Ukungaphefumuli
Uhlolojikelele
Ukuxineka komoya ebusuku yisifo esingaba sibi sokulala lapho umoya ukuma bese uqala khona njalo. Uma ukhwaza kakhulu ngokulala futhi uzizwa udiniwe ngisho nangemva kokulala ubusuku bonke, ungase ube nokuxineka komoya ebusuku.
Izinhlobo eziyinhloko zokuxineka komoya ebusuku yilezi:
- Ukuxineka komoya ebusuku okuvimba (OSA), okuyifomu eliqhelekile kakhulu elivela lapho imisipha yomlomo iphumula ivaliwe umoya ungene emaphashini
- Ukuxineka komoya ebusuku oluphakathi (CSA), okuvela lapho ubuchopho bungathumi izimpawu ezifanele eziphileni eziqondisa ukuphefumula
- Ukuxineka komoya oluphakathi oluvela ngenxa yokwelashwa, okuthiwa futhi ukuxineka komoya ebusuku okunzima, okuvela lapho umuntu enesifo OSA — esitholakele ngokuhlolwa kokulala — esiguqukela ku-CSA lapho ethola ukwelashwa kwe-OSA
Uma ucabanga ukuthi ungase ube nokuxineka komoya ebusuku, bheka umhlinzeki wakho wezinsizakalo zempilo. Ukwelashwa kunganciphisa izimpawu zakho futhi kungasiza ukuvimbela izinkinga zenhliziyo nezinye izinkinga.
Izimpawu
Amasimptomu e-obstructive ne-central sleep apneas afana, ngezinye izikhathi kwenza kube nzima ukunquma ukuthi iyiphi uhlobo olulokhu. Amasimptomu avamile e-obstructive ne-central sleep apneas afaka: Ukukhwama okuzwakalayo. Izikhathi lapho ukuma kuphefumula ngesikhathi ulele — okuzokubikwa omunye umuntu. Ukuphefumula umoya ngesikhathi ulele. Ukuphaphama ngomlomo owomile. Izinhlungu zikhanda ekuseni. Ubunzima bokuhlala ulele, okuyaziwa ngokuthi ukulala ubuthongo. Ukulala kakhulu emini, okuyaziwa ngokuthi i-hypersomnia. Ubunzima bokuqaphela ngesikhathi uvukile. Ukucasuka. Ukukhwama okuzwakalayo kungabonisa inkinga enkulu, kodwa akuwona wonke umuntu onayo i-sleep apnea okhwamayo. Xoxa nodokotela wakho uma unezimpawu ze-sleep apnea. Buza umhlinzeki wakho mayelana nanoma yiluphi ubunzima bokuphumula obukuyeka ukaphe, ulele futhi ucasukile.
Isikhathi sokubona udokotela
Ukukhukhumela okuzwakalayo kungabonisa inkinga enkulu okungenzeka, kodwa akuwona wonke umuntu ophethwe yi-sleep apnea okukhukhumelayo. Xoxa nodokotela wakho uma unezimpawu ze-sleep apnea. Buza umhlinzeki wakho mayelana nanoma iyiphi inkinga yokulala ekushiya udiniwe, ulele futhi uthukuthele.
Izimbangela
Ukuxineka komoya wokulala kwenzeka lapho imisipha esekela izicubu ezithambile ewindini lakho, njengolwimi lwakho kanye ne-soft palate, iphumula okwesikhashana. Uma le miphunga iphumula, indlela yakho yomoya iyaphinyeka noma ivaliwe, futhi ukuphefumula kuqediwe okwesikhashana.
Lolu hlobo lokuxineka komoya wokulala kwenzeka lapho imisipha ngemuva komlomo iphumula. Le miphunga isekela i-soft palate, ingxenye yesicubu esiyinhlangothi esiqondile esivela ku-soft palate ebizwa ngokuthi i-uvula, amatonsil, izindonga eceleni komlomo kanye nolwimi.
