Iwewo unotambura nekushaya hope nekuda kwehope dzakaipa here? Ngatidzidzei zvese nezveNightmare Disorder!

Fungidzira, uri kurara zvakanaka. Kamwe kamwe unomuka uchinzwa ziya, chipfuva chako chichidedera. Wakarota hope dzinotyisa zvikuru. Uchiri kunzwa sekunge uri kutenderera mumusoro mako. Hazvina dambudziko kwezuva rimwe kana maviri, asi kana ukaramba uchirota hope dzakaipa sedzino, zuva rako rose rinogona kunge rakaoma. Pamwe une chirwere ichi chinonzi "Nightmare Disorder" . Tingataura nezvazvo zvakadzama nhasi here?

Chii chinonzi "Njodzi Dzinotyisa" ichi?

Zvichitaurwa zviri nyore, "Nightmare Disorder" kunoitika kwezviroto zvinogara zvichiitika, zvakajeka, uye zvinotyisa. Zviroto izvi zvinokukonzera kushungurudzika kukuru kana kukudzivisa kuita mabasa ako ezuva nezuva nemazvo. Ukuwo rudzi rwekusazvibata kunoitika panguva yekurara, kwatinodaidza kuti "Parasomnias" .

Kuoma kwechirwere ichi kunogona kusiyana, zvichienderana nekuti unorota hope idzi kangani:

• Zvishoma: Zvishoma pane kamwe chete pasvondo.
• Zviri pakati nepakati: Kamwe chete pavhiki kana kupfuura, asi kwete husiku hwese.
• Zvakanyanya: Ndinorota hope dzakaipa husiku hwese.

Uyewo, kuti yagara kwenguva yakareba sei inokanganisawo:

• Nguva pfupi `(Acute nightmare disorder)`: Inogara mwedzi mumwe chete kana pasi.
• Chirwere chenguva pfupi chiri pakati nepakati (Subacute nightmare disorder): Chinowanikwa kwemwedzi isingasviki mitanhatu, asi chisingaperi.
• Dambudziko rehope dzisingaperi: rinogara kwemwedzi mitanhatu kana kupfuura.

Zvizhinji zvehope idzi dzinoitika mukati mehafu yechipiri yekurara, inonzi REM (kukurumidza kufamba kwemaziso) sleep . Chinhu chakakosha nezve nightmare disorder ndechekuti unoyeuka hope dzacho zvakajeka paunomuka. Izvi zvakasiyana nehope dzinotyisa. Dambudziko iri rinogona kukanganisa kurara kwako uye rinogona kukanganisa hupenyu hwako. Rinogonawo kuwedzera matambudziko epfungwa, akadai sekuora mwoyo kana kuzvidya mwoyo.

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?

"Chirwere cheNightmare Disorder" ichi chinogona kuitika kune chero munhu, kubva kuvana vadiki kusvika kuvakuru.

Zvisinei, vamwe vanhu vane mukana mukuru wekuva nayo, kunyanya kana uine chimwe chezvinotevera:

• Dambudziko reREM (RBD)
• Kurwara nepfungwa dzisina kugadzikana
• Kumborara usina kufema
• Dambudziko rekufamba kwemakumbo nemakumbo nguva nenguva (PLMD)
• Dambudziko rekushungurudzika mushure mekutambudzika (PTSD)
• Dambudziko rekuzvidya mwoyo rakajairika
• Dambudziko rekuzvidya mwoyo kwevanhu
• Kuora mwoyo

Waizviziva here kuti vanhu vane social anxiety disorder kana generalized anxiety disorder vane mukana wakapetwa katatu wekuva ne nightmare disorder? Zvakare, chirwere ichi chinokanganisa vanhu vari pakati pe50% ne90% vane PTSD.

Dambudziko iri rakajairika zvakadii?

Kunyangwe pasina nhamba dzakanyatsojeka muSri Lanka, zvinonzi pakati pe2% ne8% yevanhu vose munyika yakaita seAmerica vane chirwere ichi chinonzi "Nightmare Disorder." Izvi hazvisi zvisinganzwisisike sezvaungafunga.

