Kuita Kubuda Kwemariro Kungatungamirira Kukuvadza, Kunopindura Mishonga
Murume akarota kurwisana nemhuka yemhuka uye anomuka kuti azviwanire achirova mudzimai wake muruoko. Chimwe chiroto chokukwira pamusoro pengozi uye anomuka achidonha panhovo uye pasi. Mushure mekukandira chikwata kubva panhope, murume anononoka kuenda kuna chiremba wake kuti awedzere kuongorora. Kana iwe kana munhu waunoda wakamboita zviroto kana uchiri kurara, zvinogona kuva mamiriro ezvinhu anozivikanwa se REM hutano hwehutano.
Ndezvipi zviratidzo, zvinokonzera, uye kurapwa kwechiitiko ichi? Dzidza nezvekuti chirwere ichi chinogona kuongororwa uye kuporerwa sei kudzivirira kukuvara.
Tsanangudzo
Panguva yeusiku, isu tinowanzofambira mberi pamatanho ekurara , kusanganisira kufamba kwekurumidza kweziso (REM) kurara . REM inowanzozivikanwa nehutano hwehuropi nekurota-uye kusakwanisa kushandisa mishonga yedu, kunze kwemaziso edu eziso uye diaphragm (inotitendera kufema). Kurara kwe REM kunowanzoitika nguva nenguva kuburikidza neusiku pamaminitsi anenge 90 emaminitsi, uye inogadziriswa muchitatu yekupedzisira yeusiku sezvo nguva inowedzera nguva refu vasati vamuka.
Kana dzimwe mishonga yedu isiri yomuviri wakaoma, tinogona kuita mabasa akaoma nekuita zviratidzo zvedu apo isu tichiri kurara. Izvi zvinonzi REM behavior dambudziko. Ichi chirwere chinogona kutungamirira kukuvara kwekukuvadza, kusanganisira kukuvadzwa kwevabereki vanovata.
Zviratidzo
Vanhu vazhinji vane chirwere ichi vanorondedzera kurota kunofadza uye kwakajeka kunosanganisira vashandi kana vapambi (vanhu kana mhuka).
Ikoko kunosanganisira kurota-kuita maitiro anowanzotyisa. Kuzvibata kwakananga kunosanganisira:
- Kutaura kana kuchema
- Kuseka
- Kuuya
- Punching
- Kicking
- Kuramba kana kuwira kubva pamubhedha
- Running
- Inotyisa fenisha
Maitiro aya anowanzokonzera kukuvadza kune mumwe munhu kana mubhedha wavo. Kukuvadzwa kunogona kunge kushoma (zvakadai semavhutu, mavara, kana kuputswa) kana zvakanyanya (zvakadai semapfupa akaputsika kana kubuda mukati meuropi).
Vanhu vanotambura vanogona kunyunyutira nekuvhiringidza kurara kana kunyanya kuora kwezuva .
Dambudziko rehutachiona hweHR rinosangana nevana kana vashanu pavanhu vanobva kune chiuru chimwe chete. Mune anenge 90% emhosva, inoitika kune varume vari mumakore makumi mashanu kana makumi matanhatu.
Kuziva
Muzviitiko zvakawanda, nhoroondo yakarondedzerwa yekurota-kuita maitiro nemaitiro ekurara akarara anonzi polysomnogram (PSG) achange akakwana kuti aone kuongororwa. Iko PSG inowanzoratidza kuve kusina kuchena kwemazwi emusana (kureva basa) panguva yokurara kwe REM, zvichibvumira kukwanisa kuita zvisina kunaka kurota. Zvakakoshawo kunyora kusavapo kwekubata-kufanana nemagetsi mubasa reEEG nokuti kukanganisa kunogona kuita kuti dzimwe nguva zvifambe zvisina kunaka panguva yokurara.
Kufungidzira kufanirwa kazhinji kunowanzoitika muhutano hweHIV kana pasina chirwere chinonzi neurodegenerative disorder. Zvisinei, mamiriro acho ezvinhu anowanzoitika mumamiriro ezvinhu mamwe matambudziko.
Associated Conditions
Kushanda kwehutachiona hweHIV kunowanzobatanidzwa nedzimwe zvirwere zvehutano, uye vanopfuura 50% varwere vachave nedzimwe chirwere chakafanana neCalinson's disease, dementia nemitumbi yeLeyy , uye maitiro akawanda atrophy.
Kunyange kana pasina chirwere chinokonzerwa neurologic pahurukuro, 65 muzana yevarwere vane REM maitiro ehutano vacharamba vachikudziridza Parkinson kana kuti makore makumi emakore gare gare.
Izvo zvave zvichirondedzerwa kuti chirwere chemuitiro hwe REM chinogona kuva chiratidzo chinoshanda chekudzivirira kwekutanga kwematambudziko aya. Haasi munhu wese anoita zvinhu izvi zvinosanganiswa.
Pane imwe nguva inowanzova yakaoma yehutachiona hweHIV hunozoguma nekugadzirwa kwepfungwa dzehupfungwa dzakadai seproke, tumor, kana kuti mukuderedza mweya sezvinogona kuitika mune multiple sclerosis. Chimwe kuratidzwa kunogonawo kuitika semugumisiro wemimwe mishonga (kusanganisira zvinodhaka uye zvimwe zvinokanganisa uropi), kudhakwa kwezvinodhaka, kana kubvisa kunwa doro kana kunwa mishonga.
Zvimwe Zvinetso Zvokufunga nezvazvo Panguva Yakasiyana Yokuziva
Pane dzimwe humwe hutano hungave huine zviratidzo zvakafanana nehutachiona hweHIV uye izvi zvinofanira kutaridzirwa. Izvi dzimwe nguva zvinonzi pseudo-RBD. Kazhinji, kushungurudzwa uku kunogona kukonzera kufamba kusinganzwisisiki usiku kana kunyanya kurara kwezuva , uye kunosanganisira:
- Kubatwa kwezuva usiku
- Kudzivisa kubatwa nehope
- NREM kurara parasomnias
- Periodic limb movement disorder
- Nocturnal panic kurwisa
- Post-traumatic stress disorder (PTSD)
- Zvimwe zvirwere zvepfungwa
Izvi zvimwe zvinokonzera kurota-kugadzirisa mafambiro hazvibatanidzi nekuvandudzwa kwemamwe matambudziko eurodegenerative anotsanangurwa pamusoro apa. Chirwere chinotarirwa kune chinokonzera chikonzero pane.
Kurapa
Kazhinji, kurapwa kwemaitiro ekutadza kwe REM kunowedzera pakuchengetedza munhu akabatwa nevamwe vakachengeteka. Izvi zvinosanganisira kuita chivako nzvimbo yakachengeteka nokubvisa magetsi eusiku uye zvinhu zvakakosha. Mune zvimwe zviitiko, kuwedzera padding kumativi ese mubhedha kunogona kubatsira. Vamwe vanhu vanoda kuvhara musuo kana mahwindo kuti vadzivirire pakupinda mumatambudziko. Kana imwe nguva kufamba kwacho kuchideredzwa zvinobudirira nemishonga, zvishomanana zvidziviriro zvingave zvakakosha.
Imwe clonazepam yemishonga inobata mishonga inobatsira zvikuru kuvarwere vakawanda. Inogona kukonzera kuvhiringidzika kweusiku munguva yekurara kana masikati kurara, zvisinei, izvi zvinogona kuita kuti zvirege kuvhiringidzika kune vamwe. Sezvimwe zvinoshandiswa, kuwedzera kwemasero e melatonin yakaratidzwa kuti inoshanda mune zviduku zvishomanana.
Kana iwe une hanya kuti iwe unogona kunge une zviratidzo zvinoratidza kufungidzirwa kwetsika ye REM, tanga nekutaura newe chiremba uye kuwana kuongororwa uye kurapwa kwaunoda kuti urambe wakachengeteka panguva yehope.
Kunobva:
Mowzoon, N et al . "Neurology Yezvokurara Kwehope." Neurology Board Review: An Illustrated Guide. 2007; 738-739.