Kodi muli ndi vuto ndi tulo tanu? Tiyeni tikambirane za phunziro la kugona (Sleep Study / Polysomnography)!

Kodi nthawi zina mumavutika kugona usiku ndipo mumadzuka mukumva kutopa m'mawa? Kapena kodi wina m'nyumba mwanu amadandaula kuti akukoka kwambiri kapena kupuma movutikira? Ngati muli ndi vuto lililonse mwa izi, dokotala angakulangizeni kuti muphunzire za kugona. Tiyeni tikambirane izi m'njira yosavuta yomwe mungamvetse.

Kodi phunziro la kugona ili ndi chiyani?

Mwachidule, kafukufuku wa kugona ndi mayeso owunikira momwe machitidwe osiyanasiyana a thupi lanu amagwirira ntchito pamene mukugona. Dzina lovomerezeka la izi ndi madokotala ndi polysomnogram . Ndi mawu ataliatali, sichoncho? Koma zonse ndi zokhudza kumvetsetsa bwino tulo tanu. Mu mayesowa, muli ndi masensa ang'onoang'ono ochepa omwe amamangiriridwa ku thupi lanu. Izi zimalemba zinthu monga kugunda kwa mtima wanu, ntchito ya ubongo, ndi kupuma nthawi yonse yomwe mukugona. Izi zimathandiza madokotala kupeza chithunzi chomveka bwino cha ubwino wa tulo tanu.

Kodi kuphunzira kugona kumafunika liti?

Iyi ndi njira yodziwira matenda. Izi zikutanthauza kuti, madokotala amagwiritsa ntchito njira imeneyi kuti adziwe vuto lenileni la thanzi lanu, kapena kutsimikiza kuti mulibe. Nthawi zambiri, njira imeneyi imalimbikitsidwa ngati muli ndi zizindikiro zomwe zikukhudza tulo tanu, kuti mudziwe momwe mungachiritsire vutoli, kapena kuti muwone ngati chithandizocho chikugwira ntchito. Izi nthawi zambiri zimakhala matenda omwe amakhudza kapena kusokoneza ubongo wanu, dongosolo lanu la mitsempha, kupuma, kapena ntchito ya mtima.

Kuphunzira za kugona kungathandize kuzindikira matenda monga awa:

• Matenda a Apnea Ogona (Kulephera Kugona - Kolepheretsa ndi Pakati)
• Kugona tulo tambiri (narcolepsy ) (kugona tulo tambiri mwadzidzidzi)
• Matenda Oyendayenda ndi Miyendo Nthawi ndi Nthawi, kuphatikizapo Matenda Osakhazikika Miyendo
• Kusowa tulo
• Mitundu ina ya khunyu ndi khunyu
• Ziwopsezo za usiku / Ziwopsezo za kugona
• Kuopsa kwa usiku
• Kuyenda tulo kapena matenda ena okhudzana ndi khalidwe la kugona
• Kulephera kugona mokwanira
• Matenda ena ogona (Parasomnias ndi matenda ogona osokonezeka)

Kodi kafukufuku wa kugona amachitidwa liti?

Nthawi zambiri, mayesowa amachitika mukugona. Ambiri aife timagona usiku. Ichi ndichifukwa chake ma lab ogona nthawi zambiri amachita maphunziro ogona usiku wonse.Komabe, ngati anthu ogwira ntchito usiku, kutanthauza kuti amene amagona masana, akufuna kuchita mayesowa, n'zotheka kuchitanso masana.

Kodi maphunziro ogona amenewa ndi ofala bwanji?

Izi ndi mayeso ofala kwambiri. Mwachitsanzo, mu 2014, maphunziro opitilira 800,000 a tulo adachitika pansi pa Medicare ku United States kokha. Izi zikutanthauza kuti, mutha kulingalira kuchuluka kwa chiwerengerochi pamene ena onse aphatikizidwa pamodzi. Mayesowa tsopano ndi otchuka kwambiri ku Sri Lanka.

Ndani akuchita kafukufuku wokhudza kugona?

Akatswiri azaumoyo angapo amachita nawo mayesowa. Anthu omwe amachita mayesowa ndi monga akatswiri azachipatala, akatswiri aukadaulo, othandizira, ndi anamwino (anamwino olembetsedwa ndi akatswiri a anamwino).

Mukamaliza kupeza zotsatira za mayeso anu, katswiri (monga katswiri wa matenda a m'mapapo kapena katswiri wa mankhwala ogona) adzawunikanso zotsatira za mayesowo kuti awone ngati pali mavuto aliwonse. Nthawi zina katswiri wa mitsempha kapena dokotala wa banja lanu angakhale nawo kuti adziwe zambiri za mbiri yanu yachipatala. Zotsatira zake zikapezeka, madokotalawa adzagwira ntchito limodzi kuti akupatseni chithandizo chabwino kwambiri.

Kuyesa matenda a kupuma pogona kunyumba

Pali kusiyana pang'ono pakati pa mayeso a sleep apnea omwe amachitikira kunyumba ndi polysomnography yomwe imachitikira ku malo ogona. Mayeso a kunyumba nthawi zambiri sagwiritsa ntchito masensa onse omwe amagwiritsidwa ntchito pophunzira mokwanira za kugona. Mwachitsanzo, masensa omwe amayesa momwe mafunde a ubongo amagwirira ntchito, kayendedwe ka maso, kapena ntchito yamagetsi ya mtima sangaphatikizidwe mu mayeso a kunyumba.

Mayeso odziwika kwambiri kunyumba ndi omwe amayesa kupuma kudzera m'mphuno kapena pakamwa komanso kuyenda kwa minofu pachifuwa ndi m'mimba zomwe zimakhudzidwa ndi kupuma. Izi nthawi zambiri zimagwiritsidwa ntchito ngati dokotala akukayikira kwambiri kuti ali ndi vuto la kupuma movutikira, kapena poyesanso kuti awone ngati kupuma movutikira kwakhala bwino pambuyo pa opaleshoni kapena kuchepa thupi.

Kodi kuphunzira kugona kumagwira ntchito bwanji?

Ubwino wa tulo lanu umadalira zinthu zambiri, ndichifukwa chake mayesowa amagwiritsa ntchito mitundu yosiyanasiyana ya masensa. Popeza sensa iliyonse imayang'anira dongosolo kapena njira inayake m'thupi, madokotala amatha kusanthula mozama tulo lanu. Izi zitha kukhala zothandiza kwambiri pozindikira molondola matenda ena okhudzana ndi tulo.

Mu kafukufuku wa kugona, masensa ndi njira zowunikira monga izi zimagwiritsidwa ntchito:

• Electroencephalography (EEG):Masensawa amakutidwa ndi jeli yomatira komanso yoyendetsa magetsi. Jeli iyi imathandiza masensawa kumamatira kumutu kwanu. Amazindikira ndikulemba momwe magetsi a ubongo wanu, otchedwa mafunde a ubongo , amagwirira ntchito mukagona. Mitundu yosiyanasiyana ya mafunde imachitika nthawi zosiyanasiyana za tulo. Izi ndizofunikira pozindikira matenda ogona.
• Electrocardiography (EKG kapena ECG): Pa nthawi yophunzira kugona, sensa imodzi ya EKG imayikidwa pachifuwa chanu kuti iyese momwe magetsi a mtima wanu amagwirira ntchito. Poyang'ana momwe mtima wanu umagwirira ntchito, dokotala amatha kuwona ngati pali vuto lililonse ndi kayendedwe ka mtima wanu kapena makina amagetsi amkati.
• Electromyogram (EMG): Masensa awa amaikidwa pakhungu, nthawi zambiri pankhope kapena mwendo. Amagwiritsidwa ntchito poyang'anira kayendedwe ka minofu. Mosiyana ndi mayeso a EMG wamba, masensa awa amagwiritsidwa ntchito poyang'anira minofu yokha ndipo salimbikitsa minofu.
• Electro-oculography (EOG): Mu mayeso awa, masensa ang'onoang'ono amamangiriridwa pakhungu lozungulira maso anu. Masensa awa amazindikira momwe maso akuchitira. Pa kafukufuku wokhudza kugona, masensa anayi otere amamangiriridwa, awiri mozungulira diso lililonse.
• Masensa opumira: Izi zikuphatikizapo masensa omwe amazindikira momwe mpweya umayendera kudzera mkamwa ndi m'mphuno mwanu.
• Lamba wa RIP (Respiratory Inductive Plethysmography): Lamba wa RIP ndi chipangizo chomwe chimazindikira kukula kwa chifuwa chanu ndi mimba yanu mukapuma.
• Pulse Oximeter: Ichi ndi kachipangizo kakang'ono, komata komwe mumakayika ku nsonga ya chala chanu cholozera. Chimayesa kugunda kwa mtima wanu ndi kuchuluka kwa mpweya m'magazi anu.
• Kuyang'anira makanema ndi mawu: Izi zimathandiza ogwira ntchito m'malo ogona ndi madokotala kuti awone ndikumva zomwe zikuchitika mukugona. Madokotala amagwiritsa ntchito izi ngati apeza mawerengedwe osazolowereka kapena okhudzana ndi mawerengedwe ochokera ku masensa omwe atchulidwa pamwambapa. Komanso, chifukwa zojambulazi zimagwirizanitsidwa ndi deta ya masensa, dokotala akuyesera kutanthauzira mawerengedwe a masensa amatha kuwona ndikumva zomwe zikuchitika nthawi imodzi.

