Koj puas pw tsaug zog tsis taus thiab? Koj puas qw? Cia peb kawm txog REM Sleep Behavior Disorder (RBD)!

Koj tus khub lossis ib tug neeg hauv koj tsev neeg puas tau qhia rau koj tias koj qw, nplawm, thiab qee zaum txawm tawm tsam ib tug neeg thaum koj pw tsaug zog? Tej zaum koj kuj tau sawv los nrog ib qho mob ntawm koj lub cev thiab xav tias, "Ua li cas rau kuv?" Qhov no yuav tsis yog ib qho kev npau suav phem xwb. Hnub no, peb yuav tham txog tus cwj pwm pw tsaug zog txawv txawv no, hu ua REM Sleep Behavior Disorder, lossis RBD.

'REM Sleep Behavior Disorder (RBD)' yog dab tsi?

Hais yooj yim xwb, 'REM Sleep Behavior Disorder (RBD)' yog thaum koj nyob rau theem 'REM (Rapid Eye Movement)' ntawm kev pw tsaug zog, thiab koj ua koj txoj kev npau suav tiag tiag, uas yog, ua tej yam koj ua hauv koj txoj kev npau suav, tham hauv koj txoj kev npau suav. Koj tsis paub txog nws thaum koj ua tej yam no. Tus mob 'RBD' no poob rau hauv pawg ntawm 'parasomnia'. 'Parasomnia' yog ib qho kev pw tsaug zog tsis zoo uas yog tus cwj pwm los ntawm cov xwm txheej lossis kev paub tsis zoo thiab tsis xav tau uas cuam tshuam kev pw tsaug zog.

Thaum peb pw tsaug zog, muaj ntau theem sib txawv ntawm kev pw tsaug zog. Ib qho ntawm cov theem no hu ua 'REM pw tsaug zog '. 'REM' sawv cev rau 'Rapid Eye Movement'. Qhov no yog thaum lub qhov muag txav mus sai. Qhov no yog thaum peb feem ntau muaj kev npau suav pom tseeb, pom tseeb. Peb dhau los ntawm cov voj voog 'REM' no ntau zaus hauv ib hmos. Lub voj voog 'REM' thawj zaug pib li 90 feeb tom qab peb tsaug zog, thiab nws kav ntev li 10 feeb. Txhua lub voj voog 'REM' uas ua raws li ntawd ntev dua.

Muaj ob hom tseem ceeb ntawm 'RBD':

1. 'Raws li tsis paub meej (idiopathic) RBD': Qhov no txhais tau hais tias tus mob no tshwm sim yam tsis muaj laj thawj tshwj xeeb. Hmoov tsis zoo, ntau tus neeg uas muaj 'Raws li tsis paub meej' tuaj yeem tsim 'mob neurodegenerative' (mob uas maj mam ua rau lub paj hlwb tsis muaj zog). Tshwj xeeb, cov kab mob xws li 'Kab mob Parkinson' (Kab mob Parkinson), 'Lewy body dementia ' (Lewy body dementia) lossis 'multiple system atrophy (MSA)' (multiple system atrophy). Cov kab mob no kuj feem ntau hu ua 'alpha-synucleinopathies'.

2. Mob qaug dab peg (Raug mob theem ob): Qhov no yog los ntawm lwm yam mob uas ua rau mob qaug dab peg. Piv txwv li, nws tuaj yeem tshwm sim rau cov neeg uas muaj teeb meem pw tsaug zog hu ua Type 1 narcolepsy . Yog tias ib tug neeg muaj ob qho tib si alpha-synucleinopathy thiab RBD uas tau hais los saum toj no, nws kuj suav tias yog mob qaug dab peg theem ob.

Tsis tas li ntawd xwb, cov neeg uas noj qee yam tshuaj tiv thaiv kev nyuaj siab kuj tuaj yeem muaj RBD. Qhov no hu ua RBD uas ua rau muaj tshuaj .

