Ingabe nawe uvuka ebuthongweni bakho ebusuku? Ake sifunde ngale nkinga yokwesaba (i-Nocturnal Panic Attack)!

Ingabe ngezinye izikhathi uvuka ebuthongweni obukhulu uzizwa unesiyezi, ujulukile, futhi uphelelwa umoya? Uma uvuka uqalile, njengokungathi ukhathazekile, ungase ubhekane nesimo esibizwa ngokuthi 'ukwesaba ebusuku'. Namuhla, sizoxoxa ngokuthi kuyini ngempela, ukuthi kungani kwenzeka, nokuthi yini esingayenza ngakho. Ungakhathazeki, lena yinkinga abantu abaningi abanayo.

Kuyini Ukuhlaselwa Kwe-Panic Kwasebusuku?

Kalula nje, ukuhlaselwa uvalo ebusuku ukwesaba okungazelelwe, okukhulu okukuvusayo ngenkathi ulele. Uvuka ngokuzumayo unomuzwa wokwesaba nokwesaba. Ngesikhathi esifanayo, uqala ukuzwa izinto ezahlukene emzimbeni wakho. Isibonelo, inhliziyo yakho ingase ishaye ngokushesha, ujuluke kakhulu, ungaba nobunzima bokuphefumula , futhi ungase uzizwe sengathi uyacinana. Lokhu kungaba yinto engathandeki kakhulu.

Sivame kangakanani lesi simo?

Lokhu kuvame kakhulu kunalokho ongakucabanga. Ngokusho kocwaningo, ngisho nasezweni elifana neMelika, inani elikhulu labantu libhekana nokuhlaselwa uvalo okungenani kanye ngonyaka. Futhi, kuthiwa cishe abantu abayisikhombisa kwabayishumi abanesimo esibizwa ngokuthi i-panic disorder , esibangela ukuthi lokhu kuhlaselwa uvalo kwenzeke njalo, nabo babhekana nalokhu kuhlaselwa uvalo ebusuku. Ngakho-ke, uma lokhu kwenzeka kuwe, khumbula ukuthi awuwedwa.

Uyini umehluko phakathi kokwesaba ebusuku kanye nokwesaba ukulala?

Manje abanye abantu bangase bacabange, 'O, ingabe lokhu kumayelana nalezo zingane ezincane ezikhala ngokwesaba ebusuku?' Kunomehluko omkhulu phakathi kwalokho nalokhu. Lokho esikubiza ngokuthi 'ukwesaba ebusuku' kulezo zingane ezincane. Lokho futhi kuyinkinga ehlobene nokulala, futhi ngokwezokwelapha, iwela ngaphansi kwesigaba 'se-parasomnias.'

Ukwesaba ebusuku kungabonisa nezimpawu ezifana nezokuhlaselwa uvalo. Kodwa-ke, umehluko omkhulu ukuqaphela .

• Umuntu onesifo sokwesaba ebusuku empeleni ulele. Akaqapheli ukuthi kwenzekani kuye. Angase abonakale evule amehlo, ekhala, noma ephuma embhedeni. Kodwa ulele. Kunzima ukumvusa, futhi akukhuthazwa ukumvusa. Lapho umcimbi usuphelile, ubuyela ebuthongweni. Lapho evuka ekuseni, angase angakhumbuli lutho. Ukwesaba ebusuku kuvame kakhulu ezinganeni ezincane, kodwa kungavela nakubantu abadala.
• Kodwa-ke, ekuhlaselweni kovalo ebusuku (`Nocturnal Panic Attack`), uvuswa ebuthongweni. Uyazi kahle ukwesaba kwakho nezinye izimpawu. Kungathatha isikhathi eside ukulala futhi. Lokhu `Nocturnal Panic Attacks` kuthinta kakhulu intsha kanye nabantu asebekhulile.

Kungani lokhu kwenzeka ebusuku? Yiziphi izizathu?

