He uaua hoki ki a koe te moe? He aue koe? Me ako tātou mō te Mate Whanoke Moe REM (RBD)!

Kua kōrerotia atu rānei e tō hoa rangatira, e tētahi rānei o tō whare ki a koe kei te hamama koe, kei te whiu, ā, i ētahi wā ka whakaekea e koe tētahi i a koe e moe ana? Tērā pea kua ara ake koe me te maru i tō tinana, ā, i whakaaro koe, "I aha ahau?" Kāore pea tēnei i te moemoeā kino noa iho. I tēnei rā, ka kōrero tātou mō tēnei whanonga moe rerekē, e kiia nei ko te Mate Whanoke Moe REM, ko te RBD rānei.

He aha te 'Māuiuitanga Whanoke Moe REM (RBD)'?

Ki te kī māmā noa, ko te 'REM Sleep Behavior Disorder (RBD)' ko te wā kei roto koe i te wāhanga 'REM (Rapid Eye Movement)' o te moe, ā, ka mahi koe i ō moemoeā, arā, te mahi ā-tinana i ngā mea e mahia ana e koe i roto i ō moemoeā, te kōrero i roto i ō moemoeā. Kāore koe e mōhio ana i a koe e mahi ana i ēnei mea. Kei roto tēnei āhuatanga 'RBD' i te wāhanga 'parasomnia'. Ko te 'Parasomnia' he mate moe e tohuhia ana e ngā huihuinga tinana rerekē, kāore e hiahiatia, e whakararuraru ana i te moe.

Ina moe tātou, he rerekē ngā wāhanga o te moe. Ko tētahi o ēnei wāhanga ko te 'moe REM' . Ko te 'REM' he tikanga mō te 'Rapid Eye Movement'. Koinei te wā e tere haere ai ngā kanohi. Koinei te wā e moemoeā oraora ana tātou. He maha ngā wā ka puta ēnei huringa 'REM' i te pō. Ka tīmata te huringa 'REM' tuatahi i te 90 meneti i muri i te moe, ā, e 10 meneti te roa. Ka roa ake ia huringa 'REM' e whai ake nei.

E rua ngā momo matua o te `RBD`:

1. `RBD motuhake (idiopathic)`: Ko te tikanga tēnei ka puta te mate me te kore he take motuhake. Engari, he maha ngā tāngata whai `RBD motuhake` ka taea te whakawhanake i tētahi `mate neurodegenerative` (he mate e ngoikore haere ana te pūnaha io). Ina koa, ko ngā mate pēnei i te `mate Parkinson` (Parkinson's disease), te `Lewy body dementia` (Lewy body dementia) te `multiple system atrophy (MSA)` (multiple system atrophy). E kiia ana hoki ēnei mate ko ngā `alpha-synucleinopathies`.

2. RBD Tohumate (tuarua): Ka puta tēnei i tētahi atu mate huna. Hei tauira, ka pā pea ki te hunga whai mate moe e kiia nei ko te narcolepsy Momo 1. Mena kei te pāngia te tangata e te alpha-synucleinopathy me te RBD kua whakahuatia ake nei, ka kiia hoki he RBD tuarua.

Waihoki, ka pāngia te hunga e tango ana i ētahi momo rongoā ārai pouri e te RBD. Ka kiia tēnei ko te RBD i puta mai i te rongoā .

Nā te mea ka taea e tēnei `RBD` te whakararu i a koe, i te tangata rānei e moe tahi ana kōrua, he mea nui kia mōhio koe ki tēnei, ā, me rapu maimoatanga mēnā e tika ana.

Ko wai te mea ka nui ake te tūponotanga ki te whakawhanake i te RBD?

Ko te Mate Whanoke Moe REM (RBD) te mea tino pāngia ai te hunga neke atu i te 50 tau te pakeke.Ko te tau toharite mō te tīmatanga o tēnei mate he 61 tau te pakeke. Heoi, he tino onge te pānga o tēnei āhuatanga ki ngā tamariki nohinohi me ngā taiohi.

Mō te hunga neke atu i te 50 tau te pakeke, e iwa ngā wā ka nui ake te tūponotanga o te tāne ki te pāngia e te RBD i ngā wāhine .

He hononga tata te RBD ki ētahi mate pūnaha io. E ai ki te kōrero i mua ake nei, kua kitea he nui te tokomaha o te hunga whai RBD takitahi (idiopathic) (arā, he RBD kāore he take kē atu) ka pāngia e te mate a Parkinson, te mate wareware tinana Lewy, te mate ngoikore pūnaha maha (MSA) rānei i roto i ngā tau 14 o te tātaritanga .