Vim tias qhov 'RBD' no tuaj yeem ua rau koj lossis tus neeg koj pw nrog raug mob yam tsis xav tau, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no thiab nrhiav kev kho mob yog tias tsim nyog.

Leej twg yuav muaj feem mob RBD ntau dua?

REM Sleep Behavior Disorder (RBD) feem ntau cuam tshuam rau cov neeg hnub nyoog tshaj 50 xyoo.Tus kab mob no feem ntau pib muaj hnub nyoog li ntawm 61 xyoo. Txawm li cas los xij, tsis tshua muaj neeg mob li no rau cov menyuam yaus thiab cov hluas.

Ntawm cov neeg hnub nyoog tshaj 50 xyoo, cov txiv neej muaj feem yuav mob RBD li cuaj npaug ntau dua li cov poj niam .

RBD muaj feem cuam tshuam nrog qee yam kev puas tsuaj ntawm lub hlwb. Raws li tau hais ua ntej lawm, pom tias feem coob ntawm cov neeg uas muaj RBD cais tawm (idiopathic) (piv txwv li RBD uas tshwm sim yam tsis muaj lwm yam ua rau) tau mob Parkinson's, Lewy body dementia, lossis multiple system atrophy (MSA) hauv 14 xyoos tom qab kuaj pom .

Kwv yees li 36% ntawm cov neeg uas muaj 'Hom 1 narcolepsy' yuav muaj 'RBD' theem ob. Thiab kwv yees li 6% ntawm cov neeg uas noj tshuaj antidepressants yuav muaj 'RBD uas ua rau muaj tshuaj'.

RBD feem ntau tshwm sim li cas?

Kab mob pw tsaug zog REM (RBD) yog ib qho mob uas tsis tshua muaj . Nws cuam tshuam rau kwv yees li 1% ntawm cov pej xeem. Rau cov neeg hnub nyoog tshaj 50 xyoo, nws yog kwv yees li 2%.

Tiamsis cov lej no yuav qis dua li qhov lawv muaj tiag, vim tias RBD nyuaj rau kuaj mob, thiab kwv yees li ib nrab ntawm cov neeg uas muaj tus mob no tsis paub tias lawv muaj tus mob no .

Cov tsos mob ntawm 'RBD' yog dab tsi?

Cov tsos mob ntawm 'RBD' yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Ib txhia neeg muaj cov tsos mob no ntau zaus, thaum lwm tus neeg tsis tshua muaj. Thaum ib tug neeg pw tsaug zog, nws yuav zoo li lawv npau suav phem. Nov yog qee yam uas yuav tshwm sim tau:

• Cov nqaij ntawm kuv lub cev maj mam txav mus los, kuv ob txhais ceg co.
• Kev tham lus, kev qw nrov nrov, thiab qee zaum cov lus phem raug hais.
• Lawv ua txuj ntaus lossis ntes ib tug neeg, lossis lawv tuaj yeem ntaus lossis ncaws tus neeg ntawd hauv txaj.
• Dhia tawm ntawm txaj, poob rau hauv pem teb.

Xav txog seb, koj tus phooj ywg, Nilanthi, thiab nws tus txiv, Sugat, tab tom pw tsaug zog thaum hmo ntuj thiab mam li qw tias "Tos! Tog!" thiab ncab lawv txhais tes zoo li yuav ntaus ib tug neeg. Qee zaum Sugat poob ntawm txaj thiab ua rau nws tus kheej raug mob. Thaum lawv sawv thaum sawv ntxov, Sugat tsis nco qab dab tsi, tab sis nws nco qab tus npau suav uas nws muaj. Qhov no yog qhov xwm txheej ntawm 'RBDs'.

Lawv hais tias yim ntawm kaum tus neeg uas muaj RBD raug kev raug mob thaum pw tsaug zog .

