Ke hakakā nei hoʻi ʻoe i kou hiamoe ʻana? Ke uwē nei ʻoe? E aʻo kākou e pili ana i ka REM Sleep Behavior Disorder (RBD)!

Ua haʻi aku anei kāu hoa a i ʻole kekahi o kou hale iā ʻoe e uwē ana ʻoe, e kuʻi ana, a i kekahi manawa e hoʻouka aku ana i kekahi i kou hiamoe ʻana? Ua ala paha ʻoe me kahi palapū ma kou kino a noʻonoʻo, "He aha ka mea i hana iaʻu?" ʻAʻole paha he moeʻuhane maikaʻi ʻole kēia. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻano hiamoe ʻē, i kapa ʻia ʻo REM Sleep Behavior Disorder, a i ʻole RBD.

He aha ke ʻano o ka maʻi hiamoe REM (RBD)?

I ka ʻōlelo maʻalahi, ʻo ka `REM Sleep Behavior Disorder (RBD)` ʻo ia ka wā e noho ana ʻoe i ke kahua `REM (Rapid Eye Movement)` o ka hiamoe, a hana maoli ʻoe i kāu mau moeʻuhane, ʻo ia hoʻi, ke hana kino nei i nā mea āu e hana ai i loko o kāu mau moeʻuhane, ke kamaʻilio ʻana i loko o kāu mau moeʻuhane. ʻAʻole ʻoe i ʻike i ia mea ke hana nei ʻoe i kēia mau mea. Hāʻule kēia kūlana `RBD` ma lalo o ka māhele o `parasomnia`. ʻO `Parasomnia` kahi maʻi hiamoe i hōʻailona ʻia e nā hanana kino a i ʻole nā ​​​​ʻike i makemake ʻole ʻia e hoʻopilikia i ka hiamoe.

Ke hiamoe kākou, aia nā pae like ʻole o ka hiamoe. ʻO kekahi o kēia mau pae ua kapa ʻia ʻo 'REM sleep' . ʻO 'REM' ke kū nei no 'Rapid Eye Movement'. ʻO kēia ka manawa e neʻe wikiwiki ai nā maka. ʻO kēia ka manawa e loaʻa pinepine ai iā kākou nā moeʻuhane olaola a ʻālohilohi. Hele mākou i kēia mau pōʻaiapuni 'REM' i nā manawa he nui i ka pō. Hoʻomaka ka pōʻaiapuni 'REM' mua ma kahi o 90 mau minuke ma hope o ko mākou hiamoe ʻana, a he 10 mau minuke ka lōʻihi. ʻO kēlā me kēia pōʻaiapuni 'REM' e hiki mai ana e lōʻihi.

ʻElua ʻano nui o ka `RBD`:

1. `ʻO ka RBD i hoʻokaʻawale ʻia (idiopathic): ʻO ke ʻano kēia, hiki mai ke ʻano me ke kumu ʻole. ʻO ka mea pōʻino, hiki i ka nui o ka poʻe me ka `RBD i hoʻokaʻawale ʻia` ke loaʻa i kahi `ʻano neurodegenerative` (kahi ʻano e hoʻonāwaliwali mālie ai i ka ʻōnaehana nerve). ʻOi aku hoʻi, nā maʻi e like me ka `maʻi Parkinson` (ka maʻi Parkinson), `Lewy body dementia` (Lewy body dementia) a i ʻole `multiple system atrophy (MSA)` (multiple system atrophy). Ua kapa pinepine ʻia kēia mau maʻi ʻo `alpha-synucleinopathies`.

2. RBD hōʻailona (lua): Hoʻokumu ʻia kēia e kekahi maʻi ʻē aʻe. No ka laʻana, hiki ke hana i nā poʻe me ka maʻi hiamoe i kapa ʻia ʻo Type 1 narcolepsy . Inā loaʻa i ke kanaka ka alpha-synucleinopathy i ʻōlelo ʻia ma luna aʻe a me RBD, ua manaʻo ʻia hoʻi he RBD lua.

