Ngaba singathetha ngeengxaki zokulala ezibangelwa sisifo sikaParkinson?

Ukuba wena okanye umntu omaziyo unesifo sikaParkinson, mhlawumbi sele uyazi ngemingeni ehambisana naso. Enye yale mingeni echaphazela abantu abaninzi, kodwa mhlawumbi engathethwayo, ziingxaki zokulala. Enyanisweni, ukulala kakuhle kubalulekile kwimpilo yomzimba neyengqondo. Ke namhlanje, masithethe ngale nto ngokweenkcukacha , kuba ndicinga ukuba olu lwazi luya kuba luncedo kakhulu kuwe.

Masiqale sijonge ukuba yintoni iParkinson's Disease.

Ngamafutshane, isifo sikaParkinson sisifo esenzeka xa iiseli ezithile zemithambo-luvo engqondweni yethu, ingakumbi kwinxalenye elawula intshukumo, zibuthathaka kancinci kancinci, zingasebenzi, okanye zife ngokuhamba kwexesha. Oogqirha bakubiza oku ngokuba yingxaki yokunyakaza . Njengoko ezi seli zemithambo-luvo zonakala, iimpawu ziqala ukubonakala emzimbeni wethu.

Ezi mpawu zinokwahlulwa zibe ziinxalenye ezimbini.

Enye yezinto oogqirha abazibiza ngokuba 'ziimpawu zomzimba' , eziziingxaki zokushukuma kwemizimba yethu nokulawula iintshukumo zethu. Imizekelo yezi:

• Izihlunu eziqinileyo emalungeni, ezifana nelitye .
• Ukungcangcazela okungalawulekiyo kwamalungu omzimba, ingakumbi izandla okanye imilenze (ukungcangcazela) . Ngamanye amaxesha usenokuba ukhe wabona izandla zomntu omdala zingcangcazela. Isenokuba yimeko efana nale.
• Iingxaki zokulinganisela , ubunzima bokuhamba okanye ukwenza imisebenzi (iingxaki zokulungelelanisa).
• Ukucotha kokuhamba (bradykinesia) . Oku kuthetha ukuba imisebenzi eyayisenziwa ngaphambili ngesantya esiqhelekileyo ngoku ibonakala ithatha ixesha elide ukuyigqiba.

Elinye icala 'ziimpawu ezingezizo ezomzimba' . Ezi zichaphazela imizimba yethu nengqondo yethu ngeendlela ezahlukeneyo, ukongeza ekushukumeni. Umzekelo, unokufumana utshintsho kwimo yeemvakalelo, ukulahlekelwa yimvakalelo yokuvumba, utshintsho ekuboneni, ukuqhina kwesisu, kunye nobunzima bokuthetha.

Yintoni ubudlelwane phakathi kwesifo sikaParkinson kunye nokulala?

Enyanisweni, ubudlelwane phakathi kwesifo sikaParkinson kunye nokulala buyinkimbinkimbi kakhulu. Kwanososayensi abakayiqondi ngokupheleleyo loo nto okwangoku. Kodwa kukho into enye ecacileyo: isifo sikaParkinson sinokubangela iingxaki zokulala ngokuthe ngqo.

Khawucinge nje, ezinye izifundo zibonisa ukuba iingxaki zokulala zisenokuba lolunye lweempawu zokuqala zesifo sikaParkinson! Umzekelo, ukubetheka ulele, ukukhwaza, njl.

Ayipheleli apho, kodwa nezinye izinto, ezinje ngamayeza owasebenzisayo kwisifo sikaParkinson, uxinzelelo kunye nokuxhalaba okubangelwa sisifo, nazo zinokuchaphazela oku. Nangona kunjalo, kubantu abaninzi abanesifo sikaParkinson , ukulala kakuhle nokuzola kunokuba ngumceli mngeni omkhulu .

Zixhaphake kangakanani iingxaki zokulala phakathi kwezigulane zikaParkinson?

Iqhelekile ngokwenene. Ngokutsho kwabaphandi, abantu abanesifo sikaParkinsonAbantu ababini kwabathathu banengxaki yokulala. Oko kuthetha ukuba yingxaki echaphazela abantu abaninzi. Kusenokwenzeka ukuba ixhaphake kakhulu kunokuba ucinga.

