Cudurka 'Idiopathic hypersomnia'

Idiopathic hypersomnia (IH) waa cilad hurdo ah taas oo qofku hurdo xad dhaaf ah (hypersomnia) inta lagu jiro maalinta oo ay dhibaato weyn ku tahay in hurdada laga toosiyo. Idiopathic macnaheedu waa ma jiro sabab cad.

IH waxay la mid tahay daawada narcolepsy ee aad u hurudo. Way ka duwan tahay narcolepsy maxaa yeelay IH badanaa kuma lug laha si lama filaan ah hurdo (hurdo weeraro) ama luminta xakameynta murqaha sababo shucuur xoog leh (cataplexy). Sidoo kale, si ka duwan sida loo yaqaan 'narcolepsy', hurdo yarida IH sida caadiga ah maahan mid nasiino leh.

Astaamuhu badanaa si tartiib ah ayey u kobcaan inta lagu jiro dhalinyarada ama qaangaarnimada. Waxaa ka mid ah:

• Hurdo maalmeedka oo aan yareynin lulmada
• Dhibaato ka soo kicinta hurdo dheer - waxaa laga yaabaa inay dareento jahwareer ama jahwareer ('' sakhraannimo hurdo '')
• Baahida hurdo ee kordhay maalintii - xitaa inta shaqada lagu jiro, ama waqtiga cuntada ama wadahadalka
• Waqtiga hurdada oo kordhay - ilaa 14 ilaa 18 saacadood maalintii

Calaamadaha kale waxaa ka mid noqon kara:

• Walaac
• Dareemid xanaaq
• Cunto xumo
• Tamar yar
• Degganaansho la'aan
• Fikir gaabis ah ama hadal
• Dhibaato xusuusta

Bixiyaha daryeelka caafimaadka ayaa wax kaa weydiin doona taariikhda hurdadaada. Habka caadiga ah ayaa ah in la tixgeliyo sababaha kale ee suurtogalka ah ee hurdada badan ee maalintii.

Dhibaatooyinka kale ee hurdada ee sababi kara hurdo maalmeedka waxaa ka mid ah:

• Narcolepsy
• Cunto xannibista hurdada
• Cudurka lugta ee aan xasilloonayn

Sababaha kale ee hurdada badan waxaa ka mid ah:

• Niyad jab
• Daawooyinka qaarkood
• Isticmaalka daroogada iyo aalkolada
• Hawlaha tayroodh oo hooseeya
• Dhaawac hore oo madaxa ah

Tijaabooyinka la dalban karo waxaa ka mid ah:

• Tijaabooyin badan oo hurdo la'aan ah (tijaabo lagu ogaanayo inta ay kugu qaadanayso inaad hurudo inta lagu jiro hurdada maalintii)
• Daraasadda hurdada (polysomnography, si loo aqoonsado cilladaha kale ee hurdada)

Qiimaynta caafimaadka maskaxda ee niyadjabka sidoo kale waa la samayn karaa.

Bixiyahaaga ayaa u badan inuu kuu qoro daawooyinka kiciya sida amphetamine, methylphenidate, ama modafinil. Daawooyinkani uma shaqeyn karaan sida ugu fiican xaaladan sida ay ugu shaqeeyaan narcolepsy.

Isbedelada qaab nololeedka ee kaa caawin kara fududeynta astaamaha iyo ka hortagga dhaawaca waxaa ka mid ah:

• Ka fogow aalkolada iyo daawooyinka xaalada ka sii dari kara
• Iska ilaali inaad ku shaqeyso gawaarida ama aad isticmaasho qalab khatar ah
• Iska ilaali inaad shaqeyso habeenkii ama howlaha bulshada ee dib u dhigaya waqtigaaga jiifka

Kala hadal xaaladaada daryeel caafimaad bixiyahaaga haddii aad soo noqnoqotay dhacdooyin hurdo maalmeed. Waxay sababi karaan dhibaato caafimaad oo u baahan baaritaan dheeraad ah.

Hypersomnia - idiopathic; Hurdo la'aan - idiopathic; Somnolence - idiopathic

• Qaababka jiifka ee dhalinyarada iyo da'da

Billiard M, Sonka K. Idiopathic hypersomnia. Hurdo Med Rev. 2016; 29: 23-33. PMID: 26599679 www.ncbi.nlm.nih.gov/pubmed/26599679.

Dauvilliers Y, Bassetti CL. Cudurka 'Idiopathic hypersomnia'. Gudaha: Kryger M, Roth T, Dement WC, eds. Mabaadi'da iyo Waxqabadka Daawada Hurdada. 6aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 91.