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Tuesday, March 8, 2016

Sleeping Difficulty Causes Diagnosis & Treatments

rd;%Shg kskao hkafka keoao @ miq od oj,a fyda ijia   ld,fha ld¾hd,fha§ ksÈ lsrd jefgkjo @ 

fukak thg fya;=j iy úiÿu 



ldka;djlf.ka Tng fyd¢ka kskao .shdo weyqfjd;a fok ms<s;=r wfka ug kskao hkafka keye'''' hkakhs' hym;a kskaola‌ fkd,eîu fndfyda frda.dndOhkag u. lshk nj oeka m¾fhaIKhka u.ska wkdjrKh ù ;sfnkjd' we;eï ldka;djka úúOdlr frda.dndO .ek meñKs,s lrñka meñKsho Tjqka ;=< lsisÿ frda. ;;a;ajhla‌ oel .kakg fkd,enqk njhs" weußldfõ Æishdkd iriúfha ffjoH ms<sma ' tï fÜ,¾ mjikafka' fuu frda.dndO ;;ajhkag n,md ;sfnk m%n, idOlh rd;%s ld,fha iqjodhl kskaola‌ fkd,eîu nj j. lshkjd'

fï ms<sn|j jQ ish wOHkhg Tyq jhi wjqreÿ 20 isg 86 ola‌jd jQ ldka;djka kshEÈh f,i f;dard .;a;d' kskao ms<sn| ffoksl rgdj igyka lr.kakd f,ig Tjqkag Wmfoia‌ ÿkakd ',nd .;a f;dr;=re úYaf,aIKh l< úg ffjoH fÜ,¾g ,nd .; yels ks.ukh jQfha ojilg meh y;lg wvq kskaola‌ ,nk ldka;djf.a úvdnr .;sh meh wglg jvd jeä kskaola‌ ,nk ldka;djkag idfmala‌Ij n,k úg mia‌ .=Khlska by< njhs' ldka;djka msßñkag jvd fyd| kskaola‌ ,enqjo" Tjqka ks;ru meñKs,s lrkafka ;uka ksis mßÈ kskaola‌ fkd,nk njhs' fï ms<sn|j jQ m¾fhaIKhka u.ska fmkajd fokafkao ldka;djka ks;ru fpdaokd lrkafka ;ukag yß yeáhg kskaola‌ fkd,efnk njhs' ta;a msßñkag idfmala‌Ij n,k úg ldka;djka msßñkag jvd ksfrda.s w;ru msßñkag jvd Ôj;aùfï jdikdjo ,nkjd' mSgia‌n¾.a úYajúoHd,fha ufkdaúoHdj" Ñls;aid.dr iy mßj¾;k úoHdj ms<sn| uydpd¾h veksfh,a f*' nhsis i|yka lrkafka ldka;djkaf.a kskao Ôú;fha ksfrda.s meje;aug fnfyúka n,md we;s njhs' weußld tla‌i;a ckmofha ,ksÈ mqreÿ, fjkqfjka isÿ lrk ,o cd;sl wOHkhlskao fmkajd we;af;a ldka;djka ;Èkau kskaog jefgk w;r wjÈ úfï§;a msßñkag jvd bla‌ukska ke.sàfï yelshdfjka hqla‌; njhs'

fuu wOHkhg mqoa.,hka 1506 la‌ iïnkaO jQ w;r ldka;djkaf.ka 30] la‌o" msßñkaf.ka 22] la‌o i|yka lf<a Tjqka i;sfha Èkhkays§ meh wgla‌ fyda Bg jvd wvq kskaola‌ ,nk njhs' b;d iq¿ msßila‌ i|yka lf<a i;sfha Èkhkays§ ;ukag m%udKj;a kskaola‌ fkd,efnk njhs'

kskao md,kh lrkafka hippoÊmpñ iy wkquia‌;sIalh u.ska kskafoa§ .eud weñfkda ìhqÜ‌ßla‌ wï,h u.ska ia‌kdhq iïfma%IKhka ksl=;a lrkjd' túg uOH ia‌kdhq moaO;sh l%shd;aul lsÍu wju lrkjd' kskao fldgia‌ ;=klska hqla‌;hs'

REM fyj;a YS>% wla‌Is p,kh

NREM fyj;a YS>% fkdjk wla‌Is p,kh

NREM kej;;a isÿ fjkjd

fuu l%shdj,sh úkdä 90 isg 120 la‌ w;r ld,fha§ isÿ fjkjd' kej;;a 6 isg 7 j;djla‌ muK fuu ld¾hh isÿ fjkjd' NREM isÿ fjk wjia‌:dfõ§ bla‌ukska wjÈ fjkjd' kskao Ôùkaf.a ksfrda.s Ôú;h fjkqfjka wjYHhs' hfula‌ kskaog jeà iqjodhl kskaola‌ ,nd .;fyd;a miq Èkfha§ wjÈ jkafka YdÍßl f,iska fukau udkisl m%fndaOfhkah'

kskao jeo.;a fjkafka wehs hkak Tnf.ka weiqfjd;a iuyr úg wms is;kafka ffcj l%shdj,sh ;=< kskao wksjd¾h wx.hla‌ njhs' kuq;a kskafoka ñksidf.a ksfrda.S meje;aug ,efnk msájy, buy;ah'

oyj,a ld,fha wms lrk lghq;= ksid la‌Ih fjk ffi, fldgia‌ kej; ,nd .ekSug fukau u;lh .nvd lsÍfï fufyh fjkqfjka kskao w;HjYH idOlhla‌ fjkjd'

kskaog n,mdk m%Odk idOlhka .ek weußld tla‌i;a ckmofha ksõfhdala‌ys kso%d jHdêka ms<sn| wdh;kfha wOHla‌I ks,a ldfõf.a úfYaI{hdf.a woyi fufiah' kskao ms<sn|j jQ idudkH rgdjg wmg wkq.; ùug fkdyels ;;ajhla‌ wef;d;a th frda.hla‌ f,iska y÷kajkjd' Iìomia f,iska ye¢kafjk fuu frda.S ;;a;ajfha ,la‌IK f,i kskaog m;a ùu b;du wmyiqjla‌ f,i oefkkjd' we|g .sho ta fï w; fmrf<ñka isákjd úkd myiqfjka kskaog m;a fjkafka keye'

ta jf.au fuu frda.Skag kskao wLKa‌vj isÿ fjkafka keye' ksÈ meh .Kk mqrdjg úáka úg wjÈ fjkjd' ;j;a úfgl meh .Kkska m%udKj;aj ksod .;a;o" Tjqkaf.a ksÈu; ia‌jrEmh myj hkafk;a keye' iqjodhl f,iska kskao fkd,efnk Insomia frda.Ska ysiroh" we.m; fõokdj" wd;;sh" wjmSvkh" wu;lùu" flaka;sh" jeks YdÍßl wmyiq;djka fmkakqï lrkjd' ta jf.au mqoa.,hl=g kskao fkdhkak;a fya;= ;sfnkjd' ffjoH úfYaI{hkaf.a woyi wkqj yDo frda." ikaê wdY%s; frda." wdydr ÔrK frda." mYapd;a ffjri frda." ia‌kdhq wdndO" fud<fha w¾nqo" fud<fha l=àr jykh .egÆ m¾hka; ia‌kdhq wdndO fya;= f,ig ola‌jkjd '

kskao fkdhk isoaêh frda.hla‌o hkak ksYaph lr .ekSug isÿlrk mÍla‌IKhka PSP polysomnography kñka y÷kajkjd' tu mÍla‌IKh u.ska frda. ksodkh y÷kdf.k ñil kskao fkdhk ;;a;ajhg m%;sldr l< hq;= keye' idudkHfhka fndfyda fokd mqreÿj isákafka kskao ms<sn| .egÆ fjkqfjka Ndú; lrk T!IO fud<hg n,mdk ksid È.ska È.gu fuu T!IO Ndú;h t;rï iqÿiq keye'

