Kodi inunso mumavutika ndi kusowa tulo chifukwa cha maloto oipa? Tiyeni tiphunzire zonse zokhudza matenda a Nightmare Disorder!

Tangoganizani, mukugona tulo tabwino. Mwadzidzidzi mukudzuka ndi thukuta, chifuwa chanu chikugwedezeka. Munalota maloto oopsa kwambiri. Zikumvekabe ngati mukuzungulira m'mutu mwanu. Palibe vuto kwa tsiku limodzi kapena awiri, koma ngati mupitiliza kulota maloto oipa ngati awa, tsiku lanu lonse likhoza kukhala lovuta. Mwina mulinso ndi vuto lotchedwa "Nightmare Disorder" . Kodi tikambirane izi mwatsatanetsatane lero?

Kodi "Matenda Oopsa" awa ndi chiyani?

Mwachidule, "Matenda Oopsa" ndi maloto ochitika pafupipafupi, omveka bwino, komanso owopsa. Maloto amenewa amakupangitsani kukhala ndi nkhawa kwambiri kapena kukulepheretsani kuchita bwino ntchito zanu za tsiku ndi tsiku. Uwu ndi mtundu wa khalidwe losazolowereka lomwe limachitika munthu akagona, lomwe timalitcha kuti "Parasomnias" .

Kuopsa kwa vutoli kumatha kusiyana, kutengera nthawi yomwe mumalota maloto awa:

• Wofatsa: Wochepera kamodzi pa sabata.
• Pakati: Kamodzi pa sabata kapena kuposerapo, koma osati usiku uliwonse.
• Zoopsa: Ndimalota maloto oipa usiku uliwonse.

Komanso, nthawi yomwe yakhalapo imakhudzanso:

• Kwa kanthawi kochepa `(Acute nightmare disorder)`: Kumatenga mwezi umodzi kapena kuchepera.
• Matenda apakati a nthawi yochepa (Subacute nightmare disorder): Amapezeka kwa mwezi umodzi kapena kuposerapo, koma osakwana miyezi isanu ndi umodzi.
• Matenda oopsa osatha: amatha miyezi isanu ndi umodzi kapena kuposerapo.

Maloto ambiri oterewa amachitika mkati mwa theka lachiwiri la tulo, lotchedwa REM (rapid eye movement sleep) . Chinthu chapadera chokhudza matenda a maloto otere ndichakuti mumakumbukira bwino malotowo mukadzuka. Izi ndi zosiyana ndi zoopsa za tulo. Matendawa amatha kusokoneza kwambiri tulo lanu ndipo angakhudze moyo wanu. Akhozanso kuipitsa matenda amisala, monga kuvutika maganizo kapena nkhawa.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

"Matenda Oopsa" amenewa amatha kufalikira mwa aliyense, kuyambira ana aang'ono mpaka akuluakulu.

Komabe, anthu ena amatha kudwala matendawa, makamaka ngati muli ndi vuto lililonse mwa izi:

• Matenda a REM (RBD)
• Matenda Osatha Kugona
• Kupuma movutikira
• Matenda oyenda miyendo nthawi ndi nthawi (PLMD)
• Matenda ovutika maganizo pambuyo pa zoopsa (PTSD)
• Matenda ovutika maganizo
• Matenda a nkhawa pakati pa anthu
• Kuvutika maganizo

Kodi mukudziwa kuti anthu omwe ali ndi vuto la nkhawa pagulu kapena matenda a nkhawa omwe amafala kwambiri ali ndi mwayi wochulukitsa katatu wodwala matenda oopsa? Komanso, vutoli limakhudza anthu pakati pa 50% ndi 90% omwe ali ndi PTSD.

Kodi vutoli ndi lofala bwanji?

Ngakhale kuti palibe ziwerengero zenizeni ku Sri Lanka, akuti pakati pa 2% ndi 8% ya anthu onse m'dziko ngati America ali ndi "Matenda Oopsa." Zimenezi sizosowa monga momwe mungaganizire.

Kodi zizindikiro za "Nightmare Disorder" ndi ziti?

