Dambudziko Rekufamba Muhope

Kukanganisa kwemufambiro weziso panguva yekurara kweREM (Rapid eye movement) chirwere chekurara umo iwe unoratidza zviroto zvine simba, kazhinji zvisina kunaka nezwi uye nekuzunguzika kwakasimba, kazhinji kwakasimba kwemaoko nemakumbo panguva yekurara kweREM - dzimwe nguva kunonzi maitiro ekurara.

Kazhinji haufambi panguva yekurara kweREM, nhanho yakajairwa yekurara inoitika kakawanda usiku. Anenge 20 muzana yekurara kwako inopedzerwa mukurara kweREM, nguva yakajairwa yekurota, iyo inoitika kunyanya muhafu yechipiri yeusiku.

Kutanga kweREM sleep behavior disorder kazhinji kuri nenzira yakapfava uye kunogona kuipa nekufamba kwenguva.

REM sleep behavior disorder inogona kusanganiswa nemamwe mamiriro ezvepfungwa, akadai seLewy body dementia (inodaidzwawo kuti dementia ine Lewy bodies), chirwere cheParkinson kana multiple system atrophy.

Nekushaya kwepfungwa panguva yekurara kweREM, panzvimbo pekunge muviri wako usina simba maoko nemagaro (atonia) panguva yekurara kweREM, unoita zviri muroto wako. Kutanga kunogona kuva kwenguva refu kana kamwe kamwe, uye zviitiko zvinogona kuitika dzimwe nguva kana kakawanda usiku. Kushaya kwepfungwa kunowanzowedzera nekufamba kwenguva. Zviratidzo zvekushaya kwepfungwa panguva yekurara kweREM zvinogona kusanganisira: Kufamba, sekurova, kurova, kurova maoko kana kubuda mubhedha, semhinduro kune kurota kwakazara kana kune chisimba, sekuteverwa kana kuzvidzivirira kubva pakurwiswa Inzwi, sekukurukura, kuseka, kuchema, kuchema kana kunyange kutuka Kukwanisa kuyeuka hope kana wakamuka panguva yechiitiko Kana uine chero chezviratidzo zviri pamusoro kana uri kusangana nedzimwe nyaya dzekurara, taura nachiremba wako.

Kana uine chero chezviratidzo zviri pamusoro kana uri kutambura nedzimwe nhau dzekurara, taura nachiremba wako.

Matanho anetamisire nerve mubongo anoita kuti minyoro irege kufamba anoshanda panguva yerusununguko rweREM kana hope dze kurota, zvichiguma nekukanganiswa kwenguva pfupi kwemuviri wako. Mukukanganisa kwehupenyu hweREM hope, aya matanho haashandi zvakare uye unogona kuita zviito zvehope dzako.

Zvinhu zvine chekuita nekukura kweREM kurara maitiro kusagadzikana zvinosanganisira: Kuva murume uye kupfuura makore makumi mashanu - zvisinei, vakadzi vazhinji vari kuonekwa vaine chirwere ichi, kunyanya vari pasi pemakore makumi mashanu, uye vechidiki nevana vanogona kukura chirwere ichi, kazhinji vachisangana nenarcolepsy, kushandisa antidepressant kana bundu repfungwa Kuva neimwe mhando yekusagadzikana kwekushanduka kwemuviri, senge chirwere cheParkinson, kusagadzikana kwemasisitimu akawanda, sitiroko kana dementia ine Lewy miviri Kuva nenarcolepsy, chirwere chisingaperi chekurara chinoratidzwa nekuneta kwakanyanya masikati Kutora mimwe mishonga, kunyanya mishonga mitsva yekudzivirira kushushikana, kana kushandiswa kana kurega kushandisa zvinodhaka kana doro Zvichangobva kuitika zvinoratidza kuti panogona kunge paine zvakati wandei zvemamiriro ekunze kana zvemunhu pachake zvinhu zvine njodzi zveREM kurara maitiro kusagadzikana, zvinosanganisira kubata mishonga inouraya zvipembenene, kurima, kusvuta kana kukuvara kwemusoro kwekare.

Zvinetso zvinokonzerwa neREM sleep behavior disorder zvinogona kusanganisira:

• Kusuwa kwemumwe wako unovata naye kana vamwe vanhu vanogara pamba pako
• Kuzviparadzanisa nevamwe nekutya kuti vamwe vanogona kuziva nezvekuvhiringika kwako pakurara
• Kuakuvadzwa kwauri kana kumumwe wako unovata naye

Kuti aone chirwere cheREM sleep behavior disorder, chiremba wenyu anotarisa nhoroondo yenyu yezvokurapa uye zviratidzo zvenyu. Kuongororwa kwenyu kunogona kusanganisira:

• Kuongororwa kwemuviri nekwetsigiro yemanyama. Chiremba wenyu anoita kuongororwa kwemuviri nekwetsigiro yemanyama uye anokutarisa kuti une chirwere cheREM sleep behavior disorder nezvimwe zvirwere zvehope here. Chirwere cheREM sleep behavior disorder chinogona kuva nezviratidzo zvakafanana nezvimwe zvirwere zvehope, kana kuti chinogona kuitika pamwe chete nezvimwe zvirwere zvehope sekushaya mweya panguva yekurara kana narcolepsy.
• Kukurukura nomumwe wako unorara newe. Chiremba wenyu angabvunza mumwe wako unorara newe kana akambokuona uchiratidza kurota kwako uchikurara, sekurova, kufamba-famba nemaoko mudenga, kuchema kana kuchema. Chiremba wenyu angabvunzawo mumwe wako kuti azadze fomu remashoko nezvemaitiro ako ekurara.
• Kuongororwa kwehope usiku (polysomnogram). Vanachiremba vanogona kukurudzira kuongororwa kwousiku murabhoritari yekurara. Panguva yekuongororwa uku, masenisa anotarisa basa remwoyo wako, mapapu nehuropi, maitiro ekufemba, kufamba kwemaoko nemakumbo, kurira, uye mazinga eropa oksijeni paunorara. Kazhinji, uchaonekwa nekamera kuti zviitiko zvako panguva yekurara kweREM zvinyorwe.

Kuti aone chirwere cheREM sleep behavior disorder, vanachiremba vezvokurapa zvehope vanoshandisa kazhinji zviratidzo zviri muInternational Classification of Sleep Disorders, Third Edition (ICSD-3).

Pachirwere cheREM sleep behavior disorder, zviratidzo zvinosanganisira zvinotevera:

• Une nguva dzakawanda dzekumuka panguva yekurara kwaunotaura, kuita ruzha kana kuita zviito zvakaoma zvemotokari, sekurova, kurova kana kumhanya kwakawanda kunowanzobatanidzwa nezviri muroto rako
• Unorangarira kurota kunobatanidzwa nezviito izvi kana kurira
• Kana ukamuka panguva yechikamu ichi, uri mufaro uye hausi kunyonganiswa kana kusanzwisisika
• Kuongororwa kwehope (polysomnogram) kunoratidza kuti une kuwedzera kwekuita kwemhasuru panguva yekurara kweREM
• Kusagadzikana kwako kwehope hakusi kunokonzerwa neimwe chirwere chehope, chirwere chepfungwa, mushonga kana kushandiswa zvakanyanya kwemishonga

Chirwere cheREM sleep behavior disorder chinogona kuva chiratidzo chekutanga chekukura kwechirwere chinoparadza ma neurons, sekunge chirwere cheParkinson, multiple system atrophy kana dementia ine Lewy bodies. Saka kana ukawana chirwere cheREM sleep behavior disorder, zvakakosha kutevera nachiremba wako.