Ua ʻike anei ʻoe i kekahi i loko o kou hale e ala ana a hele a puni i ko lākou hiamoe? A i ʻole e ala koke ana me ka uē ʻana i ko lākou hiamoe? Ua loaʻa paha iā ʻoe nā ʻike like. He aha kēia mau mea kupanaha e hana maoli ana iā mākou i ko mākou hiamoe ʻana a ʻaʻole mākou i ʻike? Manaʻo kekahi poʻe he mau ʻuhane kēia. Akā i ka lāʻau lapaʻau, kapa mākou i kēia mau kūlana he Parasomnias. He ʻano pili kēia i ka hiamoe. Ke kamaʻilio nei mākou e pili ana i kēia i kēia lā.
I ka ʻōlelo maʻalahi, he aha nā parasomnias?
ʻO nā Parasomnias he mau ʻano a i ʻole nā ʻike maʻamau ʻole e kū mai ana i ka wā hiamoe, i ka wā e hiamoe ana, a i ʻole i ka wā e ala ai. Hiki ke hana ʻia kēia mau mea ma nā ʻano like ʻole.
Inā loaʻa iā ʻoe ka parasomnia, hiki iā ʻoe ke ʻike i nā mea e like me:
- Ke kamaʻilio nei i kou hiamoe ʻana.
- Hiamoe hele wāwae.
- He mau moeʻuhane ʻino kaʻu.
- Ke ala au mai ka hiamoe ʻana, ua huikau loa wau.
- ʻAʻole au e hoʻomanaʻo i kaʻu mea i hana ai i koʻu hiamoe ʻana i ke kakahiaka.
E noʻonoʻo i kēia: Ala aʻe kekahi lālā o ka ʻohana i waenakonu o ka pō a hele i ka lumi kuke e ʻimi i kahi mea. Kāhea ʻoe a ʻaʻole lākou e pane mai. ʻOiai ua wehe ʻia ko lākou mau maka, ʻaʻole lākou e like me he ala lā. Ke nīnau lākou iā lākou i ke kakahiaka, ʻaʻole lākou e hoʻomanaʻo i kekahi mea. ʻO ia ka mea e hana ʻia. I kekahi poʻe, ʻike ʻia paha ʻoe e ala ana, akā ua hiamoe maoli ʻoe.
Pehea e hoʻokaʻawale ai i nā parasomnias e like me nā pae hiamoe
Hoʻokaʻawale mākou i kēia mau kūlana i ʻekolu mau māhele nui e pili ana i ke kahua o ka hiamoe kahi e hana ʻia ai. Loaʻa i kā mākou hiamoe nā pae, e like me ke alapiʻi.
| Wā hiamoe | He wehewehe maʻalahi |
|---|---|
| Hiamoe neʻe maka wikiwiki ʻole (non-REM) | ʻO kēia nā pae mua ʻekolu o ka hiamoe. Hoʻomau kēia pae mai ka manawa a mākou e hiamoe ai a hiki i ka hapa mua o ka pō. ʻO kēia ka manawa a mākou e hana ai i nā mea e like me nā hana kino (hele wāwae) a me ke kamaʻilio ʻana. |
| Hiamoe wikiwiki o ka neʻe ʻana o ka maka (REM) | Hiki mai kēia ma hope o nā pae ʻekolu non-REM. I loko o kēia manawa, neʻe wikiwiki nā maka ma lalo o nā lihilihi maka. Piʻi ka helu o ka puʻuwai, ka hanu ʻana, a me ke koko. Moeʻuhane mākou me ka ʻike maopopo i kēia pae. Hiki mai nā maʻi e pili ana i kēia i ka pō. |
| ʻĒ aʻe | Hoʻokomo pū kēia me kekahi mau ʻano parasomnias i kūpono ʻole i kekahi o nā mahele i luna. |
I kēia manawa, e nānā kākou i nā kūlana e hāʻule ana ma lalo o kēlā me kēia mau māhele.
Nā ʻano o nā parasomnias e kū mai ana i ka wā hiamoe non-REM
Hoʻopili pinepine ʻia kēia mau mea me ka hana kino.