Kodi mungayembekezere chiyani musanapite ku phunziro la kugona? Kodi mungakonzekere bwanji?

Katswiri wa matenda a m'mapapo kapena katswiri wa mankhwala ogona nthawi zambiri amalangiza kuti muphunzire za matenda ogona kutengera zizindikiro zanu ndi mbiri yanu yachipatala. Akapereka malangizowo, angakupatseni njira zina zopezera malo ogona m'dera lanu, ndipo angakuthandizeninso kusungitsa nthawi yokumana ndi dokotala mwachindunji.

Kafukufuku wanu wokhudza kugona adzakonzedwa kutengera momwe mumagona nthawi zonse, zomwe mumakonda, nthawi yanu, ndi momwe zinthu zilili. Madokotala nthawi zambiri amalangiza kuti mukonze nthawi yoti mugone nthawi yomwe mumagona nthawi zonse. Malo oyesera awa alipo kwa anthu omwe amagona usiku, komanso omwe amagwira ntchito usiku ndikugona masana.

Mukamakonzekera phunziro la kugona, muyenera kuvala ngati kuti mukugona usiku wonse , kusamba ndi kudziyeretsa ngati momwe mungachitire poyezetsa dokotala. Ngakhale kuti njira ndi malo ogona zimasiyana malinga ndi malo ogona, nthawi zambiri ndi bwino kukumbukira zinthu izi:

• Tsatirani malangizo a dokotala wanu okhudza kusamba ndi kuyeretsa. Nthawi zambiri amalangizidwa kusamba kapena kusamba thupi lanu musanayesedwe. Komabe, pewani kugwiritsa ntchito mafuta odzola, mafuta odzola, kapena zinthu zosamalira tsitsi pambuyo pake. Ndi bwino kukhala ndi khungu loyera, lopanda zodzoladzola zilizonse. Izi zithandiza masensa omwe amagwiritsidwa ntchito pophunzira za kugona kuti azigwira bwino ntchito komanso kuti apeze mawerengedwe omveka bwino. Komanso, gel ya tsitsi kapena mankhwala opopera tsitsi angapangitse kuti gel yomata pa masensa a EEG ikhale yovuta kumamatira kumutu kwanu. Muyeneranso kupewa kugwiritsa ntchito utoto wa misomali kapena misomali yabodza , chifukwa imatha kukhudza mawerengedwe a pulse oximeter.
• Pakani ngati kuti mukugona ku hotelo usiku wonse. Bweretsani burashi ya mano, zovala zogona kapena zovala zogona, zovala zoti muzivale m'mawa mutatha mayeso, ndi zinthu zina zilizonse zaukhondo kapena zosamalira thupi zomwe mungafune. Ngati muli ndi mafunso okhudza zina zomwe mungafune, mutha kufunsa ogwira ntchito ku malo ogona kapena dokotala wanu kuti akupatseni malangizo ndi malangizo ambiri. Ngati muvala zodzoladzola, ndi bwino kubweretsa chochotsera zodzoladzola.
• Pitirizani kumwa mankhwala anu monga mwachizolowezi mpaka dokotala wanu atakuuzani zosiyana. Dokotala wanu adzakulangizani za mankhwala oti mupitirize kumwa ndi omwe muyenera kusiya kwakanthawi musanayambe kuphunzira za kugona. Ngati muli ndi mafunso okhudza izi, onetsetsani kuti mwalankhula ndi dokotala wanu. Mankhwala ena akhoza kukhala ndi zotsatirapo zoyipa kapena zoopsa ngati mutasiya kumwa mwadzidzidzi. Mutha kupewa izi polankhula ndi dokotala wanu.
• Uzani dokotala wanu ngati muli ndi vuto lililonse la khungu. Magulu ena omatira omwe amagwiritsidwa ntchito polumikiza masensa panthawi yophunzira kugona angayambitse kuyabwa pakhungu kapena kusagwirizana ndi mankhwala. Ngati mukudziwa za izi pasadakhale, dokotala wanu angapeze njira zina zomwe sizingayambitse vuto.

