Iki kibazo cya REM Sleep Behavior Disorder (RBD) ni iki? Ibimenyetso, Intandaro, n’Ubuvuzi

REM Sleep Behavior Disorder (RBD), ni ikibazo cyo gusinzira aho umuntu akora ibikorwa by’inzozi ze zikomeye mu gihe aryamye cyane. Aho kugira ngo imitsi ye ihore ituje nk’uko bisanzwe, ashobora gutera amaguru, gukubita, gutaka, cyangwa kugenda mu gihe ararira.

Ibi bibaho kubera ko “ikintu cyo kwirinda” gisanzwe gituma umubiri uhorana ituze mu gihe cyo gusinzira kwa REM, kidakora neza. Nubwo bishobora gutera ubwoba, kumva RBD birashobora kugufasha kumenya ibimenyetso no kubona ubufasha bukwiye kugira ngo uyikurikiranire neza.

Iki kibazo cya REM Sleep Behavior Disorder (RBD) ni iki?

Iki kibazo cya REM Sleep Behavior Disorder (RBD) kibaho iyo umubiri wawe utabona ubusembwa bw’imitsi busanzwe buhaba mu gihe cyo gusinzira kwa REM (Rapid Eye Movement). Mu gihe cyiza cyo gusinzira kwa REM, ubwonko bwawe “bubura” imitsi yawe kugira ngo ubashe kurota utekanye udatakaje umutwe.

Iyo ufite RBD, ubu buryo bwo kwirinda burananirwa. Inzozi zawe zihinduka ibikorwa by’umubiri, bishobora kuva ku myanya myiza kugeza ku bikorwa bikomeye nko gusimbuka ku buriri. Inzozi ubwayo zikunda kuba zikomeye kandi zifite ibikorwa byinshi, zirimo ibintu aho ushobora kuba wirinde cyangwa ucika kuri kimwe.

Abantu benshi bafite RBD nta cyo bibuka kuri ibi bibaho iyo bagize. Bashobora kumenya gusa ibikorwa byabo byo mu ijoro binyuze ku muntu wabo cyangwa umuryango wabo bahangayikishijwe n’ibikorwa byabo.

Ibimenyetso bya REM Sleep Behavior Disorder ni ibihe?

Ibimenyetso nyamukuru bya RBD birimo imyanya y’umubiri n’amajwi mu gihe cyo gusinzira bihuye n’ibiba mu nzozi zawe. Ibi bimenyetso bikunda kuba mu gice cya kabiri cy’ijoro aho gusinzira kwa REM ariho kenshi.

Dore ibimenyetso by’ingenzi wowe cyangwa umuntu mukundana ashobora kubona:

• Kuvuga, gutaka, cyangwa gutaka mu gihe cyo gusinzira
• Kugira imyanya y’amaboko cyangwa amaguru, nko gukubita cyangwa gutera amaguru
• Kwicaza ku buriri cyangwa gusimbuka ku buriri
• Gutakaza cyangwa gushaka ibintu bitariho
• Kwiringira cyangwa kugenda mu gihe ukiri gusinzira
• Imyigaragarire y’isura ihuye n’amarangamutima y’inzozi
• Gukora ibikorwa bigoye nko kurwana cyangwa guhunga

Ibi bibaho bisanzwe bimamara kuva mu masegonda make kugeza ku minota myinshi. Ushobora kubyuka vuba mu gihe cyacyo cyangwa nyuma yacyo, ukaba wibuka inzozi zikomeye zatumaga ukorwa.

Ibimenyetso bidafite akamaro ariko bishoboka birimo imvune zijyanye no gusinzira ku wowe cyangwa ku muntu mukundana, no kumva unaniwe mu gihe cy’umunsi niba ibi bibaho bikunze guhungabanya ubuziranenge bwawe bwo gusinzira.

Intandaro za REM Sleep Behavior Disorder ni izihe?

RBD ibaho iyo imiterere y’ubwonko isanzwe ibuza imitsi kugenda mu gihe cyo gusinzira kwa REM yangiritse cyangwa idakora neza. Ibi bishobora kuba kubera impamvu zitandukanye, kandi kumva intandaro bifasha mu kuyivura.

