Ðe nèle agbagba dzem le wò alɔ̃ me hã? Ðe nèdoa ɣlia? Mina míasrɔ̃ nu tso REM Sleep Behavior Disorder (RBD) ŋu!

Ðe wò zɔhɛ alo wò aƒemetɔ aɖe gblɔ na wò kpɔ be èdoa ɣli, ƒoa nu, eye ɣeaɖewoɣi gɔ̃ hã nèdzea ame aɖe dzi le wò alɔ̃ mea? Ðewohĩ ènyɔ hã kple abi le wò ŋutilã ŋu eye nèbia ɖokuiwò be, “Nukae dzɔ ɖe dzinye?” Ðewohĩ menye drɔ̃e vɔ̃ aɖe koe esia nye o. Egbea, míele nu ƒom tso alɔ̃dɔdɔ ƒe nuwɔna wɔnuku sia, si woyɔna be REM Sleep Behavior Disorder, alo RBD ŋu.

Nukae nye `REM Alɔ̃dɔdɔ ƒe Nuwɔna ƒe Dɔléle (RBD)`?

Kpuie ko la, `REM Sleep Behavior Disorder (RBD)` nye ne èle `REM (Rapid Eye Movement)` ƒe alɔ̃dɔdɔ ƒe afɔɖeɖea me, eye le nyateƒe me la, èwɔa wò drɔ̃ewo, si fia be, èle nusiwo nèwɔna le wò drɔ̃ewo me wɔm le ŋutilã me, nèle nu ƒom le wò drɔ̃ewo me. Mènyae ne èle nusiawo wɔm o. `RBD` nɔnɔme sia dzena le `parasomnia` ƒe hatsotso me. `Parasomnia` nye alɔ̃dɔdɔ ƒe kuxi si ƒe dzesi enye ŋutilã me nudzɔdzɔ alo nuteƒekpɔkpɔ siwo mebɔ o eye womelɔ̃ o siwo gblẽa alɔ̃dɔdɔ me.

Ne míedɔ alɔ̃ la, alɔ̃dɔdɔ ƒe akpa vovovowoe nɔa anyi. Woyɔa afɔɖeɖe siawo dometɔ ɖeka be `REM alɔ̃dɔdɔ` . `REM` tsi tre ɖi na `Ŋku ƒe Ʋuʋu Kaba`. Esiae nye ɣeyiɣi si me ŋkuwo ʋãna kabakaba. Esiae nye ɣeyiɣi si me míekua drɔ̃e siwo me kɔ, siwo me kɔ nyuie zi geɖe. Míetoa `REM` ƒe tsatsam siawo me zi geɖe le zã me. `REM` ƒe tsatsam gbãtɔ dzea egɔme abe miniti 90 ene le míaƒe alɔ̃dɔdɔ megbe, eye wòxɔa abe miniti 10 ene. `REM` ƒe tsatsam ɖesiaɖe si kplɔe ɖo la didi wu.

`RBD` ƒomevi vevi eve li:

1. `Isolated (idiopathic) RBD`: Esia fia be nɔnɔmea dzɔna nusi gbɔ wòtso koŋ manɔmee. Nublanuitɔe la, ame geɖe siwo ŋu `RBD si woɖe ɖe aga` le ate ŋu axɔ `ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie` (nɔnɔme si gbɔdzɔa lãmekawo ƒe dɔwɔwɔ vivivi) mlɔeba. Vevietɔ, dɔlélewo abe `Parkinson ƒe dɔléle` (Parkinson ƒe dɔléle), `Lewy ŋutilã ƒe tagbɔdɔ` (Lewy ŋutilã ƒe tagbɔdɔ) alo `multiple system atrophy (MSA)` (multiple system atrophy). Wogayɔa dɔléle siawo be `alpha-synucleinopathies`.

2. Dzesiwo (evelia) RBD: Esia tsoa nɔnɔme bubu si le ete gbɔ. Le kpɔɖeŋu me, ate ŋu adzɔ le amesiwo ŋu alɔ̃dɔdɔ ƒe kuxi aɖe si woyɔna be Type 1 narcolepsy . Ne alpha-synucleinopathy kple RBD siaa si míeyɔ va yi le ame aɖe ŋu la, wobua eŋu hã be enye RBD evelia.

