Yu kin wek bak de blo fɔ blo? Dɔn yu nid fɔ no bɔt di AHI (Apnea-Hypopnea Index)!

Yu no se bɔku tɛm i nɔ kin izi fɔ sɔm pipul dɛn fɔ blo we dɛn de slip na nɛt? Sɔntɛm yu dɔn du am. Ɔ sɔntɛm pɔsin we yu sabi gɛt am. Snor, fil lɛk yu nɔ ebul fɔ blo fɔ sɔm tɛm, ɔ we yu wek wantɛm wantɛm wit prɔblɛm fɔ blo, ɔl kin bi di tin dɛn we kin mek yu gɛt dis. So tide wi go tɔk bɔt wan impɔtant mɛzhɔmɛnt we go ɛp fɔ no if yu gɛt dis kayn prɔblɛm fɔ blo we yu de slip, mɔ di tin dɛn lɛk Obstructive Sleep Apnea , ɛn if na so, aw i siriɔs. Dat na di AHI, we tinap fɔ (Apnea-Hypopnea Index) .

Wetin na AHI (Apnea-Hypopnea Index)? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, di AHI (Apnea-Hypopnea Index) na fɔ no ɔmɔs tɛm pan awa yu de blo (apneas) ɛn shalo (hypopneas) we yu de slip. Dis na aw dɔktɔ dɛn kin no if yu gɛt wan sik we dɛn kɔl Obstructive Sleep Apnea, ɛn if na so, aw i rili bad.

Wetin na Apnea ɛn Hypopnea?

Naw yu kin de wɔnda wetin na apnea ɛn hypopnea. Lɛ wi tɔk bɔt dat klia wan smɔl.

• Apnea: Dis na we yu stɔp fɔ blo kpatakpata. Apnea na we yu stɔp fɔ blo fɔ 10 sɛkɔn ɔ mɔ we yu de slip. Insay dis tɛm, di briz we de go insay yu bɔdi kin go dɔŋ. I kin tan lɛk se dɛn de ol yu briz fɔ sɔm tɛm.

• Hypopnea: Dis na we yu aywe nɔ de blok ɔl, bɔt yu brith rit de ridyus bad bad wan bikɔs ɔf sɔm digri we i de ambɔg. If na so i bi, yu nɔ de blo fayn, ɛn dis kin mek di ɔksijɛn we de na yu blɔd go dɔŋ. Tink bɔt am lɛk wata paip we de blok smɔl, we de mek di wata we de kɔmɔt na do nɔ bɔku.

Naw yu kin de tink se, "So wetin kin apin we yu stɔp fɔ blo lɛk dis?" Wi bren rili smat. I de wach wi bɔdi ɔltɛm, lɛk aw at de bit, blɔd prɛshɔn, aw wi de blo. So we yu gɛt apnea ɔ hypopnea, di bren kin no dis. Dɔn di bren kin du sɔntin fɔ wek yu smɔl so dat yu go ebul fɔ blo fayn bak. Bɔt bɔku tɛm dis wek we pɔsin kin wek kin rili klia. Sɔntɛm yu nɔ go ivin fil am. We yu bigin fɔ blo bak, di bren de mek yu slip bak. So di AHI de mɛzhɔ ɔmɔs tɛm pan awa dɛn stɔp ɛn shalɔ brith ya kin apin. Di mɔr de sik (Sleep Apnea), na di mɔr dis intarapshɔn kin apin.

Aw dɛn kin kɔl dis AHI valyu?

Dis AHI valyu na (Slip Stɔdi) de fɛn am .Wan na fɔ stɔdi bɔt slip. Dis min se yu fɔ yuz mashin fɔ wach aw yu bɔdi de wok we yu de slip na nɛt, lɛk aw yu de blo, aw yu at de bit, aw yu bren de wev, ɛn aw ɔksijɛn de na yu blɔd. Dis kin bi na slip lab , ɔr sɔmtɛm simpul divays dɛn de we yu kin du na os (Home Sleep Apnea Test) . Bɔt i impɔtant fɔ mɛmba se di data we dɛn kin gɛt frɔm di tɛst dɛn we dɛn kin du na os nɔ bɔku ɛn i nɔ kin kɔrɛkt bɛtɛ.

Dɔn di dɔktɔ kin kɔl yu AHI mak bay we i sheb di ɔl di nɔmba fɔ di apnea ɛn hypopnea episɔd dɛn we yu bin gɛt wit di ɔl awa dɛn we yu bin slip.

Fɔ tɔk am simpul wan: AHI = (Tɔtal apnia ivin dɛm + Tɔtɔl haypopnia ivin dɛm) / Tɔtɔl awa dɛm we dɛn slip

Aw dɛn kin mɛzhɔ di kayn we aw pɔsin kin fil we i de slip bay we dɛn yuz di AHI valyu? - Fɔ big pipul dɛn

Di American Academy of Sleep Medicine de yuz dis skel fɔ klas aw dɛn kayn tin ya we big pipul dɛn de blo kin tranga:

• Mild kɔndishɔn: Nɔ rich 5 to 15 tin dɛn we kin apin insay wan awa.
• Mɔdaret kɔndishɔn: I nɔ rich 15 to 30 ivintɛns dɛn fɔ wan awa.
• I bad: 30 ɔ mɔ tin dɛn kin apin insay wan awa.

Yu dɔktɔ go yuz dɛn kɔlkyulɛshɔn ya fɔ no aw yu sik we yu nɔ ebul fɔ blo we yu de slip. Fɔ ɛgzampul, if yu AHI na 25, dat min se yu gɛt mɔdaret slip apnea.

So wetin na di avrej AHI valyu fɔ big pɔsin?

Yu kin de wɔnda, "Wetin na di nɔmal AHI valyu fɔ big pɔsin?" wan nכmal, כ hεlty, AHI valyu fכ big man less dan fayv apnia εn haypopnia ivin dεm pan awa (AHI < 5). If yu valyu de na dis rεnj, dat min se yu nɔr gɛt slip apnea.

Di AHI valyu difrɛn pan yɔŋ pikin dɛn?

Yes, di AHI valyu dεm εn di siriכs lεvεl dεm difrεn fכ yכng pikin dεm εn big pipul dεm. Bikɔs di we aw di pikin dɛn de blo stil de divɛlɔp, ivin smɔl smɔl tin we nɔ de blo fayn kin gɛt bɔku impak. Di tipik AHI rεnj fכ yכng pikin dεm na dεn wan ya:

• Mild kondishɔn: I nɔ kin pas 1 to 5 tin dɛn we kin apin insay wan awa.
• Mɔdaret kɔndishɔn: I nɔ rich 5 to 10 ivin dɛn pan awa.
• I bad: 10 ɔ mɔ tin dɛn kin apin insay wan awa.

If yu pikin in AHI na wan ɔ pas dat, yu dɔktɔ kin no se dɛn gɛt Obstructive Sleep Apnea. Nɔmal AHI fɔ yɔŋ pikin fɔ smɔl pas wan (AHI < 1). Bɔt, sɔntɛnde, fɔ big pikin dɛn, i kin minDɔktɔ dɛn kin yuz di sem AHI skel fɔ yɔŋ pikin dɛn (adolescents ɛn teenagers) we dɛn kin yuz fɔ big pipul dɛn.

Wetin na gud AHI valyu wit CPAP mashin?

CPAP (Continuous Positive Airway Pressure) mashin na di men ɛn di bɛst we fɔ trit Obstructive Sleep Apnea. Dis mashin de ɛp fɔ mek yu aywe opin we yu de slip. So, di gol fכ big man we de yuz dis CPAP mashin na fכ kip di AHI valyu dכn fayv (AHI < 5). Bɔt yu ɛn yu dɔktɔ go disayd togɛda aw yu nid fɔ smɔl pas di valyu we dɛn rayt na yu (Slip Stɔdi), ɛn wetin di patikyula valyu we yu fɔ aim fɔ.

Di gud tin na dat we yu yuz yu CPAP mashin, i kin trak yu AHI to sɔm mak, we min se i kin rikodɔ am. Bɔku nyu CPAP mashin dɛn kin no di chenj dɛn we de apin na yu brith, ɛn yuz da infɔmeshɔn de fɔ kɔl di aprɔksimat AHI valyu. Dis nɔto 100 pasɛnt kɔrɛkt mɛzhɔmɛnt lɛk slip stɔdi. Bɔt i kin ɛp yu dɔktɔ fɔ gɛt ɔda infɔmeshɔn bɔt aw yu CPAP tritmɛnt de wok fayn ɛn aw i de ɛp yu.

Wetin na di bad tin dɛn we AHI gɛt? Yu tink se i de tɛl ɔltin?