Uma imisipha iphumula, indlela yakho yomoya iyancipha noma ivala njengoba uphefumula. Awukwazi ukuthola umoya owanele, okunganciphisa amazinga oksijini egazini lakho. Ubuchopho bakho buphawula ukuthi awukwazi ukuphefumula, futhi bukuvusa okwesikhashana ukuze ukwazi ukuvula kabusha indlela yakho yomoya. Lokhu kuvuka kuvame ukuba mfushane kangangokuba awukhumbuli.
Ungase ukhwehle, ukhwehle noma ukhwaze. Lesi sibonelo singaphindaphinda izikhathi eziyi-5 kuya kweziyi-30 noma ngaphezulu njalo ngehora, ubusuku bonke. Lokhu kwenza kube nzima ukufinyelela izigaba ezinzulu, eziphumuzayo zokulala.
Lolu hlobo olungavamile lokuxineka komoya wokulala kwenzeka lapho ubuchopho bakho buhluleka ukuthumela izibonakaliso emiphambanweni yakho yokuphefumula. Lokhu kusho ukuthi awenzi lutho lokuzama ukuphefumula isikhathi esifushane. Ungase uvuke une-shortness of breath noma ube nobunzima bokuya ekuphumuleni noma ukuhlala ulele.
Izici eziyingozi
Ukuxineka komoya ebusuku kungathinta noma ubani, ngisho nezingane. Kodwa izinto ezithile zikhuphula ingozi yakho.
Izinto ezikhuphula ingozi yaleli hlobo lokuxineka komoya ebusuku zifaka:
- Ukukhuluphala. Ukukhuluphala kukhuphula kakhulu ingozi ye-OSA. Amafutha aqoqana eduze komlomo wakho angavimba ukuthinta komoya.
- Ubungqongqo bomphimbo. Abantu abaneemphimbo ezinqabile bangaba nemilomo emincane.
- Umlomo ocinyiwe. Ungase ube uzalwe unethrote encane. Amatonsil noma ama-adenoids nawo angakhula futhi avivimbe umlomo, ikakhulukazi ezinganeni.
- Ukuba owesilisa. Amadoda anezikhathi eziyi-2 kuya kwezi-3 ezingaphezulu lokuxineka komoya ebusuku kunabesifazane. Noma kunjalo, abesifazane bakhuphula ingozi yabo uma bekhuluphala noma uma sebeqedile ukuya ekuqedeni.
- Ukuguga. Ukuxineka komoya ebusuku kwenzeka kaningi kakhulu kubantu abadala.
- Umlando womndeni. Ukuba namalungu omndeni ane-sleep apnea kungase kukhuphule ingozi yakho.
- Ukusetshenziswa kotshwala, izidakamizwa noma izithuthukisi. Lezi zinto ziphumula imisipha ehlombe lakho, okungenza kube kubi kakhulu ukuxineka komoya ebusuku okuvimbayo.
- Ukubhema. Ababhemi banezikhathi ezintathu ezingaphezulu lokuxineka komoya ebusuku kunabantu abangakaze babemi. Ukubhema kungase kukhuphule inani lokuvuvukala nokuqongelela kwamanzi emilombeni ephezulu.
- Ukuvimba kwemifino. Uma unengcindezi yokuphefumula ngempumulo yakho - kungaba yingxaki yokwakheka komzimba noma uketshezi - cishe uzokuthola ukuxineka komoya ebusuku okuvimbayo.
Izici ezingozi zaleli hlobo lokuxineka komoya ebusuku zifaka:
- Ukuguga. Abantu abaneminyaka ephakathi nabadala banengozi enkulu yokuxineka komoya ebusuku okuphakathi.
- Ukuba owesilisa. Ukuxineka komoya ebusuku okuphakathi kuvame kakhulu kumadoda kunabesifazane.
- Izifo zentliziyo. Ukuba nokuhluleka kwenhliziyo kukhuphula ingozi.
- Ukusebenzisa imithi yokunciphisa ubuhlungu. Imithi ye-opioid, ikakhulukazi eyasebenza isikhathi eside njengemethadone, ikhuphula ingozi yokuxineka komoya ebusuku okuphakathi.
- Isiguli. Ukuba nesiguli kukhuphula ingozi yokuxineka komoya ebusuku okuphakathi.
