Ukuhlinzwa Kwe-Apnea Yokulala

-Delile

• Yiziphi izinqubo ezihlukile?
• Ukunciphisa izicubu zomthamo we-Radiofrequency
• I-Uvulopalatopharyngoplasty
• Ukuthuthuka kweMaxillomandibular
• I-osteotomy engaphansi kwe-mandibular engaphansi
• Ukuthuthuka kwe-Genioglossus
• I-midline glossectomy kanye nesisekelo sokunciphisa ulimi
• I-lingual tonsillectomy
• Ukuncipha kwe-Septoplasty ne-turbinate
• Isikhuthazi sezinzwa ze-Hypoglossal
• Ukumiswa kwe-Hyoid
• Ziyini izingozi zokuhlinzwa kwe-apnea yokulala?
• Khuluma nodokotela wakho
• Okubalulekile

Kuyini ukuphelelwa umoya kokulala?

I-apnea yokulala uhlobo lokuphazamiseka kokulala okungaba nemiphumela emibi empilweni. Kubangela ukuphefumula kwakho ukuma ngezikhathi ezithile ngenkathi ulele. Lokhu kuhlobene nokuphumula kwemisipha esemphinjeni wakho. Uma uyeka ukuphefumula, umzimba wakho uvame ukuvuka, kukwenze ulahlekelwe ukulala kwekhwalithi.

Ngokuhamba kwesikhathi, i-apnea yokulala ingakhuphula ubungozi bokuthola umfutho wegazi ophakeme, izingqinamba ze-metabolic, nezinye izinkinga zempilo, ngakho-ke kubalulekile ukuyelapha. Uma ukwelashwa okungasetshenziswanga kungasizi, ungadinga ukuhlinzwa.

Yiziphi izinqubo ezihlukile?

Kunezindlela eziningi zokuhlinza zokwelapha ukuphefumula kokulala, kuye ngokuthi i-apnea yakho yokulala inzima kangakanani nempilo yakho yonke.

Ukunciphisa izicubu zomthamo we-Radiofrequency

Uma ungeke ukwazi ukugqoka okokuphefumula, njengomshini oqhubekayo we-airway pressure (CPAP), udokotela wakho angancoma ukuncipha kwezicubu ze-radiofrequency volumetric tissue (RFVTR). Le nqubo isebenzisa amagagasi e-radiofrequency ukunciphisa noma ukususa izicubu ngemuva komqala wakho, ukuvula indlela yakho yomoya.

Khumbula ukuthi le nqubo ivame ukusetshenziselwa ukwelapha ukugcoba, noma futhi kungasiza nge-apnea yokulala.

I-Uvulopalatopharyngoplasty

Ngokusho komtholampilo waseCleveland, lokhu kungenye yezindlela zokuhlinza ezivame kakhulu zokwelapha i-apnea yokulala, kodwa hhayi ukuthi iphumelela kakhulu. Kuhilela ukukhipha izicubu ezingeziwe ngaphezulu komphimbo wakho nasemuva komlomo wakho. Njengenqubo ye-RFVTR, imvamisa yenziwa kuphela uma ungakwazi ukusebenzisa umshini we-CPAP noma enye idivayisi, futhi ithambekele ekusetshenzisweni njengokwelashwa kwesnora.

Ukuthuthuka kweMaxillomandibular

Le nqubo ibizwa nangokuthi ukubeka umhlathi kabusha. Kubandakanya ukuhambisa umhlathi wakho phambili ukuze wakhe isikhala esithe xaxa ngemuva kolimi. Lokhu kungavula indlela yakho yomoya. Okuncane okubandakanya ababambiqhaza abangu-16 kutholakale ukuthi ukuthuthuka kwe-maxillomandibular kunciphise ubunzima be-apnea yokulala kubo bonke ababambiqhaza ngaphezulu kwe-50%.

I-osteotomy engaphansi kwe-mandibular engaphansi

Le nqubo ihlukanisa ithambo lesilevu lakho libe izingxenye ezimbili, okuvumela ulimi lwakho ukuba luqhubekele phambili. Lokhu kusiza ukuvula indlela yakho yomoya ngenkathi uzinzisa umhlathi nomlomo wakho. Le nqubo inesikhathi esifushane sokutakula kunezinye eziningi, kepha imvamisa ayisebenzi kangako. Udokotela wakho angase futhi asikisele ukwenza le nqubo ngokuhlangana nolunye uhlobo lokuhlinzwa.

Ukuthuthuka kwe-Genioglossus

Ukuthuthuka kwe-Genioglossus kuhilela ukuqinisa kancane imisipha ngaphambili kolimi lwakho. Lokhu kungavimbela ulimi lwakho ukuthi lubuyele emuva futhi luphazamise ukuphefumula kwakho. Kuvame ukwenziwa eceleni kwenqubo eyodwa noma ngaphezulu.

I-midline glossectomy kanye nesisekelo sokunciphisa ulimi

Lolu hlobo lokuhlinzwa lubandakanya ukususa ingxenye engemuva kolimi lwakho. Lokhu kwenza indlela yakho yomoya ibe nkulu. Ngokwe-American Academy of Otolaryngology, ucwaningo lukhombisa ukuthi le nqubo inamazinga okuphumelela ngamaphesenti angama-60 noma ngaphezulu.

