How to treat narcolepsy?

Narcolepsy is a daytime too much sleep or sleep attack. The main features are: (1) excessive sleep or sleep attacks during the day can not be explained by insufficient sleep time, and the transition time from waking to full waking is prolonged; (2) This kind of sleep disorder occurs every day for more than 1 month or has repeated sleep attacks, causing obvious distress or affecting work or family life. (3) Eliminate daytime sleepiness and narcolepsy caused by various organic diseases. The onset of narcolepsy is mostly related to psychological factors. Psychotherapy is often used in the treatment of narcolepsy, which can remove the negative psychological factors related to the onset, avoid mental stimulation and help patients establish normal life rules. In addition, small doses of psychotropic drugs, such as amphetamine and methylphenidate, can be given and applied under the guidance of a doctor when necessary. Do men also have periodic sleepiness? We are "What's with the menstrual drowsiness?" Among them, we discuss the symptoms of women's periodic sleepiness changing with menstrual cycle. Do men also have such symptoms? This disease does exist in clinic. This disease is similar to narcolepsy, but it has its own characteristics and appears periodically. The sleep time in the onset stage is obviously prolonged, generally more than 9 hours, and there is still drowsiness during the day. A period is about 20 days, and then everything will be like ordinary people. You can wake up quickly when you are stimulated when you sleep, and you can wake up automatically when you urinate. If you can sleep for a while during the day, your drowsiness can disappear temporarily. In addition to sleepiness, this person's consciousness is often unclear, and he has to stop studying or working when he has an attack. The onset age is mostly in the teens. At first, it may be because of overwork or a cold, and then it will appear periodically without any inducement. It may happen several times a year. Some people can recover by themselves around the age of 20 to 30. At present, there is no ideal treatment for this kind of periodic narcolepsy. It has been reported that lithium carbonate, a psychotropic drug for the treatment of mania, can be effective, about 400 mg a day, taken continuously. When lithium carbonate is used to treat nausea, vomiting, diarrhea, burnout, fatigue, thirst, polyuria, etc. It will appear at the beginning of medication, and these symptoms will disappear within one or two weeks after starting medication. It is worth noting that the safety range of lithium carbonate is very narrow. When the drug concentration in the blood reaches a certain level, there will be poisoning symptoms, such as consciousness disorder, slurred speech, muscle tremor, convulsion, coma, mental disorder and so on. There is no specific antidote, so we can only stop taking medicine immediately and treat the symptoms. Therefore, the use of lithium carbonate treatment, must be under the guidance of a doctor, never self-medication. This is just introduced to people as common sense of treatment. What drowsy diseases are teenagers prone to? We know that people's psychological activities have two processes: excitement and inhibition, which alternate and balance each other. When the cerebral cortex is excited, people are awake; When in the process of inhibition, people are sleepy and fall asleep. The cerebral cortex is repeated along the process of "excitement-inhibition-excitement", which makes people have regular sleep rest and work and study. The time a person needs to sleep is gradually reduced with age. Generally speaking, it is enough for teenagers to sleep 8 ~ 10 hours every night. However, although some teenagers sleep a lot at night, they still want to sleep during the day. Especially in class, I often fall asleep because I can't resist drowsiness. This may be a common morbid sleep phenomenon among teenagers. There are two main types of adolescent periodic bulimia, narcolepsy and narcolepsy. Teenagers suffer from periodic bulimia and narcolepsy, especially boys. At the time of onset, children are sleepy all day, don't think about food, and sometimes force them to sleep with food in their mouths. This situation usually lasts about 1 week, and then suddenly "wakes up". After waking up, I was refreshed, obviously hungry, and wolfed down my food. At this time, the child's mental activities are all normal, and there are no obstacles to sleep and study. But at the same time next month, the old disease recurred, repeating the scene of last month and healing itself a week later. This happens month after month every year, bringing endless pain to children and their families. Narcolepsy is also common in teenagers aged 10 ~ 20, mainly because the level of alertness of children is low when they are awake. This situation is particularly prominent in summer afternoons. The performance is that at the beginning, there were waves of sleepiness that repeatedly hit and gradually increased. Although I tried to resist, I finally dozed off. The length of sleep varies from a few minutes to more than ten minutes, and the sleep is not deep and it is easy to be awakened. After waking up, I felt a brief clear feeling in my brain. In this case, I can have multiple attacks every day. To sum up, adolescent periodic bulimia and narcolepsy are pathological manifestations. The reason is generally believed to be the abnormal function of hypothalamus, but it may also be related to organic