Ðe nèfɔna hã henɔa gbɔgbɔm? Ekema ele be nànya nu tso AHI (Apnea-Hypopnea Index) ŋu!

Ènya be zi geɖe la, gbɔgbɔ sesẽna na ame aɖewo ne wole alɔ̃ dɔm le zã mea? Ðewohĩ èwɔe nenema. Alo ɖewohĩ ame aɖe si nènya la le esi. Aɖuɖɔtoe, sese le ɖokuiwò me be yemete ŋu le gbɔgbɔm o hena ɣeyiɣi aɖe, alo kasia nyɔnyrɔ̃ kple gbɔgbɔ sesẽ la katã ate ŋu anye nusiwo gbɔ esia tso. Eyata egbea míele nu ƒom tso dzidzenu vevi aɖe si kpena ɖe ŋuwò be nànya ne gbɔgbɔ sesẽ ma tɔgbe le ŋuwò le alɔ̃dɔdɔ me, vevietɔ nɔnɔmewo abe Obstructive Sleep Apnea , eye ne ele nenema la, aleke gbegbe wòsesẽe ŋu. Emae nye AHI, si tsi tre ɖi na (Apnea-Hypopnea Index) .

Nukae nye AHI (Apnea-Hypopnea Index)? Kpuie ko la,...

Kpuie ko la, AHI (Apnea-Hypopnea Index) nye zi nenie wò gbɔgbɔtsixe tsi tre ɖe gaƒoƒo ɖeka me (agbɔgbɔtsixetsixe) eye wòzu goglo (hypopneas) ne èle alɔ̃ dɔm. Aleae ɖɔktawo bua eŋu nenye be dɔléle aɖe si woyɔna be Obstructive Sleep Apnea le ŋuwò, eye ne ele nenema la, aleke gbegbe wòsẽe.

Nukae nye Yagbɔgbɔ kple Gbɔgbɔtsixetsixe?

Fifia ɖewohĩ ànɔ nusi gbɔgbɔtsixetsixe kple gbɔgbɔtsixetsixe nye ŋu bum. Mina míaƒo nu tso ema ŋu eme nakɔ vie.

• Yagbɔgbɔ: Esia nye ne èdzudzɔ gbɔgbɔ keŋkeŋ. Yagbɔgbɔtsixe nye ne èdzudzɔ gbɔgbɔ sɛkɛnd 10 alo esi wu nenema esime nèle alɔ̃ dɔm. Le ɣeyiɣi sia me la, ya si gena ɖe wò ŋutilã me dzi ɖena kpɔtɔna. Ewɔna nam abe ɖe wole gbɔgbɔm ɖe te hena ɣeyiɣi aɖe ene.

• Hypopnea: Esia nye ne wò yaƒoƒomɔ̃ mexe keŋkeŋ o, gake wò gbɔgbɔ ƒe tsɔtsɔme dzi ɖena kpɔtɔna ŋutɔ le xexe aɖe si xe mɔ na wò ta. Le go sia me la, mèle gbɔgbɔm nyuie o, si wɔnɛ be oxygen ƒe agbɔsɔsɔ si le wò ʋu me dzi ɖena kpɔtɔna. Bu eŋu abe tsi ƒe pɔmpi si xe vie, si wɔnɛ be tsi si dona le eme la dzi ɖena kpɔtɔna ene.

Fifia ɖewohĩ ànɔ eŋu bum be, "Ekema nukae dzɔna ne èdzudzɔ gbɔgbɔ alea?" Míaƒe ahɔhɔ̃ dze aɖaŋu ŋutɔ. Enye ŋkuléle ɖe míaƒe ŋutilã ƒe nɔnɔme ŋu ɣesiaɣi, abe dzi ƒe tsotso, ʋu ƒe sisi, gbɔgbɔ ene. Eyata ne gbɔgbɔtsixe tsia ƒowò alo gbɔgbɔtsixe tsia ƒowò la, ahɔhɔ̃a dea dzesi esia. Emegbe ahɔhɔ̃a wɔa nane tsɔ nyɔa wò vie ale be nàgagbɔ ya nyuie ake. Gake zi geɖe la, nyɔnyrɔ̃ sia nyea nusi menya kpɔna dzea sii bɔbɔe o. Ðewohĩ màse le ɖokuiwò me gɔ̃ hã o. Ne ègadze gbɔgbɔ gɔme ake la, ahɔhɔ̃a nana nègadɔa alɔ̃. Eyata AHI dzidzea zi nenie ɖiɖiɖeme siawo kple gbɔgbɔ si me goglo o dzɔna le gaƒoƒo ɖeka me. Zi alesi nɔnɔmea nu sẽe (Sleep Apnea) la, zi nenemae nutsotso siawo dzɔna zi geɖe.