Kodi mungayembekezere chiyani patsiku la phunziro la kugona?

Pokhapokha ngati dokotala wanu atakulangizani zina, pitirizani ndi zochita zanu zachizolowezi patsiku la mayeso. Komabe, kumbukirani zinthu izi:

• Pewani kumwa caffeine ndi mowa kwa maola osachepera asanu ndi atatu musanayambe kuphunzira za kugona. Zonsezi zingasokoneze chizolowezi chanu chogona komanso kusokoneza zotsatira za mayeso.
• Musagone masana. Ngati mumagona masana, mungakhale ndi vuto logona panthawi yophunzira za kugona.
• Tsatirani zochita zanu za tsiku ndi tsiku momwe mungathere. Mukamagona mwachibadwa panthawi yophunzira za kugona, dokotala amatha kutanthauzira bwino zotsatira zake, kuzindikira matenda anu, ndikukuthandizani moyenera.

Kodi chimachitika ndi chiyani panthawi yophunzira za kugona?

Mukafika pamalo oyesera, akatswiri azaumoyo omwe akuyang'anira mayesowo adzakutengerani kuchipinda komwe mudzagone. Kumeneko, mutavala zovala zanu zogona, ogwira ntchito adzayamba ntchito yomangirira masensa m'zigawo zosiyanasiyana za thupi lanu. Masensa ambiri ali ndi zomatira kapena amafunika kumangiriridwa ndi tepi (ngati muli ndi khungu lofewa kapena muli ndi vuto la zomatira, onetsetsani kuti mwauza ogwira ntchito asanayambe kumangirira masensawo).

Ogwira ntchito akakhazikitsa masensa, adzakufunsani kuti muchite ntchito zing'onozing'ono kuti muwone ngati masensa akugwira ntchito bwino komanso ali ndi mulingo woyenera. Izi ndi zinthu zosavuta; monga kusuntha maso anu, kutsegula ndi kutseka pakamwa panu, ndi kusuntha miyendo yanu.

Mawaya omwe ali pa masensa ndi aatali mokwanira kuti muzitha kuyenda bwino pabedi. Komabe, ngati mukufuna kutuluka pabedi, muyenera kupempha wantchito kuti akuthandizeni kuchotsa mawayawo. Musachotse mawayawo mpaka wantchito atakuuzani momwe mungachitire, apo ayi zingakhudze zotsatira za mayeso.

Antchito akamaliza kukonza masensa, mutha kupumula poonera TV kapena kuwerenga buku musanagone. Anthu ambiri amavutika kugona panthawi yophunzira kugona. Izi zitha kukhala chifukwa ndi malo atsopano, osazolowereka kapena chifukwa masensawo amalumikizidwa ndi thupi lanu. Komabe, nthawi zambiri izi sizikhudza kwambiri zotsatira za mayeso anu.

Mukakhala mukugona, madokotala ndi ogwira ntchito omwe akuyang'anirani mayeso angabwere kudzakuyang'anirani nthawi zina. Izi zikuphatikizapo:

• Ngati waya kapena sensa yatuluka, antchito nthawi zambiri amabwera, kukudzutsani, ndikukonzanso.
• Ngati muwona zizindikiro za vuto lalikulu panthawi yophunzira kugona, monga khunyu kapena vuto lina lachipatala.

