Zana mut laiin bengchheng leh thawk hah thut hi mi tam tak tan chuan thil thleng fo a ni tawh. Hei hi damdawi lam chuan Obstructive Sleep Apnea (OSA) tia hriat a ni. Hei hi enkawlna lar ber pakhat chu CPAP machine hi a ni. Amaherawhchu, zan mut laiin he mask leh machine hi hmaiah dahin mut chu mi zawng zawng tan thil awlsam a ni lo. Chuvangin, hei hi duh lo tan emaw, result hlawhtling nei lo tan emaw, tunlai solution changkang ber kan sawi a ni. Chu chu Sleep Apnea Implant a ni a, kan taksa chhungah surgery hmanga dah a ni.
A awlsam zawngin, he Sleep Apnea Implant hi eng nge ni?
Hei hi electronic device a ni a, operation tenau tak hnuah i taksa chhungah dah a ni. A hnathawh ber chu i mut laiin i thawkna kawng hawn reng hi a ni. Hei hian Obstructive Sleep Apnea (OSA) natna lan chhuah dan a thunun thei a ni.
Tunlai khawvela hmanraw hman lar ber chu Inspire® a ni. Hypoglossal nerve stimulation device an ti bawk. A awlsam zawngin, lei thununtu nerve chu a tichak a ni.
Engtin nge he device hian hna a thawh?
A hnathawh dan hi a awlsam hle. OSA i neih chuan i mut lai hian i lei chu a tla leh thei a, i kawr chhunga thawkna kawng chu a tikhawlo thei a ni. Chu chu i suffocate lai a ni.
He implant hian i lei kal dan tur control tu nerve, hypoglossal nerve -ah electric signal te tak te a thawn a. He signal a dawn hian i lei chu hmalam pan deuhin a kal a, i thawkna kawng a hawng ta a ni. Chuvangin zankhuain engmah tihbuai lohvin i thawk thei a ni.
He system pumpui hian a bulpui pali a nei a.
| Device atanga a then | Hna a thawh thin chu |
|---|---|
| Stimulator hmanrua a ni | Hei hi main battery leh circuitry awmna hmun a ni. Hei hi electrical signal siamna hmun a ni. |
| Stimulation Electrode hmanga siam a ni | Hei hi lei control tu nerve nena inzawm wire te tak te a ni. Hei hi electrical signal chu nerve-ah a thawn chhuahna hmun a ni. |
| Pressure Sensor Electrode hmanga siam a ni | Hei hian i thawk dan a hrechhuak a, i thawk chhuah hunah chauh stimulator chu activate turin signal a pe bawk. |
| Remote (remote control) atanga lak chhuah a ni. | Hei hi zan lama i mut dawna device on leh zing lama off nan i hman thin a ni. Signal chakna pawh i control thei bawk. |
He surgery hi tute nge nei thei ang?
Hei hi mi zawng zawng tih theih a ni lo. Doctor chuan hei hi i tan a tha em tih a rel hmain thil engemaw zat a ngaihtuah hmasa ang. Hemi atan hian a hnuaia mite hi an tling tlangpui.
Mahse, hre reng ang che, heng qualification te hi i neih loh chuan lungngai suh. Hei hi i tan a tha em tih chungchangah hian i doctor chauhvin thutlukna tha ber a siam thei ang.
| Ngaihtuah ngai | Hrilhfiahna |
|---|---|
| Kum | Kum 18 chunglam a ni tur a ni. |
| Taksa rih zawng tehna (BMI) . | BMI 35-40 aia tlem lo chu a tha ber. |
| Nature awm dan | Obstructive Sleep Apnea (OSA) na tak emaw, na tak emaw a nei tur a ni. |
| CPAP hman dan | CPAP machine hmang thei lo emaw, a atanga result hlawhtling lo emaw a ni tur a ni. |
Operation hmain engtin nge i inbuatsaih thin?
Surgery a pawm hmain i doctor chuan special test a ti ang che. Drug-induced sleep endoscopy (DISE) tih a ni. Hei hian i mut theihna tur damdawi pek che a ni a, chutah chuan camera hmanga siam tube (endoscope) te tak te chu i kawr hnuaiah dahin i rilru, i lei leh thawkna kawng enfiah a ngai a ni.
Hei hi i rilru bangte chu a chhehvel zawng zawngah chhung lam hawia a tlakchhiat leh tlak loh enfiahna atan a ni ber. Hei hi complete concentric collapse (CCC) an ti a. Chutiang a nih chuan device chu a hlawhtling lo mai thei.
Operation hma ni engemaw zat hnuah i doctor chuan hetiang hian thupek thenkhat a pe ang che:
- Operation hma zanah ei leh in loh tur.
- Damdawi i ei mekte chu i doctor hnenah hrilh la, a thurawn angin ei emaw, titawp emaw rawh.
- Meizial i zuk chuan tihtawp emaw, tihtlem emaw a pawimawh hle.
