Ingxaki yokulala okanye i-narcolepsy yintlupheko engaqhelekanga kunye engaqhelekanga yenkqubo ye-nervous ukuxhaphaka kwabantu abayi-1-2 ngabantu aba-2000. Amadoda afanelekile ukugula. Isi sifo asibulali, kodwa sinokuchaphazela kakubi i-psyche kunye nobomi bomguli obangela ukulimala, izingozi.
Ziyintoni i-narcolepsy?
I-Narcolepsy yi-paroxysmal ephazamisayo yokubuthwa eyenzeka ngexesha lokuvusa komntu kwaye ihamba kunye nokulahleka kolawulo phezu kwetoni ye-muscle. Oku kwenzeka ngenxa yesigaba sokukhawuleza (i-paradoxical) ukuphazamiseka kokulala, ngexesha apho kunzima ukuvusa khona. Umntu "uyawa" ngokugqithiseleyo ephupheni nanini na emini, kuyo nayiphi na indawo, ngexesha lokuthunyelwa kwanoma yiyiphi inxaxheba.
Ukuxhamla-i-hypersomy-hypersomnia ibhubhisa ingqondo yesigulane. Ukunyamezela okuqhubekayo nokulala, nangona ubude bokulala bungekho ngaphantsi kweeyure eziyi-8 ezicetywayo. Oku kuchaphazela umgangatho womgangatho wokuphila komntu-isifo sinokuba luvavanyo olunzulu lwezonyango: ukutshatyalaliswa kwintsapho, umsebenzi kunye nosongelo lobomi.
Ukuqhaqhaqhayisa kunye neentambo
Ukuhlaselwa kweengxowa-ngqungquthela, ngokungenakulungelelaniswa (ngo-80%) zidibaniswa neziqwenga ze-cataplexy: Ilahleko engalawulwayo yethoni ye-muscle, ehamba kunye nokuwa, ukugcinwa kwengqondo kugcinwa. Phakathi kohlaselo ngexesha lomhla kukho ithuba apho isigulane siphazamiseka, kwaye ezininzi izenzo zenziwa ngokuzenzekelayo. Kwiimeko ezinzima, i-cataplexy inokubangela ukuba i-flaccid ikhubazeke ngokubanzi (kuphela imisipha ye-eyeballs ihamba).
Ukuphulukana neengxaki - Izizathu
Isifo sesithintelo sonyango sisinye sezifo eziyimfihlakalo ezingenangqondo. Iingcali ze-neurologists zibiza iingcamango ezahlukeneyo, phakathi kwazo izifo zengqondo , ukubonakaliswa kwe-schizophrenia, ukuphulwa kwe-neurochemical balance in the brain. I-Narcoleptic syndrome inokuvela njengesifo sesinye isifo. Izifundo zengxaki yesayensi ziye zabenza bachonga izizathu eziphambili:
- Ukungabikho kwe-orexin A kunye ne-B - i-neurotransmitters ezenza ukuqhuba iimvakalelo zesibindi kunye neurons. Ukuba umzimba awuvelisi okwaneleyo kwezi zinto, ukukhungatheka akufikeli i-neurons, umntu ulele;
- ukutshatyalaliswa kwe-neurons e-hypocretin e-hypothalamus;
- i-genetic factor (25% yamatyala, kwi-anamnesis ineentsapho ezinezihlwele);
- isifo sikashukela (iindidi I no-II)
- usulelo lweengqondo;
- i-craniocebral trauma;
- ngqondweni;
- ukuhluthwa;
- multiple sclerosis;
- izicubu ze hypothalamus;
- ukukhathala okugqithiseleyo, ukungabikho kokulala okungapheliyo, ukukhulelwa okukhuselekileyo kunokuba yi-catalysts yesifo.