Izingqinamba
Ukuqeda ukuphumula kuyisimo esinzima sezempilo. Izinkinga ze-OSA zingafaka:
- Ubuhlungu be-type 2. Ukuba nokuqeda ukuphumula kukwandisa ingozi yakho yokuthuthukisa ukungaphili kahle kwe-insulin kanye ne-type 2 diabetes.
- Izinkinga ngemithi kanye nokuhlinzwa. Ukuqeda ukuphumula okuvimba kuyinkathazo futhi ngemithi ethile kanye nokunciphisa okuvamile. Abantu abane-sleep apnea bangase babe nethuba elikhulu lokuba nezinkinga ngemuva kokuhlinzwa okukhulu ngoba banesihlobo sokuhlupheka ngokuphefumula, ikakhulukazi uma bephuzwe futhi belele ngemva.
Ngaphambi kokuba uhlinzwe, tshela udokotela wakho ngokuqeda ukuphumula kwakho nokuthi kuphathwa kanjani.
- Izinkinga zesibindi. Abantu abane-sleep apnea banesihlobo esikhulu sokuba nemiphumela engavamile ekuhlolweni kwesibindi, futhi izibindi zabo zinezinhlobo eziningi zokubonisa izimpawu zokunqunywa, okuyaziwa ngokuthi isifo sesibindi esinamanoni esingenawo utshwala.
- Abalingani abaphelelwe yisikhathi sokulala. Ukukhwaza okuzwakalayo kungavimbela noma ubani ohlala eduze ekulaleni kahle. Kuvamile ukuthi umlingani adingeke aye kwenye ingxenye, noma ngisho nasezinye izitezi zendlu, ukuze akwazi ukulala.
Ukukhathala kwasemini. Ukuphazamiseka okuphindaphindwayo okuhlotshaniswa nokuqeda ukuphumula kwenza ukulala okuvamile, okuvuselelayo kungenzeki, okwenza ukulala okukhulu kwasemini, ukukhathala nokuthukuthela kube nokwenzeka.
Ungase ube nezinkinga zokuhlanganisa futhi uthole ukuthi ulele emsebenzini, ngenkathi ubuka i-TV noma ngisho nalapho uqhuba. Abantu abane-sleep apnea banengozi enkulu yengozi yemoto nendawo yomsebenzi.
I-OSA ingase ikhulise ingozi yakho yokuhlasela kabusha kwenhliziyo, isifo sobuchopho kanye nokuhlupheka kwenhliziyo, njengokungalingani kwesisu. Uma une-heart disease, izigameko eziningi zokunciphisa i-oksijini egazini (hypoxia noma hypoxemia) zingadala ukufa ngokuzumayo ngenxa yokungalingani kwesisu.
Izinkinga ngemithi kanye nokuhlinzwa. Ukuqeda ukuphumula okuvimba kuyinkathazo futhi ngemithi ethile kanye nokunciphisa okuvamile. Abantu abane-sleep apnea bangase babe nethuba elikhulu lokuba nezinkinga ngemuva kokuhlinzwa okukhulu ngoba banesihlobo sokuhlupheka ngokuphefumula, ikakhulukazi uma bephuzwe futhi belele ngemva.
Ngaphambi kokuba uhlinzwe, tshela udokotela wakho ngokuqeda ukuphumula kwakho nokuthi kuphathwa kanjani.
Izinkinga ze-CSA zingafaka:
- Ukukhathala. Ukuphazamiseka okuphindaphindwayo okuhlotshaniswa nokuqeda ukuphumula kwenza ukulala okuvamile, okuvuselelayo kungenzeki. Abantu abane-central sleep apnea bavame ukuba nokukhathala okukhulu, ukulala kwasemini nokuthukuthela.
Ungase ube nezinkinga zokuhlanganisa futhi uthole ukuthi ulele emsebenzini, ngenkathi ubuka thelevishini noma ngisho nalapho uqhuba.
- Izinkinga ze-Cardiovascular. Ukwehla ngokuzumayo kwezinga le-oksijini egazini okuvela ngesikhathi se-central sleep apnea kungathinta impilo yenhliziyo.