I-lingual tonsillectomy

Le nqubo isusa omabili amalaka akho kanye nezicubu zamathonsillar eduze kolimi lwakho. Udokotela wakho angancoma le nketho ukusiza ukuvula ingxenye engezansi yomphimbo wakho ukuze uphefumule kalula.

Ukuncipha kwe-Septoplasty ne-turbinate

Iseptum yamakhala iyinhlanganisela yethambo noqwanga ehlukanisa amakhala akho. Uma i-septum yakho yamakhala igobile, ingathinta ukuphefumula kwakho. I-Septoplasty ifaka ekuqondiseni i-septum yakho yamakhala, engasiza ekuqondiseni izimbotshana zakho zamakhala futhi ikwenze kube lula ukuphefumula.

Amathambo agobile asezindongeni zendlela yakho ekhaleni, ebizwa ngama-turbinate, kwesinye isikhathi angaphazamisa ukuphefumula. Ukwehliswa kwe-turbinate kuhilela ukunciphisa usayizi wala mathambo ukusiza ukuvula umoya wakho.

Isikhuthazi sezinzwa ze-Hypoglossal

Le nqubo ifaka ukunamathisela i-electrode emthanjeni omkhulu olawula ulimi lwakho, obizwa ngokuthi yi-hypoglossal nerve. I-electrode ixhunywe kudivayisi efana ne-pacemaker. Uma uyeka ukuphefumula lapho ulele, kuvusa imisipha yolimi lwakho ukuyivimbela ekuvimbeleni umoya wakho.

Le yindlela yokwelashwa entsha enemiphumela ethembisayo. Kodwa-ke, kwenqubo iqaphele ukuthi imiphumela yayo ayihambisani kangako kubantu abanenkomba ephakeme yomzimba.

Ukumiswa kwe-Hyoid

Uma ukuphefumula kwakho kokulala kubangelwa ukuvinjelwa eduze nolimi lwakho, udokotela wakho angase asikisele inqubo ebizwa ngokuthi ukumiswa kwe-hyoid. Lokhu kufaka ukuhambisa ithambo le-hyoid nemisipha yalo eseduze entanyeni yakho eduze kwengaphambili lentamo yakho ukuvula indlela yakho yomoya.

Uma kuqhathaniswa nokunye ukuhlinzwa kwe-apnea yokulala okuvamile, le nketho iyinkimbinkimbi futhi kaningi ayisebenzi kahle. Isibonelo, ukubandakanya ababambiqhaza abangama-29 kutholakale ukuthi inezinga lempumelelo elingu-17% kuphela.

Ziyini izingozi zokuhlinzwa kwe-apnea yokulala?

Ngenkathi konke ukuhlinzwa kunezingozi ezithile, ukuba ne-apnea yokulala kungandisa ubungozi bezinkinga ezithile, ikakhulukazi uma kukhulunywa nge-anesthesia. Imithi eminingi ye-anesthesia ikhulula imisipha yomphimbo wakho, engenza ubuthongo bokulala buthuthuke kakhulu phakathi nenqubo.

Ngenxa yalokho, uzodinga ukwesekwa okwengeziwe, okufana ne-endotracheal intubation, ukukusiza uphefumule ngesikhathi senqubo. Udokotela wakho angase asikisele ukuthi uhlale esibhedlela isikhashana ukuze bakwazi ukuqapha ukuphefumula kwakho njengoba ululama.

Ezinye izingozi zokuhlinzwa zifaka phakathi:

• ukopha ngokweqile
• ukutheleleka
• i-vein thrombosis ejulile
• izinkinga zokuphefumula ezingeziwe
• ukugcinwa komchamo
• ukusabela okweqile ku-anesthesia

Khuluma nodokotela wakho

Uma unentshisekelo yokuhlinzwa kwe-apnea yokulala, qala ngokukhuluma nodokotela wakho ngezimpawu zakho nokunye ukwelashwa ozamile. Ngokusho kweMayo Clinic, kungcono ukunikeza ezinye izindlela zokwelashwa okungenani izinyanga ezintathu ngaphambi kokucabanga ngokuhlinzwa.

Lezi ezinye izinketho zifaka:

• umshini we-CPAP noma idivayisi efanayo
• ukwelashwa komoya-mpilo
• usebenzisa eminye imicamelo ukuziphakamisa lapho ulele
• ukulala ngohlangothi lwakho esikhundleni somhlane wakho
• ithuluzi lomlomo, njenge-mouth guard, elenzelwe abantu abane-apnea yokulala
• izinguquko endleleni yokuphila, njengokuncipha noma ukuyeka ukubhema
• ukwelapha noma yiziphi izinkinga zenhliziyo noma ze-neuromuscular ezingase zibangele ukuphefumula kwakho kokulala

Okubalulekile

Kunezindlela eziningi zokuhlinza zokwelapha i-apnea yokulala, kuya ngesizathu esiyimbangela. Sebenza nodokotela wakho ukuthola ukuthi iyiphi inqubo ezosebenza kangcono ngesimo sakho.