Kwa iwo omwe akuvutika ndi zovuta za kugona, mayesero ambiri opatsirana amakhalapo omwe angathandize kumvetsa bwino lomwe vutoli. Tiyeni tikambirane zomwe tingasankhe.
Overnight Oximetry
Mausiku oximetry ndi imodzi mwa maphunziro ophweka kwambiri, omwe amatha kugona kwambiri omwe angakhale oyamba. Zimaphatikizapo kugwiritsa ntchito kafukufuku (wofanana ndi clothespin) yomwe imayikidwa pa chala kapena earlobe yomwe imayendera mpweya wa oxygen ndi kuthamanga kwa mtima.
Izi zimapangidwa ndi kuwala kofiira ndi masensa omwe amatha kusintha kusintha kwa mtundu wa magazi zomwe zingatanthauzenso desaturations (kapena kutaya mpweya).
Chiyesochi chidzachitidwa pakhomo pomwe akugona. Zingazindikire anthu omwe ali pachiopsezo cha matenda opuma mpweya. monga kugonana kwa kugona , ndipo angagwiritsidwe ntchito pozindikira omwe akusowa zina zowonjezera, monga polysomnogram.
Polysomnography (PSG)
Izi makamaka zimakhala ngati ndondomeko ya golidi ya matenda a kugona. Zimaphatikizapo kukachezera malo ogona, omwe angakhale ndi zipinda zogwiritsidwa ntchito mu chipatala, ma laboratory, kapena ngakhale chipinda chokhala ndi malo ogona. Maphunziro ogonawa akuphatikizapo usiku wonse omwe akuyang'aniridwa ndi katswiri wophunzitsidwa.
Zochitika zosiyanasiyana za thupi zimayang'aniridwa pamene munthu akugona, kuphatikizapo EEG , EKG, kupuma, mpweya wa oksijeni, maonekedwe a minofu, ndi kayendedwe ka maso ndi kotsirizira.
Palinso kanema ndi kujambula nyimbo zomwe zimapereka mbiri ya kugona kwa usiku. Mayeserowa akhoza kudziwa matenda ambiri ogona- kuchokera ku matenda obisala mpaka matenda osapumitsa miyendo mpaka parasomnias-ndipo angakhale othandiza polamulira zifukwa zina za kusowa tulo .
Phunziro la Titration
Kuthamangitsidwa ndi Mpweya Wopambana Wopuma Madzi (CPAP) kumachitika nthawi yomweyo usiku womwewo monga matenda opatsirana polysomnogram (PSG) kuti apulumutse nthawi yolindira, kuchepa mtengo kwa wodwalayo, ndi kupatsira matenda obisala mwamsanga.
Kuchedwa koyambirira kungachepetse mavuto a mtima wa kugona kwa kugona . Mwachidule, katswiri wamaphunziro adzawonjezera pang'onopang'ono mphamvu ya CPAP (chipani choponderezedwa mpweya osati oxygen) kuperekedwa kudzera mu chigoba chofewa kufika pamlingo umene umathetsa nthawi zambiri kapena zonse zomwe zimatha kupuma. Mpweya uwu wa CPAP udzakonzedweratu ku chipatala.
Wodwala nthawi zambiri amayamba usiku pampanipani wochepa wa CPAP kapena bilevel. Pamene munthuyo apita kukagona, adzayang'aniridwa chifukwa cha kusokonezeka pakupuma. Mankhwala a hypopneas, apneic, kapena snoring amachititsa munthu wogona tulo kuti asinthe maganizo a makina a CPAP kutali. Apanso, munthuyo adzayang'aniridwa pazovuta zawo. Cholinga chake ndi kuchepetsa zochitika za apnea ndi hypopnea ndikuchotseratu kusuta.
Ndikoyenera kuti wodwala alembedwe kupanikizika kwabwino (kumbuyo kwawo) komanso nthawi yogona mofulumira (REM). Zinthu ziwirizi zimayambitsa matenda obisala opweteka kwambiri , choncho kupanikizika kwabwino pazifukwazi kungakhale kovuta kwambiri.
Kawirikawiri kumapeto kwa phunziro ili, mavuto angapitirire kwambiri. Izi zidzalola dokotala wowerengera kuti azifanizira pakati pa zovuta zosiyanasiyana.
Komanso, zingasonyeze kusintha komwe kumayenera kupangidwira m'mayesero kuti athetse bwino kugonana kwa munthu.