| Inoa kūlana | He aha ka mea e hana nei? |
|---|---|
| Nā mea weliweli hiamoe | ʻO kēia ka manawa e ala koke ai ʻoe me ka makaʻu nui a koke. Hiki iā ʻoe ke ʻuwā a uē paha i ka makaʻu. ʻO ka maʻamau, he 30 kekona ka lōʻihi o kēia, akā hiki i kekahi manawa ke mau no kekahi mau minuke. Hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka wikiwiki o ka puʻuwai, nā pupils dilated, ka hanu wikiwiki, a me ka hou ʻana. |
| Hiamoe hele wāwae / Somnambulism | He mea kēia a ka poʻe he nui i lohe ai. Ala aʻe ʻoe mai kahi moe, neʻe a puni me kou mau maka e hāmama ana, akā hiamoe nō ʻoe. I kekahi manawa hiki iā ʻoe ke hana i nā mea paʻakikī e like me ke kalaiwa kaʻa, hoʻokani i kahi mea kani, a pēlā aku. Hiki nō hoʻi iā ʻoe ke hana i nā mea āu e hana ʻole ai, e like me ka mimi ma kahi ʻaʻohe lua. |
| Nā hoʻāla huikau | Ma kēia, ke ala ʻoe mai ka hiamoe, ua huikau loa ʻoe a ʻaʻole maopopo i ka mea e hana nei. Hiki iā ʻoe ke noho i luna ma kahi moe me kou mau maka e hāmama ana. Hiki iā ʻoe ke hōʻike i nā manaʻo e like me ka uē ʻana. Ke kamaʻilio ʻoe, ʻōlelo lohi loa ʻoe a ʻaʻole maopopo i ka mea a haʻi e ʻōlelo nei. Hiki i kēia ke mau mai kekahi mau minuke a i nā hola. He mea maʻamau kēia i nā keiki ʻōpio a emi iho me ka makahiki. |
Nā ʻano o nā parasomnias e kū mai ana i ka wā hiamoe REM
Hoʻopili pinepine kēia i nā moeʻuhane a mākou e ʻike ai.
| Inoa kūlana | He aha ka mea e hana nei? |
|---|---|
| Ka maʻi moeʻuhane ʻino | He moeʻuhane ʻike nui ʻia kēia, he mea weliweli, a he mea hoʻonāukiuki hoʻi. Inā ʻoe e ala aʻe i ka wā o kēia moeʻuhane, hiki paha iā ʻoe ke wehewehe pono i ka moeʻuhane. He mea paʻakikī paha ke hoʻi e hiamoe. |
| Ka maʻi hiamoe hoʻokaʻawale hou | He mea kēia a ka poʻe he nui e ʻike ai. Ala ʻoe mai ka hiamoe, akā ʻaʻole hiki iā ʻoe ke neʻe. Manaʻo ia ua paʻa kou kino holoʻokoʻa. Hana pinepine kēia ma mua o kou hiamoe ʻana a i kou ala ʻana, i ka wā e hoʻomaha ai kou mau ʻiʻo. Hiki ke mau mai kekahi mau kekona a i kekahi mau minuke. He ʻike weliweli loa ia. Hiki iā ʻoe ke puka i waho o kēia kūlana inā kamaʻilio kekahi iā ʻoe a paʻi paha iā ʻoe. |
| Ka maʻi hiamoe REM (RSBD) | ʻO kēia ka manawa āu e hana maoli ai i kahi moeʻuhane ʻino e pane aku ai. Inā moeʻuhane ʻoe e hakakā ana me kekahi, hiki iā ʻoe ke ʻuwā, hōʻino, ʻakaʻaka, kīkēkē, a hopu paha iā lākou. ʻOi aku ka maʻamau o kēia i nā pākeke a me nā poʻe me nā maʻi neurological e like me ka maʻi Parkinson. |
Nā ʻano parasomnias ʻē aʻe
ʻAʻole kūpono kēia mau mea i kekahi o nā mahele i luna.
- ʻEnuresis hiamoe / Moe ʻana i ka ʻōpū: Ua manaʻo ʻia kēia he maʻi olakino inā mimi ke kanaka i ka wā hiamoe ma ka liʻiliʻi ʻelua i ka pule no ʻekolu mahina ma hope o 5 mau makahiki.
- ʻUwē/Catathrenia pili i ka hiamoe: Nā leo ʻūʻū a ʻūʻū mau i ka wā hiamoe.
- ʻO ka maʻi poʻo pahū: Ke hiamoe a ala paha, lohe paha ʻoe i kahi leo nui i loko o kou poʻo . Hiki paha iā ʻoe ke ʻike i nā kukui a manaʻo e haʻalulu ana kou kino.
- Nā hallucinations pili i ka hiamoe: Ke ʻike nei, lohe ʻana, a manaʻo paha i nā mea i ʻike ʻole ʻia i ka wā e hiamoe ana a i ʻole e ala ana.
