I-Polysomnography

-Delile

• Kungani ngidinga i-polysomnography?
• Ngilungiselela kanjani i-polysomnography?
• Kwenzekani ngesikhathi se-polysomnography?
• Yiziphi izingozi ezihambisana nakho?
• Isho ukuthini imiphumela?
• Kwenzekani ngemuva kwepolysomnography?

I-Polysomnography (PSG) isifundo noma ukuhlolwa okwenziwe ngenkathi ulele ngokuphelele. Udokotela uzokubheka lapho ulele, aqophe idatha mayelana namaphethini akho okulala, futhi angakhomba noma yikuphi ukuphazamiseka kokulala.

Ngesikhathi se-PSG, udokotela uzolinganisa okulandelayo ukusiza ukushintsha imijikelezo yakho yokulala:

• amagagasi obuchopho
• umsebenzi wemisipha wamathambo
• amazinga e-oxygen egazini
• isilinganiso senhliziyo
• isilinganiso sokuphefumula
• ukunyakaza kwamehlo

Isifundo sokulala sibhalisa amashifu omzimba wakho phakathi kwezigaba zokulala, okungukuhamba kwamehlo okusheshayo (REM) ukulala, nokulala kwamehlo okungasheshisi (non-REM). Ukulala okungeyona i-REM kuhlukaniswe ngezigaba "zokulala kancane" kanye "nobuthongo obukhulu".

Ngesikhathi sokulala kwe-REM, umsebenzi wakho wobuchopho uphezulu, kepha kuphela amehlo akho nemisipha yokuphefumula esebenzayo. Lesi yisigaba lapho uphupha khona. Ukulala nge-non-REM kufaka ukusebenza kwengqondo okuhamba kancane.

Umuntu onenkinga yokulala uzoshintsha phakathi kokulala okungeyona i-REM ne-REM, ahlangabezane nemijikelezo yokulala eminingi ubusuku ngabunye.

Ukubona imijikelezo yakho yokulala, kanye nokuphendula komzimba wakho ekuguqulweni kwale mijikelezo, kungasiza ekuboneni ukuphazamiseka emaphethini akho okulala.

Kungani ngidinga i-polysomnography?

Udokotela angasebenzisa i-polysomnography ukuxilonga ukuphazamiseka kokulala.

Imvamisa ihlola izimpawu zokuphefumula ubuthongo, okuyisifo lapho ukuphefumula kumisa khona futhi kuqale kabusha ngesikhathi sokulala. Izimpawu zokuphefumula kokulala zifaka:

• ubuthongo emini naphezu kokuphumula
• ukuhogela okuqhubekayo nokuzwakalayo
• izikhathi zokubamba umoya ngesikhathi sokulala, ezilandelwa ukuphefumula komoya
• iziqephu ezivamile zokuvuka ebusuku
• ukulala ngaphandle kokuthula

I-Polysomnography futhi ingasiza udokotela wakho ukuthola lezi zinkinga zokulala ezilandelayo:

• i-narcolepsy, okubandakanya ukozela ngokweqile kanye "nokuhlaselwa ubuthongo" emini
• ukuphazamiseka kokulala okuhlobene nokulala
• ukuphazamiseka kwemilenze ngezikhathi ezithile noma ukuqaqanjelwa kwemilenze, okungabandakanyi ukuguquguquka okungalawuleki nokwelulwa kwemilenze lapho ulele
• Ukuphazamiseka kokuziphatha kwe-REM, okubandakanya ukulingisa amaphupho ngenkathi ulele
• ukuqwasha okungapheli, okubandakanya ukuba nobunzima bokulala noma ukulala

Izexwayisa ukuthi uma ukuphazamiseka kokulala kungalashwa, kungakhuphula ubungozi bakho:

• Isifo senhliziyo
• umfutho wegazi ophakeme
• unhlangothi
• ukudana

Kukhona ukuxhumana phakathi kokuphazamiseka kokulala kanye nengozi eyengeziwe yokulimala ehlobene nokuwa kanye nezingozi zemoto.

Ngilungiselela kanjani i-polysomnography?

Ukulungiselela i-PSG, kufanele ugweme ukuphuza utshwala ne-caffeine ntambama nakusihlwa esivivinyweni.

Utshwala ne-caffeine kungathinta izindlela zokulala nezinye izinkinga zokulala. Ukuba nala makhemikhali emzimbeni wakho kungathinta imiphumela yakho. Kufanele futhi ugweme ukuthatha imishanguzo.

Khumbula ukuxoxa nganoma yimiphi imithi oyiphuzayo nodokotela wakho uma kwenzeka udinga ukuyeka ukuyiphuza ngaphambi kokuhlolwa.

Kwenzekani ngesikhathi se-polysomnography?

I-polysomnography imvamisa yenzeka esikhungweni esikhethekile sokulala noma esibhedlela esikhulu. Ukuqokwa kwakho kuzoqala kusihlwa, cishe amahora amabili ngaphambi kwesikhathi sakho sokulala.

Uzolala ubusuku obubodwa esikhungweni sokulala, lapho uzohlala khona egumbini elizimele. Ungaletha noma yini edingekayo ohlelweni lwakho lokulala, kanye nama-pajama akho.

Uchwepheshe uzophatha i-polysomnography ngokukuqapha lapho ulele. Uchwepheshe uyakwazi ukubona nokuzwa ngaphakathi kwegumbi lakho. Uzokwazi ukuzwa nokukhuluma nochwepheshe phakathi nobusuku.

