I-REM Yokukhubazeka Kwempawu Ezixhamene Ngokubanzi Nezinye Iingxaki Zengqondo
Kuyavakala kakhulu ukuba kuyinyaniso, kodwa kunokwenzeka ukuba abantu baqale ukwenza amaphupha abo. Oku kungabonakalisa kwiindlela ezintle kwaye ezimangalisa. Nangona ngokuqhelekileyo i-episodic, xa kuphupha ukuphulwa komthetho kubangelwa ukuba kungalimaza kakhulu umntu ohluphekileyo okanye umlingane wokulala. Ezi ziphatha zixhaphake ngokuqhelekileyo kunye nokukhubazeka kwe-REM (RBD) .
Okuthakazelisayo, ezi ziqhelo ezingavamile zingacacisa ukuphuhliswa kwexesha elizayo kwezinye iimeko ezingenayo i-neurodeergenerative ezinjenge-dementia kunye nesifo se-Parkinson. Funda malunga nolwalamano phakathi kokusebenzisa amaphupha amaphupha kunye neziganeko zezi ziganeko ezilandelelanayo.
Yintoni i-REM yokuziphatha kwengxaki?
Ingxaki yokuziphatha kwe-REM yiParasomnia edibene neendlela zokulala ezivela kwi-sleep sleep. Kulo rhu lumente, izihlunu zivame ukukhubazeka ukuze i-dreaming action can not occur. Kwamanye abantu, kunokwenzeka ukuba kwenziwe umxholo wamaphupha njengamathambo awasayi kukhululeka ngokwaneleyo kwi-REM. Oku kufuthi kuphunyezwe kwinqanaba le-brainstem, kodwa utshintsho lunokukhokelela ekuphazamiseni iimpawu phakathi kobuchopho bokulala kunye nomzimba. Abo bahluphekileyo bahlala bekhulile kuneminyaka engama-50 kwaye baninzi ngabantu.
Iziphumo zokuziphatha zidla ngobudlova kwaye zingabandakanya ukubetha, ukukhaba, ukugxuma ebhedini kunye nezinye izenzo.
Kukho ukuthetha ngokufana nokuhleka, ukuthetha, okanye ukukhala. Ukunyakaza kudla ngokudibanisa nephupha elidibeneyo kwaye umxholo ungakhunjulwa ngokukhawuleza ekuvusekeni. La maphupha amaxesha amaninzi asebenza kwaye aquka ukulwa nomhlaseli. Umxholo ochanekileyo uhluka ngokubanzi kodwa iphupha elilikhumbulayo lihambelana ngokuthe ngqo kunye nesenzo esithathiweyo.
Uphuhliso lwezinye iiMeko eziThuthukayo
Ukuziphatha okuhambelana neRBD kunokuvela kwiminyaka emashumi ngaphambi kokuqala kwamanye amatshintsho ahlaziyo. Enyanisweni, kubonakala ngathi uninzi lwabantu abahluphekileyo neRBD liya kuqhubeka nokuphuhlisa ezinye iimeko. Ngokukodwa, isifo sikaParkinson, i-Lewy yokugula komzimba, kunye ne-multiplerotic system i-atrophy ibonakala idibene ne-RBD. Kungathatha iminyaka - ngamanye amaxesha namashumi eminyaka - ngaphambi kokuba ezinye iimeko ziphuhlise. Kwamanye abantu, ezinye iziphazamiso zingenakuze zibonakalise ngokupheleleyo njengoko ukufa kwenzeka ngenxa yezizathu ezithile.
Nangona konke kungenawo wonke ukuqhubela phambili ukuphuhlisa ezinye iimeko ezihambelanayo, kwenzeka ngeqondo eliphezulu. Abantu abangaphezu kwe-80% abane-RBD baqhubeka nokuphuhlisa izimpawu zikaParkinson, umzekelo. Nangona ngokuqhelekileyo kubonwe ekuqaleni kweminye imimiselo emibini, kuncinci kakhulu kuya kuqhubeka nokuphucula izi ngxaki.
Kubalulekile ukufumana ukuxilongwa ngokuchanekileyo kokuziphatha. Amanye ama-parasomnias angabonakalisa kunye nokuhamba ngexesha lokulala. Amachiza athile, kuquka i-antidepressants kunye ne-anticholinergics, inokubangela ukuziphatha kakubi. Ukongezelela, kukho ezinye iingxaki zezokwelapha ezifana ne- multiple sclerosis , i- narcolepsy , kunye ne-stroke engabangela i-RBD.
Ithemba le-REM Behavior Disorder
Kukho i-silver lining to the association phakathi kweRBD kunye nezinye iimeko. Inokuvumela ukuba uphando lukhusele ukuphuhliswa kokugqibela kwezifo ezinxulumene ne-neurodeergenerative. Kwixesha elizayo, ukungenelela kwangaphambili kunokunceda ukuhlenga ezinye izifo.
Ngelo xesha, kubalulekile ukuthatha amanyathelo okukhusela okukhuselekileyo okukhusela ukulimala xa ukuziphatha kuqala. Kukho kwakhona unyango olusebenzayo, kubandakanya ukusetyenziswa kwamanani aphezulu e- melatonin kunye neyeza lomuthi ogama lingu-clonazepam.
Ukuba ufumana iimpawu zokulala ebuthongweni obunxulumene nesiphumo somphunga, funa uvavanyo oluthe gqithwe ngumbono olala kunye nokufumana unyango kunye nonyango oluyidingayo.
Ukulandelelaniswa kwexesha elide kungavumela ukungenelela okukhawuleza ukunyanga ezinye iimpawu kwaye mhlawumbi olunye uvumele ukuba unyango lunciphise amathuba okuhlakulela ezinye izifo ezichaphazelekayo.
> Umthombo:
> I-American Academy ye-Medicine Sleep. Ulwahlulo lwamazwe ngamazwe okuphazamiseka kokulala, 3rd ed. Darien, IL: I-American Academy yoLwazi lweMpilo, ngo-2014.