Yu kin fil kɔnfyus bak we yu wek? Lɛ wi tɔk bɔt Kɔnfyushɔn Arousals!

Yu dɔn ɛva gɛt di ɛkspiriɛns we yu wek wantɛm wantɛm, bɔt yu nɔ no gud gud wan, nɔ ɔndastand di tin dɛn we de arawnd yu, dɔn yu slip bak afta sɔm tɛm? Sɔntɛm yu nɔ go ivin mɛmba wetin bin apin da tɛm de. Ɔ yu dɔn ɛva si yu smɔl pikin grap wantɛm wantɛm midul nɛt, sidɔm na bed, rid sɔntin, luk rawnd wit big yay, bɔt nɔ ansa yu we yu de tɔk, dɔn i slip bak afta sɔm tɛm? We yu aks am na mɔnin, i nɔ de mɛmba ɛnitin. Na dat wi kin kɔl (Confusional Arousals) . Sɔm pipul dɛn kin kɔl dis bak "Slip Drunkenness" . Lɛ wi tɔk bɔt dis ditayli tide.

Wetin na tin dɛn we kin mek pɔsin kɔnfyus?

Fɔ tɔk am simpul wan, Kɔnfyushɔn Arousals na we yu wek frɔm dip slip, nɔto ful wek, bɔt we yu wek af-af. Dis tɛm ya, yu kin rili kɔnfyus ɛn yu nɔ kin no wetin fɔ du . Sɔntɛm yu nɔ go ivin no usay yu de, ustɛm i de, ɔ udat de arawnd yu.

Na tɛm lɛk dis, yu kin:

• Yu kin mumble sɔntin.
• Yu kin luk ɔp na di spes .
• Fɔ nɔ ebul fɔ ansa pɔsin in kɔl, ɔ fɔ gi ansa dɛn we nɔ klia .
• Dis stet kin las fɔ sɔm tɛm, bɔku tɛm na lɛk 5 minit, sɔntɛm ivin wan awa, dɔn yu kin slip bak .

De impɔtant tin na dat, afta yu dɔn wek ɔl, bɔrku tɛm yu nɔr kin mɛmba dis kayn tin. I go mɔs bi se na pɔsin we yu de slip wit de tɛl yu dis. Sɔntɛnde dɔktɔ dɛn kin kɔl dis sik Kɔnfyushɔn Arousal Disorder , ɛn nɔ kin kɔl am Elpenor Syndrome .

Aw dis sik kin kɔmɔn? (Aw kɔmɔn tin kin apin we pɔsin kin mek pɔsin kɔnfyus?)

I at fɔ tɔk klia wan aw dis kin apin. Bɔt risach sho se bitwin 4.2% ɛn 15.2% pan di big pipul dɛm ɔlsay na di wɔl kin gɛt dis kayn bihayvya insay wan ia. I sɔprayz fɔ no se i kin apin mɔ pan pikin dɛn . Dɛn se dis sik kin afɛkt lɛk 17% pan di pikin dɛm wae nɔr rich 15. So if dis de apun to yu pikin, i nɔr kin so.

Wetin na di sayn dɛm fɔ dis? (Wetin na di sayn dɛm?)

Lɛ wi si naw wetin na di men sayn dɛm wae yu kin si pan dɛn tin ya (Confusional Arousals):

• Pan ɔl we i bin tan lɛk se i wek wantɛm wantɛm, i nɔ bin rili wek. I bin tan lɛk se i stɔp sɔnsay bitwin slip ɛn wek.
• Dɛn kin sho se dɛn kin kɔnfyus bad bad wan ɛn dɛn nɔ kin no wetin fɔ du . Sɔntɛm dɛn nɔ go no usay dɛn de, ustɛm i de, ɔ udat dɛn bi.
• Di yay kin tan lɛk strenj, nɔ gɛt layf (glaz oba).
• We pɔsin de tɔk, i nɔ de ansa ɔ ansa we nɔ gɛt wanwɔd . Dɛn kin tɔk smɔl smɔl bak ɔ tɔk smɔl smɔl.
• Dɛn sayn ya kin de fɔ sɔm tɛm, ɛn i nɔ tu te, yu kin slip bak.

