Ingabe nawe uzizwa udidekile lapho uvuka? Ake sixoxe nge-Confusional Arousals!

Wake waba nesipiliyoni sokuvuka ngokuzumayo, kodwa ungazi kahle, ungaqondi indawo ekuzungezile, bese ulala futhi ngemva kwesikhashana? Ungase ungakhumbuli nokuthi kwenzekeni ngaleso sikhathi. Noma wake wambona umntwana wakho evuka ngokuzumayo phakathi nobusuku, ehlala embhedeni, efunda okuthile, ebheka nxazonke ngamehlo abanzi, kodwa engaphenduli lapho ukhuluma, bese ephinde alale futhi ngemva kwesikhashana? Uma umbuza ekuseni, akakhumbuli lutho. Yilokho esikubiza ngokuthi (i-Confusional Arousals) . Abanye abantu bakubiza nangokuthi "Ukudakwa Kokulala" . Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Ziyini izivunguvungu ezididayo?

Kalula nje, i-Confused Arousals ilapho uvuka ebuthongweni obunzima, hhayi uvukile ngokuphelele, kodwa uphapheme kancane. Kuleli qophelo, udidekile kakhulu futhi udidekile . Ungase ungaqapheli nokuthi ukuphi, isikhathi sini, noma ukuthi ubani oseduze kwakho.

Ngesikhathi esinjengalesi, ungase:

• Ungakhuluma okuthile.
• Ungabuka esikhaleni .
• Ukungakwazi ukuphendula ucingo lomuntu, noma ukunikeza izimpendulo ezingacacile .
• Lesi simo singahlala isikhathi esithile, ngokuvamile imizuzu emi-5, mhlawumbe ngisho nehora, bese ulala futhi .

Into ebalulekile ukuthi, uma usuvukile ngokuphelele, uvame ukungakhumbuli nokuthi kwenzekani. Cishe umuntu olele naye okutshela lokhu. Odokotela ngezinye izikhathi babiza lesi simo ngokuthi i-Confusional Arousal Disorder , futhi akuvamile ukuthi babize i-Elpenor Syndrome .

Sivame kangakanani lesi simo? (Sivame kangakanani i-confusional arousal?)

Kunzima ukusho ukuthi lokhu kuvame kangakanani. Kodwa ucwaningo lubonisa ukuthi phakathi kuka-4.2% no-15.2% wabantu abadala emhlabeni wonke babhekana nalolu hlobo lokuziphatha ngonyaka othile. Ngokumangazayo, kuvame kakhulu ezinganeni . Kulinganiselwa ukuthi lesi simo sithinta cishe u-17% wezingane ezingaphansi kweminyaka engu-15. Ngakho-ke uma lokhu kwenzeka enganeni yakho, akuyona into engavamile kangako.

Ziyini izimpawu zalokhu? (Ziyini izimpawu?)

Ake sibone manje ukuthi yiziphi izimpawu eziyinhloko ezingabonakala kulezi (Confusional Arousals):

• Ngisho noma kwakubonakala sengathi uvukile ngokuzumayo, wayengakavuki ngokuphelele. Kwakungathi ubhajwe endaweni ethile phakathi kokulala nokuvuka.
• Babonisa ukudideka okukhulu nokudideka . Bangase bangazi ukuthi bakuphi, isikhathi sini, noma ukuthi bangobani.
• Amehlo angase abonakale ngendlela engavamile, engaphili (ecwebezelisiwe).
• Uma umuntu ekhuluma, akaphenduli noma aphendule ngokungaqondile . Angase futhi angingiza noma akhulume kancane.
• Lezi zimpawu zihlala isikhathi esithile, bese ulala futhi ngokushesha.

Njengoba ungakhumbuli lezi zinto zenzeka ekuseni , umuntu osembhedeni wakho (umyeni, umkakho) uvame ukuba nguye obona lokhu. Endabeni yezingane ezincane, abazali yibona ababona lokhu.

Zivela nini lezi zimpawu?

Lokhu (uKuvukwa Kwengqondo Okungajwayelekile) kwenzeka ngesikhathi sokulala kwethu okubizwa ngokuthi (i-Non-Rapid Eye Movement - NREM) . Ukulala kwethu kunezigaba ezahlukene. Ukulala (i-NREM) kuyizigaba ezintathu zokuqala ngaphambi kokuba singene ebuthongweni (i-REM) (okungukuthi, ukuphupha ubuthongo).

Kubantu abadala kanye nezingane, lokhu (i-Confusional Arousals) kwenzeka ngesikhathi sokulala okujulile (i-NREM) (ubuthongo obuhamba kancane noma ubuthongo obujulile be-NREM (N3) . Lesi yisigaba sesithathu nesijulile sokulala (i-NREM). Ngokukhethekile, kwenzeka kaningi emahoreni ambalwa okuqala ngemva kokulala, okungukuthi, engxenyeni yokuqala yobusuku.

