Sɔmbɔdi na yu famili, sɔntɛm yu man ɔ yu wɛf, kin snor lawd wan na nɛt we i de slip? Yu dɔn ɛva notis se we dɛn de snor, dɛn kin stɔp fɔ blo wantɛm wantɛm ɛn bigin fɔ blo bak lɛk se dɛn de blo fɔ gɛt briz? Ɔ yu tink se yu bin slip fayn fɔ 8 ɔ 9 awa na nɛt, bɔt yu stil de fil lɛk se yu taya ɛn slip di nɛks de? Sɔntɛnde, yu kin slip we yu de wok, we yu de drayv, ɔ we yu de wach TV? Dis nɔto tin dɛm we dɛn kin dismis as jɔs "snor" ɔ "nɔ ebul fɔ slip fayn." Bihayn dɛn sayn ya kin gɛt wan siriɔs wɛl bɔdi prɔblɛm we dɛn kɔl Obstructive Sleep Apnea . So, tide wi go tɔk bɔt wan rili impɔtant mɛzhɔmɛnt we dɔktɔ dɛn kin yuz fɔ mɛzhɔ aw dis sik kin tranga. Dat na di AHI valyu (Apnea-Hypopnea Index) .
Fɔ tɔk am simpul wan, wetin na AHI?
AHI tinap fɔ Apnea-Hypopnea Index . I de mɛzhɔ ɔmɔs tɛm yu brith de stɔp (apneas) ɛn bi rili shalo (hypopneas) insay wan awa we yu de slip. Tink bɔt am lɛk "ripɔt kad" fɔ yu slip brith.
Fɔ mek dis klia smɔl, lɛ wi luk di rayt minin fɔ dɛn tu wɔd ya:
- Apnea: Dis na we yu de stɔp fɔ blo kpatakpata fɔ 10 sɛkɔn ɔ mɔ . Insay dis tɛm, no briz nɔ de go insay yu lɔng.
- Hypopnea: Dis na we yu brith nɔ de stɔp ɔl, bɔt yu aywe kin blok bɔku pan yu ɛn yu brith kin rili shalo . Dis kin mek di ɔksijɛn we de na yu blɔd go dɔŋ bad bad wan.
Naw yu kin de tink se, "Aw a go no if a stɔp fɔ blo?" Dis na wetin kin rili apin. We yu nɔ ebul fɔ blo, ilɛksɛf i shalo ɔ i nɔ shalo, yu bren kin no dis denja wantɛm wantɛm. Di bren no se yu bɔdi nɔ de gɛt bɛtɛ ɔksijɛn. da tεm de, di bren de wek yu frכm dip slip fכ sכm tεm (arousal). Bɔt dis wek so smɔl dat yu nɔ ivin mɛmba am. We yu bigin fɔ blo bak, yu bren de mek yu slip bak. We Slip Apnea kin tranga, dis kin apin bɔku bɔku tɛm insay wan nɛt . So tink bɔt am, if yu slip bɔku tɛm insay awa ɔ ivin tɛn tɛm, aw yu go slip fayn ɛn we go mek yu fil fayn? Na dat mek yu kin fil taya ɔl di de.
di AHI valyu na di avrej nכmba fכ pכz εn shalo brith episod dεm we de apin pan awa we yu de slip. Di mɔ dis valyu de bɔku, na di mɔ yu slip apnɛa de tranga.
So aw dɛn kin mɛzhɔ dis AHI valyu?
Fɔ fɛn dis valyu, yu nid fɔ du wan spɛshal tɛst. Wi kin kɔl am Slip Stɔdi , ɔ insay mɛrɛsin, Polysomnography . Dɛn kin du dis afta dɛn dɔn de na spɛshal slip lab na ɔspitul fɔ wan nɛt.
Nɔ tink se dis na pen. I nɔ de mek pɔsin fil bad atɔl. Wetin yu de du na:
- Bɔku smɔl smɔl tin dɛn we yu kin yuz fɔ sɛns kin tay na yu ed, yu fes, yu chɛst, ɛn yu leg dɛn.