Ukuzilahla - iimpawu
I-symptomatology ye-narcolepsy idla ngokubonakaliswa ngumfanekiso ocacileyo wekliniki kunye nekhosi yeklasi ehamba kunye neempawu:
- kwisifo esasigxininisekile sokulala ngexesha lomhla (imizuzu engama-15-30), ukumelana nokulala kunokunciphisa. Kuqhutyelwa umsebenzi wokuzihlaziya (ukufunda, ukubukela iTV, ukuhlamba izitya), kodwa kunokuthi kwenzeke ngezenzo ezisebenzayo;
- i-drop in muscle tone (i-75% yezigulane) zesigxina esithile (iingalo, imilenze), okanye ubuthathaka obukhulu-umntu owela phantsi njengophahla. Isibonakaliso sandulelwe ngumoya oqinileyo: umsindo, inzondo, ukwesaba;
- i-hypnagogic auditory kunye / okanye i-hallucinations ebonakalayo okanye ingcamango (30%), ivela xa ilala, i-hypnopopic-ekuvukeleni: eyiyo, iyambala kwaye iyethusa;
- ubuthongo obunzima (25%) - ngexesha lokulala okanye ukuvuswa, kukho ukukhubazeka kwexesha elifutshane (ukungahambi kakuhle) ngexesha apho umntu akakwazi ukwenza nayiphi na intshukumo. Le meko ihambelana nokuxhalaba okukhulu kunye noyiko. Ukulala ukukhubazeka kudla ngokukhawuleza kwenzeka kubantu abaphilileyo.
Iyintoni ingozi yokutshatyalaliswa kwesohlwayo?
Ukuphulukana nesifo isifo ngesinye isikhathi sidibana neengozi ezinzulu ebomini, zombini isigulane ngokwakhe kunye nabantu abakujikelezile. Ukuhlaselwa kwenzeka kancinci kangangeentsuku, kwaye de kube yenzeke, umntu (uhamba ngeenqanawa) angawela umgwaqo, aqhube isithuthi, asebenze ngezinto eziyinkimbinkimbi kunye neendlela. Umngcipheko wokufumana okanye ukulimala ukwandisa amaxesha amaninzi.
Ukuphulukana nokunyanga - indlela yokunyanga?
Umgangatho oqhelekileyo wobomi yiyona nto imfuno ebalulekileyo yomntu ogula kakhulu, kwaye i-narcolepsy ayikho into. Ukuxilongwa kwenziwa ngesiseko sezikhalazo zesigulane kunye noviwo olunzulu olwenziwa ngumfundi wezazinzulu. Ugqirha ubeka i-polysomnography (ukuhlola ubusuku bokulala ebhokisatri, ukubeka esweni isigaba sokulala nesistim esikhethekileyo) kunye novavanyo lwe-MSLT (kwisifundo sokulala somsebenzi we-laboratory). Ngokusekelwe kwiimvavanyo, i-dynamics yeepatheni zokulala zenziwe, kwaye omnye unokugweba ubukho / ukungabikho kwesifo.
Isibheno esikhatywayo ngokukhawuleza ugqirha kunye nokwelashwa okwenziwe kakuhle - kunciphise kakhulu imeko yesigulane. I-Narcoleptic ithatha iziyobisi kwi-dose prophylactic kuwo wonke umphefumlo, oku kukuvumela ukunciphisa inani lokuthintela, ukufezekisa ukuxolelwa. I-narcolepsy syndrome ebangelwa esinye isifo kukuphelisa isifo esisisiseko. I-regimen yonyango eyiyo iquka iziyobisi:
- i-antidepressants - iyanciphisa kakhulu iipasiti ze-cataplexy, ukulala nokukhubazeka;
- izikhuthazo - kususa ukulala, ukuphucula umveliso womntu emini;
- iipilisi zokulala - ukuzinza ubuthongo ebusuku.
Ukuphulukana nokunyanga - unyango kunye nezilwanyana zomntu
Ukuqhaqhaqhaqhayisa kuphilisa, abaninzi abaphengululi bezilwanyana kunye nabagulayo, kodwa oku akunjalo. Iyeza lemveli lingaba luncedo olongezelelweyo kunyango lweziyobisi. Ukubonisana nodokotela kuyimfuneko. Iingcambu ezisetyenziswe kwisifo:
- ukuchithwa kwe-motherwort - sedative effect;
- Imbewu yedill - isilumko esilulayo kunye nesenzo sokuxhumela;
- iziqhamo ze-hawthorn-ukuphelisa ubuthongo;
- Iibhondi zeempuphu - umphumo wokuphumla;
- UMelissa - ubeka iimeko zengqondo .