Wake wambona umuntu endlini yakho evuka ehambahamba ebuthongweni bakhe? Noma ngokuzumayo evuka ekhala ebuthongweni bakhe? Mhlawumbe nawe uke waba nokuhlangenwe nakho okufanayo. Yiziphi lezi zinto ezingavamile ezenzeka kithi ngesikhathi silele esingazazi nhlobo? Abanye abantu bacabanga ukuthi lezi yizipoki. Kodwa kwezokwelapha, lezi zimo sizibiza ngokuthi ama-Parasomnia. Lesi yisimo esihlobene nokulala. Sikhuluma ngalokhu namuhla.
Kalula nje, ayini ama-parasomnia?
Ama-parasomnia ukuziphatha okungavamile noma okuhlangenwe nakho okwenzeka ngesikhathi sokulala, ngesikhathi sokulala, noma lapho usuzovuka. Lokhu kungenzeka ngezindlela ezahlukene.
Uma une-parasomnia, ungase ubhekane nezinto ezifana nalezi:
- Ukukhuluma ulele.
- Ukuhamba ngezinyawo ulele.
- Ngiphupha kabi.
- Uma ngivuka ebuthongweni, ngizizwa ngididekile kakhulu.
- Angikhumbuli ukuthi ngenzeni ebuthongweni bami ekuseni.
Cabanga ngalokhu: Ilungu lomndeni livuka phakathi nobusuku liye ekhishini liyofuna okuthile. Uyashayela ucingo kodwa aliphenduli. Ngisho noma amehlo alo evulekile, kubonakala sengathi alivukile. Uma libabuza ekuseni, abakhumbuli lutho. Yilokho okwenzekayo. Kwabanye, ungase ubonakale sengathi uvukile, kodwa empeleni ulele.
Indlela yokuhlukanisa ama-parasomnia ngokwezigaba zokulala
Sihlukanisa lezi zimo zibe yizigaba ezintathu eziyinhloko ngokusekelwe esigabeni sokulala ezenzeka kuso. Ukulala kwethu kunezigaba, njengezitebhisi.
| Isigaba sokulala | Incazelo elula |
|---|---|
| Ukulala okungasheshi kwamehlo (okungewona okwe-REM) | Lezi yizigaba ezintathu zokuqala zokulala. Lesi sigaba siqala ngesikhathi silala kuze kube yingxenye yokuqala yobusuku. Yilapho senza khona izinto ezifana nemisebenzi yomzimba (ukuhamba) nokukhuluma. |
| Ukulala okusheshayo kokunyakaza kwamehlo (REM) | Lokhu kuza ngemva kwezigaba ezintathu ezingezona eze-REM. Phakathi nalesi sikhathi, amehlo ahamba ngokushesha ngaphansi kwamehlo. Isilinganiso senhliziyo, ukuphefumula, kanye nomfutho wegazi kuyakhuphuka. Siphupha ngokusobala phakathi nalesi sigaba. Izinkinga ezihlobene nalokhu zenzeka ebusuku kakhulu. |
| Okunye | Lokhu kufaka phakathi ezinye izinhlobo ze-parasomnias ezingafaneleki kahle kunoma yiziphi zezigaba ezingenhla. |
Manje ake sibheke ukuthi yiziphi izimo eziwela ngaphansi kwalezi zigaba ngokwehlukana.