Azɔ hã, amesiwo noa blanuilélenutsitike aɖewo ate ŋu axɔ RBD. Woyɔa esia be RBD si atikewo hena vɛ .

Esi `RBD` sia ateŋu agblẽ nu le ŋuwò alo amesi nèle alɔ̃ dɔm kplii si mèdi o ta la, ele vevie ŋutɔ be nànya esia eye nàdi atike ne ehiã.

Amekae ate ŋu axɔ RBD wu?

REM Sleep Behavior Disorder (RBD) dzea amesiwo xɔ wu ƒe 50 dzi zi geɖe.Ƒe si dɔléle sia dzea egɔme le mama dedie nu anɔ abe ƒe 61 ene. Gake ƒã ŋutɔ be nɔnɔme sia ate ŋu adzɔ le ɖevi suewo kple sɔhɛ tsitsiwo hã me.

Le amesiwo xɔ wu ƒe 50 dome la, ŋutsuwo ate ŋu axɔ RBD abe zi gbɔ zi enyi ene wu nyɔnuwo .

RBD do ƒome kplikplikpli kple ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie. Abe alesi míegblɔe va yi ene la, wokpɔe be amesiwo ŋu RBD si woɖe ɖe aga (idiopathic) (i.e. RBD si dzɔna evɔ wometso nu bubu aɖeke gbɔ o) ƒe akpa gã aɖe xɔa Parkinson ƒe dɔléle, Lewy ŋutilã ƒe tagbɔdɔ, alo multiple system atrophy (MSA) le ƒe 14 me tso esime wokpɔ dɔlélea .

Ame siwo ŋu `Type 1 narcolepsy` le la dometɔ siwo ade 36% ate ŋu akpɔ `RBD` evelia. Eye amesiwo le blanuilélenutsitikewo zãm dometɔ siwo ade 6% ate ŋu anye `RBD si atikewo hena vɛ`.

Aleke gbegbee RBD bɔe?

Le nyateƒe me la, REM Sleep Behavior Disorder (RBD) nye dɔléle si mebɔ kura o . Edzea amewo katã ƒe 1% lɔƒo dzi. Le ame siwo xɔ wu ƒe 50 gome la, anɔ abe 2% ene.

Gake xexlẽme siawo ate ŋu aɖiɖi wu alesi wole ŋutɔŋutɔ, elabena ate ŋu asesẽ be woakpɔ RBD, eye amesiwo ŋu dɔlélea le ƒe afã lɔƒo menya gɔ̃ hã be ele yewo ŋu o .

Nukae nye `RBD` ƒe dzesiwo?

`RBD` ƒe dzesiwo ateŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ame aɖewo toa wo me enuenu, evɔ ame bubuwo ya metoa wo me edziedzi o. Ne ame le alɔ̃ dɔm la, ate ŋu ase le eɖokui me abe ɖe wòle drɔ̃e vɔ̃ aɖe kum ene. Nu siwo ate ŋu adzɔ dometɔ aɖewoe nye esi:

• Lã si le nye ŋutilã dzi la le ʋuʋum vivivi, nye abɔwo ʋuʋuna.
• Wogblɔa nuƒoƒo, ɣlidodo, kple ɣeaɖewoɣi nya gbegblẽwo.
• Wowɔna abe ɖe wole ame ƒom alo lée ene, alo woate ŋu aƒo amea alo aƒo afɔ na amea le aba dzi gɔ̃ hã.
• Titri tso aba dzi, gege ɖe anyigba.

Bu eŋu kpɔ, xɔ̃wò Nilanthi kple srɔ̃a Sugat le alɔ̃ dɔm le zã me eye kasia wodo ɣli be "Lé asi! Lé ɖe asi!" eye wokeke woƒe abɔwo ɖe enu abe ɖe wole ame aɖe ƒom ene. Ɣeaɖewoɣi la, Sugat dzea anyi tso aba dzi hedea abi eɖokui. Ne wofɔ le ŋdi me la, Sugat meɖoa ŋku naneke dzi o, gake eɖoa ŋku drɔ̃e si wòku dzi. Esiae nye `RBDs` ƒe nɔnɔme.

Wogblɔ be ame enyi le ewo ɖesiaɖe me siwo ŋu RBD le la xɔa abi le alɔ̃dɔdɔ me .

