Kungenzeka wake wezwa nge-narcolepsy noma wabona amavidiyo lapho abantu balale ngokuzumayo bengenakuzisiza. Kwesinye isikhathi lawa mavidiyo ahlelwa ukubukeka ehlekisa, Kepha akukho okuhlekisayo nge-narcolepsy futhi kuyisifo esingenza abantu bahlupheke kakhulu futhi sibeke nezimpilo zabo engozini uma bezumeka ngezikhathi ezingafanele.
Yini i-narcolepsy
I-narcolepsy yisifo sokulala esichazwa ukozela ngokweqile, ukukhubazeka kokulala, ukubona izinto ezingekho ngisho neziqephu ze-cataplexy (ukulahleka okuncane noma okuphelele kokulawulwa kwemisipha). Lesi sifo singavela kwabesilisa nabesifazane futhi sithinta umuntu oyedwa kwabangu-1 2.000.
Izimpawu ziqala ebuntwaneni noma ebusheni, kepha abantu abaningi baba nezimpawu ngaphandle kokuthola ukuxilongwa okufanele, ngakho-ke ngeke bathole ukwelashwa okudingekayo ukuthuthukisa ikhwalithi yempilo yabo.
Abantu abaphethwe yilesi sifo balele kakhulu usuku lonke futhi bayakwazi ukulala ngokungazibambi nganoma isiphi isikhathi, benza noma yiluphi uhlobo lomsebenzi onjengokushayela, ukupheka, ukufunda, ukuhamba emgwaqweni ... Lapho umuntu ehlushwa yisiyezi, awukho umngcele obekiwe ebuchosheni bakhe phakathi kokuphaphama nokulala. ngakho-ke izici zokulala nazo zingavela ngenkathi umuntu ephapheme. Lokhu kusho ukuthi ngokwesibonelo, umuntu one-narcolepsy angaba ne-cataplexy (REM yokulala ukukhubazeka kwemisipha) ngenkathi evukile.
Ukulahleka okungazelelwe kwethoni yemisipha kudala ubuthakathaka obusheshayo nobedlulele bezingalo, imilenze, nesiqu, okwenza umuntu alale. Laba bantu bangase futhi babe nemibono ebangelwa ubuchopho (njengokungathi bayaphupha kodwa bavukile) futhi bangathola nokukhubazeka kokulala ngenkathi belele noma bevuka. Bangaba namaphupho amade noma amaphupho amabi acacile lokho kubenza babe nosizi olukhulu ngoba abazi ukuthi bahlukanise kanjani uma kungokoqobo noma uma kungenjalo ngezikhathi ezithile.
Izimbangela
Eqinisweni, imbangela ngqo ye-narcolepsy ayaziwa. Kepha uma kwenzeka nge-cataplexy kudalwa ukulahleka kwekhemikhali ebuchosheni ebizwa nge-hypocretin.. Leli khemikhali lisebenza ezinhlelweni zokuxwayisa zobuchopho futhi alikugcini uphapheme noma lilawula imijikelezo yakho yokulala evukile, ngoba leli khemikhali alikho nje ukwenza le misebenzi.
Leli khemikhali alikho ngoba iqembu lamaseli akhiqiza i-hypocretin (ku-hypothalamus) lonakele noma libhujisiwe. Ngaphandle kwe-hypocretin umuntu angaba nenkinga yokuhlala ephapheme futhi angathola ukuphazamiseka ebuthongweni obujwayelekile obunothile nokuvuka.
Izimpawu
Izimpawu eziphawuleka kakhulu ze-narcolepsy zifaka:
- Ukulala ngokweqile emini. Noma belala ngokwanele ebusuku, abantu abanalesi sifo banenkinga yengqondo, abanamandla futhi banamandla okugxila. Futhi banamaphutha enkumbulo, imizwa ephansi, nokukhathala okukhulu. Kwenzeka nsuku zonke ezimeni ezijwayelekile njengokufunda noma izimo ezingafanele njengokushayela noma ukupheka. Iziqephu zingahlala kusuka kumaminithi kuya emahoreni. Kungenzeka ngokuqhubekayo, ngokungazelelwe, noma ekuhlaselweni kokulala okungalawulwa.
- I-Cataplexy Njengoba sishilo phambilini, lolu phawu luqukethe ukulahleka okungazelelwe kwethoni yemisipha lapho umuntu ephapheme ngoba ubuchopho buthi umzimba ungena esigabeni se-REM. Akubandakanyi ngokuphelele futhi kungahle kube nokuwohloka okuphelele komzimba. Kungadala ukusabela okukhulu ngokomzwelo.
