Created at:1/16/2025
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Ko te Rongoā Moe REM (RBD) tētahi āhuatanga moe ka mahi tinana koe i ngā moemoea whakamiharo i te wā e moe hohonu ana koe. Ki te kore ngā uaua e noho māha ana, ka rite ki te tikanga, ka taea e koe te whiu, te tātarā, te karanga rānei, te neke haere rānei i te wā e moemoea ana koe.
Ka puta tēnei nā te mea kaore te ‘tapuwha’ ātaahua e pupuri ana i tō tinana kia noho māha i te wā moe REM e mahi tika ana. Ahakoa ka rongo pea koe i te wehi, ka taea e te mārama ki te RBD te āwhina i a koe ki te kite i ngā tohu, me te whiwhi i te tautoko tika hei whakahaere i te āhua haumaru.
Ka puta te Rongoā Moe REM ina kaore tō tinana e pāngia e te kore-neke o ngā uaua e puta ana i te wā moe REM (Rapid Eye Movement). I te wā moe REM hauora, ka ‘wetekina’ e tō roro ngā uaua kia taea ai e koe te moemoea haumaru me te kore e neke.
Ina he RBD tō, ka kore te tikanga tiaki nei e mahi. Ka waiho ngā moemoea hei mahi tinana, ka taea te neke māmā ki ngā āhuatanga kaha ake penei i te pūkae atu i te moenga. Ko ngā moemoea anō he whakamiharo, he whakapakari, kei roto i ngā ahuatanga ka tiaki koe i a koe anō, ka rere rānei i tētahi mea.
Ko te nuinga o te hunga he RBD kei a rātou kaore he mahara ki ēnei wāhanga ina ara rātou. Ka ako pea rātou mō ngā nekehanga o te pō mai i tētahi hoa aroha, whānau rānei e kite ana i ēnei āhuatanga.
Ko ngā tohu matua o te RBD ko ngā nekehanga tinana me ngā oro i te wā moe e rite ana ki te mea kei roto i ō moemoea. Ka puta tēnā i te wā tuarua o te pō ina tino noho ana te moe REM.
Ko ēnei ngā tohu matua ka kitea e koe, hoa moe rānei:
Ko te tikanga ka roa ngā wāhanga mai i etahi hēkona ki ngā meneti maha. Ka ara pea koe ngāwari i te wā, i muri tonu rānei i te wāhanga, ka mahara pea koe ki te moemoea whakamiharo i whakaoho i ngā nekehanga.
Ko ngā tohu kaore e tino kitea, engari ka taea, ko ngā whara e pā ana ki te moe ki a koe anō, hoa rānei, me te ngenge i te rā ki te tino maha ngā wāhanga hei whakararu i te kounga o tō moe.
Ka puta te RBD ina pakaru, kāore rānei e mahi tika ngā hanganga o te roro e aukati ana i te nekehanga o ngā uaua i te wā moe REM. Ka taea tēnei te puta mō ngā take maha, ā, ko te mārama ki te take ka āwhina i te maimoatanga.
Ko ēnei ngā take tino noho:
I te nuinga o ngā wā, ka puta te RBD me te kore he take take, e kiia ana e ngā tākuta he ‘idiopathic RBD.’ Heoi, ka whakaatu te rangahau he nui ake te tupono o te hunga he idiopathic RBD ki te whanake i ngā āhuatanga neurodegenerative i muri mai i te ora.
Ko ētahi take onge ko ngā mate pūtake o te roro, ngā mate e pā ana ki te roro, ngā āhuatanga ira rānei e rere ana i roto i ngā whānau. Ka taea e tō tākuta te āwhina ki te whakatau mena ka pā tētahi o ēnei take ki tō āhuatanga.
Me whakapiri atu koe ki tētahi kaiwhakarato hauora mēnā ka kite koe, hoa moe rānei i ngā nekehanga tinana, ngā reo rānei i te wā moe e rite ana ki te kaupapa o te moemoea. He mea nui te aromatawai wawe nā te mea ka taea e te RBD te arahi ki ngā whara, ā, ka tohu pea i ētahi atu āhuatanga hauora.
Rapua te tiaki hauora wawe mēnā ka pāngia koe e ngā nekehanga kaha i te wā moe, kua whara koe, hoa rānei, mēnā rānei e tino maha ana ngā wāhanga. Ko ngā tohu ngāwari anō hoki e tika ana te aro, nā te mea ka taea te kino ake i te wā.
Me haere hoki koe ki te tākuta mēnā kei te pāngia koe e ētahi atu tohu āwangawanga i te taha o ngā āhuatanga moe, penei i ngā raruraru nekehanga i te rā, ngā raruraru mahara, ngā huringa rānei i ō pūmanawa whakaaro. Ka taea e ēnei te tohu i tētahi āhuatanga neurological e hiahia ana ki te aromatawai.
Kaua e tatari ki te rapu awhina mēnā kei te pānga ngā raruraru moe ki tō hononga, kei te manukanuka koe ki te moe, kei te ngenge rānei koe i tō moenga. Kei reira ngā maimoatanga whai hua hei āwhina i te whakahaere i te RBD haumaru.
He maha ngā take ka piki ake tō tūponotanga ki te whanake i te RBD, ahakoa ko te whai i ēnei take morearea kaore e tikanga ka whanake koe i te āhuatanga. Ka taea e te mārama ki a rātou te āwhina i a koe me tō tākuta ki te tiaki mō ngā tohu wawe.
Ko ēnei ngā take morearea matua:
Ko ētahi take morearea kaore e tino kitea ko te whai i te pokanga pūtake o te roro, ētahi rerekētanga ira rānei, te whakamahinga rānei i ētahi poizon.
He mea tika te kōrero he maha ngā tāngata he take morearea kei a rātou kaore e whanake i te RBD, ka whanake ētahi atu i te kore he take morearea. Ka taea te kore-mārama o te āhuatanga i te hunga e pā ana.
Ahakoa kaore te RBD i te mate mate, ka taea te arahi ki ngā raruraru maha e pā ana ki tō haumaru me te kounga o tō ora. Ko te āwangawanga tino tata ko te tūponotanga o te whara i ngā wāhanga moe.
Ko ēnei ngā raruraru tinana ka pāngia koe:
I tua atu i ngā morearea tinana, ka taea e te RBD te waihanga i ngā wero kare-a-roto me ngā hononga. Ka manukanuka pea koe ki te moe, ka manukanuka pea koe ki te whara i tō hoa, ki te pānga rānei o te hononga nā te whakararu moe.
Ko tētahi whakaaro roa ko te RBD ka taea te tohu wawe o ngā mate neurodegenerative. Ka whakaatu te rangahau he maha ngā tāngata he idiopathic RBD ka whanake i muri mai i ngā āhuatanga penei i te mate Parkinson, te mate dementia rānei me ngā tinana Lewy, ahakoa ka roa tēnei ahu whakamua, kāore hoki e puta ki te katoa.
Ko te rongo pai ko te taumata tika me te maimoatanga ka taea te whakaiti i ēnei morearea, ā, ka taea te pupuri i te haumaru moe pai ake me te kounga.
Ko te tikanga o te whakatau i te RBD ko te whakamahi i te rangahau moe e kiia nei he polysomnography, ka noho koe i te po i te tari moe me ngā pūoko e tirotiro ana i ō ngā ngākau roro, ngā mahi uaua, me ngā nekehanga. Ka taea e tēnei whakamātau te hopu i te mahi uaua koretake i te wā moe REM e tohu ana i te RBD.
Ka tīmata tō tākuta mā te tango i te hītori taipitopito o ō āhuatanga moe, ka whai pea i tō hoa moe ka taea te whakaatu i te mea kua kitea e rātou. Ka ui rātou mō te wā, te auau, me te āhua o ngā wāhanga, me ētahi atu moemoea e mahara ana koe.
Ko te tukanga whakatau ko te tirotiro tinana me te neurological hei tirotiro i ngā tohu o ngā āhuatanga taketake. Ka tirotiro pea tō tākuta i ō rongoā, nā te mea ka taea e ētahi rongoā te whakaoho i ngā tohu rite ki te RBD.
Ko ētahi atu whakamātau ka whai pea i te mahi toto hei whakakore i ētahi atu āhuatanga, te whakaahua roro mēnā kei te whakapaehia ngā raruraru neurological, ngā patai rānei mō te moe hei aromatawai i tō kounga moe me ngā tauira katoa.
I ētahi wā ka tono pea tō tākuta kia pupuri koe i te puka moe, te whakamahi rānei i te tuhi ataata i te kāinga hei tuhi i ngā wāhanga, ka taea te whakarato i ngā korero whai hua mō te whakatau me te whakarite maimoatanga.
Ko te maimoatanga mō te RBD ko te pupuri i a koe i te haumaru i te wā moe, me te whakaiti i te auau me te kaha o ngā wāhanga. Ko te tikanga ka whakakotahi te rongoā me ngā tikanga haumaru i tō moenga.
Ko te rongoā tino whakamahia ko te clonazepam, he whakamāhā ngawari e āwhina ana ki te whakahoki i te whakangā uaua noa i te wā moe REM. Ko te nuinga o te iwi ka whakautu pai ki ngā rāpoi iti e tangohia ana i mua i te moe, ā, ko te rongoā te tikanga he pai te manawanui me ngā pānga iti.
Mēnā kaore te clonazepam e tika mō koe, ko ētahi atu rongoā ka whai pea:
Ka mahi tahi tō tākuta me koe ki te kimi i te rongoā me te rāpoi tika, te tirotiro i tō whakautu me te whakarite maimoatanga i te mea e hiahiatia ana. Ko ētahi tāngata e hiahia ana ki te rongoā whakakotahi, ki ngā whakaritenga rongoā waatea rānei.
Mēnā he āhuatanga neurological taketake tō, ko te whakaora i taua āhuatanga ka āwhina i te whakapai ake i ngā tohu RBD. Ka whai pea tō rōpū tiaki i ngā tohunga moe me ngā neurologists e mahi tahi ana.
He mea nui te waihanga i te taiao moe haumaru hei whakahaere i te RBD i te kāinga. Ka taea e ngā whakaritenga ngāwari ki tō moenga te whakaiti i te tūponotanga o te whara i ngā wāhanga.
Ko ēnei ngā tikanga haumaru nui:
Ka taea hoki e te hauora moe pai te āwhina i te whakaiti i te auau o ngā wāhanga. Ko te tikanga ko te pupuri i ngā wā moe noa, te karo i te waipiro me te caffeine i mua i te moe, me te waihanga i te taiao moe māha, ngāwari.
Ko ngā tikanga whakahaere ahotea penei i ngā mahi whakangāwari, te whakaaro ngāwari rānei i mua i te moe ka āwhina pea i ētahi tāngata ki te wheako i ngā wāhanga iti ake, iti ake rānei te kaha. Heoi, ko ngā huringa noho ora anake kaore e tino nui hei whakahaere i te RBD.
Pupurihia he puka moe hei aroturuki i te auau o ngā wāhanga me ngā whakaoho, ka taea te āwhina i tō tākuta ki te whakarite i tō mahere maimoatanga. Tuhia ngā huringa i ngā taumata ahotea, ngā rongoā, ngā ahuatanga ora rānei e rite ana ki ngā huringa i ō tohu.
Ko te whakarite mō tō whakatau ka taea te āwhina i tō tākuta ki te mārama pai ake ki tō āhuatanga me te whakawhanake i te mahere maimoatanga whai hua. Tīmata mā te tuhi i ō āhuatanga moe me ētahi atu tauira kua kitea e koe.
Kawe mai i ēnei korero ki tō whakatau:
Whakaarohia te ui ki tō hoa moe kia haere mai ki te whakatau me koe, nā te mea ka kite pea rātou i ngā āhuatanga kaore koe e mōhio ana. Ka taea e tō rātou kōrero tuatahi te whakarato i ngā kōrero whai hua mō te āhua me te wā o ngā wāhanga.
Tuhia ngā pātai e hiahia ana koe ki te ui, penei i ngā āwangawanga mō ngā āhuatanga taketake, ngā whiringa maimoatanga, ngā tikanga haumaru rānei. Kaua e whakaroa ki te ui mō tetahi mea e manukanuka ana koe mō tō moe, hauora katoa rānei.
Mēnā ka taea, kawe mai ētahi atu rangahau moe, ngā rēkōta hauora tika rānei. Ka āwhina ēnei korero i tō tākuta ki te whiwhi i te whakaahua tino tika o tō hauora moe me tō hītori hauora.
Ko te Rongoā Moe REM he āhuatanga taea te whakahaere e pā ana ki te kore-neke o ngā uaua noa i te wā moe moemoea, e whakaoho ana i a koe ki te mahi i ngā moemoea whakamiharo. Ahakoa ka awangawanga pea, inā mō ngā hoa moe, kei reira ngā maimoatanga whai hua hei āwhina i a koe ki te moe haumaru.
Ko te mahi nui ko te whiwhi i te aromatawai hauora tika, nā te mea ka taea e te RBD te tohu i ngā āhuatanga neurological taketake e whai hua ana i te kite wawe me te maimoatanga. Me te whakakotahitanga tika o te rongoā me ngā tikanga haumaru moenga, ka taea e te nuinga o te hunga he RBD te whakaiti i ō rātou tohu me te morearea whara.
Mahara kaore te RBD i tō hara, kāore hoki koe i te kotahi i te whakahaere i tēnei āhuatanga. He maha ngā tāngata e whakahaere pai ana i te RBD, e pupuri ana i te kounga moe pai me te tiaki hauora tika me ngā whakaritenga mahi ki tō rātou taiao moe.
Ko te mahi tata atu ki tō rōpū hauora, te pupuri i te mau ki te maimoatanga, me te pupuri i ngā tikanga moe pai ka taea te āwhina i a koe ki te whiwhi i te moe haumaru ake, ata noho ake, i te tiaki i a koe me tō hoa moe i ngā whara pea.
Kaore te RBD e taea te whakaora, engari ka taea te whakahaere pai ki te rongoā me ngā tikanga haumaru. Ko te nuinga o te iwi ka kite i te whakapainga nui i ō rātou tohu me te maimoatanga tika, ka taea te moe haumaru me te ngāwari. Ko te whāinga ko te whakahaere i ngā wāhanga me te aukati i ngā whara, kāore i te whakakore i te āhuatanga katoa.
Kāo, he rerekē ngā āhuatanga o te RBD me te moe haere e puta ana i ngā wā moe rerekē. Ka puta te RBD i te wā moe REM, ā, kei roto te mahi i ngā moemoea, ka puta te moe haere i te wā moe hohonu kore-REM, ā, ko te tikanga ko te haere, ngā mahi ngāwari rānei me te kore he mahara moemoea. Ko te tikanga ka mahara te hunga he RBD ki ō rātou moemoea, kaore pea te hunga moe haere.
Kāore te katoa he RBD e whanake ana i te mate Parkinson, ētahi atu āhuatanga neurodegenerative rānei. Ahakoa ka whakaatu te rangahau i te piki o te tūponotanga, he maha ngā tāngata he RBD kaore e whanake i ēnei āhuatanga. Ko te ahu whakamua, mēnā ka puta, ka roa ngā tau, ā, kei te pai haere tonu ngā maimoatanga mō te RBD me ngā āhuatanga e pā ana.
Āe, ka taea e te ahotea me te manukanuka te piki ake i te auau, te kaha rānei o ngā wāhanga RBD. Ko te whakahaere i te ahotea mā ngā tikanga whakangāwari, te whakakori noa, me te hauora moe pai ka āwhina pea ki te whakaiti i ngā tohu. Heoi, ko te whakahaere ahotea anake kaore e tino nui hei whakahaere i te RBD, ā, ko te tikanga kei te hiahiatia tonu te rongoā.
He maha ngā tāngata he RBD ka taea te moe haumaru me ngā whakaritenga moenga tika me te maimoatanga hauora. Ko te mea nui ko te waihanga i te taiao moe haumaru mā te tango atu i ngā mea kino, te whakakikī i ngā taonga, te whakanoho rānei i te moenga ki te papa. Ka taea e tō tākuta te āwhina ki te aromatawai i tō āhuatanga motuhake me te tūtohu i ngā tikanga haumaru tika mō te moe kotahi.