Understanding and Coping With Narcolepsy and Symptoms

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Narcolepsy Symptoms and How to cope

Narcolepsy is a type of chronic neurological disease that is caused by inability and failure of the brain to stimulate sleep wake cycles. At certain times in a day, the patient with narcolepsy suffers extreme sleepiness especially during the day. For times which the sleepiness becomes uncontrollable, narcoleptics will suddenly fall asleep in minutes. There are also cases where patients fall asleep suddenly for an hour or even longer. However these cases are very rare.

People with narcolepsy’s sleep episode frequently appear at any time. They may fall asleep even while doing something or at any places like school, work place, while driving, while playing games, and even while having a conversation. This can be really dangerous to them as it can bring harm to them especially when they are using hazardous machinery and driving.
Furthermore, in the daytime excessive sleepiness, there are three main symptoms that normally summarize narcolepsy that are hallucination upon waking up, cataplexy, or a sudden muscle control loss, and paralysis at the end or start of their sleep.

Commonly believed, most people that have narcolepsy did not spend much proportion of their time to sleep in the 24 hours day as normal sleepers. Beside, there was addition of drowsiness that leads to sleepiness during the day for narcoleptics. Most of them also experiences awakenings during night time. Because of these, this narcolepsy disease are considered as a disorder of their usual boundaries between waking up and sleeping period.

For adults, usual night sleep is when they get to sleep for almost eight hours. But it is different for people with narcolepsy. A sleep cycle were showed by segments of non rapid eye movement (NREM) sleep then only the period of rapid eye movement (REM) sleep. Non rapid eye movement period can be divided into groups according to the frequent and size of brain waves. For rapid eye movement sleep, it is followed by rapid eye movement along with heightened activity in brain and temporary muscles paralysis. This affects the body movement and body posture.

When patient are awakened, they tend to “have a dreams” often if they had been in rapid eye movement sleep than when they had been in non rapid eye movement sleep. The period from non rapid eye movement sleep to rapid eye movement sleep were caused by interactions in neurons that are the nerve cells which stay in certain part in brain.

Scientist and specialist doctors believe that narcolepsy is caused by the process that affect the brain mechanisms and regulate rapid eye movement sleep. For normal people, their usual sleep cycle is from 100 up to 110 minutes, beginning with the non rapid eye movement sleep to rapid eye movement sleep after 80 until 100 minutes. For narcoleptics, they normally enter rapid eye movement sleep within only a few minutes from the beginning of falling asleep.

Until today, there is no proven cure for treating narcolepsy. So, the sudden sleep onset, cataplexy and over sleepiness on the daytime were treated by involving the combination of the practice in getting sufficient sleep, drugs and medicines, and special treatment. While there is no one proven method for treating narcolepsy, you can help yourself tremendously by understanding this condition.

 

Struggling with Narcolepsy Symptoms

Article by Gerrard Mackenzie









Imagine a life that is consistently attacked by sleepiness and drowsiness. It is like a sleeping pill with a sustained release formula which can instantly debilitate a person anytime and anywhere, in the most unexpected situations (during brief conversations, while driving, sitting in a public place, etc.)

It may be a frustrating for narcolepsy patients to always feel helpless to nature’s call to sleep during the waking hours, especially considering the fact that they have to live with it for the rest of their lives. The persistence of narcolepsy all throughout life however, does not mean that one cannot do anything but to completely surrender to the sleep attacks. At the very least, one can control its major symptoms like excessive daytime sleepiness, cataplexy, sleep paralysis, hypnagogic hallucinations, and automatic behavior.

The process of accurately identifying the problem involves thorough assessment by means of clinical evaluation, accomplishment of questionnaires, sleep logs or diaries, and sleep laboratory tests. Clinical evaluation may include the accomplishment of medical history and physical examination. Accomplishment of various standard questionnaires can help estimate of the degree of daytime sleepiness. Here, activities are enumerated and the patient will be asked to recall and rate the likelihood of him / her falling asleep during such activities. Sleep log or a sleep diary can also be maintained for a more accurate evaluation of disruptions in sleep pattern.

Polysomnogram and the multiple sleep latency test (MSLT) are some test which can confirm the diagnosis of narcolepsy. The polysomnogram is used to record sleep brain waves, the number of nerve functions, as well as muscle functions during nighttime sleep, while the multiple sleep latency test (MSLT) is used to measure the degree of daytime sleepiness.

Most likely, it is narcolepsy if the patients easily fall asleep and in an instant, they enter the REM sleep stage, the 5th and the last sleep stage. Unlike in the case of people with healthy sleep, who pass through stages 1 to 4 first (though there are times when they regress to a lower stage and later on progress to a higher stage), narcoleptics by-pass the initial stages characterized by gradual slowing of brain waves.

All these tests help rule out other sleep disorders which may have similar symptoms like insomnia (as narcoleptics could experience disturbed nighttime sleep) and REM sleep disorder.

Since the combination of symptoms may vary from person to person, treatment is individualized or symptoms-based. Generally, central nervous system stimulants are used to treat excessive daytime sleepiness, a symptom experienced by 100% of narcolepsy patients. Other classes of medications are prescribed for other symptoms.

Non-pharmacologic measures on the otherhand, may involve scheduling of short naps (10 to 15 minutes) two to three times per day to help control excessive daytime sleepiness and to help a narcoleptic stay alert throughout the day. Most narcoleptic patient symptoms also improve with a regular 7

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