diseases such as tumor, inflammation and trauma of hypothalamus. Therefore, when the above-mentioned sleep disorders occur, teenagers should go to the hospital for nervous system examination in time, and can take ritalin, amphetamine and other central stimulants for treatment after eliminating the organic lesions of hypothalamus. Narcolepsy Narcolepsy is a neurological disease that can lead to uncontrollable sleep. These sleep stages usually occur at inappropriate times, such as talking, eating or driving. Although sleep can occur at any time, it most often occurs during inactive or monotonous repetitive activities. Sleepiness generally begins at the age of 15~30, but some people have drowsiness sooner or later. Once drowsiness occurs, it will accompany you all your life. Men and women are equally affected. The first symptom of drowsiness is usually feeling very sleepy during the day. However, it may take several years to confirm that patients do have this disease, because there are many other reasons that can cause daytime sleepiness. Symptomatic medicine uses four main symptoms to define sleepiness, which is called sleepiness tetralogy: excessive sleepiness during the day-this symptom has always existed and is usually the most obvious. Cataplexy-Cataplexy refers to the sudden or temporary disappearance of muscle mass, resulting in paralysis of the head or body without losing consciousness. It can last for a few seconds or minutes. Mild symptoms are vague language or stuttering, drooping eyelids or inability to hold things with your fingers. Severe cataplexy can lead to knee bending and make people collapse. Laughter, excitement or anger are typical reasons for falling down. The sudden relaxation of muscle mass may be the result of the brain suddenly entering REM sleep. Less than half of narcolepsy patients will collapse. Sleep paralysis-the so-called sleep paralysis refers to the temporary inability to exercise when people fall asleep or wake up. It only lasts a few minutes. Similar to cataplexy, sleep paralysis may also be related to insufficient transition between REM sleep and waking state. Sleep paralysis is related to hallucinations. Hypnotic hallucination-refers to images that are mentally like dreams, usually scary, and often appear during sleep or before sleep paralysis. About 90% of people diagnosed with narcolepsy do not have at least one of the above symptoms. Less than half of people have these four symptoms. Usually, before this, teenagers or adults will not have these symptoms. People suffering from narcolepsy will complain about fatigue and perform poorly in work, study and social relations. Excessive sleepiness during the day will make people lose their ability and greatly reduce their quality of life. Memory loss and visual impairment can be particularly disturbing. More than half of people suffering from drowsiness will have memory loss or memory interruption, which is caused by the "micro-sleep" that breaks into the awake state. At these stages, when walking or driving, they will be at a loss, talking nonsense or scribbling, putting things wrong or bumping into things. Usually, they can't control their behavior at these stages, and they don't remember what happened later. How to judge narcolepsy can be diagnosed by the occurrence process of typical stages and the results of all-night sleep research in multi-level sleep latency test. Sleep studies have confirmed other causes of daytime sleepiness, such as sleep deprivation, sleep apnea and depression. The test was conducted at the Sleep Research Institute. Researchers electronically control brain waves, eye movements, muscle activity, heartbeat, blood oxygen level and breathing by using polysomnography equipment. Multi-level sleep latency test is generally conducted after getting enough sleep at night, so the result is clear. Usually after sleep research. The multi-level sleep latency test includes four 20-minute nap opportunities, which are evenly distributed throughout the day with an interval of two hours. Sleepy people can fall asleep in about five minutes or less, and at least two of the four naps will turn into rapid eye movement (REM) sleep. In contrast, normal people generally need 12~ 14min to fall asleep and will not enter the REM sleep stage. Prevention and treatment of sleepiness once produced, it is not easy to eliminate. In most cases, these drowsiness symptoms can be successfully controlled and solved through treatment, regular siesta and good sleep habits. There is no way to prevent drowsiness at present. Avoiding situations that may lead to drowsiness may help reduce the frequency of drowsiness. If you are sleepy and your symptoms can't be controlled by drugs, you shouldn't drive or smoke to avoid injury. The main symptom of sleepiness-excessive sleepiness during the day can be treated by several methods, such as taking stimulants such as Provigil, toluene salt (ritalin and other brands) or dextroamphetamine, and taking regular naps during the day. Cataplexy and sleep paralysis can be treated with tricyclic antidepressants. Cataplexy can also be treated by taking sodium hydroxybutyrate, although the use of this drug needs to be strictly controlled because it is abused by the entertainment industry. Psychological counseling is very important for issues related to self-esteem and emotional support, especially those who are sleepy, because they can't give full play to their potential, and may be considered lazy by their families and peers and unwilling to exercise.