Isifo sikaParkinson sibangela njani iingxaki zokulala?

Iingcali zonyango okwangoku zikholelwa ukuba kusenokuba kukho izizathu ezahlukeneyo zoku. Makhe sijonge ukuba zeziphi:

• Utshintsho kwiikhemikhali zobuchopho: Uphando lubonisa ukuba isifo sikaParkinson sinokuphazamisa imijikelo yokulala nokuvuka engqondweni yethu. Utshintsho kwiikhemikhali ezithile zobuchopho, ezifana nee-neurotransmitters ezifana ne-dopamine, lunokubangela ubuthongo obuphantsi kunye nomgangatho wokulala ophantsi.
• Amayeza: Amanye amayeza esifo sikaParkinson anokwenza kube nzima ukulala okanye ukukuvusa rhoqo. Amanye amayeza anokukwenza uzive ulele emini kwaye akugcine uvukile ebusuku. Yingakho kubalulekile ukuthetha nogqirha wakho malunga namayeza owasebenzisayo.
• Iingxaki zempilo yengqondo: Izifo zengqondo ezifana nokuxhalaba okanye ukudakumba zixhaphakile kubantu abanesifo sikaParkinson. Nasiphi na kwezi meko zengqondo sinokubangela ukuba uhlale uphaphile ebusuku okanye ube nengxaki yokulala. Xa ungakwazi ukukhulula umthwalo engqondweni yakho, awuyi kukwazi ukulala.
• Iimpawu zikaParkinson: Kunokuba nzima ukulala kakuhle ngenxa yeentlungu, ukuqina kwemisipha, kunye nokungcangcazela okubangelwa sisifo. Kwakhona, ukuvuka ebusuku uyochama, kunye ne-sleep apnea , exhaphakileyo kwizigaba zokugqibela zesifo sikaParkinson, kunokuphazamisa ubuthongo.

Ziziphi iingxaki zokulala ezijongene nezigulane zeParkinson?

Isifo sikaParkinson asichaphazeli wonke umntu ngendlela efanayo. Sikwachaphazela ukulala ngendlela eyahlukileyo. Umntu onesifo sikaParkinson unokufumana ezi ngxaki zilandelayo zokulala:

• Ukungalali: Ubunzima bokulala, ukuhlala ulele iiyure ezininzi emva kokulala. Ungaziva ngathi ingqondo yakho iyabaleka.
• Ukulala okungacacanga: Ukuvuka amaxesha amaninzi ebusuku. Ukungakwazi ukulala kakuhle ixesha elide. Ukuvuka kusasa uzive ngathi awulalanga kakuhle.
• Ukulala kakhulu emini: Ukulala kakhulu emini , ubunzima bokuhlala uphaphile, kunye nobunzima bokwenza izinto emini. Ngamanye amaxesha, ungalala ngelixa uthetha.
• Amaphupha acacileyo kakhulu: Amaphupha acacile kangangokuba ngamanye amaxesha xa evuka, anokubonakala ngathi yimibono kwaye abangele ukudideka.
• Amaphupha achukumisa iimvakalelo okanye amaphupha amabi:Emva kokuvuka ephupheni elinje, ungaziva udiniwe kakhulu, uphoxekile, kwaye usoyika.

Yintoni 'ingxaki yokuziphatha kokulala kweREM'?

Le yimeko ekhethekileyo, neyimpikiswano. I-REM imele i-Rapid Eye Movement, kwaye kulapho silele ubuthongo obunzulu kwaye siphupha. Ngoko ke, umntu one -'REM sleep behavior disorder' uphupha umzimba wakhe udlala amaphupha akhe. Oku kuthetha ukuba unokujika iingalo nemilenze yakhe ebuthongweni, akhale, awe ebhedini, aze aziphathe ngeendlela eziyingozi ezinokuzilimaza okanye zenzakalise omnye umntu olele ecaleni kwakhe. Ukuya kuthi ga kwisiqingatha sabantu abanesifo sikaParkinson bafumana le meko. Abanye abaphandi bakholelwa ukuba oku kusenokuba luphawu lokuqala lwesifo sikaParkinson.

Ziziphi ezinye iingxaki zokulala ezibonwa kubantu abanesifo sikaParkinson?

