Zicabange uhleka nabangani bakho bese kuthi ngokuzumayo umhlathi wakho uvuleke, noma intamo yakho igobe phambili ngokuzumayo. Noma uma ukhuluma ngolaka nothile, amadolo akho avele aphele amandla bese kudingeka uhlale phansi. Wake wabhekana nalokhu? Ungesabi. Ngilapha namuhla ukuzokhuluma ngalesi simo. Kwezokwelapha, lokhu sikubiza ngokuthi i-cataplexy.
Iyini ngempela i-cataplexy?
Kalula nje, i-cataplexy yilapho uzwa ukulahlekelwa ukusebenza kwemisipha ngokuzumayo nangesikhashana ngenkathi uphapheme, lapho uzwa imizwa enamandla njengokuhleka, injabulo, noma intukuthelo. Empeleni lokhu kuyisibonakaliso esiyinhloko sesifo sokulala esibizwa ngokuthi i-narcolepsy. I-Narcolepsy yisimo esingapheli (ukuphila konke) esibangela ukozela okungalawuleki emini.
I-Cataplexy ingabangela ubuthakathaka bemisipha obungasukela kobumnene kuya kobunzima. Isibonelo, ungase ulahlekelwe ukulawula imisipha yobuso bakho kuphela, okubangela umhlathi wakho ukuba ugobe, noma intamo yakho igobe kancane. Ezimweni ezimbi kakhulu, ungase ulahlekelwe ukulawula umzimba wakho wonke bese uwela phansi.
Kodwa into ebaluleke kakhulu lapha ukuthi uphaphame ngokugcwele uma lokhu kwenzeka . Awulahlekelwa ingqondo njengoba ubungenza ngesikhathi sokuxhuzula noma ukuxhuzula.
Lesi simo sivame ukuhlala imizuzwana embalwa kuya kwemizuzu embalwa. Bese kuba ngcono ngokwaso. Abanye abantu basithola kaningana ngosuku, kanti abanye basithola kanye noma kabili ngonyaka.
Uyini umehluko phakathi kwe-cataplexy kanye ne-narcolepsy?
Abantu abaningi bayadida lokhu kokubili. I-Cataplexy iwuphawu olulodwa nje lwe-narcolepsy. Kunezinhlobo ezimbili eziyinhloko ze-narcolepsy. Lezi ezimbili zihlukaniswa ngokusekelwe ekutheni i-cataplexy ikhona noma cha.
| Uhlobo lwe-narcolepsy | Ingabe ikhona i-cataplexy? | Incazelo |
|---|---|---|
| Uhlobo 1 lwe-Narcolepsy | Yebo ikhona. | Laba bantu bane-cataplexy. Banamazinga aphansi e-neurotransmitter orexin (hypocretin) ebuchosheni babo. Lesi simo sihambisana nokulala ngokweqile emini. |
| Uhlobo 2 lwe-Narcolepsy | Cha. | Laba bantu abanayo i-cataplexy. Amazinga obuchopho babo e-orexin avame ukuba sezingeni elifanele. |
Izingane zibhekana kanjani nalokhu uma lokhu kwenzeka?
I-Cataplexy ezinganeni ihlukile kancane. Ithinta kakhulu imisipha yobuso, umhlathi, kanye nezinkophe. Kungabonakala sengathi babuhlungu noma bacasukile ngenxa yokunengeka. Ezinye izingane zize zikhiphe ulimi lwazo phakathi nalesi sikhathi.
Ngokuvamile uma lokhu kwenzeka enganeni encane, abazali noma abanye bacabanga ukuthi kuwuphawu lokunganaki, ukuquleka, ukucasuka, noma nje indlela yokuthola ukunakwa . Ngakho-ke, uma ubona ushintsho olunjalo olungabonakali ekuziphatheni kwengane yakho, kubaluleke kakhulu ukuyisa kudokotela ngokushesha .
Kungani lokhu kwenzeka? Iyini imbangela?
Imbangela eyinhloko ye-cataplexy uhlobo lwe-narcolepsy 1. Ibangelwa ukuntuleka kwamakhemikhali (i-neurotransmitter ) ebuchosheni okuthiwa i-orexin . Le orexin isiza ukusigcina siphapheme futhi ilawula ubuthongo be-REM (ubuthongo obujulile lapho siphupha khona) lapho silele.
Manje, kuyinto evamile ukuthi eminye yemisipha yethu ibe sesimweni sokukhubazeka uma sisebuthongweni be-REM. Lokhu kwenzelwa ukusivimbela ekwenzeni izinto esiziphuphayo futhi sizilimaze. Kodwa uma i-Orexin iphansi, ngisho nalapho sivukile, lapho sinomuzwa onamandla njengokuhleka, ubuchopho bethu bucabanga ukuthi sisebuthongweni be-REM. Khona-ke ukukhubazeka okwenzeka phakathi nalolo buthongo kwenzeka sisavukile. Lokho kubizwa ngokuthi i-cataplexy.
