Ðe viwò suea dɔa alɔ̃ wòɖea dzi ɖi le zã mea? Ɣeaɖewoɣi la, ɖeviwo doa go alɔ̃dɔdɔ ƒe kuxi siwo míate ŋu ake ɖi o. Nɔnɔme mawo dometɔ ɖeka, si dzila geɖe menya o gake ate ŋu akpɔ ŋusẽ ɖe ɖevi ƒe tsitsi nyuie dzi vevie enye Obstructive Sleep Apnea (OSA). Kpuie ko la, esia dzɔna ne gbɔgbɔ dzudzɔ ɣeyiɣi kpui aɖe le alɔ̃dɔdɔ me. Mina míadzro esia me tsitotsito , elabena ekpɔkpɔ kaba nye nu vevi aɖe si akpe ɖe viwòa ŋu wòakpɔ dzidzedze.
Nukae nye Abstructive Sleep Apnea (OSA)?
Ne míagblɔe bɔbɔe la, Obstructive Sleep Apnea nye nɔnɔme si me gbɔgbɔtsixe tsia ame ƒo esime ame le alɔ̃ dɔm. Edzɔna elabena nane xea yaƒoƒomɔ̃ si le etame—si nye ŋɔti ƒe akpa si le ŋutilã me. "Mɔxenu" fia mɔxexe sia, eye "Apnea" fia gbɔgbɔtsixetsixe ƒe ɖiɖiɖeme hena ɣeyiɣi aɖe. Ne wotsɔ esia ƒo ƒui la, woyɔa esia be Abstructive Sleep Apnea (OSA).
Ne gbɔgbɔ ƒe ɖiɖiɖeme siawo dzɔ la, oxygen ƒe agbɔsɔsɔ si le viwòa me ate ŋu aɖiɖi, eye carbon dioxide ƒe agbɔsɔsɔ ate ŋu adzi ɖe edzi . Eyata ɖevia medɔa alɔ̃ goglo, si naa eƒe lãme sẽna si wòhiã la o. Ne womewɔ atike na OSA o la, ate ŋu akpɔ ŋusẽ gbegblẽ ɖe ɖevi ƒe nusɔsrɔ̃, agbenɔnɔ, kple eƒe ŋutilã ƒe tsitsi dzi, eye wòahe nya siwo do ƒome kple dzitodzito gɔ̃ hã vɛ. Esia tae wòle vevie ŋutɔ be míanɔ nyatakaka nam.
Nukatae esia dzɔna ɖe ɖevi suewo dzi? Nukawoe gbɔ wòtsona?
Ne míedɔ alɔ̃ la, míaƒe lãmekawo ɖea dzi ɖi. Esia lɔ lãmeka siwo le ŋɔti ƒe megbe siwo kpena ɖe ame ŋu be yaƒoƒomɔ̃a nɔa ʋuʋu ɖi la ɖe eme. Le amesi ŋu Abstructive Sleep Apnea le gome la, lãmeka siawo ɖea dzi ɖi akpa eye wogbãna, si xea mɔ na yaƒoƒomɔ̃a eye wònana gbɔgbɔ sesẽna.
Le ɖeviwo gome la, nusi gbɔ wòtsona wue nye tonsils alo adenoids (lãmenugbagbevi siwo le ŋɔti megbe) ƒe lolome . Ne esiawo lolo akpa la, woɖea yaƒoƒomɔ̃a dzi kpɔtɔna ŋutɔ ne wole alɔ̃ dɔm.
Le esia godo la, nu bubuwo ate ŋu ana OSA nadzɔ le ɖeviwo me:
- Ƒome ŋutinya: Ne OSA le ƒomea me tɔ aɖe ŋu la, domenyiŋusẽfianu ate ŋu anɔ eme.
- Lolo akpa : Ami si sɔ gbɔ ɖe kɔ ŋu le ɖevi siwo lolo akpa me ate ŋu ana yaƒoƒomɔ̃a nate ŋu aƒoe.
- Atikewɔwɔ ƒe nɔnɔme aɖewo: Ðevi siwo ŋu dɔlélewo abe Down syndrome alo ahɔhɔ̃mekawo ƒe ʋuʋu ene le la le afɔku me wu.
- Nya siwo ku ɖe xɔtuɖoɖo ŋu: Vovototo le ŋutilã ƒe wɔwɔme me le nu, aɖu, alo ŋɔti me si nana yaƒoƒomɔ̃a xea mɔ tso esime wodzii.
- Aɖe si lolo: Aɖe si lolo wu alesi wòle dzɔdzɔmee ate ŋu agbugbɔ adze anyi ne edɔ alɔ̃ eye wòaxe yaƒoƒomɔ̃a.
Nukae nye Bstructive Sleep Apnea ƒe dzesiwo? Aleke nàwɔ ade dzesii?