Ukongeza kwi-REM sleep behavior disorder, kukho nezinye iingxaki zokulala ezichaphazela abantu abanesifo sikaParkinson:

• Iingxaki zokulala zesingqisho se-Circadian: Iingxaki ngomjikelo wendalo wokulala nokuvuka komzimba wethu (iwashi yezinto eziphilayo). Izinto ezinje ngokungakwazi ukulala ebusuku nokuba nengxaki yokuvuka kusasa.
• I-Nocturia: Ukuvuka rhoqo (ngaphezulu kwezihlandlo ezibini okanye ezintathu) ebusuku ukuze uyokuchama. Oku kunokuphazamisa kakhulu ubuthongo.
• Isifo semilenze engasebenziyo: Ukungonwabi okungachazekiyo, ukutsha, kunye nokuziva ufuna ukushukumisa imilenze, ingakumbi ngokuhlwa okanye ebusuku. Umnqweno wokushukumisa imilenze uthintela ukuba ulale.
• I-sleep apnea: Imeko apho ukuphefumla kuyeka okwethutyana okanye kube nzulu kakhulu ngexesha lokulala. Oku kunokubangela ukuvuka rhoqo ebusuku ngenxa yokunqongophala kweoksijini, ukudinwa kusasa, kunye nokulala emini. Ukurhona nako kungaba luphawu.

Xa izigulane zeParkinson ziba neengxaki zokulala?

Kubalulekile ukukhumbula ukuba ayinguye wonke umntu onesifo sikaParkinson oneengxaki zokulala. Nangona kunjalo, ukuba unazo ezi ngxaki, kusenokwenzeka ukuba zaqala ngaphambi kokuba ufunyaniswe unesifo sikaParkinson, okanye zingenzeka nangaliphi na ixesha emva kokuba ufunyaniswe unesifo.

Indlela yokuchonga iingxaki zokulala kwizigulane zikaParkinson?

Ukuba uneengxaki zokulala, musa ukuzityeshela. Qiniseka ukuba ubona ugqirha wakho kwaye uxoxe naye ngokweenkcukacha . Ugqirha wakho uza kukubuza imibuzo aze aqonde iimpawu zakho.

Lungela ukuxelela ugqirha wakho ngezi zinto:

• Ukuphazamiseka kokulala kwenzeka nini kwaye njani? (Ngaba unengxaki yokulala? Ngaba uvuka rhoqo? Ngaba udiniwe kusasa?)
• Ichaphazela njani ubomi bakho bemihla ngemihla? (Ngaba ulala emini? Ngaba kunzima ukugxila emsebenzini?)
• Ngawaphi amanye amayeza owasebenzisayo?

Ukubhala phantsi ideyari yokulala kangangeeveki ezimbalwa kunokukunceda ukhumbule ezi nkcukacha ngokuchanekileyo. Oko kukuthi, ukubhala phantsi izinto ezinje ngexesha owalala ngalo, ixesha owalala ngalo (malunga), kangaphi owavuka ngalo ebusuku, ixesha owavuka ngalo kusasa, kunye nokuba uzive ulele na emini.

Ukuba ugqirha wakho ukrokrela ukuba unengxaki yokulala, unokuyalela ukuba kwenziwe uphando lokulala, olwaziwa ngokuba yi-polysomnography , uvavanyo olukhethekileyo lokulala. Oku kuquka ukuchitha ubusuku esibhedlele okanye kwiziko lokulala unee-electrode ezingenabuhlungu ezinamathele emzimbeni wakho kwaye ujonge amaza obuchopho bakho, izinga lentliziyo, ukuphefumla, iintshukumo zamehlo, kunye neentshukumo zemilenze ngelixa ulele.

Iingxaki zokulala kubantu abanesifo sikaParkinson zinyangwa njani?

