Pafupifupi 75 peresenti ya anthu omwe ali ndi vuto la mtima amawauza kuti nthawi zambiri amatha kugona , ndipo amachititsa kuti izi zikhale zovuta kwambiri.
Kugonjetsedwa kumakhala kovuta kugona tulo, kuvutika kugona, kapena kudzuka m'mawa kwambiri (kapena zitatu), kutsatidwa ndi zizindikiro za kusagona usana masana, monga kugona, kutopa, kusowa mphamvu, kukondwa, ndi / kapena kuvutika kuganizira.
Ngakhale aliyense atha kugona tulo nthawi zina, anthu omwe ali ndi vuto la mtima amatha kuvutika nawo mobwerezabwereza komanso movutikira kuposa anthu ena.
Zifukwa za Insomnia
Pali zinthu zambiri zomwe zimayambitsa kusowa tulo. Izi zimaphatikizapo maonekedwe a chibadwa (monga kuchuluka kwa kuchepa kwa thupi kapena kusakhudzidwa); zizindikiro zamakhalidwe (monga nthawi ya ntchito, zofuna za banja, kapena kudya kapena kugonana usiku); zifukwa zamaganizo (monga kuvutika maganizo, chizolowezi chodandaula, kupsinjika maganizo, kapena mavuto a posachedwapa); ndi matenda (monga mtima kulephera).
Akatswiri ambiri amakhulupirira kuti, ngakhale atakhala ndi vuto la kusowa tulo, vutoli likhoza kuwonjezeka chifukwa chodandaula kuti sagone mokwanira (zomwe zimapangitsa kuti zikhale zovuta kugona), kapena ndi njira zowonongeka (monga kuonera TV kapena kusewera masewera a pakompyuta pa nthawi yogona). Choncho, nthawi zambiri timagona chifukwa cha kugona.
Chifukwa Chake Kulephera Kwa Mtima Kumayenderana ndi Kusokonezeka
Anthu omwe ali ndi vuto la mtima ali ngati zovuta zomwe zimachitika chifukwa cha kusowa tulo monga wina aliyense. Ndipotu, chifukwa chakuti ali pavuto la kukhala ndi matenda aakulu, ndipo chifukwa chakuti makamaka ali ndi vuto lovutika maganizo, "zizoloŵezi zomwe zimachitika chifukwa cha kusowa tulo nthawi zambiri zimawonjezeka.
Koma pokhapokha ngati munthu wina aliyense amavutika ndi vuto la kusowa tulo, anthu omwe ali ndi vuto la mtima amakumana ndi mavuto ena omwe amachititsa kuti asokonezeke.
Kugona ndi Zisonyezo za Kulephera kwa Mtima
Zizindikiro zomwe zimachitika pamtima zimatha kusokoneza tulo. Orthopnea -kutentha kwa mpweya pamene wagona pansi-kungachititse kuti kukhale kovuta kugona. Matenda othandizana nawo- paroxysmal usiku wa dyspnea, kapena PND- zizindikiro mwadzidzidzi zimadzuka kuchokera ku tulo, ndipo nthawi zambiri zimakhala zochititsa mantha kwambiri kuti kubwerera kugona pambuyo pa nthawi ya PND nthawi zambiri sikutheka. Mankhwala a diuretic operekedwa kwa odwala ambiri omwe ali ndi vuto la mtima akhoza kusokoneza tulo chifukwa chosowetsa nocturia-kufunikira kudzuka ndi kukodza usiku. Kulephera kwa mtima kumatha kukhala kosokoneza tulo.
Kugonana ndi Apnea ndi Kulephera kwa Mtima
Kugonana ndi matenda obisala kumakhala kofala pamtima. Odwala omwe ali ndi vuto la kugona amakhala atasiya kupuma pamene akugona. Kupuma kumeneku kumayambitsa kuvulala mwadzidzidzi, nthawi zambiri nthawi zambiri usiku, ndipo zimachititsa kuti munthu asagone mokwanira. Odwala omwe ali ndi vuto la kugona kawirikawiri samadziŵa kuti amayamba kukondwerera usiku, ndipo sangadandaule chifukwa cha kusowa tulo-koma amakhala ndi zizindikiro zambiri za kugona tulo.
