He aha ka REM Sleep Behavior Disorder? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka REM Sleep Behavior Disorder (RBD) kahi kūlana hiamoe kahi e hana ai ʻoe i nā moeʻuhane ola i ka wā hiamoe hohonu. Ma kahi o ka hoʻomaha ʻana o kou mau ʻiʻo e like me ka mea maʻamau, hiki paha iā ʻoe ke kīkī, kuʻi, uē, a i ʻole neʻe a puni ʻoe i ka wā e moeʻuhane ana.

Hana kēia no ka mea ʻaʻole hana pono ka "palekana palekana" maʻamau e mālama i kou kino i ka wā hiamoe REM. ʻOiai paha he mea weliweli, hiki i ka hoʻomaopopo ʻana i ka RBD ke kōkua iā ʻoe e ʻike i nā hōʻailona a loaʻa ka kākoʻo kūpono e hoʻokele pono ai.

He aha ka REM Sleep Behavior Disorder?

Hana ka REM Sleep Behavior Disorder i ka wā ʻaʻole ʻike kou kino i ka paralysis muscle e hana maʻamau i ka wā hiamoe REM (Rapid Eye Movement). I ka wā hiamoe REM olakino, ua "hoʻokaʻawale" ʻia kou lolo i kou mau ʻiʻo i hiki iā ʻoe ke moeʻuhane me ka palekana me ka ʻole o ka neʻe ʻana.

Ke loaʻa iā ʻoe ka RBD, hāʻule kēia hana palekana. Lilo kou mau moeʻuhane i nā hana kino, hiki ke piʻi mai nā neʻe māmā a i nā hana ikaika e like me ka lele ʻana mai ka moe. He ola a piha i ka hana nā moeʻuhane ponoʻī, e komo pū ana i nā kūlana kahi e pale aku ai ʻoe iā ʻoe iho a i ʻole e holo aku mai kekahi mea.

ʻAʻole hoʻomanaʻo ka hapa nui o nā kānaka me ka RBD i kēia mau hanana i ka wā e ala ai lākou. Hiki iā lākou ke aʻo wale e pili ana i kā lākou mau neʻe i ka pō mai kahi hoa pili a ʻohana paha e ʻike i kēia mau hana.

He aha nā hōʻailona o ka REM Sleep Behavior Disorder?

ʻO nā hōʻailona nui o ka RBD e pili ana i nā neʻe kino a me nā leo i ka wā hiamoe e kūlike me ka mea e hana ana i kāu mau moeʻuhane. Hana pinepine ʻia kēia mau hōʻailona i ka hapa lua o ka pō i ka wā e maʻamau ai ka REM sleep.

Eia nā hōʻailona nui āu a i ʻole kāu hoa moe e ʻike ai:

• Ke kamaʻilio, uē, a i ʻole uē ʻana i ka wā hiamoe
• Nā neʻe koke o ka lima a i ʻole ka wāwae, e like me ka kuʻi a i ʻole ke kīkī
• Ke noho ʻana ma luna o ka moe a i ʻole ke lele ʻana mai ka moe
• Ke hopu a i ʻole ke hāpai ʻana i nā mea ʻaʻole ma laila
• Ke holo a i ʻole ke hele ʻana i ka wā e hiamoe ana
• Nā helehelena maka e kūlike me nā manaʻo moeʻuhane
• Ke hana ʻana i nā hana paʻakikī e like me ke kaua a i ʻole ka holo ʻana

ʻO ka lōʻihi o nā hanana mai kekahi mau kekona a i kekahi mau minuke. Hiki iā ʻoe ke ala maʻalahi i ka wā a i ʻole ma hope koke o kahi hanana, pinepine e hoʻomanaʻo ana i ka moeʻuhane ola i hoʻoulu i nā neʻe.

ʻO nā hōʻailona ʻaʻole pinepine akā hiki ke loaʻa nā hōʻeha pili hiamoe iā ʻoe iho a i ʻole kāu hoa, a me ka luhi i ka lā inā pinepine nā hanana e hoʻopilikia i kou maikaʻi hiamoe.

