Ukuthi yini i-Narcolepsy? Izimpawu, Izimbangela, & Ukwelashwa

I-Narcolepsy yisifo esingamahlalakhona sokulala esithinta ikhono lezingqondo zakho lokulawula imijikelezo yokulala-nokuvuka. Esikhundleni sokulala kahle ebusuku nokuba ophapheme emini, abantu abane-narcolepsy baba nobuthakathaka obukhulu bokulala emini kanye nokuhlaselwa okungazelelwe kokulala okungenzeka noma nini, noma kuphi.

Lesi simo sihlupha cishe umuntu omunye ku-2,000, yize izimo eziningi zingabonakali iminyaka eminingi. Ngenkathi i-narcolepsy ingase izizwe icindezele ekuqaleni, ukuqonda ukuthi kwenzekani emzimbeni wakho nokwazi izinketho zakho zokwelashwa kungakusiza ukuthi ulawule izimpawu futhi uphile impilo egcwele, esebenzayo.

Ukuthi yini i-Narcolepsy?

I-Narcolepsy yisimo sengqondo lapho ingqondo yakho ihluleka ukulawula amasiko okulala ajwayelekile. Cabanga ngakho njengokushayela kokulala kwengqondo yakho okuthi kunamathele noma kuqhuma ngezikhathi ezingalindelekile.

Ingqondo yakho ngokuvamile ikhiqiza ikhemikhali ebizwa ngokuthi i-hypocretin (ebizwa nangokuthi i-orexin) esikusiza ukuba uhlale uphapheme emini. Kubantu abaningi abane-narcolepsy, amaseli ezingqondo akhiqiza leli khemikhali ebalulekile yokukhuthaza ukuvuka abonakele noma ayaphela. Ngaphandle kokwanele kwe-hypocretin, ingqondo yakho ayikwazi ukugcina ukuqapha okujwayelekile, okuholela eziqephu ezingalindelekile zokulala nezinye izimpawu.

Lesi simo ngokuvamile siqala eminyakeni yobusha noma ekuqaleni kwama-twenties, yize singabonakala kunoma iyiphi iminyaka. Uma i-narcolepsy iqala, iyisimo sokuphila konke, kodwa ngokwelashwa okufanele, abantu abaningi bangalawula izimpawu zabo ngokuphumelelayo.

Ziyini Izimpawu ze-Narcolepsy?

Izimpawu ze-Narcolepsy zingase zihluke kakhulu kumuntu nomuntu, futhi akuwona wonke umuntu ophila nazo zonke. Izimpawu eziyinhloko ngokuvamile ziqala kancane kancane, yingakho lesi simo singase kube lula ukusilela ekuqaleni.

Nazi izimpawu eziyinhloko okufanele uzibheke:

• Ukulala okweqile emini: Lokhu kunguqumo olukhulu lokulala emini, okuvamise ukuba yisibonakaliso sokuqala nesibaluleke kakhulu. Ungase uzizwe sengathi awuzange ulale izinsuku, ngisho nalapho ulele ubusuku bonke.
• Ukuhlaselwa okulala: Lezi yizigameko ezingalawuleki ngokuzumayo lapho uwa khona ulele amizuzwana embalwa kuya kwimizuzu eminingana, ngokuvamile ngesikhathi senzalo njengokudla, ukukhuluma, noma ngisho nokushayela.
• I-Cataplexy: Lokhu kuhilela ubuthakathaka bemisipha noma ukuqina okuzumayo okuqaliswe yimizwelo eqinile njengokuhleka, ukumangala, noma intukuthelo. Amadolo akho angase ahluleke, ubuso bakho bungase buwele phansi, noma ungase uwa ngokuphelele ngenkathi ukhona.
• Ukuqina kokulala: Ungase uzithole ungakwazi ukuhamba noma ukukhuluma okwesikhashana lapho ulele noma uvuka, kuhlale kusuka emizuzwini embalwa kuya kwimizuzu eminingana.
• I-Hypnagogic hallucinations: Lezi zihlazo eziphilayo, ezivame ukwesaba, zenzeka lapho ulele noma uvuka, futhi zingase zizwe zingezange.
• Ukuphazamiseka kokulala ebusuku: Ngokuhlelekile, abantu abaningi abane-narcolepsy banenkinga yokulala ebusuku, bevuka njalo.

