Idiopathic hypersomnia

I-Idiopathic hypersomnia (IH) sisifo sokulala apho umntu aleleyo kakhulu (hypersomnia) emini kwaye kunzima kakhulu ukuvuswa ebuthongweni. Idiopathic kuthetha ukuba akukho sizathu sicacileyo.

I-IH iyafana ne-narcolepsy kuba ulele kakhulu. Kwahlukile kwi-narcolepsy kuba i-IH ayihlali ibandakanya ukulala ngequbuliso (ukuhlaselwa kukulala) okanye ukuphulukana nolawulo lwezihlunu ngenxa yeemvakalelo ezinamandla (cataplexy). Kwakhona, ngokungafaniyo ne-narcolepsy, i-naps kwi-IH ihlala ingahlaziyi.

Iimpawu zihlala zikhula kancinci ngexesha lokufikisa okanye ebudaleni. Ziquka:

• Ukulala emini okungabuthisi ukozela
• Kunzima ukuvuka ebuthongweni obude- ungaziva udidekile okanye uphazamisekile ('' ukulala ubunxila '')
• Ukwanda kwesidingo sokulala emini-nokuba usemsebenzini, okanye ngexesha lesidlo okanye incoko
• Ixesha lokulala elandisiweyo-ukuya kuthi ga kwiiyure ezili-14 ukuya kwezili-18 ngosuku

Ezinye iimpawu zingabandakanya:

• Ixhala
• Ndiziva ndicaphukile
• Ukuphelelwa ngumdla wokutya
• Amandla aphantsi
• Ukungazinzi
• Cotha ukucinga okanye intetho
• Ingxaki yokukhumbula

Umboneleli wezempilo uya kubuza malunga nembali yakho yokulala. Indlela eqhelekileyo kukujonga ezinye izizathu ezinokubangela ukulala kakhulu emini.

Ezinye iingxaki zokulala ezingabangela ukulala emini zibandakanya:

• Ingqele
• Ukuphefumla kokulala okuthintelayo
• Isifo somlenze esingazinzanga

Ezinye izizathu zokulala kakhulu zibandakanya:

• Uxinzelelo
• Amayeza athile
• Ukusetyenziswa kweziyobisi notywala
• Umsebenzi we-thyroid ophantsi
• Ukulimala kwentloko kwangaphambili

Uvavanyo olunoku-odolwa lubandakanya:

• Uvavanyo lokulala oluninzi (uvavanyo ukubona ukuba kuthatha ixesha elingakanani ukulala ngexesha lasemini)
• Isifundo sokulala (i-polysomnography, ukuchonga ezinye iingxaki zokulala)

Uvavanyo lwempilo yengqondo yoxinzelelo lunokwenziwa.

Umboneleli wakho uya kuthi amisele amayeza avuselelayo anje nge-amphetamine, i-methylphenidate, okanye i-modafinil. La machiza anokungasebenzi kakuhle kule meko njengoko esenza kwi-narcolepsy.

Utshintsho kwindlela yokuphila enokunceda ukunciphisa iimpawu kunye nokukhusela ukulimala kubandakanya:

• Thintela utywala kunye namayeza anokwenza imeko ibe mandundu
• Kuphephe ukusebenzisa iimoto okanye ukusebenzisa izixhobo eziyingozi
• Kunqande ukusebenza ebusuku okanye kwezoluntu olibazisa ixesha lakho lokulala

Xoxa ngemeko yakho kunye nomboneleli wakho ukuba uphindaphinde iziqendu zokulala emini. Banokubangelwa yingxaki yonyango efuna ukuvavanywa ngakumbi.

Hypersomnia - idiopathic; Ukozela - idiopathic; Somnolence - idiopathic

• Iipateni zokulala kwabaselula nakwabadala

UBilliard M, Sonka K. Idiopathic hypersomnia. Ukulala Med Isityh. Ngo-2016; 29: 23-33. IINKCUKACHA: 26599679 www.ncbi.nlm.nih.gov/pubmed/26599679.

UDauvilliers Y, uBassetti CL. Idiopathic hypersomnia. Ku: Kryger M, Roth T, Dement WC, ii-eds. Imigaqo kunye nokuziqhelanisa neyeza lokulala. Umhla wesi-6. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 91.