Whakaarohia, kei te moe pai koe. Oho ake koe i roto i te werawera, me te pupuhi o tō uma. I moe koe i tētahi moemoeā tino whakamataku. Kei te rite tonu ki te mea kei te hurihuri tō mahunga. Kāore he aha mō tētahi rā, e rua rānei, engari ki te mau tonu koe i ngā moemoeā kino pēnei, ka raru pea tō rā katoa. Tērā pea kei a koe tēnei mate e kiia nei ko te "Nightmare Disorder" . Me kōrero taipitopito tātou mō tēnei i tēnei rā?
He aha tēnei "Nightmare Morning"?
Ki te kī ngāwari, ko te "Nightmare Disorder" te putanga mai o ngā moemoeā maha, tino mārama, whakamataku hoki. Ka nui te mamae o ēnei moemoeā, ka ārai rānei i a koe ki te mahi tika i ō mahi o ia rā. He momo whanonga rerekē anō hoki tēnei e puta ana i te wā moe, e kiia nei e tātou ko ngā "Parasomnias" .
Ka rerekē te kaha o tēnei mate, i runga i te auau o ēnei moemoeā:
- Ngāwari: Iti iho i te kotahi i te wiki.
- Taurite: Kotahi i te wiki, neke atu rānei, engari kaua i ia pō.
- Tino kino: He moemoeā kino taku i ia pō.
Waihoki, ko te roa o tōna noho ka pā ki:
- `(Acute morning barrier)` wā poto: Ka roa mō te marama, iti iho rānei.
- Mate pōuri kino poto-ngawari (Subacute morbidity): E pāngia ana mō te iti rawa i te kotahi marama, engari iti iho i te ono marama.
- Mate moemoeā mau tonu: e ono marama, neke atu rānei te roa.
Ko te nuinga o ēnei moemoeā kino ka puta i te haurua tuarua o te moe, e kiia nei ko te moe REM (tere o te nekehanga kanohi) . Ko te mea motuhake o te mate moemoeā kino ko te maumahara mārama ki te moemoeā ina oho ake koe. He rerekē tēnei i ngā mataku moe. Ka tino whakararuraru tēnei āhuatanga i tō moe, ā, ka pā ki te kounga o tō oranga. Ka taea hoki e ia te whakararuraru i ngā āhuatanga hauora hinengaro o raro, pērā i te pouri, te manukanuka rānei.
Ko wai te mea tino pāngia e tēnei āhuatanga?
Ka taea e te tangata te pāngia e tēnei "Nightmare Mate" - te tangata, mai i ngā tamariki nohinohi ki ngā pakeke.
Heoi, he nui ake te tūponotanga o ētahi tāngata ki te whakawhanake i tēnei mate, inā koa mēnā kei a koe tētahi o ēnei āhuatanga e whai ake nei:
- Te mate whanonga REM (RBD)
- Narcolepsy
- Te moe pōrearea
- Te mate nekehanga o ngā peka ā-wā (PLMD)
- Te mate ahotea muri-whara (PTSD)
- Mate manukanuka whānui
- Te mate manukanuka pāpori
- Te pouri
I mōhio koe e toru ngā wā ka nui ake te tūponotanga o te hunga e pāngia ana e te mate manukanuka pāpori, te mate manukanuka whānui rānei, ki te pāngia e te mate moemoeā kino? Waihoki, e pāngia ana te 50% me te 90% o te hunga e pāngia ana e te PTSD e tēnei mate.
He pēhea te noa o tēnei āhuatanga?
Ahakoa kāore he tatauranga tika i Sri Lanka, e kiia ana kei waenganui i te 2% me te 8% o te taupori whānui i tētahi whenua pēnei i a Amerika kei a rātou tēnei "Nightmare Disease". Ehara tēnei i te mea onge pērā i tō whakaaro.
He aha ngā tohu o te "Nightmare Disorder"?