Kuyesedwa Kwambiri Kwambiri Kwambiri (MSLT)
Kuyesedwa Kwambiri Kwambiri Kutha Kwambiri (MSLT) kumatchulidwanso kuti kuphunzira kwa nap. N'chimodzimodzinso pakukonzekera ku polysomnogram (PSG) yomwe tafotokozedwa pamwambapa.
Maphunzirowa adzachitika kawirikawiri pambuyo pa phunziro loyamba la PSG. Atadzuka, munthu adzikonzeratu nthawi zonse tsiku lonse. Izi zimachitika maola awiri alionse.
Kawirikawiri, wodwala amagona ndipo amaloledwa kugona pamenepo kwa mphindi 20 ndi cholinga chogona.
Wothandizira adzayang'anira kuti ayambe kugona, makamaka, kugona kwa REM. Pambuyo pa mphindi 20, munthuyo adzaukitsidwa kapena kuuzidwa kuti nthawi yathithi yatha. Ndiye, mu maola awiri, nthawi iyi imabwerezedwa. Kawirikawiri izi zidzachitika maola 10.
Mayeserowa ndi othandiza pozindikiritsa kugona kwa usana kwambiri. Izi zikhoza kukhalapo m'mabvuto ambiri, monga kugona kwa mpweya , kugonana kwachinsinsi ( kugona mozama popanda chifukwa), ndi matenda osokoneza bongo. Makamaka, kuyambiranso koyambirira kwa REM mu nthawi za kugona kungasonyeze kuti ndikumana ndi vuto lachilombo.
Zojambulajambula
Zojambulajambula ndizoyeso za ntchitoyo pogwiritsira ntchito chipangizo chaching'ono, chovala cha siketi. Chida ichi chimayang'anitsitsa kayendetsedwe ka galimoto ndipo angagwiritsidwe ntchito poyesa mapulogalamu ogona , kapena nyimbo zozungulira, kwa nthawi yaitali. Angakhale atatha milungu kapena miyezi.
Zida zimathandizira kudziwa ngati pali kusiyana kwa kusokonezeka kwa kugona, monga momwe zimakhalira ndi zovuta zazing'ono monga matenda otha kugona, kuchepa kwa matenda a kugona, kapena ngakhale kusowa tulo . Zotsatirazi zimagwirizanitsidwa ndi diary yogona.
Zolemba Zogona
Nthaŵi zina diary yogona, kapena ogona, nthaŵi zina zimathandiza poyang'ana zovuta zazing'onong'ono kapena kusowa tulo , makamaka poyang'ana pa deta ya actigraphic. Izi zingagwiritsidwenso ntchito kuyesa ana ogona.
Kawirikawiri, iwo ndi mapepala ndipo amalembetsa kugona ndi kugalamuka kwa nthawi ya milungu ndi miyezi. Nthawi yogona ndi nthawi zowuka zimadziwika. Nthawi iliyonse yogalamuka usiku kapena naps patsiku amalembedwanso. Nthawi zina kugwiritsa ntchito caffeine , mowa, kapena mankhwala kungalembedwe.
Phunziro Panyumba
Anthu ambiri amadziwa kuti amagona bwino kunyumba kusiyana ndi momwe angakhalire pamalo ogona. Izi ndizowona, ndipo ambiri akukakamiza kupanga matelojeti omwe angalolere kuunika kwa nyumba za vuto la kugona. Izi zingaphatikizepo zochepa zofufuza zomwe zimayang'anitsitsa zoyambira zagona, monga mpweya wa oxygen, miyendo ya mtima, komanso kuyenda kwa chifuwa ndi mimba ndi mabotolo apadera. Maphunziro ena otchulidwa akhoza kuchitidwa pakhomo pogwiritsa ntchito makina a CPAP, monga maphunziro apamwamba.
Kuonjezerapo, zipangizo zamakono zatsopano zikufufuzidwa zomwe zingachititse zina kuwunika. Kawirikawiri, matekinoloje atsopanowo ali aang'ono ndipo deta siidali yodalirika monga momwe zilili panopa pa golidi ya matenda, yomwe ndi polysomnogram yausiku yomwe imachitika mu malo ogona ogona.
Zotsatira:
> Littner, M. et al. Gwiritsani ntchito magawo a ntchito zachipatala kuyesa maulendo angapo ogona tulo ndikukonzekera kuyesedwa. Kugona ; 28: 113.
> Mitler, M. ndi Miller, J. Njira zoyesa kugona. Behav Med; 21: 171.
> Stepanski, E. ndi al . Zotsatira za kugona usana ndi usana ndi kugona kwapachiyambi. Kugona ; 23: 215.