Dambudziko rehope kana narcolepsy chirwere chisingawanzwisisiki uye chisingawanzogadziriswa chehurongwa hwemagetsi ane huwandu hwevanhu 1-2 kubva kune vanhu 2000. Varume vanowanzoita zvirwere. Chirwere chacho hachikuvadzi, asi chinogona kuchinja zvakanyanya psyche uye hupenyu hwemurwere zvinotungamirira kukuvara, njodzi.
Chii chinonzi narcolepsy?
Kusaputsika kwepfungwa ndeye paroxysmal kamwe-kamwe kunokonzera kurara kunowanzoitika panguva yekusimudza kwomunhu uye zvinoperekedzwa nekurasikirwa kwekutonga pamusoro pemutsetse weutsi. Izvi zvinoitika semugumisiro wechikamu chekutsanya (kufungidzira) chirwere chehope, panguva iyo zvakaoma kumuka. Munhu "anowira" kwazvo muchiroto chero nguva yezuva, munzvimbo ipi neipi, panguva yekutumwa kwezviito zvekuita.
Kusagadzikana-kutengesa kunoparadza mweya wevarwere. Yakagadzikana kuneta nguva dzose uye kugona, kunyange kana nguva yekurara yakanga isiri pasi peiyo yakakurudzirwa maawa 8. Izvi zvinokanganisa unhu hwehupenyu hwomunhu hwehupenyu - chirwere chinogona kuva chiedzo chakakomba chemashurepsy: kuparadzwa kwemhuri, basa uye nguva dzose zvinotyisa zvehupenyu.
Kusaputsika kwepfungwa uye cataplexy
Kurwiswa kwechirwere chinokambaira, zvisingabvumirwi (muna 80%) zvinosanganiswa nezvikamu zvekudzivirira: kusadzivirirwa kwekurasikirwa kwemazwi emusana, pamwe nekuwa, pfungwa dzinochengetedzwa. Pakati pekutambudzwa mukati mezuva pane nguva iyo murwere anokanganisa, uye zviito zvakawanda zvinowanikwa pazvinenge zviripo. Mumatambudziko akakomba, cataplexy inogona kutungamirira kune generalized flaccid kuparara (chete musimba wekuona kwemaziso).
Kusagadzikana - Zvinokonzera
Chirwere chekunyengedza ndechimwe chezvinhu zvisingazivikanwi zvehutano hwepfungwa. Neurologists vanoshevedza mafungiro akasiyana-siyana, pakati pavo zvirwere zvepfungwa , kuratidzwa kwechichichiphrenia, kuputsa kwehutano hwehutano hwehutano muuropi. Narcoleptic syndrome inogona kuitika sechiratidzo chechimwe chirwere chinenge chichikura. Zvidzidzo zvechirwere chesayendisiti dzakabvumira kuti vaone zvikonzero zvikuru:
- kushayikwa kwe orexin A uye B-neurotransmitters vanobatsira kuita nharo dzemagariro pamwe neuroni. Kana muviri usingabereki zvinhu izvi, kushamwaridzana hakusviki neurons, munhu anorara;
- autoimmune kuparadzwa kwe hypocretin-ine neurons mu hypothalamus;
- genetic factor (25% yezviitiko, muam anamnesis vane hama dzine chirwere chinoputika);
- chirwere cheshuga mellitus (mhando I uye II)
- utachiona hwehuropi;
- craniocerebral trauma;
- kushungurudzika kwepfungwa;
- kuora mwoyo;
- multiple sclerosis;
- matumbo e hypothalamus;
- kuneta zvakanyanya, kusingaperi kwekurara, kukwidzika kwakanyanya kunogona kuva chikonzero chechirwere.
