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Yıl:2013; Cilt: 6; Sayı: 3>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2013;6(3):8-18
REM Uykusuyla İlişkili Uyku Bozuklukları
PB Aşkan, M Bilici
Medipol Üniversitesi, İstanbul
Sağlıklı bir uykunun yaklaşık %20-25'i REM döneminden oluşur. Bilindiği gibi bu dönemde beyin aktivitesinde Non-REM yavaş dalga uykusuna göre bir hızlanma, çizgili kaslarda atoni, göz hareketlerinde hızlanma, vücut ısı düzensizlikleri, erkeklerde ereksiyon ve Non-REM dönemine göre rüya yaşantısında artış gözlenir. Uykuyla ilgili hastalıklar ICSD-II sınıflamasında 8 başlıkta ele alınır; bu 8 başlıktan hiçbiri REM'le ilişkili uyku bozukluklarına ayrılmamıştır. Ancak bu 8 başlık ayrıntılı olarak incelendiğinde REM'le ilişkili uyku bozukluklarının bu kategorilerin içinde alt başlıklar halinde dağıldığı görülmektedir. Bu bozukluklar, REM Uykusu Davranış Bozukluğu (RUDB), Rekürren İzole Uyku Paralizisi (UP), Kâbus Bozukluğu (KB) gibi bozuklukları içerir. Ayrıca, psikiyatrik hastalıklarda da REM uykusunda değişiklikler görülmektedir.
REM-Sleep Related Sleep Disorders
REM period of sleep constitutes 20-25% of a healty sleep. As known well, there's an acceleration of brain activity, musculary atonia, acceleration of eye movements, changes of body temperature, penil erection and more dreaming compared to Non-REM in REM period. Sleep disorders are classiffied as 8 in ICSD-II. Altough, this classification doesn't include a topic as REM-related sleep disorders, REM-related sleep disorders take place in some categories. These disorders are REM Sleep Behavior Disorder, Recurrent Isolated Sleep Paralysis, Nightmare Disorder. Particular changes of REM sleep can be observed in psychiatric diseases.

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