Ingabe uzizwa ulele ngokuzumayo bese uvala amehlo akho emini, ngenkathi usebenza noma ukhuluma? Ngisho noma ulala kahle ebusuku, uzizwa ukhathele kakhulu futhi ulele emini ungenawo amandla? Uma lokhu kulala ngokweqile emini kuphazamisa imisebenzi yakho yansuku zonke, namuhla sikhuluma ngokuhlolwa okukhethekile okungenziwa ukuthola imbangela.
Kuyini i-MSLT?
Kalula nje, i-`MSLT` (Multiple Sleep Latency Test) iyisivivinyo esilinganisa ukuthi kuthatha isikhathi esingakanani ukuthi ulale emini. Siphinde sibonise ukuthi yiziphi izigaba zokulala odlula kuzo phakathi naleso sikhathi esifushane sokulala. Odokotela basebenzisa lesi sivivinyo ukuthola imbangela yokulala kwakho ngokweqile emini kanye nokuxilonga izinkinga zokulala ezihlobene nakho.
Lolu hlolo luthola ziphi izifo?
Ukuhlolwa kwe-`MSLT` kusiza kakhulu ekuxilongeni izimo ezimbili zezokwelapha.
| Isimo sezokwelapha | Kalula nje... |
|---|---|
| I-Narcolepsy | Isimo lapho ulala khona ngokuzumayo nangokungalawuleki emini. |
| I-Hypersomnia | Isimo lapho uzizwa ulele kakhulu emini, noma ulala kahle amahora amaningana ebusuku. |
Lokhu kuhlolwa kwenziwa emini, kodwa kwenziwa njalo ngemva kokufunda okunye ukulala ebusuku obudlule.
Ubani odinga lolu vivinyo lwe-MSLT?
Uma kunzima ukuhlala uphapheme emini, udokotela wakho angase akuncome lokhu kuhlolwa. Cabanga ukuthi usemhlanganweni obalulekile ehhovisi, noma ushayela imoto. Yini engenzeka uma ulala ngokuzumayo ngesikhathi esinjengalesi... Uma lokhu kulalisa kuye kwathinta imisebenzi yakho yansuku zonke, umsebenzi, kanye nezifundo izinyanga eziningi, kubalulekile ukuthi uhlolwe.
Ngokuvamile, udokotela uzoqala ngokukubuza imibuzo embalwa, noma akucele ukuthi ugcwalise uhlu lwemibuzo olufushane njengesikali sokulala sase-Epworth. Lokhu kwenzelwa ukuhlola ukuthi lokhu kulala kuyithinta kangakanani impilo yakho yansuku zonke.
Kwenziwa kanjani lokhu kuhlolwa?
I-MSLT ihilela ukukunika ukulala kahlanu njalo emahoreni amabili phakathi nosuku. Isikhathi ngasinye lapho ulala, unezinzwa ezincane ezinamathele emzimbeni wakho. Lezi zinzwa ziqapha izinto ezifana nokusebenza kobuchopho bakho kanye nokunyakaza kwamehlo.
Odokotela babheka kakhulu izinto ezimbili lapha:
1. Ulala ekuseni kangakanani?
2. Ingabe ungena esigabeni sokulala esikhethekile esibizwa ngokuthi `i-REM` (i-Rapid Eye Movement) phakathi nalolo buthongo obufushane?
Ngokuvamile, singena kulesi sigaba sokulala se-'REM' cishe ihora nesigamu ngemva kokulala ubuthongo obujulile. Kodwa-ke, uma ungena kulesi sigaba se-'REM' ngemva nje kokulala, kungaba uphawu lwesimo esifana ne-'Narcolepsy'.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Udokotela wakho uzokunikeza imiyalelo ecacile yokuthi yini okufanele uyenze ngaphambi kokuhlolwa, okungabandakanya:
- Bhala phansi isikhathi olala ngaso kanye nesikhathi ovuka ngaso nsuku zonke cishe amasonto amabili.
- Landela iphethini ethile yokulala: Zama ukulala nokuvuka ngesikhathi esifanayo nsuku zonke amasonto ambalwa ngaphambi kokuhlolwa.
- Ukugqoka idivayisi ye-actigraph: Udokotela wakho angakunika idivayisi encane, njengewashi, oyigqoka esihlakaleni sakho ukuze ulinganise amaphethini akho okulala nokuvuka.
- Ukushintsha Imithi: Kufanele wazise udokotela wakho nganoma yimiphi imithi oyithathayo njengamanje. Eminye imithi ingathinta imiphumela yalolu vivinyo, ngakho udokotela wakho kungadingeka ayiyeke okwesikhashana noma ayishintshe. Ungalokothi uyeke ukuthatha noma yimiphi imithi ngaphandle kwemvume kadokotela wakho.
Ngemva kocwaningo lokulala (i-polysomnography) ngobusuku obandulela ukuhlolwa kwe-MSLT, ungase futhi uthathwe isampula yegazi noma yomchamo (ukuhlolwa kwezidakamizwa) ekuseni ukuze uhlole imithi ethile noma imithi engathinta ukulala.