- Dɛn kin put tu strɛp dɛn rawnd yu chɛst ɛn yu bɛlɛ fɔ mɛzhɔ di muvmɛnt dɛn we yu de blo.
- Dɛn kin tay wan smɔl tin we tan lɛk klip na di finga fɔ no di ɔksijɛn we de na di blɔd.
Dɔn yu kin slip nɔmal wan. Ɔl di nɛt, dɛn tin ya kin rayt di tin dɛn we yu bren de du, aw yu at de bit, aw yu de blo, aw ɔksijɛn de na yu blɔd, aw yu de snor, ɛn aw yu bɔdi de muv, ɛn ɔda tin dɛn.
Di nɛks de, dɔktɔ dɛn kin analayz dis data ɛn kɔl yu AHI skɔ. Dis na aw dɛn kin du am:
Nɔmba fɔ di Apnea ɛn Hypopnea ivin dɛm we apin ɔl di nɛt ÷ Tɔtɔl awa we yu slip = Yu AHI valyu
Sɔntɛnde, simpul tin dɛn de fɔ stɔdi bɔt slip we yu kin du na os. Bɔt di data we dɛn kin gɛt frɔm wan tɛst we dɛn du na ɔspitul, kin kɔrɛkt pasmak ɛn dɛn kin tɔk mɔ bɔt am. Yu dɔktɔ go disayd wetin bɛtɛ fɔ yu.
Di siriɔs we aw pɔsin kin slip we i de slip as dɛn mɛzhɔ am bay di AHI valyu (fɔ big pipul dɛn) .
Dɔktɔ dɛn go klas yu kɔndishɔn bay di AHI valyu we yu gɛt afta yu slip stɔdi. Dis na aw dis klasification de woke for big man.
| AHI valyu (ivent dɛn fɔ wan awa) . | Di kayn bad bad tin we de apin to am | Wetin dis min? |
|---|---|---|
| I nɔ rich 5 | Nɔmal | Yu nɔ gɛt wan sik we dɛn kɔl slip apnea. Ivin pɔrsin wae gɛt wɛl bɔdi kin gɛt fɔr pas 5 tɛm fɔ blo fɔ wan awa. |
| Frɔm 5 to 14 | Nɔ vɛks kwik | Yu gɛt mild slip apnea. Yu kin fil lɛk se yu de slip smɔl insay di de. |
| Frɔm 15 to 29 | Soba | Di kɔndishɔn rili siriɔs. Yu kin gɛt mɔ de slip ɛn i nɔ kin izi fɔ yu fɔ pe atɛnshɔn. |
| 30 ɔ pas dat | Siriɔs | Dis na wan sik we rili siriɔs. Di risk fɔ gɛt ɔda sik lɛk at sik, ay blɔd prɛshɔn, ɛn dayabitis kin rili bɔku. |
Di AHI valyu difrɛn pan yɔŋ pikin dɛn?
Yɛs, na fɔ tru. Yɔŋ pikin dɛn bɔdi ɛn di we aw dɛn de blo difrɛn frɔm big pipul dɛn, so di skel we dɛn kin yuz fɔ mɛzhɔ dɛn AHI bak difrɛn.
If pikin in AHI pas 1 , dɛn kin tek am se na slip apnea kɔndishɔn. di pikin in nכmal valyu fכ less dan 1.
Di AHI klasification fɔ pikin dɛn na dis:
- Mild: AHI valyu frɔm 1 to 4
- Modaret: AHI valyu frɔm 5 to 9
- Sivɛri: AHI valyu na 10 ɔ pas dat
If yu pikin de snor lawd wan na nɛt, i de blo wit in mɔt opin we i de slip, i tan lɛk se i de blo fɔ blo, ɔ i de du tin pasmak insay de ɔ i nɔ izi fɔ pe atɛnshɔn to am na skul, mek shɔ se yu tɔk to dɔktɔ we de mɛn pikin dɛn bɔt dat.