He aha nā kumu o ka REM Sleep Behavior Disorder?

Hana ka RBD i ka wā e hōʻino ʻia ai nā ʻano o ka brainstem e pale aku i ka neʻe ʻana o nā ʻiʻo i ka wā hiamoe REM a i ʻole ʻaʻole hana pono. Hiki ke hana kēia no kekahi mau kumu like ʻole, a ke kōkua ka hoʻomaopopo ʻana i ke kumu i ka alakaʻi ʻana i ka lapaʻau.

ʻO nā kumu maʻamau loa:

• Nā maʻi neurodegenerative e like me ka maʻi Parkinson, Lewy body dementia, a i ʻole multiple system atrophy
• Kekahi mau lāʻau lapaʻau, ʻoi aku ka nui o kekahi mau antidepressants
• Ka wehe ʻana i ka waiʻona a i ʻole ka hoʻōki ʻana i nā lāʻau sedative
• Nā hōʻeha lolo a i ʻole nā tumors e hoʻopilikia ana i ka brainstem
• Narcolepsy a i ʻole nā maʻi hiamoe ʻē aʻe
• Nā kūlana autoimmune e hoʻopilikia ana i ka lolo

I nā hihia he nui, ʻike ʻia ka RBD me ka ʻole o ke kumu kumu maopopo, ka mea a nā kauka i kapa ai ʻo "idiopathic RBD." Eia naʻe, hōʻike nā noiʻi ua nui ka manawa o nā kānaka me ka idiopathic RBD e loaʻa i nā kūlana neurodegenerative ma hope i ke ola.

ʻO kekahi mau kumu kakaikahi e komo pū ana i nā hahau brainstem, nā maʻi e hoʻopilikia ana i ka lolo, a i ʻole nā kumu genetic e holo ana i nā ʻohana. Hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana inā pili kekahi o kēia mau mea i kou kūlana.

I ka wā e ʻike ai i ke kauka no ka REM Sleep Behavior Disorder?

Pono ʻoe e hoʻokaʻaʻike i kahi mea mālama ola inā ʻike ʻoe a i ʻole kāu hoa moe i kekahi mau neʻe kino a i ʻole nā leo i ka wā hiamoe e like me ka mea i loko o ka moeʻuhane. He mea nui ka loiloi mua no ka mea hiki i ka RBD ke alakaʻi i nā hōʻeha a hiki ke hōʻailona i nā kūlana olakino ʻē aʻe.

E ʻimi koke i ka mālama lapaʻau inā ʻike ʻoe i nā neʻe kolohe i ka wā hiamoe, ua hōʻeha ʻoe iā ʻoe iho a i ʻole kāu hoa, a i ʻole inā pinepine nā hanana. Pono nō hoʻi ka nānā ʻana i nā hōʻailona māmā no ka mea hiki iā lākou ke ʻoi aku ka maikaʻi ma mua o ka manawa.

Pono nō hoʻi ʻoe e ʻike i ke kauka inā ʻike ʻoe i nā hōʻailona pilikia ʻē aʻe me nā hana hiamoe, e like me nā pilikia neʻe i ka lā, nā pilikia hoʻomanaʻo, a i ʻole nā loli i kou manaʻo. Hiki i kēia ke hōʻike i kahi kūlana neurological kumu e pono ai ka loiloi.

Mai kali e ʻimi i ke kōkua inā e hoʻopilikia ana nā pilikia hiamoe i kou pilina, e hoʻoulu ana i ka hopohopo e pili ana i ka hiamoe ʻana, a i ʻole e hana ana iā ʻoe e ʻike ʻole i ka palekana i kou lumi moe. Loaʻa nā lapaʻau maikaʻi e kōkua i ka hoʻokele pono ʻana i ka RBD.

He aha nā mea pilikia no ka REM Sleep Behavior Disorder?

ʻOiai ʻaʻole weliweli ke ola o ka RBD ponoʻī, hiki iā ia ke alakaʻi i kekahi mau pilikia e hoʻopilikia ana i kou palekana a me kou ola. ʻO ka mea hopohopo koke loa ka pilikia o ka hōʻeha i ka wā hiamoe.