Ko te tohu matua ko ngā moemoeā kino maha . Ahakoa he mea noa te moemoeā kino i ētahi wā, ki te mea he maha tonu āu moemoeā kino, ā, ka whakararuraru i ō mahi o ia rā, tera pea he "Nightmare Disorder" tōu.
Ko ngā kaupapa noa i roto i ēnei moemoeā kino ko:
- Kei te mōrearea tōu ora .
- Te kino ki tō oranga tinana .
- He tūmomo mōrearea ki tō haumaru .
Whakaarohia, kei te whaia koe e tetahi, kei te hinga koe i te wāhi teitei, kei roto rānei koe i te āhuatanga korekore. Koinei ngā moemoeā e puta pinepine mai ana.
Ina moemoeā kino koe, ka pāngia pea koe e ngā tohu ā-tinana pēnei i:
- Te werawera
- Te uaua ki te manawa
- Ngā tere o te ngakau
Ko te wehi te kare ā-roto matua e puta mai ana i ngā moemoeā kino. Heoi anō, tera pea ka ara ake ētahi atu kare ā-roto, pēnei i:
- Riri
- Manukanuka
- Whakama
- Whakarihariha
- Whakamā
- Pōuri
Ka puta pea ēnei tohu ā-tinana me ngā kare ā-roto i te wā e moemoeā ana, i te oho ake i te moemoeā, i muri mai rānei i te mahara ki te moemoeā.
Ka taea hoki e te Mate Moemoeā te whakararu i a koe ki ēnei mea e whai ake nei:
- Ngā huringa wairua , hei tauira, te manukanuka, te pouri rānei.
- Te kore e pai ki te moe (i te wehi kei moemoeā anō).
- Tino ngenge .
- Te hiamoe i te awatea (Hypersomnia) .
- Te uaua ki te arotahi .
- Ngā raruraru whanonga .
- Te ngoikore o te mahi, o te kura rānei .
- Te whakararuraru i ngā whanaungatanga pāpori .
He mea tino nui te moe pai mō tō tātou hauora whānui. Nō reira, ki te whakaaro koe he "Nightmare Mate" tōu, he mea tino nui kia kōrero koe ki te tākuta.
He aha i puta ai tēnei "Nightmare Morning"?
Ina hoki, kei te rangahau tonu ngā kairangahau i te moe me tōna pānga ki a tātou. Ahakoa kua kitea e rātou he maha ngā mea mō te moe, ngā moemoeā, me ngā moemoeā kino, he maha tonu ngā mea kāore anō kia mōhiotia e tātou.
Kāore ngā kairangahau e mōhio ana ki te tino pūtake o ngā moemoeā kino me ngā mate moemoeā kino.Engari, he rerekē ō rātou whakaaro.
Ko tētahi ariā e kī ana, ko te take o tēnei āhuatanga he hyperarousal, he āhua o te kaha o te mahi e kohikohi ana i te awatea, ā, ka haere tonu ki te pō. Ko te hyperarousal he āhua hinengaro e riri tonu ai koe, e riri ana, e whakapae ana hoki i ngā mea katoa. He tohu noa tēnei o te PTSD me te kore moe. Ka taea e tēnei hyperarousal te meinga kia kaha rawa te mahi a ētahi wāhanga o te roro i a koe e moe ana, ka puta ai ngā moemoeā kino.
Tērā tētahi atu ariā mō te ariā o te "Whakangaromanga o te Wehi." I raro i ngā āhuatanga noa, ka taea e ō tātou roro te hono i ngā maharatanga whakamataku ki ngā mea hou, kāore e pā ana ki tētahi mea, ā, ka taea ai te moe me te moemoeā noa. Ka kiia tēnei ko te "Whakangaromanga o te Wehi." E ai ki tēnei ariā "Whakangaromanga o te Wehi", ka haere tonu te tukatuka a ngā roro o te hunga whai "Nightmare Disorder" i ngā maharatanga whakamataku ahakoa i te wā e moe ana. E ai ki tēnei ariā, ko te hunga e uaua ana ki te whakahaere i ō rātou kare ā-roto i roto i ngā āhuatanga taumaha, ā, e tauhohe kino ana ki te ahotea, ka nui ake te tūponotanga ki ngā moemoeā kino.