Aleke wobua AHI ƒe asixɔxɔ siae?

AHI ƒe asixɔxɔ sia dze le (Alɔ̃dɔdɔ Ŋuti Nusɔsrɔ̃) .Ðekae nye alɔ̃dɔdɔ ŋuti nusɔsrɔ̃. Esia bia be nàzã mɔ̃wo atsɔ alé ŋku ɖe ale si wò ŋutilã wɔa dɔe le zã me alɔ̃dɔdɔ me, siwo dometɔ aɖewoe nye wò gbɔgbɔ, dzi ƒe tsotso, ahɔhɔ̃ ƒe ƒutsotsoewo, kple ɔksidzin ƒe agbɔsɔsɔ le ʋu me. Woate ŋu awɔ esia le alɔ̃dɔƒe , alo ɣeaɖewoɣi la, mɔ̃ bɔbɔe aɖewo li siwo nàte ŋu awɔ le aƒeme (Home Sleep Apnea Test) . Gake ele vevie be míaɖo ŋku edzi be nyatakaka siwo woxɔna tso dodokpɔ siwo wowɔ le aƒeme me la mesɔ gbɔ vie o eye ate ŋu anye be womede pɛpɛpɛ o.

Emegbe ɖɔktaa bua wò AHI ƒe dzesi to gbɔgbɔtsixetsixe kple gbɔgbɔtsixetsixe ƒe ɣeyiɣi siwo katã nèkpɔ la mama ɖe gaƒoƒo siwo katã nèmlɔ anyi la dzi.

Kpuie ko la: AHI = (Agbɔgbɔtsixe ƒe nudzɔdzɔwo katã + Yagbɔgbɔtsixe ƒe nudzɔdzɔwo katã) / Gaƒoƒo siwo katã wodɔ alɔ̃

Aleke wozãa AHI ƒe asixɔxɔ tsɔ dzidzea alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ƒe sesẽme? - Na ame tsitsiwo

Amerikatɔwo ƒe Alɔ̃dɔdɔ Ŋuti Nusrɔ̃ƒe zãa dzidzenu si gbɔna tsɔ bua gbɔgbɔtsixe ƒe nudzɔdzɔ siawo ƒe sesẽme le ame tsitsiwo me:

• Nɔnɔme si mesẽ o: Nudzɔdzɔ siwo mede 5 va ɖo 15 le gaƒoƒo ɖeka me o.
• Nɔnɔme si sɔ: Nudzɔdzɔ siwo mede 15 va ɖo 30 le gaƒoƒo ɖeka me o.
• Sesẽ: Nudzɔdzɔ 30 alo esi wu nenema le gaƒoƒo ɖeka me.

Wò ɖɔkta azã akɔntabubu siawo atsɔ anya alesi gbegbe wò alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixea nu sẽe. Le kpɔɖeŋu me, ne wò AHI xɔ ƒe 25 la, efia be alɔ̃dɔdɔ ƒe gbɔgbɔtsixe tsia ƒowò le mɔ si sɔ nu.

Eyata nukae nye AHI ƒe asixɔxɔ le mama dedie nu na ame tsitsi?

Àte ŋu anɔ ɖokuiwò biam be, "Nukae nye AHI ƒe asixɔxɔ si sɔ na ame tsitsi?" AHI ƒe xexlẽme si sɔ, alo si le lãmesẽ me, na ame tsitsi mede gbɔgbɔtsixetsixe kple gbɔgbɔtsixetsixe ƒe nudzɔdzɔ atɔ̃ le gaƒoƒo ɖeka me o (AHI < 5). Ne wò asixɔxɔ le agbɔsɔsɔ sia me la, efia be alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe mele ŋuwò o.

Ðe AHI ƒe asixɔxɔ to vovo le ɖevi suewo mea?

Ẽ, AHI ƒe dzidzenuwo kple woƒe sesẽme to vovo na ɖevi suewo kple ame tsitsiwo. Esi ɖeviwo ƒe gbɔgbɔtsixe gale tsitsim ta la, gbɔgbɔtsixetsixe sue aɖe gɔ̃ hã ate ŋu akpɔ ŋusẽ ɖe wo dzi vevie. AHI ƒe agbɔsɔsɔme si bɔ na ɖevi suewoe nye esi gbɔna:

• Nɔnɔme si mesẽ o: Nudzɔdzɔ siwo mede 1 va ɖo 5 le gaƒoƒo ɖeka me o.
• Nɔnɔme si sɔ: Nudzɔdzɔ siwo mede 5 va ɖo 10 le gaƒoƒo ɖeka me o.
• Sesẽ: Nudzɔdzɔ 10 alo esi wu nenema le gaƒoƒo ɖeka me.

