Ukuhlanza Umoya Ezinganeni Ngaphansi Kweminyaka: Izimpawu, Izimbangela, Nokwelashwa

Ukuhlanza umoya ezinganeni ngaphansi kweminyaka yisimo lapho umntanakho ehluleka ukuphefumula ngokuphindaphindiweyo ngesikhathi elele. Ngokungafani nokukhwehleka okuvamile okubhekene nakho abantwana abaningi, ukuhlanza umoya kuhilela ukuyeka ukuphefumula okungamasekhondi amaningana futhi kwenzeke izikhathi eziningi ebusuku.

Lesi simo sithinta cishe i-1-5% yabantwana, ngamacala amaningi evela eminyakeni eyi-2-8 ubudala. Izindaba ezinhle ukuthi ukuhlanza umoya ezinganeni ngaphansi kweminyaka kunokwelashwa, futhi ukuqaphela kusenesikhathi kungavimbela izinkinga futhi kusize umntanakho ukuthi alele kahle ukuze akhule kahle.

Kuyini ukuhlanza umoya ezinganeni ngaphansi kweminyaka?

Ukuhlanza umoya ezinganeni ngaphansi kweminyaka kwenzeka lapho imisipha ehlombe lomntanakho iphumula kakhulu ngesikhathi elele, okubangela indlela yomoya ukuba ivalwe ngokuphelele noma ngokwengxenye. Uma lokhu kwenzeka, ubuchopho bomntanakho buyomvusa okwesikhashana ukuqala ukuphefumula, nakuba ngokuvamile angakhumbuli lezi zikhathi zokuvuka.

Kunezinhlobo ezimbili eziyinhloko zokuhlanza umoya ezinganeni. Ukuhlanza umoya okuphazamisayo kuyindlela evamile kakhulu, lapho okuthile kuvala indlela yomoya. Ukuhlanza umoya okuphakathi kuyinselele kakhulu futhi kwenzeka lapho ubuchopho bungathumi imiyalezo efanele kwimisipha yokuphefumula.

Ukuyeka ukuphefumula okuvamile kuvimbela umntanakho ekutholeni izigaba ezinzulu zokulala adinga zona. Lokhu kungathinta konke kusuka emoyeni nokuziphatha kwakhe kuya ekukwazi kwakhe ukufunda nokukhula kahle.

Ziyini izimpawu zokuhlanza umoya ezinganeni ngaphansi kweminyaka?

Ukuqaphela izimpawu zokuhlanza umoya ezinganeni kungaba nzima ngoba ngokuvamile zihluke ezimpawu zabantu abadala. Abazali abaningi baqaphela kuqala izinguquko ekuziphatheni komntwana wabo noma ezindleleni zokulala kunokuba kube yizinkinga zokuphefumula ezicacile.

Nawa amahloni amvamile obusiku okumelwe uwabukele:

• Ukukhwehleza okuzwakalayo, okuvamile okungaphuli uma ingane yakho ishintsha izikhundla
• Ukuma kokuphefumula okulandelelwa yizwi lokukhahlela noma lokukhahlela
• Ukulala okungakhululekile okuhlanganiswe nokuphendukela njalo nokuguqula
• Ukulala ezindaweni ezingavamile, njengokwelula intamo noma ukuhlala
• Ukuphaphama njalo ebusuku noma ukukhuluphala ukulala
• Ukushwabana embhedeni kubantwana ababevele beomile ebusuku
• Ukushisa ebusuku noma ukuphefumula ngomlomo ngesikhathi solala

Izimpawu zosuku zingabonakala ngendlela efanayo futhi zithinte impilo yansuku zonke yengane yakho kakhulu. Ungase uqaphele ukushintsha kokuziphatha okubonakala kungahlobene nokulala kepha empeleni kuhlangene nokuntuleka kokulala okuhle.