Me pēhea te mōhio ki te ``(Nightmare Disorder)``?
Kāore he whakamātautau hauora motuhake hei tautuhi i tēnei. Engari, ka tangohia e ngā tākuta he hītori pai mō ō moemoeā kino me ētahi atu tohumate. Ka pātai atu hoki rātou mō tō hītori hauora me tō hītori hauora hinengaro.
Ka taea hoki e ētahi rongoā te whakararu i ngā moemoeā kino . Nō reira, ka hiahia pea tō tākuta ki te pātai mō ngā rongoā e tangohia ana e koe i tēnei wā, ka tono rānei rātou kia whakamātauria he tarukino hei tirotiro mēnā koinei te take. Ko ngā rongoā me ngā matū ka taea te whakararu i ngā moemoeā kino ko:
- Ngā Beta-blockers (he momo rongoā e hoatu ana mō te toto toto tiketike)
- Ngā rongoā ārai pouri
- Nikotīni (mai i ngā hua tupeka me te momi hikareti)
Ka puta anō hoki ngā moemoeā kino i ngā tohumate tango e puta ana ina mutu ohorere te whakamahi i ngā matū pēnei i te waipiro.
Me pēhea te rongoā i te "Nightmare Disorder"?
Hei rongoā i tēnei, ka tūtohu pea tō tākuta i tētahi huinga o ngā maimoatanga, tae atu ki te hinengaro hinengaro ( te kōrero whakaora) me te rongoā .
Ko ngā maimoatanga hinengaro matua e whakamahia ana mō te "Nightmare Disorder" he maimoatanga e ahu mai ana i te "Cognitive Behavioral Therapy (CBT) . Arā:
- Te Whakaharatau Whakaahua (IRT)
- Te Whakamārama, te Whakangā, me te Whakaora Anō (ERRT)
He iti ake ngā kōrero mō te hinengaro hinengaro
E taunaki ana te American Academy of Sleep Medicine (AASM) i te IRT me te ERRT hei maimoatanga tino whai hua mō te mate moemoeā kino i roto i ngā pakeke.
He maimoatanga ēnei `(IRT)` me `(ERRT)` kua whakaritea mō ia tangata. Kei roto i tēnei ētahi āhuatanga:
- Te pupuri i tētahi rātaka moe (pukapuka moe) me te tuhi i ngā tauira moe/ara o ia rā.
- Puritia he rātaka moe hei tuhi i te auau me te kaha o ō moemoeā kino.
- Te ako i te āhua o ngā moemoeā kino.
- He pūkenga whakangungu e aro ana ki ngā whakaahua, ngā whakaaro, me ngā kare ā-roto e pā ana ki ngā moemoeā kino. Ka taea e tēnei te whakaiti i te auau me te kaha o ngā moemoeā kino.
E kī ana ēnei maimoatanga e hangai ana ki te CBT he whai hua ngā moemoeā kino i te tīmatanga, hei āwhina i a koe ki te tukatuka i ngā kaupapa o mua, engari i te roanga o te wā ka huri hei whakararuraru.
E titiro ana ēnei maimoatanga ki ngā moemoeā kino hei tikanga, hei whanonga ako rānei ka taea te whakarerekē mēnā ka whakamahia . Ka taea e te tohunga hauora hinengaro, pērā i te tohunga hinengaro, te kaiwhakaora hinengaro rānei, te āwhina i a koe ki te whakaaro anō i ō moemoeā kino i tētahi ara rerekē, arā, he ara kāore e tino whakamataku, e tino pāpouri rānei.
He mea tino nui te mahi kāinga mō tēnei maimoatanga. Ko te tikanga o tēnā ko te whakaharatau i te moemoeā hou i ia rā, i ia rā. Ko te whāinga i konei ko te "whakahou" i ō moemoeā kino kia iti ake te whakamataku mēnā ka puta anō.
