Ingabe singakhuluma ngezinkinga zokulala ezihambisana nesifo sikaParkinson?

Uma wena noma othile omaziyo enesifo sikaParkinson, cishe usuvele uyazi ngezinselele ezihambisana naso. Enye yalezi zinselele ethinta abantu abaningi, kodwa mhlawumbe engakhulunywa ngayo, izinkinga zokulala. Eqinisweni, ukulala kahle kubalulekile empilweni yomzimba neyengqondo. Ngakho-ke namuhla, ake sixoxe ngalokhu ngemininingwane ethe xaxa , ngoba ngicabanga ukuthi lolu lwazi luzoba usizo kakhulu kuwe.

Ake siqale sibheke ukuthi siyini isifo sikaParkinson.

Kalula nje, isifo sikaParkinson yisimo esenzeka lapho amangqamuzana athile ezinzwa ebuchosheni bethu, ikakhulukazi engxenyeni elawula ukunyakaza, eba buthaka kancane kancane, engasebenzi, noma efa ngokuhamba kwesikhathi. Odokotela bakubiza lokhu ngokuthi ukuphazamiseka kokunyakaza . Njengoba lawa maseli ezinzwa onakala, izimpawu ziqala ukuvela emzimbeni wethu.

Lezi zimpawu zingahlukaniswa kakhulu zibe izingxenye ezimbili.

Esinye sazo yilokho odokotela abakubiza ngokuthi 'izimpawu zemisipha' , okuyizinkinga zokunyakaza kwemizimba yethu nokulawula ukunyakaza kwethu. Izibonelo zalokhu yilezi:

• Imisipha eqinile emalungeni, efana nedwala .
• Ukuthuthumela okungalawuleki kwezitho zomzimba, ikakhulukazi izandla noma imilenze (ukuthuthumela) . Ngezinye izikhathi kungenzeka ukuthi uke wabona izandla zomuntu osekhulile zithuthumela nje. Kungaba yisimo esinjengalesi.
• Izinkinga ngokulinganisela , ubunzima bokuhamba noma ukwenza imisebenzi (izinkinga zokuxhumanisa).
• Ukuhamba kancane (bradykinesia) . Lokhu kusho ukuthi imisebenzi eyayenziwa ngesivinini esijwayelekile manje ibonakala ithatha isikhathi eside ukuyiqeda.

Enye ingxenye 'izimpawu ezingezona ezemisipha' . Lezi zithinta imizimba yethu nengqondo ngezindlela ezahlukene, ngaphezu kokunyakaza. Isibonelo, ungase ubhekane nokushintsha kwemizwelo, ukulahlekelwa umuzwa wokuhogela, izinguquko zokubona, ukuqunjelwa, kanye nobunzima bokukhuluma.

Buyini ubudlelwano phakathi kwesifo sikaParkinson nokulala?

Eqinisweni, ubudlelwano phakathi kwesifo sikaParkinson nokulala buyinkimbinkimbi kakhulu. Ngisho nososayensi abakakuqondi ngokugcwele okwamanje. Kodwa into eyodwa icacile: isifo sikaParkinson singadala izinkinga zokulala ngqo.

Cabanga nje, ezinye izifundo ziphakamisa ukuthi izinkinga zokulala zingase zibe esinye sezibonakaliso zokuqala zesifo sikaParkinson! Isibonelo, ukushaya ngamandla ulele, ukuklabalasa, njll.

Akukhona lokho kuphela, kodwa nezinye izici, njengemithi oyithathayo yesifo sikaParkinson, ukucindezeleka nokukhathazeka okubangelwa yilesi sifo, nakho kungathinta lokhu. Kodwa-ke, kubantu abaningi abanesifo sikaParkinson , ukulala kahle nokuphumula kungaba yinselele enkulu .

Zivame kangakanani izinkinga zokulala phakathi kweziguli zikaParkinson?

Empeleni kuvame kakhulu. Ngokusho kwabacwaningi, abantu abanesifo sikaParkinsonAbantu ababili kwabathathu banenkinga ethile ehlobene nokulala. Lokho kusho ukuthi kuyinkinga ethinta abantu abaningi. Cishe ivame kakhulu kunalokho ocabanga.

Isifo sikaParkinson sibangela kanjani izinkinga zokulala?