Izinhlobo ze-parasomnias ezenzeka ngesikhathi sokulala okungeyona i-REM
Lokhu kuvame ukuhlotshaniswa nomsebenzi womzimba.
| Igama lesimo | Kwenzekani? |
|---|---|
| Ukwesaba kokulala | Yilapho uvuka ngokuzumayo unokwesaba okukhulu okungazelelwe. Ungase ukhale noma ukhale ngokwesaba. Lokhu kuvame ukuhlala cishe imizuzwana engama-30, kodwa ngezinye izikhathi kungahlala imizuzu eminingana. Ungase futhi ube nezimpawu ezifana nokushaya kwenhliziyo okusheshayo, ukuvuleka kwamehlo , ukuphefumula okusheshayo, kanye nokujuluka. |
| Ukuhamba ngezinyawo/Somnambulism | Lokhu kuyinto abantu abaningi abaye bezwa ngayo. Uvuka embhedeni, uhambahamba amehlo akho evulekile, kodwa usalele. Ngezinye izikhathi ungenza izinto eziyinkimbinkimbi njengokushayela imoto, ukudlala insimbi yomculo, njll. Ungenza nezinto obungeke uzenze ngokuvamile, njengokuchama endaweni lapho kungekho khona indlu yangasese. |
| Ukuvuka kokudideka | Kulokhu, uma uvuka ebuthongweni, udidekile kakhulu futhi awuqondi ukuthi kwenzekani. Ungase uhlale embhedeni amehlo akho evulekile. Ungase futhi uveze imizwa efana nokukhala. Uma ukhuluma, ukhuluma kancane kakhulu futhi awuqondi ukuthi abanye bathini. Lokhu kungahlala kusukela emizuzwini embalwa kuya emahoreni. Lokhu kuvamile ezinganeni ezincane futhi kuncipha ngokweminyaka. |
Izinhlobo ze-parasomnia ezenzeka ngesikhathi sokulala kwe-REM
Lokhu kuvame ukuhlotshaniswa namaphupho esiwabonayo.
| Igama lesimo | Kwenzekani? |
|---|---|
| Isiphithiphithi esibi | Leli iphupho elicacile kakhulu, elesabekayo, nelibangela ukukhathazeka. Uma uvuka phakathi naleli phupho, ungase ukwazi ukuchaza iphupho ngokuningiliziwe. Kungaba nzima ukubuyela ebuthongweni. |
| Ukukhubazeka kokulala okungavamile okuphindaphindiwe | Lokhu kuyinto abantu abaningi ababhekana nayo. Uvuka ebuthongweni, kodwa awukwazi ukunyakaza. Kuzwakala sengathi umzimba wakho wonke uqandisiwe. Lokhu kuvame ukwenzeka ngaphambi kokuba ulale noma uma uvuka, lapho imisipha yakho ikhululekile. Kungathatha imizuzwana embalwa kuya kwemizuzu embalwa. Kuyinto eyesabekayo kakhulu. Ungaphuma kulesi simo uma othile ekhuluma nawe noma ekuthinta. |
| Isifo sokuziphatha kokulala kwe-REM (RSBD) | Yilapho-ke empeleni ulingisa iphupho elinobudlova ngenxa yalo. Uma uphupha ulwa nothile, ungase uklabalase, uthuke, uhleke, umkhahlele, noma umbambe. Lokhu kuvame kakhulu kubantu abadala kanye nabantu abanezimo zezinzwa ezifana nesifo sikaParkinson. |
Ezinye izinhlobo ze-parasomnias
Lokhu akuhambisani kahle nanoma yisiphi salezi zigaba ezingenhla.
- Ukuchama Kokulala / Ukuchama Embhedeni: Lokhu kubhekwa njengesifo uma umuntu echama ngesikhathi elele okungenani kabili ngesonto izinyanga ezintathu ngemva kweminyaka emi-5.
- Ukububula okuhlobene nokulala/i-Catathrenia: Imisindo yokububula noma yokububula okuqhubekayo ngesikhathi sokulala.
- I-Exploding head syndrome: Uma ulala noma uvuka, ungase uzwe umsindo omkhulu ngaphakathi kwekhanda lakho . Ungase ubone nokukhanya futhi uzizwe sengathi umzimba wakho uyathuthumela.
- Ukuphupha okuhlobene nokulala: Ukubona, ukuzwa, noma ukuzizwa izinto ezingekho lapho ulele noma uvuka.