Nudzɔdzɔ siawo ate ŋu adzɔ zi ɖeka alo zi geɖe le alɔ̃dɔdɔ ɖeka me. Ame aɖewo toa wo me zã sia zã, evɔ ƒã hafi ame bubuwo hã toa wo me. Dzesiawo nu sẽna wu ne ame le drɔ̃e baɖa sesẽ aɖe si me ŋutasẽnuwɔwɔ le la kum.

Nu vevitɔe nye be, mènya ɣekaɣie nusiawo dzɔna o. Ne ame aɖe si le aba dzi gblɔe na wo, alo ne ame aɖe le aƒeme kpɔ wo, alo ne wofɔ le ŋdi me kple abi le woƒe ŋutilã ŋu ko hafi ame akpa gãtɔ nyaa nu tso eŋu.

Ne ame aɖe nyɔ wò le ɣeyiɣi sia me la, àte ŋu anyɔ bɔbɔe. Ne ènyɔ la, ènɔa ŋudzɔ eye nèɖoa ŋku wò drɔ̃ewo dzi. Woyɔa esia be `zã me ŋɔdzinuwo`.Eto vovo tso `zã dziŋɔwo` gbɔ. Esesẽna be woanyɔ ame aɖe, eye ne enyɔ gɔ̃ hã la, edzena abe ɖe wòtsi dzodzodzoe ŋutɔ eye wòtɔtɔ ene.

Ɣeaɖewoɣi la, amesiwo ŋu `Obstructive sleep apnea (OSA)` (gbɔgbɔ ƒe mɔxexe le alɔ̃dɔdɔ me) hã ateŋu aɖe dzesi siawo afia. Woyɔa esia be `pseudo RBD` . Le ame siawo tɔgbe me la, ne wowɔ atike na `OSA` la, nuwɔnaawo nu yina.

Nukae nye nusiwo gbɔ `RBD` tsona?

Zi geɖe la, ne míele `REM` alɔ̃ me, ne míeku drɔ̃e la, míaƒe lãmeka geɖe (vevietɔ ƒumelãwo) megawɔa dɔ o hena ɣeyiɣi aɖe. Woyɔa esia be `lãmeka ƒe atonia` . Esia dzɔna ale be míate ŋu aku drɔ̃e dedie evɔ míawɔ nusiwo míele wɔwɔm le míaƒe drɔ̃ewo me ŋutɔŋutɔ o. Bu nusi adzɔ ne menye ema mele mía si o ŋu kpɔ! Ne míeƒu du ŋutɔŋutɔ le míaƒe drɔ̃ewo me eye míeti kpo ŋutɔŋutɔ le míaƒe drɔ̃ewo me la, míate ŋu adze afɔku, alo?

Gake amesiwo ŋu RBD le mekpɔa lãmekawo ƒe dɔwɔwɔ ƒe bu ɣeyiɣi kpui aɖe ƒe sia si woyɔna be lãmeka ƒe atonia o. Esia tae wowɔa fefe le manyamanya me heƒoa nu tso nusiwo wowɔna le woƒe drɔ̃ewo me ŋu ɖo. Numekulawo mese nusitae wòdzɔna alea gɔme bliboe haɖe o. Ahɔhɔ̃mekawo ƒe mɔ sesẽ geɖe li siwo kpɔa gome le REM alɔ̃dɔdɔ me.

Nusiwo hea `RBD si woɖe ɖe aga (idiopathic)` vɛ

Nufiafia vevi ɖekae nye be kuxi aɖe si le pons, si nye ahɔhɔ̃meka ƒe akpa aɖe, si hea lãmekawo ƒe atonia vɛ le REM alɔ̃dɔdɔ me gbɔe RBD si woɖe ɖe aga (idiopathic) tsona. Lãmenugbagbevi aɖewo siwo le pons me kpɔa lãmekawo ƒe tete dzi le REM alɔ̃dɔdɔ me. Wogblɔ be abi siwo le pons me hã do ƒome kple Parkinson ƒe dɔléle, Lewy ƒe ŋutilã ƒe tagbɔdɔ, kple MSA. Le kadodo sẽŋu si le RBD si woɖe ɖe aga kple dɔléle siawo dome ta la, numekulawo xɔe se be kuxi aɖe si le pons me ate ŋu anye nusi gbɔ wòtso.

