ʻO Polysomnography

ʻO Polysomnography kahi haʻawina hiamoe. Kākau kēia hōʻike i kekahi mau hana o ke kino ke hiamoe ʻoe, a hoʻāʻo paha e hiamoe. Hoʻohana ʻia ka Polysomnography e ʻike ai i nā maʻi hiamoe.

ʻElua ʻano moe:

• ʻO ka hiamoe ʻana o ka maka wikiwiki (REM). Hana ʻia ka hapa nui o ka moeʻuhane i ka hiamoe o REM. Ma lalo o nā kūlana maʻamau, kou mau mākala, koe wale no kou mau maka a me nā mākala hanu, mai neʻe i kēia wā o ka hiamoe.
• ʻO ka hiamoe maka ʻole (NREM) hiamoe ʻole. Māhele ʻia ka hiamoe NREM i ʻekolu mau pae i hiki ke ʻike ʻia e nā nalu lolo (EEG).

Hoʻololi ka hiamoe rem me ka hiamoe NREM ma kahi o 90 mau minuke. ʻO ke kanaka me ka hiamoe maʻamau he ʻehā a ʻelima mau pōʻaiapuni o ka hiamoe ʻo REM a me NREM i ka pō.

Ana kahi moemoe e ana i kāu mau pōʻaiapuni a me nā pae ma ka hoʻopaʻa ʻana:

• E kahe ana ka ea i loko o kou mau māmā i kou hanu ʻana
• ʻO ke kiʻekiʻe o ka oxygen i kou koko
• Kūlana Kino
• Nā ʻale lolo (EEG)
• Hana hanu a me ka helu
• Hana uila o nā mākala
• ʻOni ʻoni maka
• Umi puʻuwai

Hiki ke hana ʻia ka Polysomnography ma kahi kikowaena hiamoe a i ʻole i kou home.

MA KAHI O KAHI moe

Hana pinepine pinepine ʻia nā haʻawina hiamoe piha ma kahi kikowaena hiamoe kūikawā.

• E noi ʻia ʻoe e hōʻea ma kahi o 2 mau hola ma mua o ka hiamoe.
• E hiamoe ʻoe i kahi moena ma ke kikowaena. Nui nā wahi moe e loaʻa nā lumi moe ʻoluʻolu, e like me ka hōkele.
• Hana pinepine ʻia ka hoʻāʻo i ka pō i hiki i ke ʻano o kou hiamoe maʻamau. Inā ʻoe he mea hana i ka pō, hiki i nā kikowaena he nui ke hana i ka hoʻokolohua i kāu mau hola hiamoe maʻamau.
• E hoʻokau kāu mea mālama ola i nā electrodes ma kou auwae, poʻo, a me ka palena o waho o kou mau lihilihi. E loaʻa iā ʻoe nā mea nānā e hoʻopaʻa i ka helu o kou puʻuwai a me ka hanu e pili ana i kou umauma. E noho kēia mau mea i kou wā hiamoe.
• Hoʻopaʻa ka uila i nā hōʻailona ke ala ʻoe (me ka maka o kou mau maka) a i ka wā hiamoe. Ana ke ana i ka nui o ka manawa o kou hiamoe ʻana a me ka lōʻihi o kou komo ʻana i ka hiamoe ʻo REM.
• Mālama kahi mea hoʻolako kūikawā hoʻomaʻamaʻa iā ʻoe ke hiamoe ʻoe a hoʻomaopopo i nā loli i kāu hanu a me ka helu o ka puʻuwai.
• E hoʻopaʻa ka hoʻāʻo i ka helu o nā manawa āu e oki ai i ka hanu ʻana a aneane paha e hoʻomaha i ka hanu ʻana.
• Aia kekahi mau mea nānā e hoʻopaʻa i kāu neʻe i ka hiamoe. I kekahi manawa hoʻopaʻa ka pahu paʻi wikiō i kāu neʻe i ka wā hiamoe.

I KA HOME

Hiki paha iā ʻoe ke hoʻohana i kahi hāmeʻa hoʻopaʻa hiamoe i kou home ma kahi o kahi kikowaena hiamoe e kōkua ai i ka hōʻiliʻili ʻana i ka maʻi ʻehā. E ʻohi paha ʻoe i ka hāmeʻa ma ke kikowaena moe a i ʻole kahi mea hoʻomaʻamaʻa hoʻomaʻamaʻa i hele mai i kou home e hoʻonohonoho.

Hiki ke hoʻohana ʻia ka hoʻāʻo ʻana i ka home ke:

• Aia ʻoe ma lalo o ka mālama a kahi loea o ka hiamoe.
• Manaʻo kāu kauka hiamoe loaʻa ʻoe i kahi kahawai apnea hiō.
• ʻAʻohe ou ʻano hiamoe ʻē aʻe.
• ʻAʻohe ou pilikia olakino ʻē aʻe, e like me ka maʻi puʻuwai a i ʻole nā ​​maʻi māmā.

Inā ma ka hale hoʻopaʻa hiamoe a ma ka home paha ka hoʻāʻo, hoʻomākaukau ʻoe i ke ala like. Inā ʻaʻole i kuhikuhi ʻia e kāu kauka, mai lawe i nā lāʻau hiamoe a mai inu i ka wai ʻona a i ʻole nā ​​inu caffeine ma mua o ka hoʻāʻo. Hiki iā lākou ke hoʻopili i kāu hiamoe.

Kōkua ka hoʻāʻo i ka diagnose hiki i nā maʻi hiamoe, ʻo ia hoʻi me kahi apnea hiamoe keʻakeʻa (OSA). Manaʻo paha kāu mea hāʻawi he OSA kāu no ka mea iā ʻoe kēia mau hōʻailona:

• Ka hiamoe o ke ao (e hiamoe ana i ke ao)
• Hū nui
• Nā wā o ka hoʻopaʻa ʻana i kou hanu i kou wā e hiamoe ai, a ukali ʻia e nā gasps a i ʻole snorts
• Hiamoe hoʻomaha ʻole

Hiki i ka Polysomnography ke kuhikuhi pono i nā maʻi hiamoe ʻē aʻe:

• ʻO Narcolepsy
• ʻO ka maʻi neʻe o nā lālā wā (neʻe pinepine i kou mau wāwae i ka hiamoe)
• ʻO ka maʻi REM hana ("hana" i kāu mau moeʻuhane i ka wā hiamoe)

Nā ala e hiamoe ai:

• Ehia mau manawa e haʻalele ai i ka hanu ʻana ma kahi o 10 kekona (i kapa ʻia ʻo apnea)
• ʻEhia mau manawa o kou hanu ʻana i kaohi ʻia no 10 kekona (i kapa ʻia hypopnea)
• Nalu kou lolo a neʻe i ka neʻe i ka hiamoe

He mau manawa pōkole ka hapa nui o ka poʻe i ka wā hiamoe kahi e kū ai ko lākou hanu a i ʻole ālai ʻia. ʻO ka Apne-Hypopnea Index (AHI) ka helu o ka apnea a i ʻole hypopnea i ana ʻia i ka wā o ka hoʻopaʻa moe. Hoʻohana ʻia nā hualoaʻa o AHI e ʻike pono ai i ka maʻi moe a kikowaena paha.

Hōʻike ka hopena hopena maʻamau:

• Kakaikahi a ʻaʻole paha mahele o ka hoʻomaha ʻana i ka hanu ʻana. I nā mākua, kahi AHI ma lalo o 5 i manaʻo ʻia he maʻamau.
• Nā lauana maʻamau o ka nalu o ka lolo a me ka neʻe ʻana o nā mākala i ka hiamoe.
  

I ka poʻe mākua, ʻo ka helu helu apnea-hypopnea (AHI) ma luna o 5 mau makahiki paha he apnea moe kāu:

• ʻO ka 5 a ka 14 he ʻūlapa hiamoe mālie.
• 15 a hiki i 29 ka ʻokiʻoki hiamoe kaulike.
• 30 a ʻoi paha ka ʻāpana moe ʻinoʻino.

No ke kuhikuhi ʻana a hoʻoholo i ka lapaʻau ʻana, pono nō hoʻi ka loea hiamoe e nānā i:

• Nā ʻike ʻē aʻe mai ka hoʻopaʻa ʻana i ka hiamoe
• ʻO kāu moʻolelo olakino a me nā hoʻopiʻi e pili ana i ka hiamoe
• Kou hoʻāʻo kino

Haʻawina hiamoe; Polysomnogram; Nā noi neʻe wikiwiki o ka maka; Hoʻokaʻawale pō polysomnography; PSG; OSA - hoʻopaʻa i ka hiamoe; ʻAiholo hiamoe ʻaʻano - hoʻopaʻa haʻawina hiamoe; ʻAno moe - hoʻopaʻa haʻawina hiamoe

• Haʻawina hiamoe

Chokroverty S, Avidan AY. Hiamoe a me kāna mau maʻi. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 102.

Kirk V, Baughn J, DʻAndrea L, et al. ʻO ka pepa kūlana American Academy of Sleep Medicine no ka hoʻohana ʻana i kahi hōʻike apnea hiamoe home no ka hōʻoia o OSA i nā keiki. J Clin Moe Med. 2017; 13 (10): 1199-1203. PMID: 28877820 pubmed.ncbi.nlm.nih.gov/28877820/.

Mansukhani MP, Kolla BP, St. Louis EK, Morgenthaler TI. Nā maʻi hiamoe. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier; 2020: 739-753.

ʻO Qaseem A, Holty JE, Owens DK, et al. Ka mālama ʻana i ka apnea moe pōpilikia i nā mākua: kahi kulekele hana hoʻokolohua mai ke Kulanui ʻAmelika o nā Kauka. ʻO Ann Intern Med. 2013; 159 (7): 471-483. PMID: 24061345 pubmed.ncbi.nlm.nih.gov/24061345/.

ʻO Sarber KM, Lam DJ, Ishman SL. ʻO ka maʻi hiamoe a me nā maʻi hiamoe. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 15.

ʻO Shangold L. polysomnography maʻi. I: Friedman M, Jacobowitz O, eds. ʻO ka Apne Moe a me ka Honi. ʻElua ed. Piladelapia, PA: Elsevier; 2020: chap 4.