So wobɔ wo hwene na woda nna mu ahomegye? Momma yɛnka AHI (Apnea-Hypopnea Index - AHI) ho asɛm .

So obi a ɔwɔ w’abusua mu, ebia wo kunu anaa wo yere, bɔ hwene denneennen anadwo bere a ɔda? So woahyɛ no nsow pɛn sɛ bere a wɔrehuruhuruw no, wogyae home mpofirim na afei wofi ase home bio te sɛ nea wɔregye mframa? Anaasɛ wususuw sɛ wodaa nnɔnhwerew 8 anaa 9 yiye anadwo, nanso woda so ara te ɔbrɛ ne nna a ɛyɛ soronko nka da a edi hɔ no? So ɛtɔ mmere bi a woda bere a woreyɛ adwuma, woreka kar, anaa worehwɛ TV? Eyinom nyɛ nneɛma a wobetumi abu no animtiaa sɛ "ɔyɛ akuturuku" anaasɛ "wontumi nna yiye." Ebia akwahosan tebea bi a emu yɛ den a wɔfrɛ no Obstructive Sleep Apnea . Enti, ɛnnɛ yɛrebɛka susudua bi a ɛho hia paa a nnuruyɛfo de susuw sɛnea tebea yi mu yɛ den ho asɛm. Ɛno ne AHI bo (Apnea-Hypopnea Index) .

Sɛ yɛbɛka no tiawa a, dɛn ne AHI?

AHI gyina hɔ ma Apnea-Hypopnea Index . Ɛsusuw mpɛn dodow a wo home gyae (ahomegye) na ɛyɛ nea emu nnɔ koraa (hypopneas) wɔ dɔnhwerew biako mu bere a woada no. Fa no sɛ "amanneɛbɔ krataa" a ɛkyerɛ wo nna a wohome.

Sɛ yɛbɛma eyi mu ada hɔ kakra a, momma yɛnhwɛ nea nsɛmfua abien yi kyerɛ ankasa:

• Ahomegye: Eyi ne bere a wo home gyae koraa sikɔne 10 anaa nea ɛboro saa . Saa bere yi mu no, mframa biara nkɔ w’ahurututu mu.
• Hypopnea: Eyi ne bere a wo home nnyae koraa, nanso wo mframa kwan no fã kɛse no ara siw na wo home no mu nnɔ koraa . Eyi ma oxygen dodow a ɛwɔ wo mogya mu no so tew kɛse.

Afei ebia woredwen ho sɛ, "Sɛ migyae ahome a, mɛyɛ dɛn ahu?" Eyi ne nea ɛba ankasa. Sɛ wo home gyae, sɛ́ ɛyɛ nea emu nnɔ anaasɛ ɛnte saa a, w’amemene no te asiane yi nka ntɛm ara. Amemene no nim sɛ wo nipadua no nnya mframa pa a ɛdɔɔso. Saa bere no, amemene no nyan wo fi nna a emu yɛ den mu bere tiaa bi (ɔkanyan). Nanso saa nyane yi sua araa ma wonkae mpo. Sɛ wufi ase home bio a, w’amemene ma wosan kɔda. Sɛ Sleep Apnea mu yɛ den a, eyi betumi asi mpɛn ɔhaha pii anadwo biara . Enti susuw ho hwɛ, sɛ wɔtwa wo nna mu mpɛn pii dɔnhwerew biara anaa mpɛn du du mpo a, wobɛyɛ dɛn atumi ada pa a ɛma ahoɔden? Ɛno nti na wote nka sɛ woabrɛ da mũ nyinaa no.

Enti ɔkwan bɛn so na wɔsusuw saa AHI bo yi?

Sɛ wubehu saa mfaso yi a, ɛsɛ sɛ woyɛ sɔhwɛ titiriw bi. Yɛfrɛ no Dae Adesua , anaasɛ wɔ aduruyɛ mu no, Polysomnography . Wɔtaa yɛ eyi bere a wɔada anadwo wɔ ayaresabea titiriw bi a wɔhwɛ nna mu akyi.

Mma nnsusuw sɛ eyi yɛ yaw. Ɛnyɛ yaw koraa. Nea woreyɛ ne sɛ:

• Wɔde nneɛma nketenkete pii a ɛma wohu nneɛma abata wo ti, w’anim, wo moma so, ne wo nan ho.
• Wɔde ahama abien bɔ wo moma so ne wo yafunu ho de susuw sɛnea wokeka wo ho bere a worehome no.
• Wɔde afiri ketewaa bi a ɛte sɛ clip bata nsateaa no ho de susuw oxygen dodow a ɛwɔ mogya no mu.

Afei woda sɛnea ɛsɛ. Anadwo mũ no nyinaa no, saa mfiri yi kyerɛw w’amemene no dwumadi, wo koma bɔ, sɛnea wohome, oxygen dodow a ɛwɔ wo mogya mu, ahurututu, ne nipadua no kankan, ne nneɛma afoforo.

