Ukuba wena okanye umntu omthandayo unesifo sikaParkinson, uyazi ukuba kunzima kangakanani ukulala kamnandi ebusuku. Kunokuba nzima ukuya kulala emva kosuku olunzima, ukujikajika, okanye ukuvuka qho ngeyure. Kodwa akufuneki ujongane nale nto wedwa. Abantu abaninzi abanesi sifo sikaParkinson banale ngxaki. Kutheni le nto isenzeka? Singenza ntoni ngayo? Masithethe ngayo yonke le nto ngendlela elula neyobuhlobo namhlanje.
Masiqale sijonge ukuba yintoni iParkinson's Disease.
Ngamafutshane, isifo sikaParkinson sisifo apho iiseli zemithambo-luvo ebuchotsheni ezilawula iintshukumo zethu zonakala okanye zitshatyalaliswa kancinci kancinci ngokuhamba kwexesha. Njengoko ezi seli zemithambo-luvo zonakala, iimpawu ezahlukeneyo ziqala ukubonakala emzimbeni wethu.
Oku ikakhulu kukuphazamiseka kwentshukumo . Oku kuthetha ukuba kuchaphazela amandla ethu okuhamba, ukufikelela, kunye nokulinganisela. Usenokuba neempawu ezifana nezi:
- Izihlunu eziqinileyo: Ukuziva uxinene kwimisipha.
- Ukungcangcazela: Ukungcangcazela okungalawulekiyo, ingakumbi izandla okanye imilenze.
- Iingxaki zokulinganisela: Ukuziva ngathi uza kulahlekelwa kukulinganisela kwakho uze uwe ngelixa uhamba.
- Ukucotha kokuhamba (Bradykinesia): Imeko apho yonke into yenziwa kancinci kakhulu.
Kodwa isifo sikaParkinson asichaphazeli nje kuphela intshukumo, kodwa sineempawu ezininzi ezingezizo ezomzimba ezinokuchaphazela indlela esivakalelwa ngayo, indlela esiva ngayo ivumba ngayo, kunye nendlela esibona ngayo izinto.
Ngoko ke, yintoni inxibelelwano phakathi kwesifo sikaParkinson kunye nokulala?
Isifo sikaParkinson kunye nokulala zinobudlelwane obunzima kakhulu. Kufana nebhola yentambo edibeneyo. Kwanososayensi abakayifumani yonke indlela esebenza ngayo.
Ngamanye amaxesha, iingxaki zokulala zibangelwa ngqo sisifo sikaParkinson. Ezinye izifundo zibonise ukuba iingxaki zokulala zinokuba yenye yeempawu zokuqala zesifo sikaParkinson . Umzekelo, ukuhambahamba ulele kunye nokuhamba ngezandla usuka emilenzeni uye emlonyeni kunokuba luphawu lwesifo.
Kwelinye icala, izinto ezifana namayeza owaselayo esifo sikaParkinson kunye nemingeni yengqondo ehambisana naso zinokuchaphazela ubuthongo bakho. Into enye icacile: Kubantu abaninzi abanesifo sikaParkinson, ukulala kakuhle ebusuku liphupha. Uphando lubonisa ukuba abantu ababini kwabathathu (2/3) abanesifo sikaParkinson baneengxaki zokulala.
Kutheni iingxaki zokulala zixhaphake kangaka kubantu abanesifo sikaParkinson?
Oogqirha bafumene izizathu eziphambili ezininzi zoku. Makhe sizijonge ngokusondeleyo.
| Isizathu | Ingcaciso elula |
|---|---|
| Utshintsho lweekhemikhali engqondweni | Isifo sikaParkinson sibangela utshintsho kumlinganiselo weekhemikhali ezithile engqondweni. Oku kuchaphazela ngokuthe ngqo umjikelo womzimba wethu wokulala nokuvuka. Ngenxa yoko, ubungakanani kunye nomgangatho wokulala unokwehla. |
| Amayeza | Amanye amayeza esifo sikaParkinson anokuphazamisa ubuthongo. Amanye amayeza anokubangela ukozela emini kunye nokungalali. |
| Iingxaki zempilo yengqondo | Ukuxhalaba kunye nokudakumba zizinto eziqhelekileyo kubantu abanesifo sikaParkinson. Nokuba yeyiphi kwezi meko zengqondo inokwenza kube nzima ukulala ebusuku okanye ukulala kamnandi ebusuku. |
| Ezinye iimpawu | Ezinye iimpawu zesifo sikaParkinson, ezinje ngeentlungu zomzimba kunye nokuchama rhoqo ebusuku (i-nocturia), nazo zinokuphazamisa ubuthongo. I-sleep apnea, imeko apho ukuphefumla kuyeka ngexesha lokulala, ikwaxhaphakile nakwizigaba zokugqibela zesifo sikaParkinson. |
Ziziphi iingxaki zokulala ezinokubangelwa sisifo sikaParkinson?
