ʻO Polysomnography

Anter

• No ke aha wau e pono ai i kahi polysomnography?
• Pehea wau e hoʻomākaukau ai no kahi polysomnography?
• He aha ka hana i ka wā o ka polysomnography?
• He aha nā pilikia e pili ana iā ia?
• He aha ke ʻano o nā hopena?
• He aha ka hana ma hope o ka polysomnography?

ʻO Polysomnography (PSG) kahi haʻawina a hoʻāʻo paha i hana ʻia ʻoiai e hiamoe nui ʻoe. E nānā ke kauka iā ʻoe ke hiamoe, hoʻopaʻa i nā ʻikepili e pili ana i kāu hiamoe, a ʻike paha i nā maʻi hiamoe.

I ka manawa o kahi PSG, e ana ke kauka i kēia mau mea e kōkua i ka pakuhi i kāu pōʻai hiamoe.

• hawewe lolo
• ʻāiwi mākala skeletal
• pae ʻokikene koko
• helu naʻau
• pae hanu
• neʻe maka

Ke hoʻopaʻa inoa nei kahi noiʻi hiamoe i nā loli o kou kino ma waena o nā pae o ka hiamoe, ʻo ia ka hiamoe maka wikiwiki (REM) hiamoe, a me ka hiamoe ʻole o ka maka (non-REM). Māhele ʻia ka hiamoe non-rem i nā hanana "hiamoe māmā" a me nā "hiamoe hiamoe".

I ka hiamoe Rem, kiʻekiʻe ka hana o kou lolo, akā ʻo kou mau maka a me nā mākala hanu e hana. ʻO kēia ke kahua āu e moeʻuhane ai. Pili ka hiamoe ʻole ʻo REM i ka hana lohi o ka lolo.

E hoʻololi ke kanaka ʻaʻohe ona hiamoe ma waena o ka hiamoe ʻole ʻo REM a me REM, e ʻike ana i nā pōpō hiamoe he nui i kēlā me kēia pō.

ʻO ka nānā ʻana i kāu mau pōʻaiapule hiamoe, a me nā hopena o kou kino i nā loli i kēia mau pōʻaiapuni, hiki ke kōkua i ka ʻike ʻana i nā haunaele i kāu ʻano hiamoe.

No ke aha wau e pono ai i kahi polysomnography?

Hiki i ke kauka ke hoʻohana i kahi polysomnography e kuhikuhi ai i nā maʻi hiamoe.

Loiloi pinepine ia no nā ʻōuli o ka hiamoe, kahi maʻi kahi e kū mau ai ka hanu a hoʻomaka hou i ka wā hiamoe. ʻO nā ʻōuli o ka apnea hiamoe nā:

• hiamoe i ka lā ʻoiai ua hoʻomaha
• e mau ana a me ka hū nui
• nā manawa o ka hoʻopaʻa ʻana i kou hanu i ka wā hiamoe, a ukali ʻia e nā gasps no ka ea
• hanana pinepine o ke ala ʻana i ka pō
• hiamoe maha ʻole

Hiki iā Polysomnography ke kōkua i kāu kauka e hōʻoia i nā maʻi hiamoe aʻe:

• narcolepsy, e pili ana i ka hiamoe nui a me nā "hōʻeha hiamoe" i ke ao
• nā maʻi hopu e pili ana i ka hiamoe
• manawa neʻe o ka neʻe ʻana o ka wāwae a i ʻole ka maʻi hoʻomaha ʻole o nā wāwae, e pili ana i ka flexing a me ka hoʻonui ʻana o nā wāwae ke hiamoe
• ʻO ka maʻi moe REM, kahi e pili ana i ka hana ʻana i nā moeʻuhane ke hiamoe nei
• hiamoe mau, ʻo ia hoʻi ka paʻakikī e hiamoe a i ʻole e hiamoe mau ana

Hoʻomaopopo ka ʻōlelo inā ʻaʻole mālama ʻia nā maʻi hiamoe, hiki iā lākou ke hāpai i kāu makaʻu o:

• maʻi maʻi puʻuwai
• kahe koko kiʻekiʻe
• hahau
• kaumaha

Aia kekahi loulou ma waena o nā hiamoe hiamoe a me ka hoʻonui i ka makaʻu o nā ʻeha e pili ana i ka hāʻule ʻana a me nā ulia kaʻa.

Pehea wau e hoʻomākaukau ai no kahi polysomnography?

E hoʻomākaukau ai no kahi PSG, pono ʻoe e hōʻalo i ka ʻai ʻana i ka waiʻona a me ka caffeine i ka ʻauinalā a me ke ahiahi o ka hoʻāʻo.

Hiki i ka waiʻona a me ka caffeine ke hoʻololi i nā hiʻohiʻona hiamoe a me kekahi mau maʻi hiamoe. ʻO ka loaʻa ʻana o kēia mau kemika i loko o kou kino e hiki ke hopena i kāu mau hopena. E hōʻalo hoʻi ʻoe i ka lawe ʻana i nā lāʻau hoʻohiamoe.

E hoʻomanaʻo e kūkākūkā i nā lāʻau āu e lawe nei me kāu kauka inā pono ʻoe e haʻalele i ka lawe ʻana iā lākou ma mua o ka hoʻāʻo.

He aha ka hana i ka wā o ka polysomnography?

Hana ʻia kahi polysomnography ma kahi kikowaena hiamoe kūikawā a i kahi haukapila nui paha. E hoʻomaka ana kāu koho ʻana i ke ahiahi, ma kahi o 2 mau hola ma mua o kou hiamoe maʻamau.

E hiamoe ʻoe i ka pō ma ke kikowaena moe, kahi āu e noho ai i kahi lumi pilikino. Hiki iā ʻoe ke lawe mai i nā mea e pono ai no ka manawa o ka hiamoe, a me kāu pajama ponoʻī.

E alakaʻi kahi ʻenehana i ka polysomnography e ka nānā ʻana iā ʻoe ke hiamoe ʻoe. Hiki i ka mea ʻenehana ke ʻike a lohe i loko o kou lumi. Hiki iā ʻoe ke hoʻolohe a kamaʻilio pū me ka loea i ka pō.

Ma ka polysomnography, e ana ka ʻenehana i kāu:

• hawewe lolo
• neʻe ʻana o ka maka
• ʻāiwi mākala skeletal
• ka helu o ka puʻuwai a me ke kaʻina
• kaomi koko
• pae ʻokikene koko
• hanu lauana, me ka haʻalele ʻole a hoʻomaha paha
• kulana kino
• neʻe wāwae
• ʻūhū a me nā walaʻau ʻē aʻe

E hoʻopaʻa i kēia ʻikepili, e hoʻokau ka ʻenehana i nā mea ʻike liʻiliʻi i kapa ʻia ʻo “electrodes” ma kāu:

• ʻili poʻo
• luakini
• umauma
• wāwae

Loaʻa nā pākuʻi adhesive i nā mea sensor no laila e noho lākou ma kou ʻili ke hiamoe ʻoe.

ʻO nā kāʻei elastic a puni kou umauma a me kou ʻōpū e hoʻopaʻa i kou neʻe ʻana i kou umauma a me kāu mau ʻano hanu. E nānā ka pā liʻiliʻi ma kou manamana lima i ke kiʻekiʻe o ka oxygen o kou koko.

Hoʻopili nā mea ʻike i nā kaula lahilahi a maʻalahi hoʻi e hoʻouna i kāu ʻikepili i kahi kamepiula. Ma kekahi mau kikowaena moe, e hoʻonohonoho ka ʻenehana i nā pono hana e hana i kahi hoʻopaʻa wikiō.

E ʻae kēia iā ʻoe a me kāu kauka e nānā i nā loli i kou kūlana kino i ka pō.

ʻAʻole paha ʻoe e ʻoluʻolu ma ke kikowaena moe e like me kou moena ponoʻī, no laila ʻaʻole ʻoe e hiamoe a hiamoe maʻalahi paha e like me ʻoe ma ka home.

Eia naʻe, ʻaʻole kēia e hoʻololi i ka ʻikepili. ʻAʻole koi nā hopena polysomnography pololei i ka hiamoe o ka pō holoʻokoʻa.

Ke ala ʻoe i ke kakahiaka, e hoʻoneʻe ka mea loea i nā mea ʻike. E haʻalele paha ʻoe i ke kikowaena moe a komo i nā hana maʻamau i ka lā like.

He aha nā pilikia e pili ana iā ia?

ʻAʻole ʻeha a noninvasive ʻo Polysomnography, no laila he manuahi ʻole ia o nā mea ʻino.

ʻIke paha ʻoe i ka huhū o ka ʻili mai ka mea liki e hoʻopili i nā electrodes i kou ʻili.

He aha ke ʻano o nā hopena?

Ma kahi o 3 mau pule e loaʻa ai nā hopena o kāu PSG. E hōʻuluʻulu kahi ʻenehana i ka ʻikepili mai ka pō o kāu noi hiamoe ʻana e paʻi kiʻi i kāu pōʻai hiamoe.

E nānā kahi kauka waena hiamoe i kēia ʻikepili, kāu mōʻaukala, a me kou moʻaukala e hiamoe ai.

Inā maikaʻi ʻole kāu hopena polysomnography, kuhikuhi paha ia i nā maʻi e pili ana i ka hiamoe:

• ʻalalā moe a i ʻole nā ​​maʻi hanu ʻē aʻe
• nā maʻi hopu
• manawa neʻe neʻe a me nā neʻe ʻē aʻe
• narcolepsy a i ʻole nā ​​kumuwaiwai ʻē aʻe o ka luhi maʻamau o ke ao

No ka ʻike ʻana i ka apnea moe, e nānā hou kāu kauka i nā hopena o ka polysomnography e ʻimi ai:

• ke alapine (frequency) o nā ʻāpana apnea, kahi e hana ai ke kū ka hanu no 10 kekona a ʻoi aku paha
• ke alapine (frequency) o nā paukū hypopnea, i hana ʻia ke ālai hapa ʻia ka hanu no 10 kekona a ʻoi aku paha

Me kēia ʻikepili, hiki i kāu kauka ke ana i kāu mau hopena me ka papa kuhikuhi o ka apnea-hypopnea (AHI). ʻO kahi helu AHI ma lalo o 5 ka mea maʻamau.

Kuhi kēia helu, a me ka nalu maʻamau o ka lolo a me ka ʻikepili o ka neʻe ʻana o nā mākala, hōʻike pinepine ʻaʻole āu apnea moe.

Kuhi ʻia kahi helu AHI o 5 a ʻoi paha ma ke ʻano kūpono ʻole. E kahakaha ana kāu kauka i nā hopena kūpono ʻole e hōʻike i ke kēkelē o ka hiamoe:

• Kahi huahelu AHI o 5 a 15 e hōʻike ana i ka wanaʻao hiamoe ʻoluʻolu.
• Kahi huahelu AHI o 15 a 30 e hōʻike ana i ka wanaʻao moe hiamoe.
• ʻO ka helu ʻo AHI i ʻoi aku ma mua o 30 e hōʻike ana i ka ʻāpilikia hiamoe nui.

He aha ka hana ma hope o ka polysomnography?

Inā loaʻa iā ʻoe kahi hōʻailona maʻi hiamoe, hiki i kāu kauka ke koi aku iā ʻoe e hoʻohana i kahi mīkini pēpē airway pressure (CPAP) mau.

Hāʻawi kēia mīkini i kahi ea mau i kou ihu a i ʻole waha ʻoiai ʻoe e hiamoe ana. E hoʻoholo paha kahi polysomnography ukali i ka hoʻonohonoho CPAP kūpono nāu.

Inā loaʻa iā ʻoe kahi hōʻailona o kekahi maʻi hiamoe ʻē aʻe, e kūkākūkā kāu kauka i kāu mau koho lapaʻau me ʻoe.