ʻO nā pilikia kino āu e ʻike ai:

• Nā ʻeha, nā ʻoki, a i ʻole nā haki mai ka hāʻule ʻana mai ka moe
• Nā hōʻeha i kāu hoa moe mai ka hoʻopili pōpilikia ʻole
• Ka hōʻino ʻana i nā lako lumi moe a i ʻole nā mea
• Ka hoʻopilikia ʻana i ka hiamoe e alakaʻi ana i ka luhi i ka lā
• Ka nele hiamoe mau e hoʻopilikia ana i kou ʻōnaehana pale

Ma mua o nā pilikia kino, hiki i ka RBD ke hana i nā pilikia manaʻo a me nā pilina. Hiki iā ʻoe ke manaʻo hopohopo e pili ana i ka hiamoe ʻana, hopohopo e pili ana i ka hōʻeha ʻana i kāu hoa, a i ʻole ka pilikia pilina ma muli o nā hoʻopilikia hiamoe.

ʻO ka manaʻo nui lōʻihi ka mea hiki i ka RBD ke hōʻailona mua o nā maʻi neurodegenerative. Hōʻike nā noiʻi ua nui nā kānaka me ka idiopathic RBD e loaʻa ma hope i nā kūlana e like me ka maʻi Parkinson a i ʻole dementia me nā kino Lewy, ʻoiai hiki i kēia holomua ke lawe i nā makahiki he nui a ʻaʻole hana i nā kānaka a pau.

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka ʻike pono a me ka lapaʻau hiki ke hoʻemi nui i kēia mau pilikia a kōkua iā ʻoe e mālama i ka palekana hiamoe a me ka maikaʻi.

Pehea ka ʻike ʻana i ka REM Sleep Behavior Disorder?

ʻO ka ʻike ʻana i ka RBD e pono ai kahi haʻawina hiamoe i kapa ʻia ʻo polysomnography, kahi āu e hoʻolilo ai i kahi pō i kahi keʻena hiamoe me nā mea ʻike e nānā ana i kou mau nalu lolo, ka hana muscle, a me nā neʻe. Hiki i kēia hoʻokolohua ke hopu i ka hana muscle maʻamau ʻole i ka wā hiamoe REM e hōʻike ana i ka RBD.

E hoʻomaka kāu kauka ma ka lawe ʻana i kahi moʻolelo kikoʻī o kāu mau hana hiamoe, pinepine e komo pū ana me kāu hoa moe e hiki ke wehewehe i ka mea a lākou i ʻike ai. E nīnau lākou e pili ana i ka manawa, ka pinepine, a me ke ʻano o nā hanana, a me nā moeʻuhane āu e hoʻomanaʻo ai.

ʻO ka hana ʻike maʻamau e komo pū ana i kahi nānā kino a me ka neurological e nānā i nā hōʻailona o nā kūlana kumu. Hiki i kāu kauka ke nānā pū i kāu mau lāʻau lapaʻau, ʻoiai hiki i kekahi mau lāʻau ke hoʻoulu i nā hōʻailona e like me ka RBD.

Hiki i nā hoʻokolohua hou ke komo pū me ka hana koko e kāpae i nā kūlana ʻē aʻe, ka nānā ʻana i ka lolo inā kānalua ʻia nā pilikia neurological, a i ʻole nā nīnau hiamoe kūikawā e loiloi i kou maikaʻi hiamoe a me nā ʻano.

I kekahi manawa hiki i kāu kauka ke noi iā ʻoe e mālama i kahi moʻolelo hiamoe a i ʻole e hoʻohana i ka hoʻopaʻa wikiō ma ka home e hoʻopaʻa i nā hanana, hiki ke hāʻawi i ka ʻike waiwai no ka ʻike a me ka hoʻolālā lapaʻau.

He aha ka lapaʻau no ka REM Sleep Behavior Disorder?

ʻO ka lapaʻau no ka RBD e kau nui ana i ka mālama ʻana iā ʻoe i ka wā hiamoe a me ka hoʻemi ʻana i ka pinepine a me ka ikaika o nā hanana. Hoʻohui maʻamau ka ala i ka lāʻau lapaʻau me nā hana palekana maikaʻi i kou lumi moe.

ʻO ka lāʻau lapaʻau i kuhikuhi pinepine ʻia ʻo clonazepam, kahi sedative māmā e kōkua ana i ka hoʻihoʻi ʻana i ka hoʻomaha muscle maʻamau i ka wā hiamoe REM. ʻOi aku ka maikaʻi o ka pane ʻana o ka hapa nui o nā kānaka i nā doses haʻahaʻa i lawe ʻia ma mua o ka moe ʻana, a maʻamau ka maikaʻi o ka lāʻau lapaʻau me nā hopena ʻaoʻao liʻiliʻi.

Inā ʻaʻole kūpono ka clonazepam no ʻoe, hiki i nā lāʻau lapaʻau ʻē aʻe ke komo pū me:

• Melatonin, hiki ke kōkua i ka hoʻoponopono ʻana i nā ʻano hiamoe a hoʻemi i nā hōʻailona RBD
• Pramipexole a i ʻole nā lāʻau lapaʻau ʻē aʻe inā loaʻa ka maʻi Parkinson
• Ke hoʻoponopono ʻana a i ʻole ke kāpae ʻana i nā lāʻau lapaʻau e hoʻoulu ana paha i ka RBD
• Ke mālama ʻana i nā kūlana kumu e like me ka sleep apnea e hoʻopilikia ana paha i nā hōʻailona

E hana pū kāu kauka me ʻoe e loaʻa ka lāʻau lapaʻau a me ka dosage kūpono, e nānā ana i kāu pane a hoʻoponopono i ka lapaʻau e like me ka pono. Pono kekahi poʻe i ka lapaʻau hui a i ʻole nā hoʻoponopono lāʻau manawa.

Inā loaʻa iā ʻoe kahi kūlana neurological kumu, ke kōkua pinepine ka mālama ʻana i kēlā kūlana i ka hoʻomaikaʻi ʻana i nā hōʻailona RBD. Hiki i kāu hui mālama ke komo pū me nā loea hiamoe a me nā neurologists e hana pū ana.

Pehea e hoʻokele ai i ka REM Sleep Behavior Disorder ma ka home?

He mea nui ka hana ʻana i kahi wahi hiamoe palekana no ka hoʻokele ʻana i ka RBD ma ka home. Hiki i nā hoʻololi maʻalahi i kou lumi moe ke hoʻemi nui i ka pilikia o ka hōʻeha i ka wā o nā hanana.

ʻO nā hana palekana nui:

• Ke kau ʻana i kāu moena ma ka papahele a i ʻole ke hoʻohana ʻana i nā pale moe e pale aku i nā hāʻule
• Ke wehe ʻana i nā mea ʻoi, nā kukui, a i ʻole nā mea hiki ke haki mai ka ʻaoʻao moe
• Ke hoʻopili ʻana i nā kihi ʻoi o nā lako kokoke i ka moe
• Ke hoʻopaʻa ʻana a i ʻole ke wehe ʻana i nā aniani a me nā kiʻi aniani
• Ke kau ʻana i nā kukui hoʻoulu ʻia e ka neʻe ʻana no ka hele ʻana i ka palekana
• Ke noʻonoʻo ʻana i nā moe kaʻawale inā pilikia kāu hoa i ka hōʻeha

Hiki i ka maikaʻi o ka mālama hiamoe ke kōkua i ka hoʻemi ʻana i ka pinepine o nā hanana. ʻO ia hoʻi ke mālama ʻana i nā manawa moe maʻamau, ke pale ʻana i ka waiʻona a me ka caffeine ma mua o ka moe ʻana, a me ka hana ʻana i kahi wahi hiamoe mālie a ʻoluʻolu.

Hiki i nā ʻenehana hoʻokele kaumaha e like me nā hana hoʻomaha a i ʻole ka noʻonoʻo māmā ma mua o ka moe ʻana ke kōkua i kekahi poʻe e ʻike i nā hanana emi a emi ikaika paha. Eia naʻe, ʻaʻole lawa nā hoʻololi ʻano ola wale nō e hoʻokele pono i ka RBD, a pono pinepine ʻia ka lāʻau lapaʻau.