Uma kukhona isifo senhliziyo esiyisisekelo, lezi zigameko eziningi eziningi zokunciphisa i-oksijini egazini—eyaziwa ngokuthi i-hypoxia noma i-hypoxemia—ziyenza isimo sibe sibi futhi zikhulise ingozi yokungalingani kwesisu.
Ukukhathala. Ukuphazamiseka okuphindaphindwayo okuhlotshaniswa nokuqeda ukuphumula kwenza ukulala okuvamile, okuvuselelayo kungenzeki. Abantu abane-central sleep apnea bavame ukuba nokukhathala okukhulu, ukulala kwasemini nokuthukuthela.
Ungase ube nezinkinga zokuhlanganisa futhi uthole ukuthi ulele emsebenzini, ngenkathi ubuka thelevishini noma ngisho nalapho uqhuba.
Izinkinga ze-Cardiovascular. Ukwehla ngokuzumayo kwezinga le-oksijini egazini okuvela ngesikhathi se-central sleep apnea kungathinta impilo yenhliziyo.
Uma kukhona isifo senhliziyo esiyisisekelo, lezi zigameko eziningi eziningi zokunciphisa i-oksijini egazini—eyaziwa ngokuthi i-hypoxia noma i-hypoxemia—ziyenza isimo sibe sibi futhi zikhulise ingozi yokungalingani kwesisu.
Ukuxilongwa
Umhlinzeki wakho wezokunakekelwa kwezempilo angenza ukulinganisa okuqondile ngokusekelwe ezimpapasheni zakho kanye nomlando wokulala, ongawunikela ngosizo lomuntu ohlala nawe embhedeni noma ekhaya lakho, uma kungenzeka.
Cishe uzokhomba ekuhlanganeni kwesifo sokulala. Lapho, uchwepheshe wokulala angakusiza unqume isidingo sakho sokulinganisa okuqhubekayo.
Ukuhlolwa kuvame ukubandakanya ukulandelela ubusuku bonke bokuheha kwakho nezinye izisebenzi zomzimba ngesikhathi sokuhlolwa kokulala ekuhlanganeni kwesifo sokulala. Ukuhlolwa kokulala ekhaya kungaba yindlela. Izivivinyo zokuthola i-sleep apnea zifaka:
- Ukuhlolwa okuqhubekayo kwe-polysomnography. Ngalesi sivivinyo, uxhunywe kwizinto ezilandelela umsebenzi wenhliziyo yakho, uphuphu nomsebenzi wobuchopho, izindlela zokuphefumula, ukuhamba kwezandla nezinyawo, kanye namanqanaba okufinyelela kwegazi ngesikhathi ulele.
- Izivivinyo zokulala ekhaya. Umhlinzeki wakho wezokunakekelwa kwezempilo angakunika izivivinyo ezilula ezizosetshenziswa ekhaya ukuze athole i-sleep apnea. Lezi zivivinyo ngokuvamile zilinganisa izinga lenhliziyo yakho, izinga lokufinyelela kwegazi, ukugeleza komoya kanye nezindlela zokuphefumula. Umhlinzeki wakho unesibopho esikhulu sokuncoma i-polysomnography esikhungweni sokuhlolwa kokulala, kunokuba yi-home sleep test, uma kukhona ukungabaza kwe-central sleep apnea.
Uma imiphumela ingavamile, umhlinzeki wakho angakwazi ukubhala imithi ngaphandle kokuhlolwa okuqhubekayo. Amadivayisi okulandelela aphathekayo ngezinye izikhathi alahlekelwa yi-sleep apnea. Ngakho-ke umhlinzeki wakho wezokunakekelwa kwezempilo angase aqhubeke nokuncoma i-polysomnography ngisho noma imiphumela yakho yokuqala ingaphakathi kwebanga elijwayelekile.