Ne viwò ƒe AHI nye ɖeka alo esi wu nenema la, wò ɖɔkta ate ŋu akpɔe be Obstructive Sleep Apnea le wo ŋu. Ele be AHI si sɔ na ɖevi sue nade ɖeka (AHI < 1). Ke hã, ɣeaɖewoɣi la, le ɖevi tsitsiwo gome la, efiaÐɔktawo ate ŋu azã AHI dzidzenu ma ke na ɖevi suewo (ƒewuiviwo kple ƒewuiviwo) hã abe alesi wozãnɛ na ame tsitsiwo ene.

Nukae nye AHI ƒe asixɔxɔ nyui si le CPAP mɔ̃ ŋu?

CPAP (Continuous Positive Airway Pressure) mɔ̃e nye mɔ vevitɔ si wɔa dɔ wu si dzi woato ada Obstructive Sleep Apnea. Mɔ̃ sia kpena ɖe ŋuwò be wò yaƒoƒomɔ̃a nɔa ʋuʋu ɖi ne èle alɔ̃ dɔm. Eyata, taɖodzinu si le ame tsitsi si zãa CPAP mɔ̃ sia ŋue nye be wòana AHI ƒe asixɔxɔ nanɔ atɔ̃ te (AHI < 5). Gake mia kple wò ɖɔkta miatso nya me ɖekae le alesi gbegbe wòle be miaɖiɖi wu asixɔxɔ si woŋlɔ ɖe miaƒe (Alɔ̃dɔdɔ Ŋuti Nusɔsrɔ̃) me, kple asixɔxɔ si koŋ wòle be miaɖo taɖodzinu na ŋu.

Nu nyui si le emee nye be ne èzã wò CPAP mɔ̃a la, ate ŋu akplɔ wò AHI ɖo vaseɖe afi aɖe, si fia be ate ŋu alée ɖe mɔ̃ dzi. CPAP-mɔ̃ yeye geɖe ate ŋu ade dzesi tɔtrɔ siwo va le wò gbɔgbɔ me, eye woazã nyatakaka mawo atsɔ abu AHI ƒe xexlẽme si gogo. Esia menye dzidzenu si sɔ pɛpɛpɛ 100 le alafa me abe alɔ̃dɔdɔ ŋuti numekuku ene o. Gake ate ŋu akpe ɖe wò ɖɔkta ŋu wòaxɔ nyatakaka bubuwo tso alesi wò CPAP-dɔdamɔnua wɔa dɔe kple alesi gbegbe wòle kpekpem ɖe ŋuwòe ŋu.

Nukawoe nye AHI ƒe kuxiwo? Ðe wògblɔa nusianua?

Togbɔ be AHI nye dɔwɔnu si ŋu viɖe le ŋutɔ hã la, womate ŋu azãe atsɔ awɔ nyametsotso siwo wotu ɖe edzi ɖeɖeko dzi o. Nusiwo gblẽ le eŋu hã. Na míakpɔ nusiwo wonye ɖa:

• Nukpɔsusu vovovowo le gbɔgbɔtsixetsixe ŋu: Togbɔ be ɖɔktawo lɔ̃ ɖe nusi gbɔgbɔtsixetsixe nye dzi si me kɔ nyuie hã la, alesi woɖea gbɔgbɔtsixetsixe gɔmee la sesẽ vie. Esia le alea elabena nu geɖe kpɔa ŋusẽ ɖe edzi, abe alesi gbegbe wòhiã be woaɖe ya ƒe sisi dzi akpɔtɔ, alesi wòle be oxygen ƒe agbɔsɔsɔ si le ʋua me naɖiɖi (oxygen desaturation) , alo zi nenie nènyɔ le zã me (nyɔyɔ) . Eyata, vovototo sue aɖe ate ŋu anɔ gɔmesesewo me ɣeaɖewoɣi.
• Seɖoƒewo: Yagbɔgbɔ kple gbɔgbɔtsixetsixe ƒe ɣeyiɣi siwo dzɔna ne èle alɔ̃ dɔm koe AHI la dzidzea. Menaa nyatakaka bubuwo tẽ o, abe alesi gbegbe dɔléleawo nu sẽe, ɣeyiɣi didi si wò gbɔgbɔ dzudzɔna, alo alesi wò oxygen ƒe agbɔsɔsɔ dzi ɖe kpɔtɔe ene o. Le kpɔɖeŋu me, AHI ate ŋu anɔ ame aɖe si nye 10, gake sɛkɛnd 10-15 koe nudzɔdzɔ ɖesiaɖe ate ŋu axɔ. Ame bubu ƒe AHI ate ŋu anye 10, gake woƒe dɔlélewo ate ŋu axɔ sɛkɛnd 40-50 eye woƒe oxygen ƒe agbɔsɔsɔ ate ŋu aɖiɖi ŋutɔ. Eyata ŋkuléle ɖe AHI ŋu ɖeɖe dzaa meɖea vovototoa fiana o.
• Nusiwo Ate Ŋu Ado tso eme Masɔ O: Ðewohĩ nusiwo dona tso aƒeme alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe dodokpɔ bɔbɔe aɖewo me , vevietɔ esiwo wowɔna le aƒeme, me de pɛpɛpɛ abe esiwo do tso alɔ̃dɔdɔ ƒe dodokpɔxɔ me ene o. Esia le alea elabena nyatakakawo ƒe agbɔsɔsɔ kple woƒe nyateƒetoto ate ŋu anɔ ʋɛ. Azɔ hã, ɖewohĩ ame aɖewo madɔ alɔ̃ nyuie ne wole dodokpɔa wɔm le aƒeme o.