Ne gbɔgbɔ dzudzɔ la, oxygen ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna eye carbon dioxide dzina ɖe edzi. Ahɔhɔ̃a ɖoa dzesi kpata aɖe ɖa be: "Nyɔ be nàgbɔ ya!" Zi geɖe la, esia dzɔna kabakaba ale gbegbe be míefɔna eye míegadɔa alɔ̃ ake evɔ míenya gɔ̃ hã o.
Gake le ɖevi si ŋu Abstructive Sleep Apnea le gome la, gbɔgbɔtsixetsixe kple nyɔnyrɔ̃ suesuesue siawo dzɔna enuenu le zã bliboa me. Esia wɔnɛ be womeɖoa alɔ̃dɔdɔ si me goglo, si nyo la gbɔ gbeɖe o.
Dzesi siwo ɖee fia be OSA ate ŋu anɔ viwòa dometɔ aɖewoe nye:
- Aɖuɖɔtoe : Menye aɖuɖɔtoe si sɔ koe nye esia o. Zi geɖe la, esesẽna, eye zi ɖeka kpoo, gbeɖiɖi si ɖina, alo ɣlidodo kplɔnɛ ɖo esime wole agbagba dzem be yewoagadze gbɔgbɔ gɔme ake. Ɣeaɖewoɣi la, eɖina abe ɖe wole gbɔgbɔm ene.
- Yagbɔgbɔ sesẽ si wokpɔna le alɔ̃dɔdɔ me.
- Alɔ̃dɔdɔ si me dziɖeɖi mele o: Alɔ̃dɔdɔ, tɔtrɔ, alo alɔ̃dɔdɔ le nɔnɔme siwo mebɔ o me.
- Abatidzitsi: Vevietɔ ne ɖevi si nɔ ƒuƒum tsã le zã me gadze aba dzi tsi ake.
- Ŋkeke me alɔ̃dɔdɔ alo nuwɔna/nusɔsrɔ̃ ƒe nyawo:Le alɔ̃madɔmadɔ nyuie le zã me ta la, ɖeɖi ate ŋu anɔ ɖevia ŋu, ate ŋu ado dziku, alo wòasesẽ na eƒe susu le ŋkeke me.
- Alɔ̃dɔdɔ alo zã me ŋɔdzidoname.
Esi womedɔa alɔ̃ nyuie o ta la, ɖevi siawo ate ŋu aɖee afia hã be:
- Esesẽna be woafɔ le ŋdi me.
- Ðeɖiteameŋu si gbɔ eme le ŋkeke me, eye ɣeaɖewoɣi la, alɔ̃dɔdɔ le suku.
- Esesẽna be wò susu nanɔ nu ŋu alo adze abe ɖe wòle dɔ wɔm akpa ene.
OSA ate ŋu akpɔ ŋusẽ ɖe ɖevi ƒe sukudede dzi vevie. Ɣeaɖewoɣi la, nufialawo alo dzilawo ate ŋu abu vodadatɔe be dzesi siawo nye ADHD (Attention Deficit Hyperactivity Disorder).
Bu eŋu kpɔ be èle agbagba dzem be yeagbɔ zã bliboa katã—aleke ame aɖe ate ŋu anyɔ kple gbɔdzɔe eye wòanɔ klalo be yeasrɔ̃ nu? Esia tae sidzedze le vevie ŋutɔ ɖo.
Aleke wokpɔa dɔléle sia dzea sii?
Ne viwòa ɖe dzesi siawo fia la, taflatse yi ɖeviwo ƒe dɔdala gbɔ:
- Aɖuɖɔɖɔɖɔ enuenu le zã me.
- Alɔ̃dɔdɔ si me dziɖeɖi mele o kple ʋuʋudedi ɣesiaɣi.
- Alɔ̃dɔdɔ fũu akpa le ŋkeke me.
- Dzesi siwo woate ŋu akpɔ be wole agbagba dzem be yeagbɔ esime nèle alɔ̃ dɔm.
Wò ɖɔkta ate ŋu aɖo wò ɖe alɔ̃dɔdɔ ŋuti nunyala aɖe gbɔ alo aɖo aɖaŋu na wò be nàwɔ alɔ̃dɔdɔ ŋuti numekuku (polysomnogram).
Polysomnogram nye dodokpɔ si me vevesese mele o, si le dedie, si kpena ɖe ɖɔktawo ŋu wokpɔa gbɔgbɔtsixetsixe kple alɔ̃dɔdɔ ƒe kuxi bubuwo. Anɔ eme be viwòa anɔ kɔdzi alo alɔ̃dɔƒe tɔxɛ aɖe zã bliboa. Wotrɔ asi le eŋu be wòaɖe dzi ɖi na ɖevia alesi wòanya wɔe.
Le alɔ̃dɔdɔ ŋuti numekukua wɔɣi la, atikewɔlawo léa ŋku ɖe:
- Ŋku ƒe ʋuʋu.
- Dzi ƒe tsotso .