Asikho isizathu esiqondile sokuthi kungani abanye abantu beba nokwesaba ebusuku. Ososayensi bacabanga ukuthi ubuchopho bethu kanye nesimiso sezinzwa ngandlela thileQonda ukuthi ukwesaba nokukhathazeka kuthonywa indlela osabela ngayo kukho. Ngokuvamile, ukuhlaselwa uvalo emini kwenzeka lapho kungekho lutho okufanele ulwesabe, kodwa ubuchopho buwufunde kabi umyalezo. Ngokufanayo, lokhu kuhlaselwa uvalo ebusuku akubangelwa yinoma iyiphi imbangela yangaphandle ngaleso sikhathi. Kuvele kwenzeke ngokuzumayo.

Ubani osengozini enkulu?

Uma uhlaselwa uvalo emini, kungenzeka kakhulu ukuthi ube nalo ebusuku. Ngaphezu kwalokho, abantu abanezimo ezilandelayo batholakale besengozini enkulu:

• Uma unezinkinga ngentukuthelo evame ukwenzeka kanye nokuziphatha okunolaka.
• Isifo sokukhathazeka, okungukuthi , izimo ezihlobene nokukhathazeka .
• Ukucindezeleka kuyisimo sengqondo.
• Izinkinga zokulala (ukungalali) noma i-sleep apnea, isimo esibangela izinkinga zokuphefumula ngesikhathi sokulala.
• Isifo Sokucindezeleka Okungapheli (OCD) yisimo lapho uhlala ucabanga ngezinto ezingafuneki futhi uzizwe unesidingo sokuzenza.
• Ukuluthwa yizidakamizwa, ukusebenzisa kabi utshwala (kufaka phakathi `Izinkinga zokusebenzisa izidakamizwa`, `izinkinga zokusebenzisa utshwala`).

Ziyini izimpawu zalokhu?

Ukwesaba ebusuku kufana nokwesaba kwasemini ngoba kubangela izimpawu ezifanayo. Kodwa-ke, ucwaningo lubonisa ukuthi abantu ababhekana nakho ebusuku bangase babe nokuphefumula okufushane kakhulu. Bangase babe nobunzima bokuphefumula, bazizwe sengathi bayacinana, noma bazizwe sengathi bahlaselwa yinhliziyo.

Nazi ezinye zezimpawu ezivamile zokwesaba ebusuku:

• Ubuhlungu besifuba noma ukuqina, ukuqina.
• Ukuzizwa ubanda futhi uthuthumela.
• Ukuzwa ukwesaba noma ukwesaba okungabekezeleleki.
• Ukuzizwa unesicanucanu, ukungakhululeki esiswini.
• Ukujuluka ngokweqile (ngezinye izikhathi odokotela bakubiza ngokuthi 'i-hyperhidrosis').
• Inhliziyo ishaya ngamandla (njengokungathi izogxuma iphume esifubeni sakho).
• Iminwe nezinzwane zizwakala zingaqinile, noma sengathi aziqinile ngokuphelele.
• Umzimba wami wonke uyathuthumela futhi uyashaya.

Lesi simo sizohlala isikhathi esingakanani?

Izindaba ezinhle ukuthi lokhu akwenzeki njalo. Lezi zimpawu zivame ukuqeda isikhathi esingaphansi kwemizuzu eyi-10 bese ziphela kancane kancane. Kodwa-ke, kungathatha isikhathi ukulala futhi. Ngoba akulula ukulala ngokushesha ngenxa yokwesaba okwavela ngaleso sikhathi.

Ukubona kanjani lokhu ngqo?

Uma ubona udokotela, uzoqala ahlole ukuthi zikhona yini ezinye izimo zomzimba ezibangela lezi zimpawu. Isibonelo, isifo senhliziyo noma isifo se-thyroid.Lezi zimpawu zingabangelwa nayizinto ezinjengalezi: Ngakho-ke, ezinye izivivinyo zingenziwa ukuze kususwe ukuthi azikho. Uma kungatholakali imbangela ebonakalayo, udokotela wakho cishe uzokuthola ukuthi une-'Nocturnal Panic Attack' ngokusekelwe ezimpawini zakho kanye nezici eziyingozi onazo.