Bikɔs yu nɔ kin mɛmba dɛn tin ya we kin apin na mɔnin , bɔku tɛm na di pɔsin we de na yu bed (man, wɛf) na in kin si dis. We i kam pan smɔl pikin dɛn, na di mama ɛn papa dɛn kin si dis.

Ustɛm dɛn sayn ya kin apin?

dis (Confusional Arousals) kin apin di stej we wi de slip we dεn kכl (Non-Rapid Eye Movement - NREM) . Wi slip gɛt difrɛn stej dɛn. (NREM) slip na di fכs tri stej dεm bifo wi go insay (REM) slip (i.e., drim slip).

pan big pipul dεm εn pikin dεm, dεn (Confusional Arousals) ya kin apin we dεn de slip dip (NREM) (slow-wave slip כ dip NREM (N3) slip) . Dis na di tɔd ɛn dip stej fɔ (NREM) slip. Spɛshal wan, i kin apin mɔs insay di fɔs sɔm awa afta yu dɔn slip, dat na di fɔs pat na di nɛt.

Wetin mek dis kin apin? Wetin kin mek pipul dɛn kɔnfyus?

dεn nכ no yet di εksakεt kכz fכ dis , bכt rεsכch sho se parasomnia dεm we riliyt to NREM slip na bכku jεnεtik . Dis min se if pɔsin na yu famili gɛt dɛn prɔblɛm ya, yusɛf go gɛt dɛn prɔblɛm dɛn ya.

Apat frɔm dat, yu kin wek frɔm dip (NREM) slip dis kayn we if yu gɛt dɛn tin ya:

• Bipolar Disɔda
• Circadian Rhythm Sleep Disorders : Dis na prɔblɛm wit wi bɔdi in natura l slip-wek saykl.
• Hypersomnia : Fɔ slip pasmak ivin insay di de.
• Fɔ slip wantɛm wantɛm we yu de slip (Narcolepsy) .
• Obstructive Sleep Apnea : Dis na we yu de blo stɔp fɔ sɔm tɛm we yu de slip. Dis kin mek yu nɔ ebul fɔ slip fayn, ɛn dis kin mek yu:
• Panik Disɔda
• Di Limb Muvmɛnt dɛn we pɔsin kin muv wan wan tɛm we i de slip
• Shift Work Sleep Disorder : Fɔ ɛgzampul, dis kin afɛkt pipul dɛm wae de woke na nɛt shift.

Dɔn bak, sɔm mɛrɛsin wae de mek yu nɔr gɛt pwɛl hat sik ɛn ɔda mɛrɛsin wae yu kin tek ɔltɛm kin mek yu gɛt dɛn tin ya bak (Confusional Arousals).

Wetin na de men tin wae kin mek yu gɛt dis sik? (Wetin kin mek pɔsin kɔnfyus?)

Bɔku tɛm, na tin we kin ambɔg yu slipDis na di men rizin we mek Kɔnfyushɔn Arousal kin apin. Tink bɔt tin dɛn lɛk dis:

• Wan layt we de shayn wantɛm wantɛm .
• Fɔ yɛri lawd nɔys (e.g. fon we de ring, di sawnd we motoka de mek na do).
• Fɔ fil se yu nid fɔ go na di bafa .

Dis kayn kɔnfyushɔn kin apin we pɔsin we de slip dip wan wek wantɛm wantɛm af-af.

Us ej di kɔnfyushɔn we pɔsin kin gɛt kin bigin?

Dis sik, we dɛn kɔl Kɔnfyushɔn Arousals, kin apin pan ɛni ej . Bɔt bɔku tɛm i kin bigin pan pikin dɛn we ol lɛk 2. Risach dɔn sho se dis sik kin go dɔŋ smɔl smɔl pan pikin dɛn afta dɛn dɔn ol 5. Bɔt fɔ sɔm pipul dɛn, i kin kɔntinyu te dɛn big, ɔ i kin bigin ɔltin bak.

