Yu kin fil bak we yu nɔ ebul fɔ kɔntrol yu slip na de? Lɛ wi tɔk bɔt Narkɔlepsi

Imajin se yu de na impɔtant mitin na ɔfis, ɔ yu de laf ɛn tɔk to yu padi dɛn. Wantɛm wantɛm, yu kin fil lɛk se yu de slip wantɛm wantɛm ɛn yu nɔ go ebul fɔ stɔp ɛn dat kin mek yu yay lɔk. Dis nɔto jɔs smɔl slip we kin kam afta dɛn dɔn it. Ilɛk wetin yu du da tɛm de, yu nɔ go ebul fɔ stɔp fɔ slip. Yu kin slip fɔ sɔm minit dɛn. Yu dɔn gɛt dis ɛkspiriɛns? Ɔ dis dɔn apin to pɔsin we yu sabi? Tide wi go tɔk bɔt dis slip prɔblɛm we bɔku pipul dɛn nɔ no bɔt, bɔt i kin gɛt big impak pan dɛn layf. Wi kin kɔl dis sik we dɛn kɔl narkolepsi.

Fɔ tɔk am simpul wan, wetin na sik we dɛn kɔl narkolepsi?

Narkolepsi na wan sik wae kin kam wae pɔrsin de slip. I kin bi we pɔsin kin slip wantɛm wantɛm we i nɔ ebul fɔ kɔntrol insɛf insay di de. I nɔto sik we bɔku pipul dɛn kin gɛt. Bɔt di sayn dɛn we i kin gɛt kin rili patikyula. Dis sik kin rili ambɔg yu ɛvride layf, woke, ɛn padi biznɛs wit ɔda pipul dɛm. Bɔt di bɛst tin na dat, fayn tritmɛnt dɛn de fɔ dis sik . So no rizin nɔ de fɔ mek wi fred. Lɛ wi ɔndastand dis ditayli.

Wetin na di men sayn dɛm wae de sho se pɔrsin gɛt narkolepsi?

Fo men sayn dɛm de wae de sho se pɔrsin gɛt narkolepsi. Bɔt nɔto ɔlman gɛt ɔl di 4. Sɔm pipul dɛn kin jɔs gɛt wan ɔ tu. Lɛ wi tek wan luk pan wetin na dɛn sayn ya.

Lɛ wi tɔk smɔl mɔ bɔt katapleksi.

Dis sayn we dɛn kɔl katapleksi rili impɔtant bikɔs dɛn kin sheb am to tu kayn sik we dɛn kɔl narkɔlepsi dipen pan if i de ɔ i nɔ de.

1. Narkolepsi Tayp 1: Dɛn pipul ya gɛt di sayn fɔ katapleksi. Na lɛk 20% pan di wan dɛn we gɛt narkolepsi de pan dis kayn.

2. Narkolepsi Tayp 2: Dɛn pipul ya nɔ gɛt di sayn fɔ katapleksi. di mכtalman, dat na lεk 80%, de pan dis kayn.

Nɔmal wan, we wi de slip, mɔ we wi de slip na REM, wi bren kin stɔp fɔ kɔntrol wi mɔsul dɛn fɔ sɔm tɛm. Dis na bikɔs fɔ du wetin wi de drim bɔt na rial layf kin denja. Katapleksi na we wi kin gɛt di sem kayn mɔsul wikɛd we wi de wek .

If i nɔ kin kam bɔku, i kin tan lɛk se yu fes mɔsul dɛn de sag, ɔ yu mɔt jɔs de hang opin. Bɔt if i kam wantɛm wantɛm, yu wan ol bɔdi kin swɛ ɛn yu kin fɔdɔm na grɔn . Dis kin ivin mek pɔsin wund. Bɔt i kin jɔs las fɔ sɔm minit dɛn. Insay da tɛm de, yu nɔ go ebul fɔ tɔk ɔ muf.

Pikin dɛn kin sho sayn dɛn fɔ dis difrɛn we smɔl. Dɛn kin chenj dɛn fes wantɛm wantɛm, stik dɛn tong, ɔ "lɔs" dɛn mɔsul dɛn wantɛm wantɛm we dɛn nɔ gɛt ɛni filin.

Lɛ wi lan bak bɔt Slip Paralysis.

As wi bin dɔn tɔk, i nɔmal fɔ lɛ wi nɔ ebul fɔ muv wi bɔdi we wi de drim. Bɔt da kɔntrol de fɔ kam bak we wi wek. Wetin kin apin to pɔsin we gɛt slip paralayz na dat i kin tek sɔm tɛm fɔ mek da mɔsul kɔntrol de kam bak ivin afta we i wek. Yu kin opin yu yay ɛn blo, bɔt yu nɔ ebul fɔ muv yu bɔdi. Bɔrku pipul kin gɛt hallucinations insay dis tɛm. Dis min se yu kin fil lɛk se sɔmbɔdi de na di rum, sɔmbɔdi de tɔk, ɔ sɔntin de wet yu. Dis na ɛkspiriɛns dɛn we kin rili mek pɔsin fred. Bɔt laki laki, dis kin jɔs las fɔ sɔm minit.

Ɔda sayn dɛn de we de sho se pɔsin gɛt narkolepsi?

Yɛs, apat frɔm dɛn 4 men kwaliti dɛn de, yu kin si sɔm ɔda tin dɛn.

• Otomatik muvmɛnt: Di pat dɛn na di bɔdi lɛk di an dɛn kin kɔntinyu fɔ muv ivin we yu de slip. Fɔ ɛgzampul, yu kin slip we yu de rayt, bɔt yu an kin kɔntinyu fɔ muf lɛk se yu de rayt.
• Amnesia: Nɔ mɛmba wetin yu bin de du bifo yu slip.
• Fɔ ala lawd wan we dɛn de slip: We dɛn want fɔ slip, dɛn kin tɔk wan wɔd ɔ sɛntɛns wantɛm wantɛm we nɔ mek sɛns. Dɛn kin wek bak we dɛn yɛri di sawnd. Bɔt dɛn nɔ gɛt ɛni mɛmori fɔ tɔk am.

Wetin rili de apin to wi bɔdi?

Fɔ ɔndastand narkolepsi, wi fɔs nid fɔ no smɔl bɔt wi nɔmal slip. Wi slip gɛt sɔm men stej dɛn.

1. Stej 1: Layt slip. Dis na shɔt stej we kin apin jɔs afta yu dɔn slip.

2. Stej 2: Dip slip. Dis na tin we dip smɔl. Na lɛk 50% pan wi ɔl slip de na dis stej.

3. Stej 3: Rili dip slip. I rili at fɔ wek pɔsin we de na dis stej. If yu wek dis tɛm, yu go fil lɛk se yu ed kɔba wit fɔg (Slip Inertia). Drim waka ɛn tɔk kin apin na dis stej.

4. REM slip: `REM` tinap fɔ `Rapid Ay Muvmɛnt`. Na insay dis stej wi kin drim.

we nכmal pכsin de slip, dεn kin go tru stej 1, 2, εn 3 bifo dεn go insay `REM` slip. Dis kɔmplit saykl kin tek lɛk 90 minit so. Wi kin kɔmplit lɛk 4-5 dɛn kayn saykl dɛn ya fɔ wan nɛt.

Bɔt sɔntin difrɛn kin apin to pɔsin we gɛt sik we dɛn kɔl narkolepsi. As dɛn slip so, dɛn kin go stret na REM slip, sɔntɛm insay sɔm minit dɛn. Ɛn dɛn nɔ kin slip fayn ɔl di nɛt.

Bikɔs ɔf dis, ilɛksɛf dɛn slip na nɛt, dɛn kin fil bad bad wan na de. Dɛn nɔ kin ebul fɔ stɔp di "slip atak" we kin kam. Bɔt da slip de na fɔ shɔt tɛm nɔmɔ, lɛk 15-30 minit. We dɛn wek frɔm da slip de, dɛn kin rili fil fri. Bɔt bikɔs dis kin apin bɔku tɛm insay di de, narkolepsi kin bi big prɔblɛm na layf.

Wetin kin mek pɔsin gɛt narkolepsi?

Di tin we kin mek dis apin kin difrɛn difrɛn wan bay di kayn sik we wi kin gɛt na di sik, bɔt ɔl dɛn tin ya gɛt fɔ du wit di haypothalamus, we na wan pat pan wi bren we de kɔntrol wi slip ɛn wek.

Kɔz fɔ tayp 1 narkolepsi

wan kayn nεv sεl we de na di haypothalamus na wi bren de mek wan kεmikכl we dεn k כl כreksin (dεn kכl am bak haypokrεtin). Dis orexin na wetin de ɛp wi fɔ wek insay di de.

pan pipul dεm wae gεt tayp 1 narkolepsi, dεn bכdi in imyun sistεm kin mistek pwεl di nεv sεl dεm we de mek כreksin.I tan lɛk se wi yon ami de atak wi yon kamp. Dɛn kɔl dis wan ɔtoimyun kɔndishɔn.

we dεn sεl dεm ya dכn dכn, di lεvεl כf כrεksin na di bren de dכn bכku bכku wan. Dis kin mek i nɔ izi fɔ lɛ wi wek insay di de. Dɔn bak, REM slip kin lɔs, ɛn di sayn dɛm (lɛk katapleksi) kin apia ivin we i wek. Dɛn dɔn si bak se dis imyun sistɛm disɔda kin bigin afta sɔm vayral infɛkshɔn, lɛk H1N1, ɔ afta strep trot.

Kɔz fɔ tayp 2 narkɔlepsi

Dɔktɔ dɛn stil nɔ shɔ 100% wetin kin mek pɔsin gɛt tayp 2 narkɔlepsi, bɔt dɛn tink se i kin bi bikɔs ɔf di damej we di ɔreksin sɛl dɛn dɔn pwɛl ɔ we di ɔreksin sistɛm nɔ de wok fayn.

Aw fɔ no dis sik?

Dɔktɔ kin sɔprayz dis afta i yɛri yu sayn dɛm. Bɔt bikɔs dɛn kin si dɛn sayn ya bak pan ɔda sik dɛn lɛk we pɔsin nɔ ebul fɔ blo fayn ɔ we i gɛt ɛpilepshi, dɛn go nid fɔ du sɔm spɛshal tɛst dɛn fɔ no dis fɔ tru.

Di men tɛst dɛn na:

• Polysomnogram ɔ Slip Study: Dis min fɔ kip yu na ɔspitul fɔ wan nɛt ɛn wach aw yu de slip. Dɛn kin tay sɛns na yu ed ɛn chɛst fɔ mɛzhɔ tin dɛn lɛk di we aw yu bren de wev, aw yu at de bit, aw yu de blo, ɛn aw yu bɔdi de muv. Pipul wae gɛt narkolepsi kin go insay REM slip as dɛn de slip, so dis tɛst kin no am.
• Multiple Sleep Latency Test (MSLT): Dɛn kin du dis di de afta di slip stɔdi. Insay di de, dɛn kin gi yu tu awa fɔ slip. Dis de mekɔp aw yu kin slip kwik ɛn aw yu kin go insay `REM` slip kwik kwik wan. Pipul wae gɛt narkolepsi kin slip kwik kwik wan.
• Spinal Tap ɔ Lumbar Puncture: Dɛn nɔ kin du dis fɔ ɔlman. dis involv fכ tek sεmpl fכ di sεribrospεnal fכluid (CSF) we de rawnd di spεnal kכd εn tεst am fכ di כreksin lεvεl dεm. Insay tayp 1 narkolepsi, dɛn lɛvɛl ya kin rili smɔl.

Yu dɔktɔ go disayd uswan pan dɛn tɛst ya fɔ du bay wetin yu nid.

Tritmɛnt de fɔ sik we dɛn kɔl narkolepsi?

Yɛs, na fɔ tru. Pan ɔl we dɛn nɔ kin ebul fɔ mɛn narkolepsi kpatakpata, tritmɛnt dɛn de we rili fayn we go ɛp yu fɔ kɔntrol di sik dɛn we yu gɛt ɛn liv nɔmal layf. Di tritmɛnt dɛn kin gɛt fɔ du wit ɔl tu di mɛrɛsin dɛn ɛn fɔ chenj di we aw pɔsin de liv in layf.

Di kayn drɔgs dɛn we dɛn kin yuz

• Di mɛrɛsin dɛn we dɛn kin yuz fɔ mek pɔsin wek:Mεdikeshכn dεm lεk Modafinil kin εp fכ ridyus di de slip. Bɔku tɛm, na dɛn tin ya kin bi di fɔs wan dɛn we kin bigin.
• Stimulants: Drugs lεk Methylphenidate (Ritalin®) de stimulate di nervous system bak εn ridyus di slip.
• Antidipreshan: Sɔm antidipreshan (SSRI, SNRI) kin rili ɛp fɔ kɔntrol katapleksi, hallucinations, ɛn slip paralayz.
• Sodium Oxybate: Dis mɛrɛsin de ɛp fɔ mek yu slip fayn na nɛt ɛn i de mek yu nɔ slip fayn na de ɛn i nɔ de mek yu slip fayn.

Tin dɛm wae yu kin du fɔ kɔntrol de sik wae de kam

Apat frɔm mɛrɛsin, smɔl chenj dɛn na yu layf kin mek big difrɛns. Dis na wetin wi kin kɔl "gud slip abit" (Slip Hygiene).

• Kip ɔltɛm we yu de slip: As yu ebul, gɛt di abit fɔ go slip ɛn wek di sem tɛm ɛvride. Tray fɔ stik to dis rutin ivin insay wikɛnd.
• Tek slip insay di de: Fɔ no ustɛm yu kin fil fɔ slip mɔ ɛn plan fɔ tek 15-20 minit nap bifo da tɛm de. Dis go ɛp yu fɔ gɛt trɛnk fɔ di ɔda de.
• Nɔ drink kafinɛ ɛn rɔm: Nɔ drink tin dɛn lɛk ti, kɔfi, ɛn kola, mɔ na ivintɛm ɛn nɛt. If yu drink rɔm, dat kin mek yu nɔ slip fayn na nɛt.
• Ɛksesaiz: We yu de du ɛksɛsayz ɔltɛm insay di de, dat kin ɛp yu fɔ slip fayn na nɛt. Bɔt nɔ fɔ ɛksesaiz tranga wan nia fɔ slip.
• Dinɛs: Nɔ it ebi ebi it dɛn we de nia fɔ go slip fɔ ful yu bɛlɛ.

Pe atɛnshɔn mɔ to sef!

Bikɔs pɔsin we gɛt narkɔlepsi kin slip wantɛm wantɛm, dɛn nid fɔ rili tek tɛm we dɛn de du sɔm tin dɛn.

Ustɛm a fɔ go to dɔktɔ?

If yu ɔ pɔsin we yu sabi de slip we yu nɔ ebul fɔ kɔntrol, mɔ if i de ambɔg di tin dɛn we yu de du ɛvride, i impɔtant fɔ go to dɔktɔ. Dɛn sayn ya kin kam bak wit ɔda mɛrɛsin, so i impɔtant fɔ no di kɔz kwik kwik wan.

If yu fɔdɔm wantɛm wantɛm ɔ yu nɔ no natin, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm, bikɔs i kin bi sayn fɔ se yu gɛt siriɔs sik, lɛk at atak ɔ strok.