Ungakwazi yini ukuvimba ukuhlaselwa uvalo uma kufika?

Iqiniso liwukuthi, uma ukuhlaselwa uvalo kuqala, kunzima ukukuyeka ngokuphelele. Esikhathini esiningi, okudingeka ukwenze nje ukulinda kuze kube yilapho izimpawu ziphela. Kodwa-ke, abanye abantu banganciphisa ubunzima besimo ngokwenza izinto ezifana nokuzivocavoca okujulile, okulawulwayo noma ukuphumula kwemisipha . Futhi, udokotela angakunikeza imithi ethile ukusiza ukunciphisa izimpawu zakho.

Kuphathwa kanjani lokhu? Kuphathwa kanjani?

Uma ucabanga ngendlela yokwelapha nokuphatha lesi simo, udokotela wakho angase ancome inhlanganisela yemithi kanye nokwelashwa . Lokhu kuyindlela efanayo yokwelapha esetshenziswa ekuhlaselweni uvalo emini.

• Imithi yokucindezeleka kanye nemithi yokuvimbela ukukhathazeka : Le mithi inganciphisa ukuvama kanye nobukhali bokuhlaselwa uvalo. Ingasiza ngisho nasekuqedeni lesi simo ngokuphelele. Kodwa-ke, le mithi ingathatha amasonto ayisithupha kuya kwayisishiyagalombili ukuthi isebenze kahle. Udinga ukubekezela.
• Ama-Benzodiazepines : Lolu hlobo lwemithi (isib. i-alprazolam (Xanax™), i-clonazepam (Klonopin™)) lungaqeda ngokushesha izimpawu ezinzima. Kodwa-ke, njengoba le mithi ingaba umlutha , kufanele isetshenziswe isikhathi esifushane kuphela, ngaphansi kokuqashwa ngudokotela. Ngokuhamba kwesikhathi, umzimba ungathuthukisa ukubekezelelana ngokomzimba nomuthi, okungenza kube nzima ukuyeka ukuwuthatha.
• Ama-Beta-blocker : Isibonelo, imithi efana ne-propranolol (Inderal™). Lokhu kunganciphisa izimpawu zomzimba zokuhlaselwa uvalo (njengokushaya kwenhliziyo nokuthuthumela). Udokotela wakho angase akunike le mithi uma uzizwa sengathi uhlaselwa uvalo.
• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT) : Lolu uhlobo lwe-psychotherapy (olwaziwa nangokuthi ukwelashwa kokukhuluma). Uhlangana nomeluleki noma udokotela wezifo zengqondo oqeqeshiwe, ozokusiza ukuthi ubone imicabango nokuziphatha (izisusa) okubangela ukwesaba kwakho. Nge-CBT, ufunda ukushintsha leyo micabango nokuziphatha futhi ubhekane kangcono nenkinga. Ngokuhamba kwesikhathi, ukwesaba kwakho kungase kunciphe, noma kuphele ngokuphelele.

Yiziphi ezinye izinkinga lokhu okungazibangela?

Ukuvuka ebusuku kanjena kuyisithiyo esikhulu ekulaleni kwakho okuhle.Ukwesaba ukuthi 'Ingabe kuzophinde kwenzeke futhi namuhla ebusuku?' kungakwenza uhlale uphapheme noma uphathwe yisifo sokungalali.

Ukungalali ngokwanele kungathinta impilo yakho ngezindlela eziningi. Isibonelo:

• Ukukhathazeka nokucindezeleka kunganda.
• Kungaba nzima ukugxila nokukhumbula izinto.
• Ukucindezeleka nokucasuka kunganda.
• Ukuvama kokuhlaselwa uvalo kunganda nasemini.
• Kungase kube nobuthakathaka ekusebenzeni emsebenzini noma esikoleni .
• Kukhona futhi ithuba lokukhula kwesisindo .

Lokhu akunakuvinjelwa?