Ngesikhathi ukulala okweqile emini kuchaphazela cishe wonke umuntu onenarcolepsy, ezinye izimpawu azivamile. Abanye abantu bangase babe nesibonakaliso esisodwa noma amabili, kanti abanye babhekene nokuningi.

Ziyini Izinhlobo zeNarcolepsy?

Odokotela bahlukanisa i-narcolepsy zibe izinhlobo ezimbili eziyinhloko ngokusekelwe ekutheni uhlangabezana ne-cataplexy kanye namazinga akho e-hypocretin. Ukuqonda ukuthi yiluphi uhlobo olukhona kusiza ekuqondiseni izinqumo zokwelashwa.

Uhlobo 1 lwe-narcolepsy (i-narcolepsy ene-cataplexy) luhilela kokubili ukulala okweqile emini kanye nezigameko ze-cataplexy. Abantu abalolu hlobo ngokuvamile banezinga eliphansi kakhulu noma elingabonakali le-hypocretin emathunjini abo. Lolu hlobo luvamise ukuba nezimpawu ezinzima futhi ngokuvamile ludinga ukwelashwa okukhulu.

Uhlobo 2 lwenarcolepsy (inarcolepsy engenayo i-cataplexy) luhlanganisa ukulala okweqile emini kodwa akuhlanganisi ama-episode e-cataplexy. Amazinga e-hypocretin avamise ukuba aqhelekile noma ancishisiwe kancane. Abanye abantu abane-Type 2 bangathuthukisa i-cataplexy kamuva, okuzokwenza ukuxilongwa kwabo kuguqulwe kube yi-Type 1.

Womabili ama-type angahlanganisa ukungakwazi ukuhamba, amaphupho, nokuphazamiseka kokulala ebusuku, nakuba lezi zimpawu zivame kakhulu ku-Type 1. Udokotela wakho uzokunquma ukuthi yiluphi uhlobo olukhona kuwe ngokusebenzisa izifundo zokulala futhi ngezinye izikhathi ukuhlolwa kwe-spinal fluid.

Yini ebangela iNarcolepsy?

Imbangela eqondile ye-narcolepsy ihilela ukusebenzisana okuyinkimbinkimbi phakathi kwe-genetics, umsebenzi we-immune system, nezici zemvelo. Izinye zezimo zivela ekubhubheni kwamaselula ebuchosheni avelisa i-hypocretin, nakuba isizathu sokwenzeka kwale nto singacaci.

Nawa amanye amaphuzu amakhulu asebenza ekukhuleni kwe-narcolepsy:

• Ukusebenza komzimba ngokungafanele: Isistimu yakho yokuzikhusela ingahlasela futhi yonakalise amaseli ebuchosha akhiqiza i-hypocretin ngephutha, njengoba ingahlasela ezinye izingxenye zomzimba wakho ezifana nezifo zokuzikhusela.
• Ukuthambekela kwezakhiwo: Amanye ama-jini, ikakhulukazi i-HLA-DQB1*06:02, akwenza ube sengozini enkulu yokuthuthukisa i-narcolepsy, nakuba ukuba nalezi zinhlobo ze-jini akusho ukuthi uzoyithuthukisa leyo simo.
• Ukutheleleka: Amanye ukutheleleka, kufaka phakathi i-H1N1 flu, i-strep throat, noma ezinye izifo zokuphefumula, kungase kuqalise ukusebenza komzimba ngokungafanele okuholela e-narcolepsy kubantu abanesizungu sezakhiwo.
• Imithi yokugcoba: Ngokungavamile, ezinye izigqoko zokugcoba (ikakhulukazi ezinye izigqoko ze-H1N1 ezisetshenziswe eYurophu) ziye zahlanganiswa nengozi enkulu ye-narcolepsy, nakuba lobu buhlobo bulokhu buphenyiwe.
• Ukushintsha kwamahomoni: Ukuqala kwesikhathi sokuthomba, i-menopause, noma ukushintsha okukhulu kwamahomoni kungase kuqalise izimpawu ze-narcolepsy kwabanye abantu.
• Ukuhlupheka kwengqondo: Ukuhlupheka okukhulu empilweni noma ukulimala ngezinye izikhathi kuqala ngaphambi kokuthuthukiswa kwe-narcolepsy, nakuba ukucindezeleka kudwa kungayikubangela leyo simo.

