Polysomnography

Polysomnography ndimaphunziro ogona. Kuyesaku kumalemba ntchito zina zathupi mukamagona, kapena kuyesa kugona. Polysomnography imagwiritsidwa ntchito pofufuza zovuta zakugona.

Pali mitundu iwiri ya kugona:

• Kuyenda mwachangu kwamaso (REM) kugona. Kulota kwambiri kumachitika nthawi ya kugona kwa REM. Nthawi zonse, minofu yanu, kupatula maso anu ndi minofu yanu, musasunthe nthawi imeneyi.
• Kugona kwamaso osafulumira (NREM) kugona. Kugona kwa NREM kudagawika magawo atatu omwe amatha kudziwika ndi mafunde aubongo (EEG).

Kugona kwa REM kumasinthana ndi kugona kwa NREM pafupifupi mphindi 90 zilizonse. Munthu amene amagona tulo tambiri nthawi zambiri amagona REM ndi NREM maulendo anayi mpaka asanu usiku.

Phunziro la tulo limayeza magonedwe anu ndi magawo anu polemba:

• Mpweya ukulowa ndikutuluka m'mapapu anu mukamapuma
• Mulingo wa oxygen m'mwazi mwanu
• Udindo wa thupi
• Mafunde aubongo (EEG)
• Kupuma mwakhama komanso kuchuluka
• Ntchito yamagetsi ya minofu
• Kusuntha kwa diso
• Kugunda kwa mtima

Polysomnography itha kuchitidwa mwina pamalo ogona kapena m'nyumba mwanu.

PAKUGONA

Maphunziro okwanira ogona nthawi zambiri amachitikira pamalo apadera ogona.

• Mufunsidwa kuti mufike pafupifupi maola 2 musanagone.
• Mudzagona pabedi pakati. Malo ambiri ogona amakhala ndi zipinda zabwino, zofananira ndi hotelo.
• Kuyesaku kumachitika nthawi zambiri usiku kuti magonedwe anu abwinobwino athe kuwerengedwa. Ngati mumagwira ntchito usiku, malo ambiri amatha kuyesa nthawi yanu yogona.
• Wothandizira zaumoyo wanu amaika ma elekitirodi pachibwano, pamutu, komanso m'mbali mwake. Mudzakhala ndi oyang'anira kuti mulembe kugunda kwa mtima wanu ndi kupuma kwanu komwe kuli pachifuwa. Izi zidzakhalabe pomwe mukugona.
• Maelekitirodi amajambula zikwangwani pomwe muli maso (mutatseka maso anu) komanso mukamagona. Chiyesocho chimayeza kuchuluka kwa nthawi yomwe mumatenga kuti mugone komanso kuti mumatenga nthawi yayitali bwanji kuti mulowe mu REM.
• Wophunzitsidwa mwapadera amakusangalatsani mukamagona ndikuwona kusintha kulikonse kupuma kwanu kapena kugunda kwa mtima.
• Mayesowa alemba kuchuluka kwa nthawi zomwe mumasiya kupuma kapena kusiya kupuma.
• Palinso oyang'anira kuti ajambule mayendedwe anu mukamagona. Nthawi zina kanema kamera imalemba mayendedwe anu mukagona.

KUNYUMBA

Mutha kugwiritsa ntchito kachipangizo kogwiritsa ntchito tulo mnyumba mwanu m'malo mogonera kuti muthandize kupeza matenda obanika kutulo. Mutha kunyamula chipangizocho pamalo ogona kapena wophunzitsidwa bwino amabwera kunyumba kwanu kudzachikonza.

Kuyesa kunyumba kungagwiritsidwe ntchito ngati:

• Muli m'manja mwa katswiri wogona.
• Dokotala wanu akugona amaganiza kuti muli ndi vuto lobanika kutulo.
• Mulibe mavuto ena ogona.
• Mulibe mavuto ena akulu azaumoyo, monga matenda amtima kapena matenda am'mapapo.

Kaya mayeso ali pamalo ophunzirira tulo kapena kunyumba, mumakonzekera momwemo. Pokhapokha akauzidwa ndi dokotala wanu, musamwe mankhwala aliwonse ogona ndipo musamwe mowa kapena zakumwa za khofi musanayezedwe. Amatha kusokoneza kugona kwanu.

Kuyesaku kumathandizira kuzindikira zovuta zomwe zingatheke kugona, kuphatikizapo kutsekereza kugona tulo (OSA). Wothandizira anu angaganize kuti muli ndi OSA chifukwa muli ndi izi:

• Kugona masana (kugona masana)
• Kulankhula mokweza
• Nthawi zopumira mukamagona, kenako ndikumapumira kapena kuwomba
• Kugona mopanda mpumulo

Polysomnography itha kuzindikiranso zovuta zina zakugona:

• Kugonana
• Kusokonezeka kwamiyendo kwamiyendo kwamiyendo (kusuntha miyendo yanu nthawi zambiri mukugona)
• Matenda amachitidwe a REM (mwakuthupi "mukuchita" maloto anu mukugona)

Njira zophunzirira tulo:

• Nthawi zambiri mumasiya kupuma kwa masekondi 10 (otchedwa apnea)
• Nthawi zambiri kupuma kwanu kumatsekedwa kwa masekondi 10 (otchedwa hypopnea)
• Ubongo wanu umayendetsa komanso kuyenda kwa minyewa mukagona

Anthu ambiri amakhala ndi nthawi yochepa atagona komwe kupuma kwawo kumayima kapena kumatsekedwa pang'ono. Index ya Apnea-Hypopnea Index (AHI) ndi chiwerengero cha matenda obanika kutulo kapena kupatsirana komwe kumayeza nthawi yophunzira kugona. Zotsatira za AHI zimagwiritsidwa ntchito pozindikira kuti munthu ali ndi vuto lobanika kutulo.

Zotsatira zoyesa zowonetsa:

• Ndi ochepa kapena palibe magawo oletsa kupuma. Kwa achikulire, AHI yochepera 5 imawoneka ngati yachilendo.
• Mitundu yanthawi zonse yamafunde am'magazi komanso kusuntha kwa minofu mukagona.
  

Kwa akuluakulu, apnea-hypopnea index (AHI) pamwamba pa 5 angatanthauze kuti mumagona tulo tofa nato:

• 5 mpaka 14 ndi matenda obanika kutulo.
• 15 mpaka 29 ndi kugona pang'ono.
• 30 kapena kupitilira apo ndi kugona tulo tofa nato.

Kuti adziwe matenda ake ndikusankha chithandizo chamankhwala, katswiri wogona ayenera kuyang'ananso:

• Zotsatira zina kuchokera ku kafukufuku wogona
• Mbiri yanu yazachipatala ndi madandaulo okhudzana ndi kugona
• Kuyezetsa kwanu kwakuthupi

Kuphunzira kugona; Polysomnogram; Maphunziro oyenda mwachangu; Gawa usiku polysomnography; PSG; OSA - kuphunzira kugona; Kulepheretsa kugona tulo - kuphunzira kugona; Apnea ogona - kuphunzira kugona

• Maphunziro a kugona

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Sarber KM, Lam DJ, Ishman SL. Matenda obanika kutulo komanso kusowa tulo. Mu: Flint PW, Francis HW, Haughey BH, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chap.

Shangold L. Chipatala polysomnography. Mu: Friedman M, Jacobowitz O, olemba. Kugona Tulo ndi Kuputa. Wachiwiri ed. Philadelphia, PA: Elsevier; 2020: mutu 4.