Yu kin strɛs bak we yu de slip? Yu de ala? Lɛ wi lan bɔt REM Slip Bihayvya Disɔda (RBD)!

Yu patna ɔ pɔsin na yu os dɔn ɛva tɛl yu se yu de ala, flay, ɛn sɔntɛnde yu kin ivin atak pɔsin we yu de slip? Yu go dɔn wek bak wit brus na yu bɔdi ɛn de wɔnda se, "Wetin apin to mi?" Dis nɔ kin jɔs bi bad drim. Tide, wi go tɔk bɔt dis strenj slip bihayvya, we dɛn kɔl REM Slip Bihayvya Disɔda, ɔ RBD.

Wetin na `REM Slip Bihayvya Disɔda (RBD)`?

Fɔ tɔk am simpul wan, `REM Sleep Behavior Disorder (RBD)` na we yu de na di `REM (Rapid Eye Movement)` stej fɔ slip, ɛn yu rili akt yu drim dɛm, dat na, fɔ du tin dɛm we yu de du na yu drim na yu bɔdi, fɔ tɔk na yu drim. Yu nɔ no bɔt am we yu de du dɛn tin ya. dis `RBD` kכndishכn de fכl כnda di kεtכgrεf `parasomnia`. `Parasomnia` na wan sik wae de mek yu slip wae de sho se yu kin gɛt tin dɛm wae nɔr kin apin ɛn wae yu nɔr want ɔr kin gɛt prɔblɛm wae de ambɔg slip.

We wi de slip, difrɛn stej dɛn de we wi kin slip. wan pan dεn stej dεm ya dεn kכl am `REM slip` . `REM` tinap fɔ `Rapid Ay Muvmɛnt`. Dis na we di yay dɛn kin muf kwik kwik wan. Dis na di tɛm we bɔku tɛm wi kin drim klia ɛn klia. Wi kin go tru dɛn `REM` saykl ya bɔku tɛm insay wan nɛt. di fכs `REM` saykl de bigin lεk 90 minit afta wi dכn slip, εn i de las lεk 10 minit. Ɛni `REM` saykl we de fala de lɔng.

Tu men kayn `RBD` de:

1. `Isolated (idiopathic) RBD`: Dis min se di kכndyushכn de apin witout eni spεsifi k kכz. כnכfכs, bכku pipul dεm we gεt `isolated RBD` kin εva divεlכp wan `nyurodijεnεraytiv kכndishכn` (kכndishכn we de wik sכmtεm di nεv sεstem). Na mɔtalman sik dɛm lɛk `Parkinson in sik` (Parkinson in sik), `Lewy bɔdi dimɛns` (Lewy bɔdi dimɛns) ɔ `multiple system atrophy (MSA)` (multiple system atrophy). Dɛn kin kɔl dɛn sik ya bak `alpha-synucleinopathies`.

2. Simptomatic (sεkכndari) RBD: Dis kin kכz fכ כda כndalayn kכndyushכn. Fɔ ɛgzampul, i kin apin to pipul dɛn we gɛt wan sik we dɛn kɔl Type 1 narcolepsy . If pɔsin gɛt ɔl tu di alfa-synucleinopathy ɛn RBD we wi bin dɔn tɔk bɔt, dɛn kin tek am bak as sɛkɔndari RBD.

Dɔn bak, pipul dɛm wae de tek sɔm antidipreshan kin gɛt RBD. Dɛn kɔl dis RBD we dɛn kin mek wit drɔgs .

Bikɔs dis `RBD` kin mek yu ɔ di pɔsin we yu de slip wit, i rili impɔtant fɔ no bɔt dis ɛn go to tritmɛnt if nid de.

Udat kin gɛt mɔ chans fɔ gɛt RBD?

REM Slip Bihayvya Disɔda (RBD) kin afɛkt pipul dɛm wae dɔn pas 50 ia.Di avrej ej fɔ bigin dis sik na lɛk 61 ia. Bɔt, na smɔl tɛm nɔmɔ, dis sik kin apin bak pan yɔŋ pikin dɛn ɛn yɔŋ pipul dɛn.

