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Kuwongolera zothandizira zothandizira kugona: Kodi mungasankhe chiyani?

Kuwongolera zothandizira zothandizira kugona: Kodi mungasankhe chiyani?Maphunziro a Zaumoyo

Ndi 3 koloko ndipo mwakhala mukuponya ndikutembenuka kwa maola ambiri. Ndi kachitatu sabata ino kulowetsedwa ndi tulo ndipo mukusowa tulo tofa nato.

Simuli nokha.



80% Anthu akuti ali ndi vuto kugona kamodzi pa sabata, malinga ndi 2018 Malipoti Ogulitsa kafukufuku. Popeza ambiri ali ndi vuto lotseka, siziyenera kutidabwitsa, kuti zothandizira kugona ndi bizinesi yomwe ikupita patsogolo. Makasitomala aku US amawononga madola masauzande mabiliyoni chaka chilichonse pazinthu zonse kuchokera kuzowonjezera zitsamba mpaka mankhwala ogona ogwiritsidwa ntchito pofunafuna kugona bwino.



Kusagona ndi vuto lalikulu, koma akatswiri amachenjeza kuti pali zabwino ndi zoyipa ku chithandizo chilichonse chogona chomwe chimagulitsidwa. Ambiri alibe chidziwitso chambiri chasayansi chotsimikizira kuti ndi chothandiza. Enanso amagwira ntchito, koma ndi zotsatirapo zake - monga kugwa m'mawa. Ndipo nthawi zambiri thandizo logona limakhala ngati Band-Aid, masking, koma osapeza muzu weniweni wamavuto anu ogona. Itha kukhala vuto lathanzi monga obstructive sleep apnea (matenda okhudzana ndi kupuma tulo) kapena matenda amiyendo osakhazikika (matenda okhudzana ndi tulo). Zovuta zina zakugona zimafunikira kuyezetsa kuchipatala ndipo, nthawi zambiri, chithandizo chamankhwala chokhudzana ndi vutoli.

Palibe chithandizo chogona chomwe 100% sichikhala pachiwopsezo, akutero Scott Kutscher, MD , pulofesa wothandizira zamankhwala amisala komanso zamakhalidwe pa Malo a Sayansi Yogona ku Stanford . Mankhwalawa atha kubweretsa kuchuluka mopitilira muyeso, kapena, modabwitsa, zimapangitsa anthu kumverera ngati sangathe kugona konse. Aliyense ndi wosiyana. Ndipo zomwe tikusowa ndikumvetsetsa kwa umunthu wa munthu aliyense wa neuro komanso kutha kunena kuti, 'Chabwino, ichi ndiye chisankho choyenera kwa inu.'



Ndi njira iti yabwino yopanda mankhwala ogona?

Kusowa tulo kumatanthauziridwa kuti ndikovuta kugona kapena kugona tulo ndi tsiku lotsatira. Amawerengedwa kuti ndi kusowa tulo kwanthawi yayitali ngati kumachitika mausiku atatu kapena kupitilira sabata kwa miyezi itatu kapena kupitilira apo. Akatswiri a zamankhwala ogona nthawi zambiri amati chithandizo chazidziwitso kwa anthu omwe ali ndi vuto losowa tulo ndipo sakugona mokwanira. IchoZikuwoneka kuti zikupeza zotsatira zofananira ndi mapiritsi ogona popanda zovuta, atero Vishesh Kapur, MD , pulofesa wa zamankhwala mgawo la mapapu, chisamaliro chofunikira, ndi mankhwala ogona ku Yunivesite ya Washington School of Medicine .Mankhwalawa akuphatikizapo:

  • Kusintha momwe mumaganizira za kugona (mwachitsanzo, m'malo modandaula za kusowa tulo, mvetsetsani kuti aliyense amavutika kugona nthawi ndi nthawi).
  • Kuyeserera njira zopumira , monga kupuma kwambiri.
  • Kuphunzira ukhondo wabwino wa kugona , zomwe zingapangitse kuti muzitha kugona bwino. Mwachitsanzo, musamamwe tiyi kapena khofi madzulo ndipo chipinda chanu muzikhala motentha bwino.

Mankhwalawa amaperekedwa ndi katswiri wazachipatala. Ndibwino kuti muyang'ane yemwe ali ndi mbiri yothandizira kusintha magonedwe.

Kodi chithandizo chachilengedwe chothandiza kwambiri chogona ndi chiyani?

Ndizovuta kuyankha. Kafukufuku wamkulu, wopangidwa mwaluso kwambiri pazinthu zachilengedwe zothandiza kugona - zomwe nthawi zambiri zimakhala ndizakudya ndi zowonjezera zitsamba - ndizochepa kwambiri. Maphunziro ambiri kunja uko amakhala ndi zosakwanira.



Ndikofunikanso kuzindikira kuti zothandizira zachilengedwe zakugona sizivomerezedwa ndi US Food and Drug Administration (FDA), zomwe zikutanthauza kuti samayesedwa mwamphamvu kuti akhale otetezeka komanso ngati mankhwala ena. Ndipo popeza sakulamulidwa, kapangidwe kake ndi potency zimatha kusiyanasiyana kuchokera pakupanga wina kupita kwina komanso ngakhale gulu limodzi kupita ku linzake.

Nkhani yabwino: Mankhwala ambiri achilengedwe, omwe amapezeka mosavuta m'malo ogulitsa mankhwala, golosale, ndi malo ogulitsa zakudya, amaonedwa kuti ndi otetezeka kugwiritsa ntchito kwakanthawi, ndipo zovuta zake zimakhala zachilendo. Zikachitika, zimabwera ngati mutu komanso mavuto am'mimba, monga nseru, kukokana, ndi kutsegula m'mimba.

Anthu ambiri amatha kugwiritsa ntchito chithandizo chogona nthawi yayitali popanda zovuta, atero Dr. Kapur.Koma sizitanthauza kuti nthawi yayitali palibe zotsatirapo. Zowopsa kwanthawi yayitali nthawi zambiri sizinayesedwe.



Ngati mukufuna kuyesa kugona kwachilengedwe, muyenera kulankhula ndi dokotala poyamba, koma Nazi njira zingapo zodziwika bwino.

Muzu wa Valerian

Muzu wa Valerian Ndi zitsamba zochokera ku chomera cha valerian chomwe chimakula ku Europe, North America, ndi Asia. A kuwunika kwamaphunziro kuyang'ana tulo ndi valerian, lofalitsidwa mu nyuzipepalayi Ndemanga za Kugona Kwa Mankhwala, sanapeze kusiyana kwakukulu pakati pa valerian ndi placebo, mwina mwa anthu athanzi kapena mwa anthu omwe ali ndi vuto losagona tulo kapena tulo.



Komabe, anthu ena amawona valerian othandiza - nthawi zambiri kuwathandiza kuti agone msanga. Palibe amene ali wotsimikiza kwenikweni momwe zingagwirire ntchito (zikagwira ntchito), koma ofufuza akuganiza kuti zitha kuwonjezera mankhwala muubongo omwe amakhala ndi bata. Muzu wa Valerian sulimbikitsidwa kwa amayi apakati kapena oyamwitsa kapena kwa iwo omwe amamwa mankhwala okhala pansi monga mankhwala opatsirana pogonana komanso mankhwala oletsa nkhawa.

Melatonin

Melatonin ndi timadzi tomwe timapangidwa mwachilengedwe ndi ubongo. Amakula usiku, poyankha mdima, ndikuchepera masana. Zimathandiza thupi kuyendetsa kayendedwe kake ka kugona (komwe kumatchedwa circadian rhythm), ndichifukwa chake mavitamini a melatonin amawoneka othandiza kwambiri kwa anthu omwe ali ndi mavuto ogona okhudzana ndi jet lag kapena shift work. Zikuwoneka kuti zimagwira ntchito bwino mwa anthu omwe amavutika kugona (otchedwa latency yogona), atero akatswiri pa Mankhwala a Penn ku Philadelphia. Koma chifukwa imakhala ndi moyo wawufupi, kutanthauza kuti thupi limayendetsa msanga, mwina sangakhale abwino kwa anthu omwe amadzuka kwambiri usiku, atero Dr. Kutscher.



Melatonin amatha kuyanjana ndi mankhwala angapo. Musamamwe ngati mukumwa mapiritsi ogona, nonsteroidal anti inflammatories (NSAIDs), corticosteroids, magazi oonda, antipsychotic, ndi / kapena mankhwala omwe amagwiritsidwa ntchito pochiza kukhumudwa, nkhawa, kapena kuthamanga kwa magazi. Chifukwa chogwiritsira ntchito ndi mahomoni, imatha kukhala ndi zotulukapo pa mahomoni oberekera. Melatonin ali osavomerezeka kuti agwiritsidwe ntchito kwa ana kapena mwa amayi apakati kapena oyamwitsa popanda chilolezo cha dokotala.

