Ukuphazamiseka kokulala ngokweqile Kukhonjiswe nge-Polysomnogram ne-MSLT
Ukuhlukunyezwa yisifo esingavamile esibangela ukulala ngokweqile kwamalanga . Ezinye izifo zokulala nazo zibangela ubuthongo, kubandakanya ukuphefumula kokuphefumula. Ngakho-ke, kubalulekile ukuthola ukuxilongwa okufanele ngaphambi kokuhlola ukwelashwa. I-diagnosisps diagnostics ihlolwa kanjani? Funda ukuthi ukuxilongwa kuxhomeke kanjani kwezinye izivivinyo zokulala ezijwayelekile ezihlanganisa i- polysomnogram kanye nokuhlolwa kokulala kwe - multiple latency (MSLT) nokuthi ungahlola kanjani.
Kuyini Ukuhlukumezeka?
Phakathi kwezifo zokulala, i-narcolepsy yimbangela yesibili evame kakhulu yokulala ngokweqile emini emva kokuphefumula kokulala . Kuyinto isifo esiqukethe izici eziningana izici. Ngaphandle kokulala ngokweqile, kukhona nokulahlekelwa okungazelelwe kwemizwa ebizwa ngokuthi i- cataplexy ), i-hallucinations ecacile phakathi nesikhathi sokulala (i- hypnagogic hallucinations ), nokulala ukukhubazeka . I-cataplexy ihlukanisa uhlobo lwe-1 lwe-narcolepsy . Naphezu kwalokhu okutholakele, umuntu oyedwa kuphela kubantu abathathu uzoba nezimpawu ezine.
Ukuxilongwa kwe-Narcolepsy
Uma usola ukuthi ungaba ne-narcolepsy, kufanele uhlolwe udokotela wakho nesazi sokulala. Kukhona ezinye izimbangela zokulala ngokweqile, kuhlanganise nje ukungatholi ngokwanele, futhi lokhu kufanele kucatshangelwe. Emva kokuhlola ngokucophelela nokuhlolwa, ezinye izifundo zokulala zinganconywa.
Isimiso sokuxilongwa kwe-narcolepsy kuhilela isifundo sokulala ebusuku esibizwa ngokuthi i- polysomnogram elandelwa ukuhlolwa kwe-latency latency (MSLT) ngosuku olulandelayo.
Ama-stimulants kufanele ayeke ngesonto ngaphambi kwalokhu kuhlolwa, futhi imishanguzo yokucindezeleka kufanele imiswe amasonto amathathu ngaphambi. Le mithi, futhi ihoxise kubo, ingase iphazamise ngeminye imiphumela yokuhlolwa. Kungadingeka ukuthi ube nokuhlolwa kwezidakamizwa zomchamo ukuqinisekisa ukuthi imiphumela yokuhlolwa iyasebenza.
I-polysomnogram izohlolisisa uhlobo lokulala kwakho. Okubaluleke kakhulu, kuzoveza ezinye izimbangela zokulala ngokweqile, kuhlanganise nezinye izifo zokulala ezifana ne-sleep apnea, ukunyakaza kokulala kwesiguli (PLMS), kanye nokukhubazeka kokuziphatha kwe-REM . I-apnea yokulala ivame kakhulu kunezinkinga eziphuthumayo, futhi ukwelashwa kuhluke kakhulu.
Ezingxenyeni eziningi ze-narcoleptics, i-polysomnogram ibonisa ukuvuswa okuzenzekelayo, ukulala okuncane ngokunciphisa ukulala , nokulala kwe-REM okwenzeka kungakapheli imizuzu engu-20 ekuqaleni kokulala. Abantu abavamile abafaki ukulala kwe-REM kuze kube yimaminithi angu-80 kuya kwangu-100 ngemva kokulala. Izidakamizwa zivame ukuba ne-REM zokulala emaminithini okuqala angu-60 ekufundeni kwabo kokulala.
Ngemva kokuba i-polysomnogram iphelile, ngosuku olulandelayo uhlolo lwe-latency lokulala lokulala (MSLT) luyenziwa. Esikhathini sokucwaninga kwe-MSLT, noma ukunqunywa kwamaphini, unikezwa ngamathuba amane noma amahlanu ukulala naphakathi kwamahora amabili. Umuntu ophilile uzovame ukulala emaminithini angu-10 kuya kwangu-15, kodwa umuntu onesifo sangasese angalala emaminithini angaphansi kuka-8 futhi uzovame ukuba ne-REM alele okungenani ama-naps amabili. Uma beba ne-REM (SOREM) yokulala ngokulala kokubili, noma nge-polysomnogram yokuhlonza, lokhu kuphakamisa kakhulu ukuxilongwa kwezidakamizwa.
Yiziphi ezinye izivivinyo ezingasiza ekutholeni ukuhlukunyezwa kwezidakamizwa?
Kunezivivinyo ezimbalwa ze-laboratory ezingase zisetshenziselwe ukuxilonga izidakamizwa. Kukhona ukuhlolwa kofuzo okuthiwa i-DQB1 * 06: 02 (nakuba kungaphelele futhi kungase kube nokuhle kubantu abangenayo i-narcolepsy). Uma ukuhlolwa kofuzo kungalungile, kungenzeka ukuthi umuntfu unezidakamizwa.
Ngaphezu kwalokho, uma izifundo zokulala zingekho kahle, ngezinye izikhathi kungasiza ukuhlola uketshezi lwe-cerebrospinal nge- lumbar yokugodla inqubo ye-orexin (noma amazinga e-hypocretin), okungase kubonise ukuthi kukhona khona ukuhlukumezeka. Uma lezi zinga ziphansi, noma zero, lezi zingqimba zixilongwa nge-narcolepsy.
Ngeshwa, lokhu kuhlola akutholakali futhi kungadinga ukuthumela amasampula ezikhungo ezikhethekile, kuhlanganise neStanford University.
Imithombo:
I-American Academy ye-Sleep Medicine. "Ukuhlukaniswa kwamazwe ngamazwe okuphazamiseka kokulala." I-2nd ed. 2005.
I-Carskadon, MA ne-al. "Imihlahlandlela yokuhlolwa kwe-multiple latency test (MSLT): isilinganiso esilinganiselwe sokulala." Ukulala ngo-1986; 9: 519.
Thorpy, MJ. "Ukuhlukumezeka." I- Continuum. I-Neurol 2007; 13 (3): 101-114.