Ukuchonga nokunyanga ukuBanjwa ebusuku

Umxholo

• Ukubanjwa ngokubanzi
• Ukuhlutha okungaphelelanga
• Ukuxhamla okwenzeka xa ulele
• Ukubanjwa ngobusuku kwiintsana nabantwana abancinci
• Ukuchonga ukubanjwa ebusuku
• Q:
• A:
• Imbonakalo yesifo sokuwa

Ukuwa nokuxhuzula xa ulele

Kwabanye abantu, ubuthongo buphazanyiswa hayi ngamaphupha kodwa kukubanjwa. Unako ukuxhuzula nangaluphi na uhlobo lwesifo sokuwa xa ulele. Kodwa ngeentlobo ezithile zokuxhuzula, ukuxhuzula kwenzeka kuphela xa ulele.

Iiseli kwingqondo yakho zinxibelelana nemisipha yakho, imithambo-luvo, kunye nezinye iindawo zobuchopho ngokusebenzisa imiqondiso yombane. Ngamanye amaxesha, le miqondiso iya kwi-haywire, ithumela imiyalezo emininzi kakhulu okanye embalwa kakhulu. Xa oko kusenzeka, isiphumo kukuhlutha. Ukuba uneziqu ezibini okanye nangaphezulu ubuncinane iiyure ezingama-24 ukwahlukana, kwaye azibanga yenye imeko yonyango, unokuba nesathuthwane.

Kukho iintlobo ezahlukeneyo zesifo sokuwa, kwaye imeko iyinto eqhelekileyo. banesathuthwane. Ungayifumana nanini na. Kodwa amatyala amatsha anokuchongwa kubantwana abangaphantsi kweminyaka eli-10 nakubantu abadala abaneminyaka engaphezulu kwama-55.

Njengokuxhuzula, zininzi iintlobo ezahlukeneyo zokubanjwa.Kodwa ziwa phantse zibe ziindidi ezimbini: ukubanjwa ngokubanzi kunye nokuthimba okungaphelelanga.

Ukubanjwa ngokubanzi

Ukubanjwa ngokubanzi kwenzeka xa umbane ongaqhelekanga usenzeka kuzo zonke iindawo zecortex yecereal. Olu luhlu oluphezulu lwengqondo yakho ehambelana nokuhamba, ukucinga, ukuqiqa kunye nememori. Okubandakanyiweyo kolu luhlu zezi:

• Ukuxhuzula ngenxa yethoni. Ngaphambili ibisaziwa njenge-grand mal, oku kubanjwa kubandakanya ukuqina komzimba, ukunyikima, kunye nokulahleka kwengqondo.
• Ukungabikho. Ngaphambili kwakusaziwa njenge-petit mal, oku kuxhuzulwa kubonakaliswa ngamaxesha amafutshane okujonga, amehlo aqhwanyazayo, kunye nokuhamba okuncinci ezandleni nasezingalweni.

Ukuhlutha okungaphelelanga

Ukubanjwa okukhethekileyo, okwabizwa ngokuba kukugxila ekugxilwe okanye ekuhlaleni, kunqunyelwe kumda omnye wobuchopho. Xa zisenzeka, unokuhlala uyazi kodwa ungazi ukuba ukuxhuzula kuyenzeka. Ukubanjwa okukhethekileyo kunokuchaphazela indlela oziphethe ngayo, ukuqonda kunye nokuphendula. Banokubandakanya iintshukumo ezingazibandakanyi.

Ukuxhamla okwenzeka xa ulele

Ngokwenqaku kwiJenali ye-Neurology, Neurosurgery & Psychiatry, ukuba ngaphezulu kweepesenti ezingama-90 zokubanjwa kwakho kwenzeka ngelixa ulele, kunokwenzeka ukuba ubambe ubusuku. Ingxelo yaqaphela ukuba abantu abangama-7.5 ukuya kuma-45 ekhulwini abanesithuthwane banesifo sokuxhamla xa belele.

Abantu abanokubanjwa ebusuku kuphela banokuphucuka xa bevukile. Olunye uphononongo ukusukela ngo-2007 lubonakalise ukuba malunga nesinye kwisithathu sabantu abanokuxhuzula kuphela xa belele banokuphuhla xa bevukile nasemva kokungabanjwa iminyaka emininzi.

Kukholelwa ukuba ukubanjwa kokulala kubangelwa lutshintsho kwimisebenzi yombane kwingqondo yakho ngexesha lamanqanaba athile okulala kunye nokuvuka. Uninzi lokuhluthwa ebusuku lwenzeka kwinqanaba 1 kunye nenqanaba 2, ngamaxesha okulala kancinci. Ukubanjwa ebusuku kunokwenzeka kwakhona xa uvuka. Zombini ukugxila kunye nokubanjwa ngokubanzi kunokwenzeka xa ulele.

Ukuxhuzula ebusuku kunxulunyaniswa neentlobo ezithile zesathuthwane, kubandakanya:

• ulwelo lwesifo sokuwa sephepha
• ukuxhuzula kwitoni-clonic xa uvuka
• I-benign rolandic, ekwabizwa ngokuba sisifo sokuwa sokukhula ebuntwaneni
• imeko yombane yokuxhuzula
• Isifo seLandau-Kleffner
• ukuqala ukuxhuzula

Ukuhluthwa ebusuku kuphazamisa ukulala. Zikwachaphazela uxinzelelo kunye nokusebenza emsebenzini okanye esikolweni. Ukubanjwa kwasebusuku kukwanxulunyaniswa nomngcipheko okhulayo wokufa okungalindelekanga ngesiquphe, nesona sizathu sinqabileyo sokufa kwabantu abanesathuthwane. Ukunqongophala kokulala yenye yezona zinto zibangela ukubanjwa. Ezinye izinto ezibangela uxinzelelo kunye nomkhuhlane.

Ukubanjwa ngobusuku kwiintsana nabantwana abancinci

Ukuxhuzula kunye nokuxhuzula kuxhaphake kakhulu kwiintsana nakubantwana kunalo naliphi na elinye iqela leminyaka. Nangona kunjalo, abantwana abanesathuthwane bahlala beyeka ukuxhuzula bade babe badala.

Abazali beentsana ezintsha ngamanye amaxesha badibanisa imeko ebizwa ngokuba yi-benign neonatal sleep myoclonus ngesifo sokuwa. Iintsana ezifumana i-myoclonus ine-jerking engazibandakanyi edla ngokujongeka njengokuhlutha.

I-electroencephalogram (i-EEG) ayinakubonakalisa utshintsho kwingqondo ehambelana nokuxhuzula. Kwaye i-myoclonus ayinqabile. Umzekelo, ii-hiccups kunye nokuxhuzula xa ulele ziindlela ze-myoclonus.

Ukuchonga ukubanjwa ebusuku

Kungaba yinkathazo ukufumanisa ukuxhuzula ebusuku ngenxa yokuba zisenzeka nini. Ukuhluthwa kokulala nako kunokudideka kunye neparasomnia, igama lesambrela kwiqela leengxaki zokulala. Ezi ngxaki zibandakanya:

• ukulala
• ukugaya amazinyo
• isifo somlenze esingazinzanga

Ukufumanisa ukuba loluphi uhlobo lwesifo sokuwa onokuthi ubenaso, ugqirha uya kuvavanya izinto ezininzi, kubandakanya:

• uhlobo lokuxhuzula onalo
• ubudala xa uqala ukuxhuzula
• Imbali yosapho yokuxhuzula
• ezinye iimeko zonyango onokuba nazo

Ukufumanisa isifo sokuwa, ugqirha wakho unokusebenzisa:

• imifanekiso yomsebenzi wombane kwingqondo yakho ebhalwe yi-EEG
• ubume bengqondo yakho njengoko kubonisiwe kwi-CT scan okanye kwi-MRI
• irekhodi lomsebenzi wokubanjwa kwakho

Ukuba ukrokrela ukuba usana okanye umntwana wakho uxhuzula ebusuku, nxibelelana nogqirha wakho. Ungamjonga umntwana wakho ngoku:

• usebenzisa ukubek'esweni komntwana ukuze uve kwaye ubone ukuba kwenzeka ntoni
• ukubukela iimpawu kusasa, ezinje ngokulala okungaqhelekanga, intloko ebuhlungu, kunye neempawu zokukhahlela, ukugabha okanye ukumanzisa ebhedini
• usebenzisa esweni sokubamba, esineempawu ezinjengokushukuma, ingxolo, kunye nabenzi boluvo lokufuma

Q:

Kunye nokulandela isicwangciso sonyango esimiselweyo sonyango, ngawaphi amanyathelo onokuwathatha kwigumbi lakho lokulala ukuze uzikhusele ngexesha lokuxhuzula ebusuku?

Isigulana esingaziwayo

A:

Ukuba ukhe uxhuzule ebusuku, thatha amanyathelo athile okuzikhusela. Susa izinto ezibukhali okanye eziyingozi kufutshane nebhedi. Umbhede ophantsi oneerugs okanye iipads ezibekwe ecaleni kwebhedi kunokuba luncedo ukuba ukuxhuzula kwenzeka kwaye uwe.

Zama ukuba ungalali ngesisu sakho kwaye unciphise inani leepillow ebhedini yakho. Ukuba kunokwenzeka, lala umntu kwigumbi elinye okanye kufutshane ukuze akuncede xa uxhuzula. Unokusebenzisa isixhobo sokubona ukuthimba esazisa umntu ngoncedo ukuba ukubanjwa kwenzeka.

UWilliam Morrison, iimpendulo ze-MDA zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.

Imbonakalo yesifo sokuwa

Thetha nogqirha wakho ukuba uyakholelwa ukuba wena okanye umntwana wakho unengxaki yokuxhuzula xa ulele. Banoku-odola iimvavanyo eziya kuthi ziqinisekise ukuba ufumana uhlaselo.

Amayeza lonyango lonyango lokuqala lwesifo sokuwa. Ugqirha wakho uya kukunceda ufumane unyango olusebenzela wena okanye umntwana wakho. Ngokuxilongwa ngokufanelekileyo kunye nonyango, iimeko ezininzi zokuxhuzula zinokulawulwa ngamayeza.