Ngaba wakha waziva ngathi umntwana wakho uyeka ukuphefumla ngequbuliso okanye unobunzima bokuphefumla xa elele? Ngamanye amaxesha oku kwenzeka kubantwana abancinci xa belele. Oku sikubiza ngokuba yi-"childhood sleep apnea." Le yinto abazali abaninzi abathetha ngayo kwaye kufuneka bayiqaphele.
Ngaba abantwana abancinci nabo bayafuthaniseka xa belele? Yintoni i-Obstructive Sleep Apnea?
Ngamafutshane,
i-apnea yokulala ebuntwaneni kukuyeka okwethutyana kwindlela yokuphefumla yomntwana wakho ngelixa elele. Oku kunokwenzeka kuba kukho ukuphazamiseka kwindlela yakhe yomoya. Okanye, kusenokwenzeka kuba ingqondo ayithumeli imiqondiso efanelekileyo kwimisipha yakhe yokuphefumla. Cinga ngale ndlela. Ngelixa ulele, ifowuni iyakhala. Uvuka wothukile, kodwa ubuyela ebuthongweni ungaphendulanga. Yindlela esebenza ngayo. Ingqondo yomntwana wakho iyava ukuba kukho ukunqongophala komoya emzimbeni wakhe. Ingqondo emva koko ithumela imiqondiso emiphungeni ukuba iphefumle. Oku kunokubangela ukuba umntwana wakho avuke rhoqo phakathi kobusuku. Nangona oku kuvuka kukufutshane kakhulu, kunokuchaphazela iindlela zokulala zomntwana wakho. Ngenxa yoko, umntwana wakho unokudinwa
ngakumbi emini. Usenokuba ukhe weva oogqirha ngamanye amaxesha bebiza oku ngokuthi `(Pediatric Sleep Apnea)`.
Ngaba kukho iintlobo ezahlukeneyo zezi?
Ewe, kukho iintlobo ezintathu eziphambili ze-sleep apnea ebuntwaneni. Makhe sijonge ukuba ziyintoni na.
1. I-Obstructive Sleep Apnea (OSA)
Olu
lolona hlobo luqhelekileyo lwesifo sesifuba kubantwana abancinci. Sivela xa kukho ukuvaleka kwendlela yomoya yomntwana, okanye umphimbo womoya. Sifana nombhobho wamanzi ovalekileyo.
2. I-Central Sleep Apnea (CSA)
Le
yimeko engaqhelekanga . Idla ngokubonakala kwiintsana ezisandul’ ukuzalwa. Okwenzekayo apha kukuba ingqondo yomntwana ayikwazi ukunxibelelana kakuhle nezihlunu ezilawula ukuphefumla. Oko kukuthi, "umyalezo" wokuphefumla awudluli kakuhle.
3. I-Mixed/Complex Sleep Apnea okanye i-Treatment-Emergent Central Sleep Apnea
Olu lukwaluhlobo lwe-`(Central Sleep Apnea)`. Oku kwenzeka xa umntwana one-`(Obstructive Sleep Apnea)` enyangwa ngomatshini we-`(CPAP)` (lo ngumatshini onceda ukuphefumla, siza kuthetha ngawo kamva), kwaye naye uphuhlisa i-`(Central Sleep Apnea)`.
Ixhaphake kangakanani le meko kubantwana abancinci?
Enyanisweni, i-sleep apnea ixhaphake kakhulu kwihlabathi liphela. Kuqikelelwa ukuba malunga nebhiliyoni yabantu kwihlabathi liphela banengxaki yesi sifo. Phakathi kwabantwana abancinci,
i-` (Obstructive Sleep Apnea)` inokuchaphazela phakathi kwe-1% kunye ne-5% yabemi, nokuba baneminyaka emingaphi. Oku kuthetha ukuba iintsana ezisandul’ ukuzalwa, abantwana abancinci, abantwana abasaqalayo esikolweni, abantwana abakwiminyaka yesikolo, kunye nabantu abadala abancinci bonke banokuhlangabezana nale meko. Nangona kunjalo,
Ixhaphake kakhulu kubantwana abaphakathi kweminyaka emi-2 neyi-6 ubudala. Ngaba i-apnea yokulala inokuba yingozi?
Nangona abantwana behlala befumana iimpawu ezingephi zesi sifo, i-sleep apnea ebuntwaneni inokuba yingozi ukuba ayinyangwa. Ingakhokelela nakwiingxaki ezilandelayo:- Imingeni yokukhula nophuhliso: Oku kunokuchaphazela ukukhula komntwana ngokwasemzimbeni nangokwengqondo.
- Ukulahlekelwa yindlela yokuchama (ukuchama ebhedini - `(Enuresis)`) : Oku kunokubangela iingxaki zokuchama ebhedini ebusuku kwabanye abantwana.
- Isifo sentliziyo nemiphunga : Ukuba asinyangwa ixesha elide, sinokuchaphazela intliziyo nemiphunga.
- Ukunqongophala kwengqwalasela/ingxaki yokusebenza kakhulu ( ADHD ) : Ubunzima bokufunda kunye nokungakwazi ukuhlala kwindawo enye bunokubonwa.
Utshintsho kwindlela umntwana alala ngayo lunokuchaphazela indlela aziphatha ngayo, indlela aziva ngayo, kunye nomsebenzi wesikolo, ngoko ke kubalulekile ukukwazi oku.
Zithini iimpawu zoku? Uzibona njani?
Kukho iimpawu ezininzi ze-sleep apnea ebuntwaneni. Masizihlukanise zibe ziindidi ezimbini. Iimpawu ezinokubonakala xa ulele:
- Ukuphefumla ngomlomo, ukuphefumla kakhulu, okanye ukurhona : Ukurhona kudla ngokuba luphawu oluphambili.
- Ukuphefumla kuyayeka okanye kuyeke : Ungaqaphela ukuba umntwana ngequbuliso uyeka ukuphefumla imizuzwana embalwa.
- Ukukhohlela okanye ukuphefumla kancinci : Ungavuka ukhohlela kwaye uphelelwe ngumoya xa ulele.
- Ukujikijela nokujika ebhedini (ukulala okungaphumliyo) : Ukujikijela nokujika kwicala elinye, ungakwazi ukulala.
- Ukubila ebusuku .
- Ukuhambahamba okanye ukuthetha ulele .
- Ukuchama Ebhedini .
Iimpawu ezinokubonwa emini (ezi zisenokuba ziimpawu zokuba umntwana unesifo sokungalali kakuhle):
- Ukudinwa : Usenokuziva udiniwe xa uvuka kusasa. Usenokuziva ulele imini yonke.
- Ukungakhathaleli okanye ukungakwazi ukugxila : Ingqalelo ingabonakala ingekho, nokuba wenza umsebenzi wesikolo okanye udlala.
- Ukucaphuka, ubundlobongela, okanye ezinye iingxaki zeemvakalelo okanye zokuziphatha : Izinto ezinjengokucaphuka ngezinto ezincinci, ukulwa nabanye, njl.
- Intloko ebuhlungu yasekuseni.
Ukuba umntwana wakho unenye okanye ngaphezulu kwezi mpawu, kungcono ukuthetha nogqirha. Kutheni oku kusenzeka kubantwana abancinci? Zithini izizathu?
Eyona nto ibangela i-Obstructive Sleep Apnea ebuntwaneni kukuthintelwa kwendlela yomoya yomntwana. I-Central Sleep Apnea ibangelwa yingxaki yemiqondiso ethunyelwa yingqondo yomntwana ukuya kwizihlunu zomoya. Ngamanye amaxesha, nokuba kusetyenziswa umatshini we-CPAP, i-sleep apnea enzima ngakumbi inokwenzeka. Ziziphi iingxaki ezibangela ukuba umntu angakwazi ukulala ngokwaneleyo?
- Iitoni ezikhulisiweyo okanye ii-adenoids : Ezi zii-glands ezingasemva komqala. Zinokwanda ukuba umntwana unentsholongwane okanye ukudumba . Ngamanye amaxesha, ezi glands zinokuba nkulu kunesiqhelo ngenxa yezizathu zemfuza. Le yeyona nto ixhaphakileyo ebangela i-OSA kubantwana abancinci.
- Utshintsho kwithoni yemisipha : Ezinye iimeko zemfuza, ezifana ne-Down syndrome okanye i-cerebral palsy, zinokubangela utshintsho kwithoni yemisipha yentloko nentamo yomntwana. Nokuba ithoni yemisipha yomntwana iqhelekile emini, le thoni yemisipha iyancipha ebusuku xa umntwana elele, nto leyo ebangela ukuba izicubu zinamathele kwaye zivale indlela yomoya.
- Ukwahluka kwesakhiwo samathambo : Ukwahluka kwesakhiwo samathambo ebusweni, njengomhlathi omncinci okanye ukulunywa kakhulu, nako kunokubangela iingxaki zokuphefumla emntwaneