नींद में चलने की बीमारी
thumb|250px|niand mean chalata rogi niand mean chalana (aangrezi: Somnambulism) arthath slipavakiang ek vichitr prakar ki ganbhir manovaijnanik bimari hai jo ki kuchh hi logoan mean payi jati hai. jise somanabulijm (SOMNAMBULISM) ya slipiang disaaurdar bhi kaha jata hai. is rog mean rogi niand mean hi chalane lagata hai. is bimari se grasit rogi rat mean niand se uthakar apane bistar se chalata hai aur ek jage hue manushy ki tarah vibhinn kary ko asani se kar deta hai. use pata hi nahian chalata ki vo rat ko kya kar raha tha. jab rogi aisa kar raha hota hai tab ve ardhajagrit avastha mean hota hai, lekin phir se so jane ke bad jab vah subah jagata hai to use apane dvara niand mean kie ge kary yad nahian rahate. yah ek vichitr bimari hai jo ki snayuvik g dab di se hoti hai.
bharat mean sthiti
niand mean chalana ek vikar hai. aank doan ke anusar isase bharat ke lagabhag chaudah pratishat kishor is rog se pi dit hote hai. manovaijnanikoan ke anusar 4 se 8 varsh ke bachchoan mean somanabulijm ki samasya zyada dekhane ko milati hai. slipavakiang skool jane vali umr ke bachchoan mean am roop se hota hai. ek adhyayan se pata chala hai ki lagabhag 15% tak bachche jo ki 5 se 12 sal ki umr ke haian vo apani niand mean kam se kam ek bar chalate haian. l dakiyoan ki apeksha l dakoan mean niand mean chalane ki bimari zyada paee jati hai. bar bar slipavakiang purushoan mean am hoti hai aur bistar mean peshab karane ke sath hoti hai.
niand mean chalana ek mastishk rog ke sath-sath niand ka bhi vikar hai. yah tantrika-tantr ka mastishk vikar hai. udaharan ke lie jaise- jab ham jagrit avastha mean hote haian to mastishk bhi poornatah jagrit avastha mean hota hai, parantu niand mean chalane valoan ke mastishk ka ek hissa to gatishil rahata hai jabaki doosara hissa supt avastha mean rahata hai, jisake karan ve niand mean bhi uth kar chalane lagate hai. lekin yah avastha zyada der nahian rahati, sirph utani der hi rahati hai jab bachcha chal raha hota hai.
slipavakiang ke lakshan
slipavakiang ka sabase mukhy lakshan hai- apani ichchha se gatividhi karana jab gahari niand ki ardh jagrat avastha mean ho. kuchh niand mean chalane vale log bistar par hi baith jate haian aur apane pair hilate rahate haian. any aur jatil kary karate haian jaise ki kap de utarana aur pahanana, khana khana ya peshab karana.
bachcha niand mean chalate samay bhi gahari niand mean hi hota hai aur use apani us sthiti ka ahasas tak nahian hota kyoanki niand mean chalate vakt bhi usaki aankhean khuli rahati haian, lekin chehara ekadam bhavahin rahata hai. use jagana agar asanbhav nahian hai to bahut kathin hota hai. lekin vah as-pas ki chijoan se takara kar ghayal ho sakata hai. vah apane as-pas ho rahi batachit par dhyan nahian deta. yahaan tak ki yadi usaka nam lekar pukara jay, tab bhi vah koee pratikriya nahian deta.
niand
niand ke praranbhik do ghanto ke madhy hi niand mean chalane ki ghatanaean sabase am hoti hai. niand mean chalane ka samay 15 minat se lekar do ghante tak ka ho sakata hai. is avastha mean bachcha taiyar hokar ghar se bahar bhi ja sakata hai. slipavakiang niand ke svapn vale star par nahian hota hai.
char avasthaean
niand ki char avasthaean hoti haian. akasar yah samasya niand ki chauthi avastha mean hoti hai. ise slovev slip bhi kaha jata hai. yah niand ki n aaun drimiang stej hoti hai aur isaki avadhi lanbi hoti hai. isamean saans lene tatha na di ki gati dhimi ho jati hai. sharir ka tapaman kam ho jata hai tatha maansapeshiyaan bhi shithil ho jati haian. yah avastha pray: paanch se pandrah minat tak ki ho sakati haian. niand mean chalane vale vyakti ko khud is bat ka ehasas nahian hota ki vah niand mean chal raha hai.
upay
- yadi ap chahe to is vishay par apane kisi d aauktar ki salah le sakate haian. lekin bachcha ghar se bahar n ja sake, isaka sabase achchha upay yahi hai ki sone se pahale ghar ke sabhi khi daki daravajoan ko achchhi tarah band kar dean aur mukhy dvar par tala laga kar usaki chabhi apane pas rakhe.
- yadi khi dakiyaan nichi haian aur apako lagata hai ki isase bhi bahar nikala ja sakata hai to apake lie yahi salah hai ki sone ke pahale khi daki ko bhi achchhi tarah l aauk karean. agar ap sabhi savadhaniyaan baratate haian to apako apani ratoan ki niand kharab karane ki zaroorat nahian p degi. vaise bhi umr badhane ke sath yah rog apane ap hi thik ho jata hai.