Cov xwm txheej no tuaj yeem tshwm sim ib zaug lossis ntau zaus thaum lub sijhawm pw tsaug zog ib zaug. Ib txhia neeg muaj cov xwm txheej no txhua hmo, thaum lwm tus tsis tshua muaj. Cov tsos mob hnyav tshaj plaws thaum ib tus neeg muaj kev npau suav phem heev.

Qhov tseem ceeb yog, koj tsis paub tias tej yam no tshwm sim thaum twg. Feem ntau cov neeg tsuas paub txog qhov no thaum ib tug neeg pw hauv txaj qhia rau lawv, lossis thaum ib tug neeg hauv tsev pom lawv, lossis thaum lawv sawv thaum sawv ntxov nrog ib qho qhov txhab ntawm lawv lub cev.

Yog tias muaj ib tug neeg tsa koj sawv thaum lub sijhawm no, koj tuaj yeem yooj yim sawv. Thaum koj sawv, koj tseem ceeb thiab nco qab koj txoj kev npau suav. Qhov no hu ua 'kev ntshai hmo ntuj'.Nws txawv ntawm 'kev ntshai hmo ntuj'. Nws nyuaj rau tsa ib tug neeg sawv, thiab txawm tias thaum lawv sawv los, lawv zoo li ntxhov siab thiab tsis meej pem heev.

Qee zaum cov neeg uas muaj "Obstructive sleep apnea (OSA)" (kev ua pa tsis taus thaum pw tsaug zog) kuj tuaj yeem pom cov tsos mob no. Qhov no hu ua "pseudo RBD" . Rau cov neeg zoo li no, thaum kho "OSA" lawm, cov cwj pwm yuav ploj mus.

Dab tsi yog cov ua rau muaj 'RBD'?

Feem ntau, thaum peb pw tsaug zog 'REM', thaum peb npau suav, ntau cov leeg nqaij (tshwj xeeb tshaj yog cov leeg pob txha) poob lawv txoj haujlwm ib ntus. Qhov no hu ua 'muscle atonia' . Qhov no tshwm sim kom peb tuaj yeem npau suav tau zoo yam tsis tas ua tej yam peb ua hauv peb txoj kev npau suav. Xav txog seb yuav muaj dab tsi tshwm sim yog tias peb tsis muaj qhov ntawd! Yog tias peb tau khiav hauv peb txoj kev npau suav thiab dhia hauv peb txoj kev npau suav, peb tuaj yeem raug xwm txheej, puas yog?

Tiamsis cov neeg uas muaj RBD tsis muaj kev poob haujlwm ntawm cov leeg nqaij ib ntus no hu ua muscle atonia. Yog vim li ntawd lawv thiaj li tsis nco qab ua thiab tham txog tej yam uas lawv ua hauv lawv txoj kev npau suav. Cov kws tshawb fawb tseem tsis tau nkag siab tag nrho tias vim li cas qhov no thiaj tshwm sim. Muaj ntau txoj kev neural nyuaj uas cuam tshuam nrog REM pw tsaug zog.

Ua rau muaj 'Related (idiopathic) RBD'

Muaj ib lub tswv yim tseem ceeb uas qhia tias tus kab mob RBD uas raug cais tawm (idiopathic) yog tshwm sim los ntawm teeb meem hauv lub hlwb pons, ib feem ntawm lub hlwb, uas ua rau cov leeg nqaij tsis ua haujlwm thaum pw tsaug zog REM. Qee cov hlwb hauv lub hlwb pons tswj cov leeg nqaij thaum pw tsaug zog REM. Cov qhov txhab hauv lub hlwb pons kuj tau txuas nrog tus kab mob Parkinson, Lewy lub cev dementia, thiab MSA. Vim yog qhov sib txuas ntawm tus kab mob RBD uas raug cais tawm thiab cov kab mob no, cov kws tshawb fawb ntseeg tias qhov teeb meem hauv lub hlwb pons yuav yog qhov ua rau.

Ib txoj kev tshawb fawb qhia tau tias 97% ntawm cov neeg uas muaj 'RBD cais tawm' tau tsim ib qho ntawm cov kab mob neurological no hauv 14 xyoo ntawm lawv qhov 'RBD' kuaj pom, nrog 'kab mob Parkinson' yog qhov feem ntau.

Ua rau muaj 'RBD theem ob (uas muaj tsos mob)'

Cov neeg uas muaj tus kab mob narcolepsy muaj cov tshuaj lom neeg hauv lub hlwb hu ua orexin lossis hypocretin qis. Cov tshuaj no tswj kev pw tsaug zog, kev sawv, thiab kev ntshaw. Thaum cov tshuaj no qis, nws tuaj yeem cuam tshuam kev pw tsaug zog REM, ua rau RBD.

Ua rau muaj 'RBD uas ua rau muaj tshuaj'

Cov kws tshawb fawb ntseeg tias RBD tshwm sim los ntawm qee cov tshuaj antidepressants tej zaum yuav yog vim tsis sib npaug ntawm cov neurotransmitters dopamine thiab serotonin , uas koom nrog REM pw tsaug zog.

Yuav kuaj mob "RBD" li cas? (Kev kuaj mob)

Yog koj muaj cov tsos mob ntawm 'RBD', koj yuav tsum mus ntsib kws kho mob.Tus kws kho mob yuav nug koj txog koj cov tsos mob thiab koj keeb kwm kev kho mob. Yog tias koj muaj ib tus neeg uas koj pw nrog lossis cov neeg hauv tsev neeg nrog, tus kws kho mob kuj tseem yuav nug lawv txog koj tus cwj pwm pw tsaug zog.

Tus kws kho mob yuav kuaj koj lub cev thiab kuaj lub paj hlwb. Koj kuj tseem yuav raug xa mus rau tus kws tshwj xeeb txog kev pw tsaug zog.

Yuav kom paub tseeb tias koj puas muaj RBD, koj yuav tsum tau ua kev kawm txog kev pw tsaug zog hauv chav kuaj, tseem hu ua polysomnogram (PSG) . Qhov no feem ntau ua hauv tsev kho mob lossis chaw pw tsaug zog, qhov chaw koj siv sijhawm ib hmos tag nrho nyob rau hauv kev saib xyuas lub koob yees duab. Qhov kev xeem no sau cov hauv qab no txog koj lub cev thaum koj pw tsaug zog:

• Lub plawv dhia.
• Kev ua pa ceev thiab cua ntsawj.
• Kev ua haujlwm ntawm lub hlwb nthwv dej.
• Kev txav ntawm lub qhov muag.
• Cov leeg nqaij ntawm koj lub puab tsaig thiab sab saud.

Raws li International Classification of Sleep Disorders, Third Edition (ICSD-3), tag nrho cov hauv qab no yuav tsum muaj thiaj li kuaj tau tias muaj RBD:

• Koj pheej muaj cov ntu uas koj hais lus thaum koj pw tsaug zog thiab/lossis ua tej yam txav mus los nyuaj.
• Cov cwj pwm no yuav tsum tau lees paub los ntawm kev kuaj polysomnography (PSG) thiab yuav tsum tshwm sim thaum lub sijhawm pw tsaug zog REM. Los yog, raws li koj keeb kwm kev kho mob, lawv yuav tsum qhia txog kev pw tsaug zog REM.
• Qhov kev xeem `PSG` yuav tsum qhia tias koj muaj `cov leeg nqaij atonia` (kev poob ntawm cov leeg nqaij) thaum lub sijhawm `REM` pw tsaug zog. (`REM pw tsaug zog tsis muaj atonia` - RWA).
• Kev ua ub ua no ntsig txog qaug dab peg yuav tsum ploj mus thaum lub sijhawm pw tsaug zog REM.
• Cov teeb meem pw tsaug zog no yuav tsum tsis txhob piav qhia zoo los ntawm lwm yam kev pw tsaug zog tsis taus, lwm yam kab mob, kev puas siab puas ntsws, kev phiv tshuaj, lossis kev siv tshuaj yeeb dej cawv.