Kwezinye izikhathi ezingavamile, i-narcolepsy ingabangelwa yi-tumors ebuchosheni, ukulimala ekhanda, noma ezinye izimo ezonakalisa indawo ye-hypothalamus lapho amaseli akhiqiza i-hypocretin akhona. Noma kunjalo, iningi lezimangalo lithathelwa ingqondo njenge-narcolepsy eyinhloko engenayo ukonakala okubonakalayo kobuchopho.

Nini Okufanele Ubone Udokotela NgeNarcolepsy?

Kufanele ubheke udokotela uma ukulala okukhulu emini kuchaphazela impilo yakho yansuku zonke, umsebenzi, noma ubuhlobo. Ungalindi kuze kube yilapho izimpawu ziqala ukuba zimbi, njengoba ukuxilongwa kwasekuqaleni nokuphathwa kungavimbela izinkinga futhi kuthuthukise ikhwalithi yempilo yakho.

Funani usizo lokuwelapha uma uhlushwa ukulala okukhulu okungapheli noma ngabe uthole ukulala okwanele ebusuku. Lokhu kubaluleke kakhulu uma uqala ukulala phakathi kokukhuluma, ukudla, noma ezinye imisebenzi evamise ukukugcina uqaphile.

Hlela isikhathi sokuya kudokotela ngokushesha uma unezihlaselo zokulala ngenkathi uqhuba, usebenzisa imishini, noma ezimweni ezingase zibe yingozi. Ukuphepha kwakho nokwabanye kufanele kube yinto ebaluleke kakhulu.

Buye ubone udokotela uma uhlushwa ukubuthakathaka kwemisipha okuzumayo ngezimpendulo ezinamandla, ukungakwazi ukuhamba ngenkathi ulalele, noma amaphupho ahlasimulisayo uma uqala ukulala noma uvuka. Lezi zimpawu, kanye nokulala okukhulu, zikhomba kakhulu i-narcolepsy.

Ziyini izimbangela zengozi ze-Narcolepsy?

Izinto eziningi zingandisa amathuba akho okuba ne-narcolepsy, yize ukuba nezimbangela zengozi akusho ukuthi uzoba naleli gciwane. Ukuqonda lezi zinto zingakusiza ukuthi ubone izimpawu ngokushesha.

Izimbangela zengozi ezibaluleke kakhulu zihlanganisa:

• Ubudala: Ubuthongo obukhulu buqala ngokuvamile phakathi kweminyaka eyi-10-30, kanti ukuphakama kwayo kuqala eminyakeni yobusha nasekuqaleni kweminyaka engama-20.
• IziFundo: Ukuba nomuntu wasekhaya onobunhlobonhlobo bokutholakala kwesifo sobuthongo obukhulu kukwandisa ingozi yakho, nakuba lesi simo singavamile ukudlula ngqo emindenini. Amanye amamaki e-genetic, ikakhulukazi i-HLA-DQB1*06:02, atholakala cishe ku-95% yabantu abane-narcolepsy ye-Type 1.
• Izimo ze-autoimmune: Ukuba nezifo ze-autoimmune ezinjenge-Type 1 diabetes, i-multiple sclerosis, noma i-rheumatoid arthritis kungakwandisa kancane ingozi yakho.
• Ukutheleleka kwamuva: Ukutheleleka kwezindlela zokuphefumula eziphezulu, ikakhulukazi isifo soflu ye-H1N1, isifo sohlangothi, noma ezinye izifo zobhaktheriya, kungase kuqalise ubuthongo obukhulu kubantu abanesifo.
• Ukulimala kwekhanda: Ngokungavamile, ukulimala okukhulu kwekhanda okuthinta indawo ye-hypothalamus kungase kuholele ekuqaleni kwesifo sobuthongo obukhulu.
• Iziphumuzo zengqondo: Ngokungavamile kakhulu, izimpumuzo endaweni ye-hypothalamus zingabangela izimpawu zokutholakala kwesifo sobuthongo obukhulu.