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Yu de pan ay risk fɔ gɛt Kɔnfyushɔn Arousals if yu gɛt dɛn tin ya:

• Hypersomnia : Dis min se yu fɔ slip tumɔs.
• Slip deprivation : Nɔ gɛt bɛtɛ slip. Dis na prɔblɛm we bɔku pipul dɛn gɛt, nɔto so?
• Stress : We pɔsin strɛs pasmak, i kin afɛkt bak fɔ slip.
• Famili histri fɔ NREM slip dizayd (NREM parasomnias) : As wi bin dɔn tɔk, wan jɛnɛtik inflɔwɛns de.

Wetin na di prɔblɛm dɛn we kin kam wit dis?

Kɔnfyushɔn Arousal kin mek yu gɛt sɔm prɔblɛm dɛn insay di de . Dis kin fiba wetin kin apun wae yu nɔr gɛt bɛtɛ slip (slip deprivation). Risach dɔn sho se dis na tru. Tek wan luk pan dɛn tin ya:

• Slip we yu de slip na de : Fɔ fil se yu de slip ɔltɛm we yu de wok ɔ stɔdi.
• Lack of alertness : Nɔ ebul fɔ pe atɛnshɔn fayn pan wetin yu de du.
• Slow reaction times : Na wae yu nɔr ebul fɔ ansa kwik kwik wan to sɔmtin.
• Di prɔblɛm dɛn we pɔsin kin gɛt we i de du wok ɔ na skul : I nɔ kin izi fɔ mɛmba, i nɔ kin ebul fɔ dɔn di wok dɛn fayn fayn wan.

Imajin aw i kin vɛks fɔ fil taya ɔl di de bikɔs yu nɔ ebul fɔ slip fayn na nɛt. Dis na di sem tin.

Yu tink se fɔ mek pɔsin kɔnfyus we i de mek pɔsin vɛks, i denja?

Bɔrku tɛm, dis sik wae dɛn kɔl Confusional Arousals nɔr kin rili denja . I nɔ kin rili mek pɔsin drim ɔ tin dɛn we kin mek pɔsin fred. Dɔn bak, i nɔ kin izi fɔ mek yu grap na bed ɛn waka rawnd dis tɛm. Bɔt sɔntɛnde, yu kin fɔdɔm na bed.I pɔsibul, ɔ sɔntin lɛk wan glas wata we de na tebul nia bed kin tip . So di pɔsibul fɔ mek smɔl aksidɛnt apin nɔto tin we nɔ pɔsibul atɔl. I bɛtɛ fɔ tek tɛm, mɔ if yu gɛt smɔl pikin.

Aw dɛn kin no di sik dɛn we kin mek pɔsin kɔnfyus?

If yu tink se yu gɛt dis prɔblɛm, i go fayn fɔ mek yu go to dɔktɔ . Di dɔktɔ go chɛk yu ɛn if nid de, i go du tɛst fɔ no if yu gɛt di sik. Bɔku tɛm, dɔktɔ go du dɛn tin ya:

• Dɛn go aks yu bɔt yu kɔmplit mɛdikal istri ɛn yu biyolojikal famili mɛdikal istri .
• Aks bɔt di sayn dɛn we yu gɛt .
• Aks bɔt yu slip abit ɛn schedule (e.g., us tɛm yu kin go slip, us tɛm yu kin wek, ɔmɔs tɛm yu kin wek na nɛt).
• Mek wan not fɔ us mɛrɛsin yu de tek naw .

Apat frɔm dat, yu dɔktɔ kin aks yu fɔ rayt slip dayari . Dis min se yu fɔ rayt ɛvride di tɛm we yu go slip, di tɛm we yu wek, ɛn if yu bin gɛt ɛni prɔblɛm wit yu slip ɛn if na so, aw yu go slip. If yu na smɔl pikin, na di mama ɛn papa fɔ du dis. If yu na big pɔsin, yu fɔ aks di pɔsin we yu de slip wit fɔ si if ɛnitin we nɔ kɔmɔn apin na nɛt. Na bikɔs sɔntɛm yu nɔ go mɛmba am.