Ochwepheshe bezokwelapha okwamanje bakholelwa ukuthi kungase kube nezizathu eziningana zalokhu. Ake sibheke ukuthi ziyini:

• Izinguquko zamakhemikhali ebuchosheni: Ucwaningo lubonisa ukuthi isifo sikaParkinson singaphazamisa imijikelezo yokulala nokuvuka ebuchosheni bethu. Izinguquko kumakhemikhali athile obuchopho, njenge -neurotransmitters njenge-dopamine, zingaholela ekulaleni okunciphile kanye nekhwalithi yokulala enciphile.
• Imithi: Eminye imithi yesifo sikaParkinson ingenza kube nzima ukulala noma ukukuvusa njalo. Eminye imithi ingakwenza uzizwe ulele emini futhi ikugcine uphapheme ebusuku. Yingakho kubalulekile ukukhuluma nodokotela wakho ngemithi oyiphuzayo.
• Izinkinga zempilo yengqondo: Izinkinga zemizwa ezifana nokukhathazeka noma ukucindezeleka zivame kakhulu kubantu abanesifo sikaParkinson. Noma yiziphi zalezi zimo zengqondo zingabangela ukuthi uhlale uphapheme ebusuku noma ube nenkinga yokulala. Uma ungakwazi ukukhulula umthwalo engqondweni yakho, ngeke ukwazi ukulala.
• Izimpawu zikaParkinson: Kungaba nzima ukulala kahle ngenxa yobuhlungu, ukuqina kwemisipha, kanye nokuthuthumela okubangelwa yilesi sifo. Futhi, ukuvuka ebusuku uyochama, kanye ne-sleep apnea , okuvamile ezigabeni zakamuva zesifo sikaParkinson, kungaphazamisa nokulala.

Yiziphi izinkinga zokulala ezibhekene neziguli zeParkinson?

Isifo sikaParkinson asithinti wonke umuntu ngendlela efanayo. Siphinde sithinte ukulala ngendlela ehlukile. Umuntu onesifo sikaParkinson angase abe nezinkinga zokulala ezilandelayo:

• Ukungalali: Ubunzima bokulala, ukuhlala ulele amahora amaningi ngemva kokulala. Ungase uzizwe sengathi ingqondo yakho iyagijima.
• Ukulala okuqhekekile: Ukuvuka izikhathi eziningana ebusuku. Ukungakwazi ukulala kahle isikhathi eside. Ukuvuka ekuseni uzizwa sengathi awukalalanga kahle.
• Ukulala kakhulu emini: Ukulala kakhulu emini , ubunzima bokuhlala uphapheme, kanye nobunzima bokwenza izinto emini. Ngezinye izikhathi, ungase ulale ngenkathi ukhuluma.
• Amaphupho acacile kakhulu: Amaphupho acacile kangangokuthi ngezinye izikhathi lapho evuka, angabonakala sengathi amaphupho angabonakali futhi abangele ukudideka.
• Amaphupho amabi angokomzwelo noma amaphupho amabi:Ngemva kokuvuka ephusheni elinjengaleli, ungase uzizwe ukhathele kakhulu, ukhungathekile, futhi wesaba.

Kuyini 'i-REM sleep behavior disorder'?

Lesi yisimo esikhethekile, futhi esiphikisanayo. I-REM imele i-Rapid Eye Movement, futhi yilapho silele ubuthongo obukhulu futhi siphupha. Ngakho-ke, umuntu one -'REM sleep behavior disorder' uba nephupho lapho umzimba wakhe udlala khona amaphupho akhe. Lokhu kusho ukuthi angase avule izingalo nemilenze yakhe ebuthongweni, akhale, awe embhedeni, aze aziphathe ngezindlela eziyingozi ezingazilimaza yena noma omunye umuntu olele eduze kwakhe. Abantu abafinyelela engxenyeni yesifo sikaParkinson babhekana nalesi simo. Abanye abacwaningi bakholelwa ukuthi lokhu kungaba uphawu lokuqala lwesifo sikaParkinson.

Yiziphi ezinye izinkinga zokulala ezibonakala ezigulini zikaParkinson?

