Mkhalidwe Uyenera Kukhala Wosiyana ndi Kugonana, Kupuma Kwakufa
Mu nthawi ya usiku, kupweteka kwa nthawi yaitali ndi kusokonekera kumachokera kwa munthu yemwe ali pafupi ndi iwe. Kapena, mwinamwake, mumadzuka m'mawa ndikuuzidwa kuti ndiwe amene munagona usiku ndikulira ndi kugona kwanu. Mu chikhalidwe, khalidwe limodzi la kugona pamodzi limatchedwa parasomnias , izi zimachitika nthawi zambiri. Kodi catathrenia ndi chiyani, ndipo imapezeka bwanji, ndipo kodi pali mankhwala othandiza omwe alipo?
Kodi Kugona Kwambiri N'kutani?
Catathrenia amatanthawuza kuti munthu amapanga phokoso lodabwitsa pamene akupuma pamene akugona - kumveka mofanana ndi kubuula kapena kudandaula. Izi zimawoneka zikuchitika ndi kutulutsa mpweya, koma zimagwirizananso ndi kusintha kwina mu chitsanzo cha kupuma. Pangakhale pang'onopang'ono nthawi yopuma, yotchedwa bradypnea. Kuonjezerapo, munthu wokhudzidwayo angakhale atapuma mpweya pang'ono pokhapokha atayamba kuyambira. Paliponse apo palibe zizindikiro zomveka za kupuma kokwanira.
Mukachiwonetseratu, chiwerewere chimatha kumveka ngati kuuma kwa nthawi yaitali kapena kubuula. Zingamveke ngati kung'ung'uza ndipo zingawoneke ngati zikulira. Mkokomo ukhoza kukhala wokweza kwambiri. Kawirikawiri, matenda a catathrenia amapita kuchipatala pamene akukweza kwambiri moti zimasokoneza ena. Izi zikhoza kuchitika mu malo osungirako ku koleji kapena ku usilikali, kapena nthawi zonse kugawana pabedi ndi munthu wina nthawi yoyamba.
Mkokomo wa kubuula kumeneku kungachitike mwachindunji m'magulu ndipo nthawi zonse zimatha masekondi asanu mpaka 50. Pakhoza kukhala kubuula kwambiri kubwereza kwa mphindi pang'ono mpaka ola limodzi. Zochitikazi zimachitika nthawi yopita mofulumira (REM) kugona koma zikhoza kuchitika pa siteji yachiwiri ya kugona kosabwereza .
Catathrenia nthawi zambiri imayamba ubwana.
Nthawi zambiri zimakhudza anyamata ndipo amatha zaka zambiri. Chifukwa chake sichidziwika bwino, koma si chifukwa cha vuto lililonse la maganizo kapena maganizo.
Kudziwa Kukula kwa Kugona
Catathrenia nthawi zambiri samakumbukiridwa ndi munthu amene amachitira izi. Kuwonjezera pa zizindikiro zina zowonongeka, pangakhale zizindikiro zochepa zogwirizana zomwe zingadziwike. Popanda umboni, kugona tulo sikungadziwike.
Kufufuza kovomerezeka kwa kathatirenia kungatsimikizidwe ndi phunziro la kugona la kugonana lotchedwa polysomnogram . Phunziroli likuchitidwa mu malo ogona ndipo idzawonetsa kusintha kwa pulogalamu ya kupuma ndipo ikhoza kulembera zolirira.
N'kofunikanso kusiyanitsa kanyumba ndi zovuta zina za kupuma ndi matenda ogona. Pali kafukufuku amene amasonyeza kugwirizana pakati pa catathrenia ndi kugona kwa mpweya , komwe mphepo imatha pang'ono kugwa kapena kugwa kwathunthu pamene ikugona ndi kusokoneza kupuma. Zikutheka kuti kathrérenia ikhoza kukhala njira yowatetezera mlengalenga pamene mukugona, monga momwe mano akupera .
Musanavomereze chiphaso ngati matenda, zizindikiro zina ziyenera kuchotsedwa, kuphatikizapo:
- Phumu
Ngakhale kuti munthu wosautsikayo sadziwa kuti kulira kwake, kumayambitsa kugona kwakukulu kwa mnzanuyo kapena ena omwe ali pafupi.
Zothetsera ndi Zothandizira Kulima Kwambiri
Kupambana kwa chithandizo cha catathrenia kwasiyana. Ngakhale kuti palibe chifukwa chomveka chomwe chimachitikira, mankhwalawa sangakhale nthawi zonse pofuna kuwunikira.
Chifukwa cha kugwirizana ndi kugonana kwa kugona, kupanikizika kwapansi kwabwino (CPAP) kuyesedwa bwino. Sikuti aliyense amene ali ndi matendawa amamva mankhwalawa.
Nthaŵi zina kugwiritsa ntchito mankhwala omwe angasokoneze REM kugona kungagwiritsidwe ntchito ngati wokwatirana naye akupeza kubuula makamaka kukhumudwitsa.
Ngati nthawi zambiri imachitika panthawi imeneyi ya tulo, zimatha kusintha ndi izi.
Ngati inu kapena bwenzi lanu lomwe mukugonana muli ndi chiphaso, yambani kulankhula ndi katswiri wogona. Pambuyo poyezetsa koyenera, mukhoza kupita kuchipatala chomwe chimabwerera mwakachetechete.
> Zotsatira:
> Guilleminault C, CC Hagen, Khaja AM. Catathrenia: parasomnia kapena chinthu chosazolowereka cha kupuma kosokonezeka kugona? Kugona 2008; 31: 132-139.
> Kryger, MH et al . "Mfundo Zothandiza Pogona Mankhwala." ExpertConsult , kope lachisanu, 2011.
> Mowzoon, N et al . "Nthenda Yothetsera Kugona Kwambiri." Ndemanga ya Bungwe la Neurology: Buku Lophiphiritsira . 2007; 740-741.