Imajin, yu de slip fayn. Wantɛm wantɛm yu wek wit swet, yu chɛst de hef. Yu bin drim wan drim we bin de mek yu fred bad bad wan. I stil de fil lɛk se yu de spin na yu ed. I nɔ bad fɔ wan ɔ tu dez, bɔt if yu kɔntinyu fɔ drim bad drim lɛk dis, yu wan ol de kin mek yu nɔ gɛt wanwɔd. Sɔntɛm yu gɛt dis sik bak we dɛn kɔl ``Nightmare Disorder'' . Wi go tɔk bɔt dis ditayli tide?
Wetin na dis ``Naytmɛr Disɔda''?
Fɔ tɔk am simpul wan, ``Nightmare Disorder`` na di we aw pɔsin kin drim bɔku tɛm, we kin rili klia, we kin mek pɔsin fred. Dɛn drim ya kin mek yu at pwɛl bad bad wan ɔr kin mek yu nɔ ebul fɔ du di tin dɛn we yu kin du ɛvride fayn fayn wan. dis na wan kayn bihayvya abnכmaliti bak we de apin we yu de slip, we wi kכl ``Parasomnias`` .
Aw dis sik kin tranga kin difrɛn, i kin dipen pan aw ɔltɛm yu kin drim dɛn drim ya:
- Mild: I nɔ pas wan tɛm insay di wik.
- Modaret: Wan tɛm insay di wik ɔ mɔ, bɔt nɔto ɛvri nɛt.
- Severe: A kin drim bad bad drim evri nait.
Dɔn bak, aw lɔng i dɔn de de afɛkt bak:
- Short-tεm `(Acute nightmare disorder)`: I kin las wan mכnt כ less.
- Short-tεm mכdarεt `(Subakut naytmεr dizכrd): I de de fכ at le wan mכnt, bכt i nכ rich siks mכnt.
- Krεse dεm wae de dεn kin dεm: kin teik siks mכnt כ mכr.
Bɔku pan dɛn bad bad drim ya kin apin di sɛkɔn pat pan di slip, we dɛn kɔl REM (rapid eye movement) slip . Di spɛshal tin bɔt nɛtmɛr disɔda na dat yu kin mɛmba di drim fayn fayn wan we yu wek. Dis difrɛn frɔm di we aw pɔsin kin fred fɔ slip. Dis sik kin rili ambɔg yu slip ɛn kin afɛkt yu kwaliti fɔ liv. E kin mek bak de ɔndalayn maynd wɛl bɔdi prɔblɛm, lɛk pwɛl hat ɔr wɔri.
Udat dɛn dis kayn tin kin afɛkt mɔ?
Dis ``Nightmare Disorder'' kin de pan ɛnibɔdi, frɔm yɔŋ pikin to big pipul.
Bɔt sɔm pipul dɛn kin gɛt am mɔ, mɔ if yu gɛt ɛni wan pan dɛn sik ya:
- REM bihayvya dizayd (RBD) .
- Narkolepsi we pɔsin kin gɛt
- Slip apnɛa fɔ slip
- Disɔda we de mek di an ɛn fut muv wan wan tɛm (PLMD) .
- Pɔst-traumatik strɛs disɔda (PTSD) .
- Jɛnɛralized anxiety disɔda
- Sɔshial wɔri disɔda
- Pwɛl at
Yu no se pipul dɛm wae gɛt sɔshal anxiety disorder ɔr generalized anxiety disorder kin gɛt tri tɛm pas aw dɛn kin gɛt nɛtmɛr disɔda? Dɔn bak, dis sik kin afɛkt bitwin 50% ɛn 90% pan pipul dɛm wae gɛt PTSD.
Aw dis sik kin kɔmɔn?
Pan ɔl we nɔr ɛksaktɔl statystik nɔr de na Sri Lanka, dɛn kin se bitwin 2% ɛn 8% pan di jenɛral pipul dɛm na kɔntri lɛk Amɛrika gɛt dis ``Nightmare Disorder.'' Dat nɔr kin apin lɛk aw yu kin tink.
Wetin na di sayn dɛm fɔ ``Nightmare Disorder''?
Di men sayn na fɔ drim bad bad drim ɔltɛm . Wae e nɔrmal fɔ gɛt bad bad drim ɛvride, if yu gɛt am ɔltɛm ɛn dɛn kin ambɔg yu ɛvride woke, yu kin gɛt ``Naytmɛr Disɔda''.