Kuora mwoyo - zviratidzo
Chirwere chepfungwa chechirwere chinonyanya kuratidzwa nechigadzirwa chekliniki chakajeka uye mukirasi yeklasi inoenderana nezviratidzo:
- muchirwere chinogara chichirara chikavata panguva yemasikati (15-30 maminitsi), kurwisana nehope kunogumira. Zvinowanzoita basa rakashata (kuverenga, kutarisa TV, kushamba ndiro), asi zvinogonawo kuitika nezviito zvinoita;
- kudonha mumatomu tema (cataplexy mu75% varwere) yeimwe chikwama (maoko, makumbo), kana utera husingaperi - munhu anowira pasi seanoputsika. Chiratidzo chinotanga nemasimba akasimba ekudengenyeka: kutsamwa, ruvengo, kutya;
- hypnagogic auditory uye / kana kuona maonero ekufungidzira kana kufungidzira (30%), simuka paanovata hope, hypnopopic - pakumuka: zvechokwadi, yakasviba uye inotyisa;
- kurara kuora mwoyo (25%) - panguva yekuzorora kana kuti kumutswa, kune nguva pfupi inokonzera kuora mitezo (immobility) panguva iyo munhu asingagoni kuita chero kufamba. Mamiriro aya anowanikwa nekutya kwakasimba uye kutya. Kurara kurwara kunowanzoitika kuvanhu vane utano.
Ndeipi njodzi yekusununguka?
Kusaputsika kwechirwere chirwere pane dzimwe nguva chinobatanidzwa nengozi huru dzehupenyu, zvose murwere iyeye uye vanhu vanopoteredza. Kurwiswa kunowanzoitika kakawanda pazuva, uye kusvikira zvaitika, munhu (narcoleptic) anogona kuyambuka mumugwagwa, kutyaira motokari, kushanda nezvinhu zvakaoma uye nzira. Ngozi yekuwana kana kukuvadza inowedzera kazhinji.
Kusagadzikana - Kurapa?
Ihwo hunodiwa hupenyu hwehupenyu ndicho chikonzero chinokosha chemunhu ane chirwere chakakomba, uye kusununguka kwechirwere hakusi. Kuongororwa kunoitwa pamusana pekunyunyuta kwevarwere uye kuongororwa kwakanyatsororwa nenyanzvi yepamusoro. Chiremba anorayira kuongorora (kuongorora kurara kweusiku mu laboratori, kutarisa chikamu chehope nechigadzirwa chakakosha) uye kuedza kweMSLT (mune rimwe zuva masayoro ekudzidzira kurara). Kubva pamatambudziko, simba rehope rinogadzirwa, uye munhu anogona kutonga kuvapo / kusavapo kwechirwere.
Kunyatsokumbira kuna chiremba uye kurapa kwakanyatsogadzirirwa - kunoderedza zvakanyanya mamiriro ezvinhu omurwere ane chirwere chepfungwa. Narcoleptic inotora zvinodhaka mupurojekiti yeprophylactic muhupenyu hwose, izvi zvinokubvumira kuderedza nhamba yekubatwa, kuti uwane kuregererwa. Dambudziko remhuka rinokonzerwa nechimwe chirwere ndechokubvisa chirwere chepfungwa. Imwe nzira inoshanda yekurapa inosanganisira zvinodhaka:
- vanodzvinyirira - zvakanyanya kuderedza zvikamu zvechikafu, kurara nekuora mitezo;
- zvinokurudzira - kubvisa hope, kunatsiridza chibereko chomunhu masikati;
- kurara mapiritsi - kugadzikana usiku kurara.
Kusagadzikana-kurapwa nemishonga yevanhu
Kuora mwoyo kunoporesa, vadzidzisi vakawanda vepamusoro uye vanoporesa vanofunga, asi izvi hazvisi izvo. Mishonga yemagariro inogona kuva rubatsiro rwezvemishonga inodhaka. Kuongororwa kwechiremba kunokosha. Herbs anoshandiswa mune chirwere:
- decoction ye motherwort - sedative effect;
- Mbeu yeDill - Inononoka uye inofungidzira;
- michero ye hawthorn - kubvisa kusuruvara;
- cones of hops - kurega simba;
- Melissa - anowanzoita maitiro ekufunga .