Sɔntɛnde, yu dɔktɔ kin ɔda bak fɔ mek dɛn du stɔdi bɔt aw fɔ slip (ɔ polysomnography) fɔ chɛk fɔ ɔda tin dɛn we gɛt di sem kayn sik. Dis min se yu fɔ spɛn wan ol nɛt na say usay yu de slip, usay dɛn kin wach aw yu bren de wok, aw yu de blo, ɛn aw yu at de bit we yu de slip. Sɔntɛnde, di tin dɛn we yu kin du we yu de slip na os kin ɛp yu dɔktɔ bak fɔ no if yu gɛt di sik.

Wetin na di tritmɛnt dɛm fɔ dis? (Aw yu kin trit di tin dɛn we kin mek pɔsin kɔnfyus?)

Di tin we impɔtant pas ɔl we yu de trit di tin dɛn we kin mek yu kɔnfyus na fɔ kip yu slip fayn fayn wan . Dat min se fɔ gɛt gud abit dɛn we nid fɔ mek pɔsin slip fayn. Tink bɔt dɛn tin ya:

• Fɔ ɛmti yu blad bifo yu slip.
• Nɔ it let na nɛt.
• Nɔ it rɔm ɛn kafin (lɛk ti ɛn kɔfi) let na di de.
• If yu gɛt ɔda prɔblɛm dɛn we yu kin gɛt we yu de slip, lɛk we yu de slip, go to tritmɛnt fɔ dɛn.
• Fɔ kɔntrol di strɛs. Sɔntɛnde, tin dɛn lɛk fɔ tink gud wan ɛn fɔ du yoga kin ɛp.
• Mek wan schedule we yu fɔ du ɔltɛm bifo yu go slip.I rili impɔtant fɔ gɛt di abit fɔ go slip ɛn wek di sem tɛm ɛvride.

Fɔ chenj dɛn abit ya nɔ kin izi, mɔ if di TV sho we yu lɛk kin de let na nɛt ɔ yu lɛk fɔ slip let na di wikɛnd. Bɔt nɔ tray fɔ chenj ɔltin wan tɛm . Pik wan abit ɛn tray am fɔ sɔm dez. We yu dɔn yus to am, ad ɔda wan.

Yu dɔktɔ go rivyu yu mɛdikal histri ɛn tray fɔ no wetin de mek yu gɛt dɛn sik ya. Sɔmtɛm, yu slip prɔblɛm kin bɛtɛ wae yu de trit wan ɔndalayn kɔndishɔn ɔr chenj di mɛrɛsin dɛm wae yu de tek. If yu dɔktɔ tink se na di mɛrɛsin dɛn we yu de tek naw, dɛn go chenj dɛn mɛrɛsin dɛn de.

Medikeshɔn fɔ Kɔnfyushɔn Arousal

Dɛn nɔ kin trit pɔsin we kin mek pɔsin kɔnfyus wit mɛrɛsin fɔs . Bɔt if di chenj dɛn we wi bin dɔn tɔk bɔt na di slip wɛlbɔdi chenj ɛn di tritmɛnt fɔ di ɔndalayn kɔndishɔn dɛn nɔ ɛp, yu dɔktɔ kin tɛl yu fɔ tek mɛrɛsin lɛk di wan dɛn we dɛn kin yuz fɔ NREM parasomnia:

• Benzodiazepin dɛn we dɛn kin yuz
• Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad

Bɔt bikɔs dɛn mɛrɛsin ya kin mek yu gɛt sayd ɛfɛkt, yu dɔktɔ go wach gud gud wan aw dɛn kin afɛkt yu.

Wetin a go ɛkspɛkt if a gɛt tin dɛn we kin mek a kɔnfyus?

(Confusional Arousals) kin ambɔg yu slip ɛn mek yu gɛt sɔm sayn dɛm lɛk fɔ taya na de. Pan ɔl we dis sik kin go dɔŋ we yu de ol , difrɛn tin dɛn kin kam wit am ɔlsay na yu layf. Bikɔs yu nɔ go mɛmba sɔntin lɛk dis we apin to yu, sɔmbɔdi go gɛt fɔ tɛl yu bɔt dat.