Eia kekahi, hiki i ka poʻe e lawe ana i kekahi mau antidepressants ke loaʻa i ka RBD. Ua kapa ʻia kēia he drug-induced RBD .

No ka mea hiki i kēia `RBD` ke hōʻeha iā ʻoe a i ʻole ke kanaka āu e hiamoe pū nei, he mea nui loa ia e makaʻala i kēia a e ʻimi i ka lāʻau lapaʻau inā pono.

ʻO wai ka mea iʻoi aku ka paʻakikī ke loaʻa iā RBD?

ʻO ka maʻi hiamoe REM (RBD) ka mea pinepine e pili ana i nā poʻe ma luna o 50 mau makahiki.ʻO ka awelika o ka makahiki o ka hoʻomaka ʻana o kēia maʻi ma kahi o 61 mau makahiki. Eia nō naʻe, he mea kākaʻikahi loa, hiki ke loaʻa kēia ʻano i nā keiki ʻōpio a me nā mākua ʻōpio.

Ma waena o nā kānaka ma luna o 50 mau makahiki, ʻeiwa manawa ka nui o ka loaʻa ʻana o ka RBD i nā kāne ma mua o nā wahine .

Ua pili loa ʻo RBD me kekahi mau maʻi neurodegenerative. E like me ka mea i ʻōlelo ʻia ma mua, ua ʻike ʻia he hapa nui o ka poʻe me ka RBD i hoʻokaʻawale ʻia (idiopathic) (ʻo ia hoʻi ʻo RBD i loaʻa me ke kumu ʻole) e hoʻomohala i ka maʻi Parkinson, ka dementia kino Lewy, a i ʻole ka atrophy ʻōnaehana lehulehu (MSA) i loko o 14 mau makahiki o ka hōʻoia ʻana .

Ma kahi o 36% o ka poʻe me ka `Type 1 narcolepsy` e loaʻa paha ka `RBD` lua. A ma kahi o 6% o ka poʻe e lawe ana i nā antidepressants e loaʻa paha ka `drug-induced RBD`.

Pehea ka maʻamau o RBD?

ʻO ka maʻi hiamoe REM (RBD) he maʻi laha ʻole ia. Hoʻopilikia ia ma kahi o 1% o ka heluna kanaka maʻamau. I ka poʻe ma luna o 50 mau makahiki, ma kahi o 2%.

Akā, ʻoi aku ka haʻahaʻa o kēia mau helu ma mua o ka mea maoli, no ka mea, he paʻakikī ke ʻike i ka RBD, a ma kahi o ka hapalua o ka poʻe me ke kūlana ʻaʻole lākou i ʻike he loaʻa iā lākou .

He aha nā hōʻailona o ka 'RBD'?

Hiki ke ʻokoʻa nā hōʻailona o ka `RBD` mai kēlā me kēia kanaka. Loaʻa pinepine i kekahi poʻe, aʻo kekahi poʻe ʻaʻole pinepine. I ka wā e hiamoe ana ke kanaka, hiki ke manaʻo ʻia he moeʻuhane maikaʻi ʻole kā lākou. Eia kekahi mau mea e hiki ke hana:

• Neʻe mālie ka ʻiʻo ma luna o koʻu kino, neʻe koʻu mau lālā.
• Ke kamaʻilio ʻana, ka hoʻōho ʻana, a i kekahi manawa ua ʻōlelo ʻia nā ʻōlelo hōʻino.
• Hoʻokamani lākou e kuʻi a hopu paha i kekahi, a i ʻole hiki iā lākou ke kuʻi a kīkē paha i ke kanaka ma kahi moe.
• Lele mai luna mai o ka moena, hāʻule i ka papahele.

E noʻonoʻo, e hiamoe ana kāu hoaaloha, ʻo Nilanthi, a me kāna kāne, ʻo Sugat, i ka pō a kāhea koke "E kali! E kali!" a kīkoʻo i ko lākou mau lima me he mea lā e kuʻi i kekahi. I kekahi manawa hāʻule ʻo Sugat mai kahi moe a hōʻeha iā ia iho. Ke ala lākou i ke kakahiaka, ʻaʻole hoʻomanaʻo ʻo Sugat i kekahi mea, akā hoʻomanaʻo ʻo ia i ka moeʻuhane āna i loaʻa ai. ʻO kēia ke ʻano o nā `RBD`.