Ade kyee no, nnuruyɛfo hwehwɛ saa nsɛm yi mu na wobu wo AHI nkyerɛwde no ho akontaa. Eyi ne sɛnea wɔyɛ no:

Apnea ne Hypopnea nsɛm dodow a esisii anadwo mũ no nyinaa ÷ Nnɔnhwerew a wodaa nyinaa = Wo AHI bo

Ɛtɔ mmere bi a, mfiri a ɛnyɛ den a wɔde sua nna ho ade wɔ hɔ a wubetumi ayɛ wɔ fie. Nanso, nsɛm a wonya fi sɔhwɛ bi a wɔyɛe wɔ ayaresabea mu no yɛ nokware na ɛkɔ akyiri kɛse. Wo duruyɛfo na obesi nea eye ma wo ho gyinae.

Sɛnea nna mu ahomegye a emu yɛ den sɛnea wɔde AHI bo (ma mpanyimfo) susuw no .

Nnuruyɛfo begyina AHI bo a wonyae wɔ wo nna ho nhwehwɛmu akyi no so akyekyɛ wo tebea no mu. Eyi ne sɛnea saa nkyekyem yi yɛ adwuma ma ɔpanyin.

So ɛsono AHI bo a ɛsom wɔ mmofra nkumaa mu?

Yiw, koraa. Mmofra nkumaa nipadua ne wɔn home nhyehyɛe yɛ soronko wɔ mpanyimfo ho, enti nsenia a wɔde susuw wɔn AHI nso yɛ soronko.

AHI nkyekyɛmu a wɔde ma mmofra no te sɛ nea edidi so yi:

• Mmerewa: AHI bo fi 1 kosi 4
• Mfinimfini: AHI bo fi 5 kosi 9
• Nea emu yɛ den: AHI bo yɛ 10 anaa nea ɛboro saa

Sɛ wo ba no hwene denneennen anadwo, ɔhome a n’ano abue bere a ɔda, ɛte sɛ nea ɔrehome, anaasɛ ɔyɛ nnam dodo awia anaasɛ ɛyɛ den ma no sɛ obetie n’adwene wɔ sukuu mu a, hwɛ hu sɛ wo ne mmofra oduruyɛfo bɛkasa afa ho.

AHI bo a obi a ɔde CPAP afiri di dwuma

Ayaresa titiriw a etu mpɔn sen biara a wɔde sa nna mu ahomegye ne CPAP (Continuous Positive Airway Pressure) afiri no. Eyi yɛ adwuma denam mframa nhyɛso a ɛyɛ brɛoo a ɛnam akataso a wode hyɛ w’anim bere a woada so, na ɛma wo mframa kwan no bue so. Eyi mma wunnyae ahome.

Sɛ worehyɛ CPAP ayaresa ase a, botae no ne sɛ wobɛma wo AHI no akɔ fam sen 5 dɔnhwerew biara.Nsiesie. CPAP mfiri pii nnɛ wɔ ade bi a ɛma wutumi hwɛ wo AHI anɔpa biara. Bere a ɛnyɛ pɛpɛɛpɛ 100% te sɛ nna ho nhwehwɛmu no, ebetumi ayɛ ɔkwan pa a wo ne wo duruyɛfo betumi afa so ahwɛ sɛnea w’ayaresa no reyɛ adwuma yiye.

So AHI bo a ɛsom no nkutoo dɔɔso? Dɛn ne anohyeto ahorow a ɛwɔ ɔkwan yi so?

AHI yɛ adwinnade a ɛho hia yiye wɔ Sleep Apnea a wohu ne ayaresa mu. Nanso, ɛnka asɛm no nyinaa. AHI botae no wɔ anohyeto ahorow pii.

• Ɛnkyerɛ sɛnea nsɛm a esisi no mu yɛ den: Mpɛn dodow a wo home gyaee dɔnhwerew biara nkutoo na AHI no kyerɛ wo. Nanso, AHI no nkyerɛ sɛnea wo mogya mu oxygen dodow so tew wɔ adeyɛ biara mu, anaa bere tenten a ahome no gyaee no tẽẽ. Ebia obi wɔ AHI 10, nanso ebia ne oxygen dodow so bɛtew kɛse. Ebia obi foforo benya AHI a ɛyɛ 10, nanso ebia wɔn oxygen dodow renkɔ fam saa.
• Nsonsonoe a ɛwɔ Hypopnea nkyerɛase mu: Ɛwom sɛ wɔakyerɛkyerɛ ahomegye mu pefee de, nanso ɛtɔ mmere bi a nsonsonoe kakraa bi betumi aba ɔkwan a wɔfa so kyerɛkyerɛ hypopnea mu.
• Anohyeto ahorow a ɛwɔ fie sɔhwɛ ahorow mu: Ɛwom sɛ ofie sɔhwɛ ahorow yɛ nea ɛfata de, nanso ɛtɔ mmere bi a ebia nea efi mu ba no nyɛ nokware 100%.

Ɛno nti na oduruyɛfo nnyina wo AHI nkyerɛwde nkutoo so nsi gyinae wɔ wo tebea no ho. Obesusuw nneɛma pii ho, a nea ɛka ho ne wo AHI nkyerɛwde, sɛnea oxygen dodow a ɛwɔ wo mogya mu no sua, wo sɛnkyerɛnne ahorow, ne sɛnea woda no, na ama wanya mfonini a edi mũ.