Polysomnography

Polysomnography yog kev kawm pw tsaug zog. Txoj kev kuaj no sau qee cov haujlwm ntawm lub cev thaum koj pw, lossis sim pw tsaug zog. Polysomnography yog siv los kuaj xyuas kev pw tsaug zog.

Muaj ob hom pw tsaug zog:

• Qhov muag ceev nrawm (REM) pw tsaug zog. Feem ntau kev npau suav tshwm sim thaum REM pw. Nyob rau hauv ib txwm muaj xwm txheej, koj cov leeg ua ke, tshwj tsis yog koj lub qhov muag thiab ua pa ntawm cov leeg, tsis txhob txav thaum lub sijhawm pw no.
• Qhov muag tsis nrawm (NREM) pw tsaug zog. NREM kev pw tsaug zog tau muab faib ua peb ntu uas tuaj yeem tshawb pom los ntawm lub hlwb khiav (EEG).

REM pw lwm txoj nrog NREM pw txog txhua 90 feeb. Ib tug neeg nrog pw tsaug zog ib txwm muaj feem ntau muaj plaub mus rau tsib ntu ntawm REM thiab NREM tsaug zog thaum hmo ntuj.

Kev kawm txog kev pw tsaug zog ntsuas koj kev pw tsaug zog mus los thiab theem los ntawm sau cia:

• Huab cua ntws hauv thiab tawm ntawm koj lub ntsws thaum koj nqus
• Theem ntawm cov pa oxygen hauv koj cov ntshav
• Lub cev qhov chaw
• Hlwb Hlwb (EEG)
• Ua tsis taus pa kev rau siab thiab tus nqi
• Hluav taws xob ua si ntawm cov leeg
• Qhov muag txav
• Lub plawv dhia

Polysomnography tuaj yeem ua tiav hauv chaw pw lossis hauv koj lub tsev.

AT A SLEEP CENTER

Cov kev tshawb fawb pw tsaug zog feem ntau tau ua nyob ntawm lub chaw pw tshwj xeeb.

• Yuav kom koj tuaj txog li 2 teev ua ntej yuav mus pw.
• Koj yuav tau pw hauv lub txaj hauv nruab nrab. Ntau lub chaw pw muaj cov chav pw zoo ib yam li tsev so.
• Kev ntsuam xyuas yog feem ntau ua rau hmo ntuj kom koj tus qauv pw tsaug zog ib txwm muaj peev xwm kawm. Yog tias koj yog tus ua haujlwm hmo ntuj, ntau lub chaw zov me nyuam tuaj yeem ua qhov kev xeem thaum koj cov sijhawm ua haujlwm pw tsaug zog.
• Koj tus kws saib xyuas kev noj qab haus huv yuav tso cov xaim hluav taws xob rau ntawm koj lub puab tsaig, tawv taub hau, thiab sab nraud koj lub qhov muag. Koj yuav muaj cov kws tshuaj los sau koj lub plawv dhia thiab ua pa txuas nrog koj lub hauv siab. Cov no yuav nyob hauv qhov chaw thaum koj tsaug zog.
• Cov ntawv electrodes cov paib thaum koj tsaug zog (nrog koj kaw lub qhov muag) thiab thaum pw tsaug zog. Kev ntsuam xyuas nws ntsuas lub sijhawm nws yuav ua rau koj tsaug zog thiab siv sijhawm ntev li cas koj thiaj nkag mus rau REM pw.
• Tus kws kho mob tshwj xeeb yuav kawm paub koj thaum koj tsaug zog thiab nco qab cov kev pauv ntawm koj txoj kev ua pa lossis lub plawv dhia.
• Qhov kev kuaj ntawd yuav sau cov sijhawm koj yuav tsum ua pa lossis yuav luag ua pa.
• Tseem muaj cov saib xyuas los sau koj cov kev txav thaum pw tsaug zog. Qee zaum lub koob yees duab yees duab kaw koj qhov kev txav thaum pw tsaug zog.

AT TSEV

Koj tuaj yeem siv cov khoom siv pw tsaug zog hauv koj lub tsev hloov chaw ntawm lub chaw pw kom pab ntsuas kev tsaug zog tsaug zog. Koj tuaj yeem yuav cov khoom siv ntawm chaw pw lossis ib tus kws qhia kev paub tuaj rau koj lub tsev los teeb tsa nws.

Siv tau qhov ntsuas hauv tsev thaum:

• Koj tseem nyob rau qhov kev saib xyuas ntawm tus kws paub pw tsaug zog.
• Koj tus kws kho mob pw xav tias koj muaj teebmeem kev tsaug zog apnea.
• Koj tsis muaj lwm yam kev pw tsaug zog.
• Koj tsis muaj lwm yam teeb meem kev noj qab haus huv, xws li mob plawv lossis mob ntsws.

Txawm hais tias kev xeem ntawv yog nyob rau ntawm chaw kawm pw tsaug zog lossis hauv tsev, koj npaj tau tib txoj kev. Yog tias tsis tau hais kom ua los ntawm koj tus kws kho mob, tsis txhob noj tshuaj tsaug zog thiab tsis haus dej haus cawv los yog haus dej haus ua ntej muaj kev kuaj mob. Lawv tuaj yeem cuam tshuam koj pw tsaug zog.