Nje ukuba imbangela yeengxaki zakho zokulala ichongiwe, ugqirha wakho uya kukucebisa unyango olufanelekileyo. Ekubeni imeko yomntu wonke yahlukile, unyango lunokwahluka kumntu nomntu. Izinto eziphambili onokuzenza zezi:

• Ukulungisa amayeza akho eParkinson's kunye nexesha: Ukuba ucinga ukuba iingxaki zakho zokulala zinokubangelwa ngamayeza eParkinson's, ugqirha wakho unokugqiba ekubeni atshintshe isicwangciso sakho sonyango. Oku kunokubandakanya ukunciphisa umthamo, ukutshintsha ixesha olithathayo, okanye ukutshintshela kwelinye iyeza.
• Unyango oluthile lweengxaki zokulala:
• Ukuba unesifo sokungalali, unganikwa iipilisi zokulala zexesha elifutshane, kodwa ungathunyelwa kwizinto ezifana neCognitive Behavioral Therapy for Insomnia (CBT-I).
• Ukuba unesifo sokuphazamiseka kokulala se-REM , unganikwa amayeza athile (umz., iClonazepam). Ungacetyiswa ukuba wenze indawo yakho yokulala ikhuseleke ngakumbi (umz., ukubeka umatrasi ujikeleze ibhedi, ukususa izinto ezibukhali).
• Ukuba une -sleep apnea , unyango oluqhelekileyo yi-CPAP (Continuous Positive Airway Pressure). Oku kusebenza ngokuhambisa uxinzelelo lomoya oluthambileyo empumlweni okanye emlonyeni wakho ngelixa ulele, ukugcina umoya wakho uvulekile. Abanye abantu banokusebenzisa isixhobo somlomo.
• Ukuba unesifo semilenze esingapheliyo , uza kunyangwa ngenxa yeso sizathu (umz. ukunqongophala kwesinyithi), okanye uza kunikwa amayeza okulawula iimpawu.
• Ingcebiso yokutshintsha indlela ophila ngayo: Imikhwa yakho yemihla ngemihla kunye nendawo olala kuyo inefuthe elikhulu ebuthongweni bakho.Ungawuphucula umgangatho wobuthongo bakho ngokuziqhelanisa nokulala ngexesha elimiselweyo, uvuke ngexesha elimiselweyo (ukugcina oku nokuba ngeempelaveki kangangoko unako), ukugcina igumbi lakho limnyama, lizolile, kwaye likwiqondo lobushushu elithozamisayo, kwaye uphephe ukujonga izikrini ze-elektroniki (iifowuni, iithebhulethi, iTV) iyure okanye ezimbini ngaphambi kokuba ulale.

Yintoni enye endinokuyenza ukuze ndilale kakuhle ngenxa yesifo sikaParkinson?

Ukongeza kunyango lwezonyango, ukulandela 'imikhwa emihle yococeko lokulala' kunokukunceda ulale kamnandi. Ezi zizinto ezilula kakhulu, kodwa iziphumo zilungile kakhulu.

Zama ukwenza ezi zinto:

• Fumana ukukhanya kwelanga okwendalo okuninzi kangangoko unako emini. Ukukhanya okuqaqambileyo kunceda umzimba wakho uhlale ulungele umjikelo wokulala nokuvuka.
• Gcina umzimba wakho usebenza emini. Zilolonge ngokwamandla akho omzimba. Nokuba uhamba nje kancinci okanye eminye imisebenzi yasekhaya ilungile. Nangona kunjalo, kuphephe ukuzilolonga okunzima xa sele usondele ixesha lokulala.
• Zama iindlela zokuphumla. Umzekelo, hlamba ngamanzi ashushu, mamela umculo ozolileyo, camngca, okanye ufunde incwadi (hayi ibali elivuselelayo).
• Musa ukulamba ngaphambi kokuba ulale, kwaye ungatyi ude uhluthe. Kulungile ukutya isidlo esilula.
• Gcina igumbi lakho lokulala lilungiselelwe ukulala kuphela. Musa ukulisebenzisa njengendawo yokusebenza, yokubukela iTV, okanye yokutya.

Nciphisa okanye uyeke ezi zinto kangangoko unako:

• Musa ukulala ixesha elide emini. Kulungile ukulala imizuzu engama-20-30, kodwa ukulala ngaphezu koko kunokuchaphazela ubuthongo bakho ebusuku.
• Ziphephe izinto ezivuselela ingqondo, ezifana ne-caffeine (iti, ikofu, itshokolethi, iziselo ezibandayo) kunye ne-nicotine (iicuba), ubuncinane iiyure ezine ukuya kwezintlanu ngaphambi kokuba ulale.
• Musa ukusela utywala ngaphambi kokuba ulale. Nangona utywala bunokukwenza ulale ekuqaleni, kamva bunokunciphisa umgangatho wobuthongo bakho kwaye bukwenze uvuke rhoqo.
• Yeka ukujonga ifowuni okanye iTV yakho xa uhleli ebhedini. Oko kukhanya kunciphisa ukuveliswa kwemelatonin, ihormone ekunceda ulale.

