Ese ukunze kumva usinziriye ku manywa? Mu by'ukuri, nubwo waba usinziriye neza nijoro, ese uhura n'ingorane zo kuba maso ku manywa, kandi wumva amaso yawe arimo gufunga gusa? Hanyuma ibi bivuga ku kizamini cyihariye gishobora kuba ingenzi cyane kuri wewe. Iki ni cyo twita Multiple Sleep Latency Test, cyangwa MSLT test nk'uko byitwa mu baganga mu magambo ahinnye. Reka turebe icyo ari cyo n'impamvu bikorwa.

Ikizamini cyo gutegereza igihe cyo gusinzira inshuro nyinshi (MSLT) ni iki?

Muri make, iki kizamini cya MSLT gipima uburyo usinzirira vuba ku manywa (ibi byitwa gutinda gusinzira ) n'ibyiciro byo gusinzira unyuramo iyo usinziriye. Umuganga wawe, ubusanzwe, akoresha iki kizamini kugira ngo agufashe kumenya impamvu yo gusinzira cyane ku manywa no kugufasha kumenya ibibazo by'ibitotsi biri mu mutima wawe.

Ni iki mu by'ukuri iki kizamini cya MSLT cyagaragaje?

Ikizamini cya MSLT gifasha cyane cyane kumenya indwara nka:

• Narcolepsy: Ibi birangwa no gusinzira ku manywa mu buryo butunguranye no gusinzira mu buryo butunguranye.
• Hypersomnia: Ibi kandi birangwa no gusinzira cyane. Nubwo uryama bihagije nijoro, uracyakomeza kumva usinziriye ku manywa.

MSLT ikorwa ryari?

Iki kizamini cya MSLT gikorwa ku manywa . Nanone, buri gihe gikorwa nyuma yo gusinzira nijoro. Ni ukuvuga ko abaganga babanza gukora ikizamini cyo gusinzira nijoro (cyanone cyitwa "Polysomnography") kugira ngo babone ishusho yuzuye y'ibitotsi byawe, hanyuma bakabikora MSLT.

Ni nde iki kizamini cya MSLT gikwiriye kurusha ibindi?

Niba kandi ufite ingorane zo kuguma uri maso ku manywa, ni ukuvuga niba ukunze kumva usinziriye, muganga ashobora kukugira inama yo gukora iki kizamini cya MSLT. Tekereza, niba uku gusinzira kukubuza gukora imirimo yawe ya buri munsi neza, bikabangamira akazi kawe ko mu biro, mu ishuri, cyangwa se mu mibanire yawe ya buri munsi, ni ikintu cyo kuzirikana. Cyane cyane niba uku gusinzira ku manywa bikomeje amezi menshi, ni byiza rwose kubonana na muganga ukakugira inama.

Mbere yo gufata icyemezo niba ugomba gufata MSLT, muganga wawe ashobora kubanza kugusaba gukora ikizamini cyitwa Epworth Sleepiness Scale . Kigizwe n'ibibazo umunani wisubiza ubwawe. Ibi bizaha muganga wawe igitekerezo cy'uburyo gusinzira ku manywa bigira ingaruka ku buzima bwawe bwa buri munsi.

Iki kizamini cya MSLT gikora gite? Ni iki mu by'ukuri kibaho?

Ikizamini cya MSLT gipima gusinzira kwawe ku manywa kiguha ibitotsi bitanu byagenwe ku manywa. Nyuma ya buri gusinzira, uhabwa ikiruhuko cy'amasaha abiri hagati y'ibitotsi. Uko ufata buri gusinzira, utuntu duto tw'ubwenge tuba dufatanye n'umubiri wawe.Hari bike byashyizweho. Ibi byuma bipima imiterere y'ubwonko bwawe bifasha muganga kugenzura imikorere y'ubwonko bwawe n'imyitwarire y'amaso yawe.

Abaganga bareba cyane cyane uburyo usinzirira vuba, ndetse niba winjiye mu cyiciro cyihariye cy’ibitotsi cyitwa REM (Rapid Eye Movement) mu gihe usinziriye. Ibitotsi bya REM bikunze kubaho iyo tugiye gusinzira cyane. Niba rero ugikomeje kujya muri REM ndetse no mu gihe usinziriye, bishobora kuba ikimenyetso cy’indwara y’ibitotsi nk’indwara yo kubura uruhu.

Twitegura dute mbere ya MSLT?

Muganga wawe azaguha amabwiriza yihariye yo gukurikiza mbere yo gufata MSLT. Aya mabwiriza ashobora kuba arimo:

• Komeza gahunda yo gusinzira, ujye uryama kandi ukanguke icyarimwe, mu byumweru bike mbere yo kwipimisha. Ibi ni ingenzi cyane.
• Andika ikaye yo gusinzira kugira ngo wandike igihe cyo kuryama n'igihe cyo kubyuka byibuze ibyumweru bibiri.
• Ushobora gusabwa kwambara igikoresho cyitwa actigraph , gishobora gukurikirana ibihe byawe byo gusinzira no kubyuka.
• Niba urimo gufata imiti cyangwa inyongeramusaruro muri iki gihe, ugomba kubaza muganga wawe niba hari icyo ukeneye guhindura. Ntugatangire cyangwa ngo uhagarike gufata imiti iyo ari yo yose utabanje kugisha inama muganga wawe.

Ikizamini cya MSLT gikunze gutangirana n'inyigo yo gusinzira nijoro (polysomnography) mu gitondo gikurikiyeho. Umaze kubyuka mu kizamini muri iryo joro, uba ufite amasaha make yo kuruhuka mbere yuko MSLT itangira. Muri iki gihe, muganga wawe ashobora gukora ibindi bizamini, nko gupima amaraso cyangwa inkari (cyane cyane gupima imiti ), kuko imiti imwe n'imwe ishobora kugira ingaruka ku gusinzira kwawe ndetse no ku kubyuka kwawe. Ushobora kandi gusabwa gukora ubushakashatsi bugufi mu kigo cy’ibitotsi ku bijyanye n'uko wasinziriye.

Ni iki wakwitega mu gihe cy'ikizamini cya MSLT?

Dore intambwe ku yindi y'uburyo ikizamini cya MSLT gikorwa:

1. Baragutera kuryama ku buriri.

2. Umukozi w’ubuzima azashyiraho utwuma dupima uruhu rwawe.

3. Hanyuma urebe niba sensor zikora neza.

4. Zimya amatara mu cyumba maze bakava mu cyumba.

5. Ubwirwa gusinzira gato.

6. Baragukangura nyuma y'igihe cyagenwe (ubusanzwe gusinzira rimwe ni nibura iminota 20).

7. Bazakuraho ibikoresho by'ikoranabuhanga mu mubiri wawe.

8. Uzasabwa gusubiza ikibazo cy'ibibazo kikubaza uko wumva umeze nyuma yo kubyuka.

9. Hanyuma uzaba ufite amasaha abiri yo kuruhuka . Iki gihe ni icyawe. Ariko, ugomba kuguma uri maso muri aya masaha abiri. Niba ubyifuza, ushobora kuva mu cyumba cyo gusinzira ukarya utuntu duto cyangwa ukanywa. Ariko ntunywe ikintu cyose kirimo kafeyine, nka ikawa, icyayi, cyangwa shokora.

Ushobora gusinzira inshuro eshanu ku manywa muri ubu buryo.Ugomba kuyifata, hamwe n'ikiruhuko cy'amasaha abiri nyuma ya buri gusinzira.

Niba ufite ikibazo icyo ari cyo cyose mu gihe usinziriye, muganga cyangwa umukozi w’ubuzima aba ari hanze y’icyumba. Hari mikoro y’impande zombi hafi y’igitanda, bityo ushobora kuvugana na bo igihe icyo ari cyo cyose.

Ibyumba byo kuraramo byijimye kandi bituje . Ushobora kuzana imyenda myiza yo kwambara mu gihe cy'ikizamini.

Bizagenda bite iyo ntasinziriye mu gihe cyo gufata MSLT?

Ubu ushobora kuba urimo gutekereza uti "Oh, ndi ahantu hadasanzwe, mfite ibi bintu byose ku mubiri wanjye, kandi sinshobora gusinzira." Ibyo ni ibisanzwe rwose. Ntabwo byoroshye kuri twe gusinzira mu buryo bushya, cyane cyane iyo dufite ibikoresho bikorana n'umubiri wacu. Mu kizamini cya MSLT, niba uri maso iminota 20 nyuma y'igihe wagennye cyo kuryama, bandika ko ari iminota 20 , nubwo utarasinziriye. Hanyuma ubona icyo gihe cy'amasaha abiri yo kuruhuka mbere yo gusinzira ukundi.

Bimwe mu bintu biri mu kizamini cya MSLT bishobora kukubuza gusinzira mu gihe gikwiye. Nta kibazo. Muganga wawe azagusaba ibindi bipimo niba iki kizamini kitagukwiriye kugira ngo umenye impamvu y'ibitotsi byawe byo ku manywa.

Kugira ngo bigufashe gusinzira, ushobora kuzana ibintu bikurikira bivuye iwawe ukabijyana mu cyumba cyo kuraramo:

• Umusego wawe ukunda cyane.
• Igitambaro cyawe.
• Soma igitabo (soma mu gihe cyo kuruhuka).

Ni ngombwa kugira gahunda yo gusinzira neza mu byumweru bike mbere yo kwipimisha. Ushobora gukenera guhindura imiti ufata. Ushobora kandi gukenera guhindura ibyo urya n'ibyo unywa, cyane cyane niba ukunda kurya ibiryo birimo kafeyine nka ikawa, soda na shokora. Ni byiza kandi kugabanya nikotine , ariko niba ari ngombwa rwose, ugomba kuyihagarika nibura iminota 30 mbere yo kuryama.

Ni iki kizabaho nyuma ya MSLT?

Nyuma y'icyiciro cya nyuma cyo gusinzira cy'ikizamini cya MSLT, ushobora gutaha. Muganga wawe azagutegurira gahunda yo gukurikirana kugira ngo aganire ku bisubizo by'ikizamini.

Ikizamini cya MSLT gitangwa gute amanota?

Amakuru akurikira arakusanywa mu bisubizo by'ikizamini cya MSLT kugira ngo hamenyekane niba usinziriye ku manywa:

• Igihe bigutwara kugira ngo usinzire (`(gutinda gusinzira)`).
• Imiraba y'ubwonko.
• Ingendo z'amaso.

Uburyo ikizamini gitangwaho amanota bushobora gutandukana gato bitewe n'uburyo muganga wawe apima amakuru. Muganga wawe ashobora gukoresha agaciro mpuzandengo k'amakuru yawe ya MSLT kugira ngo amenye indwara yo gusinzira niba wujuje ibi bikurikira:

• Narcolepsy: Niba bigufata iminota iri munsi ya 8 kugira ngo usinzire, kandi ukajya mu bitotsi bya REM nibura inshuro ebyiri .
• Hypersomnia: Urasinzira.Niba bimara iminota iri munsi ya 8, ariko ukajya mu bitotsi bya REM mu gihe kitarenze ibiri .

Bifata iminota 11 kugira ngo umuntu asinzira muri rusange. Abantu benshi binjira mu bitotsi bya REM nyuma y'iminota 90.

Umuganga azagereranya amakuru yavuye muri MSLT n'amakuru yavuye mu bindi bizamini nka:

• Igitabo cy'ibitotsi umaze ibyumweru bike ubika.
• Amakuru yakuwe mu gikoresho cya Actigraph niba cyarashaje.
• Amakuru yavuye mu bushakashatsi bwo gusinzira nijoro (`(Polysomnography)`).

Ubusanzwe bifata igihe kingana iki kugira ngo ubone ibisubizo?

Muganga wawe azaguha iminsi mike yo kuganira nawe ku bisubizo nyuma ya MSLT. Iki gihe gishobora gutandukana, cyane cyane niba muganga akeneye ibindi bipimo kugira ngo amenye neza indwara ye.

Ni iki gikurikiraho nyuma ya MSLT?

Niba usanzwe ufite ikibazo cyo gusinzira nyuma yo gupimwa na MSLT, muganga wawe azahura nawe kugira ngo baganire ku buryo bwo kugufasha kugabanya gusinzira ku manywa. Ushobora gukenera gufata imiti cyangwa guhindura uburyo bwo gusinzira kugira ngo bigufashe guhangana n'ibimenyetso by'indwara.

Nubwo ibisubizo bya MSLT bitagaragaza ikibazo cyo gusinzira, ushobora gukomeza gusinzira ku manywa. Niba ari uko bimeze, hashobora gukenerwa ibizamini by'inyongera kugira ngo hamenyekane icyateye iki kimenyetso.

MSLT ifite akamaro kangana iki mu gusuzuma indwara ya narcolepsy?

MSLT ni ikizamini cyizewe cyo gusuzuma ubwoko bumwe na bumwe bwa narcolepsy. Ariko ibuka ko umuganga ubusanzwe adakoresha MSLT yonyine kugira ngo apime. Ni kimwe mu bipimo byinshi.

Ni ryari ngomba kujya kwa muganga?

Niba gusinzira kwawe ku manywa bibangamira imirimo yawe ya buri munsi, menya neza ko wagiye kwa muganga . Azagukorera MSLT cyangwa ibindi bizamini kugira ngo aguhe isuzuma ryemewe.

Ibintu by'ingenzi ugomba kuzirikana (Ubutumwa bwo kujyana mu rugo)

Gusinzira ku manywa ni ikibazo kigorana gukora imirimo ya buri munsi, nubwo waba usinziriye neza nijoro. Kugira ngo amenye uburyo iki kimenyetso kikugizeho ingaruka n'icyabiteye, muganga wawe ashobora kukugira inama yo gupima indwara ya “Multiple Sleep Latency Test” (MSLT) mu gihe bakeka ko ufite narcolepsy cyangwa hypersomnia.

Ni ibisanzwe kumva ufite ubwoba mbere yo gufata MSLT. Kubera ko udasinzira mu buriri bwawe, ushobora kumva utazasinzira. Ntugahangayike. Ushobora kuzana umusego wawe ukunda, igitambaro, nibindi mu cyumba cyo gusinzira. Nanone, gukomeza gahunda yo gusinzira mu byumweru bike mbere yo gupimwa bizafasha umubiri wawe kumenyera kuryama ku gihe.

Niba ufite ikibazo icyo ari cyo cyose mbere cyangwa nyuma yo gupimwa, baza itsinda ry’abaganga bawe. Bazasuzuma ibisubizo, nibiba ngombwa, baguhe inama y’icyo wakora nyuma yaho.Ntabwo bitinda cyane kuvuga ku bibazo byawe byo gusinzira!

Ikizamini cyo gusinzira , MSLT, gusinzira ku manywa, indwara yo kubura ibitotsi, hypersomnia, gusinzira kwa REM, indwara zo gusinzira