Dɔktɔ kin advays yu bɔt di bɛst we fɔ mek yu slip fayn, fɔ kɔntrol di tin dɛn we de apin to yu, ɔ fɔ gi yu mɛrɛsin fɔ ɛp yu fɔ slip fayn.

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin? (Dɛn kin mek dɛn nɔ gɛt kɔnfyushɔn we de mek pɔsin vɛks?)

No surefire way nɔr de fɔ kɔmplit wan fɔ mek dɛn nɔ gɛt Kɔnfyushɔn Arousals. Bɔt yu kin du dɛn tin ya fɔ mek yu nɔ gɛt bɔku prɔblɛm:

• Mek yu slip fayn fayn wan.
• Put yu fon pan "nɔ distɔb" ɔ "slip mod." Dis go mek yu nɔ go wek yu we yu kɔl ɔ tɛks mɛsej na nɛt.
• Kɔntrol ɛni ɔndalayn mɛdikal kɔndishɔn.
• Kip di say we yu de slip sef. Nɔ de pan denja if yu wek wantɛm wantɛm. Fɔ ɛgzampul, kip plastic kɔp nia yu bed instead fɔ put glas kɔp.
• Ridyus strɛs ɛn/ɔ tɔk to pɔsin we sabi bɔt mental wɛlbɔdi biznɛs .

Ustɛm a fɔ go to pɔsin we de kia fɔ wɛlbɔdi biznɛs?

If yu fil lɛk se yu nɔ ebul fɔ slip fayn na nɛt, ɔ if pɔsin we yu de slip wit tɛl yu bɔt di kayn we aw yu kin biev na nɛt we nɔ kɔmɔn , go to dɔktɔ. Dɔktɔ kin ɛp yu fɔ no wetin de mek yu gɛt dis sik. I impɔtant fɔ go to dɔktɔ, mɔ if dɛn sik ya kin apin bɔku tɛm, kin afɛkt di tin dɛn we yu kin du ɛvride, ɔ kin mek yu biev di kayn we we go denja to yusɛf ɔ ɔda pipul dɛn.

Us kwɛstyɔn dɛn a fɔ aks mi wɛlbɔdi biznɛs pɔsin?

We yu go si dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk:

• A gɛt (Confusional Arousals) ɔ ɔda kayn slip prɔblɛm?
• A nid fɔ tek pat pan slip stɔdi?
• Us infɔmeshɔn a fɔ put na mi slip dayari?
• Us chenj yu kin rikɔmɛnd pan mi slip hajɛns ɛn rutin?
• Yu tink se dis nid fɔ tek mɛrɛsin? If na so i bi, wetin na di bad tin dɛn we kin apin to am?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Dis kכndyushכn wae dεn kכl Confusional Arousals, kin mek di pɔrsin wae de gεt dis kayn sik nɔr de wɔri smɔl. Pan ɔl we i tan lɛk se di pɔsin we yu lɛk de wek, dɛn kin du tin strenj, dɔn dɛn kin slip bak, ɛn na mɔnin, dɛn kin du tin lɛk se natin nɔ apin.

Bɔku tɛm yu go kam fɔ no se yu gɛt Kɔnfyushɔn Arousals frɔm ɔda pɔsin . Bɔt yu kin fil bak fɔ slip ɛn taya insay di de, ɛn yu kin wɔnda wetin mek a nɔ kin ebul fɔ slip fayn na nɛt.

Di tin we impɔtant pas ɔl na, nɔ panik bɔt dis. Dis na wan sik wae kin apun to bɔrku pipul dɛm. Dɛn kin kɔntrol am if dɛn gi yu di rayt advays ɛn if nid de, yu go trit am.

Yu dɔktɔ kin ɛp yu fɔ no wetin de kɔz dɛn tin ya (Confusional Arousals). I kin gi yu advays ɔ tritmɛnt dɛn bak we go ɛp yu bɔdi fɔ gɛt di rɛst we i nid. So, if yu gɛt ɛni dawt bɔt dis, nɔ shem fɔ tɔk to dɔktɔ.

` kɔnfyushɔn arousal, slip dizayd, slip drɔnk, NREM slip, parasomnia, slip dizayd