Kwenzekani ngosuku lokuhlolwa?
Ngosuku lokuhlolwa, kwenzeka into efana nale:
1. Uzolala embhedeni bese uchwepheshe efaka izinzwa esikhumbeni sakho.
2. Ngemva kokuhlola ukuthi zisebenza kahle yini, ucima izibani ekamelweni bese ehamba.
3. Uyalulekwa ukuthi ulale.
4. Uzovuswa ngemva kwesikhathi esibekiwe (cishe imizuzu engama-20).
5. Ngemuva kwalokho uzonikezwa ikhefu lamahora amabili. Phakathi nalesi sikhathi, ungadla, uphuze (ungadli i-caffeine - ikhofi, itiye, ushokoledi, iziphuzo ezibandayo), ubheke ifoni yakho, noma ufunde incwadi. Kodwa awukwazi ukulala phakathi nalesi sikhathi. Kumelwe uhlale uphapheme.
6. Ngemva kwamahora amabili, zinike elinye ithuba lokulala njengoba kuchaziwe ngenhla.
Le nqubo iphindwa izikhathi ezi-5 phakathi nosuku. Uma unemibuzo, kukhona imakrofoni yokukhuluma nochwepheshe ngaphandle kwegumbi.
Yini okufanele uyenze uma ungalali ngesikhathi se-MSLT?
Lokhu kuyinkinga kubantu abaningi. Akulula ukulala endaweni entsha enezinzwa eziningi emzimbeni wakho. Lokhu kuvamile. Uma ungalali phakathi nesikhathi esibekiwe (imizuzu engama-20), uchwepheshe uzoqopha lokhu ngokuthi "Kuthathe imizuzu engama-20 ukulala" bese eqala isikhathi sakho sokuphumula samahora amabili. Ngakho ungakhathazeki ngakho.
Ungaletha nento evela ekhaya, njengomcamelo, ishidi lokulala, noma incwadi, ukuze ikusize ulale kahle.
Ungayibona kanjani imiphumela yokuhlolwa?
Ngemva kokuhlolwa, udokotela wakho uzohlaziya imiphumela yakho, esebenzisa izinto ezifana nesikhathi sakho esijwayelekile sokulala kanye nenani lezikhathi oqala ngazo ukulala kwe-REM.
| Isimo sezokwelapha | Imigomo ngokwemiphumela ye-MSLT |
|---|---|
| I-Narcolepsy | Ngokuvamile kuthatha imizuzu engaphansi kwengu-8 ukulala. futhi Uma ungena ebuthongweni be-REM okungenani izikhathi ezimbili kwezinhlanu ulala. |
| I-Hypersomnia | Ngokuvamile kuthatha imizuzu engaphansi kwengu-8 ukulala. futhi Ukungena ebuthongweni be-REM ngaphansi kokuphindwe kabili . |
Ngokuvamile kuthatha umuntu ophilile cishe imizuzu eyi-11 ukulala emini. Udokotela ngeke abheke nje kuphela le miphumela ye-'MSLT', kodwa futhi uzobheka idayari yakho yokulala, umbiko wokuhlolwa kokulala kobusuku bangaphambilini, nakho konke okunye ukuze afinyelele esiphethweni sokugcina.
Kufanele ngimbone nini udokotela?
Uma ubhekene nokulala ngokweqile emini okukuvimbela ekusebenzeni kahle, ungakushayi indiva. Qiniseka ukuthi ukhuluma nodokotela wakho ngakho. Angenza ukuhlolwa kwe-MSLT noma ezinye izivivinyo ukuze athole imbangela eqondile futhi anikeze ukwelashwa okufanele.
Khumbula, akuvamile ukuzizwa ulele njalo emini, ikakhulukazi uma kuphazamisa umsebenzi wakho. Ungesabi noma ube namahloni okukhuluma nodokotela wakho ngalokhu.
Uma imiphumela yokuhlolwa ibonisa ukuthi unesifo esithile, udokotela wakho uzokweluleka ngemithi noma izinguquko zendlela yokuphila ezidingekayo ukuze kulawulwe lezo zimpawu.
Umlayezo Wokuya Nawe Ekhaya
- I-MSLT iyisivivinyo esikhethekile esisetshenziselwa ukuthola imbangela yokulala ngokweqile emini.
- Lokhu kungakhomba kakhulu izimo ezifana ne-Narcolepsy kanye ne-Hypersomnia.
- Lokhu kuhlolwa kwenziwa njalo ngemva kokufunda ukulala ubusuku bonke ngosuku olwandulele.
- Ukugcina indlela yokulala evamile ezinsukwini eziholela ekuhlolweni nokulandela imiyalelo kadokotela kubaluleke kakhulu ukuze imiphumela ibe nokunemba.
- Kuvamile ukulala ngesikhathi sokuhlolwa, ungakhathazeki ngakho.
- Khuluma nodokotela wakho ngokukhululekile ngesimo sakho kanye nokwelashwa kwakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho