Mankhwala opangira kuwala amasonyeza kuti nthawi zonse amakhala ndi kuwala kwina kulikonse kawiri kapena kasanu ndi kawiri kuposa kuwala kwaofesi. Kuwala kumayikidwa mu bokosi liri ndi chinsalu chomwe chimasiyanitsa. Munthu amene amalandira chithandizo chowala kwambiri amafunsidwa kukhala pansi kutsogolo kwa gwero la kuwala kwa nthawi yoikika tsiku lililonse.
Poyambirira anthu omwe akulimbana ndi nyengo yothetsera matenda (Seasonal Affective Disorder) (SAD), mankhwala owala kwambiri agwiritsidwanso ntchito pofuna kuthana ndi mavuto a circadian, kumene anthu amavutika kugona bwino usiku.
Posachedwapa, mankhwala opatsirana bwino afufuzidwa ndikugwiritsidwa ntchito ngati mankhwala othandizira anthu omwe ali ndi matenda a Alzheimer ndi matenda ena okhudzidwa nawo chifukwa angapereke zowonjezera phindu kwa mankhwala , koma sangakhale ndi zotsatira zolakwika kapena mankhwala.
Ubwino
Kulimbitsa Miyendo Yogona
Kafukufuku wina anapeza kuti anthu odwala 11 omwe ali ndi matenda ovutika maganizo apeza kuti ogona amakhala ndi vuto la kugona ndipo amatha kupeza njira zabwino kwambiri zothandizira anthu kuti azidwala.
Maphunziro ena ambiri asonyeza njira yofanana ya mankhwala opangira kuwala. Kafukufuku wina anayeza kuphatikizapo kuwala kowala ndi kuyenda ndipo anapeza kusintha kwakukulu kwa zizoloŵezi za kugona pamene njira zonse zoyenda ndi zowala zogwiritsidwa ntchito zinali zochitika tsiku ndi tsiku.
Phunziro lina linaphatikizapo kuphatikiza kwa kuwala kowala ndi kugwiritsa ntchito melatonin . Ofufuzawo anapeza kuti anthu onse omwe anali ndi matenda a maganizo , anapeza kuti akupita patsogolo pokhala ndi tulo tomwe akugona, koma osati pamene mankhwala opangidwa ndi kuwala akuphatikizapo melatonin.
Kuchepa Kwambiri
Kafukufuku wina wasonyeza kuti kuwonjezera pa kukonzanso kugona, kugwiritsira ntchito mankhwala ochepetsa kuwala kunachepetsanso anthu omwe ali ndi chifuwa chachikulu usiku wonse. Kuwongolera kungakhale kudera nkhaŵa kwambiri chifukwa kungakhudze chitetezo cha munthu yemwe ali ndi matenda a maganizo aumphaŵi komanso kugona kwa wodwala komanso wosamalira.
Kuzindikiritsidwa Kwambiri
Thandizo la kuwala kowala limagwirizanitsidwa ndi maphunziro opambana pa Mini Mental State Exam , mayesero omwe amatha kuzindikira luntha la kuzindikira . Odwala omwe ali ndi matenda a Alzheimers kapena matenda a dementia omwe amatha kupeza mankhwala owala kwambiri adasintha kwambiri ma MMSE poyerekeza ndi kusintha kosasintha pamene iwo anali ndi mankhwala ochepa.
Kafukufuku wina adawonetseratu kuti anthu akudziwa bwino momwe angagwiritsire ntchito malingaliro awo, koma kwa iwo omwe anali pachiyambi cha Alzheimer's, kusiyana ndi magawo apakati kapena masitepe .
Kulimbitsa Magwiridwe Ntchito
Kafukufuku wina anapeza kuti onse omwe anadziŵa kuti ali ndi matenda a dementia, amasonyeza kusintha kwa makhalidwe ovuta omwe amaphatikizapo Alzheimer's. Komabe, kafukufuku wina anayerekeza momwe anthu akuvutika maganizo pamene anthu omwe ali ndi chifuwa chachikulu chaumtima ali ndi matenda opatsirana ndipo sanapeze kusiyana kulimbana kwawo.
Pamene aphungu adakali ndi zotsatira za mankhwala owala pamakhalidwe, kafukufuku wambiri akuwonetsera phindu kwa chizunguliro cha circadian kwa iwo omwe ali ndi matenda a maganizo.
Lankhulani ndi Dokotala Wanu
Chonde dziwani kuti ngati mankhwala owala bwino akuwoneka ngati chinachake chimene inu kapena wokondedwa wanu mungapindule nawo, muyenera kukambirana ndi dokotala wanu, chifukwa pali zochepa zomwe siziyenera kukhala zofunikira kapena zovulaza.
Zotsatira:
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Biology Psychiatry 1997 May 1 41 955-963. Kuwala kosawoneka bwino kumapangitsa chisokonezo cha kayendedwe ka zochitika panthawi yopuma. Idafika pa October 28, 2012 http://www.biologicalpsychiatryjournal.com/article/S0006-3223(97)89928-3/abstract
University University. Q & A pa Bright Light Therapy. Inapezeka pa October 30, 2012. http://www.columbia.edu/~mt12/blt.htm
International Journal of Geriatric Psychiatry. 2003 Jun; 18 (6): 520-6. Kuwala kowala bwino kumawodzera kugona muzinthu zakale - chiyeso chotseguka. http://onlinelibrary.wiley.com/doi/10.1002/gps.852/abstract
International Journal of Geriatric Psychiatry. Vesi 25, Gawo 10, tsamba 1013-1021, October 2010. Mphamvu ya kuwala kozungulira pamtendere waumtima. Idapezeka pa Oktoba 28, 2012. http://onlinelibrary.wiley.com/doi/10.1002/gps.2453/abstract
International Journal of Geriatric Psychiatry. Vesi 16, 106-110 (2001). Bright Light Therapy ndi Melatonin mu Magalimoto Opanda Chitetezo ku Dementia: Phunziro Lolamulidwa ndi Placebo. Inapezeka pa Oktoba 28, 2012. http://onlinelibrary.wiley.com/doi/10.1002/1099-1166(200101)16:1%3C106::AID-GPS288%3E3.0.CO;2-9/basi
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Psychiatry ndi Clinical Neuroscience. 2004 Aug; 58 (4): 343-7. Kupititsa patsogolo zizindikiro zamakhalidwe ndi kupititsa patsogolo ntchito ya acrophase pakatha kanthawi kochepa kowonjezereka kwa matenda ovutika maganizo. Idapezeka pa Oktoba 28, 2012. http://onlinelibrary.wiley.com/doi/10.1111/j.1440-1819.2004.01265.x/full
Psychiatry ndi Clinical Neuroscience. 2000 Jun; 54 (3): 352-3. Zotsatira za kuunika kwa chidziwitso ndi kugona (circadian) kusemphana kwa nyimbo mu matenda a maganizo a Alzheimer. Idafika pa Oktoba 28, 2012. http://onlinelibrary.wiley.com/doi/10.1046/j.1440-1819.2000.00711.x/full