Kodi nthawi zonse mumatopa? Tiyeni tikambirane za Idiopathic Hypersomnia?

Ndizachilendo kuti tonsefe nthawi zina timakhala otopa komanso ogona. Koma, kodi mumamva tulo komanso otopa kwambiri tsiku lonse, ngakhale mutagona kwa maola ambiri usiku? Kodi zimakuvutani kudzuka m'mawa? Kodi mumamva ngati simukugona mokwanira ngakhale mutakhazikitsa ma alarm ambiri? Ndiye izi zitha kukhala zofunika kwa inu. Lero, tikambirana za vuto ili lotchedwa "idiopathic hypersomnia," kapena monga momwe madokotala amalitchulira.

Kodi Idiopathic Hypersomnia ndi chiyani?

Mwachidule, `(Idiopathic Hypersomnia)` ndi matenda ogona omwe amakupangitsani kumva kuti mukufuna kugona mopitirira muyeso. Chomwe chimachitika ndi chakuti, ngakhale mutagona mokwanira usiku, ndiko kuti, kwa maola opitilira asanu ndi anayi, simumamva kupumula kapena kutsitsimuka mukadzuka m'mawa. Mawu oti "idiopathic" amatanthauza kuti chomwe chimayambitsa vutoli sichikudziwika .

Ngati muli ndi vutoli, mungadzuke m'mawa mukumva kusakhazikika komanso kusakhazikika. Mungafunike kuyika ma alarm angapo ndikuvutika kuti mudzuke pabedi. Mungathenso kumva kutopa ngakhale mutagona tulo tofa nato. Kutopa tsiku lonse kungakhale chopinga chachikulu pa zochita zanu za tsiku ndi tsiku.

Koma musadandaule, mutha kupempha thandizo kwa dokotala kuti muthane ndi zizindikirozi.

Kodi vutoli ndi losowa bwanji?

Malinga ndi kafukufuku wochitidwa ku United States, vutoli (Idiopathic Hypersomnia) limakhudza anthu pafupifupi khumi mwa anthu 100,000 aliwonse. Izi zikutanthauza kuti ndi vuto losowa kwambiri.

Kodi zizindikiro za izi ndi ziti?

Zizindikiro zazikulu za matenda a ``Idiopathic Hypersomnia`` ndi awa:

• Kugona kwambiri masana: Mutha kugona nthawi iliyonse ya tsiku.
• Kugona maola opitilira 11 mkati mwa maola 24: Izi zikuphatikizapo kugona masana. Kapena kugona maola opitilira 9 usiku.
• Kuvuta kudzuka: Ngakhale mutagona tulo tabwino usiku, zimakhala zovuta kudzuka m'mawa. Mumamva kuti simunalimbikitsidwe ndipo mumakhala ndi chizungulire mukadzuka ('sleep inertia').

Zizindikiro zimenezi zingapangitse kuti zikhale zovuta kwambiri kuchita zinthu za tsiku ndi tsiku. Nthawi zambiri, dokotala amatsimikiza kuti matendawa alipo ngati zizindikirozi zikuchitika masiku angapo pa sabata, kapena pafupifupi tsiku lililonse, kwa miyezi itatu kapena kuposerapo. Nthawi zina, zizindikirozi zimatha kukhalapo kwa zaka zambiri, ndipo sizingadziwike bwinobwino.

Ngakhale mutakhala maso, kuwonjezera pa kumva kutopa, mungamve zinthu monga:

• Chifunga cha muubongo: Kuvutika kuganiza bwino.
• Kusokonezeka: Zili ngati simungathe kudziwa zomwe zikuchitika.
• Kuvutika maganizo: Kumva wosasangalala, ngati kuti watopa ndi chilichonse.
• Chizungulire.
• Mutu.
• Kukwiya.

Kodi chifukwa chake ndi chiyani?

Chifukwa chenicheni cha Idiopathic Hypersomnia sichikudziwikabe . Kafukufuku akupitirira, koma maphunziro ena akusonyeza kuti zinthu zotsatirazi zitha kukhala ndi gawo:

• Kusintha kwa majini/kusintha kwa majini: Kusintha kwa majini ena kungasokoneze momwe maselo a muubongo wanu amalankhulirana ndikulamulira nthawi yanu yogona ndi kudzuka.
• Kuyankha kwachilendo kwa chitetezo chamthupi: Chitetezo chanu chamthupi chingawononge maselo athanzi m'mitsempha, kuwaona ngati chiwopsezo.

Kodi ndi zinthu ziti zomwe zimayambitsa vutoli?

Zinthu zomwe zimayambitsa kapena kukulitsa zizindikiro ndi zinthu zomwe zingayambitse kapena kukulitsa zizindikiro. Idiopathic Hypersomnia imatha kuyambitsidwa ndi:

• Kusintha kwadzidzidzi kwa nthawi yanu yogona ndi kudzuka.
• Kuchita zinthu mopitirira muyeso.
• Mankhwala oletsa ululu pa chinthu monga opaleshoni.
• Matenda opatsirana ndi mavairasi.
• Kuvulala mutu.

Ndani amene ali pachiwopsezo chachikulu cha izi?

Mwina muli ndi vuto la majini lomwe limayambitsa Idiopathic Hypersomnia. Izi zikutanthauza kuti ngati wina m'banja mwanu ali ndi vutoli kapena vuto lina lokhudzana ndi tulo, muli ndi mwayi wochepa woti nanunso mudwale vutoli.

Kodi izi zingayambitse mavuto otani?

Ngati nthawi zonse mumatopa, ndi zachilendo kumva ngati simungathe kuchita zomwe mungathe. Zinthu ngati izi zingakhale zovuta kwa inu:

• Kuchita ntchito monga momwe amayembekezera masana (monga ntchito za tsiku ndi tsiku, kuyang'ana pa chinthu chimodzi).
• Kusunga ubale ndi okondedwa.
• Kukwaniritsa maudindo kuntchito, kusukulu, komanso pa moyo wanu.
• Kusunga thanzi lanu la maganizo ndi kukhazikika maganizo.

Taganizirani izi, kuyendetsa galimoto kapena kugwiritsa ntchito makina olemera kumafuna chisamaliro chanu chonse. Ngati mugona nthawi ngati iyi, zingakhale zoopsa kwa inu ndi ena.

Kodi izi zimazindikirika bwanji?

Dokotala adzakuyang'anirani ndikuchita mayeso ofunikira kuti adziwe ngati muli ndi Idiopathic Hypersomnia. Pa nthawi yowunikira, dokotalayo adzamvetsera mosamala zizindikiro zanu ndipo angakufunseni kuti muyankhe mafunso otchedwa Epworth Sleepiness Scale, omwe amayesa momwe mumamvera tulo.

Mungapemphedwenso kuti mulembe buku lanu la kugona kwa milungu ingapo. Izi zidzakuthandizani kudziwa nthawi yomwe mumagona komanso nthawi yomwe mumadzuka. Dokotala wanu angakupatseninso chipangizo chaching'ono chotchedwa actigraph kuti muvale pa mkono wanu. Izi zidzakuthandizani kudziwa nthawi yomwe mumagona.

Kuphatikiza apo, maphunziro apadera okhudza kugonaMwachitsanzo, mayeso a polysomnography kapena mayeso a latency sleep latency (MSLT) angachitike. Dokotala adzawunikanso zotsatira za mayesowa ndikuchita mayeso ena kuti apeze matenda ena omwe angayambitse zizindikiro zofanana.

Kodi pali mankhwala athunthu a izi?

Pakadali pano palibe mankhwala a matenda otchedwa "Idiopathic Hypersomnia." Komabe, pali mankhwala omwe angathandize kuchepetsa zizindikiro.

Kodi izi zimachiritsidwa bwanji?

Mankhwala nthawi zambiri amagwiritsidwa ntchito bwino kuti athetse zizindikiro za "Idiopathic Hypersomnia."

Kuphatikiza apo, pali njira yapadera ya psychotherapy yotchedwa ``Cognitive Behavioral Therapy for Hypersomnia (CBT-H)``. Izi zapangidwa kuti zithandize ndi vuto la ``Idiopathic Hypersomnia``. Ngati ligwiritsidwa ntchito limodzi ndi mankhwala, mankhwalawa amatha kupititsa patsogolo kugona mokwanira komanso kugwira ntchito tsiku ndi tsiku.

Mankhwala a idiopathic hypersomnia

Pali mitundu ingapo ya mankhwala omwe angagwiritsidwe ntchito pochiza vutoli:

• Mankhwala omwe amalimbikitsa dongosolo la mitsempha (`zolimbikitsa dongosolo la mitsempha`) - mwachitsanzo, mankhwala amtundu wa `(amphetamines)`.
• Mankhwala omwe amalimbikitsa dongosolo la mitsempha lomwe silili m'gulu la amphetamine - mwachitsanzo, `(modafinil)`.
• Mankhwala oletsa kupsinjika kwa mitsempha yapakati - mwachitsanzo, sodium oxybate (iyi ndi mankhwala ovomerezeka ndi FDA).
• Otsutsa a GABA receptor - mwachitsanzo, flumazenil.

Zotsatirapo za mankhwala awa zimasiyana. Ngati mukumwa mankhwala ena pakadali pano, ndikofunikira kulankhula ndi dokotala wanu kuti muwone ngati angagwirizane ndi mankhwala atsopanowo. Musasinthe njira yanu ya mankhwala popanda chilolezo cha dokotala wanu.

Dokotala angakupempheni kuti muyese Epworth Sleepiness Scale musanayambe chithandizo komanso panthawi ya chithandizo kuti muwone momwe chithandizocho chilili chothandiza.

Kodi mungayembekezere chiyani mukakhala ndi vutoli?

Nthawi zambiri munthu amakhumudwa akakhala ndi Idiopathic Hypersomnia. Ngakhale kuti mumagona maola ambiri usiku uliwonse, mumatopabe masana. Izi zingapangitse kuti zikhale zovuta kuchita ntchito za tsiku ndi tsiku, monga kufika kusukulu kapena kugwira ntchito pa nthawi yake.

Dokotala wanu angakulembereni mankhwala okuthandizani kukhala maso masana. Zingatenge nthawi kuti mupeze mankhwala oyenera komanso mlingo woyenera kwa inu, ndipo mungafunike kuyesa mankhwala osiyanasiyana. Dokotala wanu adzakuyang'anani nthawi zonse kuti awone momwe chithandizocho chikugwirira ntchito kwa inu.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mumagona bwino usiku koma mumamva kutopa kwambiri kapena kugona masana, ndikofunikira kupita kwa dokotala . Mwachitsanzo, ngati mugona mkalasi, kuntchito, kapena mukulankhula ndi anzanu, musanyalanyaze zimenezo. Dokotala angakuthandizeni kuthana ndi zizindikiro zanu m'njira zomwe zingakuthandizeni kukhala maso.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Mukapita kwa dokotala, mungafunse mafunso monga awa:

• N’chifukwa chiyani ndimadzimva wotopa kwambiri masana?
• Kodi ndisinthe nthawi yanga yogona?
• Kodi mumalimbikitsa chithandizo chamtundu wanji?
• Kodi pali zotsatirapo zilizonse za mankhwalawa?
• Kodi ndiyenera kumwa liti mankhwala omwe mudandipatsa?

Ngakhale mutagona tulo tabwino usiku, zimakhala zovuta kusangalala ndi moyo pamene thupi lanu silikupeza mpumulo womwe limafuna. Idiopathic Hypersomnia ingakupangitseni kuphonya misonkhano, kukhala mochedwa, kutaya chidwi, komanso nthawi zina kumva ngati mukufuna kudzuka pabedi. Mungamve ngati mukufuna kupewa kucheza ndi anthu chifukwa choopa kugona mukulankhula ndi anzanu. Zonsezi zingakhudze kwambiri thanzi lanu la maganizo.

Mwamwayi, simuyenera kukhala ndi zizindikirozi. Dokotala angakuthandizeni kudziwa chifukwa chake simukupuma mokwanira ndikukupatsani chithandizo chomwe chingakuthandizeni kukhala maso.

Pomaliza, uthenga woti mutenge kunyumba:

Ngati mukumva tulo tosazolowereka komanso kutopa tsiku lonse, musamangoganiza kuti ndi "kutopa." Kungakhale chizindikiro cha matenda enaake. Idiopathic Hypersomnia ndi imodzi mwa matenda amenewa.

Kumbukirani kuti pali mankhwala ochizira izi. Kulankhula ndi dokotala za zizindikiro zanu ndi gawo loyamba. Mukapeza matenda oyenera komanso chithandizo choyenera, moyo wanu ungakhale wabwino (mosakayikira). Simuli nokha, ndipo musaope kupempha thandizo!

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