Kodi munayamba mwadzukapo mwadzidzidzi, koma osadziwa bwino, osamvetsetsa zomwe zikukuzungulirani, kenako n’kugonanso patapita kanthawi? Mwina simungakumbukire zomwe zinachitika panthawiyo. Kapena munayamba mwawonapo mwana wanu akudzuka mwadzidzidzi pakati pa usiku, kukhala pabedi, kuwerenga chinachake, kuyang’ana mozungulira ndi maso akuya, koma osayankha pamene mukulankhula, kenako n’kugonanso patapita kanthawi? Mukamufunsa m’mawa, sakukumbukira chilichonse. Ndicho chimene timachitcha (Confusional Arousals) . Anthu ena amatchanso izi "Kugona Mowa" . Tiyeni tikambirane mwatsatanetsatane lero.
Kodi kusokonezeka maganizo n’chiyani?
Mwachidule, kudzuka kosokoneza maganizo kumachitika pamene mukudzuka kuchokera ku tulo tofa nato, osati mutadzuka kwathunthu, koma mutadzuka pang'ono. Pa nthawiyi, mumakhala osokonezeka kwambiri komanso osokonezeka . Simungadziwe komwe muli, nthawi yanji, kapena amene ali pafupi nanu.
Pa nthawi ngati iyi, mukhoza:
- Mukhoza kungolankhula chinthu china.
- Mukhoza kuyang'ana mumlengalenga .
- Kulephera kuyankha foni ya munthu wina, kapena kupereka mayankho osamveka bwino .
- Mkhalidwe umenewu ukhoza kukhalapo kwa kanthawi, nthawi zambiri pafupifupi mphindi 5, mwina ola limodzi, kenako umagonanso .
Chofunika ndichakuti, mukadzuka mokwanira, nthawi zambiri simukumbukira ngakhale pang'ono kuti zikuchitika. Mwina ndi munthu amene mukugona naye amene amakuuzani izi. Madokotala nthawi zina amatcha vutoli kuti Confusional Arousal Disorder , ndipo nthawi zina amatchedwa Elpenor Syndrome .
Kodi vutoli ndi lofala bwanji? (Kodi kusokonezeka maganizo n’kofala bwanji?)
N'zovuta kunena momwe izi zimachitikira kawirikawiri. Koma kafukufuku akusonyeza kuti pakati pa 4.2% ndi 15.2% ya akuluakulu padziko lonse lapansi amakumana ndi vutoli chaka chilichonse. Chodabwitsa n'chakuti, vutoli limapezeka kwambiri mwa ana . Akuti vutoli limakhudza pafupifupi 17% ya ana osakwana zaka 15. Choncho ngati izi zikuchitika kwa mwana wanu, si zachilendo.
Kodi zizindikiro za izi ndi ziti? (Kodi zizindikiro zake ndi ziti?)
Tiyeni tsopano tiwone zizindikiro zazikulu zomwe zingawonekere mu izi (Confusional Arousals):
- Ngakhale kuti zinkaoneka ngati wadzuka mwadzidzidzi, sanali maso mokwanira. Zinali ngati kuti anali pakati pa kugona ndi kudzuka.
- Amawonetsa chisokonezo chachikulu komanso kusokonezeka maganizo . Sangadziwe komwe ali, nthawi yanji, kapena kuti ndi ndani.
- Maso angawonekere modabwitsa, opanda moyo (ophimbidwa ndi magalasi).
- Munthu akamalankhula, sayankha kapena kuyankha mosasamala . Angalankhulenso pang'onopang'ono kapena pang'onopang'ono.
- Zizindikiro zimenezi zimakhalapo kwa kanthawi, ndipo posakhalitsa umagonanso.
Popeza simukukumbukira zinthu izi zikuchitika m'mawa , munthu amene ali pabedi panu (mwamuna, mkazi) nthawi zambiri ndiye amene amaona izi. Pankhani ya ana aang'ono, makolo ndi omwe amaona izi.
Zizindikiro zimenezi zimachitika liti?
Izi (Confusional Arousals) zimachitika panthawi ya tulo lathu lotchedwa (Non-Rapid Eye Movement - NREM) . Kugona kwathu kuli ndi magawo osiyanasiyana. Kugona kwa (NREM) ndi magawo atatu oyamba tisanayambe kugona (REM) (kutanthauza kulota tulo).
Mwa akuluakulu ndi ana, izi (Confusional Arousals) zimachitika panthawi yogona kwambiri (NREM) (slow-wave sleep kapena deep NREM (N3) sleep) . Iyi ndi gawo lachitatu komanso lozama kwambiri la kugona (NREM). Makamaka, zimachitika nthawi zambiri m'maola ochepa oyamba mutagona, kutanthauza kuti, kumayambiriro kwa usiku.
