The girl sleeps as soon as she class!Doctor: Not lazy or sick
Author:Panyu Terrace Time:2022.09.12
Since junior high school, Jiang Jiang (a pseudonym) sleeps as soon as he class, and will faint when he laughs. The nightmares are constantly at night. It is not good for a year of school. Until the age of 23, she came to work in Shenzhen and checked at the neurology department of the General Hospital of Shenzhen University. This is a rare disease of only 2-6 of each 10,000 people. The peak age is 8-20 years old. It is the stage of children and adolescents that often cause long-term damage and trouble.
Sleeping in class and being kicked out by the teacher
The hallucination of "walking horselights" at night
At the age of 8, Jiang Jiang found that his eyes had umbelicitis, and he took a lot of medicines to treat diseases one after another. Later, he took hormones and immunosuppressants for a long time. Too concerned.
In the second day of the second year, Jiang Jiang had no consciously falling asleep in class, but because his grades were always among the best, the teacher did not have many tactics. In high school, there are more and more lessons during the daytime, and their homework gradually cannot keep up. The teacher thought many ways to let Jiang Jiang stand in class, let Jiang Jiang sit in the first row, and let the same table remind you from time to time. Jiang Jiang's sleepiness, she was sitting in the classroom, and she didn't even realize that she had fallen asleep. Some teachers gave up their efforts. Some teachers felt that Jiang Jiang had a bad attitude, he repeatedly taught, and even pulled her out of the classroom. Jiang Jiang had no choice, and slowly did not dare to explain to the teacher anymore.
During the day, torment at night, ginger and ginger are prone to hallucinations before going to bed. Various pictures are constantly appearing like a "walking lamp" in front of him. It is often awakened by nightmares in the middle of the night. She dared to fall asleep when she turned on the lamp in the bedroom. She had to drag the lamp into the bed. She woke up in the middle of the night and quickly turned on the light.
In addition, Jiang Jiang did not dare to laugh. When I was in junior high school, I went to watch a movie with my friends. I smiled too happily and fainted on the spot. Afterwards, they suddenly fainted several times. Jiang Jiang found that they were all related to laughter and emotional excitement. Naturally, they did not dare to laugh. They were forced to "Buddhism", and they must be super "calm" at any time.
Because of the pressure, Jiang Jiang discussed with his parents. After a year of high school, the local medical resources were limited. The doctor of the clinic said that only the eyes were inflamed. Take a needle on the eyeball. After a year, it still has not improved.
I have been taking medicine for many years, and I spent a lot of money at home. Jiang Jiang gave up silently. The only hope was to make money after growing up, and then went to the big city to check it well. I still wanted to know what happened to me.
Relying on this belief, Jiang Jiang was hard to admit to an ordinary university, and after graduation, he came to work in Shenzhen. Once, she accidentally saw reports on sleeping medicine, so she hung up the clinic number of the Neurology Department of Shenzhen University General Hospital with a mentality of trying, and wanted the doctor to "check" her sleep.
The average sleep incubation period is 5.3 minutes
The shortest 0.8 minutes
After asking the symptoms and history, the deputy chief physician of Huang Ruolan, who was admitted, told Jiang Jiang that her condition may not be because of drugs or uveitis. It was likely to have a seizure of sleep, and she had to identify with epilepsy. In order to find evidence, you need to conduct a multi -guided sleep monitoring + multiple sleeping incubation test.
Multi -guide sleep monitoring is a gold standard for evaluating disease -related diseases. It is a examination technology for continuous collection, recording and analyzing multiple sleep physiological parameters and pathological events in the sleep monitoring room.
Jiang Jiang followed the doctor's order and took a day to complete the inspection. The result was prompting: In the five -nagging test, she fell asleep within 8 minutes. The average sleeping period (from turning off the lights to sleeping) is only 2.8 minutes. The shortest time, she only took 0.8 minutes, and fell asleep in 48 seconds.
Dr. Huang Ruoran told her that this "second sleep" was a typical manifestation of seizure of sleep. Suddenly after laughing or emotional excitement is also one of the typical forms of seizures. The average time of normal people from lying on the bed to sleep is 10-30 minutes. If the sleeping time is too short, frequent sleep within eight minutes, eliminating the lack of sleep, you need to ask professionals to identify.
The doctor asked Jiang Jiang to check the blood routine, liver, kidney skills, and did not have obvious abnormalities. After the lumbar spine puncture, it was tested by the spinal liquid to Beijing's onset sleeping research center. Results: Hulkoulin (HCRT 1) has declined significantly, and HLA-DQB1 has genetic mutations.
This related gene HLA-DQB1 is the key to sleep awakening regulation. Similar to sleep-awakening "switch", gene mutations are equivalent to switching a bit "failure". The switching "failure" means that not only does not wake up during the day, but also not sleep well at night, such as frequent awakening, dreams, and pre -bed hallucinations.
The truth is big, and Jiang Jiang has been diagnosed with "seizure sleep disease". The doubts that have not been said in the past 10 years have finally had the answer. Dr. Huang Ruoran said that the disease may affect life. At present, the main treatment plan is that if there is a sudden attack, it can be controlled by medication; during the daytime, he can also find a way to reduce part, but the use of drugs is limited. The general method includes paying attention to improving night sleep, giving an appropriate environment, and avoiding excessive emotional excitement. In other words, if you find a way to "sleep well" at night, you can reduce the "second sleep" during the day.
In addition to the above symptomatic treatment, in recent years, with the improvement of the disease of the disease, it has also been found that adult patients have different characteristics and children with children. Patients in north and south have their own characteristics and may have different immune backgrounds related to influenza. These all suggest that the progress of scientific and technological progress in the future, the progress of immunotherapy may bring treatment to the treatment of seizures. About 2-6 people of every 10,000 people develop illnesses
The age of peak disease is 8-20 years old
According to research, the prevalence of seizure of sleep disease is about 2-6/100,000, and about 2-6 patients with sexual sleep disease per 10,000 people are 8-20 years old. The stage of children and adolescents. For this part of the patient, it is not because of being lazy, but because of being lazy, but because of the trouble of seizure.
The typical symptoms of patients with seizure of sleep diseases include excessive drowsiness during the day, sudden falls induced by emotional excitement, hallucinations before falling asleep, and sleeping paralysis (that is, commonly known as ghostly pressing beds, the brain is awakened, but the body still cannot move, which can be relieved by itself). Other symptoms include abnormal weight gain, night sleep disorders, emotional disorders, and puberty.
In 2021, Stanford University announced the latest results of the registration of sleeping in the United States. Although the first age of the disease was mostly adolescents, the average medical age was 26.4 years old, with an average diagnosis age of 30.1 years. 59%of patients have misdiagnosed once, and 29%of patients have experienced more than five diagnosis. Patients with illness on children are more obvious. The average period of first medical treatment to diagnosis has reached 4.5 years. This shows that sexual sleep diseases are still easy to be misdiagnosed and needed more attention and understanding.
The clinical standards of seizure of sleep diagnosis are mainly symptoms, multi -guided sleep monitoring, and multiple tests of lack of sleeping. This diagnosis is of great significance to occupations engaged in public safety (such as bus drivers and pilots). To classify this diagnosis, the cerebrospinal fluid is required to test the hypothalamic hydroma.
Southern Metropolis Daily (NDDAILY), N video reports
Nandu reporter Li Rong
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