Chizindikiro chachikulu ndi maloto oipa pafupipafupi . Ngakhale kuti ndi zachilendo kukhala ndi maloto oipa nthawi ndi nthawi, ngati mumakhala nawo nthawi zonse ndipo amasokoneza zochita zanu za tsiku ndi tsiku, mutha kukhala ndi "Matenda Oopsa".

Mitu yodziwika bwino m'maloto oipa awa ndi:

• Moyo wanu uli pangozi .
• Kuvulaza thanzi lanu .
• Chiwopsezo ku chitetezo chanu .

Tangoganizirani, winawake akukuthamangitsani, mukugwa kuchokera pamalo okwera, kapena muli mumkhalidwe wovuta kwambiri. Awa ndi maloto omwe amaonekera nthawi zambiri.

Mukakhala ndi maloto oipa, mungakumanenso ndi zizindikiro zakuthupi monga:

• Kutuluka thukuta
• Kuvuta kupuma
• Kugunda kwa mtima

Maganizo akuluakulu omwe amabwera chifukwa cha maloto oipa ndi mantha . Komabe, malingaliro ena angabukenso, monga:

• Mkwiyo
• Nkhawa
• Manyazi
• Kunyansidwa
• Manyazi
• Chisoni

Zizindikiro zakuthupi ndi malingaliro amenewa amatha kuchitika panthawi ya maloto, munthu akadzuka kuchokera ku malotowo, kapena pambuyo pake akakumbukira malotowo.

Matenda a Nightmare Disorder angayambitsenso izi:

• Kusintha kwa maganizo , mwachitsanzo, nkhawa kapena kuvutika maganizo.
• Kusafuna kugona (poopa kulotanso maloto ena).
• Ndatopa kwambiri .
• Kugona masana (Hypersomnia) .
• Kuvuta kuyika chidwi .
• Mavuto a khalidwe .
• Kulephera kugwira ntchito kapena kuchita bwino kusukulu .
• Kusokonekera kwa maubwenzi a anthu .

Kugona bwino n'kofunika kwambiri pa thanzi lathu lonse. Chifukwa chake, ngati mukuganiza kuti muli ndi "Matenda Oopsa", ndikofunikira kwambiri kulankhula ndi dokotala.

N’chifukwa chiyani “Matenda Oopsa” amenewa amachitika?

Ndipotu, ofufuza akuphunzirabe za tulo ndi momwe limakhudzira ife. Ngakhale kuti apeza zambiri zokhudza tulo, maloto, ndi maloto oipa, pali zinthu zambiri zomwe sitikudziwa.

Ofufuza sakudziwa chomwe chimayambitsa maloto oipa komanso matenda oopsa.Koma, ali ndi malingaliro osiyana.

Lingaliro limodzi ndi lakuti vutoli lingayambitsidwe ndi kukwiya kwambiri, mkhalidwe wochita zinthu zambiri zomwe zimasonkhana tsiku lonse ndikupitirira mpaka usiku. Kukwiya kwambiri ndi mkhalidwe wamaganizo womwe nthawi zonse umakhala wokwiya, wokwiya, komanso wokayikira chilichonse. Ichi ndi chizindikiro chofala cha PTSD ndi kusowa tulo. Kukwiya kwambiri kumeneku kungayambitse ziwalo zina za ubongo kuchita zinthu mopitirira muyeso mukamagona, zomwe zimayambitsa maloto oipa.

Pali lingaliro lina lokhudza lingaliro la ``Kutha kwa mantha``. Muzochitika zachizolowezi, ubongo wathu umatha kulumikiza zokumbukira zoopsa ndi zinthu zatsopano komanso zosagwirizana, zomwe zimapangitsa kuti munthu azigona bwino komanso azilota. Izi zimatchedwa ``Kutha kwa mantha``. Malinga ndi lingaliro la ``kutha kwa mantha``, ubongo wa anthu omwe ali ndi ``Nightmare Disorder`` umapitirizabe kugwira ntchito zokumbukira zoopsa ngakhale atagona. Malinga ndi lingaliro ili, anthu omwe amavutika kulamulira malingaliro awo m'mikhalidwe yovuta, komanso omwe amachita zinthu molakwika akamavutika ndi kupsinjika maganizo, amakhala ndi vuto lolota maloto oipa.

