Nitin mutthilh theih loh i tawng bawk em? Narcolepsy chungchang hi han sawi ila

Office-a inkhâwm pawimawh takah i tel ve emaw, ṭhiante nêna in nuih a, in inbiak lai emaw chu han mitthla teh. Vawilehkhatah chuan mutthilhna, tihtawp theih loh, i mit a tichhe nghal vek tih i hre ta a. Hei hi chawhmeh ei hnua mut hah tlemte chauh a ni lo. Chutih lai chuan eng ang pawhin ti mah la, i muthilh chu i bansan thei lo. Minute tlemte chhung chu i muhil a. Hetiang thil tawn hi i tawng tawh em? A nih loh leh i hriat mi pakhat chungah hetiang hian a thleng em? Vawiin hian he mut harsatna hi mi tam takin an hriat loh, mahse an nunah nghawng lian tak a nei thei tih kan sawi dawn a ni. Hei hi narcolepsy kan ti a.

A awlsam zawngin, narcolepsy chu eng nge ni?

Narcolepsy hi mut vanga thluak lam natna a ni. Nitin mutthilh nghal mai, thunun theih loh khawpa muthilh hi a ni. Natna tlanglawn tak a ni lo. Mahse a symptoms hi a chiang hle. Hetiang dinhmun hian i nitin nun, hnathawh leh khawtlang inlaichinna nasa takin a tibuai thei a ni. Mahse a tha ber chu he natna hi enkawlna tha tak tak a awm a ni . Chuvangin hlauhna tur a awm lo. Hei hi chipchiar takin i hrethiam ang u.

Narcolepsy natna lan chhuahna berte chu engte nge ni?

Narcolepsy natna lanchhuahna lian ber pali a awm a. Mahse mi zawng zawng hian pali hi an nei vek lo. Mi thenkhat chuan pakhat emaw pahnih emaw chauh an nei thei. Heng symptoms te hi eng nge ni tih han thlir ila.

Cataplexy chungchang hi tlem han sawi leh ila.

He symptom cataplexy an tih hi a pawimawh hle a, a chhan chu narcolepsy hi a awm leh awm loh a zirin chi hnih ah then a ni.

1. Narcolepsy Type 1: Heng mite hian cataplexy symptom an nei a. Narcolepsy vei zinga 20% vel chu he chi hi an ni.

2. Narcolepsy Type 2: Heng mite hian cataplexy symptom an nei lo. A tam zawk, chu chu 80% vel chu he chi hi an ni.

A tlangpuiin kan mut hian, a bik takin REM mut lai hian kan thluak hian rei lo te chhungin kan taksa ruhte a thunun thei lo. Hei hi a chhan chu nun tak takah kan mumang ang tih hi thil hlauhawm tak a nih theih vang a ni. Cataplexy chu kan harh laiin taksa ruh chak lohna ang chiah kan neih hian a ni .

A lo lang tlem chuan i hmai ruhte a tlahniam ang maiin a lang thei a, i hmui pawh a inhawng mai mai thei bawk. Mahse, a lo thleng thut chuan i taksa pum pui chu a hring vek thei a, leiah i tlu thei bawk . Hei hian hliam pawh a thlen thei a ni. Mahse minute tlemte chauh a daih. Chumi chhung chuan i tawng thei lovang a, i che thei lovang.

Naupangte hian hetiang chhinchhiahna hi tlem a danglam deuhin an lantir thei. An hmel lan dan an thlak nghal mai thei a, an lei an chhuah chhuak thei a, an taksa ruhte chu engmah hriatna nei lovin an "loosen" nghal mai thei bawk.

Sleep Paralysis chungchang pawh i zir ve ang u.

A chunga kan sawi tawh ang khan mumang kan neih laia kan taksa che thei lo hi thil pangngai tak a ni. Mahse chu control chu kan harh hunah a lo kir leh tur a ni. Sleep paralysis vei chunga thil thleng chu chu muscle control chu a harh hnuah pawh a lo kir leh theih nan hun rei tak a ngai a ni. I mit i meng thei a, i thaw thei a, mahse i taksa i che thei lo. Hemi hun chhung hian mi tam tak chuan hallucination an nei thin. Chumi awmzia chu, mi pakhat chu pindan chhungah awm ang maiin, mi pakhatin thu a sawi ang maiin, a nih loh leh thil engemaw takin a phur che ang maiin i inhria thei tihna a ni. Hengte hi thil tawn hlauhawm tak tak a ni. Mahse vanneihthlak takin hei hi minute tlemte chauh a ni.

