Kunyanya kushaya Hope, Cherechedza Matambudziko Anogona Kupa Dambudziko Rokurara
Mwana akarara kana asina hanya ane chikonzero chekufunganya. Nguva yakakosha yekufambira iyo inotangira kubva paudiki kubva paudiki kuburikidza nevechiri kuyaruka inoisa danho reupenyu hwekubudirira. Izvi zvinotenderera pane pfungwa dzakasara uye inogamuchira. Zvinetso nekutarisa zvakadai sezviri kuitika mukucherechedza kusakwana kwehutano hwehutano (ADHD) inogona kunge yakanyatsozivikanwa, asi pane zvimwe zvinetso zvehope izvo zvinganganisawo kukwanisa kwevana vako kudzidza.
Nzira dzekushungurudza dzinobata vana sei? Izvo zvinoonekwa sei uye zvinorapwa zvipi? Dzidza zvakawanda pamusoro pezvinyorwa zvekare uye kuti zvingatarisira sei mwana wako.
Kuitika Kwechigumbuso Mudiki
Kunyange zvazvo kazhinji inowanzoonekwa pakati pevanhu vakuru, zvinyorwa zvisinganzwisisiki zvine zvinyorwa zviviri zvezviitiko. Kusaputsika kwepfungwa kunotanga kuonekwa muhuduku nekuyaruka, kuonekwa pavhareji yepakati pezera remakore 14.7 (uye shure kwekudzoka zvakare pazera remakore 35). Kutaura zvazviri, inopfuura hafu yevanhu vane narcolepsy inoshuma kutanga kwezviratidzo zvavo vasati vava nemakore makumi maviri.
Nguva duku yekutanga inobatanidza nemhuri yehupenyu hwechirwere ichi. Mukuwedzera, zviratidzo zvinoratidzira chirwere chacho zvinowanzova zvakanyanya kune avo vanoita kuti chirwere chacho chivepo kare.
Kunyange zvazvo chirwere chacho chinogona kukura pazera duku, pane kazhinji kacho kunonoka pakuongororwa kwechirwere chepfungwa . Zviratidzo zvinogona kuregererwa kana kusanzwisiswa zvisiri izvo.
Izvi zvingaita kuti kunonoka kuonekwe kwakakodzera kwechiitiko chiyero chemakore gumi nemashanu mushure mekunge zviratidzo zvatanga.
Zviratidzo
Chimwe chezviratidzo zvekare kare zvinoratidza kuti vana vane dambudziko rekurwisana nevana vanonyanyisa kurara kwemasikati , vanorondedzerwa muna 65.5 muzana yematambudziko sechiratidzo chokutanga. Izvi zvinenge zvisina kujairika pakati pezvinetso zvehope muvana.
Kusiyana nevanhu vakuru vanogona kuratidzika sevanorara, vana vanogona kunge vasingachakwanisi kana kuvhiringidzika kana vavete. Kana zvakadaro panyaya yekudzivirira, zvisinei, kurara zvakanyanya (kana kuti hypersomnolence) kunogona kuoma.
Kunze kwokurara zvakanyanya, kune zvimwe zviitiko zvehupenyu hwechikoro . Mumwe wavo, cataplexy, akasiyana chaizvo. Vanhu vane chirwere chinoratidzira kazhinji vanorasikirwa nekurasikirwa kamwe kamwe kwemazwi emushumo mukupindurwa nekukanganisa kwepfungwa. Semuenzaniso, kushamisika kunogona kukonzera kumira kwemabvi uye kuwira kamwe kamwe. Kunyange zvazvo chiratidzo ichi chinogona kuitika mumakumi matanhatu kubva muzana yevanhu vane narcolepsy, vana havawanzooni ne cataplexy.
Zvimwe zvidzidzo zvinoratidza kuti pangava nezvinetso ne metabolism kuvana vane narcolepsy. Metabolism inodzorwa nechikamu chehuropi chinonzi hypothalamus , nekushaya simba pano kunobatanidzwawo nevancolepsy. Izvi zvingaguma nevana vane uwandu hwemafuro kana vakawandisa nehuwandu hwemuviri mass index (BMI). Vana vanogona kuwedzera uremu pavanotanga zviratidzo zvavo zvepfungwa.
