Usenokuba ukhe weva ngengxaki yokunandipha okanye wabona iividiyo apho abantu balala ngesiquphe bengenakuzinceda. Ngamanye amaxesha ezi vidiyo zihleliwe ukuze zibonakale zihlekisa, Kodwa akukho nto ihlekisayo malunga nengqumbo kwaye sisifo esinokubangela ukuba abantu bahlupheke kakhulu kwaye babeke ubomi babo emngciphekweni ukuba balale ngexesha elingafanelekanga.
Yintoni i-narcolepsy
I-narcolepsy sisifo sokulala esibonakala ukozela kakhulu, ukukhubazeka kokulala, ukubona izinto ezingekhoyo kunye neziqendu ze-cataplexy (ukulahleka okupheleleyo okanye okupheleleyo kolawulo lwemisipha). Esi sifo sinokuvela kumadoda nakwabasetyhini kwaye sichaphazela umntu om-1 kwabayi-2.000 XNUMX.
Iimpawu ziqala ebuntwaneni okanye kwinqanaba lokufikisa, kodwa abantu abaninzi baneengxaki ngaphandle kokufumana isifo esifanelekileyo, kwaye ngenxa yoko abayi kufumana unyango oluyimfuneko ukuphucula umgangatho wobomi babo.
Abantu abaphethwe sesi sifo balele kakhulu imini yonke kwaye bayakwazi ukulala bengazibandakanyi nanini na, besenza naluphi na uhlobo lomsebenzi njengokuqhuba, ukupheka, ukufunda, ukuhamba esitratweni ... Xa umntu enengxaki yokuhlaselwa sisisu, akukho mda ubekiweyo kwingqondo yakhe phakathi kokuvuka nokulala. ke iimpawu zokulala zinokubonakala ngelixa umntu evukile. Oku kuthetha ukuba umzekelo, umntu one-narcolepsy unokuba ne-cataplexy (REM yokulala ukukhubazeka kwemisipha) ngelixa evukile.
Ukuphulukana ngesiquphe nethoni yemisipha kubangela ubuthathaka obukhawulezileyo nobugqithisileyo beengalo, imilenze, kunye nesiqu, esenza ukuba umntu alale. Aba bantu banokuba namava okubangelwa yingqondo (ngokungathi bayaphupha kodwa bavukile) kwaye banokufumana ukukhubazeka xa belele okanye bevuka. Banokuba namaphupha amade okanye amaphupha amabi ezingunobangela wokubandezeleka okukhulu ngenxa yokuba bengazi ukwahlula ukuba kuyinyani na okanye ngamanye amaxesha.
Izizathu
Ngokwenyani, oyena nobangela woburharha awaziwa. Kodwa xa isenzeka nge-cataplexy ibangelwa kukuphulukana nemichiza kwingqondo ebizwa ngokuba yi-hypocretin.. Le khemikhali isebenza kwiisilumkiso zobuchopho kwaye ayikugcini uphaphile okanye ulawule imijikelezo yakho yokulala, kuba le khemikhali ayikho nje ukwenza le misebenzi.
Le khemikhali ilahlekile ngenxa yokuba iqela leeseli ezenza i-hypocretin (kwi-hypothalamus) yonakele okanye yatshatyalaliswa. Ngaphandle kwehypocretin umntu usenokuba nengxaki yokuhlala ephaphile kwaye unokufumana ukuphazamiseka kubuthongo obuqhelekileyo kunye nokuvuka.
Iimpawu
Ezona mpawu zibonakalisa isifo sokudumba kweziyobisi zibandakanya:
- Ukulala kakhulu emini. Nokuba balala ngokwaneleyo ebusuku, abantu abanale ngxaki bane-cloudness yengqondo, ukungabikho kwamandla, kunye noxinzelelo. Banokuphelelwa yimemori, ukudakumba, kunye nokudinwa kakhulu. Yenzeka yonke imihla kwiimeko eziqhelekileyo njengokufunda okanye iimeko ezingafanelekanga njengokuqhuba okanye ukupheka. Iziqendu zinokuhlala ukusuka kwimizuzu ukuya kwiiyure. Inokwenzeka ngokuqhubekayo, ngokukhawuleza, okanye ukuhlaselwa kokulala okungenakulawulwa.
- Iintsika Njengoko besesitshilo ngaphambili, olu phawu luquka ukulahleka ngesiquphe kwethoni yezihlunu xa umntu evukile kuba ingqondo ibonisa ukuba umzimba ungena kwisigaba se-REM. Ayizibandakanyi kwaphela kwaye kunokubakho ukuwa okupheleleyo komzimba. Ingabangela ukushukunyiswa ngokweemvakalelo.
- Ukuba nemibono Njengoko besesitshilo apha ngasentla, ukubona izinto ezingekhoyo kuhlala kwenzeka kuba ingqondo yahlukile phakathi kokulala nokuvuka. La mava acace gca kwaye kwabo babandezelekileyo, banokoyikisa ngokupheleleyo kuba abazi ukuba bavukile ngokwenene okanye balele. Naziphi na izivamvo zinokubandakanyeka kwimibono. Zibizwa ngokuba zii-halncinic hallucinations xa zihamba nokulala kunye nemibono yehipnopompic xa zisenzeka xa zivuka.
- Ukulala ukukhubazeka. Olu phawu lwenzeka xa kukho ukungakwazi okwethutyana ukuhamba okanye ukuthetha xa ulele okanye uvuka kwaye umntu lowo uyazi kakuhle ukuba kwenzeka ntoni kubo. Nangona ziziqendu ezimfutshane ezihlala phakathi kwemizuzwana ukuya kwimizuzu eliqela, umntu obaphetheyo unokuziva enexesha eligqwethekileyo kwaye ukuba umzekelo imizuzwana embalwa, baziva ngathi bakhubazekile kangangeeyure ezininzi. Xa ukukhubazeka kuphela, umntu uyakwazi ukushukuma kwaye athethe ngokwesiqhelo, nangona ngamanye amaxesha, amandla akhe echacha ngokuthe ngcembe. Xa ulele ukukhubazeka unokuba nemibono ye-hypnagogic / hypnopompic hallucinations.
- Iphupha eliqhekekileyo. Umntu one-narcolepsy unokuvuka ubusuku bonke. Banokuba neparasomnias (amaphupha amabi, ukulala, ukuthetha emaphupheni, ukuphazamiseka kwemisipha ...) Umntu onesifo sokudlakazelisa ingqondo ungena kwisigaba se-REM kwimizuzu nje yokulala.
- Ezinye iimpawu ezinokufunyanwa: indlela yokuziphatha ezenzekelayo (bayazenza izinto kwaye bangazikhumbuli), badinga ukulala kancinci emini, ukuziva ulahlekile kwimemori okanye ukungakwazi ukugxila, ukudinwa, ukudinwa, ukuphazamiseka kwemood, ukungaboni kakuhle, ukutya ukuphazamiseka.
Uxilongo kunye nonyango
Esi sifo sinokufunyanwa kubantwana nakwishumi elivisayo ngokukhawuleza xa iimpawu zokuqala zibonakala. Ngokwesiqhelo phakathi kweminyaka eyi-10 ukuya kweli-15, kuba ukwenza uxilongo oluchanekileyo akukho lula kwaye ukwahluka kweempawu kufuneka kuthathelwe ingqalelo. Ekuqaleni kwesifo, abantu abayidibanisi nokuba sisifo se-neurological disorder kwaye unyango alusoloko lufunwa ekuqaleni, lude luqale ukuba mandundu.
Uvavanyo olunzulu kunye nonyango kufuneka lwenziwe ngugqirha kuba uninzi lweempawu ze-narcolepsy zinokubangelwa kukuphazamiseka kokulala, usulelo lwentsholongwane okanye ibhakteria, amathumba, njl. Nokuba uthatha amayeza athile kunokubangela ukulala kakhulu emini. Ukucoceka kokulala nokulala kunokubangela ukulala kakhulu emini.
Ukuxilongwa kufuna ibhetri yeemvavanyo ezithile ukuba zenziwe kwiklinikhi yokuphazamiseka kokulala ngaphambi kokumisela isifo. I-polysomnogram kunye novavanyo lokulala oluninzi luya kwenziwa.
Okwangoku alukho unyango lwe-narcolepsy, kodwa kukho amayeza kunye nonyango olunokunceda ukuphucula iimpawu kunye nomgangatho wobomi bomntu ochaphazelekayo. Asinguye wonke umntu okuqondayo oku kuphazamiseka kunye nobuzaza baso kakuhle kwaye kubalulekile ukuba bobabini umntu ochaphazelekayo kunye nendalo esingqongileyo banokuba nolwazi olwaneleyo lokuqonda ngqo ukuba kwenzeka ntoni.