Narcolepsy

Introduction to narcolepsy Narcolepsy is a condition in which white catfish is oversupplied (not due to discomfort in the amount of sleep) or when the transition time to the fully aroused state is extended when waking up. There is no way to prevent drowsiness. Avoiding conditions that cause drowsiness may help reduce the frequency of lethargy. If you have lethargy and symptoms cannot be controlled with drugs, you should never drive or smoke. To avoid injury. It is important to have psychological counseling about problems arising from self-esteem and emotional support. Especially for those who are sleepy, because they cannot fully realize their potential, they may be considered lazy and unwilling to be active by their families and peers. basic knowledge The proportion of illness: 0.003% Susceptible people: no special people Mode of infection: non-infectious Complications: neurasthenia

The cause of narcolepsy

Cause

The narcolepsy is a functional lesion, that is, no specific lesion is found in the brain and other parts of the nervous system, possibly due to cerebral cortical neurological dysfunction. The incidence of narcolepsy is mostly related to psychological factors.

Narcolepsy prevention

There is no way to prevent drowsiness. Avoiding conditions that cause drowsiness may help reduce the frequency of lethargy. If you have lethargy and symptoms cannot be controlled with drugs, you should never drive or smoke. To avoid injury.

It is important to have psychological counseling about problems arising from self-esteem and emotional support. Especially for those who are sleepy, because they cannot fully realize their potential, they may be considered lazy and unwilling to be active by their families and peers.

Psychological adjustment should have a positive attitude towards life, and make a life study plan for yourself every day, and work hard to complete it. It is important to have psychological counseling about problems arising from self-esteem and emotional support. Especially for those who are sleepy, because they cannot fully realize their potential, they may be considered lazy and unwilling to be active by family and peers.

Narcolepsy complications Complications, neurasthenia

Become anxious and irritable, even self-enclosed.

Symptoms of narcolepsy Common symptoms Periodical sleepiness, strong eating disorder, lethargy, illusion, prostration, neonatal sleepiness, eyelid drooping, mouthlessness, inability to sneak into narcolepsy and appetite

One or four performances

Medicine defines sleepiness with four main symptoms called tetrallation:

Too much sleepiness during the day this symptom is always present and usually the most obvious.

Tripping - squatting refers to the sudden or temporary disappearance of muscle mass, which causes the head or body to squat without loss of consciousness. It can last for a few seconds or a few minutes, and the mild symptoms are ambiguous. Language or stuttering, eyelid drooping or finger weakness can not hold things, serious trips can cause knees to bend, make people collapse, laugh, excitement or angry is the typical cause of tripping, sudden relaxation of muscle quality may It is the result of a sudden onset of REM sleep in the brain, and less than half of the patients with narcolepsy have a trip.

Sleep sputum - the so-called sleep sputum is when a person falls asleep or wants to wake up temporarily unable to exercise, it only lasts for a few minutes, similar to squatting, sleep sputum may also be related to insufficient transition between REM sleep and awake state, sleep is related to illusion.

Hypnotic hallucinations - refers to mental, dreamlike images, usually terrifying, often when you fall asleep or before sleep occurs.

Second, the symptoms:

Excessive sleep during the day or sleep episodes cannot be explained by sleep discomfort; or the transition time to fully awakened during waking is prolonged.

Third, the onset time:

Sleep disorders occur more than three months a day, or recurrent, causing obvious distress or affecting social function.

Sleepiness check

First, laboratory inspection

Laboratory tests such as blood sugar, liver function, kidney function and thyroid function are indispensable and can help determine the cause of drowsiness.

Second, imaging examination

Brain CT or brain nuclear magnetic scans help diagnose the classification of narcolepsy.

Third, special inspection

In addition, a number of sleep physiological brain waves and multiple sleep latency tests are needed to confirm the diagnosis.

Diagnosis of narcolepsy

diagnosis

Diagnosis of the symptoms of the root cause.

Differential diagnosis

Need to rule out narcolepsy, apnea syndrome and sleepiness caused by brain organic diseases or mental disorders.

1) narcolepsy, usually accompanied by one or more additional symptoms, such as squatting, sleep paralysis, and pre-sleeping hallucinations; sleep episodes are irresistible; nighttime sleep is fragmented, shortened, in contrast, Narcolepsy has fewer episodes during the day, but lasts longer; patients often prevent it from happening; nighttime sleep is usually prolonged.

2) Sleep apnea, a narcolepsy associated with sleep apnea, in addition to the symptoms of excessive sleep during the day, as well as nighttime apnea, typical intermittent voice, obesity, hypertension, cognitive impairment Excessive sweating and hyperactivity at night, morning headache and poor medical history, can use the records of the sleep laboratory to determine the time and duration of apnea, which is not difficult to identify with narcolepsy.

3) organic diseases with drowsiness, encephalitis, meningitis, concussion and other mental illnesses, metabolic disorders, poisoning, endocrine abnormalities, post-radiation syndrome, etc. can cause narcolepsy, through medical history, physical examination, clinical observation and corresponding A laboratory examination that clearly diagnoses drowsiness caused by organic diseases, then considers (non-organic) narcolepsy diagnosis.

Sleepiness can be diagnosed by the development of a typical stage and the sleep study of a multi-level sleep latency test. The sleep study verifies other causes of excessive sleepiness during the day, such as sleep deprivation, sleep apnea and mood. Depression, etc., the test was conducted at the Sleep Institute. The researchers used the meditation device to electronically control brain waves, eye movements, muscle activity, heartbeat, blood oxygen levels and breathing conditions, and multi-level sleep latency. The test is usually performed after getting enough nighttime sleep, so the results are clearer, usually after the sleep study.

The multi-level sleep latency test consists of four 20-minute nap opportunities that are evenly dispersed between the two hours apart. The sleepy person can fall asleep in about five minutes or less, and at least four of the four naps Two transitions to REM (rapid eye movement) occur. In contrast, normal people usually take 12 to 14 minutes to fall asleep and do not enter the REM sleep stage.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.