Kuchita Maloto Kungayambitse Kuvulaza, Kuyankha Mankhwala
Mwamuna akulota kumenyana ndi nyama zakutchire ndikudzuka kuti adziwombere mkazi wake mdzanja. Maloto ena akudumphira pangozi ndikukwera pansi pabedi ndi pansi. Ataponyera nkhonya, mwamunayo amapita kukaonana ndi dokotala kuti akapeze mayeso ena. Ngati inu kapena wokondedwa wanu mwachitapo maloto pamene mukugona, zikhoza kukhala chikhalidwe chodziwika kuti REM khalidwe matenda.
Kodi zizindikiro, zifukwa ndi chithandizo cha matendawa ndi chiyani? Phunzirani za momwe matendawa angapezedwe ndikuchiritsidwa kuti muteteze kuvulala.
Tanthauzo
Usiku, mwachibadwa timapita kupyolera mu ndondomeko za tulo , kuphatikizapo kuyenda mofulumira kwa maso (REM) . REM nthawi zambiri imadziwika bwino ndi ubongo ndi kulota-komanso kulephera kugwiritsa ntchito minofu yathu, kupatulapo minofu yathu ya diso ndi mitsempha (yomwe imatilola kuti tipume). Kugona kwa REM kumachitika nthawi ndi usiku kupitilira mphindi pafupifupi 90, ndipo kumakhala nthawi yachitatu ya usiku ngati nthawi yayitali kwambiri asanayambe.
Ngati minofu yathu sinali yokonzeka bwino, tikhoza kuchita zovuta ndikuchita maloto athu pamene tigona tulo. Izi zimatchedwa REM khalidwe matenda. Matendawa angapweteke mwangozi, kuphatikizapo kuvulazidwa ndi anthu ogona.
Zizindikiro
Anthu ambiri omwe ali ndi matendawa amafotokoza maloto osangalatsa komanso omveka bwino omwe amawaphwanya kapena kuwomba (anthu kapena nyama).
Pali njira zomwe zimagwirizana ndi maloto zomwe zimakhala zachiwawa. Zizolowezi zofanana ndizo:
- Kulankhula kapena kufuula
- Kuseka
- Kufikira
- Punching
- Kukukankhira
- Kudumpha kapena kugwa pansi
- Kuthamanga
- Zovuta zowonjezera
Zizoloŵezi zimenezi nthawi zambiri zimapweteka munthu kapena bwenzi lake. Kuvulala kungakhale kochepa (monga mikwingwirima, mabala, kapena kudula) kapena zoopsa (monga mafupa osweka kapena kutuluka mwa ubongo).
Anthu omwe ali ovutika akhoza kudandaula chifukwa cha kugona tulo kapena kugona kwa usana .
Matenda a khalidwe la REM amakhudza anthu anayi kapena asanu kuchokera pa 1,000. Pafupifupi 90%, amapezeka mwa amuna omwe ali m'ma 50s kapena 60s.
Kudziwa
Kawirikawiri, mbiri yakale ya maloto ochita maloto ndi maphunziro oyenera ogona tulo otchedwa polysomnogram (PSG) adzakwanira kuti adziwe matenda. PSG nthawi zambiri imasonyeza kusakhala kosadziwika kwa maonekedwe a minofu (kutanthauza ntchito) pa nthawi yogona tulo, kuti athe kuchita malingaliro olakwika. Ndikofunika kulembera kuti kulibe magetsi monga ntchito yamagetsi pa EEG chifukwa kugwidwa ndi matenda nthawi zina kungachititse kuti munthu asagone panthawi yogona.
Kafukufuku woganizira ndiwowoneka bwino mu vuto la khalidwe la REM ngati palibe vuto lomwe limayambitsa matendawa. Komabe, mkhalidwewu umapezeka kawirikawiri pa zovuta zina.
Zotsatira Zogwirizana
Matenda a khalidwe la REM nthawi zambiri amakhudzana ndi matenda ena a ubongo, ndipo odwala oposa 50% adzakhala ndi matenda ena monga Parkinson's disease, dementia ndi matupi a Lewy , ndi machitidwe ambiri a atrophy.
Ngakhale pamene palibe matenda okhudza matenda a ubongo pakadutsa, odwala 65% omwe ali ndi vuto la khalidwe la REM adzapitiriza kukhala ndi zaka za Parkinson kapena za dementia kapena zaka makumi angapo pambuyo pake.
Zakhala zikuperekedwa kuti vuto la khalidwe la REM lingakhale chizindikiro chothandizira kupewa kupewa matendawa. Sikuti aliyense amalenga zinthu zomwe zikugwirizana.
Pali mitundu yochepa yovuta ya REM yomwe imayambitsa matenda a ubongo monga kupwetekedwa, kupweteka, kapena kutaya thupi monga momwe zingakhalire mu multiple sclerosis. Chiwonetsero china chikhoza kuchitika chifukwa cha mankhwala ena (kuphatikizapo kupatsirana maganizo ndi ena omwe amakhudza ubongo), kumwa mowa mwauchidakwa, kapena kuchotsa kumwa mowa kapena mankhwala osokoneza bongo.
Zovuta Zina Zoganizira Zomwe Mukudziwa Zomwe Mukudziwa
Pali zovuta zina zomwe zingakhale ndi zizindikiro zofanana ndi matenda a REM komanso izi ziyenera kuganiziridwa. Izi nthawi zina zimatchedwa pseudo-RBD. Kawirikawiri, matendawa amachititsa kusuntha kwachilendo usiku kapena kupweteka kwambiri kwa tsiku , ndikuphatikizapo:
- Kusokonekera kwa usiku
- Kuletsa kugona tulo
- NREM kugona parasomnias
- Kusokonezeka kwa miyendo nthawi zonse
- Kuwopsya koopsa kwa usiku
- Matenda a post-traumatic stress (PTSD)
- Matenda ena a maganizo
Zina mwazimene zimayambitsa khalidwe lolota maloto sizikugwirizana ndi chitukuko cha matenda ena osokoneza bongo omwe atchulidwa pamwambapa. Chithandizo chikuwonekera pazomwe zimayambitsa.
Chithandizo
Kawirikawiri, chithandizo cha vuto la khalidwe la REM chimayang'ana kusunga munthu yemwe akukhudzidwa ndi enawo kukhala otetezeka. Izi zimapangitsa kuti chipinda chikhale malo abwino pochotsa maulendo a usiku ndi zinthu zowala. Nthawi zina, padding yowonjezera pambali pa bedi angakhale othandiza. Anthu ena amafunika kutseka chitseko kapena mawindo kuti asamachite zoipa. Katundu ukangowonjezereka bwino ndi mankhwala, zochepetsetsa zachitetezo zingakhale zofunika.
Clonazepam ndi mankhwala othandiza kwambiri odwala ambiri. Zingayambitse chisokonezo usiku ngati usana kapena usana, kotero kuti izi zingasokoneze ena. Monga njira ina, mlingo wapamwamba wa melatonin wakhala ukuwonetsedwa kukhala wogwira ntchito mu mayesero angapo ang'onoang'ono.
Ngati mukudandaula kuti mungakhale ndi zizindikiro zokhudzana ndi vuto la khalidwe la REM, yambani kulankhula ndi inu dokotala ndikupeza chithandizo ndi chithandizo chomwe mukufuna kuti muteteze pamene mukugona.
Chitsime:
Mowzoon, N et al . "Nthenda Yothetsera Kugona Kwambiri." Ndemanga ya Bungwe la Neurology: Buku Lophiphiritsira. 2007; 738-739.