Abantu abaningi abane-narcolepsy abanalo umlando womndeni wesimo, futhi iningi labantu abanezingozi ze-genetic abazitholi i-narcolepsy. Isimo libonakala lidinga ukuhlanganiswa kokutholakala kwe-genetic kanye nezici zezimo ezingaphandle.

Ziyini Izingozi Ezingase Zibe Khona Zokutholakala KwesiFo Sobuthongo Obukhulu?

Ubuthongo obukhulu bungase buhole ezingozini ezihlukahlukene ezihlasela izici ezahlukene zokuphila kwakho, kodwa iningi lingaphathwa kahle ngokwelashwa okulungile nokulungiswa kwesitayela sokuphila. Ukuqonda lezi zingozi ezingase zibe khona kukusiza uthathe izinyathelo zokuzivimba.

Izingozi ezinkulu kakhulu zihlanganisa:

• Izingozi nokulimala: Ukulala ngokuzumayo ngesikhathi uqhuba, upheka, noma usebenzisa imishini kungabangela izingozi ezinkulu. Lobungozi kubalulekile ukusebenzisana nodokotela wakho ngokwelashwa okuphumelelayo futhi wazi ukuthi nini kuphephile ukuqhuba.
• Izinkinga zomsebenzi nezokufunda: Ukulala ngesikhathi kwemihlangano, emakilasini, noma ngenkathi wenza imisebenzi yomsebenzi kungathinta ukusebenza kwakho namathuba emisebenzi.
• Ukuzihlukanisa nabantu: Abanye bangase baqonde kabi izimpawu zakho njengobusongo noma ukushoda kokuthakazelisa, okubangela ubudlelwano obuqine kakhulu nokuzisula emphakathini.
• Usizi nokukhathazeka: Izinselele zokuphila nenarcolepsy zingase zifake izinkinga zempilo yengqondo, ikakhulukazi ukucindezeleka nokukhathazeka.
• Ukunyuka kwesisindo: Abantu abaningi abaninarcolepsy bahlangabezana nokunyuka kwesisindo okungachazeki, mhlawumbe ngenxa yenguquko ekuphendulweni komzimba noma imiphumela emibi yemithi.
• Izinkinga zekhumbulo: Izindlela zokulala eziphukile zingathinta ikhono lakho lokwenza nokugcina izinkumbulo, okuthinta ukufunda nokusebenza kwansuku zonke.

Izinkinga ezingavamile kodwa ezinzima kakhulu zingafaka ukulimala okukhulu okuvela ezigamekweni ze-cataplexy, ikakhulukazi uma zenzeka ngenkathi uhamba ngezitebhisi noma eduze nezindawo eziyingozi. Abanye abantu baphuthuma ukudla okuphathelene nokulala noma ezinye izinkinga zokuziphatha ngesikhathi sezigameko zokulala.

Izindaba ezinhle ukuthi ngokwelashwa okuqondile, abantu abaningi abaninarcolepsy banganciphisa kakhulu ingozi yezinkinga futhi bagcine ukuphila okujabulisayo, okusebenzayo.

Kungenzeka kanjani ukuvimbela iNarcolepsy?

Ngeshwa, ayikho indlela ebonakaliswe yokuvimbela i-narcolepsy njengoba ikakhulukazi ibangelwa izici ze-genetic ne-autoimmune ongenakulawula. Noma kunjalo, ungathatha izinyathelo zokunciphisa ingozi yokubangela isimo uma une-genetic susceptible.