Izimpawu ezivamile zosuku zihlanganisa:

• Ukulala okukhulu emini noma ukukhuluphala ukuvuka ekuseni
• Izinkinga zokuqaphela, ukugxila, noma ukusebenza ngokweqile
• Ukuthukuthela, ukuguquguquka kwesimo sengqondo, noma ukuziphatha okunobudlova
• Ukukhuluphala esikoleni noma ukwehla kokusebenza kwemfundo
• Ubuhlungu bekhanda ekuseni noma ukuzizwa ukhuluphale usuku lonke
• Ukukhula okuhamba kancane noma ukwanda kobunzima uma kuqhathaniswa nabangane

Abanye abantwana bangase bahlangabezane nezimpawu ezingavamile. Lezi zingafaka ukuphefumula ngomlomo njalo emini, ukutheleleka okuvamile kokuphefumula, noma ukushintsha ekukhulumeni kwabo. Kubalulekile ukuqaphela ukuthi akuwona wonke abantwana abane-sleep apnea abayohlangabezana nazo zonke izimpawu, futhi ezinye izimpawu zingase zibe yizimfihlo.

Ziyini izinhlobo ze-sleep apnea yabantwana?

I-Obstructive sleep apnea yiyona evamile kakhulu kubantwana, ihlanganisa cishe u-90% yezimo. Lokhu kwenzeka lapho izicubu emagqaleni, olulimi, noma ama-adenoids evinela indlela yomoya ngesikhathi solala, okwenza kube nzima noma kungenzeki ukuthi umoya uqhubeke ngokujwayelekile.

Ukuvinjwa kungaba okungenaphelele, kubangele ukukhwehlela okuzwakalayo nokunciphisa umoya, noma okuphelele, lapho ukuphefumula kuyeka ngokuphelele imizuzwana embalwa. Abantwana abane-obstructive sleep apnea bavame ukuba na-tonsils noma i-adenoids ezinkulu, ezingabona izimbangi ezivame kakhulu ezimweni zabantwana.

I-central sleep apnea ayivamile kakhulu kubantwana futhi kwenzeka lapho ubuchopho bungathumi imiyalezo efanele yokulawula imisipha yokuphefumula. Lo mkhuba cishe uthinta izingane noma abantwana abanezinye izimo zezokwelapha ezihlasela uhlelo lwezinzwa.

I-Mixed sleep apnea ihlanganisa kokubili izingxenye ze-obstructive ne-central, nakuba lokhu kuyindlala kakhulu kubantwana. Abanye abantwana bangase baphethwe yizifo zokuphefumula ezihlobene nokulala ezingafinyeleli ezindinganisweni ze-sleep apnea kodwa zisabangela ukuphazamiseka kokulala nezimpawu.

Yini ebangela i-pediatric sleep apnea?

Imbangela evamile kakhulu ye-pediatric sleep apnea yi-tonsils ne-adenoids ezinkulu. Lezi zicubu, ezikuhlangothini olusemva lomlomo nasemuva ekhaleni, zingakhula zibe khulu kangangokuthi zivikele indlela yomoya yengane yakho ngesikhathi sokulala lapho imisipha yomlomo iphumula ngokwemvelo.

Ngokungafani nabantu abadala, lapho ukukhuluphala kuvame ukuba yinto ebalulekile, abantwana abaningi abane-sleep apnea banesisindo esijwayelekile. Noma kunjalo, isakhiwo nobukhulu bezici zobuso nendlela yomoya yengane yakho kungadlala indima ebalulekile engozini yabo.

Izici eziningi zokwakheka zingase zifake isandla kwi-sleep apnea kubantwana:

• I-tonsils noma i-adenoids ezinkulu ezivikelela izindlela zokuphefumula
• Umlomo omncane noma uqhwaku olubuyela emuva oluhlanganisa indlela yomoya
• Olwimi olukhulu uma luqhathaniswa nobukhulu bomlomo
• Izindlela zekhala ezincinyane noma i-septum ephukile
• Uphahla lomlomo noma i-soft palate enesakhiwo esingavamile

Izimo ezithile zezokwelapha zingase zikhulise ingozi yengane yakho yokuthuthukisa i-sleep apnea. Lezi zimo zingase zithinte ithoni yemisipha, isakhiwo sobuso, noma izindlela zokulawula ukuphefumula.