Na pipul dɛm wae dɔn pas 50 ia, man dɛm kin gɛt RBD lɛk nayn tɛm pas uman dɛm .

RBD de kכlכsכl wit sכm nyurodijεnεraytiv dizכrd dεm. As wi bin dɔn tɔk, dɛn dɔn si se big pat pan pipul dɛm wae gɛt isol (idiopathic) RBD (i.e. RBD wae kin apin witout ɛni ɔda kɔz) kin gɛt Pakinson sik, Lewy bɔdi dimɛnshɔn, ɔr multiple system atrophy (MSA) insay 14 ia afta dɛn dɔn no .

Na lɛk 36% pan di pipul dɛm wae gɛt `Type 1 narcolepsy` kin gɛt sɛkɔndari `RBD`. Ɛn lɛk 6% pan di pipul dɛm wae de tek antidipreshan kin gɛt `drug-induced RBD`.

Aw kɔmɔn tin na RBD?

REM Slip Bihayvya Disɔda (RBD) na rili wan sik we nɔ kin apin so ɔltɛm . I kin afɛkt lɛk 1% pan di jenɛral pipul dɛn. Na pipul dɛm wae dɔn pas 50 ia, na lɛk 2%.

Bɔt dɛn nɔmba ya kin smɔl pas aw dɛn rili bi, bikɔs i kin at fɔ no bɔt RBD, ɛn lɛk af pan pipul dɛm wae gɛt dis sik nɔr kin ivin no se dɛn gɛt am .

Wetin na di sayn dɛm fɔ `RBD`?

Di sayn dɛm fɔ `RBD` kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn kin gɛt dɛn kayn tin ya ɔltɛm, ɛn ɔda pipul dɛn nɔ kin gɛt dɛn. We pɔsin de slip, i kin fil lɛk se i de drim bad. Na sɔm tin dɛn we kin apin:

• Di bɔdi we de na mi bɔdi de muf smɔl smɔl, mi an ɛn fut dɛn de shek shek.
• Dɛn kin tɔk, ala, ɛn sɔntɛnde dɛn kin tɔk bad wɔd dɛn.
• Dɛn kin mek lɛk se dɛn de bit ɔ ol pɔsin, ɔ dɛn kin ivin bit ɔ kik di pɔsin na bed.
• Jomp kɔmɔt na bed, fɔdɔm na grɔn.

Imajin, yu padi, Nilanthi, ɛn in man, Sugat, de slip na nɛt ɛn wantɛm wantɛm dɛn ala "Hold on! Hold on!" ɛn stret dɛn an dɛn lɛk se dɛn de nak pɔsin. Sɔntɛnde, Sugat kin fɔdɔm na bed ɛn wund insɛf. We dɛn wek na mɔnin, Sugat nɔ mɛmba natin, bɔt i mɛmba di drim we i bin drim. Dis na di nature of `RBDs`.

Dɛn se et pan tɛn pipul dɛn we gɛt RBD kin sɔfa wit slip injury .

Dɛn tin ya kin apin wan tɛm ɔ bɔku tɛm we yu de slip wan tɛm. Sɔm pipul dɛn kin gɛt dɛn tin ya ɛvri nɛt, ɛn ɔda wan dɛn nɔ kin gɛt dɛn ɔltɛm. Di sayn dɛm kin tranga pasmak wae pɔrsin de drim bad bad drim.

Di impɔtant tin na dat, yu nɔ no ustɛm dɛn tin ya kin apin. Bɔku pipul dɛn kin jɔs no bɔt am we pɔsin we de na bed tɛl dɛn, ɔ we pɔsin na os si dɛn, ɔ we dɛn wek na mɔnin wit wund na dɛn bɔdi.

If pɔsin wek yu dis tɛm, yu kin wek izi wan. We yu wek, yu de wach ɛn mɛmba yu drim dɛn. Dɛn kɔl dis `nayt teroris`.I difrɛn frɔm `nayt teroris`. I nɔ kin izi fɔ wek pɔsin, ɛn ivin we i wek, i kin tan lɛk se i rili vɛks ɛn kɔnfyus.