Nakuba ukuvimbela akuqinisekisiwe, lezi zindlela zingasiza:

• Gcina ukuhlanzeka okuhle kokulala: Ukuthola ukulala okwanele, okuvamile kungasiza ekuvikeleni isimiso sakho sokulala nokuphaphama nempilo yengqondo iyonke.
• Phatha ukucindezeleka ngokuphumelelayo: Njengoba ukucindezeleka okukhulu ngezinye izikhathi kuqala ngaphambi kokuthi kuqale i-narcolepsy, ukufunda amakhono okulawula ukucindezeleka okuhle kungaba usizo.
• Welapha ukutheleleka ngokushesha: Ukuthola ukwelashwa okufanele kokutheleleka kokuphefumula, i-strep throat, nezinye izifo kunganciphisa ingozi yokubangela izimpendulo ze-autoimmune.
• Hlala unolwazi ngezigqoko: Nakuba ezinye izigqoko ziye zahlanganiswa nengozi ye-narcolepsy, izinzuzo ezivikelayo eziphelele zokugqoka ngokuvamile zidlula izingozi ezincane kubantu abaningi.
• Vikele ekulimaleni kwekhanda: Ukugqoka izingubo zokuphepha ezifanele ngesikhathi sezemidlalo nezinye imisebenzi kungasiza ekuvinjeni ukulimala kokukhuluphala kwengqondo okuholela kancane e-narcolepsy yesibili.

Uma unomlando womndeni we-narcolepsy noma ezinye izimo ze-autoimmune, xoxa ngezici zakho zengozi nodokotela wakho. Bangakusiza ukuqonda izimpawu zokuqapha nokuncoma ukuqapha okufanele.

I-Narcolepsy Ihlonishwa Kanjani?

Ukuhlola i-narcolepsy kuhilela ukuhlolwa nokuhlolwa okuningi, njengoba ayikho i-test eyodwa engakuqinisekisa ngokuphelele lesimo. Udokotela wakho ngokuvamile uzoqala ngomlando wezokwelapha oningiliziwe nokuhlolwa komzimba.

Inqubo yokuhlola ngokuvamile ihlanganisa ukugcina idayari yokulala amasonto ayi-1 kuya kwangu-2, ubhale lapho ulala, uthatha ubuthongo, futhi uhlangabezane nezimpawu. Lokhu kusiza udokotela wakho ukuqonda izindlela zakho zokulala kanye nokuvamile kwezimpawu.

Udokotela wakho cishe uzoyala i-polysomnogram (isifundo sokulala ebusuku) esenziwe elabhorethri yokulala. Lolu viyo luqapha amaza engqondo yakho, izinga lokugijima kwenhliziyo, ukuphefumula, nomsebenzi wemisipha ebusuku lonke ukuze kuqothulwe ezinye izifo zokulala njenge-sleep apnea.

Ngosuku olulandelayo, ngokuvamile uzokwenza i-Multiple Sleep Latency Test (MSLT), eilinganisa ukuthi ulele ngokushesha kangakanani ngesikhathi sezithuba zokulala ezicwangcisiwe. Abantu abane-narcolepsy ngokuvamile balele phakathi kwemizuzu engu-8 futhi bangene e-REM sleep ngokushesha okungavamile.

Ezimweni ezithile, udokotela wakho angase akukhuthaze ukuthi wenze i-spinal tap (lumbar puncture) ukuze alinganise amazinga e-hypocretin e-cerebrospinal fluid yakho. Amazinga aphansi abonisa kakhulu i-Type 1 narcolepsy, nakuba lo viviro kungadingeki njalo ukuze kwenziwe ukuxilongwa.

Izivivinyo zegazi zingahlola ama-genetic markers axhunyaniswe ne-narcolepsy, ikakhulukazi i-HLA-DQB1*06:02 gene. Noma kunjalo, ukuba nale gene akuqinisekisi i-narcolepsy, futhi ukungabi nayo akukhiphi.