Yuav kho tus mob RBD li cas?

Lub hom phiaj tseem ceeb thaum kho qhov 'RBD' no yog los muab kev pw tsaug zog zoo rau koj thiab koj tus khub . Muaj ntau txoj hauv kev thiab qee zaum tshuaj rau qhov no.

Cov kauj ruam ua rau muaj kev nyab xeeb

Nov yog qee yam uas koj ua tau los tsim kom muaj ib puag ncig pw tsaug zog zoo:

• Tshem tawm cov khoom ntse, iav, thiab cov khoom hnyav ntawm ib puag ncig lub txaj.
• Muab ib yam dab tsi mos mos, xws li ib lub hauv ncoo, tso rau nruab nrab ntawm koj thiab lub headboard lossis lub rooj zaum hmo ntuj.
• Muab ib lub txaj pw tso rau hauv pem teb ib sab ntawm lub txaj yog tias koj poob ntawm lub txaj, lossis ntsia cov ntaub thaiv txaj pw uas muaj ntaub mos mos rau ob sab ntawm lub txaj.
• Rau qee tus neeg, kev pw hauv lub hnab pw kuj tseem yuav pab tau.

Yog tias koj cov tsos mob hnyav heev, tej zaum yuav zoo dua rau koj pw ib leeg hauv ib chav sib cais rau kev nyab xeeb ntawm koj tus khub pw.

Tsis tas li ntawd xwb, koj yuav tsum tsis txhob haus cawv ntau li ntau tau , vim tias cawv tuaj yeem ua rau muaj tus kab mob 'RBD' ntau ntxiv thiab ua rau mob hnyav zuj zus.

Cov tshuaj rau 'RBD'

Yog tias koj cov tsos mob hnyav heev, thiab kev ntsuas kev nyab xeeb ib leeg tsis tuaj yeem tiv thaiv kev raug mob, koj tus kws kho mob yuav sau tshuaj los tswj koj cov tsos mob. Txawm hais tias tsis muaj tshuaj uas FDA pom zoo rau RBD, kev tshawb fawb tau qhia tias melatonin, clonazepam, thiab pramipexole qee zaum tuaj yeem txo cov tsos mob.

• Melatonin: Qhov no yog ib yam tshuaj hormones uas tsim los ntawm lub qog pineal hauv peb lub hlwb. Nws yog qhov tseem ceeb rau kev tswj peb lub voj voog pw tsaug zog-sawv. Cov tshuaj melatonin tsim los ntawm cov tshuaj muaj nyob rau hauv daim ntawv tshuaj. Qhov no suav hais tias yog thawj kab kev kho mob rau RBD vim tias nws muaj tsawg heev cov kev mob tshwm sim. Tus kws kho mob yuav pib nrog cov koob tshuaj tsawg thiab maj mam nce cov koob tshuaj kom txog thaum cov tsos mob ploj mus.
• Clonazepam: Qhov no yog tshuaj loog. Cov kws tshawb nrhiav tseem tsis tau paub tseeb tias nws pab tau li cas rau RBD. Txawm li cas los xij, ntau tus neeg uas muaj RBD pom tias kev noj clonazepam tsawg ua ntej pw yuav txo lossis tshem tawm kev npau suav phem, qw, thiab taug kev pw tsaug zog. Txawm li cas los xij, clonazepam tuaj yeem muaj qee qhov kev phiv tsis zoo. Qhov no yog vim li cas koj tus kws kho mob yuav sau ntawv rau nws yog tias melatonin tsis muab kev pab txaus.
• Pramipexole: Qhov no yog ib qho tshuaj dopamine agonist. Cov kws kho mob feem ntau sau ntawv rau nws rau tus kab mob Parkinson thiab tus kab mob ceg tsis so. Tab sis kev tshawb fawb tsis ntev los no tau qhia tias nws kuj tseem tuaj yeem txo cov tsos mob ntawm RBD. Cov kws tshawb fawb ntseeg tias cov tshuaj no ua haujlwm vim RBD yog ib qho mob uas tshwm sim los ntawm qhov tsis muaj dopamine (dopaminergic deficiency disorder).