Mankhwala enaake a

Mankhwala enaake a ndi mchere wamchere womwe umapezeka m'masamba a masamba, mtedza, nyemba, mbewu zonse, ndi zakudya zina. Ndikofunikira pantchito zingapo zakuthupi, kuphatikiza kugona. Kafukufuku wogwiritsa ntchito zowonjezera ma magnesium ngati chithandizo chogona ndizochepa, koma chimodzi kuphunzira kuchokera ku 2012, okalamba omwe amatenga 500 mg ya magnesium oxide usiku uliwonse kwa milungu isanu ndi itatu adatha kugona mwachangu ndikugona nthawi yayitali kuposa maphunziro omwe amatenga placebo.



Amaganiziridwa kuti kuchepa kwa magnesium kumatha kuyambitsa mavuto mthupi la circadian ndikuchepetsa milatonin. Magnesium imathandizanso kukulitsa neurotransmitter GABA, yomwe imakuthandizani kuti mukhale omasuka komanso odekha. Magnesium supplementation imatha kusokoneza kuyamwa kwa mankhwala monga maantibayotiki, ndipo imatha kulumikizana ndi ena, monga mankhwala a magazi. Chitani mosamala.

Kodi chithandizo chabwino kwambiri chogulitsira chogulitsira ndi chiani?

Mankhwala ambiri ogwiritsira ntchito tulo amangopangidwanso ma antihistamines, nthawi zina okhala ndi ululu monga acetaminophen kapena ibuprofen (ganizirani Tylenol PM ndipo Advil PM ). Antihistamines ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza matendawa koma amakhalanso ndi zovuta zina. Amathandizira kupititsa patsogolo tulo poletsa mankhwala omwe amatchedwa histamine, omwe amathandizira pakuwuka. Zithandizo zogona za OTC izi zimapezeka mosavuta m'masitolo ogulitsa ndi m'misika.

Madokotala ambiri amati palibe cholakwika ndi kutenga antihistamine nthawi zina kuti ikuthandizeni kugona. Koma, amachenjeza kuti mwina simungapeze kugona kwabwino kwambiri kugwiritsa ntchito imodzi. Mutha kukhala ndi zovuta, kuphatikiza grogginess ya tsiku lotsatira (aka, tulo tofa nato), mkamwa wouma, kukhumudwa, kuyenda tulo, ndi kusokonezeka, makamaka ngati ndinu okalamba. Anthu ambiri mwachangu amayamba kulekerera zovuta za antihistamines, nthawi zina pamasabata ochepa.

Ena mwa antihistamines omwe amagwiritsidwa ntchito kwambiri kugona ndi awa:

  • Diphenhydramine,amapezeka mu Benadryl , Zamgululi , ndi Aleve PM , pakati pa ena
  • Doxylamine succinate, wopezeka mu Unisom , Nyquil , ndi ena

Antihistamines sayenera kugwiritsidwa ntchito ndi ana osakwana zaka sikisi kapena aliyense amene ali ndi vuto lakupuma monga asthma, glaucoma, mavuto okodza (mwachitsanzo, kuchokera ku prostate wokulitsidwa), matenda amtima, kuthamanga kwa magazi, kapena mavuto a chithokomiro. Ngati mungasankhe kumwa mankhwala a antihistamine nthawi zina kuti musagone, pewani mankhwala omwe ali ndi ululu wowonjezera pokhapokha mutafunikira.

Kodi dokotala amalangiza chiyani tulo?

Musanalembe mapiritsi ogona, wothandizira zaumoyo wanu akufuna kukuyesani. Dokotala wanu akhoza kukupemphani kuti mukhale ndi cholembera kuti muone kuchuluka kwa kugona kwanu, kumatenga nthawi yayitali bwanji kuti mugone, ndi zina zotero. Mutha kukhala ndi magazi kuti muwone ngati muli ndi vuto lachipatala lomwe limabweretsa mavuto ogona, monga matenda a chithokomiro . Muthanso kuchita kafukufuku wogona usiku umodzi, kuti muthandizire kuzindikira vuto lomwe limakhalapo ngati vuto la kugona.

Ngati wothandizira zaumoyo akuganiza kuti mapiritsi ogona ndi oyenera kwa inu, amakupatsirani mankhwala kutengera ndi zomwe mwapeza. Mankhwala ena ogonetsa, monga Zambiri ndi Sonata, gwirani ntchito bwino kwa iwo omwe ali ndi vuto logona tulo. Ena, monga Lunesta ndipo Kubwezeretsa , Ndiabwino kwambiri kwa iwo omwe ali ndi vuto kugona.