Kodi mungazindikire bwanji ``(Nightmare Disorder)``?

Palibe mayeso enieni azachipatala oti adziwe izi. M'malo mwake, madokotala adzalemba mbiri yabwino ya maloto anu oopsa ndi zizindikiro zina. Adzakufunsanso za mbiri yanu yazachipatala ndi thanzi lanu la maganizo.

Mankhwala ena angayambitsenso maloto oipa . Chifukwa chake, dokotala wanu angafune kufunsa za mankhwala aliwonse omwe mukumwa pakadali pano, kapena angakuwuzeni kuti muyesedwe mankhwala kuti awone ngati ndicho chifukwa chake. Mankhwala ndi zinthu zomwe zingayambitse maloto oipa ndi awa:

• Beta-blockers (mtundu wa mankhwala operekedwa kwa kuthamanga kwa magazi)
• Mankhwala oletsa kuvutika maganizo
• Nikotini (yochokera ku zinthu za fodya ndi kusuta)

Maloto oipa angayambitsidwenso ndi zizindikiro zosiya kumwa mowa zomwe zimachitika mwadzidzidzi mukasiya kugwiritsa ntchito zinthu monga mowa.

Kodi "Nightmare Disorder" imachiritsidwa bwanji?

Kuti athetse vutoli, dokotala wanu angakulangizeni njira zosiyanasiyana zochiritsira, kuphatikizapo mankhwala amisala ( mankhwala olankhulana) ndi mankhwala .

Mankhwala akuluakulu amisala omwe amagwiritsidwa ntchito pa "Nightmare Disorder" ndi mankhwala ozikidwa pa "Cognitive Behavioral Therapy (CBT) . Ndi awa:

• Kuchiritsa ndi Kuyeserera Zithunzi (IRT)
• Kuchiza ndi Kutsegula Mtima, Kupumula, ndi Kulemba Malembo (ERRT)

Tsatanetsatane pang'ono wokhudza psychotherapy

Bungwe la American Academy of Sleep Medicine (AASM) limalimbikitsa IRT ndi ERRT ngati njira zabwino kwambiri zothandizira matenda oopsa mwa akuluakulu.

Mankhwala awa `(IRT)` ndi `(ERRT)` ndi opangidwa kwa munthu aliyense payekha. Izi zikuphatikizapo zinthu zingapo:

• Kulemba tsiku ndi tsiku za kugona (lolemba za kugona) ndi kulemba momwe munthu amagona/kudzuka tsiku ndi tsiku.
• Sungani buku lolembamo nthawi yogona kuti mulembe kuchuluka kwa maloto omwe mumalota komanso kuchuluka kwake.
• Kuphunzira za mtundu wa maloto oipa.
• Maluso ophunzitsira omwe amayang'ana zithunzi, malingaliro, ndi malingaliro okhudzana ndi maloto oipa. Izi zitha kuchepetsa kuchuluka ndi kuopsa kwa maloto oipa.

Mankhwala opangidwa ndi CBT awa akusonyeza kuti maloto oipa ndi othandiza poyamba, kukuthandizani kukonza zochitika zakale, koma pakapita nthawi zimakhala zosokoneza.

Mankhwalawa amaona maloto oipa ngati zizolowezi kapena makhalidwe ophunziridwa omwe angasinthidwe ngati atagwiritsidwa ntchito . Katswiri wa zamaganizo, monga katswiri wa zamaganizo kapena katswiri wa zamaganizo, angakuthandizeni kuganiziranso maloto anu oipa mwanjira ina, yomwe si yoopsa kapena yosavutitsa maganizo.

Ntchito ya kunyumba ndi yofunika kwambiri pa chithandizochi. Izi zikutanthauza kubwereza maloto atsopano omwe mwangowaganizira tsiku lililonse. Cholinga apa ndikusintha maloto anu kuti asachite mantha kwambiri ngati abwereranso.

