Ingabe uhlala ulele emini? Woza, ake sixoxe nge-Multiple Sleep Latency Test (MSLT)!

Ingabe nawe uvame ukuzizwa ulele emini? Uma sikhuluma iqiniso, noma ngabe ulala kahle ebusuku, ingabe unenkinga yokuhlala uphapheme emini, futhi uzizwa sengathi amehlo akho ayavaleka? Lokhu kumayelana nokuhlolwa okukhethekile okungaba kubaluleke kakhulu kuwe. Lokhu yilokho esikubiza ngokuthi i-Multiple Sleep Latency Test, noma i-MSLT test njengoba ibizwa phakathi kodokotela ngamafuphi. Ake sibone ukuthi kuyini nokuthi kungani kwenziwa.

Iyini i-Multiple Sleep Latency Test (MSLT)?

Kalula nje, lokhu kuhlolwa kwe-MSLT kulinganisa ukuthi ulala ngokushesha kangakanani emini (lokhu kubizwa ngokuthi i-sleep latency ) nokuthi yiziphi izigaba zokulala odlula kuzo uma ulala. Umhlinzeki wezempilo, ngokuvamile udokotela wakho, usebenzisa lokhu kuhlolwa ukusiza ekutholeni imbangela yokulala kwakho ngokweqile emini nokusiza ekuxilongeni izinkinga zokulala eziyisisekelo.

Yini ngempela etholwa yilolu vivinyo lwe-MSLT?

Ukuhlolwa kwe-MSLT kusiza kakhulu ukuhlonza izimo ezifana nalezi:

• I-Narcolepsy: Lokhu kubonakala ngokulala okungalawuleki emini kanye nokuqala kokulala ngokuzumayo.
• I-Hypersomnia: Lokhu kubonakaliswa futhi ukulala ngokweqile. Ngisho noma uthola ubuthongo obanele ebusuku, usazizwa ulele emini.

I-MSLT yenziwa nini?

Lokhu kuhlolwa kwe-MSLT kwenziwa emini . Futhi, kwenziwa njalo ngemva kocwaningo lokulala ebusuku. Okusho ukuthi, odokotela baqale benze ucwaningo lokulala ebusuku (olubizwa nangokuthi "i-Polysomnography") ukuze bathole isithombe esiphelele sokulala kwakho, bese benza lokhu nge-MSLT.

Ubani lo kuhlolwa kwe-MSLT okufanelekela kangcono?

Uma futhi unenkinga yokuhlala uphapheme emini, okungukuthi, uma uvame ukuzizwa ulele, udokotela angase akuphakamise ukuthi ubhale lolu vivinyo lwe-MSLT. Cabanga nje, uma lokhu kulalisa kukuvimbela ekwenzeni imisebenzi yakho yansuku zonke ngendlela efanele, kuphazamise umsebenzi wakho ehhovisi, emsebenzini wesikole, noma ngisho nasekuxhumaneni nabantu kwansuku zonke, kuyinto okufanele uyicabangele. Ikakhulukazi uma lokhu kulalisa emini kuqhubeka izinyanga eziningana, ngokuqinisekile kuwumqondo omuhle ukubona udokotela bese uthola iseluleko.

Ngaphambi kokunquma ukuthi kufanele yini ube ne-MSLT, udokotela wakho angase aqale akucele ukuthi ubhale isivivinyo esibizwa ngokuthi i-Epworth Sleepiness Scale . Siqukethe imibuzo eyisishiyagalombili ophendula yona. Lokhu kuzonikeza udokotela wakho umbono wokuthi ukulala emini kuthinta kanjani impilo yakho yansuku zonke.

Kusebenza kanjani lokhu kuhlolwa kwe-MSLT? Kwenzekani ngempela?