Eyata togbɔ be AHI naa nyatakaka veviwo tso alɔ̃dɔdɔ ƒe nyonyome si nèdɔna le zã me ŋu hã la, ele vevie be nàɖo ŋku edzi be nu ɖeka koe AHI nye le alɔ̃dɔdɔ ƒe kuxi aɖe didi me eye wònyaa eƒe sesẽme.

Wò atikewɔlawo ƒe ƒuƒoƒoa abu wò AHI ƒe dzesi, wò alɔ̃dɔdɔ ƒe nɔnɔme (eɖanye wò mlɔ anyi ɖe wò akɔta alo wò axadzi o), wò AHI ƒe dzesi le alɔ̃dɔdɔ ƒe afɔɖeɖe vovovowo me (e.g. REM alɔ̃dɔdɔ), kple dodokpɔ bubu geɖewo me tsonu ŋu be woawɔ nyametsotso si ŋu wonya nu tsoe le wò lãmesẽ ŋu.

Eyata nukae nye nu vevitɔ kekeake si wòle be míatsɔ ayi aƒemee tso ŋutinya sia me?

Enyo, eyata nu vevitɔ kekeake siwo wòle be wòanɔ susu me na mí tso AHI (Apnea-Hypopnea Index) si ŋu míeƒo nu tsoe ŋue nye esi:

• AHI nye dzesi si dzidzea zi nenie wò gbɔgbɔ nu tsona le gaƒoƒo ɖeka me (yagbɔgbɔtsixe) eye wòzua goglo (gbɔgbɔtsixetsixe) ne èle alɔ̃ dɔm.
• Esia kpena ɖe ame ŋu wòdea dzesi nɔnɔmewo abe Obstructive Sleep Apnea ene eye wòdzidzea woƒe sesẽme.
• Ele be AHI ƒe xexlẽme le mama dedie nu na ame tsitsi nade 5. Le ɖeviwo gome la, ele be wòade 1.
• Zi alesi AHI ƒe xexlẽme loloe la, zi nenemae nɔnɔmea (Sleep Apnea) ate ŋu asẽ ɖe edzii.
• Taɖodzinu si le amesiwo zãa CPAP mɔ̃ ŋue nye be woadze agbagba be AHI ƒe asixɔxɔ nanɔ 5 teƒe.
• Togbɔ be AHI nye dzidzenu vevi aɖe hã la, menye eya ɖeka koe o; ɖɔktawo zãa nu bubu geɖewo tsɔ wɔa numekuku bliboe.

Eyata ne èse le ɖokuiwò me hã be gbɔgbɔ sesẽna na ye le zã me, ne èle hũ ɖem, ne èse le ɖokuiwò me be yeƒe gbɔgbɔ le ƒoƒom, alo ne alɔ̃ dɔm wògbɔa eme le ŋkeke me la, di atikewɔlawo ƒe aɖaŋuɖoɖo godoo. Elabena alɔ̃dɔdɔ nyuie le vevie na agbe nyui nɔnɔ! Azɔ hã, AHI sia nyanya aɖe vi na wò ŋutɔ ne èle wò nɔnɔmea me dzrom kple wò ɖɔkta.

` Alɔ̃dɔdɔ, gbɔgbɔ, alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe, AHI, gbɔgbɔtsixetsixe ƒe gbɔgbɔtsixetsixe ƒe dzesi, alɔ̃dɔdɔ ƒe kuxiwo, CPAP