Numekuku ɖeka ɖee fia be amesiwo ŋu `RBD si woɖe ɖe aga` le ƒe 97% xɔa ahɔhɔ̃medɔ siawo dometɔ ɖeka le ƒe 14 me tso esime wokpɔ `RBD`, eye `Parkinson ƒe dɔléle` ye nye esi bɔ wu.

Nusiwo hea `Evelia (dzesiwo) RBD` vɛ

Atike aɖe si woyɔna be orexin alo hypocretin mesɔ gbɔ ɖe amesiwo ŋu alɔ̃madɔmadɔ le ƒe ahɔhɔ̃ me o . Atike sia kpɔa alɔ̃dɔdɔ, ŋudzɔnɔnɔ, kple nuɖuɖu ƒe dzodzro dzi. Ne atike sia mesɔ gbɔ o la, ate ŋu agblẽ REM alɔ̃dɔdɔ me, si ana RBD nadzɔ.

Nusiwo hea `Atikewo ƒe RBD` vɛ

Numekulawo xɔe se be RBD si blanuilélenutsitike aɖewo hena vɛ ate ŋu atso ahɔhɔ̃meka siwo nye dopamine kple serotonin , siwo kpɔa gome le REM alɔ̃dɔdɔ me ƒe masɔmasɔ gbɔ.

Aleke woawɔ akpɔ `RBD`? (Dɔléle ƒe dzesi) .

Ne `RBD` ƒe dzesiwo le ŋuwò la, ele be nàkpɔ ɖɔkta godoo.Ðɔktaa abia nya wò tso wò dzesiwo kple wò atikewɔwɔ ŋutinya ŋu. Ne ame aɖe le asiwò si nèmlɔna alo wò ƒomea me tɔwo la, ɖɔkta ate ŋu abia wo tso wò alɔ̃dɔdɔ ƒe nɔnɔmewo hã ŋu.

Ðɔktaa ado wò ŋutilã kpɔ eye wòado wò ahɔhɔ̃mekawo kpɔ. Woate ŋu aɖo wò ɖe alɔ̃dɔdɔ ŋuti nunyala aɖe hã gbɔ.

Be nànya kakaɖedzitɔe ne RBD le ŋuwò la, ele be nàwɔ video dzi alɔ̃dɔdɔ ŋuti numekuku le dodokpɔxɔ me, si woyɔna hã be polysomnogram (PSG) . Zi geɖe la, wowɔa esia le kɔdzi alo alɔ̃dɔƒe, afisi nènɔa zã bliboa katã le fotoɖemɔ̃ ƒe ŋkuléleɖenuŋu te. Dodokpɔ sia ŋlɔa nu siwo gbɔna tso wò ŋutilã ŋu ne èle alɔ̃ dɔm:

• Dzi ƒe tsotso.
• Yagbɔgbɔ ƒe tsɔtsɔme kple ya ƒe sisi.
• Ahɔhɔ̃ ƒe ƒutsotsoewo ƒe dɔwɔwɔ.
• Ŋku ƒe ʋuʋu.
• Wò asike kple wò abɔta ƒe lãmekawo ƒe ʋuʋu.

Le International Classification of Sleep Disorders, Third Edition (ICSD-3) ƒe nya nu la, ele be nusiwo gbɔna la katã nanɔ anyi hafi woakpɔ RBD le eŋu:

• Èyia edzi nɔa nudzɔdzɔ aɖewo wɔm siwo me nèƒoa nu le wò alɔ̃ me eye/alo nèwɔa ʋuʋu sesẽwo.
• Ele be woatsɔ polysomnography (PSG) dodokpɔ aɖo kpe nuwɔna siawo dzi eye ele be woadzɔ le REM alɔ̃dɔdɔ me. Alo, le wò dɔdaƒe ŋutinya nu la, ele be woafia be REM alɔ̃dɔdɔ.
• Ele be `PSG` dodokpɔa naɖee afia be `muscle atonia` (lãmeka ƒe agbenɔƒe ƒe bu) le ŋuwò le `REM` alɔ̃dɔdɔ me. (`REM alɔ̃dɔdɔ atonia manɔmee` - RWA).
• Ele be dɔwɔna si do ƒome kple alɔ̃dɔdɔ nabu le REM alɔ̃dɔdɔ me.
• Mele be woatsɔ alɔ̃dɔdɔ ƒe kuxi bubu, dɔléle bubu, tagbɔdɔléle, atikewo ƒe nugbegblẽ le ame ŋu, alo atike muamewo zazã ƒe kuxi aɖe aɖe alɔ̃dɔdɔ ƒe kuxi siawo me nyuie o.

