Uma wena noma othandekayo wakho enesifo sikaParkinson, uyazi ukuthi kungaba nzima kangakanani ukulala kahle ebusuku. Kungaba nzima ukulala ngemva kosuku olunzima, ukujikajika, noma ukuvuka njalo ngehora. Kodwa akudingeki ubhekane nalokhu wedwa. Abantu abaningi abane-Parkinson banale nkinga. Ngakho-ke, kungani lokhu kwenzeka? Yini esingayenza ngakho? Ake sixoxe ngakho konke lokhu ngendlela elula kakhulu nenobungane namuhla.
Ake siqale sibheke ukuthi siyini isifo sikaParkinson.
Kalula nje, isifo sikaParkinson yisimo lapho amangqamuzana ezinzwa ebuchosheni alawula ukunyakaza kwethu ewohloka kancane kancane noma ebhujiswa ngokuhamba kwesikhathi. Njengoba lawa maseli ezinzwa ewohloka, izimpawu ezahlukahlukene ziqala ukuvela emzimbeni wethu.
Lokhu ikakhulukazi ukuphazamiseka kokunyakaza . Lokhu kusho ukuthi kuthinta ikhono lethu lokuhamba, ukufinyelela, kanye nokulinganisela. Ungase ube nezimpawu ezinjengalezi:
- Imisipha eqinile: Umuzwa wokuqina kwemisipha.
- Ukuthuthumela: Ukuthuthumela okungalawuleki, ikakhulukazi izandla noma imilenze.
- Izinkinga ngokulinganisela: Ukuzizwa sengathi uzolahlekelwa ibhalansi yakho bese uwe ngenkathi uhamba.
- Ukuhamba kancane (Bradykinesia): Isimo lapho konke kwenziwa kancane kakhulu.
Kodwa isifo sikaParkinson asigcini nje ngokuphazamisa ukunyakaza, kodwa futhi sinezimpawu eziningi ezingezona ezokunyakaza ezingathinta imizwa yethu, imizwa yokuhogela kanye nokubona.
Ngakho-ke, kuyini ukuxhumana phakathi kwesifo sikaParkinson nokulala?
Isifo sikaParkinson kanye nokulala kunobudlelwano obuyinkimbinkimbi kakhulu. Kufana nebhola lentambo elihlangene. Ngisho nososayensi abakayitholi yonke indlela yokusebenza.
Ngezinye izikhathi, izinkinga zokulala zibangelwa ngqo yisifo sikaParkinson. Ezinye izifundo zibonise ukuthi izinkinga zokulala zingaba esinye sezimpawu zokuqala zesifo sikaParkinson . Isibonelo, ukuhamba ulele kanye nokunyakaza ngezandla nomlomo kungaba uphawu lwesifo.
Ngakolunye uhlangothi, izinto ezifana nemithi oyiphuzayo yesifo sikaParkinson kanye nezinselele zengqondo ezihambisana naso nazo zingathinta ubuthongo bakho. Into eyodwa icacile: Kubantu abaningi abanesifo sikaParkinson, ukulala kahle ebusuku kuyiphupho. Ucwaningo lubonisa ukuthi abantu ababili kwabathathu (2/3) abanesifo sikaParkinson banezinkinga zokulala.
Kungani izinkinga zokulala zivame kangaka phakathi kweziguli zeParkinson?
Odokotela bathole izizathu eziningana eziyinhloko zalokhu. Ake sizihlolisise.
| Isizathu | Incazelo elula |
|---|---|
| Izinguquko zamakhemikhali ebuchosheni | Isifo sikaParkinson sibangela izinguquko ekulinganisweni kwamakhemikhali athile ebuchosheni. Lokhu kuthinta ngqo umjikelezo womzimba wethu wokulala nokuvuka. Ngenxa yalokho, inani kanye nekhwalithi yokulala kungancipha. |
| Imithi | Eminye imithi yesifo sikaParkinson ingaphazamisa ubuthongo. Eminye imithi ingabangela ukozela emini kanye nokungalali. |
| Izinkinga zempilo yengqondo | Ukukhathazeka nokucindezeleka kuvamile phakathi kweziguli ze-Parkinson. Noma yisiphi salezi zimo zengqondo singenza kube nzima ukuhlala ulele ebusuku noma ukulala kahle ebusuku. |
| Ezinye izimpawu | Ezinye izimpawu zesifo sikaParkinson, njengobuhlungu bomzimba kanye nokuchama njalo ebusuku (i-nocturia), nazo zingaphazamisa ubuthongo. I-sleep apnea, isimo lapho ukuphefumula kuyeka khona ngesikhathi sokulala, sivame kakhulu nasezigabeni zakamuva zesifo sikaParkinson. |
Yiziphi izinkinga zokulala ezingaba khona ngesifo sikaParkinson?