E mālama i kahi moʻolelo hiamoe e hahai i ka pinepine o nā hanana a me nā mea hoʻoulu, hiki ke kōkua i kāu kauka e hoʻoponopono i kāu hoʻolālā lapaʻau. E hoʻomaopopo i nā loli i nā pae kaumaha, nā lāʻau lapaʻau, a i ʻole nā kūlana ola e pili ana i nā loli i kāu mau hōʻailona.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai ke kōkua i kāu kauka e hoʻomaopopo maikaʻi i kou kūlana a hoʻomohala i kahi hoʻolālā lapaʻau maikaʻi. E hoʻomaka ma ka hoʻopaʻa ʻana i kāu mau hana hiamoe a me nā ʻano āu i ʻike ai.

E lawe mai i ka ʻike ma lalo i kāu hālāwai:

• Kahi wehewehe kikoʻī o nā hanana, e komo pū ana i ka manawa a me ka pinepine
• Kahi papa inoa o nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei
• ʻIke e pili ana i nā loli hou i nā lāʻau lapaʻau a i ʻole ke olakino
• Nā nānā a kāu hoa moe i kāu mau hana i ka pō
• Nā hōʻeha a i ʻole nā pilikia palekana e pili ana i nā hanana hiamoe
• Kāu moʻolelo lapaʻau, e komo pū ana i nā kūlana neurological

E noʻonoʻo e noi i kāu hoa moe e hele pū me ʻoe i ka hālāwai, ʻoiai ua ʻike paha lākou i nā hana āu ʻaʻole ʻike.

E kākau i nā nīnau āu e makemake ai e nīnau, e like me nā hopohopo e pili ana i nā kūlana kumu, nā koho lapaʻau, a i ʻole nā hana palekana. Mai kānalua e nīnau e pili ana i kekahi mea e hopohopo ai ʻoe e pili ana i kou hiamoe a i ʻole ke olakino holoʻokoʻa.

Inā hiki, e lawe mai i nā haʻawina hiamoe ma mua a i ʻole nā moʻolelo lapaʻau pili. Ke kōkua nei kēia ʻike i kāu kauka e loaʻa kahi kiʻi piha o kou olakino hiamoe a me ka moʻolelo lapaʻau.

He aha ka mea nui e pili ana i ka REM Sleep Behavior Disorder?

ʻO ka REM Sleep Behavior Disorder kahi kūlana hiki ke hoʻokele ʻia e hoʻopilikia ana i ka paralysis muscle maʻamau i ka wā hiamoe moe, e hana ana iā ʻoe e hana i nā moeʻuhane ola. ʻOiai paha he mea hopohopo, ʻoi aku ka nui no nā hoa moe, loaʻa nā lapaʻau maikaʻi e kōkua iā ʻoe e hiamoe me ka palekana.

ʻO ka hana nui loa ka loaʻa ʻana o ka loiloi lapaʻau kūpono, ʻoiai hiki i ka RBD ke hōʻailona i nā kūlana neurological kumu i pōmaikaʻi mai ka ʻike mua a me ka lapaʻau. Me ka hui kūpono o ka lāʻau lapaʻau a me nā hana palekana lumi moe, hiki i ka hapa nui o nā kānaka me ka RBD ke hoʻemi nui i kā lākou mau hōʻailona a me ka pilikia hōʻeha.

E hoʻomanaʻo ʻaʻole hewa ʻoe, a ʻaʻole ʻoe wale nō i ka hana ʻana me kēia kūlana. Nui nā kānaka e hoʻokele pono i ka RBD a mālama i ka maikaʻi hiamoe maikaʻi me ka mālama lapaʻau kūpono a me nā hoʻoponopono maikaʻi i kā lākou wahi hiamoe.

