Yikuphi Uhlobo Lokuhlolwa Kwe-Sne Apnea Kukufanele?

-Delile

• Itholakala kanjani i-apnea yokulala?
• Isifundo sokulala ngaphakathi kwelebhu (i-polysomnography)
• Izinzuzo nezingozi zesifundo sokulala esise-lab
• Buhle
• Nebubi
• Ukuhlolwa kokulala ekhaya
• Izinzuzo nezingozi zokuhlolwa kokulala ekhaya
• Buhle
• Nebubi
• Imiphumela yokuhlola
• Izinketho zokwelashwa
• Okubalulekile

I-apnea yokulala yisimo esivamile esidala ukuthi uyeke ukuphefumula ngezikhathi ezimfishane ngenkathi ulele. Uma ishiywe ingalashwa, ingaba nemiphumela ebalulekile yezempilo esikhathini eside esizayo.

Uma udokotela wakho ecabanga ukuthi ungaba ne-apnea yokulala, cishe uzohlolwa ukuhlolwa kokulala ebusuku okuhlola ukuphefumula kwakho.

Ake sihlolisise izinketho zokuhlola ezitholakalayo zokuthola ukuphefumula kokulala.

Itholakala kanjani i-apnea yokulala?

Ukuthola ukuphefumula kokulala, udokotela wakho uzoqala akubuze mayelana nezimpawu zakho.

Udokotela wakho angakucela ukuthi ugcwalise uhlu lwemibuzo olulodwa noma ngaphezulu ukuze uhlole izimpawu njengokulala kwasemini kanye nezici eziyingozi zalesi simo, ezifana nomfutho wegazi ophakeme, ukukhuluphala, nobudala.

Uma udokotela wakho esola ukuphefumula kokulala, bangancoma ukuhlolwa kokuqapha ukulala. Ebizwa nangokuthi isifundo sokulala noma i-polysomnography (i-PSG), kufaka phakathi ukuchitha ubusuku ebhodini, emtholampilo noma esibhedlela. Ukuphefumula kwakho nezinye izimpawu ezibalulekile kuzobhekwa ngenkathi ulele.

Kungenzeka futhi ukuqapha ukulala kwakho ekhaya lakho. Udokotela wakho angase asikisele ukuqapha ukulala ekhaya uma izimpawu zakho nezici zobungozi ziphakamisa kakhulu ukuphefumula kokulala.

Isifundo sokulala ngaphakathi kwelebhu (i-polysomnography)

Izifundo zokulala ngaphakathi kwebhu zisetshenziselwa ukuxilonga i-apnea yokulala, kanye nezinye izifo eziningi zokulala.

Izifundo eziningi zokulala ngokuvamile zenzeka phakathi kuka-10 ebusuku. nango-6 ekuseni. Uma uyisikhova sasebusuku noma i-lark yasekuseni, lesi sikhathi esinqunyiwe kungenzeka singalungi. Ukuhlolwa kwasekhaya kunganconywa esikhundleni salokho.

Uzohlala egumbini elizimele elenzelwe ukukwenza uzizwe ukhululekile, kufana negumbi lehhotela. Letha amaphijama nanoma yini enye odinga ukuyilala.

Izifundo zokulala aziphikisi. Awudingi ukunikeza isampula segazi. Kodwa-ke, uzoba nezintambo ezahlukahlukene ezinamathiselwe emzimbeni wakho. Lokhu kwenza uchwepheshe wokulala akwazi ukuqapha ukuphefumula kwakho, ukusebenza kobuchopho, nezinye izimpawu ezibalulekile ngenkathi ulele.

Lapho ukhululeke kakhudlwana, uchwepheshe uzokwazi kangcono ukuqapha ukulala kwakho.

Lapho usuzumeka, uchwepheshe uzoqapha okulandelayo:

• umjikelezo wakho wokulala, njengoba kunqunywa amagagasi akho obuchopho nokunyakaza kwamehlo
• ukushaya kwenhliziyo yakho nomfutho wegazi
• ukuphefumula kwakho, kufaka phakathi amazinga e-oksijini, ukuphefumula okuphelelayo nokuthimula
• isikhundla sakho nanoma yikuphi ukunyakaza kwezitho

Kukhona amafomethi amabili ezifundo zokulala: ubusuku obugcwele nobusuku obuhlukanisiwe.

Phakathi nesifundo sokulala ubusuku bonke, ubuthongo bakho buzobhekwa ubusuku bonke. Uma uthola ukuxilongwa kwe-apnea yokulala, kungadingeka ukuthi ubuyele ebhodini ngelinye ilanga ukuze usethe idivayisi ukukusiza uphefumule.

Ngesikhathi sokufunda ebusuku, ingxenye yokuqala yobusuku isetshenziselwa ukuqapha ukulala kwakho. Uma kutholakala i-apnea yokulala, ingxenye yesibili yobusuku isetshenziselwa ukusetha umuthi wokwelapha.

Izinzuzo nezingozi zesifundo sokulala esise-lab

Ukuhlolwa kwe-in-lab kokulala kunezinzuzo nezinkinga. Khuluma nodokotela wakho mayelana nokuthanda kwakho kokuhlola.

Buhle

• Ukuhlolwa okunembe kakhulu kuyatholakala. Ukuhlolwa kokulala ngaphakathi kwebhu kubhekwa njengezinga legolide lokuhlola ukuxilongwa kwe-apnea yokulala.
• Inketho yokwenza isifundo sasebusuku sokuhlukanisa. Izifundo zobusuku obuhlukanisiwe zivumela ukuxilongwa nokwelashwa ngobusuku obubodwa, ngokungafani nokuhlolwa kobusuku obugcwele kanye nasekhaya.
• Isivivinyo esihle kakhulu sezinhlobo ezithile zomsebenzi. Abantu abazibeka engcupheni enkulu bona noma abanye uma belele emsebenzini kufanele babambe iqhaza esifundweni sokulala elebhu ukuqinisekisa ukuxilongwa okunembile. Lokhu kufaka phakathi abantu abasebenza njengamatekisi, amabhasi, noma abashayeli bamasheya, kanye nabashayeli bezindiza namaphoyisa.
• Inketho engcono kakhulu kubantu abanezinye izinkinga zokulala noma izinkinga. Ukuqapha i-in-lab kufanelekile kubantu abanezinye izimo zezempilo, kufaka phakathi ukuphazamiseka kokulala nezifo zenhliziyo namaphaphu.

Nebubi

• Kubiza kakhulu kunokuhlolwa kwasekhaya. Ukuhlolwa kwelebhu kubiza ngaphezulu kwe- $ 1,000. Uma unomshuwalense, umhlinzeki wakho angakhokha ezinye noma zonke izindleko, kepha akubona bonke abahlinzeki abafaka lolu vivinyo. Abanye abahlinzeki badinga imiphumela yokuhlolwa kwasekhaya ngaphambi kokuthi uthathe ukuhlolwa kwelebhu.
• Kufinyeleleka kancane. Izifundo ze-in-lab zidinga ukuthuthwa kuya nokubuya endaweni yokulala. Kuya ngokuthi uhlala kuphi, lokhu kungadla isikhathi noma kubize kakhulu.
• Izikhathi ezinde zokulinda. Ngokuya ngokuthi uhlala kuphi kanye nesidingo salolu hlobo lokuhlolwa, kungadingeka ukuthi ulinde amasonto ambalwa noma izinyanga ukwenza isivivinyo.
• Akulula kangako. Ukuthatha ukuhlolwa kokulala ngaphakathi ebhodini kungenzeka kuphazamise uhlelo lwakho lomsebenzi noma kuphazamise inqubo yakho yansuku zonke nezibopho.
• Setha amahora okufunda okulala. Izifundo eziningi zokulala zenzeka phakathi kuka-10 ebusuku. nango-6 ekuseni. Uma unesheduli ehlukile yokulala, ukuhlolwa kwasekhaya kungaba yindlela engcono.