Kungani lokhu kwenzeka? Yini ebangela ukuvuka kokudideka?

Imbangela eqondile yalokhu ayaziwa okwamanje , kodwa ucwaningo lusikisela ukuthi ama-parasomnia ahlobene nokulala kwe-NREM abangelwa kakhulu yizakhi zofuzo . Lokhu kusho ukuthi uma othile emndenini wakho enalezi zinkinga, nawe unamathuba amaningi okuba nazo.

Ngaphezu kwalokho, kungenzeka kakhulu ukuthi uvuke ebuthongweni obujulile (i-NREM) ngale ndlela uma unezimo ezilandelayo:

• Isifo se-Bipolar
• Izinkinga Zokulala Ezihambisana Nesigqi Se-Circadian : Lezi yizinkinga ngomjikelezo wemvelo wokulala nokuvuka komzimba wethu.
• I-Hypersomnia : Ukulala ngokweqile ngisho nasemini.
• Ukulala ngokuzumayo ngesikhathi sokulala (i-Narcolepsy)
• I-Obstructive Sleep Apnea : Lokhu kwenzeka lapho ukuphefumula kuyeka isikhashana ngesikhathi sokulala. Lokhu kungabangela ukuphazamiseka kokulala, okungaholela ku:
• Isifo Sokwethuka
• Ukunyakaza Kwezitho Zokulala Okuvamile
• Isifo Sokulala Sokusebenza Nge-Shift : Isibonelo, lokhu kungathinta abantu abasebenza ebusuku.

Futhi, eminye imithi yokucindezeleka kanye neminye imithi oyithatha njalo ingabangela lokhu (i-Confusional Arousals).

Yiziphi izimbangela eziyinhloko zalesi simo? (Yini ebangela ukuvuka kokudideka?)

Ngokuvamile ukuphazamiseka kokulala kwakhoLesi yisona sizathu esiyinhloko esenza kube khona i-Confusional Arousal. Cabanga ngezinto ezinjengalezi:

• Ukukhanya okukhanyayo okungazelelwe.
• Ukuzwa umsindo omkhulu (isib. ukukhala kocingo, umsindo wemoto ngaphandle).
• Ukuzwa isidingo sokuya endlini yokugezela .

Lolu hlobo lokudideka luvela lapho umuntu osebuthongweni obujulile evuka ngokuzumayo phakathi nesikhathi.

Ukuvuswa kokudideka kuqala nini?

Lesi simo, esibizwa ngokuthi i-Confusional Arousals, singavela kunoma yimuphi ubudala . Kodwa-ke, sivame ukuqala ezinganeni ezineminyaka engaba ngu-2. Ucwaningo lukhombisile ukuthi lesi simo sincipha kancane kancane ezinganeni ngemva kweminyaka engu-5. Kodwa-ke, kwabanye abantu, singaqhubeka size sibe abantu abadala, noma singaqala kabusha.

Yiziphi izinto ezibangela ingozi?

Usengozini enkulu yokuthola i-Confused Arousals uma unalezi zinto ezilandelayo:

• I-Hypersomnia : Lokhu kusho ukulala kakhulu.
• Ukungalali ngokwanele : Ukungalali ngokwanele. Lena inkinga abantu abaningi abanayo, akunjalo?
• Ukucindezeleka : Ukucindezeleka ngokweqile nakho kuyathinta ukulala.
• Umlando womndeni wezinkinga zokulala ze-NREM (i-NREM parasomnias) : Njengoba kushiwo ngaphambili, kunethonya lezakhi zofuzo.

Yiziphi izinkinga ezingavela kulokhu?

Ukuvuka Okungajwayelekile kungabangela ukuthi ube nobunzima emini . Lokhu kufana nalokho okwenzekayo uma ungalali ngokwanele (ukungalali ngokwanele). Ucwaningo luqinisekisile lokhu. Bheka lezi zinto:

• Ukulala emini : Ukuzizwa ulele ngaso sonke isikhathi ngenkathi usebenza noma ufunda.
• Ukuntuleka kokuqapha : Ukungakwazi ukugxila kahle kulokho okwenzayo.
• Izikhathi zokusabela kancane : Ukungakwazi ukuphendula ngokushesha entweni ethile.
• Ubunzima bokusebenza emsebenzini noma esikoleni : Ubunzima bokukhumbula, ukungakwazi ukuqeda imisebenzi kahle.

Cabanga ukuthi kuyacasula kangakanani ukuzizwa ukhathele usuku lonke ngoba awukwazi ukulala kahle ebusuku. Lokhu kuyinto efanayo.

Ingabe ukuvuka kokudideka kuyingozi?

