Ðe wò ƒomea me tɔ aɖe, ɖewohĩ srɔ̃wò alo srɔ̃wò, ƒoa aɖuɖɔ sesĩe le zã me ne ele alɔ̃ dɔma? Ède dzesii kpɔ be ne wole hũ ɖem la, wodzudzɔa gbɔgbɔ zi ɖeka eye emegbe wogadzea gbɔgbɔ gɔme ake abe ɖe wole ya ƒom enea? Alo ɖe nèsusu be yedɔ alɔ̃ nyuie gaƒoƒo 8 alo 9 le zã me, gake ɖeɖi te ye ŋu le mɔ si mebɔ o nu eye wòdɔ alɔ̃ le ŋufɔkea? Ðe nèdɔa alɔ̃ ɣeaɖewoɣi ne èle dɔ wɔm, nèle ʋu kum, alo nèle television kpɔma? Esiawo menye nusiwo woate ŋu agbe be "aɖuɖɔtoe" alo "alɔ̃madɔmadɔ nyuie" ko o. Dzesi siawo ate ŋu anye lãmesẽkuxi sesẽ aɖe si woyɔna be Obstructive Sleep Apnea . Eyata, egbea míele nu ƒom tso dzidzenu vevi aɖe ŋutɔ si ɖɔktawo zãna tsɔ dzidzea nɔnɔme sia ƒe sesẽme ŋu. Emae nye AHI ƒe asixɔxɔ (Apnea-Hypopnea Index) .
Kpuie ko la, nukae nye AHI?
AHI tsi tre ɖi na Apnea-Hypopnea Index . Edzidzea zi nenie wò gbɔgbɔ nu tso (gbɔgbɔtsixetsixe) eye wòzu goglo ŋutɔ (gbɔgbɔtsixetsixe) le gaƒoƒo ɖeka me esime nèle alɔ̃ dɔm. Bu eŋu abe "nyatakakagbalẽvi" ene le wò alɔ̃dɔdɔ ƒe gbɔgbɔ ŋu.
Be míana esia me nakɔ vie la, mina míalé ŋku ɖe gɔmesese si tututu le nya eve siawo ŋu ŋu:
- Yagbɔgbɔ: Esia nye ne wò gbɔgbɔ tɔ keŋkeŋ hena sɛkɛnd 10 alo esi wu nenema . Le ɣeyiɣi sia me la, ya aɖeke megena ɖe wò lãkusi me o.
- Hypopnea: Esia nye esime wò gbɔgbɔ metɔ keŋkeŋ o, gake wò yaƒoƒomɔ̃a ƒe akpa gãtɔ xe eye wò gbɔgbɔ me mekɔna kura o . Esia wɔnɛ be oxygen ƒe agbɔsɔsɔ si le wò ʋu me dzi ɖena kpɔtɔna ŋutɔ.
Fifia ɖewohĩ èle eŋu bum be, "Aleke mawɔ anya ne medzudzɔ gbɔgbɔ?" Esiae nye nusi dzɔna ŋutɔŋutɔ. Ne wò gbɔgbɔ tɔ, eɖanye esi me goglo alo megoglo o, wò ahɔhɔ̃ dea dzesi afɔku sia enumake. Ahɔhɔ̃a nya be wò ŋutilã mele oxygen si sɔ xɔm o. Ɣemaɣi la, ahɔhɔ̃a nyɔa wò tso alɔ̃dɔdɔ sesẽ me hena ɣeyiɣi kpui aɖe (nyɔyɔ). Gake nyɔnyrɔ̃ sia le sue ale gbegbe be mèɖoa ŋku edzi gɔ̃ hã o. Ne ègadze gbɔgbɔ gɔme ake la, wò ahɔhɔ̃ nana nègadɔa alɔ̃. Ne Sleep Apnea nu sẽ la, esia ate ŋu adzɔ zi alafa geɖe le zã me . Eyata bu eŋu kpɔ, ne wotɔ te wò alɔ̃dɔdɔ zi geɖe le gaƒoƒo ɖeka me alo zi ewo gɔ̃ hã la, aleke nàwɔ adɔ alɔ̃ nyuie, si naa gbɔdzɔe ame? Esia tae nèsena le ɖokuiwò me be ɖeɖi te ye ŋu ŋkeke bliboa ɖo.
AHI ƒe asixɔxɔ nye ɖiɖiɖeme kple gbɔgbɔ si me goglo o ƒe xexlẽme si dzɔna le gaƒoƒo ɖeka me le alɔ̃dɔdɔ me le mama dedie nu. Zi alesi asixɔxɔ sia loloe la, zi nenemae wò alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe nu sẽnae.
Eyata aleke wodzidzea AHI ƒe asixɔxɔ siae?
Be nàke ɖe asixɔxɔ sia ŋu la, ele be nàwɔ dodokpɔ tɔxɛ aɖe. Míeyɔa esia be Alɔ̃dɔdɔ Ŋuti Nusɔsrɔ̃ , alo le atikewɔwɔ me la, Polysomnography . Zi geɖe la, wowɔa esia ne wotsi alɔ̃dɔdɔ ŋuti nudokpɔƒe tɔxɛ aɖe le kɔdzi zã bliboa vɔ.