Di tin dɛn we dɛn kin tɔk bɔt na dɛn bad bad drim ya na:
- Yu layf de pan denja .
- Harm to yu bɔdi wɛlbɔdi .
- Wan trɛt fɔ yu sef .
Imajin, sɔmbɔdi de rɔnata yu, yu de fɔdɔm frɔm ay ples, ɔ yu de na say we yu nɔ ebul fɔ du natin. Dis na di drim dɛm we kin apin bɔku tɛm.
We yu de drim bad bad drim, yu kin gɛt sɔm kayn sik dɛn bak na yu bɔdi lɛk:
- We pɔsin de swet
- I nɔ kin izi fɔ yu fɔ blo
- Di at we de blo
Di men filin we pɔsin kin gɛt we i de drim bad bad drim na fɔ fred . Bɔt ɔda filin dɛn kin kam bak, lɛk:
- Vɛks
- Wɔri
- Shem we pɔsin kin shem
- Disgust
- Shem
- Sɔri-at
Dɛn bɔdi simptom ɛn filin ya kin apin we yu de drim, we yu wek frɔm di drim, ɔ leta we yu mɛmba di drim.
Naytmɛr Disɔda kin mek yu gɛt dɛn tin ya bak:
- Mod chenj , fɔ ɛgzampul, wɔri ɔr pwɛl hat.
- Nɔ want fɔ slip (fɔ fred fɔ gɛt ɔda drim).
- Rili taya .
- We pɔsin kin slip na de (Hypersomnia) .
- I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu .
- Prɔblɛm dɛn we gɛt fɔ du wit di we aw pɔsin de biev .
- We pɔsin nɔ ebul fɔ du di wok ɔ i nɔ ebul fɔ du na skul .
- Disrɔpshɔn pan sɔshal rilayshɔnship .
Gud slip rili impɔtant fɔ wi ɔl wɛlbɔdi. So, if yu tink se yu gɛt ``Nightmare Disorder'', i rili impɔtant fɔ tɔk to dɔktɔ.
Wetin mek dis ``Nightmare Disorder'' kin apin?
Infakt, pipul dɛn we de stɔdi bɔt dis stil de stɔdi bɔt slip ɛn aw i kin afɛkt wi. Pan ɔl we dɛn dɔn fɛn bɔku tin bɔt slip, drim, ɛn drim bad drim, bɔku tin dɛn stil de we wi nɔ no.
Risach pipul dɛm nɔr no di rayt tin wae kin mek pɔrsin de drim bad bad drim ɛn drim bad bad drim.Bɔt, dɛn gɛt difrɛn we fɔ tink.
Wan tiori na dat dis kכndyushכn kin kכz fכ hyperarousal, we na wan stet fכ hεytin aktvכti we de kכmכt כl di de εn kכntinyu te to di nεt. Hyperarousal na wan kayn maynd wae yu kin vɛks ɔltɛm, vɛks, ɛn dawt ɔltin. Dis na kɔmɔn sayn fɔ PTSD ɛn nɔr de slip. Dis hyperarousal kin mek sɔm pat dɛm na di bren de wok pasmak we yu de slip, ɛn dis kin mek yu drim bad bad drim dɛm.
כda tiori de bכt di kכnsεpt fכ ``Fεar extinction.`` כnda nכmal tin dεm, wi bren kin ebul fכ asosiet fכ fred mεmכri wit nyu εn tin dεm we nכ rilet, we de alaw fכ nכmal slip εn drim. Dɛn kɔl dis ``Fear extinction.`` Akɔdin to dis ``impaired fear extinction`` tiori, di bren fɔ pipul dɛm we gɛt ``Nightmare Disorder`` kin kɔntinyu fɔ prosɛs mɛmori dɛm we de fred ivin we dɛn de slip. Akɔdin to dis tiori, pipul dɛm wae nɔr kin ebul fɔ kɔntrol dɛn filin wae gɛt strɛs, ɛn wae kin biev bad wae dɛn strɛs, kin kin drim bad bad drim dɛm.
Aw fɔ no ``(Naytmɛr Disɔda)``?