Ngokuvamile, lesi simo, esibizwa ngokuthi i-Confusional Arousals, asiyona ingozi kakhulu . Akuvamile ukubangela amaphupho noma okuhlangenwe nakho okwesabekayo. Futhi, akuvamile ukuthi uvuke embhedeni uhambe phakathi nalesi sikhathi. Kodwa-ke, ngezinye izikhathi ungase uwe embhedeni.Kungenzeka, noma into efana nengilazi yamanzi etafuleni eliseceleni kombhede ingaguqa . Ngakho-ke amathuba engozi encane awanakwenzeka nhlobo. Kungcono ukuqaphela, ikakhulukazi uma unengane encane.

Kuhlonzwa kanjani ukuvuka kokudideka?

Uma ucabanga ukuthi unale nkinga, kungcono ukubona udokotela . Udokotela uzokuxilonga futhi, uma kudingeka, enze izivivinyo zokuxilonga isimo. Udokotela uvame ukwenza okulandelayo:

• Uzobuzwa ngomlando wakho wezokwelapha ophelele kanye nomlando wakho wezokwelapha womndeni wakho .
• Buza ngezimpawu zakho.
• Buza ngemikhuba yakho yokulala kanye nesimiso (isib., ukuthi uyolala nini, uvuka nini, ukuthi uvuka kangaki ebusuku).
• Bhala phansi ukuthi imiphi imithi oyiphuzayo njengamanje .

Ngaphezu kwalokho, udokotela wakho angakucela ukuthi ugcine idayari yokulala . Lokhu kusho ukubhala phansi nsuku zonke isikhathi olala ngaso, isikhathi ovuka ngaso, nokuthi ngabe ube nezinkinga zokulala, futhi uma kunjalo, kanjani. Uma ungumntwana omncane, lokhu kufanele kwenziwe ngabazali. Uma ungumuntu omdala, kufanele ucele umuntu olala naye ukuthi abone ukuthi kukhona yini okungajwayelekile okwenzekile ebusuku. Ngoba ungase ungakukhumbuli.

Ngezinye izikhathi, udokotela wakho angase futhi acele isifundo sokulala (noma i-polysomnography) ukuhlola ezinye izimo ezinezimpawu ezifanayo. Lokhu kuhilela ukuchitha ubusuku bonke esikhungweni sokulala, lapho umsebenzi wobuchopho bakho, ukuphefumula, kanye nokushaya kwenhliziyo kubhekwa khona ngenkathi ulele. Ngezinye izikhathi, ukuqoshwa kokulala ekhaya kungasiza udokotela wakho ukuthi athole ukuxilongwa.

Yiziphi izindlela zokwelapha lokhu? (Uziphatha kanjani izivunguvungu zokudideka?)

Into ebaluleke kakhulu lapho welapha ukuvuka kokudideka ukugcina inhlanzeko yokulala enhle . Okusho ukuthi, ukuthuthukisa imikhuba emihle edingekayo ukuze ulale kahle. Cabanga ngalezi zinto:

• Ukuthulula isinye sakho ngaphambi kokulala.
• Gwema ukudla ebusuku kakhulu.
• Ukugwema utshwala ne-caffeine (njengetiye nekhofi) sekwephuzile.
• Uma unezinye izinkinga zokulala, njenge-sleep apnea, funa ukwelashwa kwazo.
• Ukulawula ukucindezeleka. Ngezinye izikhathi izinto ezifana nokuzindla kanye ne-yoga zingasiza.
• Hlela isimiso sokulala esivamile.Kubaluleke kakhulu ukujwayela ukulala nokuvuka ngesikhathi esifanayo nsuku zonke.

Ukushintsha le mikhuba akulula, ikakhulukazi uma uhlelo lwakho oluthandayo lwe-TV ludlala ebusuku kakhulu noma uthanda ukulala kuze kube sebusuku kakhulu ngezimpelasonto. Kodwa ungazami ukushintsha konke ngesikhathi esisodwa . Khetha umkhuba owodwa bese uwuzama izinsuku ezimbalwa. Uma usujwayele, engeza omunye.

Udokotela wakho uzobuyekeza umlando wakho wezokwelapha bese ezama ukuthola ukuthi yini ebangela lezi zimpawu. Ngezinye izikhathi, izinkinga zakho zokulala zingase zithuthuke uma welapha isimo esiyisisekelo noma ushintsha imithi oyiphuzayo. Uma udokotela wakho esola ukuthi izimpawu zakho zibangelwa imithi oyiphuzayo njengamanje, uzokwenza izinguquko kuleyo mithi.