Puas tiv thaiv tau RBD?

Feem ntau, peb ua tsis tau dab tsi los tiv thaiv RBD. Qhov no yog vim muaj tej yam uas ua rau peb tsis tuaj yeem tiv thaiv lossis hloov pauv tau. Piv txwv li, koj lub hnub nyoog, lossis seb koj puas muaj mob narcolepsy lossis mob neurodegenerative.

Tab sis yog tias RBD yog los ntawm tej yam xws li cawv, thiab yog tias cov tsos mob nce ntxiv, RBD yuav ploj mus thaum koj tsis siv cov khoom ntawd lawm.

Kev kwv yees ntawm RBD yog dab tsi?

Lub neej yav tom ntej ntawm RBD, uas yog, qhov chaw uas tus kab mob yuav mus, nyob ntawm ntau yam:

• Seb puas muaj ib qho ua rau mob. Qhov ntawd yog, seb nws puas yog vim 'narcolepsy' ('RBD' theem ob), tshuaj antidepressants ('tshuaj ua rau RBD'), lossis seb nws puas tshwm sim (ua rau nws tus kheej xwb - 'RBD cais tawm').
• Koj cov tsos mob hnyav npaum li cas thiab seb lawv puas ua rau koj raug mob.
• Txawm yuav nrhiav kev kho mob los tsis nrhiav.
• Txawm koj muaj kab mob ntawm lub paj hlwb nrog rau RBD.

Qhov tseem ceeb tshaj plaws thiab loj tshaj plaws ntawm RBD yog nws txoj kev sib txuas nrog cov kab mob neurological, tshwj xeeb tshaj yog Parkinson's kab mob, ntau lub cev atrophy, thiab Lewy lub cev dementia. Cov pov thawj ntxiv qhia tias RBD tej zaum yuav yog ib qho cim ceeb toom ntxov ntawm cov kab mob no. Qhov no yog qhov tseeb tshwj xeeb yog tias RBD tshwm sim yam tsis muaj kev cuam tshuam, tsis muaj lwm yam ua rau, thiab tsis yog vim narcolepsy lossis tshuaj.

RBD tuaj yeem ua rau koj thiab/lossis koj tus khub pw tsaug zog raug mob hnyav, yog li nws tseem ceeb heev uas yuav tsum nrhiav kev kho mob.

Feem ntau, cov neeg uas muaj tus kab mob Parkinson theem pib thiab RBD muaj lub neej tsis zoo li cov neeg uas muaj tus kab mob Parkinson theem pib tab sis tsis muaj RBD.

Cov teeb meem uas yuav tshwm sim ntawm RBD yog dab tsi?

Cov neeg no muaj feem yuav raug mob hnyav thaum lawv pw tsaug zog vim lawv qee zaum ua rau lawv tus kheej lossis lwm tus raug mob. Tsis tas li ntawd xwb, vim tias kev pw tsaug zog feem ntau raug cuam tshuam, qhov no tuaj yeem cuam tshuam rau kev pw tsaug zog zoo.

Tej hom kev raug mob uas yuav tshwm sim tau:

• Cov qhov txhab.
• Txiav.
• Mob pob qij txha.
• Pob txha tawg.
• Cov mob hnyav xws li raug mob taub hau thiab subdural hematomas (los ntshav sab hauv lub taub hau) .

