Ingxaki yokulala ngokweqile Ukuchongwa ngePolysomnogram kunye ne-MSLT
Ukuqhaqhaqhayisa isifo esingavumelekanga esibangela ubuthongo obukhulu kakhulu emini . Ezinye iingxaki zokulala nazo zibangela ubuthongo, kubandakanywa ne-apnea yokulala. Ngoko ke, kubalulekile ukufumana ukuxilongwa ngokufanelekileyo phambi kokuhlola unyango. Ziyintoni i-narcolepsy ifunyanwe novavanyo? Funda indlela ukuxilongwa kuxhomekeke kwiimvavanyo ezithile zokulala ezibandakanya i- polysomnogram kunye novavanyo lwe-latency yokulala (MSLT) kunye nendlela yokuvavanya.
Ziyintoni Isifo soxilongo?
Phakathi kokuphazamiseka kokulala, i-narcolepsy yeso sibini esona sizathu esivakalayo sokulala ngokugqithiseleyo emini emva kokugula kwe- apnea . Yisifo esinezixhobo ezinobuninzi. Ngaphandle kokulala okugqithiseleyo, kukho ukulahlekelwa ngokukhawuleza kwethambo lomsizi kunye nemvakalelo (ebizwa ngokuthi i- cataplexy ), ii hallucinations ezicacileyo malunga nexesha lokulala (i- hallucinations hypnagogic ), nokulala nokulala . I-Cataplexy ibonisa uhlobo lwe-1 lwe-narcolepsy . Nangona ezi zinto zifunyenwe, umntu omnye kuphela kubantu abathathu uya kuba neempawu ezine.
Ukuxilongwa kweNtshontshopsy
Ukuba uyakrokrela ukuba unokuba neenqanawa, kufuneka uhlolwe ngugqirha wakho kunye nobungcali bokulala. Kukho ezinye izizathu zokulala ngokugqithiseleyo, kubandakanywa nje ukufumana ubuthongo obaneleyo, kwaye oku kufuneka kuqwalaselwe. Emva kokuvavanya ngokucophelela kunye noviwo, ezinye iingcebiso zokulala zinganconywa.
Umgangatho wokuxilongwa kweengxowa-mbango zibandakanya isifundo sokulala ebusuku esibizwa ngokuba yi- polysomnogram elandelwa uvavanyo lwe-latency test (MSLT) ngosuku olulandelayo.
Izikhuthazo mazibekiweyo ngeveki phambi kokuvavanywa, kunye neyeza zokuxhatshazwayo kufuneka zimekwe ezintathu kwiiveki zangaphambili. Ezi zonyango, kunye nokuhoxiswa kwazo, kungenjalo ziphazamise iziphumo zovavanyo. Unokufuneka ukuba ube nokuhlolwa kweziyobisi zomchamo ukuqinisekisa ukuba iziphumo zovavanyo zivumelekile.
I-polysomnogram iya kuhlola ubunjani bokulala kwakho. Kubaluleke kakhulu, kuya kubonakalisa ezinye izizathu ezibangelwa ubuthongo obugqithiseleyo, kubandakanywa nezinye izifo zokulala ezifana nokuphala, ukuhamba kwexesha lokulala (PLMS) kunye nokukhubazeka kokuziphatha kwe-REM . Ukupheka kwe-apnea kudla kakhulu kunokuba kuthathwe izidakamizwa, kwaye unyango luhluke kakhulu.
Kwiintlobo ezininzi ze-narcoleptics, i-polysomnogram ibonisa ukuvuswa kwamathuba, ukuphuculwa kancinci kokulala , kunye nokulala kwe-REM okwenzeka kwiminyaka engama-20 kokuqala kokulala. Abantu abaqhelekileyo abafaki ukulala kwe-REM ukuya kwi-80 ukuya kwi-100 imizuzu emva kokulala. Izidumbu ze-Narcoleptics zivame ukuba zilele kwi-REM kwiimviwo zokuqala zokuqala zokufunda.
Emva kokuba i-polysomnogram igqibe, ngosuku olulandelayo uvavanyo lwe-latency yokulala (MSLT) luyenziwa. Kwi-MSLT, okanye uphando lwe-nap, unikezwa ngamathuba amane okanye anesihlanu ukunqumla kwiiyure ezimbini. Umntu ophilileyo uya kulala e-10 ukuya kwemizuzu engama-15, kodwa umntu onenkathazo yokulala angalala ngaphantsi kwemizuzu engama-8 kwaye uya kuba ne-REM ebuthongweni ubuncinane ezimbini ze-naps. Ukuba baye balala-REM (SOREM) emibini okanye ngaphezulu kwe-naps yabo, okanye nge-diagnostic polysomnogram, oku kuphakamisa kakhulu ukuxilongwa kweengxowa-mbuso.
Yiyiphi enye i-Testing Inokukunceda Ukuxilonga I-Narcolepsy?
Kukho iimvavanyo ezimbalwa zelabhoratri ezingasetyenziselwa ukuxilonga i-narcolepsy. Kukhona uvavanyo lofuzo olubizwa ngokuba yi-DQB1 * 06: 02 (nangona alufezekanga kwaye lunokuthi lube luhle kubantu abangenayo i-kiddlepsy). Ukuba uvavanyo lofuzo luyinto engalunganga, akunakwenzeka ukuba umntu unesiphelo.
Ukongezelela, ukuba izifundo zokulala zibi, ngamanye amaxesha kunokuba luncedo ukuvavanya i-cerebrospinal fluid ngenkqubo yokucima i-orexin (okanye amanqanaba e-hypocretin), oku kungabonisa ukuba khona kweenqanawa. Ukuba ezi nqanaba ziphantsi, okanye zero, ezi ziqulatho ezixilongwa ngophulaphulo.
Ngelishwa, olu vavanyo alufumanekanga kwaye lunokufuna ukuthumela amasampula kumaziko akhethekileyo, kuquka iSyunivesithi yaseStanford.
Imithombo:
I-American Academy yoLondolozo lweMpilo. "Ulwahlulo lwamazwe ngamazwe okuphazamiseka kokulala." Wesi-2. 2005.
I-Carskadon, MA ne-al. "Izikhokelo zovavanyo lwe-latency yokulala (MSLT): umlinganiselo osemgangathweni wobuthongo." Ukulala ngo- 1986; 9: 519.
Thorpy, MJ. "Ukuphulukana nokuhlaselwa." Ukuqhubeka. Neurol 2007; 13 (3): 101-114.