Ukuhlolwa kwe-MSLT kuhlola ubuthongo bakho basemini ngokukunika ukulala okuhlanu okuhleliwe phakathi nosuku. Ngemva kokulala ngakunye, unikezwa ikhefu lamahora amabili phakathi kokulala. Njengoba ulala ngakunye, izinzwa ezincane zinamathiselwa emzimbeni wakho.Kufakwe ezimbalwa. Lezi zinzwa zivumela udokotela ukuthi aqaphe ukusebenza kobuchopho bakho kanye nokunyakaza kwamehlo.

Odokotela babheka kakhulu ukuthi ulala ngokushesha kangakanani, nokuthi ungena yini esigabeni sokulala esikhethekile esibizwa ngokuthi i-REM (Rapid Eye Movement) ngesikhathi sokulala kwakho. Ukulala kwe-REM kuvame ukwenzeka uma silala ubuthongo obujulile. Ngakho-ke, uma usalala i-REM ngisho nangesikhathi sokulala kwakho, kungaba uphawu lwesifo sokulala esiyisisekelo njenge-narcolepsy.

Silungiselela kanjani ngaphambi kwe-MSLT?

Udokotela wakho uzokunikeza imiyalelo ethile okufanele uyilandele ngaphambi kwe-MSLT. Le miyalelo ingafaka:

• Gcina isimiso sokulala, ukulala nokuvuka ngesikhathi esifanayo, amasonto ambalwa ngaphambi kokuhlolwa. Lokhu kubaluleke kakhulu.
• Gcina idayari yokulala ukuze ubhale isikhathi sakho sokulala kanye nezikhathi zokuvuka okungenani amasonto amabili.
• Ungase ucelwe ukuthi ugqoke idivayisi ebizwa ngokuthi i-actigraph , engalandelela amaphethini akho okulala nokuvuka.
• Uma okwamanje uthatha noma yimiphi imithi noma izithasiselo, kufanele ubuze udokotela wakho uma udinga ukwenza noma yiziphi izinguquko. Ungaqali noma uyeke ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho.

Ukuhlolwa kwe-MSLT kuvame ukuqala ngocwaningo lokulala ebusuku (i-polysomnography) ngakusasa ekuseni. Ngemva kokuvuka ekuhlolweni ngalobo busuku, unamahora ambalwa okuphumula ngaphambi kokuba i-MSLT iqale. Phakathi nalesi sikhathi, udokotela wakho angenza ukuhlolwa okwengeziwe, njengokuhlolwa kwegazi noma komchamo (ikakhulukazi ukuhlolwa kwezidakamizwa ), ngoba eminye imithi ingathinta ukulala kwakho kanye nesimo sakho sokuvuka. Ungase futhi ucelwe ukuthi uqedele inhlolovo emfushane esikhungweni sokulala mayelana nendlela olale ngayo.

Yini ongayilindela ngesikhathi sokuhlolwa kwe-MSLT?

Nasi umhlahlandlela wesinyathelo ngesinyathelo wokuthi kwenziwa kanjani ukuhlolwa kwe-MSLT:

1. Zikwenza ulale embhedeni.

2. Isisebenzi sezempilo sizonamathisela izinzwa ezithile ebusweni besikhumba sakho.

3. Bese uhlola ukuthi izinzwa zisebenza kahle yini.

4. Cima izibani ekamelweni bese bephuma ekamelweni.

5. Utshelwa ukuthi ulale kancane.

6. Bayakuvusa ngemva kwesikhathi esinqunyiwe (ngokuvamile ukulala kanye okungenani imizuzu engama-20).

7. Bazosusa izinzwa emzimbeni wakho.

8. Uzocelwa ukuba uphendule imibuzo ebuza ukuthi uzizwa kanjani ngemva kokuvuka.

9. Khona-ke uzoba namahora amabili okuphumula . Lesi sikhathi ngesakho. Kodwa-ke, kumelwe uhlale uphapheme phakathi nalawa mahora amabili. Uma ufuna, ungaphuma endaweni yokulala uphuze ukudla okulula noma isiphuzo. Kodwa ungaphuzi lutho oluqukethe i-caffeine, njengekhofi, itiye, noma ushokoledi.

