"I thought I was just able to sleep. If I hadn't fallen head and blood this time, I hadn't realized that the problem would be so serious!" Recalling the scene before the medical treatment, Zhang Qiang (pseudonym) and his family were still palpitating. It turned out that Zhang Qiang fell asleep while brushing his mobile phone. He fell off the stool, resulting in bruised nose and bleeding nose. His family rushed him to Wuhan brain hospital and Changjiang Shipping general hospital for treatment. Zhang Qiang, 54, was a night shift taxi driver. He began to become sleepy a year ago. No matter chatting, after dinner, or driving, he would always doze off. Thinking that the work and rest of day and night might disturb sleep, he quit work and went home to have a rest. But the situation has not improved. In the past month, as long as you feel sleepy, you will "fall asleep in one second". You will suddenly fall asleep several times a day, lasting about half an hour each time, which has seriously affected your daily life and social life. After knowing the details of Zhang Qiang's illness in detail and his behaviors such as snoring, talking in sleep, shouting and dancing at night, Li Jin, deputy chief physician of Neurology, suggested that he immediately accept polysomnography monitoring, nap test and other examinations. The examination results suggest that although Zhang Qiang's "sleep apnea hypopnea" and "sleep behavior disorder" at night lead to the decline of night sleep quality to a certain extent, his uncontrollable sleepiness during the day is largely caused by another chronic sleep disorder with unknown cause - paroxysmal sleeping sickness. Li Jin said that with the progress of the disease, patients with narcolepsy will have frequent, non field and uncontrollable signs of sleepiness during the day. Patients often have a clear mind after a short sleep, but they don't want to sleep for long. Although the disease itself is not fatal, it will not affect intelligence, memory and growth and development. However, once Zhang Qiang falls asleep quickly without protection and falls to the ground, it will seriously endanger personal safety. In order to prevent further aggravation of the disease, Li Jin formulated a daytime symptomatic treatment plan for Zhang Qiang's paroxysmal sleeping disease. At the same time, he was suggested to wear a ventilator at night to improve snoring and hypoxia, supplemented by mild drug treatment to control abnormal behaviors such as dreaminess and shouting at night. At present, after a week of comprehensive treatment, Zhang Qiang's abnormal sleep behavior at night disappeared, snoring was significantly improved, and daytime sleepiness was significantly alleviated. remind Although paroxysmal sleeping sickness cannot be prevented, it can be found, intervened and controlled early. Li Jin reminded that if there is an increase in frequent and uncontrollable sleepiness during the day, you can try to make the following changes in life and behavior habits: try to avoid using drugs that can lead to drowsiness, such as some anti allergic drugs; Before doing important things, find a suitable place to take a nap for 10-30 minutes; Arrange time during the day to take a nap, and ensure sufficient sleep time at night. For example, after self adjustment, the sleep at night is significantly improved, but the daytime is still very sleepy, and there are even symptoms such as weakness or severe sudden onset induced by strong emotions. We must go to the neurology department of the regular hospital as soon as possible and actively treat the symptoms under the evaluation of professional doctors. (outlook new era)
Edit：Yuanqi Tang Responsible editor：Xiao Yu
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