Izimo zezokwelapha ezingase zifake isandla zihlanganisa:

• I-Down syndrome, evame ngokuvamile ehilela izindlela zokuphefumula ezincane kanye nemihlathi emikhulu
• I-Cerebral palsy noma ezinye izifo ze-neuromuscular ezithinta ukulawula kwemisipha
• I-Prader-Willi syndrome, engabangela ukungaphili kahle kwemisipha
• Uketshezi oluqhubekayo noma i-asthma ebangela ukuvuvukala kwemizila yomoya
• I-Gastroesophageal reflux disease (GERD) engabangela ukuvuvukala komphimbo

Kwezinye izikhathi ezingavamile, i-central sleep apnea ingabangelwa izimo ezithinta amasiko okulawula ukuphefumula ebuchosheni. Lezi zingafaka izikhungo zobuchopho, ukutheleleka, noma izimo ezithile zezofu ezithinta ikhono lenzwa ukulawula ukuphefumula ngesikhathi sokulala.

Nini okumele ubone udokotela nge-pediatric sleep apnea?

Kufanele uxhumane nodokotela wezingane zezingane uma ubona ukukhwama okuzwakalayo okuqhubekayo, ikakhulukazi uma kuhlanganiswe nezinye izimpawu ezifana nokulala emini noma ukushintsha kokuziphatha. Nakuba ukukhwama okwesikhashana kuyinto evamile, ukukhwama ubusuku bonke okungathuthuki ngokushintsha isikhundla kudinga ukunakekelwa kwezokwelapha.

Hlela i-aphoyintimenti ngokushesha uma ubona ingane yakho inezikhathi zokuphefumula ngesikhathi sokulala, ngisho noma zibonakala zifushane. Lezi zenzakalo zingakhathaza futhi zingabonisa ukuthi ingane yakho ayitholi i-oksijini eyanele ngesikhathi sokulala.

Ezinye izimo ezibiza ukuhlolwa kwezokwelapha zihlanganisa ukushintsha okungazelelwe kwemizamo yokulala yengane yakho, ukuqala okusha kokunisela embhedeni kwingane eyayomile ngaphambili, noma ukushintsha okukhulu kokuziphatha njengokwanda kokusebenza ngokweqile noma ubunzima bokuqonda esikoleni.

Funani ukunakekelwa kwezokwelapha ngokushesha uma ingane yakho ihlangabezana nobunzima obukhulu bokuphumula, iphendukeka oluhlaza ezindebeni noma ebusweni ngesikhathi sokulala, noma inezingxenye zokuphefumula ezihlala isikhathi esingaphezu kwemizuzwana engu-10-15. Lezi zimpawu zingabonisa isimo esibucayi sokuphefumula esidinga ukunakekelwa okusheshayo.

Ziyini izici ezingozi ze-pediatric sleep apnea?

Ubudala buwumsebenzi obubalulekile ezingozini ze-sleep apnea yabantwana, lapho izinengi zezimo zenzeka phakathi kweminyaka eyi-2-8. Lesi sikhathi sihambisana nesikhathi lapho ama-tonsils nama-adenoids avame ukuba khulu kakhulu uma kuqhathaniswa nobukhulu bomoya-mpilo womntwana wakho.

Umlando womndeni ungandisa amathuba omntwana wakho okuthola i-sleep apnea. Uma wena noma umlingani wakho une-sleep apnea, noma uma kukhona umlando womndeni wezinkinga zokuphefumula ngesikhathi ulele, umntwana wakho angase abe sengozini enkulu.

Izici eziningi zomzimba nezokwelapha zingenza i-sleep apnea ibe nethuba elikhulu:

• Ukuzalwa ngaphambi kwesikhathi, okungathinta ukuthuthukiswa komoya-mpilo
• Ukuba nomlando womndeni we-sleep apnea noma izifo zokuphefumula
• Ukuqina okuqhubekayo kwempumulo okuvela ezilwelweni noma ezifo ezivamile
• Ukungaqondakali okuthile kokubunjwa kwekhanda nobuso okuthinta umgogodla noma ukwakheka komoya-mpilo
• Isimo sezinzwa nemisipha esithinta amandla emisipha
• Ukuba sisisindo esingaphezulu, nakuba lokhu kungavamile kubantwana kunabantu abadala

Izici zemvelo zingase futhi zinikeze ingozi yomntwana wakho. Ukukhishwa kukutshaya okusecondhand, kungandisa ukuvuvukala komoya-mpilo nokwenza izinkinga zokuphefumula zibe nethuba elikhulu. Ukuhlala ezindaweni ezinomoya oyingcolile noma izinto ezingcolile kungase futhi kubi kakhulu izinkinga zokuphefumula ezikhona.