Ke hana pū nei me kāu hui mālama ola, ke mālama nei i ka lapaʻau, a me ka mālama ʻana i nā maʻamau hiamoe maikaʻi hiki ke kōkua iā ʻoe e loaʻa kahi hiamoe palekana a ʻoluʻolu aʻe, ʻoiai ke pale aku nei iā ʻoe a me kāu hoa moe mai nā hōʻeha hiki.

Nā nīnau pinepine e pili ana i ka REM Sleep Behavior Disorder

Hiki ke ho'ōla piha ʻia ka REM Sleep Behavior Disorder?

ʻAʻole hiki ke hoʻōla ʻia ka RBD, akā hiki ke hoʻokele maikaʻi loa me nā lāʻau lapaʻau a me nā hana palekana. ʻIke ka hapa nui o nā kānaka i ka hoʻomaikaʻi nui ʻana i kā lākou mau hōʻailona me ka lapaʻau kūpono, e ʻae ana iā lākou e hiamoe me ka palekana a me ka ʻoluʻolu. ʻO ka pahuhopu ke kaohi i nā hanana a pale aku i nā hōʻeha ma mua o ka kāpae ʻana i ke kūlana holoʻokoʻa.

Ua like anei ka REM Sleep Behavior Disorder me ka hele ʻana i ka wā hiamoe?

ʻAʻole, ʻo ka RBD a me ka hele ʻana i ka wā hiamoe nā kūlana like ʻole e hana ana i nā papa hiamoe like ʻole. Hana ka RBD i ka wā hiamoe REM a komo pū me ka hana ʻana i nā moeʻuhane, ʻoiai e hana ana ka hele ʻana i ka wā hiamoe i ka wā hiamoe hohonu non-REM a maʻamau e komo pū ana me ka hele ʻana a i ʻole nā hana maʻalahi me ka ʻole o ka hoʻomanaʻo moeʻuhane. Hoʻomanaʻo pinepine nā kānaka me ka RBD i kā lākou mau moeʻuhane, ʻaʻole pinepine nā kānaka hele i ka wā hiamoe.

E loaʻa anei iaʻu ka maʻi Parkinson inā loaʻa iaʻu ka RBD?

ʻAʻole nā ​​​​kānaka a pau me ka RBD e loaʻa i ka maʻi Parkinson a i ʻole nā ​​​​kūlana neurodegenerative ʻē aʻe. ʻOiai ke hōʻike nei nā noiʻi i ka pilikia nui, ʻaʻole loaʻa i nā kānaka he nui me ka RBD kēia mau kūlana. ʻO ka holomua, inā hana ia, e lawe pinepine i nā makahiki he nui, a ke hoʻomaikaʻi mau nei nā lapaʻau no ka RBD a me nā kūlana pili.

Hiki i ke kaumaha a i ʻole ka hopohopo ke hoʻopilikia i ka RBD?

ʻAe, hiki i ke kaumaha a me ka hopohopo ke hoʻonui i ka pinepine a i ʻole ka ikaika o nā hanana RBD. Hiki i ka hoʻokele ʻana i ke kaumaha ma o nā ʻenehana hoʻomaha, ka hoʻoikaika kino maʻamau, a me ka maikaʻi o ka mālama hiamoe ke kōkua i ka hoʻemi ʻana i nā hōʻailona. Eia naʻe, ʻaʻole lawa ka hoʻokele kaumaha wale nō e hoʻokele i ka RBD, a pono pinepine ʻia ka lāʻau lapaʻau.

He palekana anei ka hiamoe ʻana o kekahi me ka RBD wale nō?

Hiki i nā kānaka he nui me ka RBD ke hiamoe wale nō me ka palekana me nā hoʻololi lumi moe kūpono a me ka lapaʻau lapaʻau. ʻO ke kī ka hana ʻana i kahi wahi hiamoe palekana ma ka wehe ʻana i nā mea weliweli, ka hoʻopili ʻana i nā lako, a i kekahi manawa ke kau ʻana i ka moena ma ka papahele. Hiki i kāu kauka ke kōkua i ka loiloi ʻana i kou kūlana kūikawā a kuhikuhi i nā hana palekana kūpono no ka hiamoe wale nō.