Isifo sikaParkinson asichaphazeli wonke umntu ngendlela efanayo. Kunjalo nangeengxaki zokulala. Ungahlangabezana nezinto ezifana nezi:
- Ukungalali: Ukuhlala uphaphile iiyure ezininzi emva kokulala.
- Ukulala okungacacanga: Ukuvuka amaxesha amaninzi ebusuku.
- Ukulala kakhulu emini: Ukulala okungalawulekiyo emini.
- Amaphupha acacileyo okanye amaphupha amabi:Ukuba namaphupha acacileyo, ngamanye amaxesha awoyikisayo. La maphupha anokubangela ukudideka phakathi kwamaphupha kunye nenyaniso xa uvuka.
Imeko ekhethekileyo ebizwa ngokuba yi-REM Sleep Behavior Disorder
Le yimeko ekhethekileyo echaphazela phantse isiqingatha sabaguli abaneParkinson. Ngokwesiqhelo, xa siphupha, imizimba yethu ilahlekelwa zingqondo okwethutyana. Ngenxa yoko, asenzi izinto esiziphuphayo.
Kodwa kumntu onengxaki yokulala ye-REM, loo lawulo luyalahleka. Oko kuthetha ukuba uqala ukwenza izinto oziphuphayo. Ukuba ubaleka ebuthongweni bakho, uya kuzama ukuphuma ebhedini, ukhale, kwaye uphakamise iingalo nemilenze yakho. Oku kunokuba yingozi kuwe nakumntu olele ecaleni kwakho. Abanye abaphandi bakholelwa ukuba oku kunokuba luphawu lokuqala lwesifo sikaParkinson.
Ukongeza, ezinye iingxaki zokulala zixhaphakile phakathi kwezigulane zikaParkinson:
- Njengoko bekutshiwo ngaphambili, ukuvuka rhoqo ebusuku ukuze uchame (i-Nocturia).
- I-Restless Legs Syndrome yimeko apho imilenze ivakalelwa ngathi ihlala ishukuma ngenxa yokungonwabi okunganyamezelekiyo emilenzeni.
- I-sleep apnea kukuyeka ukuphefumla ngexesha lokulala.
- Iingxaki ngewotshi yebhayoloji yomzimba (iingxaki zokulala zesingqisho seCircadian).
Zichongwa kwaye zinyangwa njani ezi ngxaki zokulala?
Ukuba unengxaki yokulala, eyona nto ibalulekileyo omawuyenze kukuthetha ngayo ngokukhululekileyo nogqirha wakho. Musa ukuba neentloni okanye uyithathe njengento engenamsebenzi. Ugqirha wakho uza kukubuza imibuzo embalwa ukuze aqonde ngcono ingxaki.
Ukuze ukwazi ukukunceda ngeli xesha, ungabhala phantsi iinkcukacha zokulala . Kangangeeveki ezimbini, bhala phantsi iinkcukacha ezifana nokuba ulala nini, uvuka nini, uvuka kangaphi ebusuku, nokuba uziva ulele na emini. Oku kuya kunceda ugqirha wakho ukuba afumane umfanekiso ongcono wengxaki yakho.
Ukuba ugqirha wakho ukrokrela ukuba kukho into engalunganga, angakuthumela kwisifundo sokulala . Oku kuquka ukuhlala esibhedlele ubusuku bonke. Ngelixa ulele, umsebenzi wobuchopho bakho, ukuphefumla, kunye nesantya sentliziyo yakho zijongwa ngee-sensors ezincinci (ii-electrodes) ezinamathele emzimbeni wakho.
Iindlela zonyango zixhomekeke kwisizathu seengxaki zakho zokulala. Ugqirha wakho unokucebisa izinto ezifana nezi:
1. Ukutshintsha amayeza: Ukuba iingxaki zakho zokulala zicingelwa ukuba zibangelwa yimithi oyithathayo yesifo sikaParkinson, ugqirha wakho unokugqiba ekubeni anciphise umthamo waloo mayeza okanye akutshintshele kwenye imithi.
2. Amayeza okanye unyango olutsha: Ukuba unesifo esifana ne-sleep apnea, ukuhamba kweoksijini yakho ngexesha lokulala kuyaphazamiseka.Basenokusebenzisa isixhobo esikhethekileyo (isixhobo somlomo/umatshini we-CPAP) ukusibamba endaweni yaso. Kwakhona, kukho amayeza akhethekileyo kwezinye iingxaki zokulala.