Mègasusu be esia nye vevesese o. Mevea ame kura o. Nusi wɔm nèle enye:
- Wotsɔa nusiwo dea dzesi nu sue geɖe dea wò ta, mo, akɔta, kple afɔwo ŋu.
- Wotsɔa ka eve ƒoa xlã wò akɔta kple ƒodo be woatsɔ adzidze alesi nèle ʋuʋum ne èle gbɔgbɔm.
- Wotsɔa mɔ̃ sue aɖe si le abe klip ene dea asibidɛa ŋu be woatsɔ adzidze ɔksidzin ƒe agbɔsɔsɔ le ʋua me.
Emegbe èdɔa alɔ̃ nyuie. Le zã bliboa me la, mɔ̃ siawo ŋlɔa wò ahɔhɔ̃ ƒe dɔwɔwɔ, dzi ƒe tsotso, gbɔgbɔ ƒe ɖoɖo, ɔksidzin ƒe agbɔsɔsɔ le ʋu me, aɖuɖɔtoe, kple ŋutilã ƒe ʋuʋu, kpakple nu bubuwo ɖi.
Le ŋufɔke la, ɖɔktawo dzroa nyatakaka siawo me eye wobua wò AHI ƒe dzesi. Aleae wowɔa esiae nye esi:
Apnea kple Hypopnea nudzɔdzɔ siwo dzɔ le zã bliboa me ƒe xexlẽme ÷ Gaƒoƒo siwo katã nèmlɔ anyi = Wò AHI ƒe asixɔxɔ
Ɣeaɖewoɣi la, alɔ̃dɔdɔ ŋuti nusɔsrɔ̃ ƒe mɔ̃ bɔbɔe aɖewo li siwo nàte ŋu awɔ le aƒeme. Gake nyatakaka siwo woxɔ tso dodokpɔ aɖe si wowɔ le kɔdzi me la de pɛpɛpɛ wu eye wo me kɔ wu. Wò ɖɔkta atso nya me le nusi nyo na wò ŋu.
Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ƒe sesẽme abe alesi wodzidzee to AHI ƒe asixɔxɔ dzi (na ame tsitsiwo) .
Ðɔktawo anɔ te ɖe AHI ƒe asixɔxɔ si wokpɔ le wò alɔ̃dɔdɔ ŋuti numekukua megbe dzi ada wò nɔnɔmea ɖe hatsotsowo me. Aleae hatsotso sia wɔa dɔ na ame tsitsi.
| AHI ƒe asixɔxɔ (nudzɔdzɔwo le gaƒoƒo ɖeka me) . | Nɔnɔmea ƒe sesẽme | Nukae esia fia? |
|---|---|---|
| Mede 5 o | Gbe sia gbe ƒe nu | Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe mele ŋuwò o. Ame si le lãmesẽ me gɔ̃ hã ate ŋu agbɔ ya si mede 5 o le gaƒoƒo ɖeka me. |
| Tso 5 va ɖo 14 | Mesẽŋu o | Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si nu mesẽ o le ŋuwò. Ðewohĩ àse le ɖokuiwò me be yele alɔ̃ dɔm vie le ŋkekea me. |
| Tso ƒe 15 va ɖo ƒe 29 | Le ve dome | Nɔnɔmea nu sẽ ŋutɔ. Àte ŋu akpɔ alɔ̃dɔdɔ geɖe wu le ŋkeke me eye wòasesẽ na wò be wò susu nanɔ nu ŋu. |
| 30 alo esi wu nenema | Seŋu | Esia nye nɔnɔme sesẽ aɖe ŋutɔ. Afɔku si le dɔléle bubuwo abe dzidɔ, ʋusɔgbɔdɔ, kple suklidɔ ene xɔxɔ me lolo ŋutɔ. |
Ðe AHI ƒe asixɔxɔ to vovo le ɖevi suewo mea?
Ẽ, keŋkeŋ. Ðevi suewo ƒe ŋutilã kple gbɔgbɔtsixe to vovo na ame tsitsiwo, eyata dzidzenu si wozãna tsɔ dzidzea woƒe AHI hã to vovo.
Ne ɖevi ƒe AHI lolo wu 1 la , wobua eŋu be enye alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ƒe nɔnɔme. Ele be ɖevi ƒe asixɔxɔ si sɔ nade 1.
AHI ƒe hatsotso si woɖo na ɖeviwoe nye esi gbɔna:
- Fafɛ: AHI ƒe asixɔxɔ tso 1 va ɖo 4
- Le titina: AHI ƒe asixɔxɔ tso 5 va ɖo 9
- Sesẽ: AHI ƒe asixɔxɔ nye 10 alo esi wu nenema
Ne viwòa le hũ ɖem sesĩe le zã me, egbɔa ya eye wòʋua nu ne ele alɔ̃ dɔm, edze abe ɖe wòle gbɔgbɔm, alo wòwɔa nu wògbɔa eme le ŋkeke me alo wòsesẽna nɛ be wòalé to ɖe eŋu le suku la, kpɔ egbɔ be yeƒo nu tso eŋu na ɖeviwo ƒe dɔdala .
AHI ƒe asixɔxɔ si le ame si zãa CPAP mɔ̃ ŋu
Atike vevitɔ si wɔa dɔ wu le alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ŋue nye CPAP (Continuous Positive Airway Pressure) mɔ̃. Esia wɔa dɔ to ya ƒe nyaƒoɖeamenu fafɛ nana to ametakpɔnu si nèdona ɖe mo ne èle alɔ̃ dɔm dzi, si wɔnɛ be wò yaƒoƒomɔ̃ nɔa ʋuʋu ɖi. Esia wɔnɛ be mèdzudzɔa gbɔgbɔ o.
Ne èdze CPAP zazã gɔme la, taɖodzinuae nye be nàna wò AHI naɖiɖi wu 5 le gaƒoƒo ɖeka me.Nu dzadzraɖo. Nɔnɔme aɖe le CPAP mɔ̃ geɖe siwo li egbea si si ana nàte ŋu alé ŋku ɖe wò AHI ŋu ŋdi sia ŋdi. Togbɔ be menye nyateƒe 100% abe alɔ̃dɔdɔ ŋuti numekuku ene o hã la, ate ŋu anye mɔ nyui aɖe na wò kple wò ɖɔkta be nàlé ŋku ɖe alesi wò atikewɔwɔa le dɔ wɔm nyuie ŋu.
Ðe AHI ƒe asixɔxɔ ɖeɖe dzaa sɔa? Seɖoƒe kawoe le mɔnu sia ŋu?
AHI nye dɔwɔnu vevi aɖe ŋutɔ le Sleep Apnea ƒe dɔléle didi kple edada me. Ke hã, megblɔa ŋutinya bliboa o. Seɖoƒe geɖe le AHI ƒe asixɔxɔ ŋu.
- Nudzɔdzɔawo ƒe sesẽme ɖeɖefia manɔmee: Zi nenie wò gbɔgbɔ tɔ le gaƒoƒo ɖeka me koe AHI la gblɔna na wò. Gake AHI la mefiaa alesi gbegbe wò ʋu me oxygen ƒe agbɔsɔsɔ ɖiɖi le wɔna ɖesiaɖe me, alo ɣeyiɣi didi si gbɔgbɔa tɔ te o. Ðewohĩ AHI si nye 10 anɔ ame aɖe ŋu, gake woƒe oxygen ƒe agbɔsɔsɔ ate ŋu aɖiɖi ŋutɔ. Ðewohĩ AHI si nye 10 anɔ ame bubu si, gake ɖewohĩ woƒe oxygen ƒe agbɔsɔsɔ maɖiɖi nenema gbegbe o.
- Vovototo siwo le Hypopnea gɔmeɖeɖe me: Togbɔ be woɖe gbɔgbɔtsixetsixe gɔme nyuie hã la, vovototo sue aɖewo ate ŋu anɔ alesi woɖea hypopnea gɔmee me ɣeaɖewoɣi.
- Seɖoƒe siwo le aƒeme dodokpɔwo ŋu: Togbɔ be aƒeme dodokpɔwo sɔ hã la, ɣeaɖewoɣi la, woƒe emetsonuwo mate ŋu ade pɛpɛpɛ 100% o.
Esia tae ɖɔkta menɔa te ɖe wò AHI ƒe dzesi ɖeɖeko dzi tsoa nya me le wò nɔnɔmea ŋu o. Abu nu geɖe ŋu, siwo dometɔ aɖewoe nye wò AHI ƒe dzesi, alesi oxygen ƒe agbɔsɔsɔ le ʋu me le sue, wò dzesiwo, kple alesi nèdɔa alɔ̃e, be wòakpɔ nɔnɔmetata bliboa.
Gbedasi si Wotsɔ Yi Aƒeme
- Ne edze abe èle hũ ɖem hele gbɔgbɔm le wò alɔ̃ me ene la, esia mesɔ o. Lé to ɖe eŋu.
- AHI (Apnea-Hypopnea Index) nye dzesi vevi aɖe si dzidzea alesi Alɔ̃dɔdɔ ƒe Gbɔgbɔmeʋuʋu ƒe sesẽme.
- Ne ame tsitsi aɖe ƒe AHI wu 5 le gaƒoƒo ɖeka me la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.
- Ne ɖevi ƒe AHI lolo wu 1 la, ke enye nɔnɔme si wòle be ɖɔkta nakpɔ godoo.
- AHI nye dɔléle si wokpɔna ƒe akpa ɖeka ko. Wò ɖɔkta abu wò lãmesẽ bliboa ŋu be yeanya atikewɔwɔ nyuitɔ kekeake.
- Sleep Apnea, ne womewɔ atike nɛ o la, ate ŋu ahe nɔnɔme sesẽwo abe ʋusɔgbɔdɔ, dzidɔ, kple suklidɔ ene vɛ. Eyata ne ɖikeke aɖe le mewò le esia ŋu la, mègakpe ŋu nàƒo nu kple ɖɔkta o.
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