Polysomnography

Polysomnography kudzidza kwekurara. Muedzo uyu unorekodha mamwe mabasa emuviri paunenge uchirara, kana kuyedza kurara. Polysomnography inoshandiswa kuongorora kusagadzikana kwekurara.

Kune marudzi maviri ekurara:

• Kurumidza kufamba kweziso (REM) kurara. Kazhinji kurota kunoitika panguva yekurara kweREM. Mumamiriro ezvinhu akajairika, mhasuru dzako, kunze kwemaziso ako uye mhasuru dzekufema, hadzifambe panguva ino yekurara.
• Isiri-inokurumidza kufamba kweziso (NREM) kurara. Kurara kweNREM kwakakamurwa kuita nhanho nhatu dzinogona kuonekwa nemafungu ehuropi (EEG).

Kurara kweREM kunochinja nekurara kweNREM maminetsi makumi mapfumbamwe. Munhu ane kurara zvakajairika kazhinji ane mana kana mashanu macirculi eREM uye NREM akarara panguva yehusiku.

Chidzidzo chekurara chinoyera ako ekurara macircuit uye matanho nekunyora:

• Mhepo inoyerera ichipinda nekubuda mumapapu ako paunenge uchifema
• Iwo mwero weoxygen muropa rako
• Chimiro chemuviri
• Mafungu ehuropi (EEG)
• Kufema kushanda uye chiyero
• Basa remagetsi remhasuru
• Kufamba kweziso
• Mamhanyiro emoyo

Polysomnography inogona kuitwa chero kunzvimbo yekurara kana mumba mako.

PAKUVARA

Zvidzidzo zvakakwana zvekurara zvinowanzoitwa panzvimbo yakakosha yekurara.

• Iwe uchakumbirwa kuti usvike anenge maawa maviri usati warara.
• Iwe ucharara pamubhedha pakati. Nzvimbo zhinji dzekurara dzine dzimba dzekurara dzakanaka, dzakafanana nehotera.
• Muedzo unowanzoitwa usiku kuitira kuti maitiro ako akarara ekurara agone kudzidzwa. Kana iwe uri mushandi wekushandura husiku, nzvimbo zhinji dzinogona kuita bvunzo panguva yako yekurara maawa.
• Anopa hutano hwako anoisa ma electrode pachirebvu chako, ganda romusoro, uye nekunze kwekunze kwemaziso ako. Iwe unenge uine mamonitor ekurekodha yako yekurova kwemoyo uye kufema kwakanamatira pachipfuva chako. Izvi zvicharamba zviri panzvimbo iwe uchirara.
• Ma electrode anorekodha zviratidzo paunenge wakasvinura (nemeso ako akavharwa) uye panguva yekurara. Iyo bvunzo inoyera huwandu hwenguva inotora iwe kuti ubate nehope uye kuti zvinotora nguva yakareba sei kuti upinde muhope yeREM.
• Anopihwa-akadzidziswa anokuchereredza iwe paunenge uchirara uye wotarisa chero shanduko mukufema kwako kana kurova kwemoyo.
• Muedzo unorekodha huwandu hwenguva dzaunombomira kufema kana kupotsa kumira kufema.
• Kune zvakare monitors ekurekodha mafambiro ako panguva yekurara. Dzimwe nguva vhidhiyo kamera inonyora mafambiro ako panguva yekurara.

KUMBA

Unogona kukwanisa kushandisa chidzidzo chekurara mumba mako pachinzvimbo chekurara kubatsira kuongorora chirwere chekufema. Iwe unogona kutora chishandiso panzvimbo yekurara kana murapi akadzidziswa anouya kumba kwako kuzomisikidza.

Kuedza kwekumba kunogona kushandiswa kana:

• Iwe uri pasi pekuchengetwa kweanorara nyanzvi.
• Chiremba wako wekurara anofunga kuti unovhiringidza kufema kufema.
• Iwe hauna zvimwe zvinokanganisa kurara.
• Iwe hauna mamwe matambudziko akakomba ehutano, senge chirwere chemoyo kana chirwere chemapapu.

Kunyangwe bvunzo iri panzvimbo yekurara yekurara kana kumba, iwe unogadzirira nenzira imwecheteyo. Kunze kwekunge waudzwa kuti uite kudaro nachiremba wako, usatore chero mushonga wekurara uye usanwa doro kana zvinwiwa zvine caffeine usati wayedzwa. Vanogona kukanganisa kurara kwako.

Muedzo unobatsira kuongorora kunetsekana kwekurara, kusanganisira kunetseka kwekurara kwekufema (OSA). Mupi wako anogona kufunga kuti une OSA nekuti une izvi zviratidzo:

• Kurara masikati (kurara masikati)
• Ruzha ngonono
• Nguva dzekubata mweya wako paunenge wakarara, dzinoteverwa nekufemereka kana kufembedza
• Kurara kusingazorori

Polysomnography inogona zvakare kuongorora kumwe kunetseka kwekurara:

• Narcolepsy
• Nguva nenguva makumbo mafambiro kusagadzikana (kufambisa makumbo ako kazhinji panguva yekurara)
• REM maitiro kusagadzikana (panyama "kuita" zviroto zvako panguva yekurara)

Nzira dzekurara dzekurara:

• Kazhinji kangani iwe unomira kufema kwemasekondi gumi (anonzi apnea)
• Kazhinji kangani kufema kwako kwakavharwa kwechikamu kwemasekonzi gumi (inonzi hypopnea)
• Uropi hwako mafungu uye mhasuru kufamba panguva yekurara

Vanhu vazhinji vane nguva pfupi panguva yekurara uko kufema kwavo kunomira kana kuvharika. Iyo Apnea-Hypopnea Index (AHI) ndiyo nhamba yeapnea kana hypopnea yakayerwa panguva yekudzidza kwekurara. Mhedzisiro yeAHI inoshandiswa kuongorora kuvharidzira kwepakati pekurara.

Yakajairwa bvunzo mhedzisiro inoratidza:

• Zvishoma kana pasina zvikamu zvekumisa kufema. Muvanhu vakuru, AHI isingasviki mashanu inoonekwa seyakajairika.
• Maitiro akajairika emafungu ehuropi uye kufamba kwemhasuru panguva yekurara.
  

Muvanhu vakuru, apnea-hypopnea index (AHI) pamusoro pe5 zvinogona kureva kuti une hope dzekufema.

• 5 kusvika ku14 unyoro hwekufema hwekurara.
• 15 kusvika ku29 ane apnea ekurara zvine mwero.
• 30 kana kupfuuridza kufema kutadza kufema.

Kuti aongorore uye asarudze nezvekurapwa, nyanzvi yekurara inofanirawo kutarisa:

• Zvimwe zvakawanikwa kubva pakudzidza kwekurara
• Nhoroondo yako yezvokurapa uye zvichemo zvine chekuita nehope
• Muedzo wako wepanyama

Kurara kudzidza; Polysomnogram; Kukurumidza kufamba kweziso kufamba; Kupatsanura husiku polysomnography; PSG; OSA - kudzidza kurara; Kudzivisa kufema kufema - kurara kudzidza; Kurara kufema - kurara kudzidza

• Kurara zvidzidzo

Chokroverty S, Avidan AY. Kurara uye kusagadzikana kwaro. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 102.

Kirk V, Baughn J, D'Andrea L, et al. American Academy of Kurara Mushonga chinzvimbo bepa rekushandisa kwemba yekurara kufema kwepnea bvunzo yekuongororwa kweOSA muvana. J Clin Kurara Med. 2017; 13 (10): 1199-1203. PMID: 28877820 pubmed.ncbi.nlm.nih.gov/28877820/.

Mansukhani MP, Kolla BP, St. Louis EK, Morgenthaler TI. Matambudziko ekurara. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2020. Philadelphia, PA: Elsevier; 2020: 739-753.

Qaseem A, Holty JE, Owens DK, et al. Manejimendi ekudzivirira kufema kwekurara muvanhu vakuru: kiriniki yekudzidzira nhungamiro kubva kuAmerican College yeVarapi Ann Mukati Med. 2013; 159 (7): 471-483. PMID: 24061345 pubmed.ncbi.nlm.nih.gov/24061345/.

Sarber KM, Lam DJ, Ishman SL. Kurara kufema uye kutadza kurara. Mune: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 15.

Shangold L. Clinical polysomnography. Muna: Friedman M, Jacobowitz O, eds. Kurara Kufema uye Kugovera. 2nd ed. Philadelphia, PA: Elsevier; 2020: chits. 4.