Qee zaum cov kev raug mob no tuaj yeem ua rau tuag taus .

Muaj kev tshaj tawm tias 90% ntawm cov khub ntawm cov neeg uas muaj RBD muaj teeb meem pw tsaug zog , thiab ntau dua 60% tau raug mob lub cev .

Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev kho mob rau RBD thiab tsawg kawg yog tsim kom muaj ib puag ncig rau kev pw tsaug zog zoo.

Thaum twg koj yuav tsum mus ntsib kws kho mob txog 'RBD'?

• Yog tias koj tau kuaj pom tias muaj tus kab mob 'RBD uas raug cais tawm' (RBD uas tsis muaj lwm yam ua rau), koj yuav tsum tau mus ntsib kws kho mob tsis tu ncua kom 'kuaj xyuas' cov cim ntawm cov kab mob hauv lub paj hlwb uas tej zaum yuav muaj feem cuam tshuam nrog nws ('Parkinson's', 'Lewy body dementia', 'MSA').
• Yog koj muaj cov tsos mob tshiab, xws li teeb meem nrog kev txav mus los lossis kev hloov pauv ntawm kev xav, mus ntsib kws kho mob tam sim ntawd.
• Yog tias koj lossis ib tus neeg uas koj pw nrog raug mob vim yog RBD, nrhiav kev pab kho mob tam sim ntawd.

Puas yog 'RBD' yog ib qho mob hlwb?

Tsis yog, 'REM Sleep Behavior Disorder (RBD)' tsis yog 'mob hlwb'. Nws tsis zoo li 'mob siab' lossis 'mob ntxhov siab'. 'RBD' yog 'mob pw tsaug zog' - tshwj xeeb yog ib hom 'parasomnia'.

Nws tuaj yeem ua rau koj tus kheej lossis ib tus neeg uas koj pw nrog raug mob thiab ua rau koj ntxhov siab heev. Yog tias koj tus khub qhia rau koj tias koj tab tom nyuaj siab lossis qw thaum koj pw tsaug zog, tsis txhob xav tias nws yooj yim. Tham nrog kws kho mob. Lawv yuav pom zoo kom mus kawm txog kev pw tsaug zog kom pom tias lawv puas muaj RBD, thiab yuav pom zoo kom kho yog tias tsim nyog. Nco ntsoov, qhov tseem ceeb tshaj plaws yog tsim kom muaj ib puag ncig pw tsaug zog nyab xeeb kom tiv thaiv kev raug mob.

Thaum kawg, nco ntsoov qhov no (Cov Lus Coj Mus Tsev)

Yog li ntawd, yog tias koj lossis ib tus neeg koj paub coj tus cwj pwm txawv txawv thaum lawv pw tsaug zog - qw, co lawv txhais tes, poob ntawm txaj, thiab lwm yam - tsis txhob tsuas yog tsis quav ntsej nws ua npau suav phem xwb. Nws yuav yog REM Sleep Behavior Disorder (RBD).

Tshwj xeeb tshaj yog tias nws ua rau koj tus kheej lossis lwm tus raug mob, nco ntsoov nrhiav kev pab kho mob. Nco ntsoov tias qhov no kuj tuaj yeem yog ib qho cim qhia ntxov ntawm qee yam kab mob loj hauv lub paj hlwb. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum kuaj pom nws thaum ntxov thiab ua cov kev ntsuas tsim nyog. Koj txoj kev pw tsaug zog, koj tus khub txoj kev pw tsaug zog, thiab kev nyab xeeb ntawm ob leeg yog qhov tseem ceeb heev. Yog li ntawd, ceev faj txog qhov no.

Kev pw tsaug zog REM tsis zoo, RBD, kev pw tsaug zog tsis zoo, kev taug kev thaum pw tsaug zog, kev quaj thaum pw tsaug zog, teeb meem pw tsaug zog, kev puas siab puas ntsws