N’chifukwa chiyani izi zimachitika? N’chiyani chimayambitsa kusokonezeka maganizo?
Chifukwa chenicheni cha izi sichinadziwikebe , koma kafukufuku akusonyeza kuti parasomnias zokhudzana ndi kugona kwa NREM nthawi zambiri zimakhala za majini . Izi zikutanthauza kuti ngati wina m'banja mwanu ali ndi mavutowa, inunso muli ndi mwayi wokhala nawo.
Kuphatikiza apo, mumakhala ndi mwayi wodzuka kuchokera ku tulo tambiri (NREM) motere ngati muli ndi matenda awa:
- Matenda a Bipolar
- Matenda Ogona a Circadian Rhythm : Awa ndi mavuto omwe thupi lathu limakhala nawo nthawi yachibadwa yogona ndi kudzuka.
- Kugona kwambiri : Kugona kwambiri ngakhale masana.
- Kugona mwadzidzidzi mu tulo (Narcolepsy)
- Kulephera Kugona Bwino : Izi zimachitika pamene kupuma kumasiya kwakanthawi panthawi yogona. Izi zingayambitse mavuto a tulo, zomwe zingayambitse:
- Matenda a Mantha
- Kuyenda kwa Miyendo ndi Ziwalo Nthawi ndi Nthawi
- Matenda Ogona Ogwira Ntchito Yosinthasintha : Mwachitsanzo, izi zingakhudze anthu omwe amagwira ntchito usiku.
Komanso, mankhwala ena oletsa kuvutika maganizo ndi mankhwala ena omwe mumatenga nthawi zonse angayambitsenso izi (Confusional Arousals).
Kodi ndi zinthu ziti zomwe zimayambitsa vutoli? (N’chiyani chimayambitsa kusokonezeka maganizo?)
Kawirikawiri kusokoneza tulo lanuIchi ndiye chifukwa chachikulu chomwe chimayambitsa kusokonezeka kwa malingaliro. Ganizirani zinthu ngati izi:
- Kuwala kwadzidzidzi kwa magetsi owala .
- Kumva phokoso lalikulu (monga foni ikulira, phokoso la galimoto panja).
- Kumva kufunika kopita kuchimbudzi .
Mtundu uwu wa chisokonezo umachitika munthu amene ali m’tulo tofa nato akadzuka mwadzidzidzi pakati pa nthawiyo.
Kodi kusokonezeka maganizo kumayamba pa msinkhu wanji?
Matendawa, otchedwa Confusional Arousals, amatha kuchitika pa msinkhu uliwonse . Komabe, nthawi zambiri amayamba mwa ana azaka zapakati pa ziwiri. Kafukufuku wasonyeza kuti matendawa amachepa pang'onopang'ono mwa ana azaka zisanu. Komabe, kwa anthu ena, amatha kupitirira mpaka atakula, kapena angayambirenso.
Kodi zinthu zoopsa ndi ziti?
Muli pachiopsezo chachikulu chokhala ndi Confusional Arousals ngati muli ndi zotsatirazi:
- Kugona mopitirira muyeso : Izi zikutanthauza kugona kwambiri.
- Kusowa tulo : Kusagona mokwanira. Ili ndi vuto lomwe anthu ambiri ali nalo, eti?
- Kupsinjika maganizo : Kupsinjika maganizo kwambiri kumakhudzanso tulo.
- Mbiri ya banja la matenda a NREM sleep disorders (NREM parasomnias) : Monga tanenera kale, pali chikoka cha majini.
Kodi ndi mavuto otani omwe angabwere chifukwa cha izi?
Kusokonezeka maganizo kungakupangitseni kukhala ndi mavuto masana . Izi zikufanana ndi zomwe zimachitika mukapanda kugona mokwanira (kusowa tulo). Kafukufuku watsimikizira izi. Yang'anani zinthu izi:
- Kugona masana : Kumva tulo nthawi zonse ukugwira ntchito kapena kuphunzira.
- Kusayang'ana bwino : Kulephera kuyang'ana bwino pa zomwe ukuchita.
- Kuyankha pang'onopang'ono : Kulephera kuyankha mwachangu pa chinthu china.
- Mavuto kuntchito kapena kusukulu : Kuvutika kukumbukira, kulephera kumaliza ntchito bwino.
Tangoganizirani momwe zimavutira kumva kutopa tsiku lonse chifukwa choti simungathe kugona bwino usiku. Izi ndi zomwezi.
Kodi kusokonezeka maganizo ndi koopsa?
Kawirikawiri, vutoli, lotchedwa Confusional Arousals, si loopsa kwambiri . Silimayambitsa maloto kapena zochitika zoopsa. Komanso, nthawi zambiri mumadzuka pabedi ndikuyendayenda panthawiyi. Komabe, nthawi zina mungagwe pabedi.N'zotheka, kapena chinthu chonga galasi la madzi patebulo lapafupi ndi bedi chingagwe . Choncho kuthekera kwa ngozi yaying'ono sikungatheke konse. Ndi bwino kusamala, makamaka ngati muli ndi mwana wamng'ono.
Kodi kusokonezeka maganizo kumazindikirika bwanji?
Ngati mukuganiza kuti muli ndi vutoli, ndi bwino kupita kwa dokotala . Dokotala adzakuyesani ndipo, ngati kuli kofunikira, adzakuyesani kuti adziwe vutolo. Dokotala nthawi zambiri amachita izi:
- Mudzafunsidwa za mbiri yanu yonse yachipatala komanso mbiri yanu yachipatala ya banja lanu .
- Funsani za zizindikiro zanu.
- Funsani za chizolowezi chanu chogona ndi nthawi yanu yogona (monga nthawi yomwe mumagona, nthawi yomwe mumadzuka, nthawi yomwe mumadzuka usiku).
- Lembani mankhwala omwe mukumwa panopa .
Kuphatikiza apo, dokotala wanu angakupempheni kuti mulembe tsiku lililonse nthawi yomwe mumagona, nthawi yomwe mumadzuka, komanso ngati munakhala ndi vuto lililonse la kugona, komanso ngati ndi choncho, momwe mungachitire. Ngati ndinu mwana wamng'ono, makolo ayenera kuchita izi. Ngati ndinu wamkulu, muyenera kufunsa munthu amene mumagona naye kuti akuthandizeni kuona ngati pali chinthu chachilendo chomwe chachitika usiku. Chifukwa mwina simungakumbukire.
Nthawi zina, dokotala wanu angalamulenso kuti akaphunzire za kugona (kapena polysomnography) kuti akaone matenda ena omwe ali ndi zizindikiro zofanana. Izi zimaphatikizapo kukhala usiku wonse m'chipinda chogona, komwe ubongo wanu, kupuma kwanu, ndi kugunda kwa mtima wanu zimawunikidwa pamene mukugona. Nthawi zina, zolemba za kugona kwanu kunyumba zingathandizenso dokotala wanu kupeza matenda.
Kodi njira zochizira izi ndi ziti? (Kodi mumatani ndi kusokonezeka maganizo?)
Chofunika kwambiri pochiza kusokonezeka maganizo ndikukhala ndi ukhondo wabwino wa tulo . Izi zikutanthauza kuti, kukhala ndi zizolowezi zabwino zomwe ndizofunikira kuti munthu agone bwino. Ganizirani izi:
- Kutulutsa madzi m'chikhodzodzo musanagone.
- Pewani kudya usiku kwambiri.
- Kupewa kumwa mowa ndi caffeine (monga tiyi ndi khofi) masana.
- Ngati muli ndi matenda ena ogona, monga matenda a kupuma movutikira, funani chithandizo.
- Kuthetsa kupsinjika maganizo. Nthawi zina zinthu monga kusinkhasinkha ndi yoga zingathandize.
- Konzani nthawi yogona nthawi zonse.Ndikofunikira kwambiri kukhala ndi chizolowezi chogona ndi kudzuka nthawi yomweyo tsiku lililonse.
Kusintha zizolowezi zimenezi sikophweka, makamaka ngati pulogalamu yanu ya pa TV yomwe mumakonda imawonetsedwa usiku kwambiri kapena mumakonda kugona kumapeto kwa sabata. Koma musayese kusintha chilichonse nthawi imodzi . Sankhani chizolowezi chimodzi ndipo yesani kwa masiku angapo. Mukachizolowera, onjezani china.
Dokotala wanu adzawunikanso mbiri yanu yachipatala ndikuyesera kupeza chomwe chikuyambitsa zizindikirozi. Nthawi zina, mavuto anu ogona amatha kuchepa mukachiza vuto linalake kapena kusintha mankhwala omwe mukumwa. Ngati dokotala wanu akukayikira kuti zizindikiro zanu zimayambitsidwa ndi mankhwala omwe mukumwa panopa, adzasintha mankhwalawo.
Mankhwala Othandizira Kusokonezeka Maganizo
Poyamba, kusokonezeka maganizo sikuchiritsidwa ndi mankhwala . Komabe, ngati kusintha kwa thanzi la kugona komwe kwatchulidwa pamwambapa ndi chithandizo cha matenda ena sikuthandiza, dokotala wanu angakulangizeni mankhwala monga omwe amagwiritsidwa ntchito pa matenda a NREM parasomnias:
- Benzodiazepines
- Mankhwala oletsa kuvutika maganizo
Koma chifukwa chakuti mankhwala awa angayambitse zotsatirapo zoyipa, dokotala wanu adzayang'anitsitsa momwe amakukhudzirani.
Kodi ndingayembekezere chiyani ngati ndili ndi vuto la kusokonezeka maganizo?
(Confusional Arousals) ingasokoneze tulo tanu ndikuyambitsa zizindikiro monga kutopa masana. Ngakhale kuti vutoli limatha kuchepa ndi ukalamba , limatha kuchitika chifukwa cha zinthu zosiyanasiyana pa moyo wanu wonse. Popeza simungakumbukire kuti chinthu chonga ichi chikukuchitikirani, winawake adzafunika kukuuzani za izi.
Dokotala angakulangizeni njira zabwino kwambiri zowongolera ukhondo wanu wa tulo, kuthana ndi mavuto omwe amabwera chifukwa cha matendawa, kapena kukupatsani mankhwala okuthandizani kugona bwino usiku.
Kodi vutoli lingapewedwe? (Kodi kusokonezeka maganizo kungapewedwe?)
Palibe njira yotsimikizika yopewera kwathunthu kukwiya ndi kusokonezeka maganizo. Komabe, mutha kuchita izi kuti muchepetse chiopsezo chanu:
- Konzani ukhondo wanu wogona.
- Ikani foni yanu pa "musasokoneze" kapena "mugone bwino." Izi zidzakuthandizani kuti musadzuke ndi foni kapena uthenga usiku.
- Yang'anirani matenda aliwonse omwe angayambitse.
- Sungani malo anu ogona otetezeka. Musakhale pachiwopsezo ngati mutadzuka mwadzidzidzi. Mwachitsanzo, sungani chikho cha pulasitiki pafupi ndi bedi lanu m'malo mwa chikho chagalasi.
- Chepetsani kupsinjika maganizo kapena lankhulani ndi katswiri wa zamaganizo .
Kodi ndiyenera kupita liti kwa dokotala?
Ngati mukumva ngati simungathe kugona bwino usiku, kapena ngati munthu amene mumagona naye akukuuzani za makhalidwe anu osazolowereka usiku , onani dokotala. Dokotala angakuthandizeni kudziwa chomwe chikuyambitsa zizindikiro zanu. Ndikofunikira kufunafuna upangiri wa dokotala, makamaka ngati zizindikirozi zimachitika pafupipafupi, zimakhudza zochita zanu za tsiku ndi tsiku, kapena zimakupangitsani kuchita zinthu zomwe zingakhale zoopsa kwa inu nokha kapena ena.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?
Mukapita kwa dokotala, mukhoza kufunsa mafunso monga:
- Kodi ndili ndi vuto la kugona (Confusional Arousals) kapena vuto lina la kugona?
- Kodi ndiyenera kutenga nawo mbali mu kafukufuku wokhudza kugona?
- Ndi mfundo ziti zomwe ndiyenera kuzilemba mu dayale yanga yogona?
- Kodi ndi kusintha kotani komwe mumalimbikitsa pa ukhondo wanga wogona komanso zochita zanga?
- Kodi izi zimafuna mankhwala? Ngati ndi choncho, kodi zotsatira zake zimakhala zotani?
Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
Vutoli, lotchedwa Confusional Arousals, lingakhale losokoneza pang'ono kwa munthu amene akukumana nalo. Ngakhale kuti munthu amene mumamukonda akuoneka kuti ali maso, amachita zinthu zachilendo, kenako n’kugonanso, ndipo m’mawa, amachita ngati palibe chomwe chachitika.
Nthawi zambiri mumapeza kuti munthu wina amakuvutitsani maganizo . Komabe, mungamvenso tulo komanso kutopa masana, ndipo mungadabwe kuti n’chifukwa chiyani sindigona bwino usiku.
Chofunika kwambiri ndichakuti, musachite mantha ndi izi. Izi ndi vuto lomwe lingachitikire anthu ambiri. Lingathe kuthetsedwa ndi upangiri woyenera wachipatala komanso, ngati pakufunika, chithandizo.
Dokotala wanu angakuthandizeni kudziwa chomwe chikuyambitsa izi (Confusional Arousals). Iye angakupatseninso upangiri kapena mankhwala omwe angathandize thupi lanu kupeza mpumulo womwe limafuna. Chifukwa chake, ngati muli ndi kukayikira kulikonse pankhaniyi, musazengereze kulankhula ndi dokotala.
` kusokonezeka maganizo, matenda ogona, kuledzera kugona, kugona kwa NREM, parasomnia, matenda ogona











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