Tata ki te 36% o te hunga whai `narcolepsy Momo 1` ka pāngia pea e te `RBD` tuarua. Ā, tata ki te 6% o te hunga e tango ana i ngā rongoā ārai pouri ka pāngia pea e te `RBD i puta mai i te rongoā`.

He pēhea te noa o te RBD?

He mate tino onge te Mate Whanoke Moe REM (RBD). Tata ki te 1% o te taupori whānui ka pāngia. Mō te hunga neke atu i te 50 tau te pakeke, tata ki te 2%.

Engari tera pea he iti iho ēnei tau i tō rātou āhua tuturu, nā te mea he uaua ki te tautuhi i te RBD, ā, tata ki te haurua o te hunga whai mate pēnei kāore i te mōhio kei a rātou .

He aha ngā tohu o te `RBD`?

Ka rerekē ngā tohu o te `RBD` i ia tangata, i ia tangata. He maha ngā wā ka pāngia ētahi e ēnei tohu, engari he iti ake te maha o ngā wā ka pāngia ētahi e ēnei tohu. I a te tangata e moe ana, ka rite pea ki te moemoeā kino. Anei ētahi mea ka pā mai:

• Ka āta neke te kikokiko o tōku tinana, ka wiriwiri ōku waewae.
• Ka kōrero, ka hamama, ā, i ētahi wā ka kōrerotia ngā kupu kino.
• Ka whakatangata rātou kei te patu, kei te hopu rānei i tētahi, ka taea rānei e rātou te patu, te whana rānei i te tangata i runga i te moenga.
• Peke atu i te moenga, hinga ki te papa.

Whakaarohia, kei te moe tō hoa, a Nilanthi, rāua ko tana tāne, a Sugat, i te pō, ā, ka karanga ohorere mai "Taria! Taria!", ka totoro ō rāua ringa me te mea kei te patu i tētahi. I ētahi wā ka taka a Sugat i te moenga, ka whara i a ia anō. Ina ara ake rāua i te ata, kāore a Sugat e mahara ki tetahi mea, engari ka mahara ia ki te moemoeā i moe ai ia. Koinei te āhua o ngā 'RBD'.

E kiia ana e waru i roto i te tekau o ngā tāngata whai RBD ka pāngia e ngā whara moe .

Ka taea e ēnei āhuatanga te puta kotahi, maha rānei ngā wā i roto i te moe kotahi. Ka pāngia ētahi e ēnei āhuatanga i ia pō, ko ētahi ia he onge noa iho. Ka tino kino ngā tohu ina pāngia te tangata e te moemoeā kino, nanakia.

Ko te mea nui, kāore koe e mōhio ana āhea ēnei mea ka puta. Ko te nuinga o te tangata ka mōhio noa i te wā e kōrerotia ana e tetahi i runga i te moenga, ina kite rānei tetahi i te kāinga i a rātou, ina ara ake rānei i te ata me te patunga i ō rātou tinana.

Ki te whakaarahia koe e tetahi i tēnei wā, ka ngāwari noa iho tō ara ake. Ina ara ake koe, ka mataara koe, ā, ka mahara ki ō moemoeā. Ka kiia tēnei ko ngā 'whakamataku pō'.He rerekē tēnei i ngā 'whakamataku pō'. He uaua ki te whakaara i tētahi, ā, ahakoa ka ara ake, he āhua ohorere, he pōhēhē tonu.

I ētahi wā, ka kitea anō hoki ēnei tohu e te hunga e pāngia ana e te `Obstructive sleep apnea (OSA)` (te aukati i te manawa i te wā e moe ana). Ka kiia tēnei ko te `pseudo RBD` . Mō ēnei tāngata, ina rongoatia te `OSA`, ka ngaro ngā whanonga.

He aha ngā take o te `RBD`?

I te nuinga o te wā, ina moe tātou i roto i te moe `REM`, ina moemoeā tātou, he maha o ō tātou uaua (ina koa ko ngā uaua angaiwi) ka ngaro te mahi mō te wā poto. Ka kiia tēnei ko te `atonia uaua` . Ka puta tēnei kia taea ai e tātou te moemoeā haumaru me te kore e mahi i ngā mea e mahia ana e tātou i roto i ā tātou moemoeā. Whakaarohia te mea ka tupu mēnā kāore i a tātou tēnā! Mēnā ka oma tātou i roto i ā tātou moemoeā, ka peke hoki i roto i ā tātou moemoeā, ka pāngia tātou e te aituā, tika?