Abantwana abane-syndromes ezithile ze-genetic babhekene nezingozi eziphezulu ngenxa yezici zobuso ezibonakalayo noma umehluko wamandla emisipha. Noma kunjalo, kubalulekile ukukhumbula ukuthi ukuba nezici zengozi akusho ukuthi umntwana wakho uzothola i-sleep apnea, futhi abantwana abaningi abangenazo izici zengozi ezicacile bangase bathinteke.

Ziyini izinhlanganisela ezingase zenzeke ze-sleep apnea yabantwana?

I-sleep apnea yabantwana engaphathwe ingathinta izici eziningi zempilo nokuthuthukiswa komntwana wakho. Ukuhlupheka okuvamile kokulala kuvimbela umntwana wakho ukuthi athole ubuthongo obujulile, obuvuselelayo obubalulekile ekukhuleni okulungile nasekuthuthukisweni kobuchopho.

Izinkinga zokuziphatha kanye nezingqondo zivame ukuba yizinto zokuqala abazali abazibonayo. Ukulala okungekuhle kungathinta kakhulu ikhono lengane yakho lokufunda, ukuqonda, nokubusa imizwelo yayo usuku lonke.

Izinkinga ezivamile zokuziphatha nokufunda zihlanganisa:

• Izimpawu zokushoda kokunaka nokuqwasha okungase kuqondwe ngokungalungile njenge-ADHD
• Ubunzima ngekhono lokukhumbula, ukufunda, kanye nokusebenza kwemfundo
• Ukushintshashintsha kwesimo sengqondo, ukucasuka, nezinkinga zokulawula imizwelo
• Ubunzima bomphakathi ngenxa yezinkinga zokuziphatha noma ukulala okukhulu
• Ukungena engozini okwandayo ngenxa yokuqwasha emini

Izinkinga zempilo yomzimba zingase zikhule ngokuhamba kwesikhathi uma i-sleep apnea ingalashwa. Ukwehla okuphindaphindayo amazinga oksijini nokuphaphama okuvamile kuyabeke ingcindezi ohlelweni oluthuthukayo lwenhliziyo lengane yakho.

Izinkinga ezingase zikhule zempilo yomzimba zihlanganisa:

• Ukuphuma kwengcindezi yegazi, nakuba lokhu kungavamile kubantwana kunabantu abadala
• Ukukhula okuhamba kancane nokukhulu kwesisindo ngenxa yokuphazanyiswa kokukhishwa kohormoni yokukhula
• Ukungena kalula ezifweni ngenxa yokunciphisa umsebenzi wokulwa nezifo
• Ukungahambi kahle kwenhliziyo ezimweni ezinzima
• Ukuphikisana ne-insulin kanye nezinguquko ze-metabolic

Ezimweni ezingavamile, i-sleep apnea enzima engalashwanga ingabangela izinkinga ezinzima njengalezo zenhliziyo noma ukulibaziseka okukhulu ekuthuthukeni. Kodwa-ke, ngokuxilongwa nokuphathwa okuqondile, abantwana abaningi abane-sleep apnea bangagwema lezi zinkinga ngokuphelele futhi babuyele emasimini okulala ajwayelekile, anempilo.

Kungenzeka kanjani ukuvimbela i-sleep apnea yabantwana?

Nakuba ungakwazi ukuvimbela zonke izimo ze-sleep apnea yabantwana, ikakhulukazi lezo ezingcoliswe izici zokwakheka komzimba noma izimo zezofuzo, kunezinyathelo ongazithatha ukuze unciphise ingozi yengane yakho futhi uthuthukise ukuphefumula okulala okuhle.

Ukugcina impilo enhle yempumulo neyamathumbu kuyinye yezindlela ezisebenzayo kakhulu zokuvikela. Ukugcina izindawo zempumulo zezingane zakho zicocekile nokunciphisa ukuvuvukala kungasiza ekunqobeni ukusika komoya ngesikhathi sokulala.