Mankhwala a `(Matenda Oopsa)`

Ngati njira zochiritsira zamaganizo zomwe tatchulazi sizikuthandiza, dokotala wanu angaganizire za mankhwala.

Pali mitundu ingapo ya mankhwala omwe angathandize ndi Nightmare Disorder yokhudzana ndi PTSD. Nazi zitsanzo zingapo:

• `Olanzapine`
• `Risperidone`
• 'Aripiprazole'
• 'Clonidine'
• `Cyproheptadine`
• 'Fluvoxamine'
• `Gabapentin`
• `Nabilone`
• `Phenelzine`
• `Prazosin` (izi zimagwiritsidwa ntchito nthawi zambiri)
• `Topiramate`
• `Trazodone`
• Mankhwala oletsa kuvutika maganizo a tricyclic

Mankhwala omwe angathandize ndi Nightmare Disorder omwe sakhudzana ndi PTSD ndi awa:

• `Prazosin`
• `Triazolam`

Chofunika kwambiri ndichakuti mankhwala onse akhoza kukhala ndi zotsatirapo zake . Chifukwa chake, ndikofunikira kwambiri kulankhula ndi dokotala wanu za ubwino ndi kuipa kwa mankhwala enaake, komanso kukaonana naye ngati mukukumana ndi zotsatirapo zake.

Kodi zizindikiro za matendawa ndi ziti?

Chiyembekezo cha matenda a "Nightmare Disorder" awa chingasiyane malinga ndi munthu aliyense.

Kwa anthu ena, vutoli limatha kuchira popanda chithandizo chilichonse . Komabe, kwa ena, vutoli limatha kupitirira kwa zaka zambiri ngati silinachiritsidwe.

Chifukwa cha "vuto la maloto losatha" lomwe silinachiritsidwe kwa nthawi yayitaliChiwopsezo chofuna kudzipha ndikubwerezabwereza chimawonjezeka.

Pachifukwa ichi, komanso chifukwa tulo ndi lofunika kwambiri pa thanzi labwino, ndikofunikira kwambiri kufunafuna thandizo ngati mukukumana ndi maloto oipa pafupipafupi.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mumalota maloto nthawi zambiri, ndipo akusokoneza moyo wanu, pitani kwa dokotala kapena mlangizi wa zaumoyo wamaganizo nthawi yomweyo .

Ngati mwapezeka ndi "Nightmare Disorder" ndipo chithandizo chomwe mukugwiritsa ntchito panopa sichikuthandiza, lankhulani ndi dokotala wanu za njira zina.

Kodi maloto oipa ndi matenda amisala?

Ngakhale maloto oipa amagwirizanitsidwa ndi matenda ena amisala, monga PTSD, nkhawa, ndi kuvutika maganizo, maloto oipa saonedwa ngati matenda amisala . Ndi mtundu wa khalidwe losazolowereka lotchedwa parasomnias, lomwe limachitika munthu akagona.

Kodi "Nightmare Disorder" ndi yofanana ndi "PTSD"?

Anthu ambiri omwe ali ndi vuto la kupsinjika maganizo pambuyo pa zoopsa (PTSD) alinso ndi vuto la kusokonezeka maganizo. Komabe, mutha kukhala ndi vuto la kusokonezeka maganizo popanda PTSD. Izi zikutanthauza kuti zonsezi sizili zofanana.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kugona bwino usiku n'kofunika kwambiri pa miyoyo yathu. Kumathandiza matupi athu kupuma, kulimbitsa thupi, komanso kudzikonza okha. Kukhala ndi vuto la Nightmare Disorder kungayambitse vuto lalikulu pa ubwino wa tulo tanu komanso moyo wanu.

Koma nkhani yabwino ndi yakuti vutoli ndi lochiritsika . Njira zosiyanasiyana zochiritsira komanso mankhwala zingathandize. Chifukwa chake, ngati maloto oipa akusokoneza moyo wanu, musaope kupita kwa dokotala. Simuli nokha, ndipo pali njira zopezera thandizo.

Maloto oipa , kugona, thanzi la maganizo, kugona kwa REM, PTSD, nkhawa, chithandizo