Pan ɔl we AHI na tin we rili yusful, dɛn nɔ go ebul fɔ yuz am fɔ disayd fɔ du sɔntin bay am nɔmɔ. I gɛt sɔm bad tin dɛn bak. Lɛ wi si wetin dɛn bi:

• Difrɛn opinion bɔt haypopnia: Pan ɔl we klia, jenɛral agrimɛnt de bitwin dɔktɔ dɛn bɔt wetin na apnea, di difinishɔn fɔ haypopnia na smɔl. Dis na bikɔs bɔku tin dɛn kin afɛkt am, lɛk aw di briz nid fɔ ridyus, aw di ɔksijɛn lɛvɛl na di blɔd nid fɔ smɔl (oxygen desaturation) , ɔ di nɔmba fɔ di tɛm we yu wek na nɛt (arousals) . So, sɔntɛnde, smɔl difrɛns kin de pan di difinishɔn dɛn.
• Limiteshɔn: Di AHI de jɔs mɛzhɔ di nɔmba fɔ di apnea ɛn hypopnea episɔd dɛm we kin apin we yu de slip. I nɔ de gi ɔda infɔmeshɔn dairekt wan, lɛk aw di episɔd dɛn kin tranga, aw lɔng yu kin stɔp fɔ blo, ɔ aw yu ɔksijɛn lɛvɛl dɔn go dɔŋ. Fɔ ɛgzampul, sɔmbɔdi kin gɛt AHI we na 10, bɔt ɛni ɛpisod kin las fɔ 10-15 sɛkɔn nɔmɔ. Ɔda pɔsin kin gɛt AHI we na 10, bɔt dɛn episɔd kin las fɔ 40-50 sɛkɔn ɛn dɛn ɔksijɛn lɛvɛl kin drɔp bad bad wan. So we yu luk di AHI nɔmɔ nɔ de sho di difrɛns.
• Di Rizult dɛn we Nɔ Kɔkɔt: Di tin dɛn we kin kɔmɔt frɔm sɔm simpul tɛst dɛn we dɛn kin du fɔ slip na os , mɔ di wan dɛn we dɛn kin du na os, nɔ kin kɔrɛkt lɛk di wan dɛn we kin kɔmɔt na slip lab. Dis na bikɔs di amount of data ɛn di akkuracy kin bi smɔl. Dɔn bak, sɔm pipul dɛn nɔ kin slip fayn we dɛn de tek di tɛst na os.

So, pan ɔl we AHI de gi impɔtant infɔmeshɔn bɔt di kwaliti fɔ slip we yu kin gɛt na nɛt, i impɔtant fɔ mɛmba se AHI na jɔs wan tin fɔ no if yu gɛt prɔblɛm wit slip ɛn fɔ no aw i siriɔs.

Yu mɛdikal tim go tek yu AHI skɔ, yu slip pozishɔn (if yu de slip na yu bak ɔ na yu sayd), yu AHI skɔ we yu de slip difrɛn stej (e.g. REM slip), ɛn bɔku ɔda tɛst rizɔlt fɔ mek yu disayd fɔ du gud tin bɔt yu wɛlbɔdi.

So, wetin na di impɔtant tin we wi fɔ kɛr go na os frɔm dis stori?

Okay, so na di impɔtant tin dɛn we yu fɔ mɛmba bɔt di AHI (Apnea-Hypopnea Index) we wi bin tɔk bɔt:

• AHI na wan indikɛtɔ we de mɛzhɔ ɔmɔs tɛm pan awa yu brith de stɔp (apnea) ɛn shalo (hypopnea) we yu de slip.
• Dis kin ɛp fɔ no di sik dɛm lɛk Obstructive Sleep Apnea ɛn mɛzhɔ aw dɛn siriɔs.
• Di avrej AHI valyu fɔ big pɔsin fɔ smɔl pas 5. Fɔ pikin dɛn, i fɔ smɔl pas 1.
• Di hεy AHI valyu, di mכr di kכndyushכn (Slip Apnea) kin bi siriכs.
• Di gol fɔ di wan dɛn we de yuz CPAP mashin na fɔ tray fɔ kip di AHI valyu dɔŋ 5.
• Pan ɔl we AHI na impɔtant mɛzhɔmɛnt, nɔto in nɔmɔ; dɔktɔ dɛn kin yuz bɔku ɔda tin dɛn fɔ mek dɛn ebul fɔ du di asɛsmɛnt kɔmplit wan.

So, if yu fil bak se i nɔ izi fɔ yu fɔ blo na nɛt, if yu de snor, if yu fil lɛk se yu de swɛla, ɔ if yu de slip pasmak na de, fɔ tru, go to dɔktɔ. Na bikɔs gud slip impɔtant fɔ mek yu gɛt wɛlbɔdi! Dɔn bak, fɔ no bɔt dis AHI go rili yusful fɔ yu we yu de tɔk bɔt yu sik wit yu dɔktɔ.

` Slip, brith, slip apnia, AHI, apnia haypopnia indeks, slip dizayd, CPAP