- Yagbɔgbɔ ƒe ɖoɖowo (ɣekaɣie mɔxenuwo dzɔna kple ɣeyiɣi didi si wodzɔna).
- Ahɔhɔ̃ ƒe ƒutsotsoewo (be woalé ŋku ɖe alɔ̃dɔdɔ ƒe afɔɖeɖewo ŋu).
- Oxygen ƒe agbɔsɔsɔ le ʋu me.
- Ya si woyɔna be carbon dioxide ƒe agbɔsɔsɔ le ʋu me.
- Aɖuɖɔtoe ƒe sesẽ kple gbeɖiɖi bubu siwo do ƒome kple alɔ̃dɔdɔ.
- Ŋutilã ƒe ʋuʋu kple alɔ̃dɔdɔ ƒe nɔnɔme.
Ne ɖɔktawo zã nyatakaka siawo la, woate ŋu anya ne OSA le viwòa ŋu kple alesi dɔlélea nu sẽe.
Nukawoe nye atikewɔmɔnu siwo woate ŋu azã?
Ne Abstructive Sleep Apnea mesẽ o la, ɖɔktawo ate ŋu alé ŋku ɖe ɖevia ƒe alɔ̃dɔdɔ ŋu gbã be woakpɔe ɖa be dzesiawo nyo ɖe edzi le wo ɖokui si hã. Le go aɖewo me la, woate ŋu azã atike siwo wotsɔna ƒua gbe ɖe ŋɔti me alo atike bubuwo atsɔ akpɔ OSA si mesẽ o gbɔ.
Gake ne woɖo kpe edzi be tonsils alo adenoids siwo lolo be eya gbɔe wòtso , wò ɖɔkta ate ŋu aɖo wò ɖe To, No, kple Throat (ENT) ŋuti nunyala bibi aɖe gbɔ. Woate ŋu akafu amekoko, abe:
- Tonsils ɖeɖeɖa ( tonsillectomy ).
- Adenoid siwo lolo la ɖeɖeɖa (adenoidectomy).
- Wo ame evea siaa ɖeɖeɖa (adenotonsillectomy).
Amekoko siawo nye atike siwo wɔa dɔ ŋutɔ na OSA, si wɔnɛ be ɖeviwo te ŋu gbɔa ya bɔbɔe eye wodɔa alɔ̃ nyuie le ewɔwɔ vɔ megbe.
Ne nu bubuwo abe aɖu ƒe ɖoɖowɔwɔ ɖe ɖoɖo nu ene gbɔe wòtso la, ɖɔkta ate ŋu aɖo aɖaŋu na wò be woatsɔ CPAP (Continuous Positive Airway Pressure) awɔ dɔe . Esia bia be viwòa nado ametakpɔnu—si atsyɔ ŋɔti alo ŋɔti kple nu siaa dzi—si wotsɔ do ka kple mɔ̃ sue aɖe si naa ya ƒe nyaƒoɖeamenu ɣesiaɣi be yaƒoƒomɔ̃a nanɔ ʋuʋu ɖi. Togbɔ be ate ŋu ase le eɖokui me be ewɔ nuku le gɔmedzedzea me hã la, ɖevi akpa gãtɔ trɔna ɖe eŋu kaba ŋutɔ.
Ne nusi gbɔ wòtsoe nye lolo akpa , wò ɖɔkta awɔ dɔ kpli wò awɔ ɖoɖo si le dedie ɖe nuɖuɖu kple kamedede ŋu. Ne èle dɔ wɔm tso lolo dzi ɖeɖe kpɔtɔ ŋu gɔ̃ hã la, ahiã be nàzã CPAP-mɔ̃ be wòakpɔ egbɔ be viwòa gbɔ ya nyuie le zã me.
Susu mamlɛawo
Abstructive Sleep Apnea mebɔ abe alesi amewo susuna ene o, eye ne wokpɔe kaba la, woate ŋu adae ŋutɔ.
Nu vevitɔe nye esi: ne viwòa ƒoa aɖuɖɔ, le agbagba dzem be yeagbɔ le zã me, alo alɔ̃ dɔm akpa le ŋkeke me la, taflatse mègagbee be "alesi ɖeviwo le ene o." Ƒo nu kple wò ɖɔkta.
Ðewohĩ manye nu sesẽ o, gake ne OSA ye la, atikewɔwɔ gɔmedzedze kaba ate ŋu atrɔ viwòa ƒe agbenɔnɔ wòanyo ɖe edzi. Kpekpe ɖe viwòa ŋu be wòadɔ alɔ̃ nyuie, si naa eƒe lãme sẽ, si wòdze na la nye agbanɔamedzi si le wo katã dzi. Mègatsi dzi o—atikeŋutinunyalawo le afisia be yewoakpe ɖe ŋuwò.
Abstructive Sleep Apnea, ɖeviwo ƒe alɔ̃dɔdɔ, aɖuɖɔtoe, tonsils, adenoids, CPAP, polysomnogram