Sɔmtɛm pipul dɛm wae gɛt `Obstructive sleep apnea (OSA)` (we nɔr de blo fayn wae dɛn de slip) kin sho dɛn sik ya bak. Dɛn kɔl dis `pseudo RBD` . Na dɛn kayn pipul ya, we dɛn trit `OSA`, di bihayvya kin dɔn.

Wetin na di tin dɛm we kin mek pɔsin gɛt `RBD`?

nכmal wan, we wi de na `REM` slip, we wi de drim, bכku pan wi mכsul dεm (especially skel mכsul dεm) de lכs dεn wok fכ sכm tεm. dis dεn kכl am `mכsul atonia` . Dis kin apin so dat wi go drim sef wan we wi nɔ rili du di tin dɛn we wi de du na wi drim. Imajin wetin go apin if wi nɔ bin gɛt dat! If wi rili rɔn na wi drim ɛn rili jomp na wi drim, wi kin gɛt aksidɛnt, nɔto so?

Bɔt pipul dɛn we gɛt RBD nɔ kin gɛt dis tɛmporari lɔs pan mɔsul wok we dɛn kɔl mɔsul atonia. Na dat mek dɛn nɔ no se dɛn de akt ɛn tɔk bɔt tin dɛn we dɛn de du na dɛn drim. Risach pipul dɛn stil nɔ ɔndastand gud gud wan wetin mek dis kin apin. bכku kכmpleks nyural path dεm de we de involv fכ REM slip.

Di tin dɛn we kin mek yu gɛt `Isolated (idiopathic) RBD`

wan men tiori na se isol (idiopathic) RBD de kכz f כ wan prכblεm na di pons, we na wan pat pan di bren stεm, we de mek mכsul atonia we REM de slip. sכm sεl dεm na di pons de kכntro di mכsul dεm we de kכntrikshכn we di REM de slip. Dɛn dɔn tɔk bak se di lɛsin dɛn we de na di pons gɛt fɔ du wit di sik we dɛn kɔl Parkinson, Lewy bɔdi dimɛnshɔn, ɛn MSA. Bikɔs ɔf di strɔng asosieshɔn bitwin isol RBD ɛn dɛn sik ya, di risach pipul dɛn biliv se prɔblɛm na di pons kin bi di kɔz.

Wan stכdi sho se 97% pan di pipul dεm we gεt `isolated RBD` de divεlכp wan pan dεn nyurolכjik sik dεm ya insay 14 ia afta dεn dכn no dεn `RBD`, wit `Parkinson's disease` we de mכst kכmכn.

Di tin dɛn we kin mek pɔsin gɛt `Sɛkɛnd (simptomatic) RBD`

Pipul wae gɛt narkolepsi nɔr kin gɛt wan kayn kemikal wae na dɛn bren wae dɛn kɔl orexin ɔ hypocretin . Dis kemikal de kɔntrol di slip, wek, ɛn apɛtit. we dis kεmikכl lכw, i kin disrupt REM slip, we kin mek i gεt RBD.

Di tin dɛn we kin mek `Drug-induced RBD`

Risach pipul dɛm biliv se RBD we sɔm antidipreshan kin mek kin bi bikɔs ɔf di imbalans pan di nyurotransmitta dɛm we nem dopamine ɛn serotonin , we de involv insay REM slip.

Aw fɔ no bɔt `RBD`? (Diagnosis) .

If yu gɛt simptom fɔ `RBD`, yu fɔ rili go to dɔktɔ.De dɔktɔ go aks yu bɔt yu sik ɛn yu mɛdikal histri. If yu gɛt pɔsin we yu de slip wit ɔ yu fambul dɛn, di dɔktɔ kin aks am bak bɔt aw yu de slip.

Di dɔktɔ go chɛk yu bɔdi ɛn du yu nyurolɔjik ɛgzam. Dɛn kin sɛn yu bak to pɔsin we sabi bɔt slip.

Fɔ no fɔ tru if yu gɛt RBD, yu nid fɔ gɛt in-lab vidio slip stɔdi, we dɛn kin kɔl bak polysomnogram (PSG) . Dɛn kin du dis na ɔspitul ɔ slip sɛnta, usay yu kin spɛn wan ol nɛt ɔnda kamɛra we de wach yu. Dis tɛst de rayt dɛn tin ya bɔt yu bɔdi we yu de slip:

• At rit we yu de bit.
• Di rit we yu de blo ɛn di we aw di briz de flɔ.
• Di wok we di bren wev de du.
• Di we aw di yay de muv.
• Di mɔsul dɛn we de muv yu chin ɛn di ɔpa pat dɛn.

Akɔdin to di Intanɛshɔnal Klasifikeshɔn fɔ Slip Dizayd, Tɔd Ɛdyushɔn (ICSD-3), ɔl dɛn tin ya fɔ de fɔ mek dɛn no se yu gɛt RBD:

• Yu kin kip gɛt ɛpisod usay yu de tɔk na yu slip ɛn/ɔ mek kɔmpleks muvmɛnt.
• dis bihayvya dεm fכ kכnfכm bay wan polysomnography (PSG) tεst εn dεn fכ apin we REM de slip. Ɔ, bay yu klinik histri, dɛn fɔ de sho se yu de slip na REM.
• di `PSG` tεst fכ sho se yu gεt `mכsul atonia` (lכs mכsul layf) we yu de slip `REM`. (`REM slip witout atonia` - RWA).
• Di aktiviti we gɛt fɔ du wit sik fɔ dɔnawe we dɛn de slip na REM.
• Dɛn slip prɔblɛm ya nɔr fɔ ɛksplen fayn fayn wan wit ɔda prɔblɛm wae de mek pɔrsin nɔr de slip, ɔda sik, maynd sik, sayd ɛfɛkt wae mɛrɛsin kin gɛt, ɔr wae pɔrsin de yuz sɔm kayn mɛrɛsin.

Aw dɛn kin trit RBD?

Di men gol we yu de trit dis `RBD` na fɔ gi yu ɛn yu patna sef slip . Difrɛn strateji dɛn de ɛn sɔm tɛm dɛn kin gɛt mɛrɛsin fɔ dis.

Step dɛn fɔ tek fɔ mek yu sef

Na sɔm tin dɛn we yu kin du fɔ mek yu slip fayn:

• Rimov tin dɛn we shap, glas, ɛn ebi tin dɛn we de rawnd di bed.
• Put sɔntin we saf, lɛk pilo, bitwin yu ɛn di edbɔd ɔ naytstand.
• Put matres na di flɔ nia di bed if yu fɔdɔm na bed, ɔ put pad rel dɛn we de nia di bed na di tu say dɛn na di bed.
• Fɔ sɔm pipul dɛn, fɔ slip na bag fɔ slip kin ɛp bak.

If yu sik bad bad wan, i go fayn fɔ mek yu slip yu wan na ɔda rum fɔ mek yu patna we de slip sef.

Dɔn bak, yu fɔ avɔyd fɔ drink rɔm as yu ebul , bikɔs rɔm kin mek yu gɛt `RBD` ɛn mek di sik wɔs.

Medikeshɔn fɔ `RBD`

If yu sik bad bad wan, ɛn di sef tin dɛn nɔmɔ nɔ go ebul fɔ mek yu nɔ wund, yu dɔktɔ kin gi yu mɛrɛsin fɔ kɔntrol yu sik dɛn. Pan ɔl we no mɛrɛsin nɔ de we FDA dɔn gri fɔ spɛshal fɔ RBD, stɔdi dɔn sho se melatonin, klonazepam, ɛn pramipexole kin ridyus di simptom dɛm sɔmtɛm.