Mwambiri, mapiritsi ogona amagwiritsidwa ntchito kwakanthawi kochepa, makamaka kwa milungu iwiri.Chizindikiro chomveka bwino ndi cha vuto lomwe ndi losakhalitsa, akutero Dr. Kapur. Mwachitsanzo, pakakhala nkhawa kapena kupsinjika pozungulira tsiku lomaliza logwira ntchito. Kugwiritsa ntchito nthawi yayitali kumatha kuyambitsa kudalira, zomwe zimapangitsa kuti zikhale zovuta kuposa kale kugona osagwiritsa ntchito mapiritsi. Mapiritsi ogona alibe mavuto, omwe amatha kuphatikiza kugona masana, chizungulire, ndipo, kawirikawiri, kugona kuyenda / kuyendetsa / kudya. Mapiritsi ogona otsatirawa amalembedwa nthawi zambiri.

Benzodiazepines

Mankhwalawa akhala akugwiritsidwa ntchito kwazaka zambiri kuthandiza kuthana ndi mavuto ogona. Amagwira ntchito pa GABA ya neurotransmitter, yomwe imatha kusokoneza ubongo. Zitsanzo ndi izi:

  • Halcion
  • Kubwezeretsa
  • Dalmane

Osati benzodiazepine hypnotics

Ngakhale kuti dzinali limatanthauza chiyani, mankhwalawa amagwira ntchito mofananamo ndi benzodiazepines, kuthandiza kukulitsa milingo ya GABA muubongo. Amayang'ana kwambiri ma GABA receptors kuposa benzodiazepines, motero amakhala ndi zovuta zochepa. Mayina ena ndi awa:

  • Sonata
  • Lunesta

Otsutsa olandirana nawo a Orexin

Awa ndi gulu latsopano la mankhwala omwe a FDA adavomereza posachedwa pankhani yogona. Amathandizira kutseka orexin, mankhwala amubongo omwe amakupangitsani kukhala tcheru. Monga ma non-benzodiazepine hypnotics, amasankha omwe akuwatsata, chifukwa chake amabwera ndi zovuta zochepa. Wotsutsa yekha wa orexin receptor yemwe akupezeka pano ndi Belsomra (suvorexant).

Zomwe zimakhala zambiri ayi adalamulidwa kugona? Mankhwala oletsa nkhawa monga Xanax kapena Ativan . Ngakhale akukhala, amakhala ndi chizolowezi chochulukirapo ndipo mutha kuwalimbikitsa. Amakonda kusintha kamangidwe ka kugona kwa munthu, atero Dr. Kutscher. Amapondereza REM ndikugona tulo tofa nato, magawo awiri ofunikira thanzi la thupi ndi malingaliro.

Zomwe muyenera kuganizira musanatenge chithandizo chogona

Zothandizira pogona zingakhale njira yabwino yogwiritsira ntchito kwakanthawi kochepa, koma ndibwino kuti mupeze malangizo ndi malangizo a dokotala musanayese.

Ganizirani zowonjezera zina ndi mankhwala omwe mukumwa -Ngakhale atakhala OTC. Kuphatikiza chithandizo chogona ndi mankhwala ozizira, monga Nyquil, kapena mankhwala ena opatsirana pogonana kumatha kuyambitsa kuwonongeka kowopsa.

Anthu omwe amatenga zotsekemera monga Adderall , omwe amagwiritsidwa ntchito pochiza matenda osowa chidwi (ADD) ndi narcolepsy — tulo tofa nato masana — nthawi zambiri amadandaula za mavuto akugona. Dokotala wanu akhoza kulangiza othandizira kugona kapena kusintha nthawi yolimbikitsira kuti muchepetse zovuta za usiku. Mwanjira ina, dokotala wanu angafunikire kugwiritsira ntchito mankhwala ndi mlingo wake.

Funsani ngati msinkhu wanu kapena vuto lanu likuwonjezera chiopsezo chanu . Zothandizira pogona zambiri zimagwirira ntchito mahomoni ndi mankhwala amubongo, chifukwa chake amayi omwe ali ndi pakati kapena akuyamwitsa, ana, ndi okalamba ayenera kukhala osamala kwambiri. Ngakhale mutakhala m'gulu limodzi mwamagawo awa, mutha kutengabe chithandizo chogona.

Pali zosankha zambiri zomwe zikupezeka, atero Dr. Kutscher. Chinsinsi ndikumvetsetsa kuti ndi mankhwala ati omwe sagwirizana kwenikweni ndi zinthu zomwe zatengedwa kale ndikuwonetsetsa kuti wodwalayo akudziwa zomwe zingachitike. Ndi chithandizo choyenera, mudzagona bwino posachedwa.