AHI valyu fɔ pɔsin we de yuz CPAP mashin
Di men ɛn di bɛst tritmɛnt fɔ slip apnɛa na di CPAP (Continuous Positive Airway Pressure) mashin. Dis kin wok bay we yu de gi yu prɛshɔn we di briz gɛt saful saful tru wan mask we yu de wɛr na yu fes we yu de slip, we de mek yu aywe opin. Dis kin mek yu nɔ ebul fɔ stɔp fɔ blo.
We yu bigin fɔ tek CPAP tɛrapi, di gol na fɔ kip yu AHI dɔŋ 5 pan awa.Mek say we dɔn pwɛl. Bɔku CPAP mashin dɛn tide gɛt wan tin we de mek yu ebul fɔ chɛk yu AHI ɛvri mɔnin. Pan ɔl we i nɔr kɔrɛkt 100% lɛk slip stɔdi, e kin bi fayn we fɔ yu ɛn yu dɔktɔ fɔ wach aw yu tritmɛnt de wok fayn fayn wan.
Na di AHI valyu nɔmɔ na infεkt? Wetin na di tin dɛn we dis we ya nɔ ebul fɔ du?
Di AHI na wan impɔtant tin fɔ no ɛn trit Slip Apnea. Bɔt, i nɔ de tɛl di wan ol stori. Di AHI valyu gɛt sɔm limiteshɔn dɛn.
- Nɔ sho aw di tin dɛn we de apin kin tranga: Di AHI kin jɔs tɛl yu ɔmɔs tɛm yu brith dɔn stɔp fɔ wan awa. Bɔt di AHI nɔ de sho dairekt wan aw yu blɔd ɔksijɛn lɛvɛl bin drɔp pan ɛni ivin, ɔ aw lɔng di brith bin stɔp. Sɔmbɔdi kin gɛt AHI we na 10, bɔt dɛn ɔksijɛn lɛvɛl kin drɔp bɔku. Ɔda pɔsin kin gɛt AHI we na 10, bɔt dɛn ɔksijɛn lɛvɛl nɔ kin drɔp so.
- Difrɛns pan di difinishɔn fɔ Hypopnea: Pan ɔl we klia difinishɔn de fɔ apnea, sɔmtɛm smɔl difrɛns kin de pan di we aw dɛn de difayn haypopnea.
- Di tin dɛn we nɔ kin izi fɔ du tɛst na os: Pan ɔl we i izi fɔ du tɛst na os, sɔntɛnde, dɛn rizɔlt nɔ kin kɔrɛkt 100%.
Na dat mek dɔktɔ nɔ de disayd bɔt yu kɔndishɔn bay we yu jɔs gɛt di AHI mak. I go tink bɔt bɔku tin dɛn, lɛk yu AHI mak, aw yu blɔd ɔksijɛn lɛvɛl smɔl, yu sik dɛn, ɛn aw yu de slip, fɔ gɛt kɔmplit pikchɔ.
Mɛsej we dɛn kin kɛr go na os
- If i tan lɛk se yu de snor ɛn stɔp yu briz we yu de slip, dat nɔto nɔmal tin. Pe atɛnshɔn to am.
- Di AHI (Apnea-Hypopnea Index) na impɔtant indikɛtɔ we de mɛzhɔ aw di Slip Apnea siriɔs.
- If big pɔsin in AHI pas 5 pan awa, i rili impɔtant fɔ go to dɔktɔ.
- If pikin in AHI pas 1, na kɔndishɔn we dɔktɔ fɔ rili si am.
- Di AHI na wan pat nɔmɔ pan di diagnosis. Yu dɔktɔ go tink bɔt yu ɔl yu wɛlbɔdi fɔ no di bɛst tritmɛnt.
- Slip Apnea, if dɛn nɔ trit am, i kin mek yu gɛt siriɔs prɔblɛm lɛk ay blɔd prɛshɔn, at sik, ɛn dayabitis. So if yu gɛt ɛni dawt bɔt dis, nɔ shem ɛn tɔk to dɔktɔ.
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