iqjodhl kskaola‌ ,eîu



l%uj;a ksÈ ms<sfj;la‌
kskao ms<sn| úfYaI{ f*ïia‌ fjd,aia‌ i|yka lrkafka iqjodhl f,iska kskaola‌ ,nkakg kï kskao ms<sn|j rgdjla‌ f.dv k.d .ekSu wjYH njhs' ñksia‌ isrefrys jQ ffcj Trf,daiqjo" ßoaudkql+, njla‌ wfmala‍Id lrk neúka idudkH Ôú;h ;=<ska kskaogo rgdjla‌ f.dv k.d .ekSu wjYH fjkjd '

ksok ldurfha l%shdldrlï wvq lsÍu
ksok ldurh Tnf.a ukig fjfyila‌ fkdjk f,iska ;nd .ekSu wjYHh' mß.Klh" rEmjdyksh ksok ldurfhka ÿria‌: ùu wjYH fjkjd' ufkda úoHd{ pd,aia‌ fudßka i|yka lrkafka Èjd ld,fha fjfyilr nfjka ñfokakg Tn kskaola‌ ,nkafka kï Bg .e<fmk mßoafoka jQ ikaiqka nj ksok ldurfha ;sîu wjYHu njhs'

Èjd ld,fha kskaog fhduq fkdùu
Èjd ld,fha kskaog fhduq jk whg;a rd;%sfha§ ,nk kskao b;d wiSre jkafka Tjqka ffoksl ksÈ wjYH;djhka fldgila‌ ,nd isák ksihs' we;euqka rd;%s wdydrh iu.ska w; mh fidaod f.k we|g hkafka ksÈ iqjh fjkqfjkah' kuq;a rd;%s ld,fha§ wdydr Èrùu wmyiqhs' wdydr .;a úg isrer r;a fjk w;r yDoh jia‌;=fõ l%shdldß;ajh by< hhs' fï ksid rd;%s wdydrh kskaog meh follg l,ska ,nd .ekSu jeo.;a'

úfõlh
tla‌ È.gu jevg fhduq ùu ksid we;s fjk wêl fjfyilr ;;a;ajho kskaog ndOdjla‌' jev lghq;= nyq, ùu;a we;s fjkkig jQ ld¾hnyq,;ajho kskaog ndOdjla‌'

wdydr
lef*ka" gekska wvx.= mdk j¾. fukau flda,d ùuo kskaog ;sfnk Wkkaÿj ke;s lrkjd' wkjYH f,iska nv msfrkakg wdydr .ekSug jvd iun, jQo fmdaIHodhs wdydr rgdjla‌ iemj;a kskaog u. lshkjd'

jHdhdu
isrerg wêl f,iska úfõlh ,nd .ekSuo kskaog ndOdjla‌' fï ksid lh fjfyfik mßÈ YÍrfha l%shdldß;ajh;a uki ksrjq,a lrjk mßÈ wd.ñl j;dj;aj,ska wk;=rej kskaog fhduq ùu;a iqjodhl kskaog u. lshkq we;'

ta jf.au wêl f,iska ksÈu; .;sho frda. ,la‌IKhla‌ nj wu;l l< hq;= keye' we;eï Woúh rd;%s" oj,a fjkila‌ ke;=j ksÈnr .;sfhka miqfjk wkaou .ek wmgo w;aoelSï we;' fï wkaoug wêl ksÈu; .;sfhka miqfjkafka ksrla‌;sh" ;hsfrdhsâ .%ka:sfha wdndO Èhjeähdj jeks frda. ;;a;ajhka ksid neõ wu;l l< hq;= keye' ta ksid iqjodhl f,iska kskaola‌ fkd,eîu;a jf.au wêl f,iska ksÈu; oekSu;a frda. ;;a;ajhla‌ neõ wu;l l< hq;= keye' fï ksid kskao we;=j;a neß ke;=j;a neß ;ekl isákjd lsõfjd;a ksje/Èhs fkao@ lshk ;ek Tng;a kj;skak mq¿jks'

mqkHd pdkaokS o is,ajd
Wmqgd .ekSu Èjhsk mqj;a m;

ñ;=rkag  oek  .kak Share lrkak




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