IPolysomnografi

Umxholo

• Kutheni le nto ndifuna ipolysomnografi?
• Ndiyilungiselela njani ipolysomnografi?
• Kwenzeka ntoni ngexesha lepolysomnografi?
• Zithini iingozi ezinxulunyaniswa nayo?
• Zithetha ntoni iziphumo?
• Kwenzeka ntoni emva kwepolysomnografi?

I-Polysomnography (PSG) sisifundo okanye uvavanyo olwenziwe ngelixa ulele ngokupheleleyo. Ugqirha uya kukujonga njengoko ulele, urekhode idatha malunga neepateni zakho zokulala, kwaye unokuchonga naziphi na iingxaki zokulala.

Ngexesha lePSG, ugqirha uza kulinganisa oku kulandelayo ukukunceda ukutshintsha imijikelo yakho yokulala:

• amaza engqondo
• Umsebenzi wemisipha wamathambo
• amanqanaba eoksijini egazini
• inqanaba lentliziyo
• inqanaba lokuphefumla
• intshukumo yamehlo

Isifundo sokulala sibhalisa ukutshintshwa komzimba wakho phakathi kwamanqanaba okulala, okuhamba ngokukhawuleza kwamehlo (REM) ukulala, kunye nokungahambi ngokukhawuleza kwamehlo (non-REM) ukulala. Ukulala okungekho kwi-REM kwahlulwe kwaba “kukulala ubuthongo” kunye “nobuthongo obunzulu”.

Ngexesha lokulala kwe-REM, ukusebenza kwengqondo yakho kuphezulu, kodwa kuphela ngamehlo kunye nemisipha yokuphefumla esebenzayo. Eli linqanaba ophupha ngalo. Ukulala ngaphandle kwe-REM kubandakanya ukucotha kwengqondo.

Umntu ongenasifo sokulala uya kutshintsha phakathi kokungabikho kwe-REM kunye nokulala kwe-REM, efumana imijikelezo yokulala emininzi ebusuku.

Ukujonga imijikelezo yakho yokulala, kunye nokuphendula komzimba wakho kutshintsho kule mijikelo, kunokunceda ekuchongeni ukuphazamiseka kwiipateni zakho zokulala.

Kutheni le nto ndifuna ipolysomnografi?

Ugqirha unokusebenzisa ipolysomnography ukufumanisa ukuphazamiseka kokulala.

Ihlala ivavanya iimpawu zokuphefumla ubuthongo, ingxaki apho ukuphefumla kuhlala kuyeka kwaye kuqale ngexesha lokulala. Iimpawu zokuphefumla kokulala zibandakanya:

• ukozela emini nangona ebephumle
• Ukuqhubeka urhona nangokuvakalayo
• amaxesha okubamba umphefumlo xa ulele, alandelwa kukukhefuzela komoya
• iziqendu eziqhelekileyo zokuvuka ebusuku
• ubuthongo obungapheliyo

I-Polysomnography inokukunceda ugqirha wakho ukuba afumane ezi ngxaki zilandelayo zokulala:

• i-narcolepsy, ebandakanya ukozela kakhulu kunye "nokuhlaselwa kukulala" emini
• ukuphazamiseka okunxulumene nokulala
• ukuphazamiseka kwamalungu omzimba ngamaxesha athile okanye isifo semilenze engenakuphumla, ebandakanya ukuguquguquka okungalawulwayo kunye nokwandiswa kwemilenze ngelixa ulele
• Ukuphazamiseka kokuziphatha kwe-REM, okubandakanya ukwenza amaphupha ngelixa ulele
• ukuphuthelwa okungapheliyo, okubandakanya ukuba nobunzima bokulala okanye ukuhlala ulele

Isilumkiso sokuba ukuba iingxaki zokulala zinganyangwa, banokuphakamisa umngcipheko wakho:

• isifo sentliziyo
• igazi elonyukayo
• ukubetha
• ukudakumba

Kukho unxibelelwano phakathi kokuphazamiseka kokulala kunye nokwanda komngcipheko wokulimala okunxulumene nokuwa kunye neengozi zemoto.

Ndiyilungiselela njani ipolysomnografi?

Ukulungiselela i-PSG, kuya kufuneka ungatyi utywala kunye ne-caffeine emva kwemini nangokuhlwa kovavanyo.

Utywala kunye ne-caffeine inokuchaphazela iipateni zokulala kunye nezinye iingxaki zokulala. Ukuba nezi khemikhali emzimbeni wakho kunokuchaphazela iziphumo zakho. Kuya kufuneka uphephe ukuthatha amayeza okuthomalalisa.

Khumbula ukuxoxa ngawo nawaphi na amayeza owathathayo nogqirha wakho xa kunokwenzeka ukuba uyeke ukuwasela ngaphambi kovavanyo.

Kwenzeka ntoni ngexesha lepolysomnografi?

I-polysomnografi yenzeka kwiziko lokulala elikhethekileyo okanye isibhedlele esikhulu. Ukuqeshwa kwakho kuya kuqala ngokuhlwa, malunga neeyure ezi-2 ngaphambi kwexesha lakho lokulala eliqhelekileyo.

Uya kulala ubusuku kwindawo yokulala, apho uya kuhlala kwigumbi labucala. Unokuzisa nantoni na eyimfuneko kwindlela yakho yokulala, kunye neepijama zakho.

Ingcali iya kulawula ipolysomnografi ngokukubeka esweni ulele. Ingcali iyabona kwaye ive ngaphakathi kwegumbi lakho. Uyakwazi ukuva nokuthetha nengcali ngexesha lobusuku.

Ngexesha le-polysomnografi, igcisa liya kulinganisa:

• amaza engqondo
• iintshukumo zamehlo
• Umsebenzi wemisipha wamathambo
• ukubetha kwentliziyo kunye nesingqisho
• ifuthe legazi
• inqanaba leoksijini yegazi
• iipateni zokuphefumla, kubandakanya ukungabikho okanye ukunqumama
• isikhundla somzimba
• ukuhamba kwamalungu
• erhona nezinye iingxolo

Ukurekhoda le datha, igcisa liya kubeka iimvakalelo ezincinci ezibizwa ngokuba yi "electrode" kweyakho:

• ulusu
• iitempile
• isifuba
• imilenze

Abenzi boluvo banemigca yokuncamathelisa ukuze bahlale esikhumbeni sakho ngelixa uleleyo.

Iibhanti ze-elastic ejikeleze isifuba sakho kunye nesisu ziya kurekhoda isifuba sakho kunye neendlela zokuphefumla. Iklip encinci emnweni wakho iya kubeka iliso kwinqanaba leoksijini yegazi lakho.

Iimvakalelo zincamathele kwiingcingo ezincinci, eziguqukayo ezithumela idatha yakho kwikhompyuter. Kwamanye amaziko okulala, igcisa liya kuseta izixhobo zokurekhoda ividiyo.

Oku kuyakuvumela kunye nogqirha wakho ukuba ujonge utshintsho kwindawo yakho yomzimba ebusuku.

Kusenokwenzeka ukuba awuzukuhlala kamnandi kwiziko lokulala njengoko ubuya kuba semandlalweni wakho, ukuze ungalali okanye uhlale ulele ngokulula njengokuba ubuya kwenza ekhaya.

Nangona kunjalo, oku kuhlala kungatshintshi idatha. Iziphumo ezichanekileyo ze-polysomnography ngokwesiqhelo azidingi ukulala ubusuku bonke.

Xa uvuka kusasa, igcisa liya kususa izinzwa. Unokushiya indawo yokulala kwaye uthathe inxaxheba kwimisebenzi yesiqhelo kwangolo suku.

Zithini iingozi ezinxulunyaniswa nayo?

I-Polysomnografi ayinabuhlungu kwaye ayisiyonto ingathandekiyo, ke ayinabungozi.

Unokufumana ukucaphuka kancinci kolusu ekuncamatheliseni okuncamathelisa ii-electrode kulusu lwakho.

Zithetha ntoni iziphumo?

Kungathatha ukuya kuthi ga kwiiveki ezi-3 zokufumana iziphumo zePSG yakho. Ingcali iya kuqokelela idatha ukusuka kubusuku besifundo sakho sokulala ukuze igrafu imijikelezo yakho yokulala.

Ugqirha weziko lokulala uya kuyiphonononga le datha, imbali yakho yezonyango, kunye nembali yakho yokulala ukuze ufumane isifo.

Ukuba iziphumo zakho zepolysomnografi aziqhelekanga, zinokubonisa ezi zigulo zinxulumene nokulala:

• ubuthongo bokulala okanye ezinye iingxaki zokuphefumla
• iingxaki zokubanjwa
• ukuphazamiseka kwamalungu omzimba ngamaxesha athile okanye ezinye iingxaki zokuhamba
• i-narcolepsy okanye eminye imithombo yokudinwa okungaqhelekanga emini

Ukuchonga i-apnea yokulala, ugqirha wakho uya kujonga iziphumo ze-polysomnography ukuze ujonge:

• Ubuninzi beepnea episodes, ezenzeka xa ukuphefumla kuyeka imizuzwana eli-10 okanye ngaphezulu
• Ubuninzi beziqendu ze-hypopnea, ezenzeka xa ukuphefumla kuvaliwe ngokuyinxenye imizuzwana eli-10 okanye ngaphezulu

Ngale datha, ugqirha wakho unokulinganisa iziphumo zakho ngesalathiso se-apnea-hypopnea index (AHI). Amanqaku e-AHI angaphantsi kwesi-5 aqhelekileyo.

Eli nqaku, kunye nokuhamba kwengqondo okuqhelekileyo kunye nedatha yokuhamba kwemisipha, kuhlala kubonisa ukuba awunamphefumlo wokulala.

Amanqaku e-AHI angama-5 okanye ngaphezulu athathwa njengokungaqhelekanga. Ugqirha wakho uya kutshata iziphumo ezingaqhelekanga ukubonisa inqanaba lokuphefumla ubuthongo:

• Amanqaku e-AHI ye-5 ukuya kwe-15 abonisa ukuphefumla kancinci.
• Amanqaku e-AHI ali-15 ukuya kwangama-30 abonisa ukungalali ngokwaneleyo.
• Amanqaku e-AHI angaphezulu kwama-30 abonisa ubuthongo obunzima bokulala.

Kwenzeka ntoni emva kwepolysomnografi?

Ukuba ufumana ukuxilongwa kwe-apnea yokulala, ugqirha wakho unokuncoma ukuba usebenzise umatshini oqhubekayo wokunyanzeliswa komoya (CPAP).

Lo matshini uya kubonelela ngokubonelela komoya rhoqo empumlweni okanye emlonyeni wakho ngelixa ulele. Ukulandelwa kwe-polysomnografi kunokumisela useto olufanelekileyo lwe-CPAP.

Ukuba ufumana ukuxilongwa kwesinye isifo sokulala, ugqirha wakho uya kuxoxa ngeendlela zakho zonyango kunye nawe.