Kugona ndi kupuma movutikira usiku kwakhala chinthu chofala kwa anthu ambiri. Izi zimadziwika ndi madokotala kuti Obstructive Sleep Apnea (OSA). Chimodzi mwa mankhwala otchuka kwambiri pa izi ndi makina a CPAP. Komabe, kugona ndi chigoba ndi makinawa pankhope panu mukugona usiku sikophweka kwa aliyense. Chifukwa chake, kwa iwo omwe sakonda izi, kapena kwa iwo omwe alibe zotsatira zabwino, tikulankhula za njira yapamwamba kwambiri yomwe ilipo masiku ano. Imeneyi ndi Sleep Apnea Implant, yomwe imayikidwa m'thupi mwathu mwa opaleshoni.
Mwachidule, kodi Sleep Apnea Implant iyi ndi chiyani?
Ichi ndi chipangizo chamagetsi chomwe chimayikidwa m'thupi lanu mutachitidwa opaleshoni yaying'ono. Ntchito yake yayikulu ndikutsegula mpweya wanu pamene mukugona. Izi zimathandiza kuchepetsa zizindikiro za Obstructive Sleep Apnea (OSA).
Chipangizo chomwe chimagwiritsidwa ntchito kwambiri padziko lonse lapansi masiku ano ndi Inspire®. Chimatchedwanso chipangizo cholimbikitsa mitsempha ya hypoglossal. Mwachidule, chimalimbikitsa mitsempha yomwe imalamulira lilime.
Kodi chipangizochi chimagwira ntchito bwanji?
Mmene imagwirira ntchito ndi yosavuta. Ngati muli ndi OSA, mukagona, lilime lanu limatha kubwerera m'mbuyo ndikutseka njira yolowera mpweya pakhosi panu. Pamenepo ndi pamene mumadzimitsa.
Choyika ichi chimatumiza chizindikiro chamagetsi chaching'ono ku mitsempha yomwe imayang'anira kayendedwe ka lilime lanu, mitsempha ya hypoglossal . Chikalandira chizindikiro ichi, lilime lanu limayenda patsogolo pang'ono, ndikutsegula njira yanu yopumira. Kuti muzitha kupuma popanda zopinga usiku wonse.
Dongosolo lonseli lili ndi magawo anayi akuluakulu.
| Gawo la chipangizocho | Ntchito yomwe imachita |
|---|---|
| Chipangizo Chothandizira | Apa ndi pomwe batire yaikulu ndi ma circuitry zimakhala. Apa ndi pomwe zizindikiro zamagetsi zimapangidwa. |
| Electrode Yolimbikitsa | Uwu ndi waya woonda womwe umalumikizana ndi mitsempha yomwe imalamulira lilime. Apa ndi pomwe chizindikiro chamagetsi chimatumizidwa ku mitsempha. |
| Elekitirodi Yoyesera Kupanikizika | Izi zimazindikira momwe mumapumira ndipo zimawonetsa cholimbikitsira kuti chizigwira ntchito pokhapokha mukapuma. |
| Kutali (kulamulira kutali) | Izi ndi zomwe mumagwiritsa ntchito kuyatsa chipangizochi usiku mukagona komanso kuzimitsa m'mawa. Muthanso kuwongolera mphamvu ya chizindikiro. |
Ndani angapatsidwe opaleshoni iyi?
Si aliyense amene angachite izi. Dokotala adzaganizira zinthu zingapo asanasankhe ngati izi zili zoyenera kwa inu. Anthu otsatirawa nthawi zambiri amakhala oyenerera izi.
