He aha te Hypersomnia? Tohutohu, Take, me te Maimoatanga

Ko te hypersomnia te mate moe ka nui rawa te moe i te awatea, ahakoa kua moe koe i te po. Ehara i te mea ko te ngenge noa i muri i te po kino o te moe – he hiahia tonu, nui ki te moe e āwhā ana i to oranga o ia rā.

Ki te mea kei te pangia koe e tēnei āhuatanga, ehara koe i te kotahi anake, ā, ehara i te mea ko to he. Kei te tuku to tinana i ngā tohu kei te hiahia tetahi mea ki te aro, ā, ko te matauranga ki te aha kei te puta te taahiraa tuatahi ki te ahua rite tonu ki a koe.

He aha te hypersomnia?

Ko te tikanga o te hypersomnia ko te hiahia nui o to tinana ki te moe atu i te nuinga o te tangata. Ahakoa ko te 7-9 haora te moe e hiahiatia ana e te pakeke toharite, ko te hunga e pangia ana e te hypersomnia pea ka moe 10-12 haora neke atu rānei, ā, ka ara tonu me te kore e whakaorangia.

E rua ngā momo matua o te hypersomnia. Ko te hypersomnia matua ka puta anake kahore he take e taea ai e tatou te kite. Ko te hypersomnia tuarua ka puta mai i tetahi atu āhuatanga hauora, rongoā, mate moe rānei.

Ko te āhuatanga nei e pā ana ki te 5% o te taupori. Ka taea te tīmata i tetahi tau, engari ka tīmata i te taitamarikitanga. Ko te rongo pai, mā te whakamātautau tika me te maimoatanga, ka taea e te nuinga o te iwi te whakahaere pai i ō rātou tohu.

He aha ngā tohu o te hypersomnia?

Ko te tohu tohu ko te moe nui i te awatea e kore e pai ake mā te moe atu. Pea ka kite koe i a koe e okioki ana i ngā kōrero, hui, i te wā e taraiwa ana rānei – he mea whakarihariha, ā, he awangawanga.

Koinei ngā tohu tino noa ka pā ki a koe:

• Te moe roa atu i te tikanga (10+ haora) engari kei te ngenge tonu
• Te uaua ki te ara i te ata, ahakoa he maha ngā karaka
• Te moe maha i te awatea (i etahi wā 3-4 haora te roa)
• Te ahua ngenge, kōwhiu rānei i te rā katoa
• Te uaua ki te aro, ki te mahara rānei i ngā mea
• Te riri, te huringa ngākau rānei
• Te moe i ngā wā e tika ana

Ka pā ano ki ētahi te mea e kiia ana e ngā tākuta he "moe whakapohehe" – he wā o te whakapohehe me te kore e mohiotia i te wā e ara ana ka roa pea mai i te 30 meneti ki ngā haora maha. Ka taea e tēnei te whakaaweawe i ngā ata, ā, i etahi wā ka wehi.

He aha ngā momo o te hypersomnia?

Ko te hypersomnia matua kei roto ngā āhuatanga kei te raru nui te moe nui. Ko te momo tino mohio ko te narcolepsy, e pā ana ki te 1 i roto i te 2,000 o te iwi, ā, ka whai ake te ngoikore o te uaua ka puta mai i ngā kare-a-roto.

Ko te hypersomnia idiopathic tetahi atu momo matua kei te kore e mohiotia te take. Ko te hunga e pangia ana e tēnei āhuatanga ka moe roa rawa ngā haora, ā, he tino uaua ki te ara, i etahi wā ka rite ki te "piri ki te moenga."

Ko te hypersomnia tuarua ka puta mai i ētahi atu take. Ko te apnea moe te take noa – ka mutu tonu to manawa i te wā e moe ana, ka kore e taea te moe ata noho ahakoa kei te moenga koe mo ngā haora maha. Ko te pouri, ētahi rongoā, ā, ngā āhuatanga neurological ka taea hoki te arahi ki te moe nui.

Ko te mate Kleine-Levin he momo onge e pā ana ki ngā taitamariki. Kei roto ngā wāhanga o te moe nui e roa ana i ngā rā ki ngā wiki, ā, ka whai ake te nui o te hiahia me ngā huringa whānau. I waenganui i ngā wāhanga, ka hoki ngā tauira moe ki te noa.

He aha ngā take o te hypersomnia?

Ko te take tika o te hypersomnia matua ka noho tonu hei mea ngaro, ka taea te whakarihariha i te wā e rapu ana koe i ngā whakautu. E whakapono ana ngā kairangahau pea kei roto ngā raruraru ki ngā matū o te roro e whakahaere ana i te moe me te ara, inā te neurotransmitter e kiia nei ko te hypocretin.

He maha ake ngā take e taea ai te kite i te hypersomnia tuarua ka taea e to taakuta te rangahau:

• Ngā mate moe penei i te apnea moe, te mate waewae kore e ata noho rānei
• Ngā āhuatanga hauora penei i te pouri, te manukanuka, te mate bipolar rānei
• Ngā raruraru neurological tae atu ki ngā whara o te roro, ngā mate rānei
• Ngā rongoā penei i ngā antihistamines, antidepressants, ngā rongoā manukanuka rānei
• Te whakamahinga o ngā matū tae atu ki te waipiro, ngā raau taero whakangahau rānei
• Ngā koretake o te homoni, ngā raruraru thyroid rānei
• Te mate ngenge roa, te fibromyalgia rānei

I etahi wā, ko te mea e tīmata ana hei raru moe wā poto na te ahotea, te mate rānei ka taea te whanake hei hypersomnia roa. Ka taea e te huringa moe-ara o to roro te "mau" i te tauira kore noa, ka hiahia ki te awhina ngaio hei whakatikatika.

Nō hea te kite i te taakuta mō te hypersomnia?

Me whakaaro koe ki te kite i te taakuta ki te pā ana te moe nui ki to oranga o ia rā mo te neke atu i ngā wiki torutoru. Ehara tenei mo te mangere, te koretake o te kaha – mo te whiwhi i te tautoko hauora e tika ana.

Rapua te tiaki hauora ki te pā ana ki a koe tētahi o ēnei āhuatanga. Kei te moe koe i te wā e taraiwa ana, i ngā mahi nui rānei. Kei te pā te mahi, te kura rānei ki te moe nui. Kei te moe koe neke atu i te 10-12 haora i ia rā, engari kei te ngenge tonu.

Whiwhi i te tiaki hauora tonu ki te mea he moe nui te tīmatanga ohorere, inā ka whai ake te ngoikore o te uaua, ngā whakairoiro, ngā wāhanga kaore e taea te neke i te wā e moe ana, e ara ana rānei. Ko ēnei pea ngā tohu o te narcolepsy, tetahi atu āhuatanga nui rānei.

Kua whakaatu ō whānau, ō hoa rānei i te awangawanga mō ō tauira moe. I etahi wā ka kite atu ētahi i ngā huringa i mua i a tātou, ā, ko ō rātou tirohanga ka nui te uara ki te whiwhi i te awhina e hiahia ana koe.

He aha ngā take morearea mō te hypersomnia?

Ka taea e ētahi take te whakanui ake i tō tūponotanga ki te whanake i te hypersomnia, ahakoa ko te whai i ngā take morearea kahore e tikanga ka whanake koe i te āhuatanga. Ko te matauranga ki ēnei ka taea te awhina i a koe me to taakuta ki te tautuhi i ngā take pea.

Ko te tau e tākaro ana i tetahi momo hypersomnia. Ko te narcolepsy ka tīmata i ngā tau tekau mā rima, i ngā tekau tau tuatahi rānei, ā, ko ētahi atu momo ka taea te whanake i tetahi tau. Ko te hītori whānau e pā ana hoki – ki te mea he whānau tata kei a rātou ngā mate moe, pea ka nui ake tō morearea.

Koinei ngā take morearea matua hei matawai:

• Te hītori whānau o ngā mate moe, te narcolepsy rānei
• Te hītori o te whara o te upoko, te mate o te roro rānei
• Ngā āhuatanga hauora hinengaro penei i te pouri, te mate bipolar rānei
• Te taumaha, e whakanui ana i te morearea o te apnea moe
• Te tango i ētahi rongoā i ia rā
• Te mahi i te po, te wā moe kore noa rānei
• Ngā āhuatanga hauora roa e pā ana ki te pūnaha io

Ko te mea he tane e whakanui ake ana i te morearea o ētahi momo hypersomnia, inā te narcolepsy me te cataplexy. Heoi, ko te āhuatanga nei e pā ana ki te iwi katoa, ā, ko ngā take takitahi te mea nui atu i ngā tatauranga whānui.

He aha ngā raruraru pea o te hypersomnia?

Ka taea e te hypersomnia kore i te maimoatia te pā kino ki tō kounga o te ora me tō ora. Ko te āwangawanga tino tata ko te nui ake o te morearea o ngā aituā – ko te moe i te wā e taraiwa ana, e whakahaere ana rānei i ngā mīhini ka kino pea mōu me ētahi atu.

Pea ka pā ki ō whānau, to mahi hoki te moe nui e pā ana ki tō kaha ki te whakauru katoa ki ngā mahi, ki te pupuri i te mahi pumau hoki. Ka taea e tēnei te arahi ki ngā kare-a-roto o te motu, te whakarihariha, te iti o te whakaaro nui ki a koe.

Ngā raruraru pea kei roto:

• Ngā aituā waka motuka na te taraiwa moe
• Te mahi, te mahi mātauranga rānei he iti te kounga
• Ngā whānau, ngā hoa rānei e kore e pai
• Te nui ake o te morearea o te pouri, te manukanuka rānei
• Te nui o te taumaha mai i te iti o te mahi
• Ngā raruraru mahara, aro rānei
• Te motu hapori, te iti o te kounga o te ora rānei

Ko te rongo pai, ko te maimoatanga tika ka taea te aukati i te nuinga o ēnei raruraru. Ko te nuinga o te iwi e pangia ana e te hypersomnia ka haere tonu ki te ora tonu, te ora hua hoki i te wā ka whiwhi rātou i te tiaki tika, ka whanake i ngā rautaki whakahaere pai.

Me pēhea te aukati i te hypersomnia?

Ahakoa kaore e taea e koe te aukati i te hypersomnia matua, ka taea e koe te mahi hei whakaiti i tō morearea o te hypersomnia tuarua, hei whakapai ake i tō kounga moe whānui. Ko te moe pai te turanga o ngā tauira moe hauora.

Ko te pupuri i te wā moe pumau e āwhina ana ki te whakahaere i te karaka o roto o to tinana. Whakamātauria te moe me te ara i te wā kotahi i ia rā, ahakoa i ngā wiki mutu. Pea ka ahua whakawāiti tenei i te tīmatanga, engari ka taea te whakapai ake i tō kounga moe i te roa.

Koinei ngā mahi aukati ka taea te awhina:

• Pupuri i te wā moe pumau, ahakoa i ngā wiki mutu
• Hangaia he taiao moe ngāwari, pouri, ā, māhorahora
• Whakamāramahia te caffeine me te waipiro, inā i te ahiahi
• Te mahi tinana i ia rā, engari ehara i te wā moe
• Whakahaerehia te ahotea mā ngā tikanga whakamahinga, te tohutohu rānei
• Kaua e kai nui, ngā mata rānei i mua i te moe
• Whakatikahia ngā āhuatanga hauora i te wa tika

Ki te tango ana koe i ngā rongoā e pā ana ki te moe, korero ki to taakuta mō ngā huarahi atu, ngā whakarerekētanga wā rānei. I etahi wā, ko ngā huringa ngāwari ki te wā e tango ana koe i ngā rongoā ka taea te whakarerekē nui ki tō mārama i te awatea.

Me pēhea te whakamātautau i te hypersomnia?

Ko te whakamātautau i te hypersomnia kei roto he aromatawai tino pai o ō tauira moe, te hītori hauora, ā, ngā ako moe motuhake. Ka hiahia to taakuta ki te matau ki te aha kei te pā ki a koe, ki te whakakore i ētahi atu āhuatanga ka puta mai ngā tohu rite.

Ko te tukanga e tīmata ana i te hītori moe tino taipitopito. Ka ui to taakuta mō tō wā moe, me pēhea te ahua o koe i te awatea, ngā take rānei ka pā pea ki tō moe. Ko te pupuri i te puka moe mō te 1-2 wiki i mua i tō hui ka taea te tuku i ngā korero nui.

Ngā whakamātautau whakamātautau pea kei roto:

• Puka moe e whai ana mō te 1-2 wiki
• Ako moe po (polysomnography) hei tirotiro i ngā ngaru o te roro, te manawa, te nekehanga hoki
• Te Whakamātautau Moe Maha (MSLT) hei ine i te tere o tō moe i te awatea
• Ngā whakamātautau toto hei tirotiro i ngā āhuatanga kei raro
• Te aromatawai hinengaro hei aromatawai mō te pouri, te manukanuka rānei
• Te whakaahua o te roro ki te whakapaehia ngā take neurological

Ko te Whakamātautau Moe Maha te mea nui mō te whakamātautau i te hypersomnia. Ka tango koe i ngā moe whakatau i ia rā i te wā e tirotirohia ana koe. Ki te moe koe i raro i te 8 meneti i te toharite, ka whakaatu i te moe nui.

He aha te maimoatanga mō te hypersomnia?

Ko te maimoatanga mō te hypersomnia e whakawhirinaki ana ki te take kei raro, te momo kei a koe hoki. Ko te whāinga ko te awhina i a koe ki te ahua mārama ake i te awatea, ki te whakapai ake i tō kounga o te ora whānui. Ko te nuinga o te iwi ka kite i te whakapainga nui mā te maimoatanga tika.

Mō te hypersomnia tuarua, ko te maimoatanga i te āhuatanga kei raro ka oti te moe nui. Pea ka uru atu tēnei ki te maimoatanga i te apnea moe mā te mīhini CPAP, te whakarerekē i ngā rongoā e pā ana ki te moe, te whakahaere rānei i te pouri, ētahi atu āhuatanga hauora hinengaro rānei.

Ngā whiringa maimoatanga kei roto:

• Ngā rongoā whakaohooho penei i te modafinil, te methylphenidate rānei hei whakaputa i te ara
• Ngā antidepressants ka taea te awhina i te whakahaere i ngā huringa moe-ara
• Te sodium oxybate mō ētahi momo narcolepsy
• Te rongoā CPAP ki te āwhina te apnea moe ki ngā tohu
• Te rongoā mārama hei awhina i te whakahaere i tō huringa circadian
• Te rongoā whānau hei whanake i ngā tikanga moe pai ake
• Ngā whakarerekētanga oranga tae atu ki ngā moe whakatau

Ka mahi tahi to taakuta me koe ki te kimi i te huinga tika o ngā maimoatanga. Pea ka roa te wā ki te kimi i te mea pai mōu, ā, ko ngā whakarerekētanga he mea noa i te wā e whakautu ana to tinana ki te maimoatanga.

Me pēhea te whakahaere i te hypersomnia i te kāinga?

Ka taea e ngā rautaki whakahaere kāinga te whakakotahi nui i te maimoatanga hauora, te awhina i a koe ki te ahua nui ake o te mana o tō āhuatanga. Ko te matua ko te hanga i ngā hanganga me ngā mahi e tautoko ana i te moe pai ake, te mārama i te awatea hoki.

Ka taea te awhina te moe whakatau ki te mahi tika. Ko te moe poto 20-30 meneti i te awatea waenganui ka taea te whakanui i te mārama kahore e āwhā i te moe o te po. Ko ngā moe roa pea ka waiho koe i te ahua ngenge, ka uaua ki te moe i te po.

Ngā rautaki whakahaere kāinga whai hua kei roto:

• Piri ki te wā moe pumau, ahakoa i ngā wiki mutu
• Tangohia ngā moe poto whakatau (20-30 meneti) ki te hiahiatia
• Whakamahia te mārama mārama i te ata hei awhina i te ara
• Hangaia he mahi moe whakamahinga
• Pupuri i tō ruma moe makariri, pouri, ā, māhorahora
• Kaua e inu caffeine i te ahiahi
• Noho mahi tinana, engari ehara i te wā moe

Whakaarohia te whakamōhio i ngā hoa whakawhirinaki, ngā whānau, ngā hoa mahi rānei mō tō āhuatanga. Ko te whai i tō rātou mārama me te tautoko ka taea te whakaiti i te ahotea, te awhina i te hanga i ngā whakarite i te wā e hiahiatia ana, penei i te karo i ngā hui ata wawe, te whai i tētahi atu ki te taraiwa i te wā e moe nui ana koe.

Me pēhea te whakarite mō tō hui taakuta?

Ko te whakarite pai mō tō hui ka taea te awhina i to taakuta ki te matau pai ake ki tō āhuatanga, ki te whanake i te mahere maimoatanga pai hoki. Ko te nuinga o ngā korero taipitopito ka taea e koe te tuku, ko te tika ake te tautuhi me te maimoatanga e to taakuta.

Tīmatahia te pupuri i te puka moe i te iti rawa kotahi wiki i mua i tō hui. Tuhia te wā e moe ana koe, te roa o te moe, te maha o ngā wā e ara ana koe, te wā e ara ana koe, me pēhea te ahua o koe i te awatea.

Kawe mai ēnei korero ki tō hui:

• Puka moe taipitopito mō te 1-2 wiki
• Rārangi o ngā rongoā me ngā taapiri katoa e tango ana koe
• Ngā korero mō tō wā mahi me tō oranga
• Te hītori whānau o ngā mate moe
• Ngā huringa o te ora, ngā ahotea rānei hou
• Ngā pātai mō ngā whiringa maimoatanga me te aha e tatari ana
• Rārangi o ngā tohu me pehea te pā ki tō oranga o ia rā

Kaua e whakaroa ki te kawe mai i te mema whānau, te hoa rānei kua kite i ō tauira moe. Pea ka kite rātou i ngā mea kaore koe e kite, ā, ko te whai tautoko i te wā o te hui ka taea te awhina i te tukatuka i ngā korero, te mahara i ngā kōrero nui hoki.

He aha te mea nui mō te hypersomnia?

Ko te hypersomnia he āhuatanga hauora pono e pā kino ana ki tō oranga o ia rā, engari he tino taea te maimoatanga. Ehara koe i te mangere, te koretake o te kaha – ko te pūnaha moe-ara o tō roro e hiahia ana ki te tiaki hauora, ki te tautoko hoki.

Ko te taahiraa tino nui ko te mohio kei te kore noa te moe nui, te rapu awhina ngaio hoki. Mā te whakamātautau tika me te maimoatanga, ka taea e te nuinga o te iwi e pangia ana e te hypersomnia te whakahaere pai i ō rātou tohu, te whakahoki mai i tō rātou kounga o te ora hoki.

Mahara ko te maimoatanga ka roa pea te wā, pea ka hiahia ki ngā whakarerekētanga. Kia manawanui ki a koe, mahi tata ki tō rōpū hauora. Ko te nuinga o te iwi e pangia ana e te hypersomnia ka haere tonu ki te ora tonu, te ora hua hoki i te wā ka kite rātou i te huarahi maimoatanga tika.

E tika ana kia ahua mārama, kaha hoki koe i ngā haora ara. Kaua e whakaroa ki te tautoko i a koe, ki te rapu i te tiaki e hiahia ana koe ki te ahua pai.

Ngā pātai e ui pinepinetia ana mō te hypersomnia

He rite te hypersomnia ki te mangere, te pouri rānei?

Kāo, ko te hypersomnia he āhuatanga hauora pono e pā ana ki te kaha o tō roro ki te whakahaere i te moe me te ara. Ahakoa ka taea e te pouri te whakaohooho i te hypersomnia, ko te āhuatanga anō ehara i te he o te ahua, te koretake o te whakaohooho rānei. E hiahia ana ki te maimoatanga hauora, ehara i te mea ko te kaha.

Ka taea te whakaora katoa i te hypersomnia?

Ahakoa ko ētahi momo hypersomnia tuarua ka taea te whakaora mā te maimoatanga i te take kei raro, ko te hypersomnia matua he āhuatanga roa e hiahia ana ki te whakahaere tonu. Heoi, ko te nuinga o te iwi ka taea te whiwhi i te whakapainga tohu nui, te ora noa hoki mā te maimoatanga tika.

E hia te moe te nui rawa o te moe?

Ko te nuinga o ngā pakeke e hiahia ana ki te 7-9 haora o te moe i ia po. Ki te moe tonu koe neke atu i te 10-12 haora, ā, kei te ngenge tonu i te awatea, ki te moe rānei koe i ngā wā e tika ana, pea ka tohu i te hypersomnia. Ko te matua ehara i te nui o te moe, engari me pēhea te ahua me te mahi i ngā haora ara.

Ka taea e ngā tamariki te whai hypersomnia?

Ae, ka taea e ngā tamariki me ngā taitamariki te whanake i te hypersomnia, ahakoa he iti ake te noa i te hunga pakeke. Ko te narcolepsy ka tīmata i ngā tau tekau mā rima, ā, ko te mate Kleine-Levin e pā ana ki ngā taitamariki. Ki te ahua moe nui tō tamaiti ahakoa he moe tika, ui atu ki te taakuta tamariki, te tohunga moe rānei.

Ka taea e au te taraiwa haumaru me te hypersomnia?

Ko te ora o te taraiwa e whakawhirinaki ana ki te pai o te whakahaere o tō hypersomnia mā te maimoatanga. Ko te hypersomnia kore i te maimoatia e whakanui ake ana i te morearea o te aituā, no reira he mea nui te mahi tahi me to taakuta ki te whakahaere pai i ngā tohu. Pea ka hiahia ētahi ki te karo i te taraiwa mo te wā poto tae noa ki te pai te whakahaere o tō rātou āhuatanga, ā, ko ētahi atu ka taea te taraiwa haumaru mā te maimoatanga tika me ngā whakaritenga.