Aleke wowɔa atike na RBD?

Taɖodzinu vevitɔ ne wole `RBD` sia dam enye be woana alɔ̃dɔdɔ dedie mia kple wò zɔhɛa . Mɔnu vovovowo li eye ɣeaɖewoɣi hã la, atikewo hã li na esia.

Afɔɖeɖe siwo wòle be woaɖe hena dedienɔnɔ

Nu aɖewo siwo nàte ŋu awɔ be nàna alɔ̃dɔdɔ ƒe nɔnɔme nanɔ dedie lae nye esi:

• Ðe nu ɖaɖɛ, ahuhɔ̃e, kple nu kpekpewo ɖa le abatia ŋu.
• Da nane falɛfalɛ, abe akɔtaɖonu ene, ɖe wò kple abadzivɔa ƒe ta alo zãdokeli dome.
• Da mattress ɖe anyigba le abatia xa nenye be ège tso aba dzi, alo nàde abadzivɔ siwo ŋu wofa nu ɖo la abatia ƒe akpa eveawo.
• Le ame aɖewo gome la, alɔ̃dɔdɔ le alɔ̃kotoku me hã ate ŋu akpe ɖe wo ŋu.

Ne wò dzesiawo nu sẽ ŋutɔ la, ate ŋu anyo wu be wò ɖeka nàmlɔ xɔ si le vovo me be wò zɔhɛ si le alɔ̃ dɔm la nanɔ dedie.

Azɔ hã, ele be nàƒo asa na ahanono alesi nàte ŋui , elabena aha ate ŋu ana `RBD` ƒe dzɔdzɔ nadzi ɖe edzi eye wòana nɔnɔmea nagagblẽ ɖe edzi.

Atike siwo wozãna na `RBD`

Ne wò dzesiwo nu sẽ, eye dedienɔnɔ ƒe ɖoɖowo ɖeɖe mate ŋu axe mɔ ɖe abixɔxɔ nu o la, wò ɖɔkta ate ŋu aŋlɔ atike na wò be wòaɖu wò dzesiawo dzi. Togbɔ be atike aɖeke meli si dzi FDA da asi ɖo koŋ na RBD o hã la, numekukuwo ɖee fia be melatonin, clonazepam, kple pramipexole ate ŋu aɖe dzesiawo dzi akpɔtɔ ɣeaɖewoɣi.

• Melatonin: Esia nye lãmetsi si pineal gland si le míaƒe ahɔhɔ̃ me wɔna le dzɔdzɔme nu. Ele vevie ŋutɔ be míaɖɔ míaƒe alɔ̃dɔdɔ kple nyɔnyrɔ̃ ƒe tsatsam ɖo. Melatonin si wowɔ la li abe atike ene. Wobua esia be enye atike gbãtɔ na RBD elabena eƒe nugbegblẽ le ame ŋu ʋɛ aɖewo koe. Ðɔktaa adze egɔme kple agbɔsɔsɔ sue aɖe eye wòadzi atikeawo ɖe edzi vivivi vaseɖe esime dzesiawo nu nafa.
• Clonazepam: Esia nye atike si naa ame ƒe dzi dzea eme. Numekulawo meka ɖe alesi wòkpena ɖe RBD ŋui dzi haɖe o. Gake ame geɖe siwo ŋu RBD le kpɔe be clonazepam ƒe agbɔsɔsɔ sue aɖe nono hafi amlɔ anyi ɖea drɔ̃e baɖawo, ɣlidodo, kple alɔ̃dɔdɔ dzi kpɔtɔna alo ɖea wo ɖa. Gake clonazepam ate ŋu akpɔ nugbegblẽ aɖewo siwo medzea ame ŋu o. Esia tae wò ɖɔkta ate ŋu aŋlɔe na wò ne melatonin mena gbɔdzɔe wò alesi dze o.
• Pramipexole: Esia nye dopamine ƒe dɔlékuiwutike. Parkinson ƒe dɔléle kple afɔ siwo meɖea dzi ɖi o ƒe dɔléle koŋue ɖɔktawo ŋlɔnɛ na. Gake numekuku siwo wowɔ nyitsɔ laa ɖee fia be ate ŋu aɖe RBD ƒe dzesiwo hã dzi akpɔtɔ. Numekulawo xɔe se be atike sia wɔa dɔ elabena RBD nye nɔnɔme si dopamine (dopaminergic deficiency disorder) ƒe anyimanɔmanɔ hena vɛ.

Ðe woate ŋu axe mɔ ɖe RBD nua?

Zi geɖe la, naneke meli míate ŋu awɔ atsɔ axe mɔ ɖe RBD nu o. Esia le alea elabena afɔku aɖewo li siwo míate ŋu axe mɔ na alo atrɔ o. Le kpɔɖeŋu me, ƒe si nèxɔ, alo nenye be alɔ̃madɔmadɔ alo ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie le ŋuwò.

Gake ne nuwo abe aha sesẽ ene gbɔe RBD tso, eye ne dzesiawo dzi ɖe edzi la, RBD ate ŋu nu ayi ne ènya dzudzɔ nu mawo zazã ko.

Nukae nye RBD ƒe ŋgɔdonya?

Alesi RBD awɔ le etsɔme, si fia afisi dɔlélea ayi, nɔ te ɖe nu geɖe dzi:

• Nenye be nane si gbɔ wòtso la li. Eyae nye be, eɖanye `narcolepsy` (secondary `RBD`), blanuilélenutsitike (`drug-induced RBD`), alo nenye be ɖeko wòdzɔ (le eɖokui si - `isolated RBD`) gbɔe wòtso.
• Alesi wò dzesiawo nu sẽe kple nenye be wole nu gblẽm le ŋuwò.
• Eɖanye be woadi atike alo womadi o.
• Eɖanye be lãmekawo ƒe dɔléle aɖe le ŋuwò kpe ɖe RBD ŋu o.

RBD ƒe akpa vevitɔ kple esi le vevie wue nye eƒe kadodo kple ahɔhɔ̃medɔlélewo, vevietɔ Parkinson ƒe dɔléle, ɖoɖo geɖe ƒe tsɔtsɔ, kple Lewy ŋutilã ƒe tagbɔdɔ. Kpeɖodzi siwo le dzidzim ɖe edzi ɖee fia be RBD ate ŋu anye dɔléle siawo ƒe nuxlɔ̃amedzesi kaba . Esia nye nyateƒe vevietɔ ne RBD dzɔna le eɖokui si, susu bubu aɖeke manɔmee, eye menye alɔ̃madɔmadɔ alo atike aɖe gbɔe wòtso o.

RBD ate ŋu agblẽ nu le wò kple/alo wò zɔhɛ si le alɔ̃ dɔm ŋu vevie, eyata ele vevie ŋutɔ be nàdi atike.

Zi geɖe la, nusiwo wogblɔ ɖi na amesiwo ŋu RBD kple ahɔhɔ̃mekawo ƒe dɔléle le la menyo o. Le kpɔɖeŋu me, wokpɔe be amesiwo ŋu Parkinson ƒe dɔlélea le gɔmedzedzea me kple RBD ƒe agbenɔnɔ bɔbɔ wu amesiwo ŋu Parkinson ƒe dɔlélea le le gɔmedzedzea me gake RBD mele wo si o.

Nukawoe nye kuxi siwo ate ŋu ado tso RBD me?

Ame siawo le afɔku gã aɖe me be woade abi wo ɖokui alo ame bubuwo ŋu le aba dzi le woƒe ʋuʋu sesĩe ɣeaɖewoɣi le woƒe alɔ̃ me ta. Azɔ hã, esi wònye be wotɔa alɔ̃dɔdɔ enuenu ta la, esia ate ŋu akpɔ ŋusẽ ɖe alɔ̃dɔdɔ ƒe nyonyome bliboa dzi.

Nuveviwɔame ƒomevi siwo ate ŋu adzɔ:

• Abi siwo woxɔna.
• Lãɖeɖewo.
• Aɖuɖɔtoewo.
• Ƒu siwo gbã.
• Nɔnɔme sesẽwo abe ta ƒe abixɔxɔ kple subdural hematomas (ʋu si dona le taɖua me) .

Ɣeaɖewoɣi la, abi siawo ate ŋu ade ame ƒe agbe afɔku me .

Woka nya ta be alɔ̃dɔdɔ ƒe kuxiwo le amesiwo ŋu RBD le ƒe zɔhɛ 90% ŋu , eye amesiwo wu 60% xɔ abi le ŋutilã me .

Eyata ele vevie ŋutɔ be woadi atike na RBD eye ne mede ɖeke o la, woawɔ nɔnɔme si me woadɔ alɔ̃ nyuie.

Ɣekaɣie wòle be nàkpɔ ɖɔkta tso `RBD` ŋu?

• Ne wokpɔe be `isolated RBD` (RBD si me nu bubu aɖeke mele o) le ŋuwò la, ahiã be nàyi ɖɔkta gbɔ edziedzi be `wòalé ŋku ɖe ahɔhɔ̃medɔléle siwo ate ŋu ado ƒome kplikplikpli kplii ƒe dzesiwo` ŋu (`Parkinson's`, `Lewy body dementia`, `MSA`).
• Ne dzesi yeye aɖewo dze ŋuwò, abe ʋuʋu alo susu ƒe tɔtrɔ ƒe nyawo ene la, yi ɖɔkta enumake.
• Ne wò alo ame aɖe si nèmlɔna la xɔ abi le RBD ta la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Ðe `RBD` nye tagbɔdɔlélea?

Ao, `REM Alɔ̃dɔdɔ ƒe Nuwɔna ƒe Dɔléle (RBD)` menye `tagbɔdɔléle` o. Menye abe `nɔnɔme ƒe dɔléle` alo `dzimaɖitsitsi ƒe dɔléle` ene o. `RBD` nye `alɔ̃dɔdɔ ƒe kuxi` – vevietɔ `parasomnia` ƒomevi aɖe.

Ate ŋu aɖe fu na wò ŋutɔ eye wòate ɖe ame dzi ŋutɔ ne èwɔ nuvevi ɖokuiwò alo ame aɖe si nèmlɔ anyi kplii le vo me. Ne wò zɔhɛ gblɔ na wò be èle avu wɔm alo le ɣli dom le wò alɔ̃ me la, mègabu eŋu nu tsɛe o. Ðo dze kple ɖɔkta aɖe. Woate ŋu aɖo aɖaŋu be woawɔ alɔ̃dɔdɔ ŋuti numekuku atsɔ akpɔe ɖa be RBD le yewo ŋu hã, eye woate ŋu aɖo aɖaŋu be woawɔ atike na yewo ne ehiã. Ðo ŋku edzi be nu vevitɔ kekeakee nye be nàwɔ alɔ̃dɔdɔ ƒe nɔnɔme si me dedienɔnɔ le be nàxe mɔ ɖe abixɔxɔ nu.

Mlɔeba la, ɖo ŋku esia dzi (Take-Home Message) .

Eyata, ne wò alo ame aɖe si nènya le nu wɔm nukutɔe le woƒe alɔ̃ me – le ɣli dom, le woƒe abɔwo ƒom, le gegem tso aba dzi, kple bubuawo – mègaɖee ɖa ko be enye drɔ̃e vɔ̃ o. Ate ŋu anye REM Alɔ̃dɔdɔ ƒe Nuwɔna ƒe Dɔléle (RBD).

Vevietɔ ne ewɔ nuvevi ɖokuiwò alo ame bubuwo la, kpɔ egbɔ be yebia atikewɔlawo ƒe aɖaŋuɖoɖo. Ðo ŋku edzi be esia ate ŋu anye ahɔhɔ̃medɔ sesẽ aɖewo ƒe dzesi gbãtɔ hã. Eyata ele vevie ŋutɔ be woade dzesii kaba eye woawɔ afɔɖeɖe siwo hiã. Wò alɔ̃dɔdɔ, wò zɔhɛ ƒe alɔ̃dɔdɔ, kple evea siaa ƒe dedienɔnɔ le vevie ŋutɔ. Eyata lé be na esia.

` REM alɔ̃dɔdɔ ƒe nuwɔna ƒe kuxi, RBD, alɔ̃dɔdɔ ƒe kuxiwo, alɔ̃dɔdɔ, alɔ̃dɔdɔ ƒe ɣlidodo, alɔ̃dɔdɔ ƒe kuxiwo, ahɔhɔ̃mekawo ƒe dɔlélewo