Koma kumbukirani, musadandaule ngati mulibe ziyeneretso izi. Dokotala wanu yekha ndi amene angapange chisankho chabwino kwambiri chokhudza ngati izi ndi zoyenera kwa inu.
| Kuganizira | Kufotokozera |
|---|---|
| Zaka | Ayenera kukhala ndi zaka zoposa 18. |
| Chiŵerengero cha Misa ya Thupi (BMI) | BMI ya 35-40 kapena kuchepera ndi yabwino kwambiri. |
| Mtundu wa matendawa | Ayenera kukhala ndi vuto la Obstructive Sleep Apnea (OSA) locheperako kapena lalikulu. |
| Kugwiritsa ntchito CPAP | Ayenera kukhala munthu amene sangathe kugwiritsa ntchito makina a CPAP kapena amene sakupeza zotsatira zabwino kuchokera ku makinawo. |
Kodi mumakonzekera bwanji musanachite opaleshoni?
Dokotala wanu asanavomereze opaleshoniyi, adzakuyesani mwapadera. Imatchedwa kuti drug-induced sleep endoscopy (DISE) . Izi zimaphatikizapo kukupatsani mankhwala oti mugone, kenako ndikuyika chubu chaching'ono chokhala ndi kamera (endoscope) pakhosi panu kuti muone pakhosi panu, lilime lanu, ndi njira yopumira.
Izi makamaka ndi kuonetsetsa ngati makoma a pakhosi panu agwera mkati monsemo. Izi zimatchedwa complete concentric collapse (CCC) . Ngati izi zitachitika, chipangizochi sichingagwire ntchito.
Masiku angapo opaleshoni isanachitike, dokotala wanu adzakupatsani malangizo monga awa:
- Pewani kudya ndi kumwa usiku woti opaleshoni ichitike.
- Uzani dokotala wanu za mankhwala omwe mukumwa, ndipo muwamwe kapena muwasiye malinga ndi malangizo ake.
- Ngati mukusuta fodya, ndikofunikira kwambiri kusiya kapena kuchepetsa kusuta.
Kodi chimachitika ndi chiyani pa nthawi ya opaleshoni?
Pa tsiku la opaleshoni yanu, mudzapatsidwa mankhwala oletsa ululu. Izi zikutanthauza kuti mudzakhala mukugona mokwanira kuti musamve kupweteka kulikonse. Izi ndi zomwe zidzachitike panthawi ya opaleshoni.
1. Mabala awiri ang'onoang'ono amapangidwa: limodzi pakhosi, pansi pa nsagwada (kuti apeze mtsempha wa lingual). Lina pachifuwa, pansi pa khosi (kuti aikepo chipangizo chachikulu).
2. Kulumikiza cholimbikitsa ku mitsempha: Mitsempha ya hypoglossal imapezeka kudzera mu kudula khosi ndipo electrode yolimbikitsa imalumikizidwa mozungulira.
3. Kuika chipangizo chachikulu: Malo ang'onoang'ono amapangidwa pansi pa khungu kudzera mu kudula pachifuwa, ndipo chipangizo chachikulu (chipangizo cholimbikitsira) chimayikidwa pamenepo.
4. Kulumikiza sensa yopumira: Electrode yowunikira kuthamanga kwa mpweya yomwe imazindikira momwe mpweya umapumira imalumikizidwa ku minofu yomwe ili pakati pa nthiti.
5. Mawaya olumikizira: Zigawo zitatuzi zimalumikizidwa ndi mawaya opyapyala.
6. Kuyesa: Pamapeto pa opaleshoni, chipangizocho chimayatsidwa ndikuyang'aniridwa kuti chitsimikizire kuti chikugwira ntchito bwino.
7. Kusoka mabala: Pomaliza, mabalawo amasokedwa ndi kuphimbidwa ndi pulasitala.
Opaleshoni yonseyi nthawi zambiri imatenga pafupifupi mphindi 90 .
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Kawirikawiri iyi ndi njira yochizira matenda osapita kuchipatala . Izi zikutanthauza kuti mutha kupita kunyumba kuchokera kuchipatala tsiku lomwelo. Mukachita opaleshoni, mutha kumva ululu ndi kutupa pamalo odulidwa. Dokotala wanu adzakupatsani mankhwala ochepetsa ululu pa izi. Kusamva bwino kumeneku kudzachepa kwathunthu pakatha milungu ingapo.