• Melatonin: Dis na ɔmon we di pineal gland na wi bren kin mek bay insɛf. I impɔtant fɔ mek wi ebul fɔ kɔntrol di saykl we wi de slip ɛn wek. Sintetik melatonin de as mɛrɛsin. Dɛn kin tek dis as di fɔs layn tritmɛnt fɔ RBD bikɔs i gɛt smɔl sayd ifɛkt dɛn. Di dɔktɔ go bigin wit smɔl doz ɛn smɔl smɔl i go inkrisayz di doz te di sayn dɛn go stɔp.
• Klɔnazepam: Dis na mɛrɛsin we de mek pɔsin fil fayn. Risach pipul dɛn nɔ shɔ yet aw i de ɛp wit RBD. Bɔt bɔku pipul dɛn we gɛt RBD kin si se if dɛn tek smɔl doz fɔ klonazepam bifo dɛn go slip, dat kin mek dɛn nɔ drim bad bad drim, kray, ɛn slip. Bɔt, klonazepam kin gɛt sɔm bad bad tin dɛn we kin apin to pɔsin. Dis na di rizin we mek yu dɔktɔ kin gi yu am if melatonin nɔ de gi yu inof rilif.
• Pramipexole: Dis na dopamin agonist. Dɔktɔ dɛn kin gi am mɔ fɔ di sik we dɛn kɔl Pakinsin ɛn di sik we dɛn kɔl restless leg syndrome. Bɔt risach we dɛn jɔs du dɔn sho se i kin ridyus di sayn dɛm bak fɔ RBD. Risach pipul dεm biliv se dis dכg de wok biכs RBD na kכndyushכn we de kכz fכ lכk fכ dopamin (dopaminergic deficiency disorder).

Yu tink se dɛn kin mek RBD nɔ apin?

Bɔrku tɛm, natin nɔr de we wi kin du fɔ mek wi nɔ gɛt RBD. Dis na bikɔs tin dɛn de we kin mek wi nɔ ebul fɔ stɔp ɔ chenj. Fɔ ɛgzampul, yu ej, ɔ if yu gɛt narkolepsi ɔr nyurodijɛnɛraytiv kɔndishɔn.

Bɔt if na tin dɛn lɛk rɔm kin mek RBD, ɛn if di sik dɛn kin bɔku, di RBD kin go wans yu dɔn stɔp fɔ yuz dɛn tin dɛn de.

Wetin na di prɔgnosis fɔ RBD?

Di fiuja kɔs fɔ RBD, dat na, usay di sik go go, dipen pan sɔm tin dɛm:

• If sɔntin de we mek i apin. Dat min se, if na bikɔs ɔf `narkolepsy` (sɛkɔndari `RBD`), wan antidipreshan (`drug-induced RBD`), ɔ if i jɔs apin (spontaneously - `isolated RBD`).
• Aw yu sik kin tranga ɛn if dɛn de kɔz yu ɛni bad tin.
• If yu fɔ go fɛn tritmɛnt ɔ yu nɔ fɔ go.
• If yu gɛt nervous system sik wit RBD.

di mכst imכtant εn siriכs aspek fכ RBD na in asosieshכn wit nyurolכjik sik dεm, patikyular Pakinsin sik, mכltipכl sistεm atrofi, εn Lewy bכdi dimεnshכn. Di pruf we de bɔku de sho se RBD kin bi sayn we de wɔn pipul dɛn kwik kwik wan fɔ dɛn sik ya. Dis kin bi mɔ if RBD kin apin bay insɛf, we nɔ gɛt ɛni ɔda tin, ɛn nɔto bikɔs ɔf narkolepsi ɔ wan mɛrɛsin.

RBD kin mek yu ɛn/ɔ yu patna we de slip bad bad wan, so i rili impɔtant fɔ go to tritmɛnt.

Di prɔgnosis fɔ pipul dɛm wae gɛt RBD ɛn wan nyurolɔjik kɔndishɔn jɔs nɔr gud. Fɔ ɛgzampul, dɛn dɔn si se pipul dɛm wae gɛt di fɔs stej Pakinsin sik ɛn RBD kin gɛt low kwaliti layf pas pipul dɛm wae gɛt di fɔs stej Pakinsin sik bɔt nɔr gɛt RBD.

Wetin na di pɔsibul kɔmplikeshɔn dɛm fɔ RBD?

