I-REM Behavior Disorder Ixhunywe Ngokuqinile Kwezinye Izinkinga Zezinhliziyo
Kuzwakala kuyinqaba ukuba yiqiniso, kodwa empeleni kungenzeka ukuba abantu baqale ukwenza amaphupho abo. Lokhu kungabonakala ngezindlela ezingavamile futhi ezimangalisayo. Nanobe kunjalo ngokuvamile, lapho ukuphoqeka ukuphupha kwenzeka kungabangela ukulimala okukhulu kumuntu ohluphekile noma umlingani wombhede. Lezi ziphathekayo zivame ukuhlotshaniswa nokukhubazeka kwe-REM (RBD) .
Ngokuthakazelisayo, lezi ziqephu ezingavamile zingase zibikezele ukuthuthukiswa kwesikhathi esizayo kwezinye izimo ezingenayo i-neurodeergenerative ezifana nokuwohloka komqondo kanye nesifo sikaParkinson. Funda mayelana nobuhlobo phakathi kokwenza amaphupho kanye nezimo zalezi zimo ezilandelayo ze-neurodeergenerative.
Yini i-REM Behavior Disorder?
Ukukhubazeka kokuziphatha kwe-REM yi-Parasomnia ehlotshaniswa nokuziphatha kokulala okuvela kubuthongo be-REM. Kulo mhlaba, imisipha ivame ukukhubazeka ukuze ukuqinisekiswa kwephupho kungenzeki. Kwabanye abantu, kuba lula ukwenza izinto eziphathelene namaphupho njengemisipha engasakwazi ukukhululeka ngokwanele ku-REM. Lokhu kuvame ukutholakala ezingeni le-brainstem, kodwa izinguquko zingabangela ukwehluleka ukuphazamisa izibonakaliso phakathi kobuchopho nokulala komzimba. Labo abahluphekile bavame ukudala kuneminyaka engama-50 futhi bavame kakhulu amadoda.
Ukuziphatha okuholela ekuvameni kuvame ukuhlukumezeka futhi kungabandakanya ukushaya, ukukhahlela, ukuqhaqhaza embhedeni, nezinye izenzo.
Kungase kube khona ukuzwakala njengokuhleka, ukukhuluma noma ukukhala. Ukunyakaza kuvame ukuhlotshaniswa nephupho elihambisanayo futhi okuqukethwe kungakhunjulwa ngokushesha lapho kuvuka. Leziphupho zivame ukusebenza futhi zingabandakanya ukulwa nomhlaseli. Okuqukethwe okucacile kuyahlukahluka kodwa iphupho elikhunjulwa lihambisana ngokuseduze nesenzo esitholiwe.
Ukuthuthukiswa Kweminye Imibandela Yokudambisa
Ukuziphatha okuhambisana ne-RBD kungenzeka amashumi eminyaka ngaphambi kokuqala kwezinye izinguquko ze-neurodegenerative. Eqinisweni, kubonakala sengathi iningi lalabo abahluphekayo neRBD lizoqhubeka nokuthuthukisa ezinye izimo. Ngokuyinhloko, isifo sikaParkinson, i-Lewy yengqondo yomzimba, kanye ne-multiple system atrophy kubonakala sengathi ihlotshaniswa neRBD. Kungathatha iminyaka - ngezinye izikhathi ngisho namashumi eminyaka - ngaphambi kokuba lezi ezinye izimo zithuthuke. Kwamanye abantu, ezinye izinkinga zingase zingabonakali ngokugcwele njengoba ukufa kwenzeka ngenxa yezizathu ezithile.
Nakuba kungekhona konke okuqhubekayo ukuthuthukisa ezinye izimo ezihambisanayo, kwenzeka ngezimvamisa eziphezulu. Abantu abangaphezu kuka-80% abane-RBD bayaqhubeka nokuthuthukisa izimpawu zikaParkinson, isibonelo. Nakuba kubuye kubonakale kusenesikhathi kwezinye izimo ezimbili, kuncane kakhulu okuzoqhubeka nokuthuthukisa lezi zinkinga.
Kubalulekile ukuthola ukuxilongwa okunembile kokuziphatha. Amanye ama-parasomnias angabonakalisa nokunyakaza ngesikhathi sokulala. Imithi ethile, kuhlanganise ne-anti-depressants kanye ne-anticholinergics, ingabangela ukuziphatha kokulala. Ngaphezu kwalokho, kunezinye izinkinga zezokwelapha ezifana ne- multiple sclerosis , i- narcolepsy , kanye nesifo sohlangothi esingaholela ku-RBD.
Ithemba le-REM Behavior Disorder
Kukhona futhi ukufakwa kwesiliva ku-association phakathi kwe-RBD kanye naleminye imibandela. Kungavumela ukucwaninga ukuvimbela ukuthuthukiswa kokugcina kwezifo ezihlobene neurodegenerative. Esikhathini esizayo, ukungenelela kokuqala kungasiza ekufakeni ezinye izifo.
Ngesikhathi esifanayo, kubalulekile ukuthatha izinyathelo zokuphepha ezifanele ukuvimbela ukulimala uma iziqalo ziqala. Kukhona nemithi yokwelapha ephumelelayo, kuhlanganise nokusetshenziswa kwamanani aphezulu we- melatonin kanye nemithi yokwelashwa ebizwa ngokuthi i-clonazepam.
Uma uhlangabezana nokuziphatha ngaphandle kokulala okuhlotshaniswa nokuqukethwe kwephupho, funa ukuhlolwa okuqhubekayo nguchwepheshe obuthongo bese uthola ukuxilongwa nokwelashwa okudingayo.
Ukulandela ukulandelana kwezinzwa zesikhathi eside kungavumela ukungenelela okusheshayo ukuphatha ezinye izimpawu futhi ngosuku olunye lungavumela ukuthi ukwelashwa kunciphise amathuba okuthuthukisa ezinye izifo ezihambisanayo.
> Umthombo:
> I-American Academy Yokulala Imithi. Ukuhlukaniswa ngamazwe ngamazwe okuphazamiseka kokulala, 3rd ed. Darien, IL: i-American Academy of Sleep Medicine, 2014.