Ndezvipi zviratidzo zve "Nightmare Disorder"?

Chiratidzo chikuru ihope dzinotyisa dzinogara dzichiitika . Kunyange zvazvo zvakajairika kuva nehope dzinotyisa nguva nenguva, kana ukadziita nguva dzose uye dzichikanganisa mabasa ako ezuva nezuva, unogona kunge uine "Nightmare Disorder".

Misoro inowanzoonekwa muhope idzi ndeiyi:

• Hupenyu hwako huri kutyisidzirwa .
• Zvinokuvadza hutano hwako hwemuviri .
• Kutyisidzira kuchengetedzeka kwako .

Fungidzira, mumwe munhu ari kukudzingirira, uri kudonha kubva panzvimbo yakakwirira, kana kuti uri mumamiriro ezvinhu asina simba. Aya ndiwo maroto anowanzoonekwa.

Kana uine hope dzakaipa, unogona zvakare kuona zviratidzo zvemuviri zvakaita se:

• Kudikitira
• Kuoma kufema
• Kurova kwemoyo

Manzwiro makuru anokonzerwa nehope dzakaipa kutya . Zvisinei, mamwe manzwiro anogonawo kumuka, akadai se:

• Hasha
• Kunetseka
• Kunyara
• Kusemesa
• Kunyara
• Kusuruvara

Zviratidzo izvi zvemuviri nemanzwiro zvinogona kuitika panguva yekurota, pakumuka kubva muhope, kana gare gare pakurangarira hope.

Dambudziko reNightmare Disorder rinogonawo kukonzera kuti unzwe zvinotevera:

• Kuchinja kwemafungiro , semuenzaniso, kuzvidya mwoyo kana kuora mwoyo.
• Kusada kurara (nekutya kurota zvimwe).
• Ndaneta zvikuru .
• Kurara masikati (Hypersomnia) .
• Kuomerwa nekuisa pfungwa pachinhu chimwe chete .
• Matambudziko ekuzvibata .
• Kusashanda zvakanaka kana kuti kusaita zvakanaka kuchikoro .
• Kukanganiswa kwehukama hwevanhu .

Kurara zvakanaka kwakakosha zvikuru pahutano hwedu hwese. Saka, kana uchifunga kuti une "Nightmare Disorder", zvakakosha kutaura nachiremba.

Sei "dambudziko reNightmare Disorder" iri richiitika?

Kutaura zvazviri, vaongorori vachiri kudzidza nezvekurara uye kuti kunotikanganisa sei. Kunyangwe vakawana zvakawanda nezvehope, zviroto, uye hope dzinotyisa, kuchine zvinhu zvakawanda zvatisingazive.

Vaongorori havazivi chikonzero chaicho chinokonzera kurota hope dzakaipa uye kusagadzikana kwehope dzakaipa.Asi, vane maonero akasiyana.

Imwe dzidziso ndeyekuti chirwere ichi chinogona kukonzerwa ne hyperarousal, mamiriro ekushanda kwakawanda kunoungana mukati mezuva rose uye kunoramba kuripo kusvika husiku. Hyperarousal mamiriro epfungwa apo unogara uchitsamwa, wakatsamwa, uye uchifungira zvese. Ichi chiratidzo chinowanzoitika chePTSD nekushaya hope. Hyperarousal iyi inogona kukonzera kuti zvikamu zveuropi zvive zvakawandisa paunenge wakarara, zvichikonzera hope dzakaipa.

Pane imwe dzidziso pamusoro pepfungwa yekuti "Kupera kwekutya." Mumamiriro ezvinhu akajairwa, pfungwa dzedu dzinokwanisa kubatanidza ndangariro dzinotyisa nezvinhu zvitsva uye zvisina hukama, zvichibvumira kurara kwakajairika uye zviroto. Izvi zvinonzi "Kupera kwekutya." Zvichienderana nedzidziso iyi yekuti "Kupera kwekutya kwakashata", pfungwa dzevanhu vane "Nightmare Disorder" dzinoramba dzichigadzirisa ndangariro dzinotyisa kunyangwe panguva yekurara. Zvichienderana nedzidziso iyi, vanhu vanoomerwa nekudzora manzwiro avo mumamiriro ezvinhu anonetsa, uye vanopindura zvisina kunaka kushushikana, vanowanzova nehope dzinotyisa.