Ua ʻōlelo ʻia he ʻewalu o ka ʻumi o ka poʻe me RBD e ʻeha nei i nā ʻeha hiamoe .

Hiki ke hana ʻia kēia mau hanana i hoʻokahi manawa a i ʻole kekahi mau manawa i ka wā hiamoe hoʻokahi. Loaʻa i kekahi poʻe i kēlā me kēia pō, aʻo kekahi poʻe ʻike pinepine ʻole iā lākou. ʻOi aku ka koʻikoʻi o nā hōʻailona ke loaʻa i ke kanaka kahi moeʻuhane ʻino a ʻino.

ʻO ka mea nui, ʻaʻole ʻoe i ʻike i ka wā e hana ʻia ai kēia mau mea. ʻIke wale ka hapa nui o ka poʻe i ia mea ke haʻi aku kekahi ma kahi moe iā lākou, a i ʻole ke ʻike ʻia lākou e kekahi ma ka home, a i ʻole ke ala aʻe lākou i ke kakahiaka me kahi ʻeha ma ko lākou kino.

Inā hoʻāla kekahi iā ʻoe i kēia manawa, hiki iā ʻoe ke ala maʻalahi. Ke ala ʻoe, makaʻala ʻoe a hoʻomanaʻo i kāu mau moeʻuhane. Ua kapa ʻia kēia he 'nā weliweli pō'.He ʻokoʻa ia mai nā 'pō weliweli'. He mea paʻakikī ke hoʻāla i kekahi, a i ko lākou ala ʻana, me he mea lā ua hopohopo a huikau loa lākou.

I kekahi manawa, hiki i ka poʻe me ka `Obstructive sleep apnea (OSA)` (pale ʻana i ka hanu ʻana i ka wā hiamoe) ke hōʻike i kēia mau hōʻailona. Ua kapa ʻia kēia he `pseudo RBD` . I loko o ia poʻe, ke mālama ʻia ka `OSA`, nalo nā ʻano.

He aha nā kumu o ka 'RBD'?

ʻO ka maʻamau, i ka wā e hiamoe ana kākou i ka hiamoe REM, i ka wā e moeʻuhane ai kākou, nui o ko kākou mau ʻiʻo (ʻoi aku hoʻi nā ʻiʻo iwi) e nalowale ana kā lākou hana no kekahi manawa. Ua kapa ʻia kēia he `muscle atonia` . Hana ʻia kēia i hiki ai iā kākou ke moeʻuhane me ka palekana me ka ʻole o ka hana maoli ʻana i nā mea a kākou e hana nei i loko o kā kākou mau moeʻuhane. E noʻonoʻo i ka mea e hana ʻia inā ʻaʻohe o kākou ia mea! Inā holo maoli kākou i loko o kā kākou mau moeʻuhane a lele maoli i loko o kā kākou mau moeʻuhane, hiki iā kākou ke komo i kahi ulia, ʻeā?

Akā, ʻaʻole ʻike ka poʻe me RBD i kēia nalowale manawa pōkole o ka hana ʻiʻo i kapa ʻia ʻo muscle atonia. ʻO ia ke kumu e hana ai lākou me ka ʻike ʻole a kamaʻilio e pili ana i nā mea a lākou e hana ai i kā lākou mau moeʻuhane. ʻAʻole maopopo loa i nā kānaka noiʻi ke kumu o kēia. Nui nā ala neural paʻakikī e pili ana i ka hiamoe REM.