Ngā Rongoā mō te `(Nightmare Disorder)`
Ki te kore ngā maimoatanga hinengaro kua whakahuatia ake nei e āwhina, ka whakaarohia pea e tō tākuta te rongoā.
He maha ngā momo rongoā ka taea te āwhina i te Mate Moemoeā e pā ana ki te PTSD. Anei ētahi tauira:
- `Olanzapine`
- `Risperidone`
- `Aripiprazole`
- `Kronidine`
- `Cyproheptadine`
- `Fluvoxamine`
- `Kapapentin`
- `Nabilone`
- `Phenelzine`
- `Prazosin` (he mea whakamahi pinepine tēnei)
- Topiramate
- `Trazodone`
- Ngā rongoā ārai pouri tricyclic
Ko ngā rongoā hei āwhina i te Mate Moemoeā kāore e pā ana ki te PTSD ko:
- `Prazosin`
- `Triazolam`
Ko te mea nui, ka pāngia pea koe e ngā pānga taha o ngā rongoā katoa . Nō reira, he mea nui kia kōrero koe ki tō tākuta mō ngā painga me ngā huakore o tētahi rongoā, ā, me toro atu ki a ia mēnā ka pāngia koe e ngā pānga taha.
He aha te matapae mō tēnei āhuatanga?
Ka rerekē te tirohanga mō tēnei āhuatanga "Nightmare Mate" i ia tangata, i ia tangata.
Mō ētahi tāngata, ka pai ake pea tēnei āhuatanga me te kore he maimoatanga . Heoi, mō ētahi atu, ka roa pea te mate mō ngā tekau tau mena kāore e rongoatia.
Nā te "mate moemoeā mau tonu" kāore i rongoatia, kua roa neiKa piki ake te mōrearea o te ngana me te whakahou i te whakamomori.
Nā konei, ā, he mea nui hoki te moe mō te hauora whānui, he mea tino nui kia rapu āwhina mēnā kei te pāngia koe e ngā moemoeā kino pinepine.
Āhea ahau me toro atu ki te tākuta?
Ki te mea he maha āu moemoeā kino, ā, kei te whakararuraru i te kounga o tō oranga, me toro atu koe ki te tākuta, ki te kaitohutohu hauora hinengaro rānei i taua wā tonu .
Mena kua tāpaetia koe kei te mate koe i te "Nightmare Disorder" ā, kāore ō maimoatanga o nāianei e whai hua ana, kōrero ki tō tākuta mō ētahi atu kōwhiringa.
He mate hinengaro ngā moemoeā kino?
Ahakoa e pā ana ngā moemoeā kino ki ētahi āhuatanga hauora hinengaro, pērā i te PTSD, te manukanuka, me te pouri, kāore ngā moemoeā kino e kiia he mate hinengaro . He momo whanonga rerekē e kiia ana ko te parasomnias, e puta ana i te wā e moe ana.
He rite tonu te "Nightmare Disorder" ki te "PTSD"?
He tokomaha ngā tāngata e pāngia ana e te mate ahotea muri-whara (PTSD) e pāngia ana hoki e te mate moemoeā kino. Heoi, ka taea e koe te pāngia e te mate moemoeā kino me te kore he PTSD. Ko te tikanga he rerekē ngā mea e rua.
Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)
He mea nui te moe pai mō ō tātou oranga. Ka āwhina i ō tātou tinana ki te okioki, ki te whakahou i a rātou anō, me te whakatika i a rātou anō. Ka pā nui te Mate Moemoeā ki te kounga o tō moe me tō kounga o te oranga.
Engari, ko te rongo pai he mate ka taea te rongoā . Ka taea e ngā momo rongoā kōrero me ngā rongoā te āwhina. Nō reira, ki te mea kei te whakararuraru ngā moemoeā kino i tō oranga, kaua e wehi ki te toro atu ki te tākuta. Kāore koe i te mokemoke, ā, he huarahi hei tiki āwhina.
` Moemoeā kino, moe, hauora hinengaro, moe REM, PTSD, manukanuka, maimoatanga

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