Izivivinyo zokulala ekhaya. Umhlinzeki wakho wezokunakekelwa kwezempilo angakunika izivivinyo ezilula ezizosetshenziswa ekhaya ukuze athole i-sleep apnea. Lezi zivivinyo ngokuvamile zilinganisa izinga lenhliziyo yakho, izinga lokufinyelela kwegazi, ukugeleza komoya kanye nezindlela zokuphefumula. Umhlinzeki wakho unesibopho esikhulu sokuncoma i-polysomnography esikhungweni sokuhlolwa kokulala, kunokuba yi-home sleep test, uma kukhona ukungabaza kwe-central sleep apnea.
Uma imiphumela ingavamile, umhlinzeki wakho angakwazi ukubhala imithi ngaphandle kokuhlolwa okuqhubekayo. Amadivayisi okulandelela aphathekayo ngezinye izikhathi alahlekelwa yi-sleep apnea. Ngakho-ke umhlinzeki wakho wezokunakekelwa kwezempilo angase aqhubeke nokuncoma i-polysomnography ngisho noma imiphumela yakho yokuqala ingaphakathi kwebanga elijwayelekile.
Uma une-obstructive sleep apnea, umhlinzeki wakho wezokunakekelwa kwezempilo angase akukhombe ochwepheshe wezindlebe, impumulo nomlomo ukuze akhiphe isikhungo esikhundleni sakho somlomo noma emlonyeni. Ukuhlolwa ngochwepheshe wenhliziyo, owaziwa ngokuthi yi-cardiologist, noma udokotela oqeqeshwe ohlelweni lwezinzwa, obizwa ngokuthi yi-neurologist, kungadingeka ukubheka izimbangela ze-central sleep apnea.
Ukwelashwa
Kubangelwa okungenani kwe-sleep apnea, umhlinzeki wakho wezempilo angase akukhuthaze ukuba wenze izinguquko kuphela ekuphileni kwakho, njengokulahlekelwa isisindo noma ukuyeka ukubhema. Kungadingeka ushintshe isimo osilayo. Uma une-allergies yempumulo, umhlinzeki wakho angase akukhuthaze ukwelashwa kwe-allergies yakho. Uma lezi zinyathelo zingayithuthukisi imiphumela yakho noma uma i-apnea yakho iphakathi nendawo kuya ebukhali, kunezindlela zokwelapha eziningi ezitholakalayo. idivayisi ezithile zingasiza ekuvuleni indlela yomoya evaliwe. Kwezinye izimo, ukucutshungulwa kungadingeka.
- Izinto zokusebenzisa emlonyeni. Enye indlela iwukugqoka idivayisi yomlomo eklanywe ukugcina umlomo wakho uvulekile. I-CPAP isebenza ngokuthembekeka kakhulu kunamadivayisi omhlomo, kodwa amadivayisi omhlomo angase kube lula ukuwasisebenzisa. Amanye aklanywe ukuvula umlomo wakho ngokuletha umhlathi wakho phambili, okungase kube nokunciphisa ukukhwehleka ne-sleep apnea evaliwe kancane. Inani lamadivayisi liyatholakala kudokotela wakho wamazinyo. Kungadingeka uzame amadivayisi ahlukene ngaphambi kokuthola elikuhambelanayo nawe. Uma usuthole elifanele, kuzodingeka ulandele umhlangano nodokotela wakho wamazinyo ngokuphindaphindiwe unyaka wokuqala bese uqhubeka njalo ngemva kwalokho ukuqinisekisa ukuthi ukufaneleka kusaphilile futhi ubuye uhlole imiphumela yakho. Nakuba i-CPAP iyindlela evamile futhi ethembekile yokwelapha i-sleep apnea, abanye abantu bayithola iyingozi noma ayanelisi. Abanye abantu bayeka umshini we-CPAP. Kodwa ngokuzivocavoca, abantu abaningi bafunda ukulungisa ukucindezela kwamabhande emaske ukuze bathole ukufaneleka okuhle nokuvikelekile. Kungadingeka uzame izinhlobo eziningi zamamaske ukuze uthole elikuhambelanayo