Ese ubyuka nijoro utunguranye, uhumeka umwuka? Cyangwa ufite ikibazo cyo gusinzira kubera ko umukunzi wawe akoroye? Wenda wumva ugiye guhagarika guhumeka akanya gato hagati aho? Ibi ni byo twita Obstructive Sleep Apnea (OSA) mu buvuzi, cyangwa obstructive sleep apnea. Iyo bitavuwe, iyi ndwara ishobora gutera ibibazo bikomeye by'ubuzima. Uyu munsi rero tugiye kuvuga ku buryo bwo kuvura ibi, cyane cyane igisubizo abantu benshi batavugaho.
Mu magambo make, ibi bikoresho byo mu kanwa ni ibihe?
Mu by’ukuri ibi ni ibikoresho byihariye byakorewe umunwa wawe na muganga w’amenyo. Bisa n’ibikoresho by’umunwa bikoreshwa n’abakoresha boxe, ariko bikora mu buryo butandukanye cyane. Iyo wambaye mu kanwa nijoro usinziriye, bifasha kuguma ufunguye umwuka wawe w’ubuhumekero.
Noneho, ikiba ku muntu urwaye indwara yo gusinzira ni uko mu gihe cyo gusinzira, imitsi iri inyuma mu muhogo iraruhuka, inzira y'ubuhumekero ikagira imitobe cyangwa igafunga burundu. Hanyuma, umwuka ntujyamo, maze ikimenyetso kijya mu bwonko kikagukangura gato kugira ngo uhumeke. Iyi ngendo ikomeza ijoro ryose. Kubera iyo mpamvu, ntusinzira neza, kandi ingingo z'umubiri wawe ntizibona ingano ya ogisijeni zikeneye. Icyo rero ibi bikoresho byo mu kanwa bikora ni ugukomeza umunwa wawe, urwasaya, n'ururimi mu mwanya runaka, bigatuma inzira y'ubuhumekero ifunguye.
Hari ubwoko bubiri bw'ingenzi bw'ibi bikoresho.
Ibi bikoresho bikoreshwa mu kuvura indwara yo guhumeka mu gihe cyo gusinzira bishobora kugabanywamo ibice bibiri.
1. Ibikoresho byo guteza imbere amaguru (MADs)
Ubu ni bwo bwoko bukunze gukoreshwa cyane. Buzwi kandi nk'udupira two mu mandibular advancing, ibikoresho byo mu mandibular repositioning, nibindi. Mu magambo make, iki gikoresho gikurura umusaya wawe wo hasi (mu mandibular) imbere gato. Iyo umusaya wo hasi ugiye imbere, ururimi ruwufatanye na wo rugenda imbere. Ibi byongera umwanya w'umwuka unyura inyuma y'umuhogo.
Izi MAD zikunze kuba mu bice bibiri: kimwe cy’amenyo yo hejuru n’ikindi cy’amenyo yo hasi. Ibi bice bibiri bihuzwa n’amakuru, imigozi, cyangwa imigozi ya rubber. Ibi bigufasha guhindura uburebure bw’umusaya wo hasi ugomba kwimurwa imbere.
2. Ibikoresho Bituza Ururimi (TSDs)
Ibi kandi byitwa ibikoresho bifata ururimi. Ntabwo bikunzwe cyane nka MAD, ariko kuri bamwe ni igisubizo cyiza. Bikoresha uburyo bwo gukurura ururimi, ari na bwo buryo bukurura ururimi rwawe imbere rukarufata mu mwanya warwo. Icyo gikoresho gifite igice gisa n'igitereko kifata ururimi kigumisha mu mwanya warwo mu gihe usinziriye.
TSD zishobora kuba ubundi buryo bwiza ku bantu badashobora kugira igikoresho cya MAD, urugero, kubera ko amenyo yabo adakomeye bihagije.
| Ubwoko bw'igikoresho | Uko bikora | Ni nde ukwiriye ibi? |
|---|---|---|
| Ibikoresho byo guteza imbere amaguru (MADs) | Gukurura umusaya wo hasi imbere bifungura inzira y'ubuhumekero. | Ikunze kugirwa inama ku barwayi benshi ba Sleep Apnea. |
| Ibikoresho Bituza Ururimi (TSDs) | Ururimi rurakururwa imbere rugafatwa mu mwanya warwo binyuze mu gukurura. | Bikwiriye abantu bafite amenyo make cyangwa badashobora gukoresha imiti ya MAD. |
Icy'ingenzi kurushaho, ibi bikoresho bigira akamaro cyane iyo byakozwe na muganga w'amenyo kugira ngo bikwirane n'umunwa wawe. Nubwo hari ubwoko bw'ibiryo byo guteka no kuruma buboneka muri farumasi cyangwa kuri interineti, ubushakashatsi bwagaragaje ko ibikoresho byakozwe mu buryo bwihariye bitanga umusaruro mwiza.
Ni nde ubu buvuzi bukwiriye kurusha ubundi?
Uburyo bwo kuvura indwara yo mu kanwa bukwiriye cyane abantu bafite ikibazo cyo guhumeka nabi mu gihe cyo gusinzira . Ni amahitamo meza cyane cyane ku bantu bafite ikibazo cyo gukoresha imashini ya CPAP (Continuous Positive Airway Pressure), ifatwa nk'uburyo bwiza bwo kuvura indwara yo guhumeka nabi mu gihe cyo gusinzira.