Ngesikhathi se-polysomnography, uchwepheshe uzolinganisa okulandelayo:

• amagagasi obuchopho
• ukunyakaza kwamehlo
• umsebenzi wemisipha wamathambo
• ukushaya kwenhliziyo nesigqi
• ukushaya kwegazi
• izinga le-oxygen yegazi
• izindlela zokuphefumula, kufaka phakathi ukungabikho noma ukuhlaba ikhefu
• ukuma komzimba
• ukunyakaza kwezitho
• ukuhogela neminye imisindo

Ukurekhoda le datha, uchwepheshe uzobeka izinzwa ezincane ezibizwa nge- “electrode” ku:

• isikhumba sekhanda
• amathempeli
• isifuba
• imilenze

Izinzwa zinamabala wokunamathisela ukuze zihlale esikhunjeni sakho ngenkathi ulele.

Amabhande anwebekayo azungeze isifuba sakho nesisu sakho azorekhoda ukunyakaza kwesifuba sakho namaphethini wokuphefumula. Isiqeshana esincane emunwe wakho sizoqapha izinga leoksijini legazi lakho.

Izinzwa zinamathela ezintanjeni ezincane, eziguquguqukayo ezithumela idatha yakho kukhompyutha. Kwezinye izindawo zokulala, uchwepheshe uzosetha imishini yokuqopha ividiyo.

Lokhu kuzokuvumela wena nodokotela wakho ukuthi nibuyekeze izinguquko esimweni somzimba wakho phakathi nobusuku.

Kungenzeka ukuthi ngeke ukhululeke esikhungweni sokulala njengoba ubuyoba embhedeni wakho, ngakho-ke kungenzeka ungalali noma uhlale ulele kalula njengoba ubungenza ekhaya.

Noma kunjalo, lokhu ngokuvamile akuguquli idatha. Imiphumela enembile ye-polysomnography ngokuvamile ayidingi ukulala okugcwele ebusuku.

Uma uvuka ekuseni, uchwepheshe uzosusa izinzwa. Ungashiya isikhungo sokulala bese ubamba iqhaza emisebenzini ejwayelekile ngalolo suku olufanayo.

Yiziphi izingozi ezihambisana nakho?

I-Polysomnography ayinabuhlungu futhi ayihlaseli, ngakho-ke ayinazo izingozi.

Ungathola ukucasuka okuncane kwesikhumba kusuka kokunamathiselwe okunamathisela ama-electrode esikhumbeni sakho.

Isho ukuthini imiphumela?

Kungathatha cishe amaviki amathathu ukuthola imiphumela ye-PSG yakho. Uchwepheshe uzohlanganisa idatha kusuka ngobusuku besifundo sakho sokulala ukuze afake imijikelezo yakho yokulala.

Udokotela wesikhungo sokulala uzobuyekeza le datha, umlando wakho wezokwelapha, nomlando wakho wokulala ukuze uthole ukuxilongwa.

Uma imiphumela yakho ye-polysomnography ingajwayelekile, ingakhombisa izifo ezilandelayo ezihlobene nokulala:

• ukulala ubuthongo noma ezinye izinkinga zokuphefumula
• ukuphazamiseka kokuquleka
• ukuphazamiseka kokunyakaza kwezitho noma ukugula
• i-narcolepsy noma eminye imithombo yokukhathala okungavamile emini

Ukuthola i-apnea yokulala, udokotela wakho uzobuyekeza imiphumela ye-polysomnography ukuze ayibheke:

• imvamisa yeziqephu zokuphelelwa umoya, ezenzeka lapho ukuphefumula kuyeka imizuzwana eyi-10 noma ngaphezulu
• imvamisa yeziqephu ze-hypopnea, ezenzeka lapho ukuphefumula kuvinjwe kancane imizuzwana eyi-10 noma ngaphezulu

Ngale datha, udokotela wakho angalinganisa imiphumela yakho ngenkomba ye-apnea-hypopnea (AHI). Isilinganiso se-AHI esingaphansi kuka-5 sijwayelekile.

Lesi silinganiso, kanye nedatha ejwayelekile yobuchopho nedatha yokunyakaza kwemisipha, kuvamise ukukhombisa ukuthi awunawo umphefumulo wokulala.

Isilinganiso se-AHI esingu-5 noma ngaphezulu sithathwa njengokungajwayelekile. Udokotela wakho uzohlela imiphumela engavamile ukukhombisa izinga lokuphefumula kokulala:

• Isilinganiso se-AHI esingu-5 kuya ku-15 sibonisa ukuphefumula okuncane.
• Isilinganiso se-AHI esingu-15 kuya ku-30 ​​sibonisa ukuphefumula okulingene.
• Isilinganiso se-AHI esingaphezu kuka-30 sikhombisa ukuphefumula kanzima uma ulele.

Kwenzekani ngemuva kwepolysomnography?

Uma uthola ukuxilongwa kwe-apnea yokulala, udokotela wakho angancoma ukuthi usebenzise umshini wokucindezela umoya oqhubekayo (CPAP) oqhubekayo.

Lo mshini uzohlinzeka ngokungena komoya njalo emakhaleni noma emlonyeni wakho ngenkathi ulele. I-polysomnography yokulandelela inganquma ukulungiselelwa okulungile kwe-CPAP kwakho.

Uma uthola ukuxilongwa kwesinye isifo sokulala, udokotela wakho uzoxoxa nawe ngezinketho zakho zokwelashwa.