3. Utshintsho kwindlela esiphila ngayo: Imikhwa yethu yemihla ngemihla kunye nendawo yokulala nazo zinefuthe elikhulu ekulaleni. Izinto ezilula ezifana nokugcina ixesha lokulala nelokuvuka lihleli, ukugcina igumbi lokulala limnyama kwaye lizolile, kunye nokuphepha ukujonga ifowuni okanye iTV yakho ngaphambi kokulala kunokwenza umahluko omkhulu.
Ezinye izinto onokuzenza ukuze ulale kakuhle ebusuku
Oku sikubiza ngokuba "kucoceko lokulala." Ukulandela le mikhwa kuya kukunika isiqabu esikhulu.
| Izinto onokuzenza (Okufanele uzenze) ✅ | Izinto ongazifuniyo ❌ |
|---|---|
| Phuma ngaphandle emini. Ukuchatshazelwa lilanga kuthumela umyalezo emzimbeni wokuba lixesha lokuvuka. | Musa ukulala ixesha elide emini. Kulungile ukulala ixesha elifutshane lemizuzu engama-20-30. |
| Gcina umzimba wakho usebenza imini yonke. Nokuba uhamba nje kancinci kulungile, naluphi na uhlobo lokuzilolonga lunezibonelelo. | Musa ukusela iziselo ezine-caffeine, ezifana nekofu okanye iti, zingadlulanga iiyure ezi-6 emva kokulala. |
| Phumla ingqondo yakho ngaphambi kokuba ulale. Izinto ezinje ngokuhlamba umzimba ushushu okanye ukuphululwa umzimba kancinci zinokunceda. | Sebenzisa igumbi lokulala kuphela xa ulala. Khetha elinye igumbi lokufunda, ukubukela iTV, okanye ukusebenza. |
Ingaba kulungile ukusebenzisa izixhobo zokulala ezithengiswa ngaphandle kwekhawuntara?
Akunjalo konke konke. Oku kubaluleke kakhulu. Nangona iipilisi zokulala, onokuzithenga kwivenkile yezonyango, zinokubonakala ngathi zisisombululo esilula, zinokubangela iingozi ezongezelelweyo kumntu onesifo sikaParkinson.
Eyona nto ibalulekileyo kukuba,Musa ukuthatha naziphi na iipilisi zokulala ezithengiswa ngaphandle kwemvume kagqirha wakho ngaphambi kokuba uqale udibane nogqirha wakho. Ezi zinokusebenzisana namayeza akho eParkinson kwaye zingenza iingxaki zakho zokulala zibe mandundu.
Ufanele uye nini ngokuqinisekileyo kugqirha?
Ukuba iingxaki zakho zokulala zichaphazela umgangatho wobomi bakho, qiniseka ukuba ubona ugqirha wakho. Musa ukulibazisa, ingakumbi kwiimeko ezifana nezi:
- Ukuba uvakalelwa kukuba into oyenzayo xa ulele ingakubeka wena okanye iqabane lakho esichengeni.
- Ngamanye amaxesha ezi ngxaki zokulala zinokuba luphawu lokudakumba , olunokubangelwa sisifo sikaParkinson. Ukuba uphelelwe ngumdla kwizinto obuzithanda kwaye uziva uphantsi ngobomi, nceda uthethe nogqirha omthembayo. Kukho unyango olunokunceda kule meko. Akunyanzelekanga ukuba ubandezeleke ngolu hlobo.
Abaphandi basafunda ngakumbi malunga nolwalamano phakathi kwesifo sikaParkinson kunye nokulala. Olo lwazi lunokunceda ekuphuhliseni unyango olungcono kwixesha elizayo. Kodwa sele kukho unyango oluninzi kunye nezisombululo ezinokukunceda. Ngoko ke thetha ngokukhululekileyo nogqirha wakho malunga neengxaki zakho zokulala. Kunye, ninokwenza isicwangciso sokuphucula ukulala kwenu kunye nobomi benu.
Umyalezo Wokuya Ekhaya
- Iingxaki zokulala zixhaphake kakhulu kwisifo sikaParkinson. Asikuko ukuba unengxaki.
- Kukho izizathu ezininzi zomzimba nezengqondo ezichaphazela oku.
- Ungaze uthathe iipilisi zokulala kwivenkile yezonyango ngaphandle kwengcebiso kagqirha. Oku kungayenza ingxaki ibe mandundu.
- Thetha ngokukhululekileyo nogqirha wakho ngazo zonke iingxaki zakho zokulala (ubunzima bokulala, ukuphupha, ukozela emini).
- Kukho unyango oluninzi olusebenzayo kunye notshintsho kwindlela yokuphila olunokukunceda, ngoko ke ungalahli ithemba.
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