Ukukhomba nokwelapha ukuquleka ebusuku

-Delile

• Ukuquleka okujwayelekile
• Ukuquleka okuncane
• Ukuquleka okwenzeka ngenkathi ulele
• Ukubanjwa kobusuku ezinganeni nasezinganeni ezisencane
• Ukuhlonza ukuquleka ebusuku
• Q:
• A:
• Umbono wesifo sokuwa

Isithuthwane nokuquleka ngesikhathi sokulala

Kwabanye abantu, ubuthongo abuphazanyiswa amaphupho kepha ukudlikiza. Ungaquleka nganoma yiluphi uhlobo lwesifo sokuwa ngenkathi ulele. Kepha ngezinhlobo ezithile zesifo sokuwa, ukuquleka kwenzeka kuphela ngesikhathi sokulala.

Amaseli ebuchosheni bakho axhumana nemisipha yakho, izinzwa, nezinye izindawo zobuchopho bakho ngamasiginali kagesi. Kwesinye isikhathi, la masiginali aya ku-haywire, athumela imiyalezo eminingi kakhulu noma embalwa kakhulu. Uma lokho kwenzeka, umphumela ukuquleka. Uma unesifo sokuwa kabili noma ngaphezulu okungenani amahora angama-24 ahlukene, futhi azange zibangelwe esinye isimo sempilo, ungahle ube nesifo sokuwa.

Kunezinhlobo ezahlukahlukene zesifo sokuwa, futhi lesi simo sivamile. unesifo sokuwa. Ungayithola nganoma yisiphi isikhathi. Kepha amacala amasha atholakala kakhulu ezinganeni ezingaphansi kweminyaka eyi-10 nakubantu abadala abaneminyaka yobudala engama-55.

Njengesifo sokuwa, kunezinhlobo eziningi zokuquleka.Kepha bawela cishe ezigabeni ezimbili: ukuquleka okujwayelekile kanye nokuquleka okuyingxenye.

Ukuquleka okujwayelekile

Ukubanjwa okujwayelekile kwenzeka lapho kwenzeka ugesi ongavamile kuzo zonke izindawo ze-cerebral cortex. Lolu ungqimba oluphezulu lobuchopho bakho oluhlotshaniswa nokunyakaza, ukucabanga, ukubonisana, kanye nenkumbulo. Okufakwe kulesi sigaba yilezi:

• Ukuquleka kwe-Tonic-clonic. Phambilini okwaziwa ngokuthi yi-grand mal, lokhu kuhlaselwa kuhlanganisa ukuqina komzimba, ukunyakaza, kanye nokulahlekelwa ukwazi.
• Ukungabikho. Phambilini bekubizwa ngokuthi yi-petit mal, lokhu kuhlaselwa kubonakaliswa izikhathi ezimfishane zokugqolozela, amehlo acwayizayo, nokunyakaza okuncane ezandleni nasezingalweni.

Ukuquleka okuncane

Ukuquleka okungatheni, okubizwa nangokuthi ukugxila okugxile noma okwenziwe endaweni ethile, kukhawulelwe engxenyeni eyodwa yobuchopho. Lapho zenzeka, ungahlala wazi kepha ungazi ukuthi ukuquleka kuyenzeka. Ukuquleka okungatheni kungathinta indlela oziphatha ngayo, ukwazi nokuziphendulela. Futhi zingafaka ukunyakaza okungazibandakanyi.

Ukuquleka okwenzeka ngenkathi ulele

Ngokwe-athikili ku- I-Journal of Neurology, Neurosurgery & Psychiatry, uma ngaphezulu kwamaphesenti angama-90 okuhlaselwa kwakho kwenzeka ngenkathi ulele, kungenzeka ube nokuquleka ebusuku. Lo mbiko uphinde waveza ukuthi abantu abalinganiselwa ku-7.5 kuya ku-45 wamaphesenti wabantu abanesifo sokuwa baquleka ikakhulukazi ngesikhathi sokulala.

Abantu abanokubanjwa kwasebusuku kuphela bangakhula lapho bevukile. Ucwaningo olulodwa lwango-2007 lukhombise ukuthi cishe ingxenye eyodwa kwezintathu zabantu abanokuquleka kokulala kuphela bangaba nokuquleka bephapheme ngisho nangemva kokungabanjwa iminyaka eminingi.

Kukholelwa ukuthi ukuquleka kokulala kubangelwa izinguquko ekusebenzeni kukagesi ebuchosheni bakho phakathi kwezigaba ezithile zokulala nokuvuka. Iningi lokuqubuka ebusuku kwenzeka esigabeni 1 nasesigabeni 2, okuyizikhathi zokulala okulula. Ukuqubuka kobusuku nakho kungenzeka lapho uvuka. Kokubili ukuquleka okugxile nokwejwayelekile kungenzeka ngesikhathi sokulala.