Iyini Ukwelashwa kwe-Narcolepsy?

Nakuba kungekho ukwelashwa kwe-narcolepsy, izindlela ezahlukene zokwelapha zingaphatha kahle izimpawu futhi zikusize ugcine indlela yokuphila evamile. Ukwelashwa ngokuvamile kuhlanganisa imithi ngokuguqulwa kwendlela yokuphila ehambisana nezimpawu zakho nezidingo zakho.

Imithi yiyona ndawo ebalulekile ekwelapheni i-narcolepsy:

• Izithuthukisi: Imithi efana ne-modafinil, i-armodafinil, noma i-methylphenidate ikusiza ukukhuthaza ukuphaphama nokunciphisa ukulala emini.
• I-Sodium oxybate: Lolu lwemi ilungisa ikhwalithi yokulala ebusuku futhi inganciphisa i-cataplexy, ukulala ngokweqile emini, nokuboshwa kokulala.
• I-Antidepressants: Ezinye i-antidepressants, ikakhulukazi lezo ezithinta i-serotonin ne-norepinephrine, zingasiza ukulawula i-cataplexy, ukuboshwa kokulala, nemibukiso.
• Imithi emisha: I-Pitolisant ne-solriamfetol yizindlela ezintsha ezingasiza ngokulala ngokweqile emini ngezindlela ezahlukene.

Udokotela wakho uzohlangana nawe ukuze uthole ukuxuba okulungile nokwelashwa kwemithi. Le nqubo ngokuvamile ithatha isikhathi nokubekezela, njengoba wonke umuntu uphendula ngokuhlukile ekwelapheni kwe-narcolepsy.

Ukwelashwa okungeyona imithi kubaluleke kakhulu futhi kufaka phakathi ukulala kwemizuzu engama-15-20, okuthathwa ngezikhathi ezithile usuku lonke ukusiza ekulawuleni ukulala.

Ukulandela Ukwelashwa Ekhaya Ngesikhathi Sokuhlushwa Yi-Narcolepsy?

Ukulawula i-narcolepsy ekhaya kuhilela ukwakha uhlelo oluhlelekile nendawo ehambisana nokuthuthukisa ikhwalithi yokulala nokuqapha emini. Lezi zindlela zisebenza kangcono uma zihlanganiswe nokwelashwa kwezokwelapha.

Yakha isimiso sokulala esiqinile ngokuya ekulolweni nokuphakama ngesikhathi esifanayo nsuku zonke, ngisho nasemaphethelweni. Lokhu kusiza ekulawuleni iwashi langaphakathi lomzimba wakho futhi kungathuthukisa ikhwalithi yokulala ebusuku nokuqapha emini.

Dala indawo yokulala efanele ngokugcina igumbi lakho lokulala lipholile, limnyama, futhi lizothile. Cabanga ngokusebenzisa ama-curtains amnyama, imishini yomsindo omhlophe, noma ama-earplugs ukuze unciphise ukuhlupheka okungalimaza ukulala kwakho okusele kunzima.

Hlela ukulala okuhlelekile kwemizuzu engama-15-20 ngezikhathi ezithile emini, ngokuvamile ekuseni ntambama. Ukulala isikhathi eside kungakushiya uzizwa ukhuluphuku, kuyilapho okufushane kungase kungakuniki ukuqabuleka okwanele.

Yenza ukulungiswa kokudla ngokuqeda ukudla okukhulu eduze nesikhathi sokulala nokunciphisa ukusetshenziswa kwe-caffeine, ikakhulukazi ntambama nakuhlwempu. Abanye abantu bathola ukuthi ukudla okuncane, okuningi njalo kusiza ekuqondiseni amazinga amandla.

Hlala usebenza ngokomzimba ngokuzivocavoca okuvamile, kodwa gwema umsebenzi onamandla eduze nesikhathi sokulala. Ukuzivocavoca kungathuthukisa ikhwalithi yokulala futhi kusize ekulawuleni ukwanda kobunzima okuvamile nge-narcolepsy.

Lawula ukucindezeleka ngezindlela zokuphumula njengokuphefumula okujulile, ukucamngca, noma i-yoga ezolile. Amazinga aphezulu ocindzezeleko angenza izimpawu ze-narcolepsy zibe zimbi futhi ahlupheke izindlela zokulala.

Kufanele Uzilungiselele Kanjani Ukuya Kulo Dokotela?

Ukulungiselela kahle isikhathi sakho sokuya kudokotela kungakusiza uqiniseke ukuthi uthola ukuxilongwa okuchane kakhulu nelenhlalakahle yokwelapha. Qala ngokugcina idayari yokulala eningiliziwe okungenani amasonto ayi-1 kuya kwangu-2 ngaphambi kokuvakashela kwakho.

Bhala izindlela zakho zokulala, kufaka phakathi isikhathi oya kulo ekuhambeni ubuthongo, isikhathi esithathayo ukuze uqale ukulala, ukuthi uvukela kangaki ebusuku, nesikhathi ovuka ngaso ekuseni. Bhala futhi noma yimaphi ama-naps, ubude bawo, nokuthi uzizwa uqabuleke kangakanani ngemva kwalokho.

Yenza uhlu oluphelele lazo zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, ukuthi zivele kangaki, nokuthi yini engase izibangele. Qaphela noma yimaphi amacala obuthakathaka bemisipha obuzumayo, ukuqina kokulala, noma amaphupho ahlanzekile, njengoba le mininingwane ibalulekile ekuxilongweni.

Bula ulwazi mayelana nomlando wakho wezokwelapha, kufaka phakathi noma yiziphi izifundo zokulala zangaphambili, imithi oyizame, nezinye izimo zezempilo. Letha uhlu lwayo yonke imithi, izithasiselo, nemithi yokuthengisa ngaphandle kwesikripthi oyithathayo.

Lungiselela imibuzo okumele uyibuze udokotela wakho, njengokuthi yiziphi izivivinyo ozodinga, yiziphi izinketho zokwelapha ezitholakalayo, nokuthi i-narcolepsy ingathinta kanjani umsebenzi wakho noma ikhono lokuphatha imoto. Unganqikazi ukubuza noma yini ongayiqondi.

Cabanga ukuthi ulethe ilungu lomndeni noma umngani oseduze oqaphile izimpawu zakho. Bangakunikeza ulwazi olwengeziwe oluwusizo mayelana nezindlela zakho zokulala nokuziphatha kwakho kwasemini ongase ungakwazi ukuqaphela.

Iyini i-Key Takeaway Mayelana ne-Narcolepsy?

I-Narcolepsy iyisimo sengqondo esilawulekayo esithinta ikhono lobuchopho bakho lokulaula imijikelezo yokulala-ukuqwasha, okuholela ekuthukutheleni okukhulu kwasemini nokwenzeka kwezinye izimpawu ezifana ne-cataplexy noma ukuqina kokulala. Nakuba kuyisimo esiphila impilo yonke, abantu abaningi bangaphila impilo egcwele, esebenzayo ngokwelashwa okufanele.

Okubaluleke kakhulu ukukhumbula ukuthi i-narcolepsy iyisimo sezempilo sangempela, hhayi iphutha lomuntu noma uphawu lokuvilapha. Uma ubhekene nokulala okukhulu kwasemini okuphazamisa imisebenzi yakho yansuku zonke, ungangabazi ukufuna ukwelashwa kwezokwelapha.

Ukuxilongwa kwasekuqaleni nokuphathwa kungathuthukisa kakhulu ikhwalithi yokuphila kwakho futhi kuvimbele izinkinga ezinjengengozi noma ukuhlukaniswa komphakathi. Ngokusetshenziswa kahle kwemithi, ukulungiswa kwendlela yokuphila, nokwesekwa, ungaphatha kahle izimpawu zakho futhi uphishekele imigomo yakho.