Nakuba kungenakuvinjelwa ngokuphelele, kunezinto eziningana esingazenza ukuze sinciphise ingozi:

• Yidla ukudla okunempilo . Nciphisa iziphuzo ezine-caffeine (njengekhofi netiye elinamandla) , ikakhulukazi kusihlwa. Vivinya umzimba njalo .
• Thola izindlela zokulawula ukucindezeleka, njengokuzindla , i-tai chi , ukuvivinya umzimba ngokuphefumula, noma ukukhuluma nomngane.
• Uma uthatha izithasiselo zamakhambi noma imithi etholakala ngaphandle kwemithi kadokotela, khuluma nodokotela wakho kuqala, ngoba eminye yale mithi ingandisa ukukhathazeka.

Ngakho-ke, ingabe lokhu kungelapheka?

Yebo, lezi yizindaba ezinhle kakhulu! Lolu valo lungelapheka . Abantu abaningi bathola impumuzo ebalulekile ezimpawini zabo ngokwelulekwa nangemithi. Uma usukwazi ukulawula ukuhlaselwa kwakho uvalo emini, ukuvama kanye nobukhali bokuhlaselwa kwakho uvalo ebusuku kufanele kwehle.

Kufanele ngimbone nini udokotela?

Uma unezinye zalezi zinto, ungalibali ukubona udokotela:

• Uma uvame ukubhekana nobunzima bokuphefumula .
• Uma unesifo sesifuba (lokhu kungaba uphawu lwesinye isifo senhliziyo, ngakho-ke kufanele ubonane nodokotela ngokushesha).
• Uma kunzima kakhulu ukugxila .
• Uma unesicasulo esingabekezeleleki.
• Uma ukuqwasha kuqhubeka.
• Uma ukuhlaselwa uvalo kuthatha imizuzu engaphezu kwengu-15 .
• Uma ukhathazekile njalo okuphazamisa imisebenzi yansuku zonke kanye nokulala.
• Uma unezimpawu ezifana nokukhonkotha okukhulu kanye nokuphelelwa umoya ngesikhathi ulele (lezi kungaba izimpawu ze-'Sleep Apnea').

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungesabi ukubuza noma yimiphi imibuzo onayo. Isibonelo:

• 'Kungani, Dokotela/Nkosazana, ngiba nala maphupho amabi ebusuku?'
• 'Yiluphi ukwelashwa okungcono kakhulu kwalezi zimo zokwesaba ebusuku?'
• 'Kuzothatha isikhathi esingakanani ukuthi ngenze ukwelashwa?'
• 'Ngizothatha umuthi isikhathi esingakanani? Iyini imiphumela emibi?'
• 'Ingabe ngidinga ukuqaphela ezinye izinkinga ezingase zivele ngenxa yalesi simo?'

Uma ungaqiniseki ukuthi unalezi zinto ezesabekayo zasebusuku, ungabi namahloni okukhuluma nodokotela wakho ngazo. Bangakusiza ukuthola imbangela futhi bakunikeze izindlela zokwelapha ezingakusiza. Khumbula, uma ungakwazi ukuvimbela ezesabekayo zasemini, uzobe usesimweni esingcono sokugwema ezesabekayo zasebusuku.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule?

Ukuhlaselwa uvalo ebusuku kuyinto eyesabekayo, kodwa akuyona into okufanele uyibhekane wedwa . Yisimo esingathinta abantu abaningi.

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha esifanele uma unalezi zimpawu. Ungabi namahloni noma wesabe. Ngokwelashwa okufanele kanye nokwelulekwa, lesi simo singalawulwa kahle, futhi mhlawumbe siphulukiswe ngokuphelele. Impilo yakho yengqondo ibaluleke njengempilo yakho yomzimba. Ngakho-ke yinakekele. Ngikufisela ukululama okusheshayo!

Ukuhlaselwa Uvalo Lwasebusuku , ukuhlaselwa uvalo, ubuthongo, ukukhathazeka, ukwesaba, ukwesaba ebusuku, ukwelashwa, izimpawu, impilo yengqondo, ubunzima bokuphefumula,