Surgery neih chhung hian eng nge thleng?
I operation ni chuan general anesthesia pek i ni ang. Hei hian natna engmah i hriat loh nan i muhil vek dawn tihna a ni. Hengte hi operation neih chhunga step hrang hrang a awm tur te chu a ni.
1. Incision te te pahnih siam a ni a: pakhat chu a kawngah, a hnuai lamah (lingual nerve awmna tur) a ni. A dang chu a rilruah, collarbone hnuaiah (main device dahna tur).
2. Stimulator chu nerve-ah attaching: Hypoglossal nerve hi kawr chhunga incision hmangin a awm a, a chhehvelah stimulation electrode a inzawm a ni.
3. Main device implantation: Kan rilruah incision hmangin vun hnuaiah hmun tlemte siam a ni a, chutah chuan main device (stimulator device) chu dah a ni.
4. Thâwk sensor dahna: Thâwk dan hriat theihna pressure sensor electrode chu ruh inkar ruhroah a inzawm a.
5. Connecting wire: Heng hmun pathumte hi wire te tak te hmanga inzawmkhawm a ni.
6. Testing: Surgery tawp lamah chuan device chu on a, a thawk tha em tih enfiah thin a ni.
7. Incisions te stitching: A tawp berah chuan incisions te chu stitch up in plaster hmanga khuh a ni.
He surgery zawng zawng hi minute 90 vel a ni tlangpui .
Operation hnuah eng nge thleng?
Hei hi outpatient procedure a ni tlangpui . Chumi awmzia chu damdawi in a\angin chu ni vek chuan i haw thei tihna a ni. Operation hnuah chuan incision site-ah natna leh hliam engemaw zat i nei thei. Hei atan hian i doctor chuan natna tidamtu damdawi a pe ang che. Heng harsatnate hi kar tlemte hnuah a reh vek ang.
A pawimawh ber chu he device hi operation zawh veleh a activate nghal loh vang a ni. Incisions te chu a dam vek hma loh chuan, chu chu.Thla khat vel zet chu hetiang hian ka ti tawh a.
Thla khat hnua Doctor hmu tura i kal hunah chuan remote hman dan tur a kawhhmuh ang che. Remote hmangin device chu a on ang a, i lei chhunga nerve te chu a tihchak theih nan settings chu a siamrem ang. Hei hi a hrehawm lo , mahse i lei chu hmalam pan deuhin i hria ang. Intensity chu comfortable level-ah i siamrem thei bawk.
I mamawh chakna dik tak nena siamrem nan thla thum vel a ngai tlangpui. Chumi hnuah chuan mut chungchanga zirchianna dang neih leh a ni a, chu hmanrua chu engtiang chiahin nge a thawh hlawk tih hriat a ni.
Hetiang method hian eng hlawkna leh side effect nge a neih?
Damdawi dang ang bawkin, a hlawkna leh hlauhawmna tenau te pawh a awm vek.
| A thatna ber | Side effect/risk awm thei te |
|---|---|
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Eng chen nge a dam kim theih nan?
Operation hnu ni engemaw zat chawlh hahdam a pawimawh. Kar hnih vel hnuah chuan thil rit phurh tih loh chu hna pangngai i thawk leh thei tawh ang. Mahse, i taksain he device hi a hman thiam theih nan hun engemaw chen a la ngai dawn a ni. I doctor nena follow-up visit neih fo hi a pawimawh hle .
Device chhunga battery hi kum 10 vel hman theih a ni tlangpui . Battery thlak a tul hunah chuan device pumpui chu a chhuak vek lo. Battery chauh hi incision te tak te hmangin thlak a ni.
Engtikah nge doctor nen inbiakna neih a ngaih?
Surgery hnuah, nangNatna nasa tak, khuh emaw, khawsik emaw i neih chuan doctor hnenah hrilh nghal rawh. Tin, i hman zawh hnua hman thiam harsa i tih chuan emaw, a nuam lo lutuk nia i hriat chuan i doctor nen sawiho rawh. I tan a nuam zawk theih nan settings chu a siamrem thei a ni.
Take-Home Thuchah a ni
- Sleep Apnea Implant hi OSA hniam lam atanga na tak nei tan chuan solution tha tak a ni a, a bik takin CPAP machine hmang duh lo tan chuan a tha hle.
- Hei hian i mut laiin lei control tu nerve te a tichak a, i thawkna kawng chu a inhawng reng a ni.
- Hei hi taksaah surgery hmanga dah theih hmanrua a ni. Surgery atanga thla khatah activate a ni.
- Hei hi kan thiam theih nan hun engemaw chen a ngai a ni. Chuvangin doctor nena inbiak reng reng a, ruahmanna siam angin follow-up neihpui a pawimawh hle.
- A pawimawh ber chu i doctor nen hei hi i tan a tha em tih leh a thatna leh that lohna te sawipui la, chutah chuan thutlukna siam rawh.
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