Nazi izinyathelo ezisebenzayo zokusekela impilo yokuphefumula yengane yakho:

• Phatha uketshezi ngokushesha ngokwelashwa okufanele ukuze kunciphisa ukuqina kwempumulo
• Gcina indawo yakho yasekhaya ingenawo umusi, iziphefumulo ezinamandla, nezinye izinto ezikhuthazayo
• Sebenzisa umthambisi ezindaweni ezomile ukuvimbela ukuvuvukala kwezindlela zokuphefumula
• Khuthaza ukuhlanzeka komlomo omuhle ukuvimbela ukutheleleka okungabangela ukuvuvukala komphimbo
• Gcina isisindo esinempilo sengane yakho ngokudla okulinganiselayo nemisebenzi ejwayelekile

Ukudala indawo yokulala efanelekile kungasiza futhi ekunqobeni ubunzima bokuqeda. Qiniseka ukuthi igumbi lokulala lengane yakho liyavuleka kahle, lisekushiseni okuhle, futhi lingenawo ama-allergen angabangela ukuqina kwempumulo.

Ukuhlola njalo kwengane kubalulekile ekutholeni nasekuvimbeleni kusenesikhathi. Udokotela wezingane angaqapha izindlela zokukhula zengane yakho, ahlole ama-tonsils noma ama-adenoids amakhulu, futhi aphathe noma yikuphi ukukhathazeka mayelana nokulala noma ukuphefumula ngaphambi kokuba kube yizinkinga ezinkulu.

Kutholakala kanjani ukulala kwe-apnea kwengane?

Ukuxilongwa kwe-apnea yokulala kwengane kuqala ngokuxoxisana ngokuphelele ngezindlela zokulala zengane yakho, izimpawu, nomlando wezokwelapha. Udokotela wezingane uzofuna ukwazi ngokuqina kokukhwehlela, ukuyeka ukuphefumula okuboniwe, nanoma yikuphi ukuguquka kokuziphatha kwasemini okuqaphile.

Ukuhlolwa komzimba kugxila ezindaweni ezingase zinikeze ukuphazamiseka kokuphefumula. Udokotela wakho uzohlola ngokucophelela umphimbo, impumulo, intamo, nobuso bengane yakho ukuze abone izimbangela ezingaba khona zokuphahlazeka kwezindlela zokuphefumula.

Phakathi nokuhlolwa komzimba, udokotela wakho uzohlola:

• Ubukhulu be-tonsils ne-adenoids zomntwana wakho
• Izindonga zekhala lekhala ngokuphahlazeka noma ukungapheleli kwesakhiwo
• Isikhundla se-jaw nokwakheka kobuso
• Izinga lokukhula nokukhula okuphelele
• Ukusebenza kwenhliziyo nemiphunga

Uma kukhona ukungabaza nge-sleep apnea, udokotela wakho angakuncoma ukuhlolwa kokulala, okuthiwa futhi yi-polysomnography. Lo vivi oluqhubeka ebusuku yilona eliyisisekelo ekuxilongeni i-sleep apnea futhi lilinganisa izici eziningi zokulala nokuphefumula komntwana wakho.

Ukuhlolwa kokulala kulandela imisebenzi eminingi yomzimba ebusuku lonke, kufaka phakathi amaza engqondo, ukuhamba kwamehlo, ukusebenza kwemisipha, izinga lenhliziyo, umzamo wokuphefumula, ukugeleza komoya, namanqanaba oksijini. Izindawo eziningi zokulala zezingane zenzelwe ukuba zibe nobungane, ngamakamelo ahlala kahle nabasebenzi abanolwazi ekusebenzeni nezingane.

Kwezinye izimo, udokotela wakho angakuncoma ukuhlolwa kokulala ekhaya, nakuba lokhu kungavamile ezinganeni kunabantu abadala. Izivivinyo zasekhaya zivame ukugcinelwa izimo ezilula futhi zingase zingabangi lonke ulwazi oluyimfuneko ekuxilongeni okuphelele kubantu abancane.

Iyini impilo ye-sleep apnea yabantwana?

Ukuphathwa kwe-sleep apnea yabantwana kuncike esizathwini esiyimbangela, ububi bezimpawu, nobudala bomntwana wakho nempilo yonke. Umgomo ukwenza isiqiniseko sokuthi umntwana wakho angaphefumula ngokukhululekile ngesikhathi ephumule futhi athole ukuphumula okuvuselelayo akudingayo.

Ezinganeni ezine-tonsils ne-adenoids ezinkulu ezingabangela i-sleep apnea, ukususa ngokusebenza kuvame ukuba yilona lokuphatha eliphumelelayo kakhulu. I-Adenotonsillectomy inenkambo ephumelelayo kakhulu e-sleep apnea yabantwana, ngezinengi zezingane ezihlangabezana nokuthuthukiswa okukhulu ezimpawu zazo.

