Khawuthelekelele uhleka nabahlobo bakho uze ngequbuliso umhlathi wakho uvuleke, okanye intamo yakho igobe phambili ngequbuliso. Okanye xa uthetha nomntu ngomsindo, amadolo akho aphela ngequbuliso uze uhlale phantsi. Ngaba wakha wahlangabezana nale meko? Ungoyiki. Ndilapha namhlanje ukuze ndithethe ngale meko. Kwizonyango, oku sikubiza ngokuba yi-cataplexy.
Yintoni kanye kanye i-cataplexy?
Ngamafutshane, i-cataplexy kuxa ufumana ukulahleka kwemisipha ngequbuliso nangokufutshane ngelixa uvukile, xa ufumana iimvakalelo ezinamandla ezifana nokuhleka, uchulumanco, okanye umsindo. Olu luphawu oluphambili lwesifo sokulala esibizwa ngokuba yi-narcolepsy. I-Narcolepsy yimeko engapheliyo (yobomi bonke) ebangela ukozela okungalawulekiyo emini.
I-Cataplexy inokubangela ubuthathaka bemisipha obunokusuka kobuncinci ukuya kobunzima. Umzekelo, ungalahlekelwa kuphela kulawulo lwemisipha yobuso bakho, nto leyo ebangela ukuba umhlathi wakho ugobe, okanye intamo yakho igobe kancinci. Kwiimeko ezinzima, ungalahlekelwa lulawulo lomzimba wakho kwaye uwe phantsi.
Kodwa eyona nto ibalulekileyo apha kukuba uzive uphaphile ngokupheleleyo xa oku kusenzeka . Awulahlekelwa zingqondo njengoko ubuya kwenza xa unesifo sokuxhuzula okanye xa unesithuthwane.
Le meko idla ngokuthatha imizuzwana embalwa ukuya kwimizuzu embalwa. Emva koko iba ngcono ngokwayo. Abanye abantu bayifumana izihlandlo ezininzi ngemini, ngelixa abanye beyifumana kanye okanye kabini ngonyaka.
Yintoni umahluko phakathi kwe-cataplexy kunye ne-narcolepsy?
Abantu abaninzi bayabhidanisa ezi zinto zimbini. I-Cataplexy luphawu olunye nje lwe-narcolepsy. Kukho iintlobo ezimbini eziphambili ze-narcolepsy. Ezi zimbini zahlulwe ngokusekelwe ekubeni i-cataplexy ikhona okanye ayikho.
| Uhlobo lwe-narcolepsy | Ngaba kukho i-cataplexy? | Inkcazo |
|---|---|---|
| Uhlobo 1 lwe-narcolepsy | Ewe ilapho. | Aba bantu bane-cataplexy. Banamanqanaba aphantsi e-neurotransmitter orexin (hypocretin) engqondweni yabo. Le meko ihamba nokulala kakhulu emini. |
| Uhlobo lwe-Narcolepsy 2 | Hayi. | Aba bantu abanayo i-cataplexy. Amanqanaba engqondo yabo ye-orexin ahlala ekwinqanaba elifanelekileyo. |
Abantwana basabela njani xa oku kusenzeka?
I-Cataplexy ebantwaneni yahlukile kancinci. Ichaphazela kakhulu izihlunu zobuso, umhlathi, kunye neenkophe. Isenokubonakala ngathi baneentlungu okanye bancwina ngenxa yokucaphuka. Abanye abantwana bade bakhuphe ulwimi lwabo ngeli xesha.
Rhoqo xa oku kusenzeka kumntwana omncinci, abazali okanye abanye abantu bacinga ukuba luphawu lokungakhathali, ukuxhuzula, umsindo, okanye indlela nje yokufumana ingqalelo . Ngoko ke, ukuba ubona utshintsho olunjalo olungabonakaliyo kwindlela umntwana wakho aziphethe ngayo, kubaluleke kakhulu ukusa kugqirha ngoko nangoko .
Kutheni oku kusenzeka? Yintoni unobangela?
Eyona nto ibangela i-cataplexy yi-narcolepsy type 1. Ibangelwa kukunqongophala kwekhemikhali (i-neurotransmitter ) engqondweni ebizwa ngokuba yi-orexin . Le orexin isinceda sihlale siphaphile kwaye ilawula ubuthongo be-REM (ubuthongo obunzulu apho siphupha khona) xa silele.
Ngoku, kuyinto eqhelekileyo ukuba ezinye izihlunu zethu zibe kwimeko yokukhubazeka xa sikwi-REM ebuthongweni. Oku kukusithintela ekwenzeni izinto esiziphuphayo size sizibangele ingozi. Kodwa xa i-Orexin iphantsi, nokuba sivukile, xa sineemvakalelo ezinamandla njengokuhleka, ingqondo yethu icinga ukuba sikwi-REM ebuthongweni. Emva koko ukukhubazeka okwenzeka ngexesha lolo buthongo kwenzeka ngelixa sisavukile. Oko kubizwa ngokuba yi-cataplexy.
Iphathwa njani?
Le meko inyangwa kakhulu ngamayeza. Amayeza afanayo asetyenziswa ukukunceda uhlale uphaphile kwaye ulawule iimpawu ze-cataplexy asetyenziswa ukunyanga i-narcolepsy. Ugqirha wakho uza kukuhlola aze akunike unyango olulungele wena.
Kukho iintlobo ezahlukeneyo zamayeza avunyiweyo kwi-cataplexy:
- I-sodium oxybate
- I-oxybate yesodium esezantsi
- I-Pitolisant
Ukongeza, oogqirha banokunika amanye amayeza ale njongo. Oku kuthetha ukuba nokuba amayeza enzelwe enye imeko, asebenza kakuhle nakwi-cataplexy. Umzekelo, ezinye izidambisi-ntlungu (ii-SSRI, ii-SNRI, ii-TCA) zisetyenziselwa le njongo.
Eyona nto ibalulekileyo kukuba wakuba uqalile unyango, kubaluleke kakhulu ukusela amayeza akho kanye njengoko ugqirha wakho ekuxelele . Ukuba uyeka ukuwasela amayeza akho ngequbuliso, i-cataplexy yakho inokuba yingozi kakhulu. Ngoko ke ukuba unemibuzo malunga namayeza akho, thetha nogqirha wakho ngayo.
Ndingazinyamekela njani ndiphila nale meko?
I-Cataplexy isenokungathintelwa rhoqo, kodwa abantu abaninzi bathi iyenzeka rhoqo ngeentsuku abadiniwe kakhulu ngazo. Ngoko ke ukulala kakuhle ebusuku kunokunceda kakhulu ekulawuleni le ngxaki.
Nazi ezinye iindlela ezilula eziya kukunceda:
- Lala ngexesha elifanayo yonke imihla uze uvuke ngexesha elifanayo.
- Gcina igumbi lakho lokulala lithule, limnyama, kwaye likwiqondo lobushushu elifanelekileyo.
- Susa izixhobo ze-elektroniki ezifana neTV, ikhompyutha, kunye nefowuni kwindawo yokulala.
- Kuphephe ukutya ukutya okugqithisileyo, ikofu, kunye notywala ubuncinane iiyure ezimbini ngaphambi kokulala.
- Zilolonge emini. Oku kuya kukunceda ulale ngcono ebusuku.
Ukongeza, kukho nezinye izinto onokuzenza:
- Cinga ngokhuseleko: Ukulahlekelwa zingqondo ngequbuliso kunokuba yingozi, ingakumbi ukuba uqhuba okanye usebenza kwiindawo eziphakamileyo. Thetha nogqirha wakho ngale nto kwaye ufunde ngeendlela zokuzikhusela.
- Xelela abanye ngale nto: Xelela usapho lwakho, abahlobo, kunye nabantu osebenza nabo ngale nto. Ukuze ukuba kukho into eyenzeka kuwe ngequbuliso, bazi ukuba kwenzeka ntoni kwaye bangoyiki.
- Fumana inkxaso: Ukuphila nale meko kunokuba nzima ngokweemvakalelo. Joyina amaqela enkxaso apho abanye abanale meko banokufumaneka khona. Kwakhona, ukuba oku kukubangela uxinezeleko olukhulu okanye ixhala, ungoyiki ukuthetha nogqirha wakho okanye ingcali yezempilo yengqondo , njengogqirha wengqondo .
Ukuba wena okanye umntwana wakho ninayo nayiphi na kwezi mpawu, bonana nogqirha ngokukhawuleza. Ezi ziimeko ezinokulawulwa kakuhle ngonyango.
Umyalezo Wokuya Ekhaya
- I-Cataplexy kukulahlekelwa kukusebenza kakuhle kwemisipha xa unemvakalelo enamandla. Oku akukokuxhuzula okanye ukuxhuzula, njengoko usaphila.
- Olu luphawu oluphambili lwe-Narcolepsy Type 1, olubangelwa kukuncipha kwe-orexin yekhemikhali yobuchopho.
- Kubantwana, oku kunokubonakala ngeendlela ezahlukeneyo, njengobuso obumuncu okanye ulwimi oluphumayo. Ukuba uqaphela ezi mpawu, funa ingcebiso kagqirha ngokukhawuleza.
- Le meko ingalawuleka ngempumelelo kakhulu ngamayeza. Kubalulekile ukulandela imiyalelo kagqirha.
- Kubaluleke kakhulu ukulala kakuhle, ukugcina abo bakufutshane nawe benolwazi ngemeko yakho, kwaye uhlale ukhuselekile.
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