Nzira yekuziva ``(Nightmare Disorder)```?

Hapana bvunzo chaiyo yekurapa yekuona izvi. Pane kudaro, vanachiremba vachanyora nhoroondo yakanaka yehope dzako dzinotyisa nezvimwe zviratidzo. Vachakubvunzawo nezvenhoroondo yako yehutano hwepfungwa.

Mimwe mishonga inogona kukonzerawo hope dzakaipa . Saka, chiremba wako angada kubvunza nezvemishonga yauri kutora parizvino, kana kuti anogona kuraira kuongororwa kwemishonga kuti vaone kana chiri chikonzero chacho. Mishonga nezvinhu zvinogona kukonzera hope dzakaipa zvinosanganisira:

• Beta-blockers (rudzi rwemushonga unopiwa weBP)
• Mishonga yekuderedza kushushikana
• Nikotini (inobva mufodya nekusvuta)

Hope dzakaipa dzinogonawo kukonzerwa nezviratidzo zvekurega kushandisa zvinodhaka zvinouya kana ukangoerekana warega kushandisa zvinhu zvakaita sedoro.

"Nightmare Disorder" inorapwa sei?

Kuti uzvirape, chiremba wako anogona kukurudzira musanganiswa wemishonga, kusanganisira kurapa kwepfungwa ( talk therapy) uye mishonga .

Mishonga mikuru yepfungwa inoshandiswa pakurapa chirwere che "Nightmare Disorder" inzira dzekurapa dzakavakirwa pa "Cognitive Behavioral Therapy (CBT) . "Ndizvo:

• Kurapa Kwekudzidzira Mifananidzo (IRT)
• Kurapa Nekunzwa Kusununguka, Kuzorodza, uye Kunyora Zvinyorwa (ERRT)

Zvimwe zvakadzama nezve psychotherapy

Sangano reAmerican Academy of Sleep Medicine (AASM) rinokurudzira IRT neERRT senzira dzinoshanda zvikuru dzekurapa hope dzakaipa muvanhu vakuru.

Aya `(IRT)` uye `(ERRT)` marapirwo akagadzirirwa munhu wega wega. Izvi zvinosanganisira zvinhu zvakati wandei:

• Kuchengeta dhayari yekurara (rondedzero yekurara) uye kunyora maitiro ekurara/kumuka kwezuva nezuva.
• Chengeta dhayari rekurara kuti unyore kuti hope dzako dzinorota kakawanda sei uye dzakakomba sei.
• Kudzidza nezvehunhu hwehope dzinotyisa.
• Unyanzvi hwekudzidzisa hunotarisa mifananidzo, pfungwa, uye manzwiro ane chekuita nehope dzinotyisa. Izvi zvinogona kuderedza kuwanda uye kuoma kwehope dzinotyisa.

Kurapa uku kwakavakirwa paCBT kunoratidza kuti hope dzakaipa dzinobatsira pakutanga, dzichikubatsira kugadzirisa zviitiko zvekare, asi nekufamba kwenguva dzinokanganisa.

Kurapa uku kunotarisa hope dzinotyisa setsika kana maitiro akadzidzwa anogona kuchinjwa kana akashandiswa . Nyanzvi yehutano hwepfungwa, senge chiremba wepfungwa kana murapi, inogona kukubatsira kufungidzira hope dzako dzinotyisa neimwe nzira, isingatyisi kana kushungurudza zvakanyanya.

Basa rechikoro rakakosha zvikuru mukurapa uku. Izvi zvinoreva kudzokorora kurota kwauchangobva kufungidzira zuva nezuva. Chinangwa pano ndecheku "gadzirisa" hope dzako kuti dzisatye kana dzikadzokazve.

