Nilengin i muhil nghal em? Hei hi Narcolepsy a ni thei! I sawi dawn nia

Nitin hnathawh lai emaw, ṭhiante nena inbiak lai emaw pawhin tuar theih loh khawpin i muhil ngai em? "Aw... Nizan khan ka muhil tawk lo," i ti mai thei. Mahse, chau lutuk mai a ni lo. Vawiin hian mut harsatna chi danglam deuh deuh kan sawi dawn a ni. Chu chu Narcolepsy tih hming pu condition a ni. A awm vak lo nain, a kaihhnawih symptoms avang hian mi tam takin an hriat tawh thil a ni . Enkawl theih a ni a, mahse i nun, hnathawh leh khawtlang inlaichinnaah nghawng lian tak a nei thei a ni.

Narcolepsy hi eng nge ni?

A awlsam zawngin sawi ila, Narcolepsy hi thluak lam natna a ni a, nitin mutthilh nghal mai, thunun theih loh khawpa natna a ni. A bik takin i thluak hian mut leh harh chu a tidanglam thei lo. Hei hian zanah eng ang pawhin muthilh mah la, nitin mutthilh lutukna a thlen thei a ni.

Narcolepsy natna lan chhuah dan ber berte chu engte nge ni?

Narcolepsy natna lanchhuahna lian ber pali a awm a. Mahse mi tam zawk chuan vawi khatah pali hi an nei vek lo. Mi thenkhat chuan pakhat emaw pahnih emaw an nei thei. Heng symptoms te hi eng nge ni tih i lo en ang u.

• Nitin mut tam lutuk : Hei hi Narcolepsy natna lan chhuah dan tlangpui a ni. "Sleep attack" i neih ang mai a ni a, chutah chuan rang takin i muhil ta a ni. Eng thil pawh ti ila, chawlhsan a, mut mai mai ang maiin i inhria.
• Cataplexy: Hei hi taksa ruh control hloh nghal mai a ni . A châng chuan a na lo thei a, hmai emaw, kawr emaw sir khata taksa ruhte a inher ang chi te pawh a ni thei. A nasat chuan leiah i tlu nghal mai thei. Hemi chungchang hi chipchiar zawkin han sawi ila.
• Sleep-related hallucinations : Hengte hi i mut lai emaw, i harh dawn emaw a lo awm thin a ni a, a hlauhawm hle thei bawk.
• Sleep Paralysis : Hei hi "mumang a hlauthawng leh che thei lo" emaw, mi thenkhat sawi angin, "ramhuai a lo chhoh ang maia inhriatna" emaw tih i hre tawh mai thei. Hei hi i harh lai pawha i taksa i che thei lo emaw, i harh kim loh lai emaw a ni. Hei hi tlem han en leh ila.

(Cataplexy) chungchang tlem tal chu

Cataplexy hi taksa chakna hloh nghal mai a ni tih kan sawi tawh a. Narcolepsy hi he cataplexy symptom hi a awm leh awm loh a zirin chi hnih ah then a ni a:

• (Narcolepsy Type 1) : He chi hian (Cataplexy) symptom a nei a. (Narcolepsy) vei zinga 20% vel chu he chi hi an ni.
• (Narcolepsy Type 2) : He chi hian (Cataplexy) symptom a nei lo. A tam zawk, chu chu 80% vel chu hetiang chiah hian an tla a ni.

A tlangpuiin kan mut hian kan thluak hian kan mumang anga kan tih loh nan kan taksa ruhte a thunun nasa hle. Cataplexy vei te hian an harh lai pawhin an taksa ruh a tlahniam nghal a, hei hi REM mut lai ang chiah a ni.

Mild case-ah chuan cataplexy hian hmai leh kawng ruh chauh a nghawng thei - entirnan, jaw a tlahniam thei. A nih loh leh taksa peng khat chauh a nghawng thei bawk. A nasat chuan cataplexy hian a chim nghal thei a, chu chuan thihna a thlen thei a ni. Heng episode te hi minute engemaw zat a ni tlangpui a, mahse he hun chhung hian i tawng thei lo va, i che thei lo mai thei.

Cataplexy chungchanga thil danglam tak dang chu rilru natna thenkhat avanga lo awm thei a ni . A bîk takin i hlim lai te, i nuih lai te, i fiamthu lai te hian a thleng thei a ni. Mak i tih lai te, i hlauh lai te, i thinrim lai te pawhin a thleng thei a, mahse a tam lo hle.

Cataplexy hi naupang leh a natna lan chhuah tirh atanga thla ruk vel mi te tan chuan a danglam deuhin a lang thei. An mitmeng an tichhe nghal mai thei a, an lei an chhuah chhuak thei a, a nih loh leh an rilru put hmang nêna inzawm lo taksa chak lohna an nei thei bawk.

Sleep paralysis chungchang tlem tal sawi belh leh ila

Kan mut lai hian thluak hian kan muscle te chu kan mumang a kan hmuh angin a che lo turin a control a titawp thin. Mahse kan harh chuan he control hi a thawk tha leh tur a ni. Mahse sleep paralysis i neih chuan i taksa chuan chu muscle control chu a hmu leh tawh lo. I thaw thei a, i mit i ti che thei a, mahse i tawng thei lo va, i taksa peng dang pawh i che thei lo.

Sleep paralysis lai hian hallucinations hi a awm fo thin. An lang chiang hle thei a, a châng chuan ngaihtuah phak loh khawpin an hlauhawm thei bawk. Vanneihthlak takin mutna lama harsatna hi minute tlemte chhung a awm tlangpui (a tawktu tan chuan hun rei tak ang maia hriat theih ni mahse).

Symptom dang a awm em?

Narkolepsy vei te hian a lan chhuah dan lian pali bakah hian natna dang leh nungchang dang engemaw zat an nei thei bawk. Chung zinga ṭhenkhat chu:

• Automatic Movements : Narcolepsy vei te hian a chang chuan an taksa peng hrang hrang, an kut ang chi te chu an muhil lai pawhin an che chhunzawm zel thei.
• Amnesia or Forgetfulness : Heng mite hian mut hmaa an thil tih theihnghilh hi thil awmze nei tak a ni.
• Sleep attack laiin sudden outbursts/speech : Narcolepsy vei chuan thil a sawi nghal mai thei (a tam zawkah chuan awmze nei lo emaw, chutih laia thil pawimawh lo emaw). Chutiang a lo thlen chuan an harh leh vek mai thei. Mahse an hre reng lo fo.

Tute nge narcolepsy vei? Engtiang chiahin nge a hluar?

Doctor-te chuan kum 5 leh 50 inkar mi narcolepsy an hmuchhuak tlangpui a, mahse, puitling naupang , kum 18 leh 25 inkar ah a tam ber a, mipa hian he natna hi an vei tam zawk.

Narcolepsy hi a awm ve vak lo.Zirchianna atanga a lan dan chuan khawvel puma mi 100,000 zinga 25 atanga 50 inkar velin an nei a ni. Mahse, he natna hi hriat theih nan kum tam tak a ngai a, chuvang chuan mi engzat nge vei tak tak tih erawh sawi a harsa hle.

Narcolepsy hian engtin nge ka taksa a nghawng?

Narcolepsy hriatthiam nan kan mut hnathawh dan tlem kan hriat chuan a pui hle. Kan mutnaah hian stage lian tak tak engemaw zat a awm a:

• Stage 1: Mut Thianghlim . Hei hi hun tawite a ni. I muthilh veleh a intan nghal thin. I mut zawng zawng atanga 5% vel a ni.
• Stage 2: Mut thuk tak . Hei hi a thuk deuh deuh a ni. Mut zawng zawng atanga 45%-50% vel a ni (he zat hi kan tar chhoh zel chuan a pung zel).
• Stage 3: Slow Wave Mut hi . Mut zawng zawng atanga 25% vel (hei hi kum upat danah a tlahniam thin). Hetiang dinhmunah hian mi kaihthawh hi a harsa hle. I kaihthawh nghal chuan "sleep inertia" an tih mental fog state-ah an lut ang. Sleepwalking leh sleep talking pawh hi he stage-ah hian a awm bawk.
• (REM) Sleep : (REM) tih hi (Rapid Eye Movement) tihna a ni a, mit chu chak taka che tihna a ni. Hetih lai hian kan mumang a ni. Mi (REM) mut lai hian mitmeng hnuai lama mit che vel chu i hmu thei.

Narcolepsy i neih loh chuan i mut dawn chuan stage 1 atang khan i tan a, chutah chuan stage 2 leh 3 ah i kal leh a, heng stage inkar ah hian i cycle a, a tawpah chuan REM sleep ah i lut a, chutah chuan mumang i nei tan ta a ni. REM cycle hmasa ber hnuah cycle thar i tan a, stage 1 emaw 2 emaw-ah i kir leh a, cycle pakhat hi minute 90 vel a ni tlangpui. Mi tam zawk chuan zan khatah cycle li atanga panga vel (darkar 8 chhung an mut chuan) an paltlang thin.

Mahse narcolepsy i neih chuan i mut hun chhung chu chutiang chuan a thleng ngai lo. Chu ai chuan, i muthilh veleh REM mutnaah i lut nghal mai zawk . Zankhuain hun rei lote chhungin i mu a, a tam zawkah chuan mut dan pangngai chu i zo lo.

Narcolepsy-ah chuan zanah eng ang pawhin mut tha mah la, nitin tuar theih loh khawpin i muhil thin. Mutthilh hi bansan a har hle. Mahse he nilenga mut lo thleng pawh hi a tawi (minute 15-30 vel). I harh chuan i rilru a hahdam a, a hmaa i tih thin ang kha ti leh turin i inpeih tawh bawk. Mahse, ni khatah vawi tam tak hetiang thil a thlen avangin narcolepsy hian i nun a tibuai nasa hle.

Narkolepsy hi engte nge ni?

Narcolepsy i neih chhan hi i narcolepsy chi hrang hrang a zirin a inang lo va, mahse chu zawng zawng chuan i thluak hmun bik pakhat, hypothalamus , mut leh harh theihna controltu a huam vek a ni.

A chhan (Type 1 Narcolepsy) 1.1.

Kum 1998 khan zirchiangtute chuan chemical pakhat orexins (a châng chuan hypocretins an tih) an hmuchhuak a . Hengte hi neuron (brain cell) thenkhatin message thawn nan an hmang thin. Orexins hmangtu neurons te hi thluak hmun pakhat hypothalamus an tih ah an awm a. Heng neurons te hi kan harh reng theihna tura puitu ber an ni.

Orexin level hi a tlangpuiin cerebrospinal fluid (CSF) – thluak leh ruhro hual veltu tui layer te tak teah a awm thin. Mahse, narcolepsy vei te tan chuan CSF-a orexin level hi a hniam hle emaw, hriat theih loh emaw a ni. Chumi awmzia chu orexin siamtu cell te chu an thawk tawh lo emaw, thil engemaw avanga tihchhiat emaw an ni tihna a ni.

Research dang chuan heng neurons te hian hna an thawh loh chhan hi autoimmune problem a nih a rinawm ber a ni . Chumi awmzia chu i taksa ngeia immune system hian orexin siamtu leh hmangtu neurons te emaw, orexin ngei emaw, a pahnih emaw a bei tihna a ni.

Type 1 Narcolepsy vei zinga 90%-95% vel chuan an immune system tichhe thei genetic mutation bik an nei a ( HLA-DQB1*06:02 tia hriat a ni). Mahse, mipui zahawm zinga 25% vel pawhin he mutation hi an nei a, mahse Narcolepsy an nei lo. Chuvangin, mithiamte chuan he mutation hi an test ngai lo va, eng hna nge a thawh tih pawh an hre chiang lo. Chhungkaw hrang hrangah pawh he natna hi a kal thei tih finfiahna engemaw zat a awm bawk. First-degree relative (nu leh pa, unau, naupang) in Narcolepsy a vei chuan nang pawhin i vei theihna a sang hle.