Ukuhlolwa kokulala ekhaya

Isivivinyo sokulala ekhaya inguqulo eyenziwe lula yokuhlolwa kwelebhu. Akekho uchwepheshe. Esikhundleni salokho, udokotela wakho uzokunika ikhithi yokuqapha yokuphefumula ephathekayo ozoya nayo ekhaya.

Ngobusuku bokuhlolwa, ungalandela inqubo yakho ejwayelekile yokulala. Naka ngokukhethekile imiyalo enikezwe ngekiti ukuqinisekisa ukuthi uhlanganisa kahle izinzwa zokuqapha.

Abaqaphi abaningi be-apnea yokulala ekhaya kulula ukusetha. Ngokuvamile zifaka izinto ezilandelayo:

• isiqeshana somunwe esikala amazinga akho e-oxygen nokushaya kwenhliziyo
• i-cannula yamakhala yokulinganisa umoya-mpilo nokuhamba komoya
• izinzwa ukulandelela ukuphakama nokuwa kwesifuba sakho

Ngokungafani nokuhlolwa kwelebhu, ukuhlolwa kwasekhaya akulinganisi imijikelezo yakho yokulala noma isikhundla noma ukunyakaza kwezitho phakathi nobusuku.

Ngemuva kokuhlolwa, imiphumela yakho izothunyelwa kudokotela wakho. Bazokuthinta ukuze baxoxe ngemiphumela futhi bakhombe ukwelashwa, uma kunesidingo.

Izinzuzo nezingozi zokuhlolwa kokulala ekhaya

Ukuhlolwa kokulala ekhaya kunezinzuzo nezinkinga. Khuluma nodokotela wakho mayelana nokuthanda kwakho kokuhlola.

Buhle

• Kuyasiza. Ukuhlolwa kwasekhaya kulula kakhulu kunezivivinyo zaselebhu. Ungalandela inqubo yakho yasebusuku, engakunikeza ukufundwa okunembe kakhudlwana kokuthi uphefumula kanjani uma ulele kunokuhlolwa kwelebhu.
• Kubiza kancane. Ukuhlolwa kwasekhaya cishe kuyizindleko zokuhlolwa kwelebhu. Umshuwalense kungenzeka ukuthi uwumboze, futhi.
• Kufinyeleleka kalula. Ukuhlolwa kwasekhaya kungaba yindlela engokoqobo kubantu abahlala kude nendawo yokulala. Uma kunesidingo, umqaphi ungathunyelwa kuwe ngeposi.
• Imiphumela esheshayo. Ngokushesha nje lapho une-monitor ephathekayo yokuphefumula, ungenza isivivinyo. Lokhu kungaholela emiphumeleni esheshayo kunokuhlolwa kwelebhu.

Nebubi

• Akunembile kangako. Ngaphandle kochwepheshe, amaphutha wokuhlola maningi amathuba. Ukuhlolwa kwasekhaya akuwatholi ngokwethembeka wonke amacala okuphefumula kokulala. Lokhu kungaba yingozi uma unomsebenzi onobungozi obukhulu noma esinye isimo sempilo.
• Kungaholela esifundweni sokulala esise-lab. Kungakhathaliseki ukuthi imiphumela yakho inhle noma ayibi, udokotela wakho angase asikisele ukuhlolwa kokulala ngaphakathi kwebhu. Futhi uma uthola ukuxilongwa kwe-apnea yokulala, kungenzeka ukuthi usadinga ukuchitha ubusuku ebhodini ukuze usebenzise idivayisi yokwelapha.
• Akuhloli ezinye izinkinga zokulala. Ukuhlolwa kwasekhaya kukala kuphela ukuphefumula, ukushaya kwenhliziyo, namazinga e-oxygen. Ezinye izinkinga zokulala ezivamile, njenge-narcolepsy, azikwazi ukutholwa kulokhu kuhlolwa.

Imiphumela yokuhlola

Udokotela noma isazi sokulala sizohumusha imiphumela yokuhlolwa kwakho kwe-apnea yokulala e-lab noma ekhaya.

Odokotela basebenzisa isikali esibizwa nge-Apnea Hypopnea Index (AHI) ukuxilonga ukuphefumula kokulala. Lesi sikali sifaka ukulinganiswa kwenani lama-apneas, noma ukuphefumula, ngehora lokulala ngesikhathi sokufunda.

Abantu abangenayo i-apnea yokulala, noma abanesimo esiphansi sokuphefumula kokulala, imvamisa babhekana nokuphefumula okungaphansi kwesihlanu ngehora. Abantu abane-apnea yokulala kakhulu bangathola ama-apneas okulala angaphezu kwama-30 ngehora.

Odokotela baphinde babuyekeze amazinga akho e-oxygen lapho bethola ukuphefumula kokulala. Ngenkathi kungekho zinga le-cutoff elamukelekayo le-apnea yokulala, uma amazinga e-oksijini egazi ephansi kunesilinganiso, kungaba uphawu lokuphefumula kokulala.

Uma imiphumela ingacacile, udokotela wakho angancoma ukuphinda isivivinyo. Uma i-apnea yokulala ingatholakali kodwa izimpawu zakho ziyaqhubeka, udokotela wakho angancoma okunye ukuhlolwa.

Izinketho zokwelashwa

Ukwelashwa kuxhomeke ebucayi besifo sakho sokulala obuthongo. Kwezinye izimo, ukuguqulwa kwendlela yokuphila yikho konke okudingekayo. Lokhu kungafaka:

• ukuncipha
• usebenzisa umcamelo okhethekile wokulala nokulala
• ukushintsha indawo yakho yokulala

Kunezinketho eziningi zokwelashwa eziphumelelayo zokuphefumula kokulala. Lokhu kufaka phakathi:

• Ukucindezela okuqhubekayo okuhamba emoyeni (CPAP). Idivayisi evame kakhulu futhi ephumelelayo yokwelapha i-apnea yokulala ngumshini obizwa nge-CPAP. Ngale divayisi, kusetshenziswa imaski encane ukwandisa ingcindezi ezindleleni zakho zomoya.
• Izinto ezisebenza ngomlomo. Umshini wamazinyo odudula umhlathi wakho ophansi uye phambili ungavimbela umphimbo wakho ukuvala ngenkathi uphefumula. Lokhu kungasebenza ezimeni ezimnene nezilinganiselayo zokuphefumula kokulala.
• Idivayisi ye-Nasal. Idivayisi encane efana nebhandishi ebizwa ngeProvent Sleep Apnea Therapy ibilokhu inezimo ezithile zokuphefumula okulingene kuya kokulingene. Ibekwe ngaphakathi kwamakhala kuphela futhi idala ingcindezi esiza ukugcina imigwaqo yakho yomoya ivulekile.
• Ukulethwa komoya-mpilo. Kwesinye isikhathi, i-oxygen ibekwa eceleni kwensimbi ye-CPAP ukukhulisa amazinga e-oxygen egazini.
• Ukuhlinzwa. Lapho ezinye izindlela zokwelapha zingasebenzi, ukuhlinzwa kungaba inketho yokuguqula ukwakheka kwemigwaqo yakho yomoya.Kunezinhlobo eziningi zezinketho zokuhlinza ezingaphatha i-apnea yokulala.

Okubalulekile

Kokubili izivivinyo zokuphefumula lapho ulele ekhaya nasemsebenzini zilinganisa imisebenzi ebalulekile, njengokuphefumula, ukushaya kwenhliziyo, namazinga e-oxygen. Imiphumela yalezi zivivinyo ingasiza udokotela wakho ukuthi anqume ukuthi ngabe une-apnea yokulala.

I-polysomnography (i-PSG) eqhutshelwa elebhu isivivinyo esinembe kunazo zonke esitholakalayo sokuthola ukuphefumula kokulala. Ukuhlolwa kwe-apnea yokulala ekhaya kunembile ngokunengqondo. Futhi zibiza kakhulu futhi zisebenziseka kalula.