Vana vane chirwere chinoputika vangave vasina kunyatsoongororwa vane zvimwe zvinetso zvekuzvibata kana zvepfungwa. Kunyanya kurara kunogona kutungamirira kumatambudziko nekufungisisa, kutarira, nekudzidza.
Izvi zvinogona kutungamirira pakuongororwa kweDHD. Vana vane chirwere chinoputika vangave vanoonekwa sevari kuora mwoyo, vakarara, kana "vane usimbe." Vangatotanga kufungidzirwa kuti vasave nekutadza kugadzirisa chirwere.
Kuziva
Kuongororwa kwakanyatsoitwa nevanachiremba, kunyanya uyo ane ruzivo muhutano hwehope, ndiyo danho rokutanga pakuona kusangana nedambudziko. Zvimwe zvidzidzo zvehope zvinogona kushandiswawo kuti zviongorore mamiriro acho.
Chidzidzo chehope chekurara chinonzi polysomnogram . Paunofunga nezvemashurepsy, inowanzobatanidzwa pavana vanopfuura makore 8 uye imwe dzidzo inonzi multiple sleep latency testing (MSLT). Iyi miedzo inogona kubatsira kubvisa mamwe matambudziko ekurara, kusanganisira kuberekwa kwepnea kana kuti periodic limb movement syndrome.
Vanogona kuona kushanduka kwehutano hwekurara, kuratidza kuderedza chidziro chekurara nekutanga kufamba kwekurumidza kwemaziso (REM) kurara.
Kune humwe humwe hutachiona hunogona kushandiswa kutarisa vana vane narcolepsy. Kuongororwa kweperebrospinal fluid (CSF) inoratidzika kuti inoratidzika zvakaderera kusvika pakuonekwa kwemaikemikari, kana kuti neurotransmitter, inonzi hypocretin-1. Kuedzwa kwevanhu leukocyte antigen DQB1-0602 inogonawo kuitwa (kunyange zvazvo antigen iyi inowanzovapo kune avo vasina chirwere, vachiita kuti isasanyanya).
Treatment Options
Kufanana nevakuru vane nhamba dzakasununguka, kusarudzwa kwevana vane nhamba dzakasvibisa zvinosanganisira kukurudzira kuderedza kurara kwemasikati pamwe nevashambadziri zvinoreva kuparadza REM kurara.
Zvinyorwa zvinokurudzira, kusanganisira amphetamine-based medication zvakadai se modafinil (inotengeswa pasi pezita rechizita rokuti Provigil), inoshandiswa kugadzirisa kurara kwemasikati masikati anonyanya kuratidzika kuti vana vanorara.
Mukuwedzera, zvinogona kubatsira kubvisa REM kurara nemishonga, sekusarudza serotonin reuptake inhibitors (SSRIs) uye tricyclic antidepressants (TCAs). Sezvo kusununguka kwechirwere chinopedzisira kuchiita sekunokonzera dambudziko rinorayira kurara kwenyika, izvo zvinoita kuti REM kurara zvisina kufanira kupinda mukumuka, mishonga iyi inobatsira. Iyi mishonga inowanzochengeterwa matambudziko apo zvimwe zviitiko zvezvipembenene zvinenge zviripo, kusanganisira cataplexy, kurovedza, uye kurara kupora.
Pakupedzisira, sodium oxybate (inotengeswa seCyyrem) yakawanikwa ichizvininipisa zvichinyatsogadzirisa mukuderedza kusara kwemasikati masikati uye kubata vana.
Kana iwe uine hanya kuti mwana wako angave anonyanya kurara kwezuva uye zvimwe zvinetso zvakabatana zvinokurudzira zvekunyengedza, unogona kutanga nokutaura nevana vako nezvehutano hwako. Kuwedzerwa kuongororwa kunogona kugadziriswa kuti uone kana dambudziko rinogona kukurira zvinetso zvako, izvo zvingatadzisa kunonoka kuongororwa uye kubatsira mwana wako munguva ino yakaoma yekuvandudza.
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