Mishonga ye `(Njodzi Dzinotyisa)`

Kana mishonga yepfungwa yataurwa pamusoro apa isingabatsire, chiremba wako anogona kufunga nezvekushandisa mishonga.

Kune mhando dzakasiyana dzemishonga dzinogona kubatsira neNightmare Disorder ine chekuita nePTSD. Heano mimwe mienzaniso:

• `Olanzapine`
• `Risperidone`
• 'Aripiprazole'
• 'Clonidine'
• `Cyproheptadine`
• 'Fluvoxamine'
• `Gabapentin`
• `Nabilone`
• `Phenelzine`
• `Prazosin` (inoshandiswa kakawanda)
• `Topiramate`
• `Trazodone`
• Mishonga yeTricyclic antidepressants

Mishonga inogona kubatsira neNightmare Disorder isina chekuita nePTSD inosanganisira:

• `Prazosin`
• `Triazolam`

Chinhu chinonyanya kukosha ndechekuti mishonga yese inogona kuva nemigumisiro yakaipa . Saka, zvakakosha kutaura nachiremba wako nezvezvakanaka nezvakaipa zvemushonga mumwe chete, uye kumuona kana ukasangana nemigumisiro yakaipa.

Chii chinonzi fungidziro yechirwere ichi?

Maonero echirwere ichi che "Nightmare Disorder" anogona kusiyana kubva pamunhu kusvika pamunhu.

Kune vamwe vanhu, izvi zvinogona kupera pasina kurapwa . Zvisinei, kune vamwe, chirwere ichi chinogona kuramba chiripo kwemakumi emakore kana chikasarapwa.

Nekuda kwekusarapwa kwenguva refu, "Chirwere chehusiku chisingaperi"Njodzi yekuedza kuzviuraya nekudzokorora inowedzera.

Nekuda kwechikonzero ichi, uye nekuti kurara kwakakosha pahutano hwese, zvakakosha zvikuru kutsvaga rubatsiro kana uchigara uchirota hope dzakaipa.

Ndinofanira kuona chiremba rini?

Kana uchigara uchirota hope dzakaipa, uye dzichikanganisa hupenyu hwako, enda kuna chiremba kana mupi wezano wehutano hwepfungwa nekukasika .

Kana wakamboonekwa uine "Nightmare Disorder" uye marapirwo auri kuita pari zvino asiri kubatsira, taura nachiremba wako nezvedzimwe nzira.

Hope dzakaipa chirwere chepfungwa here?

Kunyangwe zviroto zvihope zvine chekuita nemamwe matambudziko ehutano hwepfungwa, akadai sePTSD, kuzvidya mwoyo, uye kuora mwoyo, zviroto zvihope hazvionekwi sechirwere chepfungwa . Idzi mhando dzehunhu husina kujairika hunonzi parasomnias, hunoitika panguva yekurara.

"Nightmare Disorder" yakafanana here ne "PTSD"?

Vanhu vazhinji vane post-traumatic stress disorder (PTSD) vanewo nightmare disorder. Zvisinei, unogona kuva nenightmare disorder usina PTSD. Izvi zvinoreva kuti zviviri izvi hazvina kufanana.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kurara zvakanaka husiku kwakakosha muhupenyu hwedu. Kunobatsira miviri yedu kuzorora, kugwinya simba, uye kuzvigadzirisa. Kuva neNightmare Disorder kunogona kukanganisa zvikuru kunaka kwekurara kwako uye kunaka kwehupenyu hwako.

Asi, mashoko akanaka ndeekuti chirwere ichi chinorapika . Mishonga yakasiyana-siyana inogona kubatsira. Saka, kana hope dzakaipa dziri kukanganisa hupenyu hwako, usatya kuona chiremba. Hausi wega, uye kune nzira dzekuwana rubatsiro.

` Hope dzakaipa, kurara, hutano hwepfungwa, kurara kweREM, PTSD, kuzvidya mwoyo, kurapwa