No patikyula mɛdikal tɛst nɔ de fɔ no dis. Bifo dat, dɔktɔ dɛn go tek gud istri bɔt yu bad bad drim dɛn ɛn ɔda sayn dɛn. Dɛn go aks bak bɔt yu mɛdikal ɛn mɛntɛl hεlth histri.
Sɔm mɛrɛsin dɛn kin mek yu drim bad bad drim dɛn bak . So, yu dɔktɔ kin aks bɔt ɛni mɛrɛsin we yu de tek naw, ɔ dɛn kin ɔda fɔ mek dɛn tɛst yu fɔ no if na dat mek yu tek am. Di mɛrɛsin ɛn tin dɛn we kin mek pɔsin drim bad bad drim na:
- Beta-blockers (na wan kayn mɛrɛsin we dɛn kin gi fɔ blɔd prɛshɔn) .
- Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad
- Nikotin (we kɔmɔt frɔm tin dɛn we dɛn kin mek wit tabak ɛn we pɔsin de smok) .
Bad drim kin kam bak bay di sayn dɛm wae yu kin gɛt fɔ lɛf fɔ drink rɔm wae kin kam wae yu stɔp fɔ yuz tin dɛm lɛk rɔm wantɛm wantɛm.
Aw dɛn kin trit ``Nightmare Disorder''?
Fɔ trit dis, yu dɔktɔ kin tɛl yu fɔ yuz tritmɛnt dɛn togɛda, lɛk saykotɛrapi ( tɔk tɛrapi) ɛn mɛrɛsin .
Di men saykolojik tritmɛnt dɛm wae dɛn kin yuse fɔ ``Nightmare Disorder`` na tritmɛnt dɛm wae de bays pan ``Cognitive Behavioral Therapy (CBT) .`` Dat na:
- Imej Rihasal Tɛrapi (IRT) .
- Eksposhɔn, Rilaks, ɛn Riskriptin Tɛrapi (ERRT) .
Smɔl mɔ ditel bɔt saykotɛrapi
Di American Academy of Sleep Medicine (AASM) se IRT ɛn ERRT na di tritmɛnt we go wok fayn fɔ big pipul dɛn we gɛt bad bad drim.
Dis `(IRT)` εn `(ERRT)` na tritmεnt dεm we dεn tayl fכ εvri wan. Dis inklud sɔm tin dɛn:
- Kip slip dayari (slip lɔg) ɛn rikodɔ di slip/wek patɛn ɛvride.
- Kip slip dayari fɔ rayt aw ɔltɛm ɛn aw yu kin drim bad bad drim dɛn.
- Fɔ lan bɔt aw bad bad drim dɛn tan.
- Trenin skil dɛm wae de tɔch di pikchɔ dɛm, tinkin, ɛn filin dɛm wae gɛt fɔ du wit bad bad drim dɛm. Dis kin mek di bad bad drim dɛn nɔ bɔku ɛn i nɔ kin bad.
Dɛn tritmɛnt ya we dɛn kin yuz CBT kin sho se di bad bad drim dɛn kin yus fɔs, ɛn dɛn kin ɛp yu fɔ du tin dɛn we dɔn apin trade, bɔt as tɛm de go dɛn kin ambɔg yu.
Dɛn tritmɛnt ya kin luk pan bad bad drim as abit ɔr lan bihayvya wae kin chenj if yu praktis . Pɔsin we sabi bɔt mental wɛlbɔdi biznɛs, lɛk pɔsin we de stɔdi bɔt pɔsin in maynd ɔ we de mɛn pipul dɛn, kin ɛp yu fɔ imajin bak di bad bad drim dɛn we yu bin de drim difrɛn we, we nɔ go mek yu fred ɔr nɔr de fil bad.
Homwok na impɔtant tin fɔ dis tritmɛnt. Dat min se yu fɔ rɛdi fɔ di nyu drim we yu de imajin ɛvride. Di gol ya na fɔ "riprogram" yu nɛtmɛr dɛm fɔ mek yu nɔr de fred so if dɛn apia bak.
Mɛrɛsin fɔ `(Naytmɛr Disɔda)`
If di saykolojik tritmɛnt dɛm wae wi bin dɔn tɔk bɔt nɔr ɛp, yu dɔktɔ kin tink bɔt fɔ tek mɛrɛsin.
Bɔrku kayn mɛrɛsin de wae kin ɛp fɔ gɛt Naytmɛr Disɔda wae gɛt fɔ du wit PTSD. Na sɔm ɛgzampul dɛn ya:
- `Olanzapin`
- `Rispɛridɔn`
- `Aripiprazol`
- `Klɔnidin`
- `Sayprohɛptadin`
- `Fluvoxamin`
- `Gabapentin`
- `Nabilɔn`
- `Fɛnɛlzin`
- `Prazosin` (dɛn kin yuz dis bɔku tɛm) .
- `Topiramat`
- `Trazodone`
- Trisayklik antidipreshan
Dɛn mɛrɛsin wae kin ɛp fɔ gɛt Naytmɛr Disɔda wae nɔr gɛt natin fɔ du wit PTSD na:
- `Prazosin`
- `Triazolam`
Di tin we impɔtant pas ɔl na dat ɔl di mɛrɛsin dɛn kin gɛt sayd ɛfɛkt . So, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt di gud ɛn bad tin dɛn we wan patikyula mɛrɛsin gɛt, ɛn fɔ si am if yu gɛt sayd ɛfɛkt.
Wetin na di prɔgnosis fɔ dis kɔndishɔn?
De luk fɔ dis ``Nightmare Disorder`` kɔndishɔn kin difrɛn frɔm pɔrsin to ɔda pɔrsin.
Fɔ sɔm pipul dɛn, dis kin bɛtɛ if dɛn nɔ gɛt ɛni tritmɛnt . Bɔt fɔ ɔda pipul dɛn, dis sik kin kɔntinyu fɔ de fɔ bɔku bɔku ia if dɛn nɔ trit dɛn.
Bikɔs ɔf di sik we dɛn nɔ trit, we dɔn te fɔ lɔng tɛm ``Krɔnik nɛtmɛr disɔda``Di risk fɔ tray fɔ kil insɛf ɛn fɔ ripit kin bɔku.
Fɔ dis rizin, ɛn bikɔs slip impɔtant fɔ ɔl yu wɛl bɔdi, i rili impɔtant fɔ go fɛn ɛp if yu de drim bad bad drim ɔltɛm.
Ustɛm a fɔ go to dɔktɔ?
If yu kin drim bad bad drim dɛn ɔltɛm, ɛn dɛn kin ambɔg yu layf, go to dɔktɔ ɔ pɔsin we de advays yu bɔt yu maynd wantɛm wantɛm .
If dɛn dɔn no se yu gɛt ``Nightmare Disorder'' ɛn di tritmɛnt dɛm wae yu de gi yu naw nɔr de ɛp, tɔk to yu dɔktɔ bɔt ɔda opshɔn dɛm.
Yu tink se bad bad drim na mental sik?
Pan ɔl we bad bad drim kin gɛt sɔntin fɔ du wit sɔm tin dɛn we kin apin to pɔsin in maynd, lɛk PTSD, wɔri, ɛn pwɛl at, dɛn nɔ kin tek bad bad drim as mental sik . Dɛn na wan kayn tin wae de mɛk pɔrsin nɔr de biev fayn wae dɛn kɔl parasomnia, wae kin apun wae pɔrsin de slip.
``Nightmare Disorder'' na di sem wit ``PTSD''?
Bɔrku pipul dɛm wae gɛt post-traumatic stress disorder (PTSD) kin gɛt dεm dεm bak. Bɔt yu kin gɛt nɛtmɛr disɔda we yu nɔ gɛt PTSD. Dis min se dɛn tu tin ya nɔto di sem.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Fɔ slip fayn na nɛt rili impɔtant fɔ wi layf. I de ɛp wi bɔdi fɔ rɛst, chaj bak, ɛn mek insɛf fayn. Wae yu gɛt Naytmɛr Disɔda kin gɛt bɔrku impak pan de kwaliti fɔ yu slip ɛn yu kwaliti fɔ liv.
Bɔt, di gud nyus na dat dis na sik we pɔsin kin mɛn . Difrɛn tɔk tritmɛnt ɛn mɛrɛsin dɛn kin ɛp. So, if bad bad drim de ambɔg yu layf, nɔ fred fɔ go to dɔktɔ. Nɔto yu wan de, ɛn we dɛn de fɔ gɛt ɛp.
` Naytmɛr, slip, mental wɛlbɔdi, REM slip, PTSD, wɔri, tritmɛnt
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