Nā kumu o ka `Isolated (idiopathic) RBD`

ʻO kekahi kumumanaʻo nui, ʻo ka RBD i hoʻokaʻawale ʻia (idiopathic) i hoʻokumu ʻia e kahi pilikia i loko o nā pons, kahi ʻāpana o ka lolo, e hoʻoulu ai i ka atonia ʻiʻo i ka wā hiamoe REM. Hoʻomalu kekahi mau cell i loko o nā pons i ka ʻūlū ʻana o nā ʻiʻo i ka wā hiamoe REM. Ua pili pū ʻia nā ʻeha i loko o nā pons i ka maʻi Parkinson, ka dementia kino Lewy, a me MSA. Ma muli o ka pilina ikaika ma waena o ka RBD i hoʻokaʻawale ʻia a me kēia mau maʻi, manaʻoʻiʻo nā mea noiʻi he pilikia paha i loko o nā pons ke kumu.

Ua hōʻike ʻia kekahi noiʻi he 97% o ka poʻe me ka 'isolated RBD' e loaʻa i kekahi o kēia mau maʻi neurological i loko o 14 mau makahiki o ko lākou hōʻoia ʻana he 'RBD', ʻo ka 'maʻi Parkinson' ka mea maʻamau.

Nā kumu o ka `Secondary (symptomatic) RBD`

He haʻahaʻa nā pae o kahi kemika lolo i kapa ʻia ʻo orexin a i ʻole hypocretin i ka poʻe me ka narcolepsy. Hoʻomalu kēia kemika i ka hiamoe, ke ala ʻana, a me ka makemake. Ke haʻahaʻa kēia kemika, hiki iā ia ke hoʻopilikia i ka hiamoe REM, e alakaʻi ana i ka RBD.

Nā kumu o ka 'RBD i hoʻoulu ʻia e ka lāʻau lapaʻau'

Manaʻo nā kānaka noiʻi ʻo ka RBD i hoʻokumu ʻia e kekahi mau antidepressants ma muli paha o ke kaulike ʻole o nā neurotransmitters dopamine a me serotonin , e pili ana i ka hiamoe REM.

Pehea e ʻike ai i ka `RBD`? (Diagnosis)

Inā loaʻa iā ʻoe nā hōʻailona o 'RBD', pono ʻoe e ʻike i ke kauka.E nīnau ke kauka iā ʻoe e pili ana i kou mau hōʻailona a me kou mōʻaukala olakino. Inā he kanaka āu e moe pū ai a i ʻole he ʻohana paha kāu, hiki i ke kauka ke nīnau iā lākou e pili ana i kāu mau ʻano hiamoe.

E nānā ke kauka iā ʻoe ma ke kino a hana i kahi hoʻokolohua neurological. Hiki ke kuhikuhi ʻia ʻoe i kahi loea hiamoe.

I mea e ʻike pono ai inā loaʻa iā ʻoe ʻo RBD, pono ʻoe e hana i kahi haʻawina hiamoe wikiō i loko o ka lab, i ʻike ʻia hoʻi he polysomnogram (PSG) . Hana pinepine ʻia kēia ma kahi haukapila a i ʻole ke kikowaena hiamoe, kahi āu e hoʻolilo ai i ka pō holoʻokoʻa ma lalo o ka nānā ʻana o ke kāmela. Hoʻopaʻa kēia hoʻāʻo i nā mea e pili ana i kou kino i kou wā hiamoe:

• Ka helu o ka puʻuwai.
• Ka wikiwiki o ka hanu ʻana a me ke kahe ʻana o ke ea.
• Hana nalu lolo.
• Nā neʻe ʻana o nā maka.
• Nā neʻe ʻana o nā ʻiʻo o kou ʻauwae a me nā lālā o luna.

Wahi a ka International Classification of Sleep Disorders, Third Edition (ICSD-3), pono e loaʻa nā mea a pau e hiki mai ana i mea e ʻike ʻia ai me RBD:

• Ke loaʻa mau nei iā ʻoe nā hanana kahi āu e kamaʻilio ai i kou hiamoe a/a i ʻole e hana i nā neʻe paʻakikī.
• Pono e hōʻoia ʻia kēia mau ʻano e kahi hoʻāʻo polysomnography (PSG) a pono e hana ʻia i ka wā hiamoe REM. A i ʻole, ma muli o kou mōʻaukala lapaʻau, pono lākou e hōʻike i ka hiamoe REM.
• Pono ka hoʻāʻo `PSG` e hōʻike he `muscle atonia` (nalowale ke ola o nā ʻiʻo) kou i ka wā hiamoe `REM`. (`hiamoe REM me ka ʻole o ka atonia` - RWA).
• Pono e nalo ka hana e pili ana i ka hopu ʻana i ka wā hiamoe REM.
• ʻAʻole pono e wehewehe maikaʻi ʻia kēia mau pilikia hiamoe e kekahi maʻi hiamoe ʻē aʻe, kekahi maʻi ʻē aʻe, kahi maʻi noʻonoʻo, kahi hopena ʻaoʻao o ka lāʻau lapaʻau, a i ʻole kahi maʻi hoʻohana ʻona.

Pehea e mālama ʻia ai ʻo RBD?

ʻO ka pahuhopu nui i ka mālama ʻana i kēia `RBD` ʻo ia ka hāʻawi ʻana i ka hiamoe palekana no ʻoe a me kāu hoa . Aia nā ʻano hana like ʻole a i kekahi manawa nā lāʻau lapaʻau no kēia.

Nā hana e hana ai no ka palekana

Eia kekahi mau mea hiki iā ʻoe ke hana e hana i kahi wahi hiamoe palekana:

• E wehe i nā mea ʻoi, ke aniani, a me nā mea kaumaha mai a puni ka moena.
• E kau i kahi mea palupalu, e like me ka uluna, ma waena ou a me ke poʻo o ka moena a i ʻole ka papa moe.
• E kau i kahi moena ma ka papahele ma ka ʻaoʻao o ka moena inā hāʻule ʻoe mai kahi moe, a i ʻole e hoʻokomo i nā ala moe i hoʻoluʻu ʻia ma nā ʻaoʻao ʻelua o ka moena.
• No kekahi poʻe, hiki i ka hiamoe ʻana i loko o ka ʻeke moe ke kōkua.

Inā koʻikoʻi loa kou mau hōʻailona, ​​​​ʻoi aku ka maikaʻi iā ʻoe ke hiamoe hoʻokahi ma kahi lumi kaʻawale no ka palekana o kāu hoa hiamoe.

Eia kekahi, pono ʻoe e pale i ka inu ʻana i ka waiʻona i ka hiki , no ka mea, hiki i ka waiʻona ke hoʻonui i ka hanana o 'RBD' a hoʻonui i ke kūlana.

Nā lāʻau lapaʻau no ka `RBD`

Inā koʻikoʻi kou mau hōʻailona, ​​a ʻaʻole hiki i nā hana palekana wale nō ke pale aku i ka ʻeha, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e kāohi i kou mau hōʻailona. ʻOiai ʻaʻohe lāʻau lapaʻau i ʻāpono ʻia e ka FDA no RBD, ua hōʻike nā haʻawina e hiki i ka melatonin, clonazepam, a me ka pramipexole ke hōʻemi i nā hōʻailona i kekahi manawa.

• Melatonin: He hormone kēia i hana maoli ʻia e ka pineal gland i loko o ko kākou lolo. He mea nui ia no ka hoʻoponopono ʻana i kā kākou pōʻaiapuni hiamoe-ala. Loaʻa ka melatonin synthetic ma ke ʻano he lāʻau lapaʻau. Ua manaʻo ʻia kēia ʻo ia ka lāʻau lapaʻau mua no RBD no ka mea he kakaikahi wale nō nā hopena ʻaoʻao. E hoʻomaka ke kauka me kahi mahele haʻahaʻa a hoʻonui mālie i ka mahele a hiki i ka emi ʻana o nā hōʻailona.
• Clonazepam: He lāʻau hoʻomaha kēia. ʻAʻole maopopo i nā kānaka noiʻi pehea e kōkua ai me RBD. Eia nō naʻe, ʻike ka nui o ka poʻe me RBD ʻo ka lawe ʻana i kahi mahele haʻahaʻa o clonazepam ma mua o ka moe ʻana e hōʻemi a hoʻopau paha i nā moeʻuhane ʻino, ka uē ʻana, a me ka hiamoe ʻana. Eia nō naʻe, hiki i ka clonazepam ke loaʻa kekahi mau hopena ʻino ʻole. ʻO ia ke kumu e kuhikuhi ai kāu kauka iā ia inā ʻaʻole hāʻawi ka melatonin i ka hōʻoluʻolu lawa.
• Pramipexole: He agonist dopamine kēia. Kuhi nui nā kauka iā ia no ka maʻi o Parkinson a me ka restless leg syndrome. Akā ua hōʻike ʻia nā noiʻi hou e hiki nō hoʻi ke hōʻemi i nā hōʻailona o RBD. Manaʻo nā kānaka noiʻi e hana ana kēia lāʻau lapaʻau no ka mea ʻo RBD kahi kūlana i hoʻokumu ʻia e ka nele o ka dopamine (dopaminergic deficiency disorder).

Hiki ke pale ʻia ka RBD?

I ka hapanui o nā hihia, ʻaʻohe mea hiki iā mākou ke hana e pale aku ai i ka RBD. ʻO kēia no ka mea aia nā mea pilikia i hiki ʻole iā mākou ke pale aku a hoʻololi paha. No ka laʻana, kou mau makahiki, a inā paha he narcolepsy a he maʻi neurodegenerative paha kāu.

Akā inā hoʻokumu ʻia ʻo RBD e nā mea e like me ka waiʻona, a inā piʻi aʻe nā hōʻailona, ​​​​e nalowale paha ka RBD ke pau ʻoe i ka hoʻohana ʻana i kēlā mau mea.

He aha ka wānana o RBD?

ʻO ke ala e hiki mai ana o RBD, ʻo ia hoʻi, kahi e hele ai ka maʻi, e hilinaʻi ʻia ma luna o kekahi mau kumu:

• Inā paha he kumu kumu. ʻO ia hoʻi, inā paha ma muli o ka 'narcolepsy' (ʻelua 'RBD'), kahi antidepressant ('drug-induced RBD'), a i ʻole inā ua hana wale ʻia (me ka manawa ʻole - 'isolated RBD').
• Pehea ke koʻikoʻi o kou mau hōʻailona a inā paha e hōʻeha nei lākou iā ʻoe.
• Inā paha e ʻimi i ka lāʻau lapaʻau a i ʻole.
• Inā he maʻi ʻōnaehana nerve kou me RBD.

ʻO ka mea nui a koʻikoʻi hoʻi o ka RBD ʻo ia kona pilina me nā maʻi neurological, ʻoiai ka maʻi Parkinson, ka atrophy ʻōnaehana lehulehu, a me ka dementia kino Lewy. Hōʻike ka nui o nā hōʻike e hiki i ka RBD ke lilo i hōʻailona mua o kēia mau maʻi. He ʻoiaʻiʻo loa kēia inā loaʻa koke ka RBD, me ke kumu ʻole, a ʻaʻole ma muli o ka narcolepsy a i ʻole ka lāʻau lapaʻau.

Hiki i ka RBD ke hōʻeha nui iā ʻoe a/a i ʻole kāu hoa hiamoe, no laila he mea nui loa ka ʻimi ʻana i ka lāʻau lapaʻau.

ʻAʻole maikaʻi ka wānana no ka poʻe me RBD a me kahi maʻi neurological. No ka laʻana, ua ʻike ʻia he haʻahaʻa ke ʻano o ke ola o ka poʻe me ka maʻi Parkinson mua a me RBD ma mua o ka poʻe me ka maʻi Parkinson mua akā ʻaʻohe RBD.

He aha nā pilikia e hiki ke loaʻa mai ka RBD?

Loaʻa i kēia poʻe ka pilikia nui o ka hōʻeha ʻana iā lākou iho a i ʻole kekahi poʻe ʻē aʻe ma kahi moe ma muli o kā lākou neʻe ʻana i kekahi manawa me ka ikaika i ko lākou hiamoe ʻana. Eia kekahi, ʻoiai ua hoʻopau pinepine ʻia ka hiamoe, hiki i kēia ke hoʻopilikia i ka maikaʻi o ka hiamoe holoʻokoʻa.

Nā ʻano ʻeha hiki ke loaʻa:

• Nā palapū.
• Nā ʻoki.
• Nā ʻūmiʻi.
• Nā iwi haki.
• Nā kūlana koʻikoʻi e like me nā ʻeha poʻo a me nā hematomas subdural (ke kahe ʻana o ke koko i loko o ke poʻo) .

I kekahi manawa hiki i kēia mau ʻeha ke hoʻoweliweli i ke ola .

Ua hōʻike ʻia he 90% o nā hoa o ka poʻe me RBD i loaʻa nā pilikia hiamoe , a ʻoi aku ma mua o 60% i loaʻa i nā ʻeha kino .

No laila, he mea nui loa ka ʻimi ʻana i ka lāʻau no RBD a ma ka liʻiliʻi e hana i kahi ʻano no ka hiamoe palekana.

Āhea ʻoe e ʻike ai i ke kauka e pili ana i ka `RBD`?

• Inā ua ʻike ʻia ʻoe me ka `isolated RBD` (RBD me ke kumu ʻole), pono ʻoe e ʻike pinepine i ke kauka e `nānā i nā hōʻailona` o nā maʻi neurological e pili pono ana iā ia (`Parkinson's`, `Lewy body dementia`, `MSA`).
• Inā loaʻa iā ʻoe kekahi mau hōʻailona hou, e like me nā pilikia me ka neʻe ʻana a i ʻole nā ​​​​loli noʻonoʻo, e ʻike koke i ke kauka.
• Inā ʻeha ʻoe a i ʻole kekahi mea āu e hiamoe pū ai ma muli o RBD, e ʻimi koke i ke kōkua lapaʻau.

He maʻi noʻonoʻo anei ʻo `RBD`?

ʻAʻole, ʻaʻole ʻo `REM Sleep Behavior Disorder (RBD)` he `maʻi noʻonoʻo`. ʻAʻole ia e like me ka `maʻi naʻau` a i ʻole ka `maʻi hopohopo`. ʻO `RBD` kahi `maʻi hiamoe` - ʻo ia hoʻi kekahi ʻano `parasomnia`.

Hiki ke hoʻoluhi a hoʻonāukiuki loa ke hōʻeha ʻino iā ʻoe iho a i ʻole kekahi āu e hiamoe pū ai. Inā haʻi kāu hoa iā ʻoe e hakakā nei ʻoe a e uē ana paha i kou hiamoe ʻana, mai lawe māmā. E kamaʻilio me ke kauka. Hiki iā lākou ke paipai i kahi noiʻi hiamoe e ʻike inā loaʻa iā lākou ka RBD, a hiki ke kuhikuhi i ka lāʻau lapaʻau inā pono. E hoʻomanaʻo, ʻo ka mea nui loa, ʻo ia ka hoʻokumu ʻana i kahi wahi hiamoe palekana e pale aku ai i ka ʻeha.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

No laila, inā ʻoe a i ʻole kekahi āu i ʻike ai e hana ʻē ana i ko lākou hiamoe ʻana - e uwē ana, e hoʻolele ana i ko lākou mau lima, e hāʻule ana mai kahi moe, a pēlā aku - mai hoʻokuke wale iā ia me he moeʻuhane ʻino lā. He maʻi hiamoe REM paha ia (RBD).

ʻOi loa aku inā e hōʻeha ia iā ʻoe iho a i ʻole kekahi poʻe ʻē aʻe, e ʻimi pono i ke kōkua lapaʻau. E hoʻomanaʻo, hiki i kēia ke lilo i hōʻailona mua o kekahi mau maʻi neurological koʻikoʻi. No laila, he mea nui loa ka ʻike mua ʻana a me ka hana ʻana i nā hana e pono ai. ʻO kou hiamoe, ka hiamoe o kāu hoa, a me ka palekana o nā mea ʻelua he mea nui loa ia. No laila e mālama pono i kēia.

ʻO ka maʻi hiamoe REM, RBD, nā maʻi hiamoe, ka hele wāwae ʻana, ka uē ʻana o ka hiamoe, nā pilikia hiamoe, nā maʻi neurological