- ʻO ka maʻi ʻai e pili ana i ka hiamoe: ʻO kēia ka manawa e ala ai ʻoe i kou hiamoe a ʻai a inu paha. Hiki paha iā ʻoe ke ʻai i nā mea āu e ʻai ʻole ai i kou wā e ala ana (e like me ka ʻiʻo maka a i ʻole kahi ʻāpana pata). Hiki ke lilo i mea weliweli kēia , no ka mea, hiki iā ʻoe ke ʻai i nā mea ʻawahia, ʻūlū, a puhi paha iā ʻoe iho i ka wā e hoʻomākaukau ana i ka meaʻai.
- Sexsomnia: Ke komo ʻana i nā hana moekolohe i ka wā hiamoe . Hiki i kēia ke komo pū me ka masturbation, ka moekolohe, a i ʻole ka hoʻopā ʻana i ke kanaka ma kahi moe.
He aha ka mea e hiki ai ke hana i nā parasomnias?
ʻAʻole hiki ke loaʻa hoʻokahi wale nō kumu no kēia. Hiki ke nui nā kumu.
I ka ʻōlelo maʻalahi, ʻo kekahi mea e hoʻopilikia ai i kāu hiamoe hiki ke lilo i kumu.
Eia kekahi o nā kumu nui:
- Hiamoe kūpono ʻole: Hoʻopilikia ʻia nā ʻano hiamoe ma muli o ka hana ʻana i ka manawa hoʻololi a me ka huakaʻi ʻana ma waena o nā ʻāina (jet lag).
- Nā mana hoʻoilina: Inā loaʻa kēia maʻi i kekahi o kou ʻohana, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe.
- ʻO kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau antibiotic, antidepressants, a me nā lāʻau koko kiʻekiʻe hiki ke hoʻololi i nā ʻano hiamoe.
- Nā kūlana olakino ʻē aʻe:
- ʻEha mau loa
- ʻO ka apnea hiamoe obstructive
- ʻO ka maʻi wāwae hoʻomaha ʻole
- Nā pilikia noʻonoʻo e like me ke kaumaha, ke kaumaha, a me ka hopohopo.
- Nā maʻi neurological e like me ka maʻi o Parkinson.
- Nā kumu ʻē aʻe: ka hoʻohana ʻana i ka waiʻona a i ʻole ka lāʻau lapaʻau, ke kuni, ka nele i ka hiamoe, a me ke kaumaha.
Pehea e ʻike ai i kēia maʻi?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka. ʻO ka maʻamau, e kuhikuhi aku kahi loea hiamoe (somnologist) iā ʻoe no ka loiloi hou aku.
E hana ke kauka i kēia mau mea:
1.Ke nīnau ʻana iā ʻoe a me kou ʻohana e pili ana i kāu mau ʻano hiamoe: E nīnau ʻia ʻoe e pili ana i kāu mau ʻano hiamoe e kāu hoa a i ʻole nā lālā o ka ʻohana, no ka mea, ʻaʻole paha ʻoe e hoʻomanaʻo i kēia mau mea.
2. Mōʻaukala lapaʻau: E nīnau ʻia ʻoe e pili ana i nā lāʻau lapaʻau āu e lawe ai, ka mōʻaukala lapaʻau ʻohana, a me ka hoʻohana ʻana i ka waiʻona.
3. E mālama i kahi puke moʻolelo hiamoe: No hoʻokahi a ʻelua paha pule, e kākau i lalo i ka manawa āu e hiamoe ai, ka manawa āu e ala ai, inā ʻoe e ala i ka pō, a inā paha he mea ʻē i hana ʻia.
4. Nā hoʻokolohua kūikawā: Inā pono, hiki ke kuhikuhi ʻia ʻoe no kahi haʻawina hiamoe (Sleep study / Polysomnogram). Pili kēia i ka noho ʻana i hoʻokahi pō ma ka haukapila. I loko o kēia manawa, nānā ʻia kou mau nalu lolo, ka helu o ka puʻuwai, ka hanu ʻana, a me nā neʻe ʻana o nā maka me ka hoʻohana ʻana i nā mīkini. Hiki ke hāʻawi ʻia iā ʻoe kahi hoʻokolohua wikiō EEG.
He aha nā lāʻau lapaʻau no nā parasomnias?
ʻAʻohe lāʻau hoʻokahi no kēia. Aia ka lāʻau i ke ʻano o ka parasomnia āu e loaʻa ai a me kona koʻikoʻi. Eia nō naʻe, hiki ke hoʻokele pinepine ʻia me nā hoʻololi ʻana i ke ʻano o ka nohona.
Nā mea maʻamau hiki iā ʻoe ke hana
- Ka mālama ʻana i ka maʻemaʻe o ka hiamoe:
- E hele e hiamoe i ka manawa like i kēlā me kēia lā a e ala aʻe i ka manawa like.
- E hiamoe maikaʻi no 7-9 hola i ka lā.
- E mālama i kou lumi moe i ka pōʻeleʻele, mālie, a me ke anu.
- E pale i ka inu ʻana i ke kofe a me ke kī kokoke i ka wā e hiamoe ai.
- E hoʻōki i ka hoʻohana ʻana i kāu kelepona, papa, a i ʻole TV ma mua o kou moe ʻana.
- Ka hoʻokele koʻikoʻi: Hiki i nā mea e like me ka noʻonoʻo ʻana a me ka yoga ke kōkua i ka hōʻemi ʻana i ke koʻikoʻi.
- Ke pale ʻana i ka waiʻona a me nā lāʻau lapaʻau.
Lapaʻau lapaʻau
ʻAʻole mālama pinepine ʻia nā parasomnias Non-REM (e like me ka hiamoe ʻana), ʻoiai i nā keiki, no ka mea, e nalowale ana lākou me ka ʻelemakule.
Eia nō naʻe, inā paha e hoʻoweliweli ke kūlana iā ʻoe a i ʻole nā mea ʻē aʻe, a inā paha e hoʻopilikia nui ia i kou ola o kēlā me kēia lā, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau. Hoʻohana ʻia ʻo Clonazepam, Melatonin, a me kekahi mau antidepressants no kēia.
ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka a koho i ke ʻano lapaʻau e kūpono loa iā ʻoe.
Pehea e hiki ai iā ʻoe ke pale aku i nā pilikia hiki mai ka hiamoe ʻana?
Inā he maʻi hiamoe kou, he mea nui loa ia e noʻonoʻo e pili ana i ka palekana.
- Ma loko o ka lumi moe, e mālama i nā lako hale ʻoiʻoi, nā kukui, a me nā mea ʻē aʻe mai kahi moe aku.
- E hiamoe ma ka papahele honua. E pale i nā moena papa ʻelua.
- E hoʻouka i nā mea hoʻāla leo ma nā puka a me nā puka makani.
- E hoʻopaʻa a mālama pono i nā mea kaua a me nā lako weliweli ma ka home.
- Inā ʻoe e mālama i kahi aniani wai i loko o ka lumi, e hoʻohana i ke kīʻaha palaki ma kahi o ke aniani.
- Inā pono, e hoʻokomo i nā pihi palekana keiki ma nā laka puka.
Āhea ʻoe e ʻike ai i ke kauka?
He mea maʻamau paha ke hana ʻia kēia mau mea i hoʻokahi a ʻelua paha manawa. Eia nō naʻe, inā loaʻa iā ʻoe kēia mau mea, e ʻike pono i ke kauka.
- Inā manaʻo ʻoe ʻaʻole lawa kāu hiamoe .
- Inā loaʻa pinepine kēia mau ʻano i ka wā hiamoe.
- Inā manaʻo ʻoe ua huikau ʻoe i kou ala ʻana mai ka hiamoe.
- Inā manaʻo ʻoe ʻaʻole hiki iā ʻoe ke hoʻoneʻe i kou kino ke ala ʻoe (sleep paralysis).
- Inā ua ʻeha ʻoe a i ʻole kou ʻohana a i ʻole e ʻeha ana paha ma muli o kēia.
- Inā hoʻohiamoe a luhi ʻoe i kēia kūlana i ke ao a hoʻopilikia i kāu hana.
Leka Lawe-Home
- He mau ʻano ʻē nā parasomnias i ka wā hiamoe. Hiki i kēia ke lawe i nā ʻano he nui, e like me ka hiamoe ʻana, ke kamaʻilio ʻana, a me ka hoʻoweliweli ʻana.
- ʻO ka hapa nui o kēia mau mea, ʻoiai nā mea i hana ʻia i ka wā kamaliʻi, ʻaʻole ia he mea weliweli a e nalo wale aku ia i ko lākou wā ʻelemakule.
- Hiki ke hoʻomalu ʻia ka nui o kēia mau kūlana ma ka hoʻomaʻamaʻa ʻana i ka hoʻomaʻemaʻe hiamoe maikaʻi a me ka hoʻēmi ʻana i ke kaumaha.
- Akā inā hana pinepine ʻia kēia mau ʻano, manaʻo ʻia he mea weliweli, a hoʻopilikia paha i kou ola o kēlā me kēia lā, mai kānalua e ʻimi i ke aʻo lapaʻau.
- Inā loaʻa iā ʻoe a i ʻole kāu keiki kēia maʻi, mai hopohopo. Me ke aʻo lapaʻau kūpono a me ka mālama ʻana, hiki iā ʻoe ke hoʻokele iā ia a ola i kahi ola maʻamau.
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