Isifo sikaParkinson asithinti wonke umuntu ngendlela efanayo. Kanjalo nezinkinga zokulala. Ungase ubhekane nezinto ezifana nalezi:
- Ukungalali: Ukuhlala uphapheme amahora amaningi ngemva kokulala.
- Ukulala okuhlukene: Ukuvuka izikhathi eziningi ebusuku.
- Ukulala ngokweqile emini: Ukulala okungalawuleki emini.
- Amaphupho acacile noma amaphupho amabi:Ukuba namaphupho acacile kakhulu, ngezinye izikhathi asabekayo. Lokhu kungabangela ukudideka phakathi kwamaphupho namaqiniso lapho uvuka.
Isimo esikhethekile esibizwa ngokuthi i-REM Sleep Behavior Disorder
Lesi yisimo esikhethekile esithinta cishe isigamu seziguli ezinesifo sikaParkinson. Ngokuvamile, uma siphupha, imizimba yethu ilahlekelwa ukwazi okwesikhashana. Ngakho-ke, empeleni asenzi izinto esiziphuphayo.
Kodwa kumuntu onenkinga yokulala ye-REM, lokho kulawula kuyalahleka. Lokho kusho ukuthi uqala ukwenza izinto oziphuphayo. Uma ugijima ulele, uzozama ukuphuma embhedeni, ukhale, futhi uphakamise izingalo nemilenze yakho. Lokhu kungaba yingozi kancane kuwe nakumuntu olele eceleni kwakho. Abanye abacwaningi bakholelwa ukuthi lokhu kungaba uphawu lokuqala kakhulu lwesifo sikaParkinson.
Ngaphezu kwalokho, ezinye izinkinga zokulala eziningana zivamile phakathi kweziguli zikaParkinson:
- Njengoba kushiwo ngaphambili, ukuvuka njalo ebusuku ukuze uchame (i-Nocturia).
- I-Restless Legs Syndrome yisimo lapho imilenze izizwa sengathi inyakaza njalo ngenxa yokungakhululeki okungabekezeleleki emilenzeni.
- I-sleep apnea iwukuphela kokuphefumula ngesikhathi sokulala.
- Izinkinga ngewashi lebhayoloji lomzimba (izinkinga zokulala zesigqi se-Circadian).
Lezi zinkinga zokulala zihlolwa futhi zelashwe kanjani?
Uma unenkinga yokulala, into ebaluleke kakhulu okufanele uyenze ukukhuluma ngayo ngokukhululekile nodokotela wakho. Ungabi namahloni noma uyithathe njengento engasho lutho. Udokotela wakho uzokubuza imibuzo embalwa ukuze aqonde kangcono inkinga.
Ukuze sikusize phakathi nalesi sikhathi, ungagcina ideshibhodi yokulala . Cishe amasonto amabili, bhala phansi imininingwane efana nokuthi uya nini embhedeni, uvuka nini, uvuka kangaki ebusuku, nokuthi uzizwa ulele yini emini. Lokhu kuzosiza udokotela wakho ukuthola isithombe esingcono senkinga yakho.
Uma udokotela wakho esola ukuthi kukhona okungahambi kahle, angakuthumela ukuze uyohlolwa ubuthongo . Lokhu kuhilela ukuhlala esibhedlela ubusuku bonke. Ngesikhathi ulele, umsebenzi wobuchopho bakho, ukuphefumula, kanye nokushaya kwenhliziyo kubhekwa ngezinzwa ezincane (ama-electrode) ezinamathele emzimbeni wakho.
Izinketho zokwelapha zincike embangela yezinkinga zakho zokulala. Udokotela wakho angase asikisele izinto ezifana nalezi:
1. Ukushintsha imithi: Uma izinkinga zakho zokulala kucatshangwa ukuthi zibangelwa umuthi owuthathayo wesifo sikaParkinson, udokotela wakho angase anqume ukunciphisa umthamo walowo muthi noma akushintshele komunye umuthi.
2. Imithi noma izindlela zokwelapha ezintsha: Uma unesifo esifana ne-sleep apnea, ukuhamba komoya-mpilo wakho ngesikhathi sokulala kuyaphazamiseka.Bangase basebenzise idivayisi ekhethekile (ithuluzi lomlomo/umshini we-CPAP) ukuze babambe umoya wakho. Futhi, kunemithi ekhethekile yezinkinga ezithile zokulala.
