsis Zoo" thiab koj cov kev kho mob tam sim no tsis pab, nrog koj tus kws kho mob tham txog lwm txoj kev xaiv.
Puas yog kev npau suav phem yog kev mob hlwb?
Txawm hais tias kev npau suav phem muaj feem cuam tshuam nrog qee yam mob hlwb, xws li PTSD, kev ntxhov siab, thiab kev nyuaj siab, kev npau suav phem tsis suav tias yog kev mob hlwb . Lawv yog ib hom kev coj cwj pwm tsis zoo hu ua parasomnias, uas tshwm sim thaum pw tsaug zog.
Puas yog "Kev Nyuaj Siab Npau Suav" zoo ib yam li "PTSD"?
Muaj ntau tus neeg uas muaj teeb meem kev ntxhov siab tom qab raug kev puas tsuaj loj (PTSD) kuj muaj teeb meem kev npau suav phem. Txawm li cas los xij, koj tuaj yeem muaj teeb meem kev npau suav phem yam tsis muaj PTSD. Qhov no txhais tau tias ob qho no tsis zoo ib yam.
Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)
Kev pw tsaug zog zoo yog qhov tseem ceeb rau peb lub neej. Nws pab peb lub cev so, rov qab muaj zog, thiab kho lawv tus kheej. Kev muaj tus kab mob Nightmare tuaj yeem muaj kev cuam tshuam loj heev rau qhov zoo ntawm koj txoj kev pw tsaug zog thiab koj lub neej zoo.
Tiam sis, qhov xov xwm zoo yog tias qhov no yog ib qho mob uas kho tau . Ntau yam kev kho mob hais lus thiab tshuaj tuaj yeem pab tau. Yog li, yog tias kev npau suav phem cuam tshuam koj lub neej, tsis txhob ntshai mus ntsib kws kho mob. Koj tsis nyob ib leeg, thiab muaj ntau txoj hauv kev los nrhiav kev pab.
Kev npau suav phem, kev pw tsaug zog, kev noj qab haus huv ntawm lub hlwb, kev pw tsaug zog REM, PTSD, kev ntxhov siab, kev kho mob
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus