Chii chinonzi Hypersomnia? Zviratidzo, Zvinokonzera, & Kurapa

Hypersomnia chirwere chekurara umo unonzwa uine hope dzakawanda zuva rose, kunyange mushure mekurara zvakakwana usiku. Izvi zvinopfuura kungonzwa kuneta mushure mekurara kwakaipa - iri kuda kurara kwenguva refu, kunokanganisa hupenyu hwako hwemazuva ese.

Kana uri kurwara nechirwere ichi, hausi wega, uye hakusi mhosva yako. Muviri wako uri kutumira zviratidzo zvekunge pane chinoda kutarisirwa, uye kunzwisisa kuti chii chiri kuitika kunogona kuva danho rekutanga kuti unzwe zvakare sewe.

Chii chinonzi hypersomnia?

Hypersomnia zvinoreva kuti muviri wako unoda kurara kwenguva yakareba kupfuura vanhu vazhinji vanoda. Apo munhu mukuru anoda maawa 7-9 ekurara, vanhu vane hypersomnia vangarara maawa 10-12 kana kupfuura, asi vacharamba vachimuka vachinzwa vasina zororo.

Kune marudzi maviri makuru ehypersomnia. Primary hypersomnia inoitika pachayo pasina chikonzero chinonzwisisika chatingaone. Secondary hypersomnia inoitika nekuda kwechirwere chimwe chete, mishonga, kana chirwere chekurara.

Chirwere ichi chinotapura vanhu vanenge 5%. Chinogona kutanga pazera ripi zvaro asi kazhinji chinotanga muhudiki. Mashoko akanaka ndeawo ekunge nekuongororwa kwakakodzera nekurapa, vanhu vazhinji vanogona kutonga zviratidzo zvavo zvakanaka.

Ndeapi zviratidzo zvehypersomnia?

Chiratidzo chikuru ndechehope dzakawanda dzezuva dzisingaite zvakanaka kunyange ukarara zvakawanda. Ungazviwana uchinge uchivhara maziso pakukurukura, misangano, kana uri kutyaira - izvo zvinogona kunzwa zvine hasha uye zvinotyisa.

Heano zviratidzo zvakajairika zvaunogona kuona:

• Kurara kwenguva yakareba kupfuura zvakajairwa (maawa 10+), asi uchiramba uchinzwa kuneta
• Kuomerwa kumuka mangwanani, kunyange nealarms dzakawanda
• Kurara kazhinji masikati (dzimwe nguva maawa 3-4)
• Kunzwa uine hope kana “foggy” zuva rose
• Kuomerwa kuisa pfungwa kana yekurangarira zvinhu
• Hasha kana kuchinja kwemanzwiro
• Kurara munzvimbo dzisingakodzeri

Vamwe vanhu vanonzwawo izvo vanachiremba vanoti “sleep drunkenness” - nguva yekunyongana nekusaona zvinhu zvakanaka pakumuka iyo inogona kugara kwemaminitsi 30 kusvika kumaawa akawanda. Izvi zvinogona kuita kuti mangwanani ave akaoma uye dzimwe nguva anotyisa.

Ndeapi marudzi ehypersomnia?

Primary hypersomnia inosanganisira mamiriro ezvinhu apo hope dzakawanda ndicho chinhu chikuru. Rudzi runonyanya kuzivikanwa ndere narcolepsy, iyo inotapura vanhu vanenge 1 pamunhu 2,000 uye kazhinji inosanganisira kupera simba kwemhasuru kunokonzerwa nemanzwiro.

Idiopathic hypersomnia imhando imwe ye primary umo chikonzero chisingazivikanwi. Vanhu vane chirwere ichi kazhinji vanorara kwenguva yakareba kwazvo uye vane kuoma kwazvo kumuka, dzimwe nguva vachinzwa sekunge “vakabatana nembedha.”

Secondary hypersomnia inoitika nekuda kwezvinhu zvimwe. Sleep apnea chikonzero chakajairika - kufema kwako kunomira kakawanda panguva yekurara, zvichiita kuti usazorore kunyange ukarara kwenguva yakareba.

Kleine-Levin syndrome imhando isingawanzoitika inonyanya kutapura vechidiki. Inosanganisira zvikamu zvehope dzakawanda dzinosvika mazuva kusvika mavhiki, kazhinji ichisanganiswa nekuwedzera kwechido chekudya nekuchinja kwemifambiro. Pakati pezvikamu, maitiro ekurara anodzoka kune akajairika.

Chii chinokonzera hypersomnia?

Chikonzero chaicho cheprimary hypersomnia kazhinji chinoramba chisingazivikanwi, izvo zvinogona kunzwa zvine hasha kana uri kutsvaga mhinduro. Vatsvakurudzi vanofunga kuti zvinogona kusanganisira matambudziko anemakemikari emuviri anotonga hope nekumuka, kunyanya neurotransmitter inonzi hypocretin.

Secondary hypersomnia ine zvikonzero zvinonzwisisika zvinogona kuongororwa nachiremba wako:

• Zvirwere zvekurara senge sleep apnea kana restless leg syndrome
• Zvirwere zvemuviri senge kuora mwoyo, kunetseka, kana bipolar disorder
• Matambudziko emuviri anosanganisira kukuvara kwemuviri kana zvirwere zveuropi
• Mishonga senge antihistamines, antidepressants, kana mishonga yekunetsa
• Kushandisa zvinodhaka kusanganisira doro kana zvinodhaka zvinofadza
• Kusawirirana kwemahomoni kana matambudziko e thyroid
• Chronic fatigue syndrome kana fibromyalgia

Dzimwe nguva, izvo zvinotanga sechirwere chekurara chechinguva nekuda kwekunetsa kana chirwere zvinogona kukura kuva hypersomnia yemazuva ese. Chikamu chekurara-kumuka cheuropi chako chinogona “kusungwa” mumaitiro asingawanzoitika, zvichiita kuti zvive zvakakosha rubatsiro rweunyanzvi kuti zvigadziriswe.

Rini unofanira kuona chiremba nekuda kwehypersomnia?

Unofanira kufunga nezvekuona chiremba kana hope dzakawanda dzichikanganisa hupenyu hwako hwemazuva ese kwemavhiki anopfuura mashoma. Izvi hazvisi nezvekusava neushingi kana kushayikwa kwechido - izvi nezvekuwana rubatsiro rwezvokurapa raunofanirwa nazvo.

Tsvaga rubatsiro rwezvokurapa kana uri kuona chero chezviitiko izvi. Uri kurara panguva yekutyaira kana pakuita zvinhu zvikuru. Basa rako kana kudzidza kwako kuri kutambura nekuda kwehope. Uri kurara kupfuura maawa 10-12 nguva dzose asi uchiramba uchinzwa kuneta.

Tora rubatsiro rwezvokurapa nekukurumidza kana uine hope dzakawanda dzakawanda kamwe kamwe, kunyanya kana zvichiiswa pamwe nekupera simba kwemhasuru, hallucinations, kana zvikamu zvausingakwanisi kufamba panguva yekurara kana kumuka. Izvi zvinogona kuva zviratidzo zve narcolepsy kana chimwe chirwere chakakomba.

Hama dzako kana shamwari dzakaratidza kunetseka nezvemaitiro ako ekurara. Dzimwe nguva vamwe vanhu vanoona kuchinja usati wazviona, uye kuona kwavo kunogona kukosha pakukupa iwe rubatsiro rwaunoda.

Ndeapi njodzi dzehypersomnia?

Hypersomnia isina kurapwa inogona kukanganisa zvakanyanya hupenyu hwako uye kuchengetedzeka. Kunetseka kukuru ndiko kuwedzera kwenjodzi yetsvina - kurara panguva yekutyaira kana kushandisa michina kunogona kunge kune njodzi kwauri nevamwe.

Ukama hwako nebasa rako zvinogona kutambura sezvo hope dzakawanda dzichikanganisa kugona kwako kubatanidzwa zvizere muzviitiko uye kuchengetedza basa rakaenzana. Izvi zvinogona kutungamirira kunzwa kwekureruka, hasha, uye kudzikira kwekuzviremekedza.

Matambudziko anogona kuitika anosanganisira:

• Zvinhu zvinotyisa zvemotokari nekuda kwekutyaira uine hope
• Basa rakaipa kana kudzidza
• Ukama hwakaoma nehama neshamwari
• Kuwedzera kwenjodzi yekuora mwoyo nekunetseka
• Kuwedzera uremu nekuda kwekudzikira kwemaitiro emuviri
• Matambudziko ekurangarira nekuisa pfungwa
• Kureruka kwevanhu uye kudzikira kwehupenyu hwakanaka

Mashoko akanaka ndeawo ekunge kurapwa kwakakodzera kunogona kudzivirira akawanda ematambudziko aya. Vanhu vakawanda vane hypersomnia vanoenderera mberi vachirarama hupenyu hwazvo, hwakazara, kana vagowana hanya yakakodzera uye vakagadzira nzira dzakanaka dzekutonga.

Hypersomnia inogona kudzivirirwa sei?

Kunyangwe usingakwanisi kudzivirira primary hypersomnia nguva dzose, unogona kutora matanho ekuderedza njodzi yako ye secondary hypersomnia uye kuvandudza hupenyu hwako hwese hwekurara. Kurara kwakanaka ndiko kwakakosha mukurara kwakanaka.

Kuchengeta nguva yakatarwa yekurara kunobatsira kudzora nguva yemuviri wako. Edza kuenda kunorara uye kumuka panguva imwe chete zuva rega rega, kunyange pakupera kwevhiki. Izvi zvinogona kunzwa zvakaoma pakutanga, asi zvinogona kuvandudza zvakanyanya hupenyu hwako hwekurara nekufamba kwenguva.

Heano matanho ekudzivirira anogona kubatsira:

• Chengeta nguva yakatarwa yekurara, kunyange pakupera kwevhiki
• Gadzira nzvimbo yekurara inofadza, ine rima, uye yakanyarara
• Deredza caffeine nedoro, kunyanya manheru
• Ita zvemitambo nguva dzose, asi kwete pedyo nekurara
• Tonga kunetsa kuburikidza nenhambo dzekudzikama kana kurapwa
• Dzivisa kudya kwakakura uye mascreen usati warara
• Tarisa zvirwere zvemuviri nekukurumidza

Kana uri kutora mishonga inokonzera hope, taura nachiremba wako nezvemamwe maitiro kana kuchinja nguva. Dzimwe nguva, kuchinja kuri nyore panguva yekutora mishonga kunogona kuita musiyano mukuru mukuziva kwako kwezuva.

Hypersomnia inoziviswa sei?

Kuziva hypersomnia kunosanganisira kuongororwa kwakakwana kwemaitiro ako ekurara, nhoroondo yemishonga, uye kazhinji kudzidza kwekurara kwakakosha. Chiremba wako achatsvaga kunzwisisa chaizvo zvaunonzwa uye kubvisa zvimwe zvirwere zvinogona kukonzera zviratidzo zvakafanana.

Maitiro acho kazhinji anotanga nenhoroondo yakakwana yekurara. Chiremba wako achakuudza nezvenguva yako yekurara, manzwiro ako zuva rose, uye chero zvinhu zvinogona kukanganisa kurara kwako. Kuchengeta bhuku rekurara kwevhiki 1-2 usati waenda kunochiremba kunogona kupa ruzivo rwakakosha.

Kuongororwa kunogona kusanganisira:

• Bhuku rekurara kwevhiki 1-2
• Kudzidza kwekurara usiku (polysomnography) kuti uone mafungiro europi, kufema, uye kufamba
• Multiple Sleep Latency Test (MSLT) kuyeresa kuti unokurumidza sei kurara masikati
• Kuongororwa kweropa kuti uone zvirwere zviripo
• Kuongororwa kwepfungwa kuti uone kuora mwoyo kana kunetseka
• Kuongororwa kweuropi kana zvikonzero zveuropi zvichitendwa

Multiple Sleep Latency Test inokosha zvikuru pakuzivisa hypersomnia. Ucharara kakawanda masikati uchiongororwa. Kana ukarara mumaminitsi mashoma kupfuura 8 nepakati, zvinoratidza hope dzakawanda.

Kurapa kwehypersomnia ndekupi?

Kurapa kwehypersomnia kunoenderana nechikonzera uye rudzi rwaunaro. Chinangwa ndechekukubatsira kunzwa wakamuka zuva rose uye kuvandudza hupenyu hwako hwese. Vanhu vazhinji vanoona kuvandudzwa kukuru nekurapa kwakakodzera.