Ngaphezu kwesifo sokuziphatha sokulala se-REM, kunezinye izinkinga zokulala eziningana ezivame ukuthinta abantu abanesifo sikaParkinson:

• Ukuphazamiseka kokulala kwe-Circadian rhythm: Izinkinga ngomjikelezo wemvelo wokulala nokuvuka komzimba wethu (iwashi lezinto eziphilayo). Izinto ezifana nokungakwazi ukulala ebusuku nokuba nenkinga yokuvuka ekuseni.
• I-Nocturia: Ukuvuka njalo (ngaphezu kwezikhathi ezimbili noma ezintathu) ebusuku ukuze uchame. Lokhu kungaphazamisa kakhulu ubuthongo.
• I-restless legs syndrome: Ukungakhululeki okungachazeki, ukusha, kanye nomuzwa wokudinga ukuhambisa imilenze, ikakhulukazi kusihlwa noma ebusuku. Isifiso sokuhambisa imilenze sikuvimbela ukuthi ulale.
• I-sleep apnea: Isimo lapho ukuphefumula kuyeka okwesikhashana noma kuba kuncane kakhulu ngesikhathi sokulala. Lokhu kungabangela ukuvuka njalo ebusuku ngenxa yokuntuleka komoya-mpilo, ukukhathala ekuseni, kanye nobuthongo emini. Ukuhona nakho kungaba uphawu.

Kunini lapho iziguli zeParkinson zibhekana nezinkinga zokulala?

Kubalulekile ukukhumbula ukuthi akubona bonke abantu abanesifo sikaParkinson abanezinkinga zokulala. Kodwa-ke, uma unalezi zinkinga, kungenzeka ukuthi zaqala ngaphambi kokuba utholakale unesifo sikaParkinson, noma kungenzeka ukuthi zenzeke nganoma yisiphi isikhathi ngemva kokuba utholakale unesifo.

Ungazibona kanjani izinkinga zokulala ezigulini zikaParkinson?

Uma unezinkinga zokulala, ungazinaki. Qiniseka ukuthi ubona udokotela wakho futhi uxoxe ngazo ngokuningiliziwe . Udokotela wakho uzokubuza imibuzo futhi aqonde izimpawu zakho.

Lungela ukutshela udokotela wakho ngalezi zinto:

• Ukuphazamiseka kokulala kwenzeka nini futhi kanjani? (Ingabe unenkinga yokulala? Ingabe uvuka njalo? Ingabe ukhathele ekuseni?)
• Kukuthinta kanjani ukuphila kwakho kwansuku zonke? (Ingabe ulala emini? Ingabe kunzima ukugxila emsebenzini?)
• Yimiphi eminye imithi oyithathayo?

Ukugcina ijenali yokulala amasonto ambalwa kungakusiza ukukhumbula le mininingwane ngokunembile. Okusho ukuthi, ukubhala phansi izinto ezifana nokuthi ulale nini, ulale ngasiphi isikhathi (cishe), ukuthi uvuke kangaki ebusuku, ukuthi uvuke ngasiphi isikhathi ekuseni, nokuthi uzizwa ulele yini emini.

Uma udokotela wakho esola ukuthi unesifo sokulala, angase acele ukuthi kwenziwe ucwaningo lokulala, olwaziwa nangokuthi i-polysomnography , ukuhlolwa okukhethekile kokulala. Lokhu kuhilela ukuchitha ubusuku esibhedlela noma esikhungweni sokulala unama-electrode angenabuhlungu anamathele emzimbeni wakho futhi uqaphe amaza obuchopho bakho, izinga lokushaya kwenhliziyo, ukuphefumula, ukunyakaza kwamehlo, kanye nokunyakaza kwemilenze ngenkathi ulele.

Izinkinga zokulala ezigulini zikaParkinson ziphathwa kanjani?

