Dab tsi koj npau suav tuaj yeem qhia txog koj kev noj qab haus huv


Dab tsi koj npau suav tuaj yeem qhia txog koj kev noj qab haus huv

Peb feem coob yuav siv sijhawm rau xyoo rau peb lub neej kev npau suav, tseem nyob rau nruab nrab 95% ntawm peb txoj kev npau suav tsis nco qab sai sai tom qab waking.

Ib qho kev tshawb xav pom tias qhov no yog vim lub hlwb pem hauv ntej lub ntsej muag tsis voos thaum pw tsaug zog thiab qhov no ntawm lub hlwb yog qhov twg nco tau ua thiab khaws cia.

Feem ntau thaum npau suav kev pw tsaug zog peb ua rau tuag tes tuag taw ib ntus – cov leeg nqaij uas tseem ua haujlwm yog qhov ua rau peb ua pa thiab cov uas tswj peb lub qhov muag, yog li ntawd lub sijhawm ‘nrawm nrawm zog’ (REM) pw tsaug zog. Qhov nruab nrab peb yuav muaj peb mus rau tsib lub voj voog ntawm REM pw txhua hmo thiab feem ntau tsuas yog nco ntsoov peb txoj kev npau suav yog tias peb sawv thaum ib ntawm cov no.

Vim li cas peb thiaj npau suav?

Los ntawm lub paj hlwb txoj kev xav, muaj ntau lub theories ua yog vim li cas kev npau suav tseem ceeb heev rau txoj kev pw tsaug zog.

GP Dr Pixie McKenna, tus cev lus hauv Dreams, cov lus hais tias: “Kev tshawb fawb pom tias npau suav tau txuas rau kev kawm thiab kho, thiab ntxiv cov kev paub dhau los, kev txawj ntse thiab kev ntsib uas peb tau muaj nyob rau hauv cov hnub dhau los.”

Dr Guy Leschziner, tus kws pab tswv yim neurologist ntawm Chaw pw, London Choj Tsev Kho Mob, ib feem ntawm HCA UK, tau pom zoo thiab ntxiv, “nws yog hais txog kev ua kom zoo dua ntawm kev nco tseg.”

Lub luag hauj lwm ntawm ‘ib txwm’ npau suav tus cwj pwm yog qhov ceeb thoob plaws. Raws li tau tsav los ntawm tus kheej lub hlwb thiab lub cev sib xyaw, peb kev npau suav txawm raug cuam tshuam los ntawm kev sib raug zoo thiab keeb kwm kev coj noj coj ua.

Piv txwv, ib txoj kev tshawb nrhiav tau pom tias ua ntej tso tawm xim TV, tsuas yog 15% ntawm cov neeg npau suav xim; Qhov kev tshawb pom pom tias cov neeg laus yuav tsum tau ua npau suav dub thiab dawb ntau dua li cov tub hluas.

Txawm li cas los xij, muaj qee yam kev hloov pauv ntawm kev pw tsaug zog thiab kev npau suav kev coj cwj pwm uas tsim nyog rau kev ceeb toom, uas yuav ua rau pom kev txhawj xeeb ntawm kev noj qab haus huv.

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Ua rau npau suav phem thiab ua npau suav tsis zoo

Txoj kev ua neej yam

“Cov neeg uas poob dav hlau lossis nkees tsis txaus ntseeg yuav pom tias lawv npau suav ua ntej pw tsaug zog tau pib lossis lawv sawv thaum lawv sawv. Yog tias qhov no tshwm sim rau koj, nws yog qhov qhia tias koj tau pw tsaug zog,” hais tias McKenna. “Npau suav txawv txawv tuaj yeem pom tias yog dab tsi txij thaum cev xeeb tub mus rau cov ntshav qab zib hauv lub cev. Hmo ntuj npau suav feem ntau cuam tshuam txog kev ntxhov siab, ntxhov siab, thiab kev tsis zoo, lossis tseem yog lub cim ntawm kev pw tsaug zog.”

Cawv, noj ntau dhau, ntxhov siab thiab tshaj dhau (lub hlwb lossis lub cev) ua ntej pw yuav tuaj yeem ua rau muaj kev cuam tshuam kev pw tsaug zog thiab ntxhov siab npau suav.

Noj tshuaj phiv

Qee cov tshuaj feem ntau tuaj yeem cuam tshuam REM pw tsaug zog thiab npau suav lub voj voog.

“Feem ntau cov no suav nrog cov tshuaj tiv thaiv malarial thiab beta-blockers rau cov teeb meem ntshav siab,” piav qhia Leschziner. “Cov tshuaj tiv thaiv kev ntxhov siab tuaj yeem ua rau npau suav tsis meej, tab sis qee hom kuj tseem tuaj yeem tshem tawm kev npau suav vim lawv ua rau REM txwv thiab txo lub sijhawm koj siv nyob hauv kev npau suav pw.”

Cov teeb meem kev noj qab haus huv

Muaj kev npau suav tiag tiag txhua hmo uas koj rov qab los (uas tej zaum tseem ua rau lub cev ua si los yog hais tawm ntawm qhov ncauj) tuaj yeem ua pov thawj tias muaj qee yam cuam tshuam koj kev npau suav kev pw tsaug zog, xws li pw tsaug zog tsis tsaug zog (uas phem dua thaum REM pw tsaug zog), narcolepsy (thaum lub pauv koom nrog rau hauv thiab tawm ntawm pw tsaug zog mus tsis txaus) lossis REM kev coj cwj pwm pw tsaug zog.

“Thaj chaw ntawm lub hlwb uas tswj REM pw tsaug zog feem ntau muaj kev puas tsuaj hauv cov mob xws li tus kab mob Parkinson,” said Leschziner. “Thiab yog li cov tib neeg muaj qhov no thiab qee lwm cov kab mob neurological feem ntau yuav muaj kev npau suav npau taws ntawm kev sib ntaus los yog raug ntaus, thiab ua rau lub cev mob, sib ceg, qw lossis qw.”

Ib txoj kev tshawb pom tau tias kev txheeb ze ntawm qhov npau suav phem rov qab, mob cov tsos mob thiab lub cev ntas. Kev tshawb nrhiav tam sim no tseem qhia tau tias cov kev hloov pauv hauv tus npau suav kev coj tus cwj pwm, thiab txawm tias cov ntsiab lus npau suav, yuav taw qhia qhov pib ntawm qee qhov teeb meem kev noj qab haus huv ua ntej lawv tshwm sim hauv lub cev daim ntawv, txawm hais tias cov pov thawj ua tiav rau qhov no tseem yog qhov tseem ceeb ntawm kev sib cav.

“Muaj tseeb cov neeg mob vwm, mob plawv, mob migraines lossis Parkinson tus kab mob tej zaum yuav rov muaj dua kev npau suav ib zaug,” McKenna hais ntxiv.

Lwm qhov kev tshawb fawb hais txog lub hom phiaj ntawm kev npau suav yog lub tswv yim tias kev npau suav yog ib hom kev kho mob thaum hmo ntuj – yog li peb tso cov kev nco tau cuam tshuam nrog kev xav muaj zog los ntawm REM pw tsaug zog, tab sis txo qee cov ntsiab lus kev xav txuas nrog lawv.

“Hauv cov neeg muaj kev ntxhov siab tom qab lub cev tsis xwm yeem (PTSD), piv txwv, lub laj thawj lawv muaj kev npau suav ntxhov siab ib zaug ntxiv yog vim lawv tsis tau ua tiav cov txheej txheem ntawd,” hais tias Leschziner. “Lawv tau sawv los ntawm kev npau suav phem ua ntu zus nrog lawv cov kev raug mob ua ntej lub hlwb tau ua tiav cov kev xav hauv lub siab.”

Yuav nrhiav kev pab li cas

Cov qauv npau suav uas tab kaum koj txoj kev pw tsaug zog (lossis koj tus khub) ua ntu zus yuav tsum tau saib xyuas mob. Yog tias koj tab tom yauv zoo li tsis ua haujlwm, muaj kev npau suav phem, lossis tau pom tias koj tus cwj pwm pw tsaug zog thiab npau suav txij li pib siv tshuaj, nws yog qhov tseem ceeb kom pom koj tus kws kho mob.

“Yog tias koj txoj kev npau suav ua rau muaj kev cuam tshuam ntawm kev ntxhov siab thiab kev ntxhov siab, lossis los ntawm kev pw tsaug zog tsis txaus, ces thawj zaug koj tus kws kho mob GP tuaj yeem pab cuam kev cuam tshuam thiab pab koj ob leeg lub cev thiab lub hlwb,” rov hais qhia McKenna. “Cov kev coj ua tus cwj pwm kho kom zoo txog kev pw tsaug zog tseem yog lub cuab yeej zoo.”

NHS cov tsev kho mob muaj cov kev pabcuam pw tsaug zog uas feem ntau txuas rau cov ntsuas ua pa. Koj tus GP yuav raug xa mus rau cov kev pabcuam no. Lub Tsev Kho Mob Pw Tshav Pw ntawm London Choj Lub Tsev Kho Mob muab kev pabcuam tshwj xeeb kom txog 14,000 tus neeg txhua xyoo nrog kev pw tsaug zog tsis meej.

“Peb yuav soj ntsuam cov neeg mob ib hmos kom pom tias muaj dab tsi cuam tshuam rau lawv kev pw tsaug zog thiab lub voj voog REM. Raws li qhov uas peb pom, peb yuav muab cov tshuaj kho mob lossis kev kho mob lub cev lossis lub hlwb,” hais tias Leschziner. “Cov chav kawm uas siv ntau tshaj plaws ntawm peb cov tshuaj noj yog rau kev tswj ntshav siab uas tseem ua tau zoo rau kev npau suav phem vim tias lawv txo qis ntawm cov ntshav ncig adrenaline, tab sis nws nyob ntawm qhov pib ua – rau pw tsaug zog los yog lub paj hlwb txoj kev sib txawv txoj kev xav tau.”

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