Pamene akuyang'ana, kugona kwa mpweya kumapezeka pakati pa odwala odwala 50%. Kugona tulo kumapangitsa kuti mtima ukhale wovuta kwambiri, ndipo kufooka kwa mtima kumawonjezereka nthawi zambiri kumapangitsa kuti kugona kukhale koipa kwambiri-choncho kungakhale kovuta kwambiri. Pachifukwa ichi, ndizofunika kwambiri kuti odwala ali ndi vuto la kugona kuti agwire bwino ntchito zonsezi .
Kusokonezeka kwa Kusintha kwa Nocturnal ndi Kulephera kwa Mtima
Zakhala zikuzindikiritsidwa kuti odwala omwe ali ndi vuto la mtima amakhala ochuluka kusiyana ndi anthu ambiri kuti azikhala ndi mitundu iwiri ya matenda osokoneza bongo omwe amatha kusokoneza matenda osabisala ogona komanso matenda osokoneza bongo.
Matenda osalimba (RLS) amadziwika ndi zizindikiro zovuta kwambiri m'milingo yomwe imakhala ikugona pakagona usiku. Zizindikiro izi zimaphatikizapo kuwotcha, kugwedeza, ndi / kapena zokwawa zomwe zimapangitsa odwala kuyamba kuyendetsa miyendo yawo kuti awathandize (motero, "miyendo yopuma"). Adzanena kuti akungoyendayenda mwadzidzidzi, kapena kugwedeza miyendo yawo. Chifukwa chake, odwalawa nthawi zambiri amakhala ndi vuto lalikulu kuti agone. Mwamwayi, mankhwala akhoza kukhala othandiza kwambiri.
Matenda osokonezeka a miyendo nthawi zonse (PLMD) ndi ofanana ndi matenda osabisala, chifukwa zimakhala ndi kuyenda kwa miyendo (kumenyedwa, kukwapula kapena kugwedeza) kuphatikizapo kugona. Kusiyanitsa kwakukulu ndikuti PLMD imachitika pogona, ndipo mwina sichidziwike mwachindunji ndi wodwalayo (ngakhale kuti nthawi zambiri zimakhala zozindikirika, nthawi zambiri zowawa, ndi ogona naye). Komabe, PLMD kawirikawiri imayambitsa kusokonezeka tulo tofa nato, ndipo zimapangitsa kuti munthu asagone. Mofananamo ndi RLS, PLMD ikhoza kuchiritsidwa kamodzi.
Mawu Ochokera
Ngati muli ndi vuto la mtima, muli ndi mwayi wokhala ndi vuto la kugona, zomwe zingayambitse matenda obwera chifukwa cha kugona, matenda osokoneza bongo, kapena "kusowa tulo". Thandizo labwino la mtima wanu kulephera ndilofunika kwambiri pochiza matenda onse ogonawa, kotero inu ndi dokotala wanu muyenera kuonetsetsa kuti mukulandira mankhwala omwe mukulephera kuwapeza.
Komabe, mankhwala okhudzana ndi matenda ogona-makamaka, kugona tulo komanso kusokonezeka kwa usiku-kungakhale kovuta pochiza kugona kwanu. Ngati muli ndi vuto la mtima ndipo muli ndi zizindikiro za kuwonongeka kwa kugona-monga usana, kusuta, kusasamala, kunyada kwambiri-kaya mukudziwa vuto la kugona, muyenera kuyankhula ndi dokotala wanu. Kuphunzira tulo- polysomnogram -kungakhale kofunika kuti tipeze matenda enaake, kotero kuti chithandizo choyenera chingayambe.
Zotsatira:
American Academy of Sleep Medicine. Mndandanda wa zovuta za kugona m'mayiko osiyanasiyana, 2nd ed: Buku lodziwitsa komanso lolemba, American Academy of Sleep Medicine, Westchester, IL.
Leung RS, Bradley TD. Kugonana ndi matenda obisala ndi matenda a mtima. Am J Respir Amatsutsa Kusamalira Med; 164: 2147.
Ohayon MM, Hara R, Vitiello MV. Epidemiology ya matenda osapumitsa miyendo: kaphatikizidwe ka mabuku. Kugonana kwa 2012; 16: 283.