Ungalala izihlwathi ezinhlanu emini ngale ndlela.Kufanele uyithathe, kanye nalelo khefu lamahora amabili ngemva kokulala ngakunye.

Uma unezinkinga ngesikhathi ulele, udokotela noma isisebenzi sezempilo singaphandle kwegumbi. Kukhona imakrofoni ezinhlangothi zombili eduze kombhede, ngakho ungakhuluma nabo nganoma yisiphi isikhathi.

Amakamelo okulala amnyama futhi athule . Ungase ufune ukuletha izingubo ezikhululekile ozogqoka ngesikhathi sokuhlolwa.

Kwenzekani uma ngingalali ngesikhathi se-MSLT?

Manje ungase ucabange, "O, ngisendaweni engavamile, nginazo zonke lezi zinto emzimbeni wami, futhi angikwazi ukulala." Lokho kuvamile impela. Akulula nganoma ubani kithi ukulala endaweni entsha, ikakhulukazi uma sinezinzwa ezixhunywe emizimbeni yethu. Ekuhlolweni kwe-MSLT, uma uvukile imizuzu engama-20 ngemva kwesikhathi sakho sokulala esihleliwe, bakurekhoda njengemizuzu engama-20 , noma ngabe awuzange ulale ngempela. Bese uthola leso sikhathi sokuphumula samahora amabili ngaphambi kokulala kwakho okulandelayo.

Ezinye zezinto ezikuhlolweni lwe-MSLT zingakuvimbela ukuthi ulale ngesikhathi esifanele. Kulungile. Udokotela wakho uzosikisela ezinye izivivinyo uma lokhu kuhlolwa kungalungile ukuthi uthole imbangela yokozela kwakho emini.

Ukuze sikusize ulale, ungaletha izinto ezilandelayo ekhaya lakho uziyise esikhungweni sokulala:

• Umcamelo wakho owuthandayo.
• Ingubo yakho.
• Funda incwadi (funda ngesikhathi sokuphumula).

Kubalulekile ukugcina isimiso sokulala esingaguquguquki amasonto ambalwa ngaphambi kokuhlolwa. Kungase kudingeke ushintshe imithi oyiphuzayo. Kungase kudingeke futhi wenze izinguquko kulokho okudlayo nokuphuzayo, ikakhulukazi uma udla njalo ukudla okuqukethe i-caffeine njengekhofi, i-soda, noshokoledi. Kungumqondo omuhle futhi ukunciphisa i-nicotine , kodwa uma kudingeka ngempela, kufanele uyeke okungenani imizuzu engama-30 ngaphambi kokulala.

Kwenzekani ngemva kwe-MSLT?

Ngemva kwesigaba sokugcina sokulala sokuhlolwa kwe-MSLT, ungaya ekhaya. Udokotela wakho uzohlela i-aphoyintimenti yokulandelela ukuze axoxe ngemiphumela yokuhlolwa.

Ukuhlolwa kwe-MSLT kutholakala kanjani?

Idatha elandelayo iqoqwa emiphumeleni yokuhlolwa kwe-MSLT ukuhlola ukulala kwakho emini:

• Isikhathi esikuthathayo ukuze ulale (`(ukulibaziseka kokulala)`).
• Amaza obuchopho.
• Ukunyakaza kwamehlo.

Indlela ukuhlolwa okuthola ngayo amaphuzu ingahluka kancane kuye ngokuthi udokotela wakho ulinganisa kanjani idatha. Udokotela wakho angasebenzisa amanani ajwayelekile edatha yakho ye-MSLT ukuthola inkinga yokulala uma uhlangabezana nalezi zindlela:

• I-Narcolepsy: Uma kuthatha imizuzu engaphansi kwengu-8 ukulala, bese ulala i-REM okungenani izikhathi ezimbili .
• I-Hypersomnia: Uyalala.Uma kuthatha imizuzu engaphansi kwengu-8, kodwa ulala ngaphansi kwemizuzu emibili .

Kuthatha cishe imizuzu eyi-11 ukuthi umuntu alale ngokwesilinganiso. Iningi labantu lingena ebuthongweni be-REM ngemva kwemizuzu engaba ngu-90.

Udokotela uzoqhathanisa idatha evela ku-MSLT nedatha evela kwezinye izivivinyo ezifana nalezi:

• Idayari yokulala obulokhu uyigcina emasontweni ambalwa edlule.
• Idatha etholwe kudivayisi ye-Actigraph uma igugile.
• Idatha evela ocwaningweni lokulala ebusuku (`(Polysomnography)`).

Ngokuvamile kuthatha isikhathi esingakanani ukuthola imiphumela?

Udokotela wakho uzokunika izinsuku ezimbalwa zokuxoxa nawe ngemiphumela ngemva kwe-MSLT. Lesi sikhathi singahluka, ikakhulukazi uma udokotela edinga ukuhlolwa okwengeziwe ukuze athole ukuxilongwa okuphelele.

Yini elandelayo ngemva kwe-MSLT?

Uma kutholakala ukuthi unesifo sokulala ngemva kokuhlolwa kwe-MSLT, udokotela wakho uzohlangana nawe ukuze axoxe ngohlelo lokwelapha olungasiza ekunciphiseni ukozela emini. Kungadingeka ukuthi uphuze imithi noma ushintshe imikhuba yakho yokulala ukuze usize ekulawuleni izimpawu zakho.

Ngisho noma imiphumela yokuhlolwa kwe-MSLT ingakutholi ukuphazamiseka kokulala, ungase ube nobuthongo obuqhubekayo emini. Uma kunjalo, kungase kudingeke ukuhlolwa okwengeziwe ukuthola imbangela yalesi sibonakaliso.

Isebenza kangakanani i-MSLT ekuxilongeni i-narcolepsy?

I-MSLT iyisivivinyo esithembekile sokuxilonga ezinye izinhlobo ze-narcolepsy. Kodwa khumbula ukuthi udokotela ngokuvamile akasebenzisi i-MSLT yodwa ukuze axilonge. Kuyingxenye eyodwa nje kwezinye izivivinyo eziningana.

Kufanele ngimbone nini udokotela?

Uma ukozela kwakho emini kuphazamisa imisebenzi yakho yansuku zonke, qiniseka ukuthi ubona udokotela . Bazokwenza i-MSLT kanye/noma ezinye izivivinyo ukuze banikeze ukuxilongwa okusemthethweni.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukulala emini yisimo esenza kube nzima ukwenza imisebenzi yansuku zonke, noma ngabe ulala kahle ebusuku. Ukuze athole ukuthi lesi sibonakaliso sikuthinta kanjani nokuthi yini ebangela lokho, udokotela wakho angase aphakamise ukuhlolwa kwe-Multiple Sleep Latency Test (MSLT) uma esola ukuthi une-narcolepsy noma i-hypersomnia.

Kuvamile ukuzizwa ukhathazekile kancane ngaphambi kokuhlolwa kwe-MSLT. Ngenxa yokuthi awulali embhedeni wakho, ungase uzizwe sengathi ngeke ulale. Ungakhathazeki. Ungaletha umcamelo wakho owuthandayo, ingubo yokulala, njll. esikhungweni sokulala. Futhi, ukugcina isimiso sokulala esingaguquguquki amasonto ambalwa ngaphambi kokuhlolwa kuzosiza umzimba wakho ukuthi ujwayele ukulala ngesikhathi.

Uma unemibuzo ngaphambi noma ngemva kokuhlolwa, buza ithimba lakho lezokwelapha. Bazobuyekeza imiphumela futhi, uma kudingeka, bakunikeze iseluleko ngalokho okufanele ukwenze ngokulandelayo.Akukaze kube sekwephuzile ukukhuluma ngezinkinga zakho zokulala!

Ukuhlolwa kokulala , i-MSLT, ukozela emini, i-narcolepsy, i-hypersomnia, ukulala kwe-REM, izinkinga zokulala