Engari kāore te hunga whai RBD e pāngia e tēnei ngaronga wā poto o te mahi uaua e kiia nei ko te atonia uaua. Koia rātou ka mahi pōhēhē, ka kōrero mō ngā mea e mahia ana e rātou i roto i ā rātou moemoeā. Kāore anō kia tino mārama ngā kairangahau he aha tēnei e tupu ai. He maha ngā ara io uaua e uru ana ki te moe REM.

Ngā Take o te `RBD Motuhake (idiopathic)`

Ko tētahi ariā nui ko te RBD takitahi (idiopathic) ka puta mai i tētahi raruraru i roto i ngā pons, he wāhanga o te take roro, e puta ai te atonia uaua i te wā moe REM. Ko ētahi pūtau i roto i ngā pons e whakahaere ana i te whakahekenga uaua i te wā moe REM. Kua honoa hoki ngā whara i roto i ngā pons ki te mate a Parkinson, te mate wareware tinana Lewy, me te MSA. Nā te hononga kaha i waenga i te RBD takitahi me ēnei mate, e whakapono ana ngā kairangahau he raruraru pea i roto i ngā pons te take.

I whakaatuhia e tētahi rangahau e 97% o te hunga whai 'RBD motuhake' ka pāngia e tētahi o ēnei mate pūnaha io i roto i ngā tau 14 o te tātaritanga 'RBD', ā, ko te 'mate a Parkinson' te mea tino noa.

Ngā Take o te `RBD Tuarua (ngā tohumate)`

He iti ngā taumata o te matū roro e kiia nei ko te orexin, ko te hypocretin rānei , kei te hunga whai narcolepsy. Ka whakahaere tēnei matū i te moe, te ara ake, me te hiahia kai. Ina iti tēnei matū, ka taea e ia te whakararuraru i te moe REM, ka arahi ki te RBD.

Ngā Take o te 'RBD i puta mai i te tarukino'

E whakapono ana ngā kairangahau ko te RBD i puta mai i ētahi rongoā ārai pouri ka puta pea i te kore taurite o ngā neurotransmitters dopamine me serotonin , e whai wāhi ana ki te moe REM.

Me pēhea te tautuhi i te `RBD`? (Tautuhinga)

Mena kei a koe ngā tohu o te 'RBD', me toro atu koe ki te tākuta.Ka pātai atu te tākuta ki a koe mō ō tohu me tō hītori hauora. Mena he hoa moe tōu, he mema rānei o te whānau, ka pātai atu pea te tākuta ki a rātou mō ō tikanga moe.

Ka tirohia tō tinana e te tākuta, ā, ka whakahaerehia he whakamātautau io. Tērā pea ka tukuna koe ki tētahi tohunga moe.

Hei kimi i te tino mōhiotanga mēnā kei a koe te RBD, me whakahaere he rangahau moe ataata i roto i te taiwhanga, e mōhiotia ana ko te polysomnogram (PSG) . He mea mahi tēnei i roto i te hōhipera, i te pokapū moe rānei, ka noho koe i te pō katoa i raro i te aroturukitanga kāmera. Ka tuhia e tēnei whakamātautau ngā mea e whai ake nei mō tō tinana i a koe e moe ana:

• Te tere o te manawa.
• Te tere o te manawa me te rere o te hau.
• Te mahi a te ngaru roro.
• Ngā nekehanga kanohi.
• Ngā nekehanga uaua o tō kauae me ō pito o runga.

E ai ki te International Classification of Sleep Disorders, Third Edition (ICSD-3), me whai i ēnei āhuatanga katoa kia taea ai te tautuhi i te mate RBD:

• Ka pā tonu mai ngā wā e kōrero ana koe i a koe e moe ana, e mahi ana rānei i ngā nekehanga uaua.
• Me whakaū ēnei whanonga mā te whakamātautau polysomnography (PSG), ā, me puta i te wā moe REM. Mēnā rānei, i runga i tō hītori haumanu, me tohu pea ēnei i te moe REM.
• Me whakaatu e te whakamātautau `PSG` kei a koe te `atonia uaua` (te ngaronga o te ora o te uaua) i te wā o te moe `REM`. (`moe REM kāore he atonia` - RWA).
• Me ngaro ngā mahi e pā ana ki te haurangi i te wā o te moe REM.
• Kaua ēnei raruraru moe e tika kia whakamāramahia pai e tētahi atu mate moe, e tētahi atu mate, e tētahi mate hinengaro, e tētahi pānga taha o te rongoā, e tētahi mate whakamahi matū rānei.

Me pēhea te rongoā mō te RBD?

Ko te whāinga matua mō te rongoā i tēnei `RBD` ko te whakarato i te moe haumaru mōu me tō hoa . He maha ngā rautaki, ā, i ētahi wā he rongoā hei whakahaere i tēnei.

Ngā mahi hei mahi mō te haumaru

Anei ētahi mea ka taea e koe te mahi hei waihanga i tētahi taiao moe haumaru:

• Tangohia ngā mea koi, ngā mea karāhe, me ngā mea taumaha i te taha o te moenga.
• Whakatakotoria tētahi mea ngohengohe, pērā i te urunga, ki waenganui i a koe me te pane o te moenga, te tēpu moe rānei.
• Whakatakotoria he moenga ki runga i te papa i te taha o te moenga, me i taka koe i te moenga, tāutahia rānei he reera moenga kua whakakīia ki ngā taha e rua o te moenga.
• Ki ētahi tāngata, he āwhina pea te moe i roto i te pēke moe.

Mena he tino kino ō tohu, he pai ake pea kia moe ko koe anake i tētahi rūma motuhake hei haumaru mō tō hoa moe.

Me karo hoki i te inu waipiro i ngā wā katoa e taea ana , nā te mea ka taea e te waipiro te whakanui ake i te auau o te `RBD` me te whakakino ake i te āhua.

Ngā rongoā mō te `RBD`

Mena he kino rawa ō tohumate, ā, kāore e taea e ngā mahi haumaru anake te ārai i te whara, ka tohua pea e tō tākuta he rongoā hei whakahaere i ō tohumate. Ahakoa kāore he rongoā kua whakaaetia e te FDA mō te RBD, kua whakaatuhia e ngā rangahau ka taea e te melatonin, clonazepam, me te pramipexole te whakaiti i ngā tohumate i ētahi wā.

• Melatonin: He homoni tēnei e hangaia ana e te repe pineal i roto i tō tātou roro. He mea nui mō te whakahaere i te huringa moe-ara. Kei te wātea te melatonin hangai hei rongoā. Koinei te maimoatanga tuatahi mō te RBD nā te mea he iti noa ngā pānga taha. Ka tīmata te tākuta me te horopeta iti, ā, ka piki haere te horopeta kia memeha haere ngā tohu.
• Clonazepam: He rongoā whakangāwari tēnei. Kāore anō kia tino mārama ngā kairangahau me pēhea te āwhina i te RBD. Heoi, he tokomaha ngā tāngata whai RBD e kite ana ko te tango i te horopeta iti o te clonazepam i mua i te moenga ka whakaiti, ka whakakore rānei i ngā moemoeā kino, te hamama, me te hikoi moe. Heoi, ka pā mai ētahi pānga kino o te clonazepam. Koinei te take ka tohua pea e tō tākuta mēnā kāore te melatonin e whakarato i te whakaora nui.
• Pramipexole: He rongoā dopamine agonist tēnei. Ko te nuinga o ngā tākuta e tohu ana i tēnei rongoā mō te mate a Parkinson me te mate waewae kore okiokinga. Engari kua whakaatuhia e ngā rangahau hou ka taea hoki e ia te whakaiti i ngā tohu o te RBD. E whakapono ana ngā kairangahau he pai te mahi a tēnei rongoā nā te mea he mate te RBD i puta mai i te korenga o te dopamine (dopaminergic deficiency disorder).

Ka taea te ārai i te RBD?

I te nuinga o te wā, kāore he mea e taea e tātou te mahi hei ārai i te RBD. Nā te mea he āhuatanga mōrearea kāore e taea e tātou te ārai, te whakarerekē rānei. Hei tauira, tō tau, mēnā rānei he narcolepsy tōu, he mate neurodegenerative rānei.

Engari, ki te mea nā ngā mea pēnei i te waipiro i puta ai te RBD, ā, ki te piki haere ngā tohu, ka memeha pea te RBD ina mutu te whakamahi i aua mea.

He aha te matapae mō te RBD?

Ko te ahunga whakamua o te RBD, arā, te wāhi e haere ai te mate, e whakawhirinaki ana ki ētahi āhuatanga:

• Mehemea he take kei raro iho. Arā, mēnā he `narcolepsy` (`RBD` tuarua), he rongoā ārai pouri (`RBD` i puta mai i te rongoā), he mea rānei i puta noa mai (i te tūponotanga - `RBD motuhake`).
• Te kaha o ō tohumate, me te mea kei te pā kino ki a koe.
• Ahakoa me rapu maimoatanga, kāore rānei.
• Ahakoa kei a koe tētahi mate pūnaha io me te RBD.

