Xav txog tias koj tab tom luag nrog koj cov phooj ywg thiab koj lub puab tsaig poob qis, lossis koj lub caj dab khoov mus tom ntej. Los yog thaum koj tab tom tham nrog ib tug neeg npau taws, koj lub hauv caug cia li poob qis thiab koj yuav tsum zaum hauv pem teb. Koj puas tau muaj qhov kev paub no? Tsis txhob ntshai. Kuv nyob ntawm no hnub no los tham txog qhov mob no. Hauv kev kho mob, peb hu qhov no ua cataplexy.
Dab tsi yog cataplexy tiag?
Hais yooj yim xwb, cataplexy yog thaum koj poob koj cov leeg nqaij sai sai thiab luv luv thaum koj tseem tsaug zog, thaum koj muaj kev xav zoo li luag, zoo siab, lossis npau taws. Qhov no yog ib qho tsos mob tseem ceeb ntawm kev pw tsaug zog hu ua narcolepsy. Narcolepsy yog ib qho mob ntev (mus tas li) uas ua rau tsaug zog tsis tuaj yeem tswj tau thaum nruab hnub.
Kev qaug zog Cataplexy tuaj yeem ua rau cov leeg nqaij tsis muaj zog uas yuav txawv ntawm qhov me me mus rau qhov hnyav heev. Piv txwv li, koj tsuas yog yuav tsis tswj tau koj cov leeg nqaij ntawm lub ntsej muag, ua rau koj lub puab tsaig qis, lossis koj lub caj dab khoov mus tom ntej me ntsis. Hauv cov xwm txheej hnyav, koj yuav tsis tswj tau koj lub cev thiab ntog rau hauv av.
Tiamsis qhov tseem ceeb tshaj plaws ntawm no yog koj tseem nco qab tag nrho thaum qhov no tshwm sim . Koj tsis poob siab zoo li koj yuav ua thaum lub sijhawm qaug dab peg lossis qaug dab peg.
Feem ntau tus mob no tsuas kav li ob peb vib nas this xwb mus txog ob peb feeb xwb. Tom qab ntawd nws yuav zoo dua. Ib txhia neeg muaj mob ntau zaus hauv ib hnub, thaum lwm tus neeg muaj mob ib lossis ob zaug hauv ib xyoos.
Qhov txawv ntawm cataplexy thiab narcolepsy yog dab tsi?
Muaj ntau tus neeg tsis nkag siab ob yam no. Cataplexy tsuas yog ib qho tsos mob ntawm narcolepsy xwb. Muaj ob hom narcolepsy tseem ceeb. Ob hom no sib txawv raws li seb puas muaj cataplexy lossis tsis muaj.
| Hom mob narcolepsy | Puas muaj cataplexy? | Kev piav qhia |
|---|---|---|
| Narcolepsy hom 1 | Yog, muaj. | Cov neeg no muaj mob cataplexy. Lawv muaj cov neurotransmitter orexin (hypocretin) qis hauv lawv lub hlwb. Qhov mob no nrog rau kev tsaug zog ntau dhau thaum nruab hnub. |
| Narcolepsy hom 2 | Tsis yog. | Cov neeg no tsis muaj cataplexy. Lawv lub hlwb cov orexin feem ntau nyob rau theem zoo. |
Cov menyuam yaus yuav ua li cas thaum qhov no tshwm sim?
Cataplexy rau cov menyuam yaus txawv me ntsis. Nws feem ntau cuam tshuam rau cov leeg ntawm lub ntsej muag, lub puab tsaig, thiab qhov muag. Nws tuaj yeem zoo li lawv mob lossis ua ntsej muag tsis zoo vim ntxub. Ib txhia menyuam yaus yuav txawm tsa lawv tus nplaig tawm thaum lub sijhawm no.
Feem ntau thaum qhov no tshwm sim rau ib tug me nyuam yaus, cov niam txiv lossis lwm tus xav tias qhov no yog ib qho cim qhia tias nws tsis tau mloog zoo, qaug dab peg, chim siab, lossis tsuas yog ib txoj hauv kev kom tau mloog zoo xwb. Yog li ntawd, yog tias koj pom qhov kev hloov pauv uas tsis pom tseeb hauv koj tus menyuam tus cwj pwm, nws yog ib qho tseem ceeb heev uas yuav tsum coj nws mus rau kws kho mob tam sim ntawd .
Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?
Qhov ua rau mob cataplexy yog hom narcolepsy 1. Nws yog tshwm sim los ntawm qhov tsis txaus ntawm cov tshuaj lom neeg (neurotransmitter ) hauv lub hlwb hu ua orexin . Cov orexin no pab kom peb tsaug zog thiab tswj REM pw tsaug zog (kev pw tsaug zog tob uas peb npau suav) thaum peb pw tsaug zog.
Tam sim no, nws yog ib txwm rau qee cov leeg nqaij mus rau hauv lub xeev ntawm paralysis thaum peb nyob hauv REM pw tsaug zog. Qhov no yog los tiv thaiv peb los ntawm kev ua tej yam peb npau suav txog thiab ua rau peb tus kheej raug mob. Tab sis thaum Orexin qis, txawm tias thaum peb sawv, thaum peb muaj kev xav zoo li luag, peb lub hlwb xav tias peb nyob hauv REM pw tsaug zog. Tom qab ntawd qhov paralysis uas tshwm sim thaum lub sijhawm pw tsaug zog ntawd tshwm sim thaum peb tseem sawv. Qhov ntawd hu ua cataplexy.
