Polysomnography

Polysomnography shine nazarin bacci. Wannan gwajin yana rubuta wasu ayyukan jiki yayin bacci, ko ƙoƙarin yin bacci. Ana amfani da polysomnography don tantance cututtukan bacci.

Akwai bacci iri biyu:

• Saurin motsi ido (REM) barci. Yawancin mafarki yana faruwa yayin bacci REM. Karkashin yanayi na yau da kullun, tsokoki, banda idanunku da tsokoki masu numfashi, basa motsawa yayin wannan matakin bacci.
• Motsi ido ba-sauri (NREM) bacci. Baccin NREM ya kasu kashi uku wanda za'a iya ganowa ta igiyar kwakwalwa (EEG).

REM barci yana canzawa tare da bacci NREM kusan kowane minti 90. Mutumin da ke da bacci na yau da kullun galibi yana da huɗu zuwa biyar na REM da NREM bacci a cikin dare.

Nazarin bacci yana auna matakan bacci da matakai ta rikodin:

• Iska na shiga da fita daga huhunka yayin da kake numfashi
• Matsayin oxygen a cikin jinin ku
• Matsayin jiki
• Brain taguwar ruwa (EEG)
• Effortoƙarin numfashi da ƙima
• Ayyukan lantarki na tsokoki
• Motsi ido
• Bugun zuciya

Polysomnography za a iya yin ko dai a cibiyar barci ko a cikin gidan ku.

A CIKIN BARCI

Cikakken karatun bacci galibi ana yin sa ne a cibiyar bacci ta musamman.

• Za a umarce ku da zuwa kusan awa 2 kafin lokacin kwanciya.
• Za ku kwana a gado a tsakiya. Yawancin cibiyoyin bacci suna da ɗakuna masu kyau, kama da otal.
• Ana yin gwajin sau da yawa da daddare don a iya nazarin tsarin al'adar ku na yau da kullun. Idan kai ma'aikacin aikin dare ne, cibiyoyi da yawa zasu iya yin gwajin yayin lokutan bacci na al'ada.
• Mai ba da lafiyarku zai sanya wayoyi a kan goshinku, fatar kanku, da gefen gefen fatar idanunku. Za ku sami masu sanya idanu don yin rikodin bugun zuciyar ku da numfashin da ke haɗe da kirjin ku. Waɗannan zasu kasance a wurin yayin da kuke bacci.
• Wayoyin suna rikodin sigina yayin da kake farke (tare da idanunka rufe) da kuma lokacin barci. Jarabawar tana auna adadin lokacin da zai dauke ka ka yi bacci da kuma tsawon lokacin da za ka dauka kafin ka shiga bacci REM.
• Mai ba da horo na musamman zai lura da kai yayin barci kuma ya lura da kowane canje-canje a cikin numfashi ko bugun zuciya.
• Jarabawar za ta yi rikodin adadin lokutan da ko dai ku daina numfashi ko ku kusan daina numfashi.
• Hakanan akwai masu sanya idanu don yin rikodin motsinku yayin bacci. Wani lokaci kyamarar bidiyo tana yin rikodin motsinku yayin bacci.

A GIDA

Kuna iya amfani da na’urar nazarin bacci a cikin gidanku maimakon a cibiyar bacci don taimakawa wajen gano cutar bacci. Kuna ɗauka na'urar a cibiyar barci ko kuma ƙwararren masanin kwantar da hankali ya zo gidanka don saita shi.

Ana iya amfani da gwajin gida lokacin da:

• Kana karkashin kulawar kwararren mai bacci.
• Likitan barcinku yana tsammanin kuna da cutar barci.
• Ba ku da wasu matsalolin bacci.
• Ba ku da wasu matsalolin lafiya masu tsanani, kamar cututtukan zuciya ko na huhu.

Ko gwajin yana a cibiyar nazarin bacci ko a gida, kun shirya iri ɗaya. Sai dai idan likitanku ya umurce ku da yin hakan, kada ku sha duk wani maganin bacci kuma kada ku sha giya ko abubuwan sha da ke cikin kafe kafin gwajin. Za su iya tsoma baki tare da barcinka.

Gwajin yana taimakawa wajen gano yiwuwar rikicewar bacci, gami da matsalar hana bacci (OSA). Mai ba ku sabis na iya tunanin kuna da OSA saboda kuna da waɗannan alamun:

• Barcin rana (yin bacci da rana)
• Snara da kuwwa
• Lokaci na riƙe numfashinka yayin da kake bacci, sai hayaƙi ko huɗa
• Bacci mai nutsuwa

Polysomnography kuma na iya tantance sauran cututtukan bacci:

• Narcolepsy
• Lalacewar ƙungiyoyi na lokaci-lokaci (motsa ƙafafunku sau da yawa yayin bacci)
• REM hali na hali (a jiki "aiwatar da" mafarkinku yayin bacci)

Hanyoyin nazarin bacci:

• Sau nawa kuke daina numfashi na aƙalla sakan 10 (ana kiransa apnea)
• Sau nawa numfashin ka yake toshewa na dakika 10 (wanda ake kira hypopnea)
• Brainwaƙwalwarka tana motsawa da motsi na tsoka yayin barci

Yawancin mutane suna da ɗan gajeren lokaci yayin bacci inda numfashinsu yake tsayawa ko kuma wani ɓangare ya toshe su. Shafin Apnea-Hypopnea Index (AHI) shine yawan adadin apnea ko hypopnea da aka auna yayin nazarin bacci. Ana amfani da sakamako na AHI don bincikar hanawa ko tsakiyar bacci.

Sakamakon gwaji na al'ada ya nuna:

• Kadan ko a'a na dakatar da numfashi. A cikin manya, AHI na ƙasa da 5 ana ɗaukar sa al'ada.
• Tsarin al'ada na raƙuman kwakwalwa da motsi na tsoka yayin bacci.
  

A cikin manya, rubutun apnea-hypopnea (AHI) a sama da 5 na iya nufin kuna da cutar bacci:

• 5 zuwa 14 ƙananan barcin bacci ne.
• 15 zuwa 29 matsakaiciyar bacci ne.
• 30 ko fiye shine mummunan barcin bacci.

Don yin ganewar asali kuma yanke shawara kan magani, ƙwararren bacci dole ne ya duba:

• Sauran binciken daga nazarin bacci
• Tarihin lafiyar ku da korafin da suka shafi bacci
• Jarabawar ku ta jiki

Nazarin bacci; Polysomnogram; Nazarin motsin ido cikin sauri; Raba polysomnography na dare; PSG; OSA - nazarin bacci; Barcin barci mai hanawa - nazarin bacci; Barcin barci - nazarin bacci

• Nazarin bacci

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Qaseem A, Holty JE, Owens DK, et al. Gudanar da cutar bacci a cikin manya: jagorar aikin likita daga Kwalejin likitocin Amurka. Ann Intern Med. 2013; 159 (7): 471-483. PMID: 24061345 pubmed.ncbi.nlm.nih.gov/24061345/.

Sarber KM, Lam DJ, Ishman SL. Barcin bacci da matsalar bacci. A cikin: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. 7th ed. Philadelphia, PA: Elsevier; 2021: babi na 15.

Shangold L. Clinical polysomnography. A cikin: Friedman M, Jacobowitz O, eds. Baccin Bacci da Sharawa. 2nd ed. Philadelphia, PA: Elsevier; 2020: babi na 4.