I-Polysomnography

I-Polysomnography yisifundo sokulala. Lokhu kuhlolwa kuqopha imisebenzi ethile yomzimba njengoba ulele, noma uzama ukulala. I-Polysomnography isetshenziselwa ukuxilonga ukuphazamiseka kokulala.

Kunezinhlobo ezimbili zokulala:

• Ukulala kwamehlo okusheshayo (REM). Ukuphupha okuningi kwenzeka ngesikhathi sokulala kwe-REM. Ngaphansi kwezimo ezijwayelekile, imisipha yakho, ngaphandle kwamehlo nemisipha yokuphefumula, ayinyakazi kulesi sigaba sokulala.
• Ukulala okungahambi ngokushesha kwamehlo (NREM). Ukulala kwe-NREM kuhlukaniswe izigaba ezintathu ezingatholwa ngamagagasi obuchopho (i-EEG).

Ukulala kwe-REM kuyashintshana nokulala kwe-NREM cishe yonke imizuzu engama-90. Umuntu olala ngokujwayelekile uvame ukulala ngemijikelezo emine kuya kwemihlanu ye-REM ne-NREM ebusuku.

Isifundo sokulala silinganisa imijikelezo yakho yokulala nezigaba ngokurekhoda:

• Umoya ungena uphume emaphashini akho njengoba uphefumula
• Izinga le-oxygen egazini lakho
• Isimo somzimba
• Amagagasi obuchopho (i-EEG)
• Umzamo wokuphefumula nezinga
• Umsebenzi kagesi wemisipha
• Ukuhamba kwamehlo
• Isilinganiso senhliziyo

I-Polysomnography ingenziwa esikhungweni sokulala noma ekhaya lakho.

ESIKHATHINI SOKULALA

Izifundo zokulala ngokugcwele zivame ukwenziwa esikhungweni esikhethekile sokulala.

• Uzocelwa ukuthi ufike cishe amahora amabili ngaphambi kokulala.
• Uzolala embhedeni esikhungweni. Izikhungo eziningi zokulala zinamakamelo okulala ngokunethezeka, afana nehhotela.
• Ukuhlolwa kuvame ukwenziwa ebusuku ukuze kufundwe izindlela zakho zokulala ezijwayelekile. Uma usebenza ebusuku, izikhungo eziningi zingenza isivivinyo ngezikhathi zakho zokulala ezivamile.
• Umhlinzeki wakho wokunakekelwa kwezempilo uzobeka ama-electrode esilevini sakho, ekhanda, nasemaphethelweni angaphandle amajwabu amehlo akho. Uzoba nabaqaphi bokuqopha ukushaya kwenhliziyo yakho nokuphefumula okunamathiselwe esifubeni sakho. Lezi zizohlala zikhona ngenkathi ulele.
• Ama-electrode aqopha amasignali ngenkathi uphapheme (ngamehlo akho avalekile) nangesikhathi sokulala. Isivivinyo silinganisa isikhathi esithatha wena ukulala nokuthi kukuthatha isikhathi esingakanani ukufaka ukulala kwe-REM.
• Umhlinzeki oqeqeshwe ngokukhethekile uzokubheka ngenkathi ulele futhi abone noma yiziphi izinguquko ekuphefumuleni noma ekushayeni kwenhliziyo yakho.
• Isivivinyo sizorekhoda inani lezikhathi lapho uyeka ukuphefumula noma ucishe uyeke ukuphefumula.
• Kukhona nabaqaphi bokuqopha ukunyakaza kwakho ngesikhathi sokulala. Kwesinye isikhathi ikhamera yevidiyo iqopha ukunyakaza kwakho ngesikhathi sokulala.

EKHAYA

Ungahle ukwazi ukusebenzisa ithuluzi lokufunda ubuthongo ekhaya lakho esikhundleni sesikhungo sokulala ukusiza ukuxilonga ukuphefumula kokulala. Ungathatha idivayisi esikhungweni sokulala noma umelaphi oqeqeshiwe eza ekhaya lakho ukuyisetha.

Ukuhlolwa kwasekhaya kungasetshenziswa lapho:

• Ungaphansi kwesazi sokulala.
• Udokotela wakho wokulala ucabanga ukuthi une-apnea yokulala evimbela.
• Awunazo ezinye izinkinga zokulala.
• Awunazo ezinye izinkinga ezinkulu zempilo, njengesifo senhliziyo noma isifo samaphaphu.

Ukuthi isivivinyo sisesikhungweni sokufundela ukulala noma ekhaya, uzilungiselela ngendlela efanayo. Ngaphandle kokuthi uqondiswe ngudokotela wakho, ungathathi noma imuphi umuthi wokulala futhi ungaphuzi utshwala noma iziphuzo ezine-caffeine ngaphambi kokuhlolwa. Bangaphazamisa ukulala kwakho.

Ukuhlolwa kusiza ukuxilonga ukuphazamiseka kokulala okungenzeka, kufaka phakathi ukuvimbela ukuphefumula kokulala (OSA). Umhlinzeki wakho angacabanga ukuthi une-OSA ngoba unalezi zimpawu:

• Ukulala emini (ukulala emini)
• Ukuhuba okukhulu
• Izikhathi zokubamba umoya ngenkathi ulele, zilandelwa ukuphefumula noma ukuphefumula
• Ukulala okungenakuphumula

I-Polysomnography futhi ingahlola ezinye izinkinga zokulala:

• Ukuxokozela
• Ukuphazamiseka kokunyakaza kwezitho (ukuhambisa imilenze yakho kaningi ngesikhathi sokulala)
• Ukuphazamiseka kokuziphatha kwe-REM (ngokomzimba "ulingisa" amaphupho akho ngesikhathi sokulala)

Amathrekhi okufunda ukulala:

• Uma kaningi kangakanani uyeka ukuphefumula okungenani imizuzwana eyi-10 (ebizwa ngokuthi i-apnea)
• Kukangaki ukuphefumula kwakho kuvinjelwe ngokwengxenye imizuzwana eyi-10 (ebizwa nge-hypopnea)
• Amagagasi akho obuchopho nokunyakaza kwemisipha ngesikhathi sokulala

Iningi labantu linezikhathi ezimfushane ngesikhathi sokulala lapho ukuphefumula kwabo kuyeka noma kuvinjelwe ngokwengxenye. I-Apnea-Hypopnea Index (AHI) yinombolo ye-apnea noma i-hypopnea elinganiswa ngesikhathi socwaningo lokulala. Imiphumela ye-AHI isetshenziselwa ukuxilonga i-apnea yokulala evimbayo noma emaphakathi.

Umphumela wokuhlolwa ojwayelekile:

• Zimbalwa noma azikho iziqephu zokuyeka ukuphefumula. Kubantu abadala, i-AHI engaphansi kuka-5 ibhekwa njengejwayelekile.
• Amaphethini ajwayelekile amaza obuchopho nokunyakaza kwemisipha ngesikhathi sokulala.
  

Kubantu abadala, i-apnea-hypopnea index (AHI) engaphezulu kwe-5 ingasho ukuthi une-apnea yokulala:

• 5 kuya ku-14 ukuphefumula okuncane kokulala.
• 15 kuya ku-29 ukuphefumula okulingene kokulala.
• Okungu-30 noma ngaphezulu ukuphefumula kanzima uma ulele.

Ukuze enze ukuxilongwa futhi anqume ngokwelashwa, uchwepheshe wezokulala kufanele futhi abheke:

• Okunye okutholakele esifundweni sokulala
• Umlando wakho wezokwelapha nezikhalazo ezihlobene nokulala
• Ukuhlolwa kwakho ngokomzimba

Isifundo sokulala; I-Polysomnogram; Izifundo zokunyakaza kwamehlo okusheshayo; Split ebusuku polysomnography; PSG; OSA - isifundo sokulala; Ukuvimbela ukuphefumula kokulala - isifundo sokulala; I-apnea yokulala - isifundo sokulala

• Izifundo zokulala

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