Kodi mungayembekezere chiyani mutaphunzira za kugona?

Mukadzuka m'mawa, ogwira ntchito ku malo ogona adzabwera kudzakuthandizani kuchotsa masensa onse. Pambuyo pake, mutha kusintha zovala zanu za tsiku ndi tsiku ndikutuluka ku malo ogona.

Kodi zoopsa ndi zotsatirapo zake zophunzira za kugona ndi ziti?

Zotsatirapo kapena zovuta zomwe zimachitika chifukwa cha mayesowa sizichitika kawirikawiri. Zotsatirapo zofala kwambiri ndi ziphuphu pakhungu kapena kukhudzana ndi zomatira/matepi omwe amagwiritsidwa ntchito polumikiza masensa. Zotsatirapo zina zofala kwambiri ndi zakuti anthu sangagone bwino kapena kugona nthawi yayitali monga momwe amachitira nthawi zambiri chifukwa amakhala pamalo osazolowereka.

Mavuto ena amatha kuchitika, koma sachitika kawirikawiri ndipo amasiyana malinga ndi munthu. Dokotala wanu ndiye munthu wabwino kwambiri woti akuuzeni zomwe mungayembekezere malinga ndi momwe zinthu zilili.

Kodi zotsatira zake zimakhala bwanji? Kodi zotsatira zake zikutiuza chiyani?

Pambuyo pa kafukufuku wa kugona, dokotala adzawunikanso ndikutanthauzira detayo. Kutanthauzira kwaukadaulo ndikofunikira kwambiri. Chifukwa kafukufuku wa kugona amasonkhanitsa mitundu yosiyanasiyana ya deta yokhudza momwe mumagona. Zimatenga zaka zambiri zamaphunziro, maphunziro, ndi chidziwitso kuti mupeze chithunzi chonse cha deta ya munthu yogona. Dokotala akamvetsetsa detayo, amatha kudziwa ngati muli ndi vuto lachipatala ndikulizindikira.

Dokotala akamvetsa zomwe zapezeka ndipo akapeza matenda, adzakudziwitsani zomwe zapezeka (kapena zinazake) ndikukulangizani zomwe mungachite kenako. Nthawi zambiri, paulendo wotsatira, adzakudziwitsani zambiri za zotsatira zanu. Adzakambirananso za njira zochiritsira ndi njira zina zochiritsira.

Kodi zotsatira za kafukufuku wa kugona zidzadziwika liti?

Dokotala adzakuyimbirani foni ndi zotsatira zanu patatha masiku angapo mutayesa. Izi zitha kusiyana malinga ndi labu, choncho ndi bwino kufunsa dokotala wanu nthawi yoti muyembekezere zotsatira zanu mutayesa.

Kodi zimatenga nthawi yayitali bwanji kuti munthu aphunzire kugona?

Kwa anthu ambiri, zimangotenga usiku umodzi wokha m'chipinda chogona (kapena chofanana ndi usiku umodzi kwa iwo omwe amachita mayeso masana). Akatswiri ndi madokotala nthawi zambiri amaona kuti mayesowo ndi olondola ngati mutagona maola awiri (koma mukagona kwambiri, deta yomwe imasonkhanitsidwa imakhala yothandiza kwambiri).

Anthu ena angafunike kukhala m'chipinda chogona kwa masiku opitilira umodzi. Izi zitha kukhala pazifukwa zosiyanasiyana; kuyambira matenda omwe akuganiziridwa kuti ndi owopsa mpaka zomwe zidawerengedwa usiku woyamba sizikumveka bwino. Dokotala wanu angakupatseni zambiri za zomwe akukulimbikitsani komanso chifukwa chake.

Kodi wina adzandiyang'ana panthawi yophunzira za kugona?

Maphunziro okhudza kugona amagwiritsa ntchito makamera opanda kuwala komwe amatha kujambula makanema ndi mawu mu kuwala kochepa. Komabe, ogwira ntchito ku malo ogona sakukuyang'anirani nthawi yonse yomwe mukugona. Makamerawo amakhalapo makamaka kuti ogwira ntchito athe kuwona zomwe zimachitika ngati atakhala osazolowereka kapena kuwerenga kokhudza. Amalembanso zomwe zikuchitika. Kenako madokotala amatha kufananiza zojambulazo ndi kuwerenga kuchokera ku masensa. Izi zikutanthauza kuti pokhapokha ngati wina pagulu ali ndi chifukwa chenicheni chokuyang'anani kudzera mu kamera, sadzakuyang'anirani.

Kodi ndingadzuke ndikupita kuchimbudzi panthawi yophunzira kugona?

Inde, mutha kudzuka usiku kuti mupite kuchimbudzi panthawi yophunzira kugona. Komabe, ogwira ntchito ku malo ogona adzakuuzani ngati mungathe kuchita izi popanda thandizo la wogwira ntchito. Izi zimasiyana malinga ndi zida za malo ogona, malamulo, ndi kapangidwe ka chipinda. Ngati wogwira ntchito sanakuuzeni izi mayeso anu asanayambe, mutha kufunsa za izi.

Kodi ndiyenera kuchita kafukufuku wokhudza kugona ndekha?

Nthawi zambiri, kuphunzira kugona ndi chinthu chomwe mumachita nokha. Nthawi zina, monga ana kapena anthu omwe ali ndi zosowa zapadera , wosamalira kapena wokondedwa akhoza kukhalapo m'chipinda chogona panthawi ya kafukufukuyu. Komabe, nthawi zambiri amafunika kugwiritsa ntchito chipinda china kuti asakhudze kuwerenga ndi zotsatira za mayeso.

Nthawi zina, wosamalira kapena wokondedwa akhoza kukhala m'chipinda chimodzi, koma sangagone pabedi limodzi ndi munthu amene akuyesedwa. Izi zimasiyana malinga ndi labu, mtundu wa mayeso, ndi zina, choncho ndi bwino kulankhula ndi dokotala wanu kapena ogwira ntchito ku malo ogona.

Kodi kuphunzira kugona kumapweteka?

Ayi, kafukufuku wokhudza kugona si wopweteka konse. Simudzamva kupweteka kulikonse kuchokera ku masensa kapena zida zina panthawi yoyeserera. Masensa ena omwe amamangiriridwa pakhungu ndi tepi kapena guluu amatha kumva kusasangalala pang'ono mukamawachotsa, koma ogwira ntchito angathandize kuchepetsa kapena kuthetsa izi mayeso atatha.

Kafukufuku wa kugona ndi mayeso odziwika bwino omwe angathandize kuzindikira matenda ambiri komanso mavuto okhudzana ndi kugona. Maphunziro ambirimbiri okhudza kugona amachitidwa chaka chilichonse. Ndi ofunikira pozindikira ndi kuchiza matenda monga sleep apnea, narcolepsy, ndi restless legs syndrome.

Ngakhale anthu ambiri ali ndi nkhawa kapena mantha ndi mayesowa, akatswiri azaumoyo ndi madokotala omwe amagwira ntchito kapena kutenga nawo mbali mu maphunziro okhudza kugona angakuthandizeni kupumula ndikukhala omasuka. Mwanjira imeneyi, madokotala angakuthandizeni kugona, kusonkhanitsa zambiri zokhudza momwe mumagona panthawi yoyesedwa, kudziwa ngati pali chifukwa chodera nkhawa, komanso zomwe angachite kuti akuthandizeni.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndikukhulupirira kuti tsopano mwamvetsa bwino za kafukufuku wa kugona (Sleep Study / Polysomnography) womwe tidakambirana lero.

• Iyi ndi njira yoyesera yopanda ululu komanso yotetezeka yodziwira mavuto anu ogona.
• Ngati muli ndi vuto la kusowa tulo, kugona kwambiri masana, kukodola, kapena kupuma movutikira, lankhulani ndi dokotala wanu za vutoli. Mayesowa angakuthandizeni.
• Ogwira ntchito adzakufotokozerani zonse ndikukuthandizani mayeso asanayambe komanso panthawi yake, kotero palibe chifukwa choopera.
• Mukadziwa bwino zomwe zikuchitika, zimakhala zosavuta kuthana ndi chilichonse. Chifukwa chake, tikukhulupirira kuti izi zikuthandizani. Mugone bwino komanso momasuka!

Kafukufuku wa tulo , polysomnography, mavuto ogona, kupuma movutikira, mayeso ogona, matenda ogona, mayeso azachipatala