- Isifo sokudla esihlobene nokulala: Lokhu kwenzeka lapho uvuka ebuthongweni bakho bese udla noma uphuza. Ungase udle nezinto ongeke uzidle uvukile (njengenyama eluhlaza noma ucezu lwebhotela). Lokhu kungaba yingozi , njengoba ungase udle izinto ezinobuthi, uziklinye, noma uzishise ngenkathi ulungisa ukudla.
- I-Sexsomnia: Ukuzibandakanya emisebenzini yocansi ngesikhathi sokulala . Lokhu kungafaka phakathi ukushaya indlwabu, ucansi, noma ukuthinta umuntu osembhedeni.
Yini engabangela i-parasomnias?
Akunakuba nesizathu esisodwa salokhu. Kungaba nezizathu eziningi.
Kalula nje, noma yini ephazamisa ubuthongo bakho ingaba imbangela.
Nazi ezinye zezizathu eziyinhloko:
- Ukulala okungajwayelekile: Amaphethini okulala ayaphazamiseka ngenxa yomsebenzi weshifti kanye nokuhamba phakathi kwamazwe (i-jet lag).
- Amathonya ezakhi zofuzo: Uma othile emndenini wakho enalesi simo, nawe unamathuba amaningi okusithola.
- Imithi ethile: Ama-antibiotic athile, ama-antidepressants, kanye nemithi yomfutho wegazi ophakeme kungabangela ushintsho ezindleleni zokulala.
- Ezinye izimo zezokwelapha:
- Ubuhlungu obungapheli
- Ukuphefumula kobuthongo okuvimbelayo
- I-syndrome yemilenze engapheli
- Izinkinga zengqondo ezifana nokucindezeleka, ukucindezeleka, nokukhathazeka.
- Izifo ze-neurological ezifana nesifo sikaParkinson.
- Ezinye izimbangela: ukusebenzisa utshwala noma izidakamizwa, umkhuhlane, ukungakwazi ukulala kahle, kanye nokucindezeleka.
Ungasibona kanjani lesi simo?
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela wakho. Ngokuvamile, uchwepheshe wezokulala (somnologist) uzokudlulisela ukuze ahlolwe kabanzi.
Udokotela uzokwenza lezi zinto:
1.Ukubuza wena nomndeni wakho ngemikhuba yenu yokulala: Uzobuzwa ngemikhuba yenu yokulala ngumlingani wakho noma amalungu omndeni, njengoba ungase ungazikhumbuli lezi zinto.
2. Umlando wezokwelapha: Uzobuzwa ngemithi oyiphuzayo, umlando wezokwelapha womndeni, kanye nokusetshenziswa kotshwala.
3. Gcina idayari yokulala: Cishe isonto elilodwa noma amabili, bhala phansi isikhathi olala ngaso, isikhathi ovuka ngaso, ukuthi uvuka yini ebusuku, nokuthi kukhona yini okungajwayelekile okwenzekile.
4. Ukuhlolwa okukhethekile: Uma kudingeka, ungathunyelwa ocwaningweni lokulala (isifundo sokulala / i-Polysomnogram). Lokhu kuhilela ukuchitha ubusuku obubodwa esibhedlela. Phakathi nalesi sikhathi, amaza obuchopho bakho, izinga lokushaya kwenhliziyo, ukuphefumula, kanye nokunyakaza kwamehlo kubhekwa kusetshenziswa imishini. Ungaphinde unikezwe ukuhlolwa kwe-video EEG.
Yiziphi izindlela zokwelapha i-parasomnias?
Akukho ukwelashwa okukodwa kwalokhu. Ukwelashwa kuncike ohlotsheni lwe-parasomnia onayo kanye nobunzima bayo. Kodwa-ke, ngokuvamile ingaphathwa ngokushintsha indlela yokuphila.