Ukuhlinzwa kuhilela ukususa i-tonsils ne-adenoids ngaphansi kokulala okuphelele. Ukululama kuvame ukuthatha amasonto angu-1-2, lapho umntwana wakho azodinga ukuphumula futhi alandele imiyalo ethile yokudla ukuze athuthukise ukululama futhi avimbele izinkinga.

Kubantwana abangafaneleki ukuhlinzwa noma abanepiniso eziqhubekayo ngemva kokuhinzwa, ukwelashwa kwe-continuous positive airway pressure (CPAP) kungase kunconywe. I-CPAP ihilela ukugqoka isigqoko ngesikhathi sokulala esinikeza ukucindezela komoya oluthambile ukuze kugcinwe izindlela zokuphefumula zivulekile.

Ezinye izinketho zokwelapha zingafaka:

• Ukushisa imishangulo ye-nasal corticosteroid ukuze kunciphise ukuvuvukala ezimweni ezilula
• Ukwelashwa kwe-Orthodontic ukuqondisa izinkinga zendawo yomhlathi
• Ukuphathwa kwesisindo uma ukukhuluka kwesisindo kuhlinzeka esimweni
• Ukuphathwa kwezimo eziyisisekelo njenge-allergies noma i-reflux
• Ukwelashwa kwesimo sokulala ukuqhubela phambili ukulala ezimweni ezithile

Ezimweni ezingavamile ezihilela i-central sleep apnea, ukwelashwa kugxila ekunakekelweni kwesimo se-neurological esiyisisekelo. Lokhu kungafaka imithi yokukhuthaza ukuphefumula noma ezinye izindlela ezikhethekile kuye ngesizathu esithile.

Uhlelo lokwelapha lomntwana wakho luzokwenziwa ngokwezidingo zakhe ezithile, futhi ukuvakasha okuqhubekayo kokulandelela kuzosiza ukuqinisekisa ukuthi ukwelashwa okukhethiwe kusebenza kahle nomntwana wakho ulele kahle.

Indlela yokuphatha i-sleep apnea yabantwana ekhaya?

Nakuba ukwelashwa kwezokwelapha kubalulekile kwe-sleep apnea yabantwana, kunezinto eziningi ongazenza ekhaya ukuze usekele ukuphefumula komntwana wakho kanye nokuthula kokulala. Lezi zindlela zokuphatha ekhaya zisebenza kangcono kanye, hhayi esikhundleni, sokwelashwa kwezokwelapha okufanele.

Ukudala indawo yokulala efanelekile yinyathelo elibaluleke kakhulu ongalithatha. Igumbi lokulala lomntwana wakho kufanele likhuthaze ukuphefumula okulula nokulala okuhle ubusuku bonke.

Nawa amanye uguquko lomkhathi okufanele uwaqwalasele:

• Phakamisa ikhanda lomntwana wakho kancane ngepilishi elengeziwe ukuze usize ekuvuleni izindlela zomoya
• Sebenzisa i-humidifier ukwengeza ukufuma emoyeni owomile ongase uthukuthele izindlela zokuphefumula
• Gcina ukushisa kwegumbi lokulala kupholile futhi kudume ukuze uthole ikhwalithi engcono yokulala
• Susa izinto ezingcolisa njengezimpukane zothuli, uboya bezilwane, ne-pollen endaweni yokulala
• Qinisekisa ukugeleza komoya okuhle ngaphandle kokudala imimoya

Ukuphatha ukungcola kwempumulo kungathuthukisa kakhulu ukuphefumula komntwana wakho ngesikhathi ephumula. Izindlela ezilula zingasiza ekuqinisiseni izindlela zempumulo nokunciphisa amathuba okuphefumula ngomlomo.

Ukuphathwa okuphumelelayo kokungcola kufaka ukusebenzisa ukugeza kwempumulo okune-saline ngaphambi kokulala, ukwelapha ukungezwani ngemithi efanele njengoba kunconywe ngudokotela wakho, nokugwema ukukhombisa izinto ezicasulayo njengethusi noma iziphefumulo ezinamandla, ikakhulukazi kusihlwa.

