Sɔntɛnde yu kin tink se yu dɔn slip fayn, bɔt we yu wek na mɔnin, yu kin fil lɛk se yu dɔn wek ɔl nɛt? Yu kin fil lɛk se yu dɔn taya ɔl, bɔt yu nɔ kin fil taya ɔ slip insay di de. Yu nɔ tink se dis na tin we rili strenj ɛn we de mɔna wi? Sɔntɛm dɛn nɔ kin tek am siriɔs we yu tɛl pɔsin bɔt am.
Wetin na dis strenj prɔblɛm we de mek pɔsin slip? (Paradoksal Inshɔmnia)?
Fɔ tɔk am simpul wan, paradoxical insomnia na wan kɔndishɔn wae yu kin fil lɛk yu gɛt inshɔmnia simptom, bɔt yu bɔdi de rili gɛt di kayn slip we i nid. Sɔntɛnde, dɔktɔ dɛn kin kɔl dis "slip stet misperception."
Imajin se yu de tray fɔ slip, bɔt yu kin yɛri ɔltin we de apin rawnd yu, ɛn yu tinkin de rɔn na yu ed, lɛk se yu dɔn wek ɔl nɛt pas fɔ sɔm awa. Bɔt di tru tin na dat, yu bren ɛn yu bɔdi de slip fayn. I kin fil lɛk se yu sɛns de ple big jok pan yu. Dis kin mek yu fil bad bad wan ɛn strɛs. Yu kin ivin bigin fɔ dawt yusɛf.
Wetin na di difrɛns bitwin nɔmal inshɔmnia ɛn dis?
Di big difrɛns ya na dat pɔrsin wae gɛt tipik inshɔmnia nɔr kin slip fayn na nɛt, so dɛn kin fil taya pasmak, slip, ɛn taya di nɛks de. Dɛn kin gɛt prɔblɛm fɔ du wok ɛn fɔ kɔntinyu fɔ pe atɛnshɔn.
Bɔt if yu gɛt (Paradoxical Insomnia), pan ɔl we yu fil lɛk se yu nɔ slip na nɛt, yu nɔ de fil so taya ɔ slip na de bikɔs yu bɔdi de rili gɛt di slip we i nid. Dis min se pan yu bɔdi, yu bɔdi de rɛst fayn fayn wan. Bɔt pan yu maynd ɛn filin, yu nɔ go fil da we de. Dis na de tin wae de strenj ɛn de mɔna dis sik.
"A no fit slip nait, dokta, and a de wek te moning. Bot a no taya so fo de." - Yu sabi dis kayn stori?
Dis sik kin mek i nɔr izi, if nɔr pɔsibul, fɔ no if yu de slip fayn fɔ yusɛf. So, if yu de fil slip ɔltɛm ɛn i de afɛkt yu ɛvride layf ɛn yu maynd wɛl bɔdi, i go fayn fɔ go to dɔktɔ fɔ advays.
Wetin na di sayn dɛm fɔ (Paradoxical Insomnia)?
De men sayn na wae yu fil lɛk yu nɔr de slip fayn. Apat frɔm dis, yu kin gɛt dɛn tin ya:
- Fɔ fil ɔltɛm fɔ no bɔt tin dɛn we de apin rawnd yu we yu de tray fɔ slip (e.g., di sawnd we dɔg de ala nia yu, di sawnd we motoka dɛn de mek na rod, ivin di tik we klok de tik).
- I kin tan lɛk se yu nɔ go ebul fɔ slip ilɛksɛf yu tray tranga wan.
- We a de tray fɔ slip , wan tin kin kɔntinyu fɔ rɔn na mi ed.Lɛk, nɔ ebul fɔ kip yu maynd na wan ples.
- Di filin fɔ wek ɔl nɛt kin rili strɔng.
Yu kin fil dis "a nɔ bin slip las nɛt" fil rili klia ɛn strɔng. Bɔt if yu gɛt (Paradoxical Insomnia), yu bren ɛn bɔdi kin gɛt di rɛst we dɛn nid ɛvri nɛt. Dis kin rili mek pɔsin in at pwɛl. Yu kin gɛt bak wan frayd fɔ slip we nɔr mek sɛns (slip anxiety) . Dat min se we yu wek na nɛt, yu de fred se "A nɔ no if a go slip tinayt."
Di impɔtant tin na dat dɛn filin ya we yu gɛt na rial tin. Ivin if yu bɔdi nɔr rili sho di fyzikal sayn dɛm wae de sho se yu nɔr de slip fayn, di tin dɛm wae yu de fil nɔto sɔntin wae yu de mek.
Wetin na di tin dɛm wae kin mek pɔrsin gɛt (Paradoxical Insomnia)?
Fɔ tɔk tru, masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin nɔ ebul fɔ slip fayn. E kin tranga bak fɔ du risach bɔt dis sik, bikɔs i nɔ kin mek ɛni chenj na yu bɔdi we di wan dɛn we de du risach kin tɛst. Bɔt wan tin de we masta sabi bukman dɛn gri pan: Na rial sik, ɛn i kin afɛkt yu maynd ɛn aw yu de fil.
Risach pipul dɛm de stɔdi sɔm pan de tin dɛm wae kin mek pɔrsin gɛt paradoxical insomnia. Sɔm pan dɛn tin ya na:
- Tin dɛm we de apin na di envayrɔmɛnt: Sɔm tin dɛm na di ples usay yu de, woke, ɔr spɛn bɔku tɛm (e.g., nɔys pasmak, layt, bedrum we nɔ fayn).
- Jεnεtik vεryushכn: Jεnεtik inflכεns dεm we kin kכmכt frכm dεm.
- Mental hεlth kכndishכn: Mental prכblεm lεk wae yu de wɔri εn pwεl hat.
- Pɔst-traumatik strɛs disɔda (PTSD): Na mental kɔndishɔn wae kin apun afta pɔrsin gɛt siriɔs traumatik tin.
- Slip apnea: Nɔ de blo ɔltɛm we yu de slip.
Dis na sɔm pan di tin dɛm we dɛn tink se de mek dɛn du dis na di tɛm. Bɔt mɛmba se yu nɔ nid fɔ gɛt ɛni wan pan dɛn tin ya fɔ mek dis sik apin.
Aw fɔ no (Paradoxical Insomnia)?
Dɔktɔ go no se yu gɛt paradoksal insomnia bay we i tɔk to yu bɔt aw yu de slip ɛn yuz sɔm tɛst dɛn. Tɛl yu dɔktɔ bɔt aw yu de slip ɛn ɛni chenj we yu dɔn notis na yu slip. I kin rifer yu bak to pɔsin we sabi bɔt slip .
Yu dɔktɔ kin du bɔku tɛst dɛn, lɛk:
- Ilɛktroɛnsɛfalogram (EEG): Dis kin tɛst yu bren we yu de du tin. Dis kin ɛp fɔ pul ɔda tin dɛm wae kin mek yu gɛt sayn dɛm wae fiba yu.
- Fɔ kip wan jɔnal fɔ slip:Yu dɔktɔ go aks yu fɔ rayt di tɛm we yu go slip ɛn di tɛm we yu wek. Dis go ɛp yu fɔ kɔmpia ɔmɔs tɛm yu rili wek na nɛt wit ɔmɔs tɛm yu fil lɛk se yu wek.
- Wear Actigraph: Dis na divays we tan lɛk smartwatch. We yu wɛr am fɔ sɔm wiks, i de rayt di tin dɛn we de ambɔg yu slip-wek saykl.
If yu gɛt paradoxical insomnia, yu tɛst rizɔlt sho se yu kin gɛt nɔmal, wɛl bɔdi slip ɛvri nɛt. Di impɔtant tin fɔ mɛmba ya na dat di dɔktɔ nɔ de du dɛn tɛst ya fɔ ful yu ɔ pruv se yu de lay. Dɛn de abop pan yu. Dɛn jɔs want fɔ si wetin rili de apin na yu bren ɛn bɔdi we yu de slip.
Wetin na di tritmɛnt fɔ (Paradoxical Insomnia)?
Yu dɔktɔ kin tɛl yu bɔt tritmɛnt dɛn we go ɛp yu fɔ de kol ɛn nɔ gɛt wan prɔblɛm we yu de slip. Sɔm pan dɛn tin ya na:
- Cognitive Behavioral Therapy (CBT) ɔr tɔk tritmɛnt: We yu tɔk to pɔsin we de gi advays bɔt yu maynd, dat kin ɛp yu fɔ kɔntrol yu strɛs, wɔri, ɛn pwɛl hat. Dɛn kin ɛp yu fɔ kɔntrol yu sayn dɛm fɔ (Paradoxical Insomnia) ɛn ɛni mɛntɛl hεlth kɔndishɔn wae kin de kɔz am.
- Fɔ mek yu slip fayn: Fɔ go slip di sem tɛm ɛvride ɛn fɔ mek yu slip fayn, dat kin ɛp yu fɔ slip fayn. Tray fɔ avɔyd rɔm, drink we gɛt kafinɛ (lɛk ti ɛn kɔfi), ɛn ɛksesaiz sɔm awa bifo yu go slip.
- Di abit dɛn we pɔsin kin gɛt fɔ slip fayn:
- Go na bed ɛn wek di sem tɛm ɛvride (ivin na wikɛnd).
- Mek di bedrum bi ples we dak, kwayɛt, ɛn kol.
- Yuz di bed nɔmɔ fɔ slip ɛn fɔ du mami ɛn dadi biznɛs. Nɔ wach TV, chɛk yu fon, ɔ wok frɔm di bed.
- Wam wata, rid buk, ɔ lisin to myuzik we de mek yu at kol bifo yu go slip.
- Mɛrɛsin: Naw, nɔr mɛrɛsin nɔr de wae de trit di sik dairekt wan (Paradoxical Insomnia). Bɔt yu dɔktɔ kin gi yu wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ ridyus di filin we yu de wek na nɛt. Dɛn fɔ yuz dɛn tin ya jɔs lɛk aw yu dɔktɔ tɛl yu.
Yu tink se Paradoxical Insomnia na denja sik?
Paradoxical insomnia nɔr kin kɔz fyzikal harm to yu bɔdi. So, e nɔto denja kɔndishɔn di we aw wi kin tink se "denja."
Bɔt de pwɛl hat ɛn strɛs wae kin kam wae yu de dil wit dis kayn tin kin gɛt bɔrku impak pan yu maynd wɛl bɔdi.Nɔ tray fɔ bia wit yu strɛs, wɔri, ɔ ɔda filin dɛn fɔ yusɛf. Tɔk to pɔrsin wae de gi yu mɛntɛl hεlth ɔr di wan dɛm wae yu lɛk bɔt de tin wae yu de go tru.
Yu tink se dɛn kin ebul fɔ stɔp Paradoxical Insomnia?
Di masta sabi pipul dɛm nɔr shɔ wetin kin mek pɔrsin nɔr kin slip fayn, so wi nɔr no aw fɔ avɔyd am. Bɔt fɔ praktis gud slip hajɛns na di bɛst we fɔ mek shɔ se yu gɛt di kayn (ɛn di kayn slip) we yu nid ɛvri nɛt. Tɔk to yu dɔktɔ bɔt di tin dɛn we de mɔna yu ɛn aw yu de fil. Wae yu dɔn ɔndastand wetin de apun, yu kin ebul fɔ ridyus yu wɔri arawnd tɛm wae yu de slip ɛn de tɛm wae yu de wek. Dis kin ɛp yu bak fɔ lɛ yu nɔ wɔri tumɔs.
Ustɛm a fɔ go to mi dɔktɔ?
Yu dɔktɔ go tɛl yu aw ɔltɛm yu fɔ kam insay fɔ chɛk-ap ɔ fɔ fala-ap apɔntinmɛnt. Dɛn go want fɔ chɛk yu slip ɛn wɛl bɔdi ɛn mek shɔ se yu fil fayn.
If yu sik chenj ɔr de wɔs, tɛl yu dɔktɔ. Dɛn kin tɔk bɔt ɔda tritmɛnt ɔ chenj dɛn to yu (Paradoxical Insomnia) mɛnejɛmɛnt plan.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk:
- Aw a go no if dis na Paradoxical Insomnia ɔ ɔda prɔblɛm wit slip?
- Us kayn tɛst dɛn a go gɛt fɔ du?
- Wetin na di bɛst we fɔ yuz mi slip jɔnal?
- A go nid mɛrɛsin? If na so i bi, aw a fɔ yuz am?
Paradoxical insomnia na wan sik wae kin rili mek pɔrsin fil bad. Na wan sik wae de mek yu gɛt rial sayn bɔt nɔr gɛt sayn na yu bɔdi wae dɔktɔ kin no. I kin mek yu vɛks, sɔri, pwɛl at, ɔ ɔl dɛn tin ya wan tɛm. Paradoxical insomnia na rial kɔndishɔn, ɛn yu filin na rial.
I kin tek sɔm tɛm fɔ mek yu gɛt di ansa dɛn we yu nid. Mɛmba se di wan dɛn we yu lɛk ɛn di dɔktɔ dɛn de fɔ sɔpɔt yu. As tɛm de go, yu go ebul fɔ kɔntrol yu sik dɛn ɛn fɛn we fɔ slip ful wan nɛt we yu go rili fil ɛn gladi fɔ.
Fɔ dɔn, mɛmba (Take-Home Message) .
- If yu de slip fayn bɔt yu stil fil lɛk se yu nɔ ebul fɔ slip , yu kin gɛt paradoxical insomnia. Dis na wae yu bɔdi de slip, bɔt yu nɔr de fil am na yu maynd.
- Dis nɔr tan lɛk nɔmal inshɔmnia, bikɔs yu nɔr kin fil taya pasmak ɔr de slip na de.
- Pan ɔl we wi nɔ no di rayt tin we kin mek pɔsin gɛt dis sik, tin dɛn lɛk strɛs ɛn wɔri kin gɛt sɔntin fɔ du wit am.
- Yu kin go to dɔktɔ ɛn gɛt diagnosis tru tin dɛm lɛk EEG, slip dayari, ɛn Actigraph.
- As tritmɛnt(CBT) tritmɛnt, gud slip abit (slip hajɛns), ɛn mɛrɛsin dɛn kin yuz if nid de.
- Pan ɔl we dis nɔr denja fɔ yu bɔdi, i kin rili afɛkt yu maynd wɛl bɔdi. So, i impɔtant fɔ fɛn sɔpɔt pan pɔsin in maynd.
- Nɔto yu wan, tɔk to dɔktɔ bɔt dis sityueshɔn.
Nɔr frayd fɔ tɔk to dɔktɔ bɔt ɛni kwɛstyɔn ɔr tin wae de mɔna yu bɔt yu slip. Slip fayn fayn wan impɔtant fɔ mek yu gɛt wɛlbɔdi!
` Paradoksal Insomnia, Insomnia, Slip Prɔblɛm, Mental Ɛlth, Slip Disɔda, Slip Hajin, CBT
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