Pali mpumulo mukagona usiku mutagwira ntchito mwakhama tsiku lonse, eti? Koma nthawi zina simumva choncho? Mukagona, zinthu zimabwera m'maganizo mwanu, chifuwa chanu chimalimba, "Kodi sindingathe kugona lero?", "Ndiyenera kupita kuntchito mawa, nditani ngati sindingathe kugona?" Kodi muli ndi maganizo ngati amenewa ndipo simugona mokwanira? Ngati mwakumanapo ndi izi, simuli nokha. Lero tikambirana za vuto ili lomwe anthu ambiri ali nalo, koma musalankhule kwambiri za ilo, kutanthauza nkhawa yogona.
Kodi nkhawa yogona kwenikweni ndi chiyani?
Mwachidule, Nkhawa Yogona ndi mantha, nkhawa, kapena nkhawa yokhudza kugona kapena kugona. Mungaope kuti simungathe kugona, kapena mungaope kuti mudzadzuka pakati pa usiku. Kwa anthu ena, izi zitha kukhala zovuta kwambiri. Izi zikutanthauza kuti amayamba kuopa kugona. Mu zamankhwala, timatcha izi kuti "Somniphobia." Angaganize kuti china chake choipa chingawachitikire akamagona, kapena kuti sakufuna kugona chifukwa akufuna kukhala maso.
Tangoganizirani, izi zili ngati kuzungulira kosatha. Mumakhala ndi nkhawa ndipo simungagone bwino. Chifukwa simugona bwino, mumakhala ndi nkhawa kwambiri. Usiku wotsatira mukagona, mumamva mantha kwambiri, "Kodi nditha kugona monga momwe ndinachitira dzulo?" Mwanjira imeneyi, chinthu chimodzi chimatsogolera ku china, ndipo zinthu zimaipiraipira. Ichi ndi chomwe timachitcha kuti Nkhawa Yogona.
Kodi vutoli ndi lofala bwanji?
Nkhawa ndi imodzi mwa mavuto ofala kwambiri padziko lonse lapansi. Kafukufuku wasonyeza kuti anthu ambiri omwe ali ndi mavuto amisala monga nkhawa alinso ndi vuto linalake la tulo. Choncho ngati mukumva motere, musatenge ngati nkhani wamba, ndipo musaganize kuti muli nokha. Pali anthu ambiri ku Sri Lanka omwe akuvutika ndi vutoli.
Kodi munthu amene ali ndi nkhawa yogona amamva bwanji?
Nkhawa ikakugwerani musanagone, mutha kukumana ndi zizindikiro zingapo, zamaganizo komanso zakuthupi. Tiyeni tiwone zomwe izi zili.
| Zizindikiro Zogwirizana ndi Nkhawa Yogona | |
|---|---|
| Zizindikiro zamaganizo ndi khalidwe | Zizindikiro zodziwika bwino |
| Kumva kulemera kwakukulu ndi kupsinjika maganizo. | Kupweteka m'mimba kapena kusadya bwino. |
| Kulephera kuyang'ana pa chinthu chimodzi. | Kugunda kwa mtima (kumva ngati chifuwa chanu chikugunda). |
| Kukwiya msanga, kukwiya msanga. | Kuchuluka kwa mpweya wopuma. |
| Kumva nkhawa nthawi zonse. | Kutuluka thukuta mwadzidzidzi. |
| Kusakhazikika, kulephera kukhala pamalo amodzi. | Kuuma kwa minofu, kupweteka. |
| Kumva ngati chinthu choopsa kwambiri kudzachitika. | Kumva ngati thupi lanu likugwedezeka. |
Anthu ena angakumanenso ndi vuto lotchedwa nocturnal panic attacks . Izi zimachitika mwadzidzidzi mutadzuka kuchokera ku tulo tofa nato mwadzidzidzi ndi mantha aakulu. Chifuwa chanu chingagunde, mungatuluke thukuta, mungavutike kupuma, ndipo mungamve ngati mumwalira. Izi zitha kukhala zoopsa kwambiri.
Kodi n’chiyani chimayambitsa izi? N’chifukwa chiyani izi zikuchitika?
Nkhawa ndi chinthu chachilengedwe chomwe chimatithandiza kupulumuka. Tangoganizirani ngati mukuyenda pamsewu ndipo mwadzidzidzi galimoto ikubwerani pa liwiro lalikulu, mudzachita mantha, sichoncho? Ndi mantha amenewo, mungachoke pamsewu mwachangu. Panthawiyo, thupi lathu limatulutsa mahomoni enaake (mahomoni opsinjika maganizo). Mahomoni amenewo ndi omwe amatipatsa mphamvu ndi liwiro lomwe timafunikira kuti tithawe ngozi imeneyo.
Komabe, ngati muli ndi nkhawa yosatha, thupi lanu limasunga mahomoni amenewa nthawi zonse. Zili ngati nthawi zonse mumakhala okonzeka kuopsezedwa. Choncho ngakhale mukamagona usiku, thupi lanu limakhala mu mkhalidwe uwu wa "nkhondo kapena kuthawa", kotero zimakhala zovuta kuti thupi lanu lipumule ndikukhazikika. Ndicho chifukwa chake simungathe kugona.
Kuphatikiza apo, matenda ena, monga hyperthyroidism, angayambitse mavuto a tulo ndi nkhawa. Kafukufuku wapezanso kuti nkhawa imakhudza tulo tathu ta REM. Ndi nthawi ya tulo ta REM iyi yomwe nthawi zambiri timalota. Chifukwa chake mukakhala ndi nkhawa, malotowa amatha kusanduka maloto oipa ndikukudzutsani.
Ndani amene ali pachiwopsezo chachikulu cha vutoli?
Nkhawa pa Kugona ingakhudze akuluakulu, ana aang'ono, komanso achinyamata. Anthu omwe ali ndi matenda oterewa kapena matenda amisala ali pachiwopsezo chachikulu:
| Zinthu zomwe zimayambitsa nkhawa ya kugona | |
|---|---|
| Matenda okhudzana ndi tulo | Mavuto amisala |
| Kusowa tulo | Matenda osiyanasiyana a nkhawa (monga mantha, PTSD) |
| Kugona mwadzidzidzi (Narcolepsy) | Kusintha kwa maganizo monga kuvutika maganizo ndi matenda a bipolar |
| Matenda a Miyendo Yosakhazikika (RLS) | Kugwiritsa ntchito mowa ndi mankhwala osokoneza bongo |
| Kupuma movutikira | Schizophrenia |
| Kuyenda tulo | |
Ndi mavuto otani omwe angachitike ngati sanachiritsidwe kwa nthawi yayitali?
Kuvutika ndi nkhawa komanso kusowa tulo kwa nthawi yayitali kungayambitse mavuto aakulu m'thupi lathu. Izi zimawonjezera chiopsezo chanu chotenga matenda oopsa awa:
- Matenda a shuga
- Matenda amtima
- Kuthamanga kwa magazi
- Kulephera kwa mtima
- Kusakhazikika kwa kugunda kwa mtima `(Arrhythmia)`
- Stroke
- Kunenepa kwambiri
Kugona tulo n'kofunika kwambiri pa thupi ndi maganizo athu. Kusowa nthawi zonse kungayambitse mavuto aakulu azaumoyo. Choncho musatenge vutoli mopepuka.
Kodi dokotala amazindikira bwanji vutoli molondola?
Mukapita kukaonana ndi dokotala wanu kuti akakuuzeni za vutoli, adzakuyesani ndikukufunsani za zizindikiro zanu. Nthawi zambiri mungafunsidwe mafunso monga awa:
- Kodi mumadya kapena kumwa chilichonse musanagone?
- Kodi nkhawa imeneyi imachitika usiku uliwonse musanagone?
- Kodi zimatenga nthawi yayitali bwanji kuti munthu agone akagona?
- Kodi mumadzuka kangati usiku?
- Kodi mumachita chiyani musanagone? (monga kuyang'ana foni yanu, kuonera TV)
Kuphunzira za Kugona
Nthawi zina, dokotala wanu angakulangizeni kuti muphunzire za kugona kwanu kuti mudziwe ngati muli ndi vuto lina lokhudzana ndi kugona. Izi zimatchedwanso polysomnography. Izi zimaphatikizapo kukusungani m'chipinda chapadera m'chipatala usiku wonse ndikuyang'ana momwe thupi lanu limagwirira ntchito pamene mukugona.
| Zinthu zomwe zimayesedwa panthawi yophunzira za kugona | |
|---|---|
| Mlingo wa okosijeni m'magazi | Kugunda kwa mtima ndi kayimbidwe kake |
| Kachitidwe ka kupuma | Kusuntha kwa miyendo |
| Kusuntha kwa maso | Gawo la kugona |
| Ntchito yamagetsi ya ubongo | Kaya akung'ung'udza kapena akupanga mawu ena |
Kodi mankhwala a izi ndi otani? Kodi timatuluka bwanji mu izi?
Pali njira zingapo zothandizira nkhawa ya tulo. Timagawa izi m'magulu awiri.
1. Chithandizo cha Maganizo a Anthu Osagona (CBT-I)
Iyi ndi njira yoyamba komanso yothandiza kwambiri yothandizira kusowa tulo. Anthu ambiri amaganiza kuti ndi njira yongolankhula. Koma CBT-I ndi yoposa pamenepo.
Izi zikutanthauza kuti mumasintha malingaliro ndi mayanjano olakwika omwe muli nawo okhudza kugona ndi bedi lanu. Mwachitsanzo, ngati mumagona tsiku lililonse mukuganiza kuti, "Sindigona usikuuno," ubongo wanu umalumikiza bedi ndi nkhawa ndi mantha. Chithandizo cha CBT-I chimaswa mgwirizano umenewo ndikuphunzitsanso ubongo wanu kuti uziganiza za bedi ngati malo ogona . Chimagwiritsa ntchito njira zinazake zochitira zinthu. Chithandizochi nthawi zambiri chimatha m'magawo 4 mpaka 8.
2. Mankhwala
Kutengera ndi matenda anu, dokotala wanu angasankhe kukupatsani mankhwala ochiza nkhawa kapena mavuto ogona.
Koma kumbukirani, musamwe mankhwala aliwonse ogona kapena nkhawa popanda mankhwala a dokotala. Mapiritsi ena ogona omwe amagulitsidwa kunja kwa sitolo akhoza kukhala osokoneza bongo. Komanso, mankhwala ena amatha kuwonjezera nkhawa mukangoyamba kumwa. Chifukwa chake, nthawi zonse muyenera kumwa mankhwala anu monga momwe dokotala wanu wanenera .
Kodi mungatani kuti mukhale ndi zizolowezi zabwino zogona? (Kukonza Ukhondo wa Kugona)
Kuwonjezera pa kumwa mankhwala, kusintha zizolowezi zanu za tsiku ndi tsiku ndikofunikira kwambiri kuti muwongolere kugona kwanu. Timatcha izi kuti 'Ukhondo wa Kugona'. Tiyeni tiwone tebulo ili m'munsimu kuti tiwone zizolowezi zabwino ndi zoyipa za kugona.
| Zinthu zoti muchite (makhalidwe abwino) | Zosayenera kuchita (makhalidwe oipa) |
|---|---|
| Gonani ndi kudzuka nthawi yomweyo tsiku lililonse (ngakhale kumapeto kwa sabata). | Pewani kumwa khofi, tiyi, ndi zakumwa zopatsa mphamvu (caffeine) madzulo ndi usiku. |
| Pangani chipinda chanu chogona kukhala chabata, chamdima, komanso chomasuka. | Pewani kumwa madzi ambiri kapena zakumwa zina (makamaka mowa) musanagone. |
| Siyani kugwiritsa ntchito zowonetsera zamagetsi monga mafoni, mapiritsi, ndi TV osachepera theka la ola musanagone. | Musagwire ntchito, musaonere TV, kapena kudya mutakhala pabedi. Bedi liyenera kugwiritsidwa ntchito pogona ndi kugonana kokha. |
| Chitani zinthu zotonthoza mtima musanagone (monga kusinkhasinkha, kumvetsera nyimbo zotonthoza mtima, kuwerenga buku) | Musadye chakudya chachikulu nthawi yogona isanafike. Ngati muli ndi njala, idyani chakudya chopepuka. |
| Ngati simungathe kugona mkati mwa mphindi 20 kuchokera pamene mwagona, tulukani pabedi, pitani ku chipinda china, chitani zinazake zopumulitsa, kenako bwererani kukagona mukayamba kugona. |
Uthenga Wopita Nawo Kunyumba
- Kugona Nkhawa ndi mantha kapena nkhawa yokhudza kugona. Ili ndi vuto lenileni komanso lochiritsika.
- Nkhawa imabweretsa kusowa tulo, ndipo kusowa tulo kumabweretsa nkhawa zambiri. Izi zitha kukhala nthawi yosatha.
- Matendawa angayambitse kuwononga thanzi lanu la maganizo ndi thupi kwa nthawi yayitali, choncho musawatenge mopepuka.
- Matendawa amatha kuthetsedwa kwathunthu ndi mankhwala ochizira matenda monga CBT-I, ndipo ngati pakufunika, mankhwala olembedwa ndi dokotala.
- Ndikofunikira kwambiri kukhazikitsa zizolowezi zabwino zogona (Sleep Hygiene).
- Ngati muli ndi zizindikiro izi, musachite manyazi kapena kuopa kulankhula ndi dokotala wanu. Iye adzakuthandizani.











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