Imashini ya CPAP ni igikoresho gitanga umwuka ushyushye mu nzira z'ubuhumekero binyuze mu muyoboro na mask kugira ngo bikomeze gufunguka. Nubwo CPAP ari nziza cyane, hari abantu bigora kuryama bambaye mask buri joro. Uko igihe kigenda gihita, bareka kuyikoresha. Nubwo igikoresho cyo mu kanwa kidakora neza nka CPAP, gishobora gufasha abantu benshi kugenzura ibimenyetso by'indwara zabo.
Hari abantu bakoresha imashini ya CPAP n'igikoresho cyo mu kanwa. Urugero, bakoresha CPAP mu rugo n'igikoresho cyo mu kanwa byoroshye kujyana iyo bari mu rugendo.
Ese hari abantu badakwiye gukoresha ibi?
Yego, ibi bikoresho ntibikwiriye buri wese. Cyane cyane ku bantu:
- Abantu bafite ikibazo cyo kubura umwuka wo mu mutwe (Central Sleep Apnea): Iyi ni indwara aho guhumeka bihagarara bitewe n'ikibazo cy'ibimenyetso by'ubwonko. Ibi ntibishobora kuvurwa n'ibikoresho byo mu kanwa.
- Abana bato: Ibibazo by'ubuhumekero by'abana bisaba uburyo butandukanye n'ubw'abantu bakuru. Ibi bifata nk'uko muganga w'umwana yabigusabye.
- Abantu bafite OSA ikomeye: Bishobora kuba akaga ku muntu ufite ikibazo gikomeye cyo guhumeka mu gihe cyo gusinzira agerageza kugenzura ibitotsi bye akoresheje iki gikoresho wenyine. Kubwibyo, ugomba kuvugana na muganga wawe niba ibi bikubereye.
Ni gute wakora igikoresho nk'iki?
Kugira ngo ubikosore, ugomba gukurikiza inzira runaka.
1. Ubwa mbere, ugomba gukora inyigo yo gusinzira kugira ngo wemeze niba ufite Obstructive Sleep Apnea.
2. Niba umuganga wawe afashe icyemezo cy'uko igikoresho cyo mu kanwa ari amahitamo meza kuri wewe, azakohereza kwa muganga w'amenyo .
3. Muganga w'amenyo azagupima amenyo yawe cyangwa akore isuzuma rya 3D.
4. Hashingiwe kuri ibyo bipimo, uruganda ruzagukorera igikoresho cyihariye.
5. Nyuma yo gukora igikoresho, uzakenera kongera kubonana na muganga w'amenyo. Bazagenzura neza ko gikwira neza mu kanwa kawe kandi ko kidafashe kugira ngo kidacika nijoro.
6. Nanone, hazatangwa amabwiriza y'uburyo bwo gusukura no kwita kuri ibi.
Muganga wawe ashobora kandi kukugira inama yo kongera kwiga ibitotsi nyuma yo gushyiramo igikoresho kugira ngo arebe uko gikora.
Ingaruka mbi n'inyungu ni izihe?
Nk’uko bigenda ku buvuzi ubwo aribwo bwose, ubu bugira ingaruka mbi n’akamaro gato.
| Ingaruka mbi | |
|---|---|
| Igihe gito - mu byumweru bike bya mbere | |
| Amacandwe menshi cyane | Mu ntangiriro, hashobora kubaho amacandwe menshi kuko hari ikintu kidasanzwe mu kanwa. |
| Ububabare bw'urusaya, iryinyo, n'ingingo za temporomandibular (TMJ) | Ushobora kumva ububabare gato mu ntangiriro kuko urwasaya rwo hasi ruri mu mwanya mushya. |
| Kubabara mu kanwa no mu ishinya | Ibi bikunze kugabanuka mu minsi mike. |
| Igihe kirekire - kidasanzwe | |
| Impinduka mu mwanya w'amenyo (kurumwa) | Uko igihe kigenda gihita, uburyo amenyo yawe ahura bushobora guhinduka. |
| Amenyo anyeganyega cyangwa agenda | Niyo mpamvu kwisuzumisha amenyo buri gihe ari ingenzi. |
Ibyiza by'ibi
- Bishobora kugabanya ibimenyetso bya OSA, cyane cyane gusinzira ku manywa no kugorwa no kwibanda ku bintu bitoroshye .
- Bifasha gusinzira neza kandi mu buryo burambye.
- Kugona bishobora kugabanuka cyangwa bigahagarikwa burundu .
- Ubundi buryo bwiza ku bantu badashobora gukoresha imashini ya CPAP.
- Biroroshye cyane kujyana nawe iyo uri mu rugendo.
Ubutumwa bwo kujyana mu rugo
- Ibikoresho byo mu kanwa ni umuti mwiza ku ndwara yo kubura umwuka wo gusinzira, cyane cyane ku barwayi boroheje kugeza ku bari hagati ndetse n'abatabona ko imashini za CPAP zibabaza.
- Ibikoresho byiza cyane muri ibi ni ibyakozwe na muganga w'amenyo kugira ngo bijyane n'umunwa wawe.
- Bishobora gufata igihe kugira ngo ubimenyere mu byumweru bike bya mbere. Nubwo hari ububabare buke bushobora kubaho, akenshi bugenda bushira nyuma y'iminsi mike.
- Mbere yo gutangira ubu buvuzi, banza uganire na muganga wawe kugira ngo arebe ko bujyanye n'uburwayi bwawe.
- Ni ingenzi cyane ko muganga w'amenyo ahora asuzuma amenyo yawe n'umunwa wawe mu gihe cyose ukoresha igikoresho.











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