nawe. Ungayeki ukusebenzisa umshini we-CPAP uma unezinkinga. Xhumana nomhlinzeki wakho wezempilo ukuze ubone ukuthi yiziphi izinguquko ezingenziwa ukuze wandise ukududuzeka kwakho. Izinto zokusebenzisa emlonyeni. Enye indlela iwukugqoka idivayisi yomlomo eklanywe ukugcina umlomo wakho uvulekile. I-CPAP isebenza ngokuthembekeka kakhulu kunamadivayisi omhlomo, kodwa amadivayisi omhlomo angase kube lula ukuwasisebenzisa. Amanye aklanywe ukuvula umlomo wakho ngokuletha umhlathi wakho phambili, okungase kube nokunciphisa ukukhwehleka ne-sleep apnea evaliwe kancane. Inani lamadivayisi liyatholakala kudokotela wakho wamazinyo. Kungadingeka uzame amadivayisi ahlukene ngaphambi kokuthola elikuhambelanayo nawe. Uma usuthole elifanele, kuzodingeka ulandele umhlangano nodokotela wakho wamazinyo ngokuphindaphindiwe unyaka wokuqala bese uqhubeka njalo ngemva kwalokho ukuqinisekisa ukuthi ukufaneleka kusaphilile futhi ubuye uhlole imiphumela yakho. Cishe uzofunda, uzwe noma ubona izikhangiso ze-TV mayelana nokwelashwa okuhlukene kwe-sleep apnea. Khuluma nomhlinzeki wakho wezempilo mayelana nanoma yiluphi ukwelashwa ngaphambi kokuba ulizame. Ukuhlinzwa kungaba yindlela ebalulekile kubantu abane-OSA, kodwa ngokuvamile kuphela ngemva kokuba ezinye izindlela zokwelapha zihlulekile. Ngokuvamile, okungenani ukuzama izinyanga ezintathu kwezinye izindlela zokwelapha kuphakanyiswa ngaphambi kokuthatha isinqumo sokuhlinzwa. Noma kunjalo, kubantu abambalwa abanezinkinga ezithile zokwakheka komhlathi, ukuhlinzwa kuyindlela enhle yokuqala. Izindlela zokucutshungulwa zingafaka:
- Ukususa izicubu. Ngalesi senzo (uvulopalatopharyngoplasty), udokotela uhlinzwa ususa izicubu ngemuva komlomo wakho naphezulu komlomo. Amathoni akho nama-adenoids avame ukususwa futhi. Lolu hlobo lokuhlinzwa lungase lube yimpumelelo ekuyekethiseni izakhiwo zomlomo ekuzithinta nasekubangeni ukukhwehleka. Akusebenzi kahle kune-CPAP futhi akubhekwa njengokwelashwa okutholakalayo kwe-sleep apnea evaliwe. Ukususa izicubu ngemuva komlomo ngamandla we-radiofrequency (radiofrequency ablation) kungaba yindlela ebalulekile kulabo abangakutholi ukukhuthaza i-CPAP noma amadivayisi omhlomo.
- Ukunciphisa izicubu. Enye indlela iwukunciphisa izicubu ngemuva komlomo nangemuva komlomo usebenzisa i-radiofrequency ablation. Le nqubo ingase isetshenziswe kwi-sleep apnea ephansi kuya ephakathi. Esinye ucwaningo luthole lokhu ukuba nemiphumela efana nokususa izicubu, kodwa ngengozi encane yokucutshungulwa.
- Ukubekwa kabusha komhlathi. Kule nqubo, umhlathi uthuthukiswa phambili kusuka emathanjeni ebuso. Lokhu kukhulisa isikhala ngemuva lolimi ne-soft palate, kwenza ukuvimbela kube nzima. Le nqubo iyaziwa ngokuthi yi-maxillomandibular advancement.
- Ama-implants. Izitikha ezithambile, ngokuvamile ezenziwe nge-polyester noma i-plastic, zifakwa ngokucutshungulwa kwi-soft palate ngemva kokunciphisa nge-anesthetic yendawo. Ucwaningo olwengeziwe ludingeka ukuze kunqunywe ukuthi ama-implants asebenza kangakanani.