Ye secondary hypersomnia, kurapa chikonzero chinowanzoita kuti hope dzakawanda dzimire. Izvi zvinogona kusanganisira kurapa sleep apnea nemichina yeCPAP, kugadzirisa mishonga inokonzera hope, kana kutonga kuora mwoyo kana zvimwe zvirwere zvepfungwa.

Sarudzo dzekurapa dzinosanganisira:

• Mishonga inokurudzira senge modafinil kana methylphenidate kuti ikurudzire kumuka
• Antidepressants anogona kubatsira kudzora maitiro ekurara-kumuka
• Sodium oxybate kune mamwe marudzi e narcolepsy
• Kurapa kweCPAP kana sleep apnea iri kukonzera zviratidzo
• Kurapa kwechiedza kubatsira kudzora circadian rhythm yako
• Kurapa kwemifambiro yekugadzira tsika dzakanaka dzekurara
• Kuchinja mararamiro kusanganisira kurara kwakatarwa

Chiremba wako acashanda newe kuti uwane musanganiswa wakakodzera wekurapa. Zvinogona kutora nguva kuti uwane zvinokushandira, uye kuchinja kuri kazhinji sezvo muviri wako uchigona kurapwa.

Nzira yekutonga hypersomnia pamba?

Nzira dzekutonga pamba dzinogona kuwedzera kurapwa kwezvokurapa uye kukubatsira kunzwa uchikwanisa kutonga mamiriro ako. Chinhu chikuru ndechekugadzira maitiro nemaitiro anobatsira kurara kwakanaka nekumuka kwezuva.

Kurara kwakatarwa kunogona kubatsira kana zvakaitwa zvakanaka. Kurara kwenguva pfupi kwemaminitsi 20-30 masikati kunogona kuwedzera kuziva pasina kukanganisa kurara kweusiku. Kurara kwenguva refu kunogona kukusiya uchinzwa uine hope uye kuita kuti zviome kurara usiku.

Nzira dzekutonga pamba dzinosanganisira:

• Namata pane nguva yakatarwa yekurara, kunyange pakupera kwevhiki
• Tora kurara kwenguva pfupi (maminitsi 20-30) kana zvichidiwa
• Shingairira chiedza chakajeka mangwanani kubatsira kumuka
• Gadzira tsika yekurara inozorodza
• Chengeta imba yako yekurara iri pasi, ine rima, uye yakanyarara
• Dzivisa caffeine pakupera kwezuva
• Rambai muchiita zvemitambo, asi kwete pedyo nekurara

Funga nezvekudzidzisa shamwari dzako, hama, kana vatinoshanda navo nezvemamiriro ako. Kuva nekunzwisisa kwavo nekutsigira kunogona kuderedza kunetsa uye kubatsira kugadzira zvinhu zvinokosha kana zvichidiwa, senge kudzivisa misangano yemangwanani kana kuva nemunhu mumwe anokutyaira kana uri kuneta kwazvo.

Unofanira kugadzirira sei kuenda kunochiremba?

Kugadzirira zvakakwana kuenda kunochiremba kunogona kubatsira chiremba wako kunzwisisa mamiriro ako zviri nani uye kugadzira chirongwa chekurapa chinokosha. Zivo yakawanda yaunogona kupa, chiremba wako anogona kuongorora uye kurapa mamiriro ako zvakanyanya.

Tanga kuchengeta bhuku rekurara kwevhiki rimwe usati waenda kunochiremba. Nyora nguva yaunorara, nguva inotora kurara, nhamba yenguva yaunomuka, nguva yaunomuka, uye manzwiro ako zuva rose.

Uye uuyise ruzivo urwu kuenda kunochiremba:

• Bhuku rekurara rakajeka kwevhiki 1-2
• Rondedzero yemishonga yese nezvinowedzerwa zvaunotora
• Zivo nezvebasa rako nemaitiro ehupenyu
• Nhoroondo yehama dzechirwere chekurara
• Chero kuchinja kwenguva pfupi kana kunetsa
• Mibvunzo nezve sarudzo dzekurapa uye zvaunofanira kutarisira
• Rondedzero yezviratidzo uye nzira yavanokanganisa hupenyu hwako hwemazuva ese

Usazengurire kuuya nehama kana shamwari yakacherechedza maitiro ako ekurara. Vanogona kuona zvinhu zvausingaoni, uye kuva nekutsigira panguva yekuenda kunochiremba kunogona kubatsira pakugadzirisa ruzivo uye kurangarira zvinhu zvikuru.

Chii chinonyanya kukosha nezve hypersomnia?

Hypersomnia chirwere chechokwadi chinokanganisa hupenyu hwako hwemazuva ese, asi chinorapikawo zvikuru. Hausi munhu asina basa kana asina chido - chikamu chekurara-kumuka cheuropi chako chinoda hanya yekurapa nekutsigira.

Danho rinonyanya kukosha nderekuziva kuti hope dzakawanda hazvisi dzinowanzoitika uye kutsvaga rubatsiro rweunyanzvi. Nekuongororwa kwakakodzera nekurapa, vanhu vazhinji vane hypersomnia vanogona kutonga zviratidzo zvavo zvakanaka uye kudzosa hupenyu hwavo hwakanaka.

Yeuka kuti kurapa kazhinji kunotora nguva uye kunogona kuda kuchinjwa. Iva nemoyo murefu newe uye shanda pedyo nechikwata chako chezvokurapa. Vanhu vakawanda vane hypersomnia vanoenderera mberi vachirarama hupenyu hwazvo, hwakazara, kana vagowana nzira yakakodzera yekurapa.

Unofanira kunzwa wakamuka uye une simba panguva yako yekumuka. Usazengurire kuzvidzivirira uye kutsvaga hanya yaunoda kuti unzwe zvakanaka.

Mibvunzo inobvunzwa kazhinji nezve hypersomnia

Hypersomnia yakafanana here nekurega basa kana kuora mwoyo?

Kwete, hypersomnia chirwere chechokwadi chinokanganisa kugona kweuropi kwako kudzora hope nekumuka. Kunyangwe kuora mwoyo kuchigona kukonzera hypersomnia, chirwere icho pachacho hachisi chimiro chehunhu kana kushayikwa kwechido. Chinoda kurapwa kwezvokurapa, kwete kungoita simba.

Hypersomnia inogona kurapika zvachose here?

Kunyangwe mamwe marudzi e secondary hypersomnia anogona kurapika nekurapa chikonzero chiripo, primary hypersomnia kazhinji mamiriro ekusingaperi anoda kutarisirwa nguva dzose. Nekudaro, vanhu vazhinji vanogona kuwana kuvandudzwa kukuru kwezviratidzo uye kurarama hupenyu hwakajairwa nekurapwa kwakakodzera.

Kurara kwakawanda kwakawanda here?

Vanhu vazhinji vakuru vanoda maawa 7-9 ekurara usiku. Kana uri kurara nguva dzose kupfuura maawa 10-12 uye uchiramba uchinzwa kuneta zuva rose, kana uri kurara panguva dzisingakodzeri, zvinogona kuratidza hypersomnia. Chinhu chikuru hachisi kungoita huwandu hwekurapa, asi manzwiro ako uye kushanda panguva yekumuka.

Vana vanogona kuva nehypersomnia here?

Hongu, vana nechidiki vanogona kukura hypersomnia, kunyangwe zvisingawanzoitika kupfuura muvakuru. Narcolepsy kazhinji inotanga mumakore echikoro, uye Kleine-Levin syndrome inonyanya kutapura vechidiki. Kana mwana wako achiratidzika kuva nehope dzakawanda kunyange aine kurara kwakakwana, bvunza chiremba wemwana kana nyanzvi yekurara.

Ndichakwanisa kutyaira zvakanaka nehypersomnia here?

Kutyaira kuchengetedzeka kunoenderana nekuti hypersomnia yako inotungamirwa sei nekurapa. Hypersomnia isina kurapwa inowedzera njodzi yetsvina, saka zvakakosha kushanda nachiremba wako kuti utonge zviratidzo zvakanaka. Vamwe vanhu vangada kudzivisa kutyaira kwechinguva kusvika mamiriro avo atongwa zvakanaka, nepo vamwe vanogona kutyaira zvakanaka nekurapwa kwakakodzera uye matanho ekudzivirira.