Ukuvavanywa Kwamaxesha Okulala Kwangokuhlwa Kwangathi Unokujonga I-Narcolepsy okanye i-Idiopathic Hypersomnia
Uvavanyo lwe-latency sleeping ezininzi (MSLT) lukulinganisela umlinganiselo wokuba kuthatha ixesha elingakanani ukulala. Ngokuqhelekileyo ibizwa ngokuba yi-nap yophando. Ukusekwa kufana nokusetyenziswa kwepolysomnogram .
I-MSLT iqhutyelwa njani?
Ukuvavanya kubandakanya ukutyelela kwisiko lokulala, esinokubandakanywa ngamagumbi akhethwe ngokuthe ngqo kwisibhedlele, i-laboratory yokulala, okanye nakwikamelo lehotele elixhotyisiweyo.
Ngokuqhelekileyo, emva kokuchitha ubusuku obuya kwi-polysomnogram efanelekileyo, usuku olulandelayo luzinikele ekuqhubeni i-MSLT.
Emva kokuvuswa, uza kuba ne-naps ehleliweyo kwiiyure ezimbini kwixesha. Lezi ziqu zemizuzu engama-20 apho ulala khona kwaye uvumelekile ukuba ulale apho ngenjongo yokulala. Umqeqeshi wokulala ubeka esweni ukuba ubone xa ulala kwaye, ngokukodwa, xa ubuthongo be-REM buqala. Iziphazamiso ezahlukeneyo zomzimba zijongwa xa ulala, kubandakanywa i- EEG , EKG, ukuphefumla, amaqondo oksijini, ithoni ye-muscle, kunye neyesiso kunye nokuphela kwezinto. Kukho ividiyo kunye nokurekhoda komsindo okunika ingxelo yokulala ubusuku.
Emva kwemizuzu engama-20, uyashukunyiswa okanye uxelelwe ukuba ixesha le-nap liphelile. Le nkqubo iphindwa rhoqo emva kweeyure ezimbini. Ngokuqhelekileyo la ma-naps ahleliweyo aya kubakho amahlanu.
Yintoni i-MSLT yokulinganisa?
Enye yeendlela eziphambili ze-MSLT ukulala kwe-latency , okanye kuthatha ixesha elingakanani ukuba ulale.
Isizathu kukuba abantu abanokulala ngokugqithiseleyo emini baya kulala ngokukhawuleza, kwaye ngoko uvavanyo lufanele luveze le ngqungquthela. Kukho uluhlu olubanzi lweendlela zokulala eziqhelekileyo, kwaye umfutshane omncinci asenokungabalulekanga ukuba udibene nesifo sokulala . Njengaye nawuphi na uvavanyo lokulala, kubalulekile ukwenza iimvavanyo ngezizathu ezifanelekileyo kunye naziphi na iziphumo maziqondwe kumongo wekliniki.
Ukulala ngokwedlulele emini kungabikho kweziphazamiso ezininzi, ezifana ne-idiopathic hypersomnia (ukulala ngokweqile ngaphandle kwesizathu) kunye ne- narcolepsy . Ngokukodwa, ukuqala kokuqala kwe- REM kulezi zihlandlo zokulala kungabonisa ukuba i-narcolepsy. Ukuba akukho ukuhamba kwamehlo okukhawuleza emva kokuba sele ulele, mhlawumbi kunokubonisa ukuba i-idiopathic hypersomnia.
Nangona ubuthongo obuninzi bemihla yokulala buya kwenzeka nakwi- apnea yokulala , i-MSLT ayisoloko iqhutyelwa kulabo baneli meko.
> Imithombo:
> Carskadon, M. et al . "Izikhokelo zovavanyo lokuLinga ukuLingana kweNinzi (iNksik): umlinganiselo oqhelekileyo wokulala." Ukulala ngo- 1986; 9: 519.
> ULittner, M. et al . "Yenza i-Parameters ye-Usetyenziso lweCliniki yovavanyo lokuLinda kweLata lokuBala nokuLondolozwa koVukileyo bokuVuka." Ukulala ngo- 2005; 28: 113.
> Mitler >, M. noMiller, J. "Izindlela zokuvavanya ukulala." Behav Med 1996; 21: 171.