Yuav kho li cas?
Qhov mob no feem ntau yog kho nrog tshuaj. Cov tshuaj siv los pab koj kom tsaug zog thiab tswj cov tsos mob cataplexy kuj siv los kho narcolepsy. Koj tus kws kho mob yuav kuaj koj thiab sau ntawv kho mob uas zoo tshaj plaws rau koj.
Muaj ntau hom tshuaj uas tau pom zoo rau cataplexy:
- Sodium oxybate
- Cov sodium oxybate qis dua
- Pitolisant
Ntxiv mus, cov kws kho mob kuj yuav sau ntawv kom noj lwm yam tshuaj rau lub hom phiaj no. Qhov no txhais tau tias txawm tias cov tshuaj no yeej tsim los rau lwm yam mob los xij, nws kuj ua haujlwm zoo rau cataplexy. Piv txwv li, qee cov tshuaj antidepressants (SSRIs, SNRIs, TCAs) siv rau lub hom phiaj no.
Qhov tseem ceeb tshaj plaws yog tias thaum koj pib kho mob, nws yog ib qho tseem ceeb heev uas yuav tsum noj koj cov tshuaj raws nraim li koj tus kws kho mob qhia rau koj . Yog tias koj tsum tsis noj koj cov tshuaj tam sim ntawd, koj qhov cataplexy tuaj yeem hnyav heev. Yog li ntawd, yog tias koj muaj lus nug txog koj cov tshuaj, nrog koj tus kws kho mob tham txog nws.
Kuv yuav ua li cas thiaj saib xyuas kuv tus kheej thaum kuv tseem muaj tus mob no?
Tej zaum yuav tsis tiv thaiv tau txhua lub sijhawm rau kev mob Cataplexy, tab sis ntau tus neeg qhia tias nws tshwm sim ntau zaus dua rau hnub uas lawv nkees heev. Yog li ntawd, kev pw tsaug zog zoo hmo ntuj tuaj yeem pab tswj tau nws.
Nov yog qee cov kev coj ua yooj yim uas yuav pab tau:
- Mus pw tib lub sijhawm txhua hnub thiab sawv tib lub sijhawm.
- Khaws koj chav pw kom ntsiag to, tsaus ntuj, thiab qhov kub thiab txias zoo.
- Tshem cov khoom siv hluav taws xob xws li TV, computer, thiab xov tooj ntawm chav pw.
- Tsis txhob noj mov ntau, haus kas fes, thiab haus cawv tsawg kawg yog ob teev ua ntej yuav mus pw.
- Ua kom koj lub cev tawm dag zog thaum nruab hnub. Nws yuav pab koj tsaug zog zoo dua thaum hmo ntuj.
Tsis tas li ntawd xwb, muaj lwm yam uas koj ua tau:
- Xav txog kev nyab xeeb: Kev poob siab tam sim ntawd tuaj yeem ua rau muaj kev phom sij, tshwj xeeb tshaj yog tias koj tsav tsheb lossis ua haujlwm ntawm qhov siab. Tham nrog koj tus kws kho mob txog qhov no thiab kawm txog cov hau kev los tiv thaiv koj tus kheej.
- Qhia rau lwm tus txog qhov no: Qhia rau koj tsev neeg, cov phooj ywg, thiab cov neeg ua haujlwm txog qhov no. Yog li ntawd, yog tias muaj dab tsi tshwm sim rau koj tam sim ntawd, lawv paub tias muaj dab tsi tshwm sim thiab tsis txhob ntshai.
- Nrhiav kev pab: Kev nyob nrog tus mob no tuaj yeem ua rau koj nyuaj siab. Koom nrog cov pab pawg txhawb nqa uas koj tuaj yeem nrhiav tau lwm tus neeg uas muaj tus mob no. Tsis tas li ntawd, yog tias qhov no ua rau koj ntxhov siab lossis ntxhov siab ntau, tsis txhob ntshai tham nrog koj tus kws kho mob lossis tus kws tshaj lij kev noj qab haus huv ntawm lub hlwb , xws li tus kws kho mob hlwb .
Yog koj lossis koj tus menyuam muaj cov tsos mob no, mus ntsib kws kho mob sai li sai tau. Cov no yog cov mob uas tuaj yeem tswj tau zoo nrog kev kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cataplexy yog qhov uas cov leeg nqaij tsis ua haujlwm thaum muaj kev xav ntau. Qhov no tsis yog qaug dab peg lossis qaug dab peg, vim koj tseem nco qab.
- Qhov no yog ib qho tsos mob tseem ceeb ntawm Narcolepsy Type 1, uas yog los ntawm kev txo qis hauv cov tshuaj orexin hauv lub hlwb.
- Rau cov menyuam yaus, qhov no yuav tshwm sim ntau txoj kev sib txawv, xws li lub ntsej muag qaub lossis tus nplaig tawm. Yog tias koj pom cov tsos mob no, nrhiav kev pab kho mob tam sim ntawd.
- Tus mob no siv tshuaj kho tau zoo heev. Nws yog ib qho tseem ceeb uas yuav tsum ua raws li tus kws kho mob cov lus qhia.
- Nws yog ib qho tseem ceeb heev uas yuav tsum tau pw tsaug zog zoo, qhia cov neeg nyob ze koj txog koj tus mob, thiab nyob twj ywm kom muaj kev nyab xeeb.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus