Matenda a Kugonjetsa Kwambiri Kuzindikiritsidwa ndi Polysomnogram ndi MSLT
Kudwala matenda osokoneza bongo ndi matenda osadziwika omwe amachititsa kuti munthu asagone msana . Matenda ena ogona amachititsanso kugona, kuphatikizapo kugona tulo. Choncho, ndikofunikira kupeza matenda oyenera asanayambe kufufuza chithandizo. Kodi matenda opatsirana pogonana ndi mayesero ali ndi mayesero otani? Phunzirani momwe matendawa amagwiritsira ntchito mayesero ogona ogonana monga polysomnogram komanso mayeso ambiri ogona (MSLT) komanso momwe angayesere .
Kodi Kusowa Kwambiri N'kutani?
Pakati pa vuto la kugona, vuto lachiwerewere ndilo lachiwiri chifukwa cha kugona kwapadera kwa usana usanayambe kugona . Ndi matenda omwe ali ndi zizindikiro zambiri. Kuwonjezera pa kugona mokwanira, palinso kutaya kwadzidzidzi kwa mawu osokoneza bongo ndi maganizo (otchedwa cataplexy ), maulendo odziwika bwino panthawi yogona ( hypnagogic hallucinations ), ndi kugona tulo . Kachitsulo kamene kamayimira mtundu wa 1 wotchedwa narcolepsy . Ngakhale kuti pali zochitika zodziwika bwino, mmodzi yekha mwa anthu atatu adzakhala ndi zizindikiro zonse zinayi.
Kuzindikira kwa Kusagwedezeka Kwambiri
Ngati mukuganiza kuti mungakhale ndi vuto lachilombo, muyenera kuyesedwa ndi dokotala wanu ndi katswiri wogona. Palinso zina zomwe zimayambitsa kugona kwambiri, kuphatikizapo kusagona mokwanira, ndipo izi ziyenera kuganiziridwa. Pambuyo kufufuza ndi kufufuza mosamala, maphunziro ena ogona angakhale othandizidwa.
Chiwerengero cha matenda omwe amadziwika ndi vutoli chimaphatikizapo phunziro la kugona usiku ndi tsiku, lomwe limatchedwa polysomnogram, ndikumayesedwa ndi mayesero ambiri ogona (MSLT) tsiku lotsatira.
Zotsitsimutsa ziyenera kuimitsidwa mlungu umodzi musanayese matendawa, ndipo mankhwala opatsirana pogonana ayenera kuimitsidwa masabata atatu asanakwane. Mankhwalawa, ndi kuchoka kwa iwo, angasokoneze zotsatira za mayeso. Mwina mungafunikire kuti muyambe kusuta mankhwala a minofu kuti muwonetsetse kuti zotsatira zowunika ndi zowona.
Polysomnogram idzayang'ana momwe mdima wanu uliri. Chofunika kwambiri, chidziwitse zina zomwe zingayambitse kugona kwako, kuphatikizapo matenda ena ogona monga kugona tulo, kugona kwa mphindi (PLMS), ndi vuto la khalidwe la REM . Kugonana kofiira kumakhala kofala kwambiri kusiyana ndi matenda otupa, ndipo mankhwalawo ndi osiyana kwambiri.
M'mabungwe ambiri a chipatala, polysomnogram imasonyeza kudzuka kwadzidzidzi, kuchepetsa kuchepa kwa kugona , ndi kugona kwa REM kumene kumachitika maminiti makumi awiri mphindi makumi asanu ndi limodzi (7) pamene akuyamba kugona. Anthu ozoloŵera salowamo REM kugona mpaka mphindi 80 mpaka 100 atagona. Kawirikawiri asayansi amatha kukhala ndi tulo tosungira koyambira mu mphindi 60 zoyambirira za maphunziro awo ogona.
Pambuyo pofika polysomnogram, tsiku lotsatira ma test multiple latency test (MSLT) akuchitidwa. Mu kufufuza kwa MSLT, kapena kupyolera pansi, mumapatsidwa mwayi anayi kapena asanu kuti mupite maola awiri alionse. Munthu wathanzi nthawi zambiri amagona maminiti 10 mpaka 15, koma munthu amene ali ndi vutoli amatha kugona pansi pa mphindi zisanu ndi zitatu ndipo nthawi zambiri amakhala ndi ubongo wokwanira. Ngati ali ndi REM (SOREM) yopita ku tulo tomwe akugona, kapena kuti ali ndi matenda a diagnostic polysomnogram, izi ndizomwe zimapangitsa kuti munthu azindikire kuti ali ndi vutoli.
Kodi Ndizowonjezereka Ziti Zingakuthandizireni Kufufuza Zopanda Phokoso?
Pali mayeso ochepa a ma laboratory omwe angagwiritsidwenso ntchito kuti azindikire za matenda osokoneza bongo. Pali chiyeso cha majini chotchedwa DQB1 * 06: 02 (ngakhale sichiri chokwanira ndipo chingakhale cholimbikitsa kwa anthu omwe alibe vuto lachiwerewere). Ngati chiyeso cha majini ndi choipa, sizingatheke kuti munthuyo ali ndi vuto lachilombo.
Kuonjezerapo, ngati maphunziro a tulo ndi ofunika, nthawi zina zingakhale zothandiza kuyesa cerebrospinal fluid ndi njira yowonetsera orexin (kapena kuchuluka kwa hypocretin), zomwe zingasonyeze kupezeka kwa chiwerewere. Ngati miyeso imeneyi ili yochepa, kapena zero, ma cinchi amodzi omwe amadziwika kuti ali ndi vutoli.
Mwamwayi, kuyesa sikukupezekapo ndipo kungafunike kutumiza zitsanzo ku malo apadera, kuphatikizapo Stanford University.
Zotsatira:
American Academy of Sleep Medicine. "Zochitika zapadziko lonse za vuto la kugona." 2d. 2005.
Carskadon, MA ndi al. "Malangizo othandiza kuyezetsa maulendo angapo ogona (MSLT): chiwerengero cha kugona." Kugona 1986; 9: 519.
Thorpy, MJ. "Kusagwedezeka." Kupitiriza. Neurol 2007; 13 (3): 101-114.