- Indlela ehlanganisa izinguquko zendlela yokuphila, amadivayisi okucindezela, kanye nokungenelela kokuhlinzwa.
- Ukuxilongwa okunembile nge-polysomnography kanye nokuhlolwa kwemitholampilo ukuvimbela izinkinga ezinkulu ezihambisana nalesi sifo.
- Ukulawulwa okuqinile kwezinto eziyingozi njengokukhuluphala ngokweqile, umfutho wegazi ophakeme kanye nesifo sikashukela kuyadingeka ukuze kuthuthukiswe ukusebenza kahle kokwelashwa.
Ukuvuka uzizwa sengathi awukaphumuli nhlobo, ngisho nangemva kobusuku bonke embhedeni, kuyisibonakaliso esivamile sokuthi kukhona okungahambi kahle ngokuphefumula kwakho. I-Obstructive Sleep Apnea Syndrome (OSAS) ayikona nje ukuhogela okucasulayo kumuntu olele eceleni kwakho, kodwa futhi iyinkinga yokuphefumula lapho ukudlula komoya kuphazamiseka khona ngokuphindaphindiwe, okubangela amazinga omoya-mpilo egazini ukuba ehle ngendlela eyingozi.
Ukuze kuxazululwe le nkinga, ayikho ifomula eyodwa, njengoba isitho ngasinye sisabela ngendlela ehlukile. Imfihlo isekusetshenzisweni kokwelapha okuhlukile okubheka isiguli sonke, kuhlaziywe konke kusukela ekubunjweni kobuso kuya emikhubeni yaso yokudla kanye nempilo yenhliziyo, kuqinisekiswe ukuthi ukwelashwa kusebenza kahle ngempela esikhathini eside.
Yini ngempela ebangela i-obstructive sleep apnea?
Kunezimbangela eziningana ezingaholela ekuncipheni kwemigudu yomoya ephezulu, ikakhulukazi endaweni yepharynx. Esinye sezici ezivame kakhulu ukukhuluphala , njengoba ukunqwabelana kwamafutha entanyeni kucindezela imigudu yomoya, okwenza kube nzima ukuthi umoya ungene. Kulezi zimo, ukulungisa ukudla nokuhambisa umzimba kuyizinyathelo eziyisisekelo.
Ngaphezu kwalokho, izakhi zofuzo zidlala indima ebalulekile; uma unezihlobo eziseduze ezihogelayo noma ezine-sleep apnea , amathuba okuba nalesi simo aphezulu. Kukhona nenkinga yomzimba, njengokuba nomhlathi omncane noma ulimi olukhulu, okunciphisa ngokwemvelo isikhala somoya lapho silele.
Asikwazi ukukhohlwa ngemikhuba eyingozi. Ukuphuza utshwala ngokweqile kubangela ukukhululeka ngokweqile kwemisipha yomphimbo , kuyilapho ukubhema kucasula ulwelwesi lwamafinyila futhi kubangele ukuvuvukala, okwenza ukuphefumula kube nzima nakakhulu ebusuku.
Kuhlolwa kanjani ukuxilongwa okunembile?
Ukuze kugwenywe amaphutha ekwelashweni, kudingeka ukuxilongwa okujulile. Konke kuqala ngomlando wezokwelapha onemininingwane , lapho udokotela ehlola khona ukozela emini kanye nemibiko yomlingani mayelana nokuyeka ukuphefumula. Amathuluzi afana ne-Epworth Sleepiness Questionnaire kanye ne-Berlin Scale asiza ukukala izinga lokuqala lengozi.
Indinganiso yegolide yokuqinisekisa i- polysomnography , eyenziwa ezindaweni zokucwaninga zokulala. Lokhu kuhlola kuqapha umsebenzi wobuchopho, izinga lokushaya kwenhliziyo, kanye nokufakwa komoya-mpilo egazini. Ezimweni ezilula, ukuqapha ekhaya ngamadivayisi aphathwayo kungasetshenziswa ukuhlola ubukhali besimo.
Izinketho Zokwelashwa: Kusukela Endleleni Yokuphila Kuya Ebuchwephesheni Obuphezulu
Kuye ngobukhulu besifo, izinketho ziyahlukahluka kakhulu. Ezimweni ezincane, ukuguqulwa kwendlela yokuphila kuyindlela yokuqala yokuhlasela. Lokhu kuhlanganisa ukwehlisa isisindo, ukugwema izidakamizwa zokudambisa ngaphambi kokulala, nokushintsha indlela yokulala, ukugwema ukulala ngomhlane ukuze ulimi lungavimbeli indlela yokuphefumula.
Uma i-apnea yokulala iphakathi kuya kwembi kakhulu, i-CPAP (Continuous Positive Airway Pressure) iba umsizi oyinhloko. Lo mshini uletha ukugeleza komoya okuqhubekayo ngemaski, ukuvimbela ukuwohloka komoya. Nakuba isebenza kahle kakhulu, ezinye iziguli zibhekana nobunzima bokuzivumelanisa nezimo, zidinga ukuqapha eduze ukulungisa imaski kanye nokucindezela.
Enye indlela ethakazelisayo amadivayisi okuthuthukisa i-mandibular . Lawa amadivayisi amazinyo asunduza umhlathi kancane phambili, avula isikhala emphinjeni. Ayindlela enhle kulabo abangabekezeleli i-CPAP noma abane-apnea yokulala encane ehlobene nokuma kolimi.
Ezimweni lapho kungekho okunye okusebenza khona, ukuhlinzwa kuvela njengesixazululo esiqondile. Namuhla, kunezindlela ezithuthukisiwe ezifana nokuhlinzwa kwerobhothi ngokusebenzisa umgodi womlomo (kusetshenziswa uhlelo lwe-Da Vinci), oluvumela ukususwa kwezicubu ezidlulele ngokunemba kwe-millimeter ngaphandle kwesidingo sokusikwa kwangaphandle, okuxazulula izinkinga ezingafika ku-90% ezigulini eziningi.
Ukubaluleka kwendlela yokusebenzisa imikhakha eminingi.
Ukwelapha i-OSA (Obstructive Sleep Apnea) akuwona umsebenzi kadokotela oyedwa kuphela. Impumelelo yangempela ivela ekubambisaneni phakathi kodokotela bezifo zamaphaphu, odokotela bezifo zamehlo, odokotela bamazinyo, kanye nodokotela bezinzwa . Lokhu kubalulekile ngoba i-sleep apnea ayivamile ukwenzeka yodwa; ivame ukuhambisana nomfutho wegazi ophakeme ongamelana nomfutho wegazi kanye nesifo sikashukela sohlobo 2.
Uma isiguli sinezinkinga zenhliziyo noma ukuphazamiseka kwe-metabolic, umfutho wegazi kanye nokulawulwa kwe-glucose egazini kufanele kwenziwe kanye nokwelashwa kwe-sleep apnea. Lokhu kuphathwa okuhlanganisiwe kwezifo ezihambisana nalokhu kunciphisa kakhulu ingozi yokushaywa yisifo sohlangothi kanye nokwehluleka kwenhliziyo, kwandise isikhathi sokuphila.
Uhambo lokunqoba i-OSA ludinga isineke nokuphikelela, ikakhulukazi ekuzivumelaniseni namadivayisi. Ukuhlanganiswa kokuxilongwa kwasekuqaleni, izindlela zokwelapha zesimanje, kanye nezinguquko zangempela emikhubeni yansuku zonke kuyindlela kuphela yokuqinisekisa ukuthi ukulala kuba yisikhathi sokubuyiselwa okuphelele komzimba, ukubuyisela amandla nempilo esigulini.