Uma imbangela yezinkinga zakho zokulala isitholakele, udokotela wakho uzoncoma ukwelashwa okufanele. Njengoba isimo somuntu ngamunye sihlukile, ukwelashwa kungahluka kuye ngomuntu. Izinto eziyinhloko ongayenza yilezi:

• Ukulungisa imithi yakho ye-Parkinson kanye nesikhathi: Uma ucabanga ukuthi izinkinga zakho zokulala zingabangelwa imithi ye-Parkinson, udokotela wakho angase anqume ukushintsha uhlelo lwakho lokwelashwa. Lokhu kungabandakanya ukwehlisa umthamo, ukushintsha isikhathi osithatha ngaso umuthi, noma ukushintshela komunye umuthi.
• Ukwelashwa okukhethekile kwezinkinga zokulala:
• Uma unesifo sokungalali, ungase unikezwe amaphilisi okulala esikhashana, kodwa ungase futhi uthunyelwe ezintweni ezifana ne-Cognitive Behavioral Therapy for Insomnia (CBT-I).
• Uma unesifo sokuziphatha kokulala se-REM , ungase unikezwe imithi ethile (isib. i-Clonazepam). Ungase futhi welulekwe ukuthi wenze indawo yakho yokulala iphephe (isib. ukubeka umatrasi uzungeze umbhede, ukususa izinto ezibukhali).
• Uma une -sleep apnea , ukwelashwa okuvame kakhulu umshini we-CPAP (Continuous Positive Airway Pressure). Lokhu kusebenza ngokuletha umfutho womoya omnene ekhaleni lakho noma emlonyeni wakho ngenkathi ulele, ukugcina umoya wakho uvulekile. Abanye abantu bangasebenzisa futhi ithuluzi lomlomo.
• Uma une -restless legs syndrome , uzokwelashwa ngembangela (isib. ukuntuleka kwensimbi), noma uzonikezwa imithi yokulawula izimpawu.
• Ukusikisela izinguquko zendlela yokuphila: Imikhuba yakho yansuku zonke kanye nendawo yokulala inethonya elikhulu ekulaleni kwakho.Ungathuthukisa ikhwalithi yokulala kwakho ngokujwayela ukulala ngesikhathi esibekiwe, uvuke ngesikhathi esibekiwe (ukugcina lokhu ngisho nangezimpelasonto ngangokunokwenzeka), ugcine ikamelo lakho limnyama, lithule, futhi lisezingeni lokushisa elikhululekile, futhi ugweme ukubuka izikrini ze-elekthronikhi (amafoni, amathebhulethi, i-TV) ihora noma amabili ngaphambi kokulala.

Yini enye engingayenza ukuze ngilale kangcono ngesifo sikaParkinson?

Ngaphezu kokwelashwa ngezokwelapha, ukulandela 'imikhuba emihle yokuhlanzeka kokulala' kungakusiza futhi ukuthi ulale kahle. Lezi izinto ezilula kakhulu, kodwa imiphumela mihle kakhulu.

Zama ukwenza lezi zinto:

• Thola ukukhanya kwelanga kwemvelo okuningi ngangokunokwenzeka emini. Ukukhanya okukhanyayo kusiza umzimba wakho ukuthi ugcine umjikelezo ofanele wokulala nokuvuka.
• Gcina umzimba wakho usebenza emini. Vivinya umzimba ngokwamandla akho omzimba. Ngisho nokuhamba ibanga elifushane noma eminye imisebenzi yasekhaya kulungile. Kodwa-ke, gwema ukuzivocavoca okunzima ngaphambi kokulala.
• Zama izindlela zokuphumula. Isibonelo, geza ngamanzi ashisayo, ulalele umculo ozolile, uzindle, noma ufunde incwadi (hhayi indaba evuselelayo).
• Ungalambi ngaphambi kokulala, futhi ungadli uze usuthe. Kulungile ukudla ukudla okulula.
• Gcina ikamelo lakho lokulala lingelakho kuphela. Ungalisebenzisi njengendawo yokusebenza, yokubuka i-TV, noma yokudla.

Nciphisa noma uyeke lezi zinto ngangokunokwenzeka:

• Ungalali isikhathi eside emini. Kulungile ukulala imizuzu engama-20-30, kodwa ukulala ngaphezu kwalokho kungathinta ubuthongo bakho ebusuku.
• Gwema izinto ezivuselela ingqondo, njenge-caffeine (itiye, ikhofi, ushokoledi, iziphuzo ezibandayo) kanye ne-nicotine (ugwayi), okungenani amahora amane kuya kwamahlanu ngaphambi kokulala.
• Ungaphuzi utshwala ngaphambi kokulala. Nakuba utshwala bungakwenza ulale ekuqaleni, kamuva bunganciphisa ikhwalithi yokulala kwakho futhi bukwenze uvuke kaningi.
• Yeka ukubuka ifoni noma i-TV yakho ngenkathi uhleli embhedeni. Lokho kukhanya kunciphisa ukukhiqizwa kwe-melatonin, i-hormone ekusiza ulale.

Ingabe izinsiza zokulala ezitholakala ngaphandle kwemithi ziphephile ezigulini zikaParkinson?

Lona umbuzo abantu abaningi abawubuzayo. Ngeshwa, awulona ikhambi elihle. Izinsiza zokulala ezitholakala ngaphandle kwemithi kadokotela, ongazithenga ekhemisi ngaphandle kwemithi kadokotela, zingabonakala ziyindlela elula nephephile yokuxazulula izinkinga zakho zokulala, kodwa zingaba nezingozi ezengeziwe kanye nemiphumela emibi kubantu abanesifo sikaParkinson.

Eminye imithi etholakala ngaphandle kwemithi kadokotela kanye namanye amaphilisi okulala anikezwe udokotela angenza izimpawu zikaParkinson zibe zimbi kakhulu (isib. ukudideka, ukulahlekelwa yibhalansi).Futhi, amanye amaphilisi okulala angaba nokuxhumana okukhulu kwezidakamizwa nemithi kaParkinson, okubangela izinkinga ezingalindelekile. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho njalo futhi ufune iseluleko sakhe ngaphambi kokuthatha noma yimuphi umuthi omusha, ikakhulukazi iphilisi lokulala.

Kufanele ngimbone nini udokotela wami?

Uma izinkinga zakho zokulala zithinta impilo yakho yansuku zonke, umsebenzi, imizwa, noma ikhwalithi yokuphila kwakho iyonke , ungalibali ukwazisa udokotela wakho. Uma unezimpawu ezikukhathazayo, ikakhulukazi uma zingaba yingozi kuwe noma kulabo abakuzungezile (isib., ukuphazamiseka kokuziphatha kokulala kwe-REM), qiniseka ukuthi ubona udokotela.

Ngezinye izikhathi, ukuphazamiseka kokulala kungaba uphawu lokucindezeleka noma ukukhathazeka okuhlobene nesifo sikaParkinson. Uma ungasakujabuleli ukwenza izinto owawuzijabulela, uzizwa udangele, ukhathazekile, unesizungu, noma ungenasithakazelo kulokho okwenzekayo empilweni yakho, khuluma nodokotela wakho ngalezi zinto. Abanye abantu bathola ukuthi bazizwa bengcono ngemva kokuqala umuthi omusha noma ukuthola iseluleko. Khumbula, akudingeki uhlupheke kanje, futhi usizo luyatholakala.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule

Abacwaningi basafunda kabanzi ngobudlelwano obuyinkimbinkimbi phakathi kwesifo sikaParkinson nokulala. Ukuqonda okwengeziwe ngendlela isifo sikaParkinson esithinta ngayo ukulala (nokuthi ukulala kuthinta kanjani isifo sikaParkinson) kungasisiza sithole isifo sikaParkinson kusenesikhathi futhi sithuthukise izindlela ezintsha zokwelapha ezisebenza kangcono kunezindlela zokwelapha zamanje .

Kunezindlela eziningi ezitholakalayo zokwelapha nokuphatha izinkinga zakho zokulala. Into ebaluleke kakhulu ukukhuluma ngokukhululekile nangokwethembeka nodokotela wakho nganoma yiziphi izinkinga zokulala ongase ube nazo. Ngokubambisana, wena nodokotela wakho ningakha uhlelo olufanelana kangcono nesimo sakho, ubuthongo bakho, kanye nanoma yiziphi ezinye izinselele ezingase zilethwe yisifo sikaParkinson empilweni yakho.

Khumbula, awuwedwa kulolu hambo. Ngolwazi olufanele kanye nokusekelwa, uzoba namandla okubhekana nalezi zinselele. Ungesabi ukucela usizo.

Isifo sikaParkinson , ubuthongo, izinkinga zokulala, izifo zezinzwa, ubuchopho, izinkinga zokunyakaza, ukuphazamiseka kokulala kwe-REM, ukwelashwa