Ukuqalisa amasiko okuphumula ahlala njalo kungasiza futhi ekuthuthukiseni ikhwalithi yokulala yomntwana wakho. Izikhathi zokulala eziqondile nemisebenzi yokuthula ngaphambi kokulala zibonisa umzimba womntwana wakho ukuthi sekufanele uphumule, okungenzeka kwenze ukulala kube okuphumuzayo ngisho nalapho kunzima ukuphefumula.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela kahle i-aphoyintimenti yomntwana wakho nodokotela kungasiza ekuqinisekiseni ukuthi uthola ukuxilongwa okuchane kakhulu nezincomo zokwelashwa ezifanele. Ukuletha ulwazi oluqondile mayelana nezimpawu zomntwana wakho namasiko okuphumula kuzonika udokotela wakho ukuqonda okuyigugu.

Qala ngokuqapha idayari yokulala okungenani isonto elilodwa ngaphambi kwe-aphoyintimenti yakho. Bhala isikhathi sokulala somntwana wakho, isikhathi sokuvuka, inani lezikhathi abavuka ngazo ebusuku, nanoma yiziphi izinkinga zokuphefumula ozibonayo.

Ulwazi olubalulekile okufanele uqophe lufaka:

• Ukuqina nokuzwakala kokukhwehleza
• Ukuyeka kuphefumula okubonwe kanye nesikhathi sawo
• Izimo zokulala ingane yakho ezithandayo
• Isimo sengqondo ekuseni namandla
• Ukulala kwasemini kanye nesikhathi sawo
• Izinqumo zakamuva ekuziphatheni noma ekuphumeleleni esikoleni

Lungisa uhlu lwamithi yonke ingane yakho eyiphuzayo, kufaka phakathi imithi yokwelapha, amavithamini, kanye nemithi yokwelapha ukungezwani. Buye uqoqe ulwazi ngembali yezokwelapha yomndeni wakho, ikakhulukazi noma yiziphi izifo zokulala, izinkinga zokuphefumula, noma izimo ezihlobene.

Cabanga ukuthi ulethe ilungu lomndeni omethembayo noma umngani ekuqokweni, ikakhulu uma ingane yakho ikhathazekile ngokuya kudokotela. Ukuba nokusekelwa kungakusiza ukuba ukhumbule ulwazi olubalulekile nemibuzo ofuna ukuyixoxa nodokotela.

Bhala phansi imibuzo yakho ngaphambi kwesikhathi ukuze ungayikhohlwa ngesikhathi sokuqokwa. Imibuzo evamile ingafaka ukwelashwa, isikhathi esilindelekile sokuthuthuka, nokuthi yini okufanele uyilinde ekhaya ngenkathi ulinde ukwelashwa ukuthi kuthathe umphumela.

Iyini into ebaluleke kakhulu ngokuphazamiseka kokulala kwengane?

Ukuphazamiseka kokulala kwengane kuyisimo esingelashwa, lapho siqondiwe futhi siphathwa kahle, ngokungavamile kubangela izinkinga zesikhathi eside ezinganeni. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuqaphela kwasekuqaleni nokuphathwa kungavimbela izinkinga futhi kusize ingane yakho ibuye ekulaleni okunempilo, okuzolile.

Ezinganeni eziningi ezinokuphazamiseka kokulala ziphendula kahle kakhulu ekwelapheni, kungaba ngokuthi kusetshenziswe ubuyekezo, i-CPAP therapy, noma ezinye izindlela zokwelapha. Imindeni eminingi ibona ukuthuthuka okukhulu ekulinganiseni kokulala kwengane yabo, ukuziphatha, kanye nempilo yonke ngaphakathi kwamasonto ambalwa ngemuva kokuqala ukwelashwa okufanele.

Tshemba izimfanelo zakho njengomzali. Uma ubona ukukhwama okuqhubekayo, ubunzima bokuqeda umoya ngesikhathi ulele, noma ukushintsha kokuziphatha kwengane yakho emini, ungangabazi ukukhuluma nodokotela wezingane. Ukungenela kwasekuqaleni kuyisihluthulelo sokuvimbela izinkinga nokuqinisekisa ukuthi ingane yakho ithola ubuthongo obuhle ebulidinga ukuze ikhule ibe nempilo.

Khumbula ukuthi i-sleep apnea yezingane ihlukile kweyama-adult, futhi izingane zivame ukuphendula kangcono ekwelapheni ngezimpikiswano ezimbalwa zempilo ezingapheli. Ngokunakekelwa komtholampilo okufanele kanye nokusekela kwakho ekhaya, ingane yakho ingayinqoba i-sleep apnea futhi ijabulele izinzuzo zobuthongo obuhle, obuvuselelayo.

Imibuzo evame ukubuzwa mayelana ne-sleep apnea yezingane

Ingabe ingane yami ingayinqoba i-sleep apnea ngokwemvelo?

Ezinye izingane zingase zibone ukuthuthuka ezimpahleni ze-sleep apnea njengoba zikhula, ikakhulukazi uma ama-tonsils nama-adenoids amakhulu kuyimbangela eyinhloko. Njengoba izingane zikhula, izindawo zokuphefumula ziyanda ngokwemvelo uma kuqhathaniswa nobukhulu be-tonsils, okunganciphisa ukuvimbela. Noma kunjalo, akufanele ulinde futhi uthemba ukuthuthuka kwemvelo, njengoba i-sleep apnea engalashwanga ingathinta ukuthuthuka kwengane yakho kanye nekhwalithi yokuphila phakathi naleso sikhathi.

Ingabe ukucutshungulwa kuyadingeka njalo nge-sleep apnea yezingane?

Ukucutshungulwa akuyona njalo into edingekayo, nakuba kuyilona ikwelapho eliqhelekile nelisebenza kahle uma ama-tonsils nama-adenoids amakhulu ebangela inkinga. Udokotela wakho uzobheka ubukhulu bezimpahlanz, iminyaka yengane yakho, izimo zempilo eziyisisekelo, nezinye izinto ngaphambi kokuncoma ukucutshungulwa. Ezinye izingane zingase zizuze ekwelapheni okungenawo ubuhlungu njenge-nasal sprays ezimpahleni ezilula noma i-CPAP therapy uma ukucutshungulwa kungafaneleki.

Kuthatha isikhathi esingakanani ukubona ukuthuthuka ngemuva kokwelashwa?

Abantwana abaningi bayabona ukuthuthuka okukhulu phakathi kwamasonto angu-2-4 ngemuva kokuba ukwelashwa okuphumelelayo kuqalile. Uma ingane yakho inokuhlinzwa, ungase uqaphele ukulala kangcono nokunciphisa ukukhukhula ngaphakathi nesonto lokuqala lokuphulukana, nakuba ukuphulukana okugcwele kuthatha amasonto amaningana. Ngalezinye izindlela zokwelapha njengonyango lwe-CPAP, ukuthuthuka ekukhwalithi yokulala nezimpawu zezinsuku ziyabonakala ngokuvamile ebusuku obumbalwa bokuqala bokusetshenziswa okuqhubekayo.

Ingane yami ingadingeka yisebenzise i-CPAP phakade?

Ukwelashwa kwe-CPAP kubantwana kuvame ukuba okwesikhashana, ikakhulukazi uma kusetshenziswa ngenkathi kulindeleke ukuhlinzwa noma ngesikhathi sokuphulukana kwezinye izindlela zokwelapha. Abanye abantwana bangadinga i-CPAP isikhathi eside uma benenkinga yezokwelapha eqhubekayo noma uma ezinye izindlela zokwelapha zingaphumeleli ngokuphelele. Noma kunjalo, abantwana abaningi bangagcina beyeka ukusebenzisa i-CPAP uma isimo sabo esiyisisekelo siphelile noma njengoba bekhula futhi izindlela zabo zokuphefumula zithuthuka.

Ingabe i-sleep apnea ingathinta ukukhula nokuthuthuka kwengane yami?

Yebo, i-sleep apnea engaphathwe ingathinta ukukhula nokuthuthuka kwengane yakho ngoba i-growth hormone ikhishwa ikakhulukazi ezingxenyeni zokulala okujulile. Abantwana abane-sleep apnea bangase babe nokuzuza isisindo esincane, ukukhula okulibazayo, nobunzima ekufundeni nasekhumbuzeni. Izindaba ezinhle ukuthi uma i-sleep apnea iphelile ngempumelelo, abantwana abaningi bayabamba ukukhula nokuthuthuka kwabo, futhi umsebenzi wabo wobuchopho uthuthuka kakhulu.