Dambudziko Rakawedzerwa Kurara Rinozivikanwa nePolysomnogram uye MSLT
Kusaputsika kwechirwere chirwere chisingawanzo chinokonzera kupererwa kwemasikati masikati . Zvimwe zvinetso zvehope zvinokonzerawo kurara, kusanganisira kuberekwa kwepabonde. Saka, zvakakosha kuwana hutachiwana hwakakodzera asati aongorora kurapwa. Ndezvipi zvinyorwa zvekare zvinosangana nezviedzo? Dzidza kuti hutachiona hunoenderana sei pane dzimwe nguva kuedza kurara kusanganisira polysomnogram uye yakawanda yekurara latency test (MSLT) uye kuti ungaedza sei.
Chii Chinonzi Dambudziko rekusagadzikana?
Pakati pehutano hwehope, narcolepsy ndiyo yechipiri inowanzokonzera kubata kwezuva masikati mushure mekurara kwepnea . Icho chirwere chinoumbwa nemhando dzakasiyana. Kunze kwekurara zvakanyanya, panewo kurasikirwa kamwe kamwe kwemazwi emusana nemanzwiro (anonzi cataplexy ), hallucinations yakajeka munguva yekurara kunotanga ( hypnagogic hallucinations ), uye kurara kuparara . Cataplexy characterizes type 1 narcolepsy . Pasinei nezvinhu izvi zvakawanikwa, munhu mumwe chete muvanhu vatatu achava nezviratidzo zvose.
Kuzivikanwa kweNyeredzi
Kana iwe uchifungidzira iwe unogona kuva nedharapsy, unofanira kuongororwa nachiremba wako uye unyanzvi hwekurara. Pane zvimwe zvinokonzera kurara zvakanyanya, kusanganisira kungorega kuwana hope yakakwana, uye izvi zvinofanira kuonekwa. Mushure mekuongorora nekuongorora nekuongorora, zvimwe zvidzidzo zvehope zvinogona kukurudzirwa.
Muenzaniso wekuongororwa kwechirwere chinonzi narcolepsy unosanganisira kudzidza kwekurara kweusiku kunonzi " polysomnogram" inoteverwa nehombodo yakawanda yokurara (MSLT) zuva rinotevera.
Zvinokurudzira zvinofanira kumiswa vhiki isati yaedzwa, uye mishonga inopesana nemishonga inofanirwa kuvharwa mavhiki matatu asati apera. Iyi mishonga, uye kubvisa kwavari, inogona kupindira nemigumisiro yemuedzo. Iwe unogona kudiwa kuti uwane urusi hwekuongorora zvinodhaka kuti uone kuti mhinduro dzekuedza dzakakodzera.
Iro polysomnogram ichaongorora maitiro ehope dzako. Zvinonyanya kukosha, zvicharatidza zvimwe zvinokonzerwa nekurara kwako zvakanyanya, kusanganisira zvimwe zvinetso zvekurara zvakadai sokurara kwepabonde, kubuda kwemaoko nguva nenguva (PLMS), uye chirwere chetsika REM . Kurara kwepabhesi kwakanyanya kudarika kudarika zvinyorwa, uye kurapa kwakasiyana chaizvo.
Mune maitiro akawanda anokonzera, mapurisomnogram anoratidza kumutswa kwepamusoro, kunyatsodzikisa kugadzikana kwehope , uye REM kurara kunoitika mukati memaminitsi makumi maviri ekutanga kwehope. Vanhuwo zvavo havangapindi REM kurara kusvikira pamaminitsi makumi masere nemakumi matatu mushure mekurara. Nyeredeti dzinowanzoonekwa kuti dzine REM dzinovata mumaminitsi 60 ekudzidzira kwavo kurara.
Mushure mokunge polysomnogram yapera, zuva rakatevera kuwanda kwevhesi yekudzivirira latency (MSLT) inoitwa. Mune MSLT, kana kudzidza naputi, unopiwa mikana mina kana mashanu yekuvhara maawa maviri ose. Munhu ane hutano acharara akarara mumaminitsi gumi nemaminitsi gumi nemashanu, asi munhu ane chirwere chinoputika angagona kurara mushure maminitsi masere uye anowanzova neEIDS akarara mukati memapiro maviri. Kana vakave nehope-kubvira REM (SOREM) mune zviviri kana kupfuura zvekudzivirira kwavo, kana kuti ne-diagnostic polysomnogram, iyi inonyanya kuratidza kufungidzirwa kwechirwere chepfungwa.
Ndeipi Mimwe Miedzo Inogona Kubatsira Kuchengetedza Zvirwere Zvisina Kuoma?
Kune maitiro mashomanana ekuongorora mabhakirini anogonawo kushandiswa kuongororwa nevanotambudza. Kune chimiro chekuberekwa chinonzi DQB1 * 06: 02 (kunyange ichi chisina kukwana uye chinogonawo kuva chakanaka kune vanhu vasina dambudziko rekunyengera). Kana ruzivo rwemajini rukasina kunaka, hazvisi zvishoma kuti munhu ane chirwere chepfungwa.
Mukuwedzera, kana zvidzidzo zvehope zvisina kunaka, dzimwe nguva zvingabatsira kuongorora cerebrospinal fluid nekambar yokugadzirisa nzira ye orexin (kana hypocretin levels), iyo inogona kuratidza kuvapo kwechirwere chepfungwa. Kana aya mazinga ari pasi, kana kunyange zero, ma cinchi aya anongororwa neancolepsy.
Zvinosuruvarisa, kuedza uku hakuna kuwanikwa zvakanyanya uye zvinogona kutumira samples kumasangano makuru, kusanganisira Stanford University.
Sources:
American Academy Yokurara Mushonga. "Munyika yose maitiro ekurara kwehope." 2nd ed. 2005.
Carskadon, MA uye al. "Nhungamiro yehutano hwakawanda hwekudzivirira latency (MSLT): chiyero chekurara." Kurara 1986; 9: 519.
Thorpy, MJ. "Kutora musoro." Continuum. Neurol 2007; 13 (3): 101-114.