Qhov ntsuam xyuas pab tshawb xyuas qhov ua tau rau tuaj yeem pw tsaug zog, suav nrog kev pw tsaug zog tsis tsaug zog (OSA). Koj tus kws khomob yuav xav hais tias koj muaj OSA vim tias koj muaj cov tsos mob no:

• Nruab hnub pw tsaug zog (tsaug zog thaum nruab hnub)
• Qeb nrov tshaj
• Lub sijhawm tuav koj txoj pa thaum koj tsaug zog, tom qab ua pa lossis qwj
• Nyob tsis tswm

Polysomnography tseem tuaj yeem kuaj pom lwm yam kev pw tsaug zog:

• Narcolepsy
• Cwj pwm kev txawv txav ntu (txav koj ob txhais ceg ntau thaum pw)
• REM tus cwj pwm tsis meej (lub cev "ua yeeb yam tawm" koj txoj kev npau suav thaum pw tsaug zog)

Ib tug pw tsaug zog txoj kev tshawb no lem:

• Tuab npaum cas koj tsum ua pa rau tsawg kawg yog 10 lij (hu ua apnea)
• Heev npaum li cas koj ua tsis taus pa ib nrab sim rau 10 vib nas this (hu ua hypopnea)
• Koj lub paj hlwb tsis txav thiab cov leeg txav thaum pw tsaug zog

Cov neeg feem coob muaj lub sijhawm luv thaum pw tsaug zog uas lawv ua tsis taus pa lossis ib nrab txhaws. Apnea-Hypopnea Index (AHI) yog tus lej apnea lossis hypopnea ntsuas thaum kawm pw tsaug zog. AHI cov txiaj ntsig tau raug siv los kuaj mob obstructive lossis pw tsaug zog apnea.

Tej kev sim qhia tau tshwm sim:

• Tsawg lossis tsis muaj kev mob siab ntawm kev ua pa. Hauv cov neeg laus, qhov mob AHI tsawg dua 5 yog suav tias yog qhov qub.
• Cov qauv ntawm cov kev cuam tshuam ntawm lub hlwb tsis ua thiab cov leeg txav thaum pw tsaug zog.
  

Rau cov neeg laus, apnea-hypopnea Performance index (AHI) saum toj 5 yuav txhais tau tias koj tau pw tsaug zog apnea:

• 5 txog 14 yog kev pw tsaug zog me me.
• 15 rau 29 yog cov pw tsaug zog ntsis ua pa.
• 30 lossis ntau dua yog mob pw tsaug zog tsaug zog.

Txhawm rau soj ntsuam thiab txiav txim siab txog kev kho mob, tus kws paub hauj lwm pw yuav tsum saib:

• Lwm qhov kev tshawb pom los ntawm kev kawm txog kev pw tsaug zog
• Koj li keeb kwm kho mob thiab tsis txaus siab txog pw tsaug zog
• Kuaj koj lub cev

Kawm pw tsaug zog; Polysomnogram; Kev tshawb nrhiav qhov muag ceev nrawm; Sib cais hmo ntuj polysomnography; PSG; OSA - kawm pw tsaug zog; Obstructive pw apnea - pw tsaug zog kawm; Pw tsaug zog apnea - pw tsaug zog kawm

• Kev tshawb fawb pw tsaug zog

Chokroverty S, Avidan AY. Pw tsaug zog thiab nws cov kev ntshawv siab. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj Ntsuam. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 102.

Kirk V, Baughn J, D'Andrea L, li al. American Academy of Sleep Medicine daim ntawv qhia rau kev siv tshuaj ntsuam xyuas pw tsaug zog hauv tsev rau kev kuaj mob ntawm OSA hauv menyuam yaus. J Clin pw MedCov. 2017; 13 (10): 1199-1203. PMID: 28877820 pubmed.ncbi.nlm.nih.gov/28877820/.

Mansukhani MP, Kolla BP, St. Louis EK, Morgenthaler TI. Pw tsis tsaug zog. Hauv: Kellerman RD, Rakel DP, eds. Conn's Kev Kho Mob 2020Cov. Philadelphia, PA: Elsevier; 2020: 739-753.

Qaseem A, Holty JE, Owens DK, li al. Tswj kev pw tsaug zog apnea rau cov neeg laus: cov kev qhia soj ntsuam los ntawm American College ntawm cov kws kho mob. Ann Intern MedCov. 2013; 159 (7): 471-483. PMID: 24061345 pubmed.ncbi.nlm.nih.gov/24061345/.

Sarber KM, Lam DJ, Ishman SL. Pw tsaug zog apnea thiab pw tsis tsaug zog. Hauv: Flint PW, Francis HW, Haughey BH, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 7 tus ed. Philadelphia, PA: Elsevier; 2021: chap 15.

Shangold L. Soj Ntsuam cov kab mob polysomnography. Hauv: Friedman M, Jacobowitz O, eds. Pw tsaug zog apnea thiab SnoringCov. 2nd ed. Philadelphia, PA: Elsevier; 2020: chap 4.