Dɛn pipul ya kin gɛt bɔku risk fɔ wund dɛnsɛf ɔ ɔda pipul dɛn na bed bikɔs dɛn kin muv sɔm tɛm dɛn wit fɛt-fɛt we dɛn de slip. Dɔn bak, bikɔs dɛn kin stɔp fɔ slip bɔku tɛm, dis kin afɛkt di wan ol slip kwaliti.

Di kayn injury dɛn we pɔsin kin gɛt:

• Brus dɛn we de na di bɔdi.
• Di kɔt dɛn we dɛn kin kɔt.
• Sprains we kin mek pɔsin swɛt.
• Bɔn dɛn we dɔn brok.
• Siriɔs kɔndishɔn dɛn lɛk ed injuri ɛn sabdural ɛmatoma (blɔd insay di skel) .

Sɔntɛnde, dɛn injury ya kin mek pɔsin in layf de pan denja .

Dɛn ripɔt se 90% pan di patna dɛm fɔ pipul dɛm wae gɛt RBD gɛt prɔblɛm wit slip , ɛn pas 60% dɔn gɛt injury na dɛn bɔdi .

So, i rili impɔtant fɔ fɛn tritmɛnt fɔ RBD ɛn at ɔl fɔ mek ples fɔ mek yu slip fayn.

Ustɛm yu fɔ si dɔktɔ bɔt `RBD`?

• If dɛn dɔn no se yu gɛt `isolated RBD` (RBD we nɔ gɛt ɔda kɔz), yu go nid fɔ go to dɔktɔ ɔltɛm fɔ `chɛk fɔ sayn` fɔ nyurolɔjik sik dɛm we kin gɛt fɔ du wit am (`Parkinson's`, `Lewy body dementia`, `MSA`).
• If yu gɛt ɛni nyu sayn, lɛk prɔblɛm wit muvmɛnt ɔ chenj na yu maynd, go to dɔktɔ wantɛm wantɛm.
• If yu ɔ pɔsin we yu de slip wit gɛt injuri bikɔs ɔf RBD, go to dɔktɔ wantɛm wantɛm.

`RBD` na mental sik?

Nɔ, `REM Slip Bihayvya Disɔda (RBD)` nɔto `mɛntɛl sik`. I nɔr tan lɛk `mood disorder` ɔr `anxiety disorder`. `RBD` na `slip dizayd` – spεshal wan kayn `parasomnia`.

I kin rili pwɛl yu at ɛn mek yu at pwɛl we yu aksidɛntli wund yusɛf ɔ pɔsin we yu de slip wit. If yu patna tɛl yu se yu de strɛs ɔ yu de ala na yu slip, nɔ tek am layt. Tɔk to dɔktɔ. Dɛn kin rεkomεnd fɔ du slip stεdi fɔ si if dεn gɛt RBD, ɛn kin rεkomεnd tritmεnt if nid de. Mɛmba se di tin we impɔtant pas ɔl na fɔ mek yu slip fayn fɔ mek yu nɔ wund.

Fɔ dɔn, mɛmba dis (Take-Home Message) .

So, if yu ɔ pɔsin we yu sabi de biev strenj we dɛn de slip – de ala, flay dɛn an, fɔdɔm kɔmɔt na bed, ɛn ɔda tin dɛn – nɔ jɔs dismis am as bad drim. I kin bi REM Slip Bihayvya Disɔda (RBD).

Ɛspɛshali if i de mek yusɛf ɔ ɔda pipul dɛn wund, mek shɔ se yu go to dɔktɔ. Mɛmba se dis kin bi bak fɔs sayn fɔ sɔm siriɔs nyurolɔjik sik dɛn. So, i rili impɔtant fɔ no am kwik ɛn tek di tin dɛn we yu nid. Yu slip, yu patna in slip, ɛn di sef fɔ dɛn tu tin ya rili impɔtant. So tek kia ɔf dis.

` REM slip bihayvya dizayd, RBD, slip dizayd, slip wok, slip kray, slip prɔblɛm, nyurolɔjik dizayd