- Ukusangana Njengoba sishilo ngenhla, ukubona izinto ezingekho emqondweni kuvame ukwenzeka ngoba ubuchopho abuhlukanisi phakathi kokulala nokuphaphama. Lokhu okuhlangenwe nakho kucace bha futhi kulabo abahluphekayo, kungabethusa impela ngoba abazi ukuthi bavuke ngempela noma balele. Noma yiziphi izinzwa zingabandakanyeka ekuboneni imibono. Babizwa ngokuthi ama-hypnagonic hallucinations lapho behamba nokuqala kokubona kanye nemibono ye-hypnopompic lapho kwenzeka lapho bevuka.
- Ukulala ukukhubazeka. Lesi sibonakaliso senzeka lapho kunokuhluleka okwesikhashana ukunyakaza noma ukukhuluma ngenkathi ulele noma uvuka futhi umuntu wazi kahle ukuthi kwenzekani kubo. Yize kuyiziqephu ezimfushane ezihlala phakathi kwemizuzwana kuya emizuzwini eminingana, umuntu obahluphayo angaba nomuzwa wesikhathi esihlanekezelwe nokuthi uma ngokwesibonelo imizuzu embalwa, bezwa ukuthi bakhubazekile amahora amaningi. Lapho ukukhubazeka kuphela, umuntu uyakwazi ukunyakaza futhi akhulume ngokujwayelekile, yize kwesinye isikhathi, ikhono lakhe liyalulama kancane kancane. Ekukhubazekeni kokulala ungaba nemibono ye-hypnagogic / hypnopompic.
- Iphupho elihlukanisiwe. Umuntu one-narcolepsy angaba nokuvuka ubusuku bonke. Kungenzeka futhi ukuthi babe nama-parasomnias (amaphupho amabi, ukulala, ukukhuluma emaphusheni, ukukhathazeka kwemisipha…) Umuntu one-narcolepsy ungena esigabeni se-REM kungakapheli nemizuzu eminingi elele.
- Ezinye izimpawu ezingatholakala: ukuziphatha okuzenzakalelayo (benza izinto bese bengazikhumbuli), badinga ukulala okuncane phakathi nosuku, ukuzwa ukulahleka kwememori noma ukungakwazi ukugxila, ukukhathala, ukukhathala, ukuphazamiseka kwemizwelo, ukungaboni kahle, ukudla iziyaluyalu.
Ukuxilongwa nokwelashwa
Lesi sifo singatholakala ezinganeni nasebusheni ngokushesha lapho kuvela izimpawu zokuqala. Imvamisa phakathi kweminyaka eyi-10 nengu-15, ngoba ukwenza ukuxilongwa okunembile akulula futhi ukwehluka kwezimpawu kufanele kubhekwe. Ekuqaleni kwesifo, abantu abahlanganisi ukuthi kungaba yisifo sezinzwa futhi ukwelashwa akufuneki ngaso sonke isikhathi ekuqaleni, kuze kuqale ukuba kubi.
Ukuhlolwa okuphelele nokwelashwa kufanele kwenziwe ngudokotela ngoba izimpawu eziningi ze-narcolepsy zingabangelwa ezinye izinkinga zokulala, ukutheleleka ngegciwane noma ibhaktheriya, izicubu, njll. Ngisho nokuthatha imithi ethile kungadala ukulala ngokweqile emini. Inhlanzeko yokungalali kahle ingaholela nasekulaleni ngokweqile emini.
Ukuxilongwa kudinga ibhethri lezivivinyo ezithile okufanele zenziwe emtholampilo wokuphazamiseka kokulala ngaphambi kokuthola ukuxilongwa okuthile. Kuzokwenziwa isivivinyo se-polysomnogram nokuhlolwa kokubambezeleka kokulala okuningi.
Okwamanje alikho ikhambi le-narcolepsy, kepha kunemithi nezindlela zokwelapha ezingasiza ekuthuthukiseni izimpawu nekhwalithi yempilo yomuntu othintekile. Akuwona wonke umuntu okuqonda kahle lokhu kuphazamiseka nobukhali baso kahle futhi kuyadingeka ukuthi bobabili umuntu othintekile nemvelo yakhe angaba nemininingwane eyanele yokuqonda kahle ukuthi kwenzekani.