Zingamveke ngati nthabwala kapena masewera, koma ngati mutayambiranso kugona atasiya kumwa mapiritsi, simungapeze kuti ndizodabwitsa. Kodi kuwonongeka kwakukulu ndi chiyani? Phunzirani momwe matendawa amachitikira ndi kutha kwa mapiritsi ogona (kuphatikizapo Ambien kapena zolpidem, Lunesta, Benadryl, Klonopin, Ativan, ndi zina zambiri), zimatenga nthawi yaitali bwanji ndikudalira miyoyo ya hafu, ndi momwe mungapewere ndikusokoneza luso logona.
Mwachidule
Kulephera kugona tulo kumatanthawuza kuti kukhala kovuta kumayambitsa kapena kugona tulo kumakhala koipitsitsa pokhapokha ngati mutasiya kumwa mapiritsi. Kuloŵa tulo kungakhale koipitsitsa kuposa kale lonse, kutsogolera ena kuti asataye tulo kwathunthu zomwe zimatenga maola ambiri kapena kugona komwe kungakhale koipitsitsa kwa masiku.
Zimayambitsa
Kugwiritsira ntchito mapiritsi ogona kumawonjezera mankhwala omwe mwachibadwa alipo mu ubongo ndi manjenje. Malingana ndi mankhwalawa, awa angaphatikizepo mapuloteni monga GABA, serotonin, kapena tryptophan, komanso hormonone ya melatonin. Mankhwala amodzi, Belsomra, amachititsa kuti chizindikiro chodzuka chikhale choperekedwa kudzera ku orexin (kapena hypocretin). Pilisi yogona itatha, ubongo umatsalira, mofanana ngati iwe umachotsa rugu kuchokera pansi pake.
Machitidwe ogona ndi ogalamuka akuyembekezera kukhalapo kwa mankhwalawa. Ndondomeko yanu ya mkati imatha kukhala pansi-yowonjezera kuti izi zitheke kuti izi zitheke.
Ngati mwasiya mwadzidzidzi kutenga galimoto yothandizira, pali vuto lomwe siliperekedwa poyamba. Izi zikhoza kumvedwa mwazigawo za kulekerera ndi kudalira.
Munthu wina akalekerera mankhwala monga mapulogalamu ogona, amapeza kuti amafunikira mankhwala ambiri kuti athandizidwe.
Zimagwira ntchito mocheperapo ndipo zimatha kugwira ntchito kwathunthu. Malingana ndi mankhwala omwe amagwiritsidwa ntchito, izi zingachititse munthu kudalira thupi. Mankhwala ena a mankhwalawa, kuphatikizapo benzodiazepines ngati Klonopin ndi Ativan, amatsogolera ku matenda ochotsera ngati atengedwa pamadzi apamwamba ndipo mwadzidzidzi anaima. Izi zingayambitse kusintha kwa magazi ndi kuthamanga kwa mtima ndipo zingayambitse kulanda.
Kodi Kutha Kwachisawawa Kumatha Kutsiriza Motani?
Kugonanso kwa kugona kumakhala kovuta kwambiri pakagwiritsidwe ntchito kwa mankhwala ogona tsiku ndi tsiku, makamaka pa mlingo waukulu, pamene mwadzidzidzi waima. Zitha kuchitika ndi iliyonse yothandizira kugonana kapena mankhwala. Kuwonjezeka kwa kugona kumeneku kumadalira kuti mumvetsetse kuti mukuchoka. Zingathe kuwonjezereka ndi zifukwa zina zomwe zimapangitsa munthu kugona. Zidzakhalanso zovuta kwambiri ngati mankhwalawa ali ndi theka la moyo, ndipo mafunde akugwa mofulumira kwambiri.
Theka-Miyoyo ya Mapiritsi Ogona
Kawirikawiri, theka la moyo wa mankhwalawo angapereke chitsogozo pa nthawi ya kuwonongeka kwa kugona kumeneku. Nusu ya moyo wa mankhwala ndi kuchuluka kwa nthawi yomwe imatenga 1/2 ya mankhwala kuti ikhale yowonongeka, kutaya makilogalamu ake mkati mwa thupi.
Mwachitsanzo, ngati mankhwala ali ndi theka la moyo wa maola 4, mawindo ake adzafika pa 12.5% pa maola 12 oyambirira (50% mu maola 4, 25% mu maola 8, ndi 12.5% mwa maola 12).
Zina mwazinthu zowonongeka zowonongeka ndi miyoyo yawo yotsatizana, mwaziphatikizi, zikuphatikizapo:
- Benadryl kapena diphenhydramine (maola 3.4 mpaka 9.2)
- Unisom kapena doxylamine (maola 10)
- Ambien , Ambien CR, kapena zolpidem (maola 2.5 mpaka 3.1)
- Lunesta kapena eszopiclone (maola 6)
- Sonata kapena zaleplon (ola limodzi)
- Silenor kapena doxepin (maola 15.3 kwa mankhwala a kholo, maola 31 a metabolite)
- Belsomra kapena suvorexant (maola 12)
- Trazodone (maola 3-6 mu gawo loyambali, maola asanu ndi asanu ndi asanu ndi asanu ndi asanu (5-9) mu gawo lachiwiri)
- Rozerem kapena ramelteon (1-2.6 maola mankhwala osokoneza bongo, maola 2-5 a metabolite)
- Xanax kapena alprazolam (maola 11.2)
- Ativan kapena lorazepam (maola 14)
- Klonopin kapena clonazepam (maola 20-50)
- Valium kapena diazepam (maola 30-60 a mankhwala a makolo, maola 30-100 a metabolite)
Mankhwala omwe ali ndi theka la moyo wautali adzatuluka mwa dongosolo lanu mwamsanga ndipo kuwonongeka kwa kugonjetsa kungakhale kolimba kwambiri ndipo kuyamba msanga. Mwamwayi, idzathetsanso mofulumira, nthawi zambiri imatha masiku angapo mpaka sabata patatha mankhwala. Mankhwala otha msinkhu sangakhale nawo otayika, koma zingatenge nthawi yaitali kuti mankhwalawa achoke mwamsanga. Mankhwalawa amachititsa kuti mankhwalawa asakhalenso bwino.
Chithandizo
Ngati mukugwiritsa ntchito mankhwala osagona tulo ndipo mutangosiya kugona kwanu kubwerera, nthawi zina kuipa kuposa kale lonse, mungadziuze nokha kuti mukufunikira mankhwalawa kuti mugone. Zotsatirazi ndizokhalitsa, nthawi zambiri kuthetsa masiku angapo mpaka sabata. Zingakhale zothandiza kuchepetsa mlingo pang'onopang'ono moyang'aniridwa ndi dokotala wanu. Izi ndi zofunika kwambiri ngati mukugwiritsa ntchito mankhwala owonjezera kapena kugwiritsa ntchito mankhwala a benzodiazepine.
Mutha kuyesedwa kuti mulowetse mankhwala atsopano kwa omwe mukusiya. Pewani mayesero awa. Zimakhala maseŵera osatha: kusinthanitsa mankhwala amodzi. M'malo mwake, ganizirani kukonza nthawi yanu, mutenge mphindi 15 mpaka 30 mutadzuka, ndipo mugone pamene mukugona tulo. Mukamachedwetsa nthawi yogona ndi chigonere (kugwiritsira ntchito maola 6 mpaka 7 aliwonse pa bedi) panthawi yomwe mukubwezera, mudzagona tulo ndikugonjetsa zotsatirazi.
Katemera wa chitetezo angakhale olemera pounds la mankhwala. Kawirikawiri, ndi bwino kupewa kugwiritsa ntchito mapiritsi ogona tsiku ndi tsiku. Musalole kuti muwonjezere mlingo, makamaka zomwe dokotala wanu wakupatsani. Yesetsani kugwiritsa ntchito mankhwala amodzi mwakamodzi ndipo musawagwiritse ntchito mowa chifukwa ichi chikhoza kutsogoloza ndi kufa.
Mawu Ochokera
Ngati mukupeza kuti mukusowa mapiritsi ogona osapitirira masabata awiri, kambiranani ndi dokotala za zina zomwe mungachite, kuphatikizapo kugwiritsa ntchito chidziwitso cha khalidwe la kusowa tulo (CBTI) . Mankhwalawa angakhale othandiza kwambiri kuti athandizidwe kuika mankhwalawa pamene akuika luso lina kuti athetseretu kugona.
> Zotsatira:
> Epocrates Rx Pro. Version 15.12, 2016. Epocrates, Inc. San Mateo, California.
> Qaseem A, ndi al . "Management of Chronic Insomnia Disorder in Akuluakulu: Buku Lophunzitsira Pachipatala Kuchokera ku American College of Physicians." Ann Intern Med . 2016; 165 (2) 125-133.
> Sateia MJ, et al . Malangizo Okhudza Zipatala Zopereka Chithandizo cha Pharmacologic Treatment ya Insomnia Yachilendo Akuluakulu: An American Academy of Sleep Medicine Guide Clinic Practice Guideline . " Journal of Clinical Sleep Medicine . 2017; 13 (2): 307-349.