3. Izinguquko endleleni yokuphila: Imikhuba yethu yansuku zonke kanye nendawo yokulala nakho kunomthelela omkhulu ekulaleni. Izinto ezilula njengokugcina isikhathi sokulala esihambisanayo nesikhathi sokuvuka, ukugcina igumbi lokulala limnyama futhi lithule, nokugwema ukubuka ifoni noma i-TV yakho ngaphambi kokulala kungenza umehluko omkhulu.
Ezinye izinto ongazenza ukuze ulale kahle ebusuku
Lokhu sikubiza ngokuthi “ukuhlanzeka kokulala okuhle.” Ukulandela le mikhuba kuzokunikeza impumuzo enkulu.
| Izinto okufanele uzenze (Okufanele uzenze) ✅ | Okungafanele ukwenze ❌ |
|---|---|
| Phuma ngaphandle emini. Ukuchayeka elangeni kuthumela isignali emzimbeni ukuthi sekuyisikhathi sokuvuka. | Ungalali isikhathi eside emini. Kulungile ukulala isikhashana imizuzu engama-20-30. |
| Gcina umzimba wakho usebenza usuku lonke. Ngisho nokuhamba ibanga elifushane kulungile, noma yikuphi ukuvivinya umzimba kunezinzuzo. | Ungaphuzi iziphuzo ezine-caffeine, njengekhofi noma itiye, zingakapheli amahora ayisithupha ulale. |
| Khulula ingqondo yakho ngaphambi kokulala. Izinto ezifana nokugeza ngamanzi afudumele noma ukubhucungwa umzimba kancane zingasiza. | Sebenzisa ikamelo lokulala kuphela ukuze ulale. Khetha elinye igumbi lokufunda, ukubukela i-TV, noma ukusebenza. |
Ingabe kulungile ukusebenzisa izinsiza zokulala ezitholakala ngaphandle kwekhawunta?
Lutho neze. Lokhu kubaluleke kakhulu. Nakuba amaphilisi okulala, ongawathenga ekhemisi ngaphandle kwemithi, angase abonakale njengesixazululo esilula, angadala izingozi ezengeziwe kumuntu onesifo sikaParkinson.
Into ebaluleke kakhulu ukuthi,Ungathathi amaphilisi okulala athengiswa ngaphandle kwemithi kadokotela ngaphandle kokubonisana nodokotela wakho kuqala. Lawa angathintana nemithi yakho ye-Parkinson futhi angenza izinkinga zakho zokulala zibe zimbi kakhulu.
Kufanele uye nini kudokotela?
Uma izinkinga zakho zokulala zithinta izinga lempilo yakho, qiniseka ukuthi ubona udokotela wakho. Ungalibali, ikakhulukazi ezimweni ezinjengalezi:
- Uma unomuzwa wokuthi lokho okwenzayo ebuthongweni bakho kungakufaka engozini wena noma umlingani wakho.
- Ngezinye izikhathi lezi zinkinga zokulala zingaba uphawu lokucindezeleka , okungahambisana nesifo sikaParkinson. Uma usuphelelwe yisithakazelo ezintweni obuzijabulela futhi uzizwa uphansi ngokuphila, sicela ukhulume nodokotela omethembayo. Kunezindlela zokwelapha ezingasiza ngalesi simo. Akudingeki uhlupheke kanje.
Abacwaningi basafunda kabanzi ngobudlelwano phakathi kwesifo sikaParkinson nokulala. Lolo lwazi lungasiza ekuthuthukiseni ukwelashwa okungcono esikhathini esizayo. Kodwa kakade kunezindlela eziningi zokwelapha nezixazululo ezingakusiza. Ngakho khuluma ngokukhululekile nodokotela wakho ngezinkinga zakho zokulala. Ndawonye, ningakha uhlelo lokuthuthukisa ukulala kwakho kanye nempilo yakho.
Umlayezo Wokuya Nawe Ekhaya
- Izinkinga zokulala zivame kakhulu ngesifo sikaParkinson. Lokhu akulona iphutha lakho.
- Kunezizathu eziningana zomzimba nezengqondo ezithinta lokhu.
- Ungalokothi uthathe amaphilisi okulala ekhemisi ngaphandle kweseluleko sikadokotela. Lokhu kungenza inkinga ibe yimbi kakhulu.
- Khuluma nodokotela wakho ngokukhululekile ngazo zonke izinkinga zakho zokulala (ukulwela ukulala, ukuphupha, ukozela emini).
- Kunezindlela eziningi zokwelapha ezisebenzayo kanye nezinguquko zendlela yokuphila ezingakusiza, ngakho ungalilahli ithemba.
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