Izinto eziyisisekelo ongazenza
- Ukugcina inhlanzeko yokulala kahle:
- Lala ngesikhathi esifanayo nsuku zonke bese uvuka ngesikhathi esifanayo.
- Lala kahle amahora angu-7-9 ngosuku.
- Gcina igumbi lakho lokulala limnyama, lithule, futhi lipholile.
- Gwema ukuphuza ikhofi netiye ngaphambi kokulala.
- Yeka ukusebenzisa ifoni yakho, ithebhulethi, noma i-TV ngaphambi kokulala.
- Ukulawula ukucindezeleka: Izinto ezifana nokuzindla kanye ne-yoga zingasiza ekunciphiseni ukucindezeleka.
- Ukugwema utshwala nezidakamizwa.
Ukwelashwa kwezokwelapha
Ama-parasomnia angewona ama-REM (njengokuhamba ngezinyawo) avame ukungaphathwa, ikakhulukazi ezinganeni, ngoba avame ukuphela ngokuguga.
Kodwa-ke, uma lesi simo singase sibe yingozi kuwe noma kwabanye, noma uma sithinta kakhulu impilo yakho yansuku zonke, udokotela wakho angase akunike imithi. I-Clonazepam, i-Melatonin, kanye neminye imithi yokucindezeleka iyasetshenziswa kulokhu.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho bese ukhetha indlela yokwelapha ekufanele kakhulu.
Ungazivimbela kanjani izingozi ezingaba khona ekulaleni?
Uma unenkinga yokuhamba ulele, kubaluleke kakhulu ukucabanga ngokuphepha.
- Ekamelweni lokulala, gcina ifenisha ebukhali, izibani, nezinye izinto kude nombhede.
- Lala phansi. Gwema imibhede engaphansi.
- Faka ama-alamu eminyango nasemafasiteleni.
- Gcina izikhali nemishini eyingozi ekhaya ivaliwe futhi iphephile.
- Uma ugcina ingilazi yamanzi ekamelweni, sebenzisa inkomishi yepulasitiki esikhundleni sengilazi.
- Uma kudingeka, faka izinkinobho ezingangenisi izingane ezingidini zeminyango.
Kufanele ubonane nini nodokotela?
Kungase kube yinto evamile ukuthi lezi zinto zenzeke kanye noma kabili. Kodwa-ke, uma unalezi zinto, qiniseka ukuthi ubona udokotela.
- Uma uzizwa sengathi awutholi ubuthongo obanele .
- Uma lezi zenzo zenzeka njalo ebuthongweni.
- Uma uzizwa udidekile lapho uvuka ebuthongweni.
- Uma uzizwa sengathi awukwazi ukuhambisa umzimba wakho uma uvuka (ukukhubazeka kokulala).
- Uma wena noma umndeni wakho nilimale noma nizolimala ngenxa yalokhu.
- Uma lesi simo sikwenza uzizwe ulele futhi ukhathele emini futhi sithinta umsebenzi wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ama-parasomnia ukuziphatha okungajwayelekile okwenzeka ngesikhathi sokulala. Lokhu kungaba ngezindlela eziningi, njengokuhamba ulele, ukukhuluma, ngisho nokwethusa.
- Iningi lalezi, ikakhulukazi lezo ezenzeka ebuntwaneni, aziyona ingozi futhi zizophela zodwa njengoba zikhula.
- Eziningi zalezi zimo zingalawulwa ngokwenza inhlanzeko yokulala kahle nokunciphisa ukucindezeleka.
- Kodwa uma lezi zenzo zenzeka njalo, zizwakala ziyingozi, noma zithinta impilo yakho yansuku zonke, ungalokothi unqikaze ukufuna iseluleko sezokwelapha.
- Uma wena noma ingane yakho ninalesi simo, ningesabi. Ngeseluleko sezokwelapha esifanele kanye nokwelashwa, ningakwazi ukusiphatha futhi niphile impilo evamile.











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