Chofunika kwambiri ndichakuti chipangizochi chisayambe kugwira ntchito nthawi yomweyo opaleshoni itatha. Mpaka mabalawo atachira kwathunthu, ndiye kuti.Ndakhala ndikuchita izi kwa pafupifupi mwezi umodzi tsopano.
Mukapita kukaonana ndi dokotala patatha mwezi umodzi, adzakuwonetsani momwe mungagwiritsire ntchito remote. Adzayatsa chipangizocho ndi remote ndikusintha makonda kuti mitsempha ya lilime lanu iyambe kugwira ntchito. Izi sizopweteka , koma mudzamva lilime lanu likupita patsogolo pang'ono. Mutha kusintha mphamvu yake kukhala yabwino.
Nthawi zambiri zimatenga pafupifupi miyezi itatu kuti zisinthe kuti zikhale ndi mphamvu yeniyeni yomwe mukufunikira. Pambuyo pake, kafukufuku wina wokhudza kugona amachitidwa kuti awone momwe chipangizochi chikugwirira ntchito.
Kodi ubwino ndi zotsatirapo zake ndi ziti?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zabwino komanso zoopsa zazing'ono.
| Ubwino waukulu | Zotsatirapo/zoopsa zomwe zingakhalepo |
|---|---|
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Kodi zimatenga nthawi yayitali bwanji kuti munthu achire bwino?
Ndikofunikira kupuma kwa masiku angapo mutachita opaleshoni. Pakatha milungu iwiri, mutha kuyambiranso ntchito zachizolowezi, kupatula kunyamula zinthu zolemera. Komabe, zimatenga nthawi kuti thupi lanu lizolowere chipangizochi. Kukaonana ndi dokotala nthawi zonse ndikofunikira .
Batire yomwe ili mu chipangizochi nthawi zambiri ingagwiritsidwe ntchito kwa zaka pafupifupi 10. Ngati pakufunika kuyika batire m'malo mwake, chipangizo chonsecho sichichotsedwa. Batire yokha ndi yomwe imasinthidwa kudzera mu kudula pang'ono.
Kodi ndi liti pamene muyenera kulankhula ndi dokotala?
Mukachita opaleshoni,Ngati mukumva kupweteka kwambiri, kutupa, kapena kutentha thupi, uzani dokotala wanu nthawi yomweyo. Komanso, ngati zikukuvutani kuzolowera chipangizocho mutachigwiritsa ntchito, kapena ngati chikuoneka chosasangalatsa kwambiri, lankhulani ndi dokotala wanu za icho. Iye akhoza kusintha makonda kuti chikhale chomasuka kwa inu.
Uthenga Wopita Nawo Kunyumba
- Chopangira cha Sleep Apnea Implant ndi njira yabwino kwa anthu omwe ali ndi vuto la OSA lochepa mpaka lalikulu, makamaka omwe sakufuna kugwiritsa ntchito makina a CPAP.
- Izi zimagwira ntchito polimbikitsa mitsempha yomwe imalamulira lilime lanu pamene mukugona, ndikusunga mpweya wanu wopuma wotseguka.
- Ichi ndi chipangizo chomwe chimayikidwa m'thupi mwa opaleshoni. Chimayamba kugwira ntchito mwezi umodzi pambuyo pa opaleshoni.
- Zimatenga nthawi kuti uzolowere izi. Chifukwa chake, ndikofunikira kuti nthawi zonse uzionana ndi dokotala ndikupita kukawonana ndi dokotala monga momwe zakonzedwera.
- Chofunika kwambiri ndikulankhula ndi dokotala wanu ngati izi zili zoyenera kwa inu komanso zabwino ndi zoyipa zake, kenako n’kupanga chisankho.
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