Intandaro zisanzwe zirimo:

• Indwara zangiza ubwonko nka Parkinson, Lewy body dementia, cyangwa multiple system atrophy
• Imiti imwe, cyane cyane imiti imwe yo kuvura ihungabana
• Guhagarika inzoga cyangwa guhagarika imiti ituma usinzira
• Imvune z’ubwonko cyangwa uburibwe bw’ubwonko bugira ingaruka ku bwonko
• Narcolepsy cyangwa izindi ndwara zo gusinzira
• Indwara ziterwa n’ubudahangarwa bw’umubiri zigira ingaruka ku bwonko

Mu bihe byinshi, RBD igaragara nta ntandaro isobanutse, abaganga babyita “idiopathic RBD.” Ariko kandi, ubushakashatsi bwerekana ko abantu bafite idiopathic RBD bafite amahirwe menshi yo kugira izindi ndwara zangiza ubwonko mu myaka yabo y’ubukure.

Zimwe mu ntandaro zidafite akamaro zirimo ibicurane by’ubwonko, indwara zanduza ubwonko, cyangwa ibintu by’umuzuko biri mu muryango. Muganga wawe ashobora kugufasha kumenya niba hari imwe muri izi mpamvu ishobora kuba ifitanye isano n’ibyawe.

Ni ryari ukwiye kujya kwa muganga kubera REM Sleep Behavior Disorder?

Wagomba kuvugana n’umuganga niba wowe cyangwa umuntu mukundana mubonye imyanya y’umubiri cyangwa amajwi mu gihe cyo gusinzira asa n’aho ahuye n’ibiba mu nzozi. Gusuzuma hakiri kare ni ingenzi kuko RBD ishobora gutera imvune kandi ishobora kugaragaza izindi ndwara.

Shaka ubufasha bw’abaganga vuba niba ufite imyanya ikomeye mu gihe cyo gusinzira, wikomye cyangwa wikomye umuntu mukundana, cyangwa niba ibi bibaho bikunze kubaho. Ndetse n’ibimenyetso bito bigomba kwitabwaho kuko bishobora kuba bibi uko iminsi igenda.

Ugomba kandi kujya kwa muganga niba ufite ibindi bimenyetso bikubangamiye hamwe n’imyitwarire yo gusinzira, nko kugira ibibazo byo kugenda mu gihe cy’umunsi, ibibazo byo kwibuka, cyangwa guhinduka mu bushobozi bwawe bwo gutekereza. Ibi bishobora kugaragaza ikibazo cy’ubwonko gikenewe gusuzuma.

Ntugategereze gusaba ubufasha niba ibibazo byo gusinzira bigira ingaruka ku mibanire yawe, bikagutera impungenge zo kuryama, cyangwa bikagutera kumva udatekanye mu cyumba cyawe cyo kuryama. Hari ubuvuzi bufatika buhari kugira ngo bufashe gucunga RBD neza.

Ibyago byo kwandura REM Sleep Behavior Disorder ni ibihe?

Hari ibintu byinshi bishobora kongera amahirwe yo kwandura RBD, nubwo ufite ibyo byago ntibisobanura ko uzagira icyo kibazo. Kubyumva birashobora kugufasha wowe na muganga wawe kuba maso ku bimenyetso bya mbere.

Ibyago by’ingenzi birimo:

• Kuba umugabo ukaba ufite imyaka irenga 50 (RBD ikunze kuba mu bagabo bakuze)
• Kugira amateka y’umuryango wa RBD cyangwa indwara zangiza ubwonko
• Guta imiti imwe yo kuvura ihungabana, cyane cyane SSRIs cyangwa tricyclics
• Kugira narcolepsy cyangwa izindi ndwara zo gusinzira
• Imvune z’umutwe mbere cyangwa imvune y’ubwonko
• Amateka yo kunywa inzoga
• Indwara ziterwa n’ubudahangarwa bw’umubiri zishobora kugira ingaruka ku bwonko

Bimwe mu byago bidafite akamaro birimo kuba warakoze igikorwa cyo kubaga ubwonko, ihindagurika rimwe na rimwe ry’imiterere y’umuzuko, cyangwa kwandura ibinyabutabire bimwe na bimwe. Muganga wawe ashobora gusuzuma ibyago bifitanye isano n’ibyawe.

Bikwiye kumenya ko abantu benshi bafite ibyo byago batagira RBD, mu gihe abandi bayigira nta byago byumvikana. Icyo kibazo gishobora kuba kidasobanutse ku bantu kigiraho ingaruka.

Ingaruka zishoboka za REM Sleep Behavior Disorder ni izihe?

Nubwo RBD ubwayo atari indwara yica, ishobora gutera ingaruka nyinshi zigira ingaruka ku mutekano wawe n’ubuzima bwawe. Ikibazo cya mbere ni ibyago byo gukomereka mu gihe cyo gusinzira.

Ingaruka ku mubiri ushobora kugiramo harimo:

• Ibisigo, ibikomere, cyangwa amagufwa yamenetse kubera kugwa ku buriri
• Imvune ku muntu mukundana kubera kugongana
• Kwibasira ibikoresho byo mu cyumba cyo kuryama
• Guhungabana gusinzira bigatuma unaniwe mu gihe cy’umunsi
• Kubura ibitotsi bikabije bigira ingaruka ku mikorere y’umubiri

Uretse ibyago by’umubiri, RBD ishobora gutera ibibazo by’amarangamutima n’imibanire. Ushobora kumva ufite ubwoba bwo gusinzira, guhangayika kubera gukomeretsa umuntu mukundana, cyangwa kugira ibibazo by’imibanire kubera guhungabana gusinzira.

Icyemezo gikomeye cy’igihe kirekire ni uko RBD ishobora kuba ikimenyetso cy’indwara zangiza ubwonko. Ubushakashatsi bwerekana ko abantu benshi bafite idiopathic RBD baza kugira indwara nka Parkinson cyangwa dementia ifite Lewy bodies, nubwo iyo ndwara ishobora gufata imyaka myinshi kandi ntibibaho kuri buri wese.

Inkuru nziza ni uko kuvura neza no kuvura bishobora kugabanya cyane ibyo byago kandi bikagufasha kugira umutekano mwiza wo gusinzira n’ubuziranenge.

REM Sleep Behavior Disorder imenyekanwa gute?

Kumenya RBD bisaba ubusanzwe kwiga gusinzira bita polysomnography, aho umara ijoro muri kliniki yo gusinzira ufite ibikoresho byo gupima ibikorwa by’ubwonko bwawe, imitsi yawe, n’imyanya yawe. Iki kizamini gishobora gufata ibikorwa bidasanzwe by’imitsi mu gihe cyo gusinzira kwa REM kiranga RBD.

Muganga wawe azatangira afata amateka arambuye y’imyitwarire yawe yo gusinzira, akenshi akubiyemo umuntu mukundana ushobora kuvuga ibyo yabonye. Azakubaza igihe, kenshi, n’imiterere y’ibyo bibaho, ndetse n’inzozi wibuka.

Uburyo bwo kuvura busanzwe burimo isuzuma ry’umubiri n’ubwonko kugira ngo harebwe ibimenyetso by’ibibazo by’ubwonko. Muganga wawe ashobora kandi gusubiramo imiti yawe, kuko imiti imwe ishobora gutera ibimenyetso bisa na RBD.

Ibizamini byongeyeho bishobora kuba amaraso yo guhakana izindi ndwara, amashusho y’ubwonko niba hari ibibazo by’ubwonko bikekwa, cyangwa ibibazo byihariye byo gusinzira kugira ngo harebwe ubuziranenge bwawe bwo gusinzira n’imiterere.

Rimwe na rimwe muganga wawe ashobora kukusaba kwandika ibyo wakoraga mu gihe cyo gusinzira cyangwa gukoresha videwo mu rugo kugira ngo ugaragaze ibyabaye, ibyo bishobora gutanga amakuru akomeye yo kuvura no gutegura ubuvuzi.

Ubuvuzi bwa REM Sleep Behavior Disorder ni buhe?

Ubuvuzi bwa RBD bugamije kukurinda mu gihe cyo gusinzira no kugabanya kenshi n’uburemere bw’ibyo bibaho. Uburyo busanzwe buhuza imiti n’ingamba z’umutekano mu cyumba cyawe cyo kuryama.

Imiti ikunze kwandikwa ni clonazepam, imiti ituma usinzira ituma imitsi isubira mu ituze mu gihe cyo gusinzira kwa REM. Abantu benshi basubira mu buzima busanzwe bafata doze nke mbere yo kuryama, kandi iyo miti isanzwe ijyanye neza nta ngaruka nyinshi.

Niba clonazepam itakubereye, izindi miti ishobora kuba:

• Melatonin, ishobora gufasha kugenzura imiterere yo gusinzira no kugabanya ibimenyetso bya RBD
• Pramipexole cyangwa izindi miti niba Parkinson ariyo iriho
• Guhindura cyangwa guhagarika imiti ishobora gutera RBD
• Kuvura ibibazo biriho nka sleep apnea bishobora kongera ibimenyetso

Muganga wawe azakorana nawe kugira ngo abone imiti ikwiye n’umwanya, akurikirane uko ubaye kandi akahindura ubuvuzi uko bikenewe. Bamwe mu bantu bakeneye kuvurwa hamwe cyangwa guhindura imiti buri gihe.

Niba ufite ikibazo cy’ubwonko, kuvura icyo kibazo bikunze gufasha kunoza ibimenyetso bya RBD. Ikipe yawe y’abaganga ishobora kuba irimo inzobere mu gusinzira n’inzobere mu bwonko bakorana.

Uko wakwitwara mu rugo ufite REM Sleep Behavior Disorder

Kurema ahantu heza ho gusinzira ni ingenzi mu gucunga RBD mu rugo. Guhindura ibintu bike mu cyumba cyawe cyo kuryama bishobora kugabanya cyane ibyago byo gukomereka mu gihe cyo gusinzira.

Ingamba z’umutekano z’ingenzi zirimo:

• Gushyira matelas yawe hasi cyangwa gukoresha ibikoresho byo kuryama kugira ngo wirinde kugwa
• Gukuraho ibintu bikaze, amatara, cyangwa ibintu bishobora kwangirika hafi y’uburiri
• Gusiga ibintu bikaze by’ibikoresho hafi y’uburiri
• Guhambira cyangwa gukuraho ibyuma by’ibirahure n’ibishushanyo by’ibirahure
• Gushyira amatara akora ku myanya kugira ngo ubashe kugenda neza
• Kugira uburiri butandukanye niba umuntu mukundana ari mu kaga ko gukomereka

Ubuzima bwiza bwo gusinzira bushobora kandi gufasha kugabanya kenshi ibyo bibaho. Ibi bivuze kugira igihe cyiza cyo kuryama, kwirinda inzoga na kafe mbere yo kuryama, no kurema ahantu heza ho kuryama.

Uburyo bwo guhangana n’umunaniro nko gukora imyitozo yo kuruhuka cyangwa gutekereza utuje mbere yo kuryama bishobora gufasha bamwe kugira ibibaho bike cyangwa bidakomeye. Ariko kandi, guhindura imibereho gusa ntibihagije kugira ngo uyicunge neza, kandi imiti ikunda kuba ikenewe.

Komeza kwandika ibyo wakoraga mu gihe cyo gusinzira kugira ngo ukureho kenshi ibyo bibaho n’ibintu bibitera, ibyo bishobora gufasha muganga wawe guhindura gahunda yawe yo kuvura. Bandika impinduka zose mu gihe cy’umunaniro, imiti, cyangwa ibintu by’ubuzima bihuye n’impinduka mu bimenyetso byawe.

Uko wakwitegura ku muganga

Kwitunganya mbere yo kujya kwa muganga bishobora gufasha muganga wawe kumva neza uko ubaye no gutegura gahunda ikwiye yo kuvura. Tangira ugaragaze imyitwarire yawe yo gusinzira n’imiterere wabonye.

Zana amakuru akurikira ku muganga:

• Ibisobanuro birambuye by’ibyo bibaho, harimo igihe n’ubwinshi
• Urutonde rw’imiti yose n’ibindi bikoresho ukoresha
• Amakuru yerekeye impinduka zose mu miti cyangwa ubuzima
• Ibyo umuntu mukundana yabonye ku myitwarire yawe yo mu ijoro
• Imvune cyangwa ibibazo by’umutekano bijyanye n’ibyo bibaho mu gihe cyo gusinzira
• Amateka yawe y’ubuzima, harimo ibibazo by’ubwonko

Tegereza gusaba umuntu mukundana kuza kumwe nawe, kuko ashobora kuba yarabonye ibintu utazi. Inkuru ye y’ukuri ishobora gutanga amakuru akomeye ku miterere n’igihe cy’ibyo bibaho.

Andika ibibazo ushaka kubaza, nko guhangayika kubyerekeye ibibazo by’ubwonko, uburyo bwo kuvura, cyangwa ingamba z’umutekano. Ntugatinye kubaza icyakubangamiye ku gusinzira kwawe cyangwa ku buzima bwawe muri rusange.

Niba bishoboka, zana ibizamini byo gusinzira byabanje cyangwa impapuro z’ubuvuzi zifitanye isano. Aya makuru afasha muganga wawe kubona ishusho yuzuye y’ubuzima bwawe bwo gusinzira n’amateka yawe y’ubuzima.

Icyingenzi cyo kumenya kuri REM Sleep Behavior Disorder

REM Sleep Behavior Disorder ni ikibazo gishobora kuvurwa gifitanye isano n’uburyo busanzwe bw’imitsi mu gihe cyo gusinzira, bigatuma ukora inzozi zikomeye. Nubwo bishobora kuba bishishikaje, cyane cyane ku bantu mukundana, hari ubuvuzi bufatika buhari kugira ngo bufashe gusinzira neza.

Intambwe y’ingenzi ni ukugira isuzuma ry’abaganga, kuko RBD rimwe na rimwe ishobora kugaragaza ibibazo by’ubwonko bikenera kuvurwa hakiri kare. Hamwe n’imiti ikwiye n’ingamba z’umutekano mu cyumba cyo kuryama, abantu benshi bafite RBD bashobora kugabanya cyane ibimenyetso byabo n’ibyago byo gukomereka.

Wibuke ko RBD atari amakosa yawe, kandi nturi wenyine mu guhangana n’icyo kibazo. Abantu benshi baracunga RBD neza kandi bagira ubuzima bwiza bwo gusinzira bafite ubuvuzi bukwiye n’impinduka mu cyumba cyabo cyo kuryama.

Gukorana na baganga bawe, gukomeza kuvurwa, no kugira imyifatire myiza yo gusinzira bishobora kugufasha kugira umutekano mwiza wo gusinzira, ukirinda wowe n’umuntu mukundana gukomereka.

Ibibazo bikunze kubaho kuri REM Sleep Behavior Disorder

Ese REM Sleep Behavior Disorder ishobora gukira burundu?

RBD ntishobora gukira, ariko ishobora gucungwa neza cyane hamwe n’imiti n’ingamba z’umutekano. Abantu benshi babona impinduka zikomeye mu bimenyetso byabo bafite ubuvuzi bukwiye, bibatuma basinzira neza kandi batuje. Intego ni ugucunga ibyo bibaho no kwirinda imvune aho kugabanya icyo kibazo burundu.

Ese REM Sleep Behavior Disorder isa nkaho ari ugutembera mu gihe cyo gusinzira?

Oya, RBD no gutembera mu gihe cyo gusinzira ni ibintu bitandukanye bibaho mu bihe bitandukanye byo gusinzira. RBD ibaho mu gihe cyo gusinzira kwa REM kandi igaragara mu gukora inzozi, mu gihe ugutembera mu gihe cyo gusinzira bibaho mu gihe cyo gusinzira cyane cya non-REM kandi bikunze kuba kugenda cyangwa ibikorwa byoroshye nta kwibuka inzozi. Abantu bafite RBD bakunze kwibuka inzozi zabo, mu gihe abatembera mu gihe cyo gusinzira bake cyane babikora.

Ese nzagira Parkinson niba mfite RBD?

Si buri wese ufite RBD uzagira Parkinson cyangwa izindi ndwara zangiza ubwonko. Nubwo ubushakashatsi bwerekana ko hari ibyago byiyongereye, abantu benshi bafite RBD ntibagira izo ndwara. Iterambere, niba ribayeho, risanzwe rifata imyaka myinshi, kandi ubuvuzi burakomera cyane kuri RBD n’ibindi bibazo bifitanye isano.

Ese umunaniro cyangwa guhangayika bishobora kongera RBD?

Yego, umunaniro no guhangayika rimwe na rimwe bishobora kongera kenshi cyangwa uburemere bw’ibyo bibaho bya RBD. Guhangana n’umunaniro binyuze mu myitozo yo kuruhuka, imyitozo ngororamubiri, n’ubuzima bwiza bwo gusinzira bishobora gufasha kugabanya ibimenyetso. Ariko kandi, guhangana n’umunaniro gusa ntibihagije kugira ngo uyicunge, kandi imiti ikunda kuba ikenewe.

Ese umuntu ufite RBD ashobora kuryama wenyine?

Abantu benshi bafite RBD bashobora kuryama wenyine bafite uburyo bukwiye bwo kuryama n’ubuvuzi. Ikintu cy’ingenzi ni ukurema ahantu heza ho kuryama binyuze mu gukuraho ibintu bikaze, gusiga ibikoresho, no rimwe na rimwe gushyira matelas hasi. Muganga wawe ashobora kugufasha gusuzuma uko ubaye kandi akagutegurira ingamba z’umutekano zo kuryama wenyine.