Ngaba izixhobo zokulala ezithengiswa ngaphandle kwekhawuntara zikhuselekile kubantu abanesifo sikaParkinson?

Lo ngumbuzo abantu abaninzi abawubuzayo. Ngelishwa, awusisisombululo silungileyo. Izixhobo zokulala ezifumaneka ekhemesti ngaphandle kwemvume kagqirha, zinokubonakala ngathi yindlela elula nekhuselekileyo yokusombulula iingxaki zakho zokulala, kodwa zinokuza neengozi ezongezelelweyo kunye nemiphumo emibi kubantu abanesifo sikaParkinson.

Amanye amayeza athengiswa ngaphandle kwemvume kagqirha kunye nezinye iipilisi zokulala ezinikwe ngugqirha zinokwenza iimpawu zikaParkinson zibe mandundu (umz., ukudideka, ukulahlekelwa yibhalansi).Kwakhona, ezinye iipilisi zokulala zinokuba nobudlelwane obukhulu namayeza kaParkinson, nto leyo ebangela iingxaki ezingalindelekanga. Ke ngoko, kubalulekile ukuba uthethe nogqirha wakho rhoqo kwaye ucele iingcebiso zakhe ngaphambi kokuba uthathe naliphi na iyeza elitsha, ingakumbi ipilisi yokulala.

Ndifanele ndimbone nini ugqirha wam?

Ukuba iingxaki zakho zokulala zichaphazela ubomi bakho bemihla ngemihla, umsebenzi, iimvakalelo, okanye umgangatho wobomi bakho bonke , musa ukulibazisa ukwazisa ugqirha wakho. Ukuba uneempawu ezikukhathazayo, ingakumbi ukuba zinokuba yingozi kuwe okanye kwabo bakungqongileyo (umz., ukuphazamiseka kokuziphatha kokulala kwe-REM), qiniseka ukuba ubona ugqirha.

Ngamanye amaxesha, ukuphazamiseka kokulala kungaba luphawu lokudakumba okanye ixhala elinxulumene nesifo sikaParkinson. Ukuba awusakuthandi ukwenza izinto obuzithanda ngaphambili, uzive ulusizi, uxhalabile, unesizungu, okanye awunamdla kwinto eyenzekayo ebomini bakho, thetha nogqirha wakho ngezi zinto. Abanye abantu bafumanisa ukuba baziva bebhetele emva kokuqala amayeza amatsha okanye ukufumana ingcebiso. Khumbula, akufuneki ubandezeleke ngolu hlobo, kwaye uncedo luyafumaneka.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule

Abaphandi basafunda okungakumbi malunga nobudlelwane obunzima phakathi kwesifo sikaParkinson kunye nokulala. Ukuqonda okungakumbi malunga nendlela isifo sikaParkinson esichaphazela ngayo ukulala (kunye nendlela ukulala okuchaphazela ngayo isifo sikaParkinson) kunokusinceda sixilonge isifo sikaParkinson kwangethuba kwaye senze unyango olutsha olusebenza ngakumbi kunonyango lwangoku .

Kukho iindlela ezininzi ezikhoyo zokunyanga nokulawula iingxaki zakho zokulala. Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nangokunyaniseka nogqirha wakho malunga nazo naziphi na iingxaki zokulala onokuba nazo. Kunye, wena nogqirha wakho ninokwenza isicwangciso esifanela imeko yakho, ukulala kwakho, kunye neminye imingeni enokubakho kwisifo sikaParkinson ebomini bakho.

Khumbula, awuwedwa kolu hambo. Ngolwazi olufanelekileyo kunye nenkxaso, uya kuba namandla okujongana nale mingeni. Ungaze woyike ukucela uncedo.

Isifo sikaParkinson , ubuthongo, iingxaki zokulala, izifo zemithambo-luvo, ubuchopho, iingxaki zokuhamba, ingxaki yokulala ye-REM, unyango