Narcolepsy natna lan chhuahna dang a awm em?

Ni e, chu mizia lian palite bakah chuan thil tlemte i hmu leh thei bawk.

• Automatic movements: Taksa peng hrang hrang, kut ang chi te hi i mut lai pawhin a che chhunzawm zel a. Entîr nân, i ziak laiin i muhil thei a, mahse i kut chu i ziak ang maiin a che chhunzawm thei a ni.
• Amnesia: I mut hmaa i thil tih kha hriat reng loh.
• Mut laia ring taka au chhuah: An muthilh dawn chuan awmzia nei lo thumal emaw, sentence emaw an sawi thut mai a. Chu thawm ri chuan an harh leh mai thei. Mahse, an sawi tih hriatrengna an nei lo.

Kan taksaah hian eng thil nge thleng tak tak?

Narcolepsy hrethiam tur chuan kan mut dan pangngai chungchang tlem kan hriat hmasak a ngai a ni. Kan mut hian stage lian engemaw zat a nei a.

1. Stage 1: Mut hahdam. Hei hi short stage a ni a, mut a tlak hnu lawkah a awm nghal a ni.

2. Stage 2: Mut thuk tak. Hei hi a thuk deuh deuh a ni. Kan mut zawng zawng zinga 50% vel chu hetiang dinhmunah hian kan awm a ni.

3. Stage 3: Mut thuk tak. Hetiang dinhmunah hian mi kaihthawh hi a harsa hle. Hetih lai hian i harh chuan i lu chu vur (Sleep Inertia) in a khuh ang maiin i hria ang. Mumang kal leh thusawi hi he stage-ah hian a thleng thin.

4. REM sleep: `REM` tih hi `Rapid Eye Movement` tihna a ni. Hetih lai hian kan mumang a ni.

Mi pangngai a mut chuan `REM` mutnaah an luh hmain stage 1, 2, leh 3 an paltlang thin. He cycle kimchang hian minute 90 vel a awh a ni. Zan khatah chutiang cycle 4-5 vel kan ti zo thin.

Mahse narcolepsy vei chungah thil danglam tak a thleng thin. An mut veleh REM mutnaah an lut nghal a, minute tlemte chhungin a ni mai thei. Tin, zankhuain an mut a tibuai bawk.

Chumi avang chuan zanah eng ang pawhin muthilh mah se, chhun lamah chuan an muhil nasa hle a ni. "Sleep attack" lo thleng chu an titawp thei lo. Mahse chu mut chu hun rei lote chhung chauh a ni a, minute 15-30 vel ang mai a ni. Chu mut ata an harh chuan an hahdam hle thin. Mahse hetiang hi ni khatah vawi tam tak a thleng thin avangin narcolepsy hi nunah daltu lian tak a lo ni ta a ni.

Eng thilin nge narcolepsy hi a thlen?

Hei hi a chhan hi narcolepsy chi hrang hrang a zirin a inang lo a, mahse chung zawng zawng chu kan thluak peng pakhat , kan mut leh harh chhuahna control tu hypothalamus nen a inzawm vek a ni.

Type 1 narcolepsy awm chhan

Kan thluak hypothalamus-a nerve cell chi khat hian chemical pakhat orexin (hypocretin an ti bawk) an siam chhuak thin. He orexin hian nitin kan harh theih nan min pui thin.

Type 1 narcolepsy vei teah chuan an taksa immune system hian orexin siamtu nerve cells te chu a tichhe sual a ni.Keimahni sipaite ngeiin kan camp ngei an rawn beih ang mai a ni. Hei hi autoimmune condition an ti a.

Heng cell te hi an tihchhiat chuan thluaka orexin level chu nasa takin a tlahniam thin. Hei hian nilengin muthilh a harsat phah a ni. Tin, REM mut a bo a, harh lai pawhin symptoms (cataplexy ang chi) a lang chhuak bawk. He immune system disorder hi virus infection thenkhat, H1N1 emaw, strep throat hnuah emaw a intan thei tih hmuhchhuah a ni bawk.

Type 2 narcolepsy awm chhan

Doctor-te chuan type 2 narcolepsy thlentu hi 100% in an la chiang lo a, mahse orexin cells tihchhiat emaw orexin system a hnathawh that loh vang emaw a ni thei niin an ngai.

Engtin nge he dinhmun hi kan hriat theih ang?

Doctor chuan i symptoms a hriat hnuah hei hi a ringhlel mai thei. Mahse, heng chhinchhiahnate hi natna dang, sleep apnea emaw epilepsy emaw-ah pawh hmuh theih a nih avangin, hei hi chiang taka hriat theih nan test bik engemaw zat neih a ngai dawn a ni.

Test lian ber berte chu:

• Polysomnogram emaw Sleep Study: Hei hian damdawi inah zan khat dah che a, i mut dan enfiah a huam a ni. I lu leh i rilruah sensor dahin thluak wave, heart rate, thawk dan, leh taksa che vel te a teh thin. Narcolepsy vei te hi an mut laiin REM sleep-ah an lut a, chuvangin he test hian a hmuchhuak thei a ni.
• Multiple Sleep Latency Test (MSLT): Hei hi mutna zirchianna atanga ni khatah tih thin a ni. Nilengin darkar hnih mut tir i ni. Hei hian i mut chak dan leh `REM` mut i luh thuai dan a teh a ni. Narcolepsy vei te hi an muhil nghal vat tlangpui.
• Spinal Tap emaw Lumbar Puncture emaw: Hei hi mi zawng zawng tan tih a ni lo. Hei hian spinal cord vel cerebrospinal fluid (CSF) sample lak a, orexin level test a huam a ni. Type 1 narcolepsy-ah chuan heng level te hi a hniam hle.

I doctor chuan heng test zingah hian eng test nge tih tur tih chu i mamawh dan azirin a rel ang.

Narcolepsy damdawi a awm em?

Ni e, a dik tak zet. Narcolepsy hi tihdam kim theih ni lo mah se, i natna lan chhuah dan tur enkawl thei tur leh nun pangngaia nunpui thei tur enkawlna tha tak tak a awm a ni. Enkawlnaah hian damdawi leh nunphung thlak danglamna te pawh a tel.

Damdawi hman chi hrang hrang

• Harh chhuahna damdawi: 1.1.Modafinil ang damdawi hian nitin mut theih lohna a tiziaawm thei a ni. Hengte hi a bul tan hmasak ber an ni tlangpui.
• Stimulants: Methylphenidate (Ritalin®) ang damdawi te hian nervous system a tichak a, mut theih lohna a tiziaawm bawk.
• Antidepressant: Antidepressant thenkhat (SSRI, SNRI) te hian cataplexy, hallucinations, leh sleep paralysis te control nan a pui hle.
• Sodium Oxybate: He damdawi hian zan mut a tichak a, nitin mut leh cataplexy te pawh a ti tlem bawk.

Symptoms enkawl dan tur thil i tih theihte

Damdawi bakah hian i nunphung tihdanglamna tenau te hian danglamna nasa tak a thlen thei a ni. Hei hi "mut dan tha" (Sleep Hygiene) kan tih chu a ni.

• Mut hun pangngai vawng reng rawh: A theih ang angin nitin hun khata mut leh thawh hi tih dan phungah siam rawh. Kar tawp lamah pawh he routine hi zawm tlat tum ang che.
• Nitin mut hahdam rawh: Engtikah nge i mut tam ber tih ngaihtuah la, chu hun hma chuan minute 15-20 chhung mut hahdam tum ang che. Hei hian ni khat chhung chu i rilru a hahdam thei ang.
• Caffeine leh zu in loh tur: Tea, coffee, cola ang chi thil in loh tur, a bik takin tlai leh zanah te in loh tur a ni. Zu in hian zanah i mut a tibuai thei a ni.
• Exercise: Chhun lama exercise neih fo hian zanah mut a ti tha thei hle. Mahse mut hma hnaihah exercise hahthlak tak tak kha pumpelh rawh.
• Zanriah: Mut hma hnaihah chaw rit tak tak ei loh tur a ni a, chu chuan i pum a tikhat ang.

Hriselna lam hi ngaihven bik rawh!

Narcolepsy vei chu a mutthilh thut theih avangin thil engemaw an tih hunah fimkhur hle a ngai a ni.

Engtikah nge Doctor ka hmuh ang?

Nangmah emaw i hriat mi emaw chuan nitin mutthilh theih loh i neih chuan, a bik takin nitin hnathawhna a tibuai a nih chuan doctor pan a pawimawh. Heng symptoms te hi damdawi lam thil dang vang pawh a ni thei a, chuvangin a chhan zawn vat a pawimawh.

I tlu nghal emaw, i hriatna hloh emaw a nih chuan damdawi in hnai ber Emergency Department (ETU) -ah kal nghal rawh, chu chu natna khirh tak, heart attack emaw stroke emaw ang chi chhinchhiahna a nih theih avangin.