- Ukuvuselelwa kwama-nerve. Lokhu kudinga ukuhlinzwa ukufaka i-stimulator ye-nerve elawula ukunyakaza lolimi (i-hypoglossal nerve). Ukuvuselelwa okwandisiwe kusiza ukugcina ulimi endaweni egcina indlela yomoya ivulekile. Ucwaningo olwengeziwe ludingeka.
- Ukudala indlela entsha yomoya, eyaziwa ngokuthi yi-tracheostomy. Ungase udinga lolu hlobo lokuhlinzwa uma ezinye izindlela zokwelapha zihlulekile futhi une-sleep apnea ebukhali, eyingozi ebomini. Kule nqubo, udokotela wakho uhlinzwa wenza isikhala entanyeni yakho bese ufakela ipayipi lesthusi noma le-plastic lapho uphefumula khona. Ugcina isikhala sivaliwe emini. Kodwa ebusuku uyasivula ukuvumela umoya ukuba ungene uphume emaphashini akho, udlule indlela yomoya evaliwe emlonyeni wakho. Ukususa izicubu. Ngalesi senzo (uvulopalatopharyngoplasty), udokotela uhlinzwa ususa izicubu ngemuva komlomo wakho naphezulu komlomo. Amathoni akho nama-adenoids avame ukususwa futhi. Lolu hlobo lokuhlinzwa lungase lube yimpumelelo ekuyekethiseni izakhiwo zomlomo ekuzithinta nasekubangeni ukukhwehleka. Akusebenzi kahle kune-CPAP futhi akubhekwa njengokwelashwa okutholakalayo kwe-sleep apnea evaliwe. Ukususa izicubu ngemuva komlomo ngamandla we-radiofrequency (radiofrequency ablation) kungaba yindlela ebalulekile kulabo abangakutholi ukukhuthaza i-CPAP noma amadivayisi omhlomo. Ukudala indlela entsha yomoya, eyaziwa ngokuthi yi-tracheostomy. Ungase udinga lolu hlobo lokuhlinzwa uma ezinye izindlela zokwelapha zihlulekile futhi une-sleep apnea ebukhali, eyingozi ebomini. Kule nqubo, udokotela wakho uhlinzwa wenza isikhala entanyeni yakho bese ufakela ipayipi lesthusi noma le-plastic lapho uphefumula khona. Ugcina isikhala sivaliwe emini. Kodwa ebusuku uyasivula ukuvumela umoya ukuba ungene uphume emaphashini akho, udlule indlela yomoya evaliwe emlonyeni wakho. Ezinye izinhlobo zokucutshungulwa zingasiza ekuthuthukiseni ukukhwehleka futhi zinikeze ukwelashwa kwe-sleep apnea ngokucacisa noma ukukhulisa izindlela zomoya:
- Ukuhlinzwa kokususa amathoni amakhulu noma ama-adenoids.
- Ukuhlinzwa kokulahlekelwa isisindo, okuyaziwa nangokuthi yi-bariatric surgery.
- Ukwelashwa kwezinkinga zezokwelapha ezihambisanayo. Izimbangela ezingaba khona ze-central sleep apnea zifaka izifo zenhliziyo noma zezinzwa, futhi ukwelapha lezo zimo kungasiza. Ezinye izindlela zokwelapha ezingase zisetshenziswe kwi-CSA zifaka i-oxygen engeziwe, i-CPAP, i-BPAP, ne-adaptive servo-ventilation (ASV).
- Ukuhluka kwezidakamizwa. Ungase utholakale imithi ekusiza ekulawuleni ukuphefumula kwakho, njenge-acetazolamide. Uma imithi iyakulimaza i-CSA yakho, njenge-opioids, umhlinzeki wakho wezempilo angase ashintshe imithi yakho.
