Ingabe nawe uhlushwa ukungakwazi ukulala ngenxa yamaphupho amabi? Ake sifunde konke mayelana ne-Nightmare Disorder!

Cabanga nje, ulele kahle. Ngokungazelelwe uvuka ujulukile, isifuba sakho sigubha. Uphuphe iphupho elesabekayo kakhulu. Kusazwakala sengathi ujikeleza ekhanda lakho. Kulungile usuku olulodwa noma ezimbili, kodwa uma uqhubeka namaphupho amabi kanje, usuku lwakho lonke lungaba yinkathazo. Mhlawumbe nawe unalesi simo esibizwa ngokuthi "i-Nightmare Disorder" . Ingabe singaxoxa ngalokhu ngokuningiliziwe namuhla?

Iyini le "Nhlekelele Ebuhlungu"?

Kalula nje, "I-Nightmare Disorder" ukuvela kwamaphupho avamile, acacile kakhulu, nathusayo. La maphupho akubangela ukucindezeleka okukhulu noma akuvimbele ekwenzeni imisebenzi yakho yansuku zonke ngendlela efanele. Lokhu futhi uhlobo lokuziphatha okungajwayelekile okwenzeka ngesikhathi sokulala, esikubiza ngokuthi "i-Parasomnias" .

Ubunzima balesi simo bungahlukahluka, kuye ngokuthi uphupha kangaki lawa maphupho:

• Okuncane: Ngaphansi kwesisodwa ngesonto.
• Okulingene: Kanye ngesonto noma ngaphezulu, kodwa hhayi njalo ebusuku.
• Okubi kakhulu: Ngiphupha amaphupho amabi njalo ebusuku.

Futhi, ukuthi sekuphele isikhathi esingakanani ikhona nakho kuthinta:

• Isikhathi esifushane `(Isifo esibi kakhulu)`: Sihlala inyanga noma ngaphansi.
• Isifo esimaphakathi sesikhathi esifushane (i-Subacute nightmare disorder): Sihlala okungenani inyanga, kodwa singaphansi kwezinyanga eziyisithupha.
• Isifo esibi esingamahlalakhona: sihlala izinyanga eziyisithupha noma ngaphezulu.

Iningi lala maphupho amabi lenzeka phakathi nengxenye yesibili yokulala, okubizwa ngokuthi ukulala kwe-REM (rapid eye movement) . Into ekhethekile nge-nightmare disorder ukuthi ukhumbula kahle iphupho lapho uvuka. Lokhu kuhlukile ezintweni ezibangela ukwesaba ukulala. Lesi simo singaphazamisa kakhulu ubuthongo bakho futhi singathinta ikhwalithi yempilo yakho. Singenza futhi sibe sibi kakhulu isimo sempilo yengqondo, njengokucindezeleka noma ukukhathazeka.

Ubani othinteka kakhulu yilesi simo?

Lesi "Sifo Sokuphazamiseka Kwamaphupho Amabi" singakhula kunoma ubani, kusukela ezinganeni ezincane kuya kubantu abadala.

Kodwa-ke, abanye abantu banamathuba amaningi okuba nayo, ikakhulukazi uma unezinye zezimo ezilandelayo:

• Isifo sokuziphatha se-REM (RBD)
• I-Narcolepsy
• Ukuphefumula komoya ngesikhathi sokulala
• Isifo sokunyakaza kwezitho ngezikhathi ezithile (i-PLMD)
• Isifo sokucindezeleka ngemva kokucindezeleka (PTSD)
• Isifo sokukhathazeka esijwayelekile
• Isifo sokukhathazeka komphakathi
• Ukucindezeleka

Ubuwazi ukuthi abantu abanesifo sokukhathazeka komphakathi noma isifo sokukhathazeka okujwayelekile banamathuba aphindwe kathathu okuthola isifo samaphupho amabi? Futhi, lesi simo sithinta abantu abaphakathi kuka -50% no-90% abane-PTSD.

Sivame kangakanani lesi simo?

