Iingozi zokusebenzisa iiopioid njengezinto zokulala

Imfundo yezeMpilo

Ilizwi Imofini ivela kuMorpheus, uthixo wamaGrike wamaphupha. Ukuba ukhe wakwi paxiller efana Imofini , uyazi ukuba umphumo wecala ukozela. Nangona kunjalo, ukusebenzisa i-morphine-okanye nayiphi na i-opioid-ukukunceda ulale kuyingozi kakhulu. Kwaye baninzi abantu abenza loo nto kanye. Ngapha koko, a Uphando lwakutsha nje lubonakalisile lontoOogqirha baye baqaphela ukuba izigulana zisebenzisa i-opioids ukubanceda balale xa iintlungu eziqatha zigcina bona, okanye ngenxa yokungalali ngokwaneleyo. Kwaye abaguli abaninzi abayiqondi ingozi kuloo mkhwa.

Iipioids kunye nezixhobo zokulala ziindidi ezimbini ezahlukeneyo zeziyobisi: Iiopioids zinamandla okubulala iziyobisi ngelixa izixhobo zokulala zincinci kwaye zilala ngomnqweno wokulala. Ezi ntlobo zimbini zamayeza zenzelwe iinjongo ezimbini ezahlukileyo-kwaye akufuneki usebenzise enye endaweni yenye.

Yintoni ebalwa njengeopioid okanye izixhobo zokulala?

Iklasi leziyobisi ezibizwa ngokuba zii-opioid zibandakanya iintlungu zokunyanga ezinje yioocodone ( Okwenene ), hydrocodone ( Vicodin kwaye Percocet ), kunye ikhowudi , kunye neeopioid zokwenziwa ezinjengefentanyl kunye neheroin engekho mthethweni yeziyobisi.

Izixhobo eziqhelekileyo zokulala zibandakanya zolpidem tartrate ( Ambien , Ambien CR ), I-flurazepam hydrochloride (IDalmane), zintathu ( IHalcion ), ezlilo ( ILunesta ), kunye estazolam (IProsom).

Kutheni ungafanele usebenzise iiopioid njengesixhobo sokulala?

Ngokuqinisekileyo ii-opioids zinokukwenza wozele, kodwa akufuneki zisetyenziswe njengesixhobo sokulala, utshilo uWilson Compton, MD, usekela mlawuli Iziko leLizwe leSizwe ngokuSetyenziswa gwenxa kweziyobisi eRockville, eMaryland. Abakhuselekanga, benokubakho kweziyobisi kunye nezinye iingxaki. Zizo kuphela iintlungu eziqatha, kwaye kwezinye iimeko, iintlungu ezingapheliyo.

Ngelixa ii-opioids zinokukunceda ulale, azikuncedisi ukuba ulale ngcono. I-opioids yehlisa ireyithi ye-REM kunye nokulala kancinci kwamaza okuyimfuneko ekuphumleni, nasekuvuseleleni ubuthongo, ucacisa uYili Huang, DO, umlawuli weZiko loLawulo lwePain Isibhedlele saseNorthwell Phelps kwi-Sleepy Hollow, eNew York.

I-opioids kunye ne-apnea yokulala

Ukongeza, phakathi kwe-7% ukuya kwi-20% yabantu baseMelika abangafumananga i-apnea yokulala, utshilo uGqirha Huang, kwaye kwabo bantu, ii-opioids zinokuphazamisa amandla abo okuphefumla ngelixa belele, ezinokuthi zibeke ubomi babo emngciphekweni. A isifundo esincinci ifumanise ukuba ephezulu idosi ye-opioid, liphezulu inani leepnea episodes zokulala. Olunye uphando ibonakalise ukuba ioksijini egciniweyo ithi nkxwe ngokukhawuleza kwimizuzu eli-15 emva kokuthatha i-opioid ezinzulwini zobusuku. Intsingiselo, ii-opioids zinokucinezela ukuphefumla kwabantu abane-apnea yokulala, ukonyusa umngcipheko wokufa.

Ugqirha Compton wongeza ukuba ukuba sele uthatha i-opioids yokulawula iintlungu kwaye wandise idosi yakho ebusuku ukukunceda ulale, ubeka emngciphekweni ithuba lokudlula.

Ukuba ndinentlungu kwaye andikwazi ukulala?

Intlungu ebuhlungu inokuba nemithombo emininzi, nokuba ivela kuqhaqho, unyango lomhlaza, imeko yezonyango ebangela iintlungu, okanye ingozi yomzimba. Kodwa ufanele wenze ntoni xa usentlungwini eyoyikekayo kwaye ungakwazi ukulala ngenxa yayo?

Thetha nogqirha wakho ngezinye iindlela ezikhuselekileyo, uGqirha Huang ucebisa okokuqala. Phatha into ebangela iintlungu ngonyango olujolise ngakumbi kumthombo wayo. Ukuba kukungalali okwethutyana kunye nentlungu, iintlungu ezithile zonyango zinokunyanga iintlungu kwaye zibangele ukulala, kwaye zinokuba luncedo. IGabapentin [iyeza elalisetyenziswa rhoqo ngugqirha lisetyenziswa ekuthomalaliseni iintlungu ngenxa yeswekile kubantu abadala]lelinye lonyango. Kodwa akukho bullet yomlingo-onke amayeza aneziphumo ebezingalindelekanga.

Kwaye into ongafuniyo ukuyenza, utshilo uGqirha Huang, kukuqhubeka nokuthatha iiopioid zakho ngelixa uthatha izixhobo zokulala okanye iziyobisi ezinje ngeAmbien, Xanax, okanye Valium . Le combo yonyusa ithuba lokudakumba ngokuphefumla (hypoventilation). Ukudibanisa iiopioids kunye nayiphi na Okunye ukuthomalalisa — kubandakanya utywala — kudala umngcipheko wokudlula, kunye nokufa, utshilo uGqirha Compton.

Ukuba unengxaki yokulala, ungabuyela kwizisombululo ezingabandakanyi amayeza kagqirha, utshilo uGqirha Laura Fanucchi, unjingalwazi onxulumene namayeza kwiYunivesithi yaseKentucky kunye nengcali yokulutha i-opioid. Ezi ndlela zibandakanya utshintsho kwindlela yokuziphatha enje:

• Ukwenza umthambo rhoqo
• Ukulungiselela ukucoceka kokulala ngokungatyi emva kwexesha
• Ukuphepha izikhuthazi ezifana ne-caffeine kunye ne-nicotine
• Ukuthintela izikrini ze-elektroniki (ezinje ngeeselfowuni, iitafile, iiTV, kunye neephononongo zePC) ngaphambi kokulala

Kutheni ukuba sele ndixhomekeke kwiiopioids ukulala?

Ukuba sele uhlakulele umkhwa wokuthatha ii-opioids ngenxa yezizathu ezingezizo ezimiselweyo, kuya kufuneka ubonane nogqirha wakho ngoko nangoko, uGqirha Fanucchi ucebisa, kunokuba uzame ukubandayo iturkey. Ukusetyenziswa kwemihla ngemihla kweeopioid kunokubangela ukuxhomekeka emzimbeni kwaye emva koko kurhoxiswe ukuba iiopioids ziyekwe ngesiquphe, utshilo.

Ugqirha Huang uyavuma, sebenza nogqirha wakho kwaye nize nerejimeni elungileyo yokomeleza umzimba. Ukuba usebenzisa ezi ukulala nje, ungawasebenzisa kakubi la mayeza kwaye kufuneka ucinge ngokubona ugqirha. Kuya kufuneka ubone ingcali yolawulo lweentlungu ukunyanga umthombo wentlungu, kuba ezi pilisi zinokuba kukugubungela ingxaki esisiseko.