Khumbula ukuthi ukuthola indlela efanele yokwelapha kuvamise ukuthatha isikhathi nokubekezela. Sebenzisana eduze neqembu lakho lokunakekelwa kwezempilo, vula ngezimpawu zakho nezinkathazo, futhi ungayeki uma ukwelashwa kokuqala kungasebenzi kahle. Abantu abaningi abane-narcolepsy bathola ukuthi izimpawu zabo ziyaba lula kakhulu uma bethola uhlelo lokwelashwa olufanele.

Imibuzo Evame Ukubuzwa Mayelana ne-Narcolepsy

Ingakwelashwa yini i-narcolepsy?

Okwamanje, ayikho impilo ye-narcolepsy, kodwa lesi simo singaphathwa kahle ngokwelashwa okufanele. Abantu abaningi abane-narcolepsy bangathuthukisa kakhulu izimpawu zabo nekhalithi yokuphila ngokusetshenziswa kwemithi kanye nokuguqulwa kwesitayela sokuphila. Nakuba cishe uzodinga ukwelashwa okuqhubekayo, abantu abaningi abane-narcolepsy baphila impilo evamile, ezuzisayo ngokuphathwa okufanele.

Ingozi yini i-narcolepsy?

I-Narcolepsy ngokwayo ayiyona ingozi eyingozi, kodwa ingadala izimo ezingozi uma ingaphathwa kahle. Izingozi eziyinhloko zivela ekuhlaselweni kokulala ngesikhathi semisebenzi efana nokugibela imoto, ukupheka, noma ukusebenzisa imishini. Ngokwelashwa okufanele nezinyathelo zokuphepha, abantu abaningi abane-narcolepsy banganciphisa lezi zingozi. Udokotela wakho angakusiza unqume ukuthi kuphephile nini ukushayela nokuthi yiziphi izinyathelo zokuphepha okufanele uzithathe ezimweni ezahlukene.

Ngizokwazi yini ukushayela uma ngine-narcolepsy?

Abantu abaningi abane-narcolepsy bangashayela ngokuphephile uma izimpawu zabo zilawulwa kahle ngokwelashwa. Noma kunjalo, akufanele ushayele uma uhlushwa ukuhlaselwa ubuthongo njalo noma izimpawu ezingalawuleki. Udokotela wakho kuzodingeka ahlole ukulawulwa kwezimpawu zakho futhi kungadingeka anikeze imvume yokushayela. Ezinye izifundazwe zinezidingo ezithile zabantu abane-narcolepsy abafuna ukugcina amalungelo abo okushayela.

Ingabe i-narcolepsy iba mbi ngokuhamba kwesikhathi?

Izimpawu ze-narcolepsy ngokuvamile zihlala zizinzile ngokuhamba kwesikhathi kunokuba zibe zimbi ngokuqhubekayo. Eqinisweni, abanye abantu bathola ukuthi izimpawu zabo ziyathuthuka kancane ngokukhula, ikakhulukazi izigameko ze-cataplexy. Noma kunjalo, izimpawu zingaguquguquka ngenxa yezinto ezinjengokucindezeleka, ukugula, noma ukushintsha kokujwayela ubuthongo. Ukwelashwa okuqhubekayo nokuhlanzeka okuhle kokulala kusiza ekuqondiseni izimpawu ezinzile ekuphileni konke.

Ingabe abantwana bangaba ne-narcolepsy?

Yebo, i-narcolepsy ingathuthukiswa kubantwana, yize kuvame ukuba nzima ukuyibona ngoba ukulala ngokweqile kungase kuphikiswe njengokukhathala okuvamile noma izinkinga zokuziphatha. Abantwana abane-narcolepsy bangabonisa izimpawu ezinjengokubuthakathaka ekuhlaleni bephapheme esikoleni, ukushintsha kwesimo ngokuzumayo, noma izinkinga zasemikhakheni. Uma ucindezela ukuthi ingane yakho ine-narcolepsy, xhumana nochwepheshe wezingane ezilala ukuze uthole ukulinganiswa nokwelashwa okufanele.