Iphathwa kanjani?
Lesi simo selashwa kakhulu ngemithi. Imithi efanayo esetshenziswa ukukusiza uhlale uphapheme futhi ulawule izimpawu ze-cataplexy isetshenziselwa ukwelapha i-narcolepsy. Udokotela wakho uzokuxilonga futhi akunikeze ukwelashwa okukulungele.
Kunezinhlobo eziningana zemithi evunyelwe i-cataplexy:
- I-sodium oxybate
- I-oxybate ephansi ye-sodium
- I-Pitolisant
Ngaphezu kwalokho, odokotela bangase banikeze eminye imithi ngale njongo. Lokhu kusho ukuthi noma ngabe imithi yenzelwe esinye isimo, isebenza kahle nase-cataplexy. Isibonelo, eminye imithi yokucindezeleka (ama-SSRI, ama-SNRI, ama-TCA) isetshenziselwa le njongo.
Into ebaluleke kakhulu ukuthi uma usuqalile ukwelashwa, kubaluleke kakhulu ukuphuza imithi yakho njengoba nje udokotela wakho ekutshelile . Uma uyeka ukuthatha imithi yakho ngokuzumayo, i-cataplexy yakho ingaba nzima kakhulu. Ngakho-ke uma unemibuzo mayelana nemithi yakho, khuluma nodokotela wakho ngayo.
Ngingazinakekela kanjani ngenkathi ngiphila nalesi simo?
I-Cataplexy ingase ingavinjelwa ngaso sonke isikhathi, kodwa abantu abaningi babika ukuthi ivame ukwenzeka ngezinsuku lapho bekhathele kakhulu. Ngakho-ke ukulala kahle ebusuku kungasiza kakhulu ekuyilawuleni.
Nazi ezinye izindlela ezilula ezizosiza:
- Lala ngesikhathi esifanayo nsuku zonke bese uvuka ngesikhathi esifanayo.
- Gcina ikamelo lakho lokulala lithule, limnyama, futhi lisezingeni lokushisa elikhululekile.
- Susa amadivayisi kagesi afana ne-TV, ikhompyutha, kanye nefoni endaweni yokulala.
- Gwema ukudla okunzima, ikhofi, notshwala okungenani amahora amabili ngaphambi kokulala.
- Zivocavoce emini. Kuzokusiza ulale kangcono ebusuku.
Ngaphezu kwalokho, kunezinye izinto ongayenza:
- Cabanga ngokuphepha: Ukulahlekelwa ingqondo ngokuzumayo kungaba yingozi, ikakhulukazi uma ushayela noma usebenza ezindaweni eziphakeme. Khuluma nodokotela wakho ngalokhu futhi ufunde ngezindlela zokuzivikela.
- Tshela abanye ngalokhu: Tshela umndeni wakho, abangani, kanye nabantu osebenza nabo ngalokhu. Ukuze uma kwenzeka okuthile kuwe ngokuzumayo, bazi ukuthi kwenzekani futhi bangesabi.
- Thola ukwesekwa: Ukuphila nalesi simo kungaba nzima ngokomzwelo. Joyina amaqembu okusekelana lapho kungatholakala khona abanye abanalesi simo. Futhi, uma lokhu kukubangela ukucindezeleka okukhulu noma ukukhathazeka, ungesabi ukukhuluma nodokotela wakho noma uchwepheshe wezempilo yengqondo , njengodokotela wezifo zengqondo .
Uma wena noma ingane yakho ninezinye zalezi zimpawu, bonana nodokotela ngokushesha. Lezi yizimo ezingalawulwa kahle ngokwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Cataplexy iwukulahlekelwa ukusebenza kwemisipha ngesikhathi somzwelo onamandla. Lokhu akusikho ukuxhuzula noma ukuxhuzula, njengoba usaphapheme.
- Lolu uphawu olubalulekile lwe-Narcolepsy Type 1, olubangelwa ukwehla kwe-orexin yamakhemikhali obuchopho.
- Ezinganeni, lokhu kungabonakala ngezindlela ezahlukene, njengobuso obumuncu noma ulimi oluphumayo. Uma ubona lezi zimpawu, funa iseluleko sezokwelapha ngokushesha.
- Lesi simo singalawulwa ngempumelelo enkulu ngemithi. Kubalulekile ukulandela imiyalelo kadokotela.
- Kubaluleke kakhulu ukulala kahle, ukugcina labo abaseduze nawe benolwazi ngesimo sakho, futhi uhlale uphephile.
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