Ko te āhuatanga tino nui, tino kino hoki o te RBD ko tōna hononga ki ngā mate pūnaha io, inā koa ko te mate a Parkinson, te atrophy pūnaha maha, me te mate wareware tinana Lewy. Kei te piki haere ngā taunakitanga e kī ana ko te RBD he tohu whakatūpato wawe pea mō ēnei mate. He pono rawa tēnei mēnā ka puta noa te RBD, kāore he take kē atu, ā, ehara i te mea nā te narcolepsy, nā te rongoā rānei.

Ka taea e te RBD te whakararu nui i a koe me/ranei tō hoa moe, nō reira he mea tino nui kia rapu maimoatanga koe.

Kāore i te pai te āhua o te oranga mō te hunga whai RBD me te mate pūnaha io. Hei tauira, kua kitea he iti ake te kounga o te oranga o te hunga whai mate a Parkinson i te wā tōmua me te RBD i te hunga whai mate a Parkinson i te wā tōmua engari kāore he RBD.

He aha ngā raruraru ka pā mai i te RBD?

He nui te mōrearea o ēnei tāngata ki te whara i a rātou anō, i ētahi atu rānei i runga i te moenga nā ā rātou nekehanga tutu i ētahi wā i a rātou e moe ana. Waihoki, i te mea he maha ngā wā ka whakakorengia te moe, ka pā tēnei ki te kounga o te moe whānui.

Ngā momo whara pea:

• Ngā marō.
• Ngā tapahi.
• Ngā whāwhati.
• Ngā wheua whati.
• Ngā āhuatanga kino pēnei i ngā whara o te mahunga me ngā hematoma subdural (te toto i roto i te angaanga) .

I ētahi wā ka mōrearea te ora i ēnei whara.

E ai ki ngā pūrongo, 90% o ngā hoa rangatira o te hunga whai RBD he raruraru moe tō rātou , ā, neke atu i te 60% kua whara tinana .

Nō reira, he mea tino nui kia rapu maimoatanga mō te RBD, kia waihangahia hoki he taiao mō te moe haumaru.

Āhea koe me toro atu ki te tākuta mō te `RBD`?

• Mena kua tāpaetia koe kei te mate koe i te `RSB motuhake` (RBD kāore he take kē atu), me toro atu koe ki te tākuta i ia wā ki te `tirotiro i ngā tohu` o ngā mate pūnaha io e pā tata ana ki tēnei mate (`Parkinson`, `Lewy body dementia`, `MSA`).
• Ki te puta he tohu hou ki a koe, pēnei i ngā raruraru nekehanga, i ngā huringa hinengaro rānei, me toro atu ki te tākuta tonu.
• Ki te whara koe, tetahi atu rānei e moe tahi ana koe i te RBD, rapua tonutia he tohutohu hauora.

He mate hinengaro te `RBD`?

Kāo, ehara te `REM Sleep Behavior Disorder` (RBD)` i te `mate hinengaro`. Ehara i te rite ki te `mate kare ā-roto`, ki te `mate manukanuka` rānei. Ko te `RBD` he `mate moe` – he momo `parasomnia` rānei.

Ka tino pāpouri, ka tino whakarihariha hoki te whara i a koe anō, i tētahi atu rānei e moe tahi ana koe. Ki te kī mai tō hoa kei te raru koe, kei te hamama rānei i a koe e moe ana, kaua e whakahawea. Kōrero ki te tākuta. Tērā pea ka tūtohu rātou i tētahi rangahau moe hei tirotiro mēnā he RBD tā rātou, ā, ka tūtohu pea rātou i tētahi maimoatanga mēnā e tika ana. Kia mahara, ko te mea nui ko te waihanga i tētahi taiao moe haumaru hei ārai i te whara.

Hei whakamutunga, kia maumahara ki tēnei (Karere hei tango ki te kāinga)

Nō reira, ki te mea kei te rerekē tō whanonga, tō whanonga rānei a tētahi e mōhio ana koe i a rātou e moe ana – te hamama, te whāwhā i ō rātou ringa, te taka atu i te moenga, me ētahi atu – kaua e waiho noa iho hei moemoeā kino. Tērā pea he Mate Pēhanga Mōe REM (RBD).

Ina koa ka whara koe, ka whara rānei i ētahi atu, me rapu tohutohu hauora. Kia maumahara, he tohu wawe anō hoki tēnei mō ētahi mate pūnaha io kino. Nō reira, he mea nui kia kitea wawetia, kia mahia hoki ngā mahi e tika ana. He mea nui tō moe, te moe a tō hoa, me te haumaru o te tokorua. Nō reira, kia tupato ki tēnei.

Mate moe REM , RBD, mate moe, hikoi moe, tangi moe, raruraru moe, mate pūnaha io