- I-oxygen engeziwe. Ukusebenzisa i-oxygen engeziwe ngenkathi ulele kungasiza uma une-central sleep apnea. Izinhlobo ezahlukene ze-oxygen ziyatholakala ngamadivayisi okuthumela i-oxygen emaphashini akho. I-ASV ingaba yindlela ebalulekile kwabanye abantu abane-central sleep apnea evela ekwelapheni. Noma kunjalo, kungase kungabi yikhetho elihle kwabantu abane-central sleep apnea eyinhloko nokuhluleka kwenhliziyo okuthuthukile. Futhi i-ASV ayinconywa kulabo abane-heart failure ebukhali. Kungaba kuhle uma:
- Uhamba kakhulu ngenkathi ulele Kungaba kuhle uma:
- Une-nasal obstruction noma i-congestion eyenza ukuphefumula ngempumulo kube nzima
- Uqhekeza ngomlomo ebusuku naphezu kwenyanga yokuzame i-nasal mask noma i-nasal pillow interface kanye nesici sokufudumeza umswakama noma i-chin strap noma kokubili ukugcina umlomo wakho uvaliwe Ubukhulu bungase buhluke ezitayeleni namamerekhi ahlukene amamaske. Kungadingeka uzame izitayela nobukhulu obuningi ukuze uthole ukuxuba okuhle kokududuzeka nokuphumelela. Isibonelo, uma uthatha elincane kwenye uhlobo akusho ukuthi uzodinga elincane kwenye ibhrendi. Ukuqina okuqondile kubalulekile kokududuzeka nokusebenza kwamamaske. Nansi indlela yokubuka izitayela ezimbalwa zamamaske e-CPAP nezinzuzo ezingaba khona zayo ngayinye. Sebenza nodokotela wakho nomhlinzeki we-CPAP mask ukuze uqinisekise ukuthi unemaske efanelekile izidingo zakho futhi ikufanele kahle. Kungaba kuhle uma:
- Uzizwa uvaleleke kumamaske ahlanganisa ubuso bakho obuningi
- Ufuna ibanga elikhulu lokubona ukuze ufunde noma ubuke i-TV
- Ufuna ukugqoka izibuko zakho
- Unezinwele zobuso eziphazamisa amanye amamaske Kungaba kuhle uma:
- Uhamba kakhulu ngenkathi ulele Kungaba kuhle uma:
- Une-nasal obstruction noma i-congestion eyenza ukuphefumula ngempumulo kube nzima
- Uqhekeza ngomlomo ebusuku naphezu kwenyanga yokuzame i-nasal mask noma i-nasal pillow interface kanye nesici sokufudumeza umswakama noma i-chin strap noma kokubili ukugcina umlomo wakho uvaliwe Ubukhulu bungase buhluke ezitayeleni namamerekhi ahlukene amamaske. Kungadingeka uzame izitayela nobukhulu obuningi ukuze uthole ukuxuba okuhle kokududuzeka nokuphumelela. Isibonelo, uma uthatha elincane kwenye uhlobo akusho ukuthi uzodinga elincane kwenye ibhrendi. Ukuqina okuqondile kubalulekile kokududuzeka nokusebenza kwamamaske. Nansi indlela yokubuka izitayela ezimbalwa zamamaske e-CPAP nezinzuzo ezingaba khona zayo ngayinye. Sebenza nodokotela wakho nomhlinzeki we-CPAP mask ukuze uqinisekise ukuthi unemaske efanelekile izidingo zakho futhi ikufanele kahle. Kungaba kuhle uma:
- Uzizwa uvaleleke kumamaske ahlanganisa ubuso bakho obuningi
- Ufuna ibanga elikhulu lokubona ukuze ufunde noma ubuke i-TV
- Ufuna ukugqoka izibuko zakho
- Unezinwele zobuso eziphazamisa amanye amamaske Ubukhulu bungase buhluke ezitayeleni namamerekhi ahlukene amamaske. Kungadingeka uzame izitayela nobukhulu obuningi ukuze uthole ukuxuba okuhle kokududuzeka nokuphumelela. Isibonelo, uma uthatha elincane kwenye uhlobo akusho ukuthi uzodinga elincane kwenye ibhrendi. Ukuqina okuqondile kubalulekile kokududuzeka nokusebenza kwamamaske. Nansi indlela yokubuka izitayela ezimbalwa zamamaske e-CPAP nezinzuzo ezingaba khona zayo ngayinye. Sebenza nodokotela wakho nomhlinzeki we-CPAP mask ukuze uqinisekise ukuthi unemaske efanelekile izidingo zakho futhi ikufanele kahle.
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