Imithi Yokuvusa Inkanuko Yokudideka

Ukuvuka kokudideka akuvamile ukwelashwa ngemithi ekuqaleni . Kodwa-ke, uma izinguquko zempilo yokulala okukhulunywe ngazo kanye nokwelashwa kwezimo eziyisisekelo kungasizi, udokotela wakho angase ancome imithi efana naleyo esetshenziselwa ama-parasomnia e-NREM:

• Ama-Benzodiazepine
• Imithi yokucindezeleka

Kodwa ngenxa yokuthi le mithi ingabangela imiphumela emibi, udokotela wakho uzoqapha ngokucophelela ukuthi ikuthinta kanjani.

Yini engingayilindela uma ngiba nokudideka?

(I-Confusional Arousals) ingaphazamisa ubuthongo bakho futhi ibangele izimpawu ezifana nokukhathala emini. Nakuba lesi simo sivame ukuncipha njengoba ukhula , singabangelwa yizici ezahlukene empilweni yakho yonke. Njengoba ungase ungakhumbuli into efana nale ikwehlela, kuzodingeka othile akutshele ngayo.

Udokotela angakweluleka ngezindlela ezingcono kakhulu zokuthuthukisa inhlanzeko yakho yokulala, ukuphatha izimo eziyisisekelo, noma ukukunikeza imithi yokukusiza ulale kahle ebusuku.

Ingabe lesi simo singavinjelwa? (Ingabe ukuvuka kokudideka kungavinjelwa?)

Ayikho indlela eqinisekile yokuvimbela ngokuphelele i-Confusing Arousals. Kodwa-ke, ungenza okulandelayo ukuze unciphise ingozi yakho:

• Thuthukisa inhlanzeko yakho yokulala.
• Faka ifoni yakho ku-"ungaphazamisi" noma "imodi yokulala." Lokhu kuzokuvimbela ukuthi ungavuswa ucingo noma umlayezo wombhalo ebusuku.
• Lawula noma yiziphi izimo zezokwelapha eziyisisekelo.
• Gcina indawo yakho yokulala iphephile. Ungabi sengozini uma uvuka ngokuzumayo. Isibonelo, gcina inkomishi yepulasitiki eduze kombhede wakho esikhundleni senkomishi yengilazi.
• Nciphisa ukucindezeleka kanye/noma ukhulume nochwepheshe wezempilo yengqondo .

Kufanele ngimbone nini umhlinzeki wezempilo?

Uma uzizwa sengathi awukwazi ukulala kahle ebusuku, noma uma othile olala naye ekutshela ngokuziphatha kwakho okungajwayelekile ebusuku , bona udokotela. Udokotela angakusiza ukuthola ukuthi yini ebangela izimpawu zakho. Kubalulekile ukufuna iseluleko sezokwelapha, ikakhulukazi uma lezi zimpawu zenzeka njalo, zithinta imisebenzi yakho yansuku zonke, noma zikwenza uziphathe ngendlela engaba yingozi kuwe noma kwabanye.

Yimiphi imibuzo okufanele ngiyibuze umhlinzeki wami wezempilo?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Ingabe nginayo (i-Confusional Arousals) noma enye inkinga yokulala?
• Ingabe ngidinga ukuhlanganyela ocwaningweni lokulala?
• Yiluphi ulwazi okufanele ngilufake kudayari yami yokulala?
• Yiziphi izinguquko ozincomayo endleleni yami yokulala kanye nendlela engisebenza ngayo?
• Ingabe lokhu kudinga imithi? Uma kunjalo, yimiphi imiphumela emibi?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Lesi simo, esibizwa ngokuthi i-Confusional Arousals, singamphazamisa kancane umuntu obhekene naso. Ngisho noma umuntu omthandayo ebonakala ephapheme, wenza ngendlela exakile, bese ephindela ebuthongweni, bese ekuseni, enza sengathi akwenzekanga lutho.

Uzothola ukuthi unesifo sokucasuka esibangelwa ngomunye umuntu . Kodwa-ke, ungase uzizwe ulele futhi ukhathele emini, futhi ungase uzibuze ukuthi kungani ngingalali kahle ebusuku.

Into ebaluleke kakhulu ukuthi, ungesabi ngalokhu. Lesi yisimo esingenzeka kubantu abaningi. Singalawulwa ngeseluleko esifanele sezokwelapha kanye, uma kudingeka, nokwelashwa.

Udokotela wakho angakusiza ukuthi uthole ukuthi yini ebangela lokhu (i-Confusional Arousals). Angakunikeza neseluleko noma ukwelashwa okuzosiza umzimba wakho uthole ukuphumula okudingayo. Ngakho-ke, uma unokungabaza ngalokhu, ungangabazi ukukhuluma nodokotela.

ukuvuka kokudideka, ukuphazamiseka kokulala, ukudakwa kokulala, ukulala kwe-NREM, i-parasomnia, izinkinga zokulala