Nakuba kungekho zibalo eziqondile eSri Lanka, kuthiwa phakathi kuka -2% no-8% wabantu abaningi ezweni elifana neMelika banalesi "Sifo Sokuphazamiseka Kwengqondo." Lokho akuyona into engavamile njengoba ungase ucabange.

Yiziphi izimpawu ze-"Nightmare Disorder"?

Uphawu oluyinhloko amaphupho amabi avame ukuba khona . Nakuba kujwayelekile ukuba namaphupho amabi ngezikhathi ezithile, uma uwathola njalo futhi ephazamisa imisebenzi yakho yansuku zonke, ungase ube ne-"Nightmare Disorder".

Izindikimba ezivamile kulezi ziphupho ezimbi yilezi:

• Impilo yakho isengozini .
• Kulimaza inhlalakahle yakho engokomzimba .
• Usongo ekuphepheni kwakho .

Cabanga nje, othile uyakusukela, uwela endaweni ephakeme, noma usesimweni esinzima kakhulu. Lawa amaphupho avela kaningi.

Uma unephupho elibi, ungase ube nezimpawu zomzimba ezifana nalezi:

• Ukujuluka
• Ubunzima bokuphefumula
• Ukushaya kwenhliziyo

Imizwa eyinhloko ebangelwa amaphupho amabi ukwesaba . Kodwa-ke, kungase kuvele neminye imizwa, efana nalokhu:

• Intukuthelo
• Ukukhathazeka
• Ukuhlazeka
• Ukunengeka
• Ihlazo
• Usizi

Lezi zimpawu zomzimba kanye nemizwa zingavela ngesikhathi sephupho, lapho uvuka ephusheni, noma kamuva lapho ukhumbula iphupho.

I-Nightmare Disorder ingabangela nokuthi ubhekane nalokhu okulandelayo:

• Ukushintsha kwesimo sengqondo , isibonelo ukukhathazeka noma ukucindezeleka.
• Ukungafuni ukulala (ngokwesaba ukuphupha elinye).
• Ngikhathele kakhulu .
• Ukulala emini (i-Hypersomnia) .
• Ubunzima bokugxilisa ingqondo .
• Izinkinga zokuziphatha .
• Ukuphazamiseka komsebenzi noma ukusebenza kahle kwesikole .
• Ukuphazamiseka kobudlelwano bezenhlalo .

Ukulala kahle kubaluleke kakhulu empilweni yethu iyonke. Ngakho-ke, uma ucabanga ukuthi "unesifo sokulala ebusuku", kubaluleke kakhulu ukukhuluma nodokotela.

Kungani kwenzeka lokhu "Ukuphazamiseka Kwephupho Elibi"?

Eqinisweni, abacwaningi basacwaninga ngokulala nokuthi kusithinta kanjani. Nakuba sebethole okuningi ngokulala, amaphupho, namaphupho amabi, kusenezinto eziningi esingazazi.

Abacwaningi abazi imbangela eqondile yamaphupho amabi kanye nokuphazamiseka kwamaphupho amabi.Kodwa, banemibono ehlukene.

Enye inkolelo-mbono ukuthi lesi simo singase sibangelwe yi -hyperarousal, isimo somsebenzi oqongelela usuku lonke futhi siqhubeke kuze kube sebusuku. I-Hyperarousal yisimo sengqondo lapho uhlala ucasukile, uthukuthele, futhi usola yonke into. Lesi yisibonakaliso esivamile se-PTSD kanye nokungalali. Lokhu kucasuka okukhulu kungabangela izingxenye zobuchopho ukuba zisebenze ngokweqile ngenkathi ulele, okubangela amaphupho amabi.

Kukhona omunye umbono mayelana nomqondo "wokuphela kokwesaba." Ngaphansi kwezimo ezivamile, ubuchopho bethu buyakwazi ukuhlanganisa izinkumbulo ezesabekayo nezinto ezintsha nezingahlobene, okuvumela ukulala okuvamile namaphupho. Lokhu kubizwa ngokuthi "ukuphela kokwesaba." Ngokusho kwalo mbono "wokuphela kokwesaba okuphazamisekile", ubuchopho babantu abane-"Nightmare Disorder" buyaqhubeka nokucubungula izinkumbulo ezesabekayo ngisho nalapho belele. Ngokusho kwalo mbono, abantu abanenkinga yokulawula imizwa yabo ezimweni ezicindezelayo, futhi abasabela kabi ekucindezelekeni, bathambekele kakhulu ekuphupheni amaphupho amabi.

Ungayibona kanjani ``(Isifo Sokuphupha Okubi)``?

Akukho ukuhlolwa kwezokwelapha okuqondile okuhlonza lokhu. Kunalokho, odokotela bazobhala umlando omuhle wamaphupho akho aphuphile kanye nezinye izimpawu. Bazobuza nangomlando wakho wezempilo nengqondo.

Eminye imithi ingabangela namaphupho amabi . Ngakho-ke, udokotela wakho angase afune ukukubuza nganoma yimiphi imithi oyithathayo njengamanje, noma angayala ukuhlolwa kwemithi ukuze abone ukuthi lokho kuyimbangela yini. Imithi nezinto ezingabangela amaphupho amabi zifaka:

• Ama-Beta-blockers (uhlobo lomuthi onikezwa umfutho wegazi)
• Imithi yokucindezeleka
• I-Nicotine (evela emikhiqizweni kagwayi kanye nokubhema)

Amaphupho amabi angabangelwa nayizimpawu zokuhoxa ezenzeka lapho uyeka ngokuzumayo ukusebenzisa izinto ezinjengotshwala.

Iphathwa kanjani i-"Nightmare Disorder"?

Ukuze welaphe lokhu, udokotela wakho angase ancome inhlanganisela yezindlela zokwelapha, okuhlanganisa ukwelashwa kwengqondo ( ukwelashwa ngokukhuluma) kanye nemithi .

Izindlela zokwelapha eziyinhloko zengqondo ezisetshenziswa "kwi-Nightmare Disorder" ukwelashwa okusekelwe "ku -Cognitive Behavioral Therapy (CBT) . Okungukuthi:

• Ukwelashwa Kokuzijwayeza Izithombe (IRT)
• Ukwelashwa Kokuchayeka, Ukuphumula, Nokuhlela Udokotela (ERRT)

Imininingwane eyengeziwe mayelana nokwelashwa kwengqondo

I-American Academy of Sleep Medicine (AASM) itusa i-IRT kanye ne-ERRT njengezindlela zokwelapha eziphumelela kakhulu zesifo samaphupho amabi kubantu abadala.

Lokhu `(IRT)` kanye `(ERRT)` kuyizindlela zokwelapha ezenzelwe umuntu ngamunye. Lokhu kuhlanganisa izici eziningana:

• Ukugcina idayari yokulala (irekhodi lokulala) nokuqopha amaphethini okulala/okuvuka kwansuku zonke.
• Gcina idayari yokulala ukuze ubhale phansi ukuthi amaphupho akho amabi kangakanani nokuthi anzima kangakanani.
• Ukufunda ngohlobo lwamaphupho amabi.
• Amakhono okuqeqesha aqondisa izithombe, imicabango, kanye nemizwa ehlobene namaphupho amabi. Lokhu kunganciphisa ukuvama kanye nobukhali bamaphupho amabi.

Lezi zindlela zokwelapha ezisekelwe ku-CBT zisikisela ukuthi amaphupho amabi awusizo ekuqaleni, akusiza ukuthi ubhekane nemicimbi edlule, kodwa ngokuhamba kwesikhathi ayaphazamisa.

Lezi zindlela zokwelapha zibheka amaphupho amabi njengemikhuba noma ukuziphatha okufundiwe okungashintshwa uma kwenziwa . Uchwepheshe wezempilo yengqondo, njengososayensi wengqondo noma uchwepheshe wezokwelapha, angakusiza ukuthi ucabange kabusha amaphupho akho amabi ngendlela ehlukile, engethusi kakhulu noma engethusi kangako.

Umsebenzi wasekhaya ubaluleke kakhulu kulokhu kwelashwa. Lokho kusho ukuzijwayeza iphupho elisha elicatshangwayo nsuku zonke. Umgomo lapha "ukuhlela kabusha" amaphupho akho amabi ukuze angasabisi uma ephinde avele.

Imithi Yokwelapha `(Isifo Sokuphupha Okubi)`

Uma izindlela zokwelapha zengqondo ezishiwo ngaphambilini zingasizi, udokotela wakho angase acabangele imithi.

Kunezinhlobo eziningana zemithi engasiza nge-Nightmare Disorder ehlotshaniswa ne-PTSD. Nazi izibonelo ezimbalwa:

• `I-Olanzapine`
• `I-Risperidone`
• 'I-Aripiprazole'
• `I-Clonidine`
• `I-Cyproheptadine`
• `I-Fluvoxamine`
• `Gabapentin`
• `Nabilone`
• `Phenelzine`
• `Prazosin` (lokhu kuvame ukusetshenziswa)
• `I-Topiramate`
• `I-Trazodone`
• Ama-antidepressant e-Tricyclic

Imithi engasiza nge-Nightmare Disorder engahlobene ne-PTSD ihlanganisa:

• `I-Prazosin`
• `I-Triazolam`

Into ebaluleke kakhulu ukuthi yonke imithi ingaba nemiphumela emibi . Ngakho-ke, kubaluleke kakhulu ukukhuluma nodokotela wakho ngezinzuzo kanye nokungalungi komuthi othile, nokumbona uma uhlangabezana nemiphumela emibi.

Iyini inkomba yalesi simo?

Umbono walesi simo "se-Nightmare Disorder" ungahluka kumuntu nomuntu.

Kwabanye abantu, lokhu kungase kube ngcono ngaphandle kokwelashwa . Kodwa-ke, kwabanye, lesi simo singaqhubeka amashumi eminyaka uma singelashwa.

Ngenxa yesifo "sephupho elibi esingalapheki" esihlale isikhathi esideIngozi yokuzama nokuphinda ukuzibulala iyanda.

Ngenxa yalesi sizathu, nangenxa yokuthi ukulala kubalulekile empilweni iyonke, kubaluleke kakhulu ukufuna usizo uma ubhekana namaphupho amabi njalo.

Kufanele ngimbone nini udokotela?

Uma uphupha amaphupho amabi njalo, futhi ephazamisa izinga lempilo yakho, bona udokotela noma umeluleki wezempilo yengqondo ngokushesha .

Uma utholakale une-"Nightmare Disorder" futhi ukwelashwa kwakho kwamanje akusizi, khuluma nodokotela wakho ngezinye izindlela ongakhetha kuzo.

Ingabe amaphupho amabi ayisifo sengqondo?

Nakuba amaphupho amabi ehlotshaniswa nezimo ezithile zempilo yengqondo, njenge-PTSD, ukukhathazeka, nokucindezeleka, amaphupho amabi awabhekwa njengesifo sengqondo . Aluhlobo lokuziphatha okungajwayelekile olubizwa ngokuthi ama-parasomnia, okwenzeka ngesikhathi sokulala.

Ingabe "i-Nightmare Disorder" iyafana ne-"PTSD"?

Abantu abaningi abanesifo sokucindezeleka ngemva kokuphazamiseka kwengqondo (PTSD) nabo banesifo samaphupho amabi. Kodwa-ke, ungaba nesifo samaphupho amabi ngaphandle kwe-PTSD. Lokhu kusho ukuthi lokhu kokubili akufani.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukulala kahle ebusuku kubalulekile empilweni yethu. Kusiza imizimba yethu ukuba iphumule, ivuselele amandla, futhi izilungise. Ukuba ne-Nightmare Disorder kungaba nomthelela omkhulu kwikhwalithi yokulala kwakho kanye nekhwalithi yempilo yakho.

Kodwa, izindaba ezinhle ukuthi lesi yisimo esingelapheka . Izindlela zokwelapha ezahlukahlukene zokukhuluma kanye nemithi kungasiza. Ngakho-ke, uma amaphupho amabi ephazamisa impilo yakho, ungesabi ukubona udokotela. Awuwedwa, futhi kunezindlela zokuthola usizo.

Ama - nightmares, ubuthongo, impilo yengqondo, ubuthongo be-REM, i-PTSD, ukukhathazeka, ukwelashwa