Mahse, Type 1 Narcolepsy hi virus leh bacteria infection thenkhat hnuah pawh a lo awm thei a, a bik takin influenza virus H1N1 influenza leh strep throat thlentu bacteria te hi a lo awm thei bawk. Mithiamte chuan hei hi infection hian a chang chuan immune system-ah inthlak danglamna leh hnathawh that lohna a thlen thei vang a ni thei niin an ngai.

A chhan (Type 2 Narcolepsy) 1.1.

Type 1 Narcolepsy awm chhan chungchang hi hriat tam tak a nih laiin, Type 2 Narcolepsy chungchang erawh chu hriat chian vak a ni lo. Mithiamte chuan Type 2 Narcolepsy a lo awm chhan hi an la hre chiang lo hle. Mahse, a chhan ang chiah a nei thei niin an ngai. Entirnan, orexin hmangtu neuron-te chhiatna nasa lo zawk vang emaw, thluaka orexin kal dan lama harsatna vang emaw pawh a ni thei.

Secondary Narcolepsy a awm bawk

A tlem berah chuan narcolepsy hi i hypothalamus tihchhiat vang a ni thei. He chhiatna hi lu hliam (concussions), thluak hliam (traumatic brain injuries), stroke, leh thluaka tumor te ang chi thil vang a ni thei.

Narcolepsy hi thil dang inzawm lo, i rochun tawhte chhinchhiahna a ni thei bawk. Entirnan:

• (Autosomal Dominant Cerebellar Ataxia, Narkolepsy leh Bengngawng (ADCADN))
• (Autosomal Dominant Narcolepsy, Type 2 Diabetes leh thau lutuk te)

Narcolepsy hi a kai theih em?

Ni lo, Narcolepsy hi natna hrik kai theih a ni lo. Midang hnen atangin i man thei lo va, i hnen atangin miin a man thei hek lo.

Narcolepsy hi engtin nge kan hriat theih ang?

I natna lan chhuah dan hian doctor chuan narcolepsy i vei tih a ringhlel thei a ni. Mahse, narcolepsy symptoms hi thluak leh mutna lama harsatna dang tam tak nen a inang hle. Chuvang chuan narcolepsy i vei em tih hriat a pawimawh.Diagnosis chiang tak chu diagnostic test bik hmang chauhvin tih theih a ni.

Narcolepsy test lian tak tak tam tak a tih hmain doctor chuan i mut tawk em tih a enfiah hmasa ang. Hei hi i mut leh harh dan enfiahtu hmanraw awlsam tak hmanga tih a ni tlangpui. Entirna pakhat chu actigraphy hi a ni . Hei hian i che vel dan (i mut lai leh i harh lai leh i che vel lai ang chi) enfiah nan device, wristwatch ang chi hman a huam a ni.

Narcolepsy natna hriat nan eng test nge hman thin?

Narcolepsy natna hriat theihna tur hian test hrang hrang tih theih a awm a:

• Sleep Study (Polysomnogram) : He test hian sensor hrang hrang hmangin i mut dan a enfiah thin. Mut zirchianna kimchang tak, polysomnogram tia koh, a bulpui ber chu electroencephalogram (EEG) hman hi a ni. Heng sensor te hian i thluak wave te chu an enfiah thin. Hei hian doctor-te chu minute khat hnu minute khatin eng stage-ah nge i mut tih an hmu thei a ni. Narcolepsy vei te hi a tlangpui aia REM mutnaah an lut rang zawk a, chuvangin he test hian hei hi a hmuchhuak thei a ni. Mut laiin an harh hun pawh a record bawk. He test hi a pawimawh chhan dang chu nitin mut tam lutuk hi sleep apnea an tih natna lan chhuahna a ni thei bawk . Mut zirchianna chuan sleep apnea i nei lo tih a nemnghet thei.
• Multiple Sleep Latency Test (MSLT) : He test hian nitin i mut awlsam dan a teh thin. Hun bituk chhunga mut vawi tam tak neih a ngai a ni. Nitin mut tam lutuk i neih leh neih loh a hril thei. Hei hi narcolepsy symptom tlangpui a ni. Zan lama mut dan zir zawh ni khatah tih a ni fo.
• Maintenance of Wakefulness Test : He test hian nitin i harh theih dan a teh a, awlsam taka i muhil lai pawhin i harh theih dan a teh a ni. Narcolepsy enfiah nan hman a ni lo a, mahse harsatna dang a awm loh nan a pui thei a ni. Tin, stimulant damdawi te hian hna a thawk em tih en pawh a tangkai hle.
• Spinal Tap (Lumbar Puncture) : He test hian i cerebrospinal fluid (CSF) ah orexin level hniam tak a hmu thei a. Hei hi Type 1 Narcolepsy hriat theihna kawng pawimawh tak a ni. Orexin level hniam hi Narcolepsy vei mi pakhatin cataplexy a la nei lo tihna a ni thei a, mahse nakin lawkah cataplexy a nei ve mai thei tihna a ni thei bawk. Mahse, Type 2 Narcolepsy vei zingah orexin level a danglam loh avangin hei hi diagnostic test a ni ngai lo.

Test dang pawh a awm

Narkolepsy vei te hian test dang tam tak an nei thei bawk. Entirnan, cataplexy i neih chuan thluak lama harsatna dang, seizures ang chi, movement-related symptoms nen a inang thei. Chuvangin, doctor-te chuan natna khirh zawk, epilepsy ang chi te chu an test hmasa thei a ni. Chuvangin, narcolepsy hi hriat theih nan hun rei tak a ngai mai thei. I doctor hi eng test nge i neih a ngai tih leh engvangin nge tih a nih tih sawifiahtu tha ber a ni.

Narcolepsy hi engtin nge enkawl a nih? Tihdam theih a ni em?

Narcolepsy hi enkawl theih a ni a, mahse tihdam theih a ni lo . Damdawi hmanga enkawl tan a ni tlangpui. Mahse i nitin nunphung leh nunphung tihdanglamna chuan a pui thei bawk. Narcolepsy hian enkawlna a dawng tha tlangpui. Hei hian symptoms avanga buaina awm chu tihtlem nan a pui thei a ni.

Narcolepsy hi dam chhung zawnga natna a ni a, mahse hun kal zelah a na zual lo tih hre reng ang che.

Narcolepsy damdawi te chu engte nge ni?

Damdawi hi narcolepsy enkawlna ber a ni. Damdawi tam zawk hian nitin mutthilh lutuk hi an target thin. Mahse, damdawi thenkhat chuan symptom dang a nghawng bawk. Hetiang natna atana damdawi chi hrang hrang pek theih thenkhat chu hetiang hi a ni:

• Wakefulness Medications : Hengte hi a tlangpuiin enkawlna hmasa ber a ni. Entirnan Modafinil leh Armodafinil te hi a ni. Heng damdawi te hian i nervous system a tichak a. Hei hian nitin mutthilh nasat leh mut tam loh nan a pui thei a ni.
• Amphetamines leh Amphetamine ang chi Stimulants : Damdawi methylphenidate (brand name Ritalin®, Concerta®, Qullivant® tia hriat) leh amphetamine/dextroamphetamine combination (brand name Adderall® tia hriat) te hi a ni.
• Antidepressant : Heng zingah hian Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) (e.g. Venlafaxine - Effexor® tia hriat), Selective Serotonin Reuptake Inhibitors (SSRIs) (e.g. Fluoxetine - Prozac® tia hriat), emaw Tricyclic Antidepressants (e.g. Clomipramine emaw Protriptyline - hengte hi a tel thei a ni tunah chuan hman a tlem tawh hle).
• (Sodium Oxybate) : He damdawi hian mut a tichak a, (Cataplexy) vei tamna pawh a ti tlem bawk. He damdawi hian nghawng a neih avangin ram tam takah khauh takin an thunun a ni. Mahse, enkawl nan an hmang fo thin (Type 1 Narcolepsy).
• Histamine-a nghawng thei damdawi : Chutiang damdawi entirnan Pitolisant hi a ni.. Hei hi histamine receptor antagonist a ni. Receptor antagonists hi i taksaa chemical thenkhat cell-a an inzawm lohna tur damdawi a ni. Hei hian cell-te thil engemaw tih chu a tihtlem emaw, a titawp emaw a ni.

Puitling (narcolepsy) tan chuan enkawlna kawng hrang hrang a awm laiin, naupang tan chuan enkawl dan erawh a tlem hle. I fa naupang enkawltu doctor emaw, specialist emaw chuan i tan eng enkawlna tur nge awm tih leh eng nge an rawt tih chu a hrilh thei ber che a ni.

Enkawlna avanga harsatna/side effect awm thei

Narcolepsy enkawlna atana hman damdawi tam tak leh a natna lan chhuah dante hi damdawi dang nena inzawmna chance a sang hle. Thisen sang leh heart rhythm mumal lo hi stimulant damdawi chi hrang hrang hmanga harsatna awm thei zinga pahnih chauh a ni. A bik takin Sodium Oxybate hi central nervous system tichhe thei damdawi dang nena hman dun chuan a hlauhawm hle. Tin, he damdawi hi zu nen hmang ngai suh .

A tlangpuiin, i doctor hi eng side effects, complications leh drug interaction nge i hriat tur tih hrilhtu tha ber a ni. I dinhmun bik, hriselna chanchin, leh mimal dinhmun ang zela thu hriatna a pe thei a ni.

Engtin nge ka in enkawl ang a, ka symptoms te hi ka enkawl ang?

Narcolepsy hi nangmah ngeiin i hmuhchhuah emaw enkawl emaw i tum ngai lo vang . Hei hi a chhan chu he natna lan chhuahna hi natna khirh tak dang, sleep apnea leh epilepsy-ah pawh a awm fo vang a ni. Tin, he dinhmun hian thiltih thenkhat, lirthei khalh leh tui chawi te chu hlauhawm takah a siam thei bawk. Chuvangin, doctor pan fo la, natna hriatchhuah leh enkawl rawh .

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

Enkawlnain hna a thawh tan hun chhung emaw, enkawlnain nghawng a neih dan tur emaw chu thil tam takah a innghat a ni. I dinhmun a zirin eng nge i beisei tur tih te, damdawi hian eng chen nge a thawh theih dawn tih te, i natna lan chhuah dan inthlak danglamna hmuh theih nan eng chen nge a la ngai dawn tih te chu i doctor hi a tha ber a ni.

Narcolepsy lo awm hi tihtlem theih a ni em, a ven theih em?

A tam zawkah chuan narcolepsy hi beisei loh takin a lo awm thin. Chuvangin a vei theihna tur tihziaawm emaw, a lo vei loh tur ven emaw theih a ni lo .

Narcolepsy ka neih chuan eng nge ka beisei ang?

Narcolepsy ngei pawh hi a hlauhawm lo tlangpui. Mahse, rang taka, thunun theih loha mut ṭan chu nun tibuaitu lian tak a ni thei. Hetiang natna vei te hian lirthei an khalh thei lo mai thei (hun eng emaw chen emaw, a awm reng emaw - an natna lan chhuah dan leh an dinhmun a zirin).

Narcolepsy hi a hlauhawm lo tlangpui a, mahse Type 1 narcolepsy-ah chuan cataplexy episode-a tlu avanga hliam tuar theihna a sang hle. Narcolepsy hian lirthei khalh lai te, power tools emaw machinery rit tak tak hman lai te, tui chawi lai te pawhin dinhmun hlauhawm tak a thlen thei bawk.

Naupangin narcolepsy an neih chuan

Naupang narcolepsy vei te hian an natna avanga nghawng a neih dan hi an buaipui fo thin. Nitin mutthilh hian sikul hnathawh ngaihtuah a ti harsa thei a, khawtlang inlaichinna vawng reng a, sikul leh extracurricular activities-a tel a ti harsa thei bawk.

Mahse, Narcolepsy hi damdawi lam thil a ni. Chutiang a nih avang chuan Narcolepsy vei naupangte chuan dan anga humhimna an dawng thei a ni. School-te pawh danin riahna siam a phut a ni. Entîr nân, class schedule thlak danglam te, mut hun emaw, chawlh hahdamna hun ruat te, leh naupangte sikula an damdawi ei awlsam zawka siam te. I fa naupang enkawltu emaw, specialist dang emaw chuan i fate tanpui thei tur solution zawng turin an pui thei che a ni.

Hnathawk puitling tan (Narcolepsy) .

Sikul-a naupangte chu danin a humhim ang bawkin, narcolepsy vei puitlingte pawh danin a humhim bawk. Damdawi lam thil avanga mi pakhat, narcolepsy pawh tiamin, inthliarna chu khap a ni (entir nan, United States-ah chuan Americans with Disabilities Act hnuaiah).

Chu dan anga humhimna avang chuan narcolepsy vei te chuan an hnathawhna hmunah an hnathawhna hmuna thawktute nen an inbia thei a, an dinhmun enkawl chungin hna an thawh chhunzawm theih nan awmna tur an hmu thei bawk.

Engtin nge ka in enkawl ang? (Thurawn tangkai tak tak)

Narcolepsy i neih chuan i dinhmun enkawl dan tur leh i enkawlna atanga hlawkna tam ber i hmuh theih nan thil engemaw zat i tih theih a ni. Heng thil tam tak hi mut dan tha (Good Sleep Hygiene) vawn reng leh i schedule leh routine thlak danglam a ni.

• Mut dan pangngai vawng reng rawh : Mut leh harh a ruala tih dan phung i neih hian i mut thatna a tisang thei a ni.
• Mut hun tur ruat : I kum nena inmil mut hun tur siam rawh. Tin, i mut hmain i rilru hahdam leh thlamuang turin hun ruat la.
• Light eng leh electronic device-a inhriat lohna : Mut hma hnaih deuha heng device atanga light lo chhuak hian i taksa natural sleep-wake cycle a tibuai thei a ni.
• Zu in te, caffeine in te, zuk leh hmuam hman te, mut hnaih lama ei te in pumpelh tur a ni.: Mut hmaa riltam i tih chuan chaw ei kha a tha ber. Damdawi thenkhat i ei a nih chuan zu in kha i bansan vek tur a ni (chutiang damdawi pek che a nih chuan i doctor chuan a hrilh ang che). Mithiamte chuan zuk leh hmuam thil siam (cigarette, electronic cigarette ((vaping)), leh smokeless tobacco ((smokeless tobacco)) te pawh tel) tihtawp vek turin an fuih nasa hle bawk.
• Taksa chak tak ni rawh : Kea kal ang chi thil mai pawh ni se, chak taka awm hian i mut thatna a tisang thei a ni.
• Take a nap : Narcolepsy vei te hian mut an mut hnuah an rilru a hahdam fo thin. Ni khata eng hun lai nge mut i duh ber tih hriat chian a, chu hun lai vela i mut hun tur ruahman chu a ṭangkai thei a ni.

Thil hlauhawm tak tak pumpelh la, a nih loh leh fimkhur hle ang che.

Narcolepsy hian accident na tak, thihna thlen thei pawh a thlen thei. Nangmah leh i chhehvela mite humhim nân, doctor-in a bik taka a tihthianghlim loh chuan lirthei khalh ngai suh .

Motor khalh laiin narcolepsy symptoms i neih chuan lirthei khalh kha bansan nghal la, doctor rawn rawh. Hei hi a nuam lo viau nachungin, wheel-a mut avanga thihna thlen thei emaw, nun tidanglam thei emaw accident a thlen loh nan a pawimawh hle.

Narcolepsy hlauhawmna hmun dang chu tuiah a ni . Narcolepsy i neih chuan tui chawi lai emaw, lawng emaw tui chunga lawng emaw, life preserver hman tura rawtna i neih hunah emaw life jacket dik taka ha reng a pawimawh hle . Nunna humhalhtu tel lo chuan tui chhunga mut attack hian thihna nasa tak a thlen thei a ni.

Engtikah nge Doctor ka hmuh ang?

Vawikhatmah, beisei loh taka i muhil a nih chuan doctor pan a ngai tih chhinchhiahna a ni. Hei hi narcolepsy chauh a ni lo va, damdawi lam dinhmun hrang hrang a kawk thei bawk. Ṭhenkhat chu an serious hle. Thil tam takah chuan, natna hriat leh enkawl i tihkhawtlai poh leh harsatna i neih theihna a sang zawk emaw, enkawlna a hlawk lo zawk emaw a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

I tlu thut emaw, i hriatna i hloh emaw chuan damdawi in emaw, emergency room emaw-ah doctor pan nghal rawh. Hei hi natna tam tak chhinchhiahna lian tak a ni a, chung zingah chuan heart attack, stroke, leh heart rhythm mumal lo te pawh a tel. Heng dinhmunte hi medical emergency a nih avangin enkawl vat a ngai a ni.

Fall-related injuries chu beisei loh taka i tlu avanga hliam, i inhnukdawk emaw, hriatna hloh emaw avanga hliam a ni.Inhliam theihna a awm. I lu, i kawng emaw, i hnungzang hmun eng emaw zat hliam i tuar nia i ngaih chuan doctor thurawn zawng fo ang che. Spinal cord-a ruh tliak leh hliam hian a tichhe vek thei a, a ke a tichhe thei a, thihna pawh a thlen thei bawk.

I tlu a, thisen tihthianghlimna damdawi chi hrang hrang i ei a nih chuan, a bik takin i lu i vuak chuan damdawi lam pan vat tur a ni. Tlu leh hliam hian chhungril thisen hlauhawm tak a thlen thei a ni. Nunna atana hlauhawm harsatna thlen thei hliam i neih loh nan damdawi lam pan i mamawh a ni.

I hriat reng tur pawimawh ber berte (Take-Home Message) .

Chuvangin, kan sawi tawh (Narcolepsy) atang hian thil pawimawh tak tak i hriatreng theih ka beisei.

• Narcolepsy hi hahna vanga mutthilh mai mai a ni lo. Thluak in mut leh harhchhuahna a tihreh theihna lama harsatna a ni.
• Nitin mut tam lutuk, cataplexy (muscle chak lohna thut), mut avanga thil hmuh theih loh, leh mut chak lohna chhinchhiahna lian ber berte chu hre reng ang che Heng symptoms zawng zawng hi mi zawng zawngah a awm vek lo.
• Hetiang dinhmun thlentu hi thluaka chemical orexin tlahniam vang emaw, autoimmune problem vang emaw a ni fo thin.
• Narcolepsy hi a natna hriat theih nan specialized medical test neih a ngai a ni. Chuvangin nangmah chauhin thutlukna siam turin zuang lut suh.
• Hei hi tihdam kim theih ni lo mah se, damdawi leh nunphung tihdanglamna hmanga tam zawka thunun theih natna a ni .
• Hriselna chungchang hi ngun takin ngaihtuah rawh. A bik takin lirthei khalh te, tui chawi te, leh hmun sang taka hnathawh hunah fimkhur hle ang che. Damdawi lam thurawn zawm rawh.
• Heng symptoms te hi i neih chuan doctor pan hlau suh. Nangmah chauh i ni lo. Ṭanpuina a awm.

He thu hi in tan a tangkai ngei ka beisei. Nangmah emaw, i hriat miin emaw hetiang harsatna hi i tawk a nih chuan a rang thei ang bera damdawi lam thurawn lak a tha ber.

` Narcolepsy, nitin mut tam lutuk, cataplexy, mut theih lohna, mut halh, orexin, thluak natna