Ukuquleka ebusuku kuhambisana nezinhlobo ezithile zesifo sokuwa, kufaka phakathi:

• isithuthwane se-myoclonic sentsha
• ukuquleka kwe-tonic-clonic lapho uvuka
• i-benign rolandic, ebizwa nangokuthi isifo sokuwa sokuziphatha ebuntwaneni
• isimo sikagesi isithuthwane sokulala
• Isifo seLandau-Kleffner
• ukuqubuka kokuqala

Ukuquleka ebusuku kuphazamisa ukulala. Ziphinde zithinte ukugxila nokusebenza emsebenzini noma esikoleni. Ukuquleka kwasebusuku kuhlotshaniswa nobungozi obandayo bokufa okungalindelekile kokufa okungalindelekile esithuthweni, okuyimbangela engavamile yokufa kwabantu abanesithuthwane. Ukuntuleka kokulala nakho kungenye yezimbangela ezivame kakhulu zokubamba. Ezinye izimbangela zihlanganisa ukucindezeleka nomkhuhlane.

Ukubanjwa kobusuku ezinganeni nasezinganeni ezisencane

Ukuquleka nesithuthwane kuvame kakhulu ezinganeni nasezinganeni kunanoma iliphi elinye iqembu leminyaka. Kodwa-ke, izingane ezinesithuthwane ngokuvamile ziyeka ukuquleka lapho sezikhulile.

Abazali bezinsana ezintsha kwesinye isikhathi badida isimo esibizwa ngokuthi yi-benign neonatal sleep myoclonus nesifo sokuwa. Izinsana ezihlangabezana ne-myoclonus zine-jerking engazibandakanyi evame ukubukeka njengokuquleka.

I-electroencephalogram (i-EEG) ngeke ikhombise ushintsho ebuchosheni oluhambisana nesifo sokuwa. Futhi, i-myoclonus ayivamile ukuba yimbi. Isibonelo, ama-hiccups kanye nokuqhuma ebuthongweni izinhlobo ze-myoclonus.

Ukuhlonza ukuquleka ebusuku

Kungaba yinkohliso ukuxilonga ukuqubuka ebusuku ngenxa yokuthi kwenzeka nini. Ukuquleka kokulala nakho kungadideka ne-parasomnia, igama lesambulela seqembu lokuphazamiseka kokulala. Lezi zinkinga zifaka:

• ukulala
• ukugaya amazinyo
• isifo somlenze esingenakuphumula

Ukunquma ukuthi uluhlobo luni lwesifo sokuwa ongahle ube nalo, wena dokotela uzohlola izinto eziningi, ezibandakanya:

• uhlobo lokuquleka onakho
• ubudala lapho uqala ukuquleka
• umlando womndeni wesifo sokuwa
• ezinye izimo zezokwelapha ongahle ube nazo

Ukuthola isifo sokuwa, udokotela wakho angasebenzisa:

• izithombe zomsebenzi kagesi ebuchosheni bakho ezirekhodwe yi-EEG
• ukwakheka kobuchopho bakho njengoba kukhonjisiwe ku-CT scan noma kwi-MRI
• irekhodi lomsebenzi wakho wokuthatha

Uma usola ukuthi usana lwakho noma ingane yakho iquleka ebusuku, thintana nodokotela wakho. Ungaqapha ingane yakho ngoku:

• usebenzisa i-baby monitor ukuze uzwe futhi ubone ukuthi ngabe ukuquleka kuyenzeka yini
• ukubukela izimpawu ekuseni, njengokulala okungajwayelekile, ukuphathwa ikhanda, nezimpawu zokukhipha amathe, ukuhlanza noma ukumanzisa umbhede
• usebenzisa isibonisi sokuquleka, esinezici ezinjengezinzwa zokunyakaza, umsindo, nomswakama

Q:

Ngokuhambisana nokulandela uhlelo lokwelashwa olunqunyelwe udokotela wakho, yiziphi izinyathelo ongazithatha ekamelweni lakho ukuzivikela ngesikhathi sokubanjwa ebusuku?

Isiguli esingaziwa

A:

Uma unesifo sokuwa ebusuku, thatha izinyathelo ezithile zokuzivikela. Susa izinto ezibukhali noma eziyingozi eduze kombhede. Umbhede ophansi onamateki noma amaphedi abekwe azungeze umbhede ungasiza uma ukuqubuka kwenzeka futhi uwe.

Zama ukungalali esiswini sakho futhi ulinganisele inani lemicamelo embhedeni wakho. Uma kunokwenzeka, cela othile alale egumbini elilodwa noma eduze ukuze akusize uma unesifo sokuwa. Ungasebenzisa futhi idivaysi yokutholwa kokuquleka okwazisa othile ngosizo uma kwenzeka ukuquleka.

UWilliam Morrison, Izimpendulo ze-MDA zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.

Umbono wesifo sokuwa

Khuluma nodokotela wakho uma ukholelwa ukuthi wena noma ingane yakho nibhekene nokuquleka ngenkathi ilele. Bangakwazi uku-oda izivivinyo ezizokuqinisekisa uma uhlangabezana nokuquleka.

Imithi ukwelashwa komugqa wokuqala kwesifo sokuwa. Udokotela wakho uzokusiza uthole ukwelashwa okukusebenzela kangcono wena noma ingane yakho. Ngokuxilongwa nokwelashwa okufanele, izimo eziningi zesifo sokuwa zingalawulwa ngemithi.