- is avastha mean iansan apane ap se poori tarah bekhabar hota hai. isalie aise logoan ke sath durghatana ki ashanka hamesha bani rahati hai. isalie aise marijoan ki suraksha ka vishesh roop se dhyan rakhana chahie. agar kisi ko yah samasya ho to usake bedaroom ke dor n aaub ke sath ek aautometik alarm phit hota hai, taki jab vah vyakti daravaza kholane ki koshish karega to alarm baj uthega. isase sanbhavit durghatana ko talana asan ho jaega. aksar ye log ghar mean rakhi chijoan se takara jate haian isalie unhean is bat ka vishesh dhyan rakhie ki ghar mean bahar nikali huee koee nukili vastu n ho jisase takara kar ve ghayal ho jaean.
karan
visheshajn sochate haian ki bachchoan mean slipavakiang isaliye hota hai ki dimag ki niand aur jagrat karane vali pranali abhi tak paripakv nahian ho payi hoti hai. zyadatar bachchoan mean lakshanoan se pichha chhut jata hai jaise unaka tantrika tantr vikasit ho jata hai. slipavakiang jo ki jivan ke bad mean shuroo hota hai aur vayask umr tak chalata hai, usake kee manasik karan ho sakate haian jaise ki atyadhik davab ya durlabh roop se chikitsakiy karan jaise mirgi. niand mean dar (naeet terar ya pevor noktarnas) sambandhit vikar hote hai jo ki pray bahut javan bachchoan mean hote haian. slipavakiang aur slip terar parivaroan mean chalate haian.
slip terar mean ek bachcha achanak se niand mean jane ke 1 se 2 ghante ke bad achanak se baith jata hai aur bahut dar aur uttejana darshata hai aur is tarah se chilla ya ro sakata hai ki any koee kamare mean hai aur use aram ya use jagaya nahian ja sakata hai. jaise hi vighn khatm hota hai, bachcha gahari niand mean vapas a jata hai. jab bachcha subah jagata hai to vo slip terar ko yad nahian rakh pata hai. slip terar rat ke bure sapano se alag hota hai jo ki darane vale svapn hote haian jo ki agali subah vistar se yad rahate haian.
vayaskoan mean yah bimari ausatan ek pratishat logoan ko hi hoti hai. yah bhi zaroori nahian hai ki jo bachche bachapan mean niand me chalate the b de hokar bhi niand mean chaleange hi. b doan mean niand mean chalane ke karan ekadam alag hote haian, ve tanav, chianta, anidra ya mirgi jaise rogoan ke karan is rog ka shikar ho jate haian. karan door hote hi rog ka nivaran apane ap ho jata hai. kisi mamooli nyoorol aaujik samasya ke karan bhi aise lakshan dekhane ko mil sakate haian.
vayaskoan ko ilaj ki zaroorat p d sakati hai yadi niand mean chalane vala rat mean uth kar liviangaroom mean a jata hai ya daravaza khol kar ghar se bahar bhi d bhari s dakoan par bhi nikal jata hai. aise mean vah durghatana ka shikar ho sakata hai. aisa mana jata hai ki sammohan se is rog ka ilaj sanbhav hai.
is samasya ke nidan ke lie sabase pahale niand mean chalane ka sahi karan pata lagakar use door karane ki koshish ki jati hai. biheviyar therepi dvara vyakti ko avachetan mean le jakar use manochikitsak dvara vahi kary karane ke nirdesh die jate haian, jinhean vah pray: niand ki avastha mean karata hai. upachar ki prakriya thodi lanbi zaroor hoti hai, lekin isase yah samasya door ho jati hai.
vaijnanikoan ka shodh
vaijnanikoan ne pata lagaya hai ki yah bimari anuvaanshik hai aur pidhi dar pidhi age badhati rahati hai. niand mean chalane ke pichhe jinetik khami zimmedar hai. di.en.e. mean itana sa dosh bhi is disaaurdar ke lie kafi hai. hal mean ki gee ek shodh ke anusar hamare sharir mean sthit kromosom 20 ki vajah se aisa hota hai. is kromosom ke kharab ho jane se niand mean chalane ki adat lag jati hai. vashiangatan skool aauph medisin (vashiangatan yoonivarsiti) ki d aau. kristina jarnet aur unaki tim ne ek hi parivar ke 22 sadasyoan ka parikshan kar ye natije prapt kie. is parivar ke 9 sadasy niand mean chalane ki bimari se grasit haian. d aau. garnat ke anusar is bimari se grasit vyakti se yah kromosom khami usaki santan tak jati hai. aisa hone ki sambhavana lagabhag 50% tak hoti hai.
d aau. kristina jarnet ka manana hai ki isase is bimari ka ilaj dhooandhane mean madad milegi. yah disaaurdar 10 mean se ek bachche ko kabhi na kabhi prabhavit karata hai aur 50 vayaskoan mean se ek ko. is sthiti ko samnaimbyalijam bhi kaha jata hai. jarnet ke mutabiq isake lie kromosom 20 zimmedar hai. yah ek jin hai, jo ki vishesh taur se ek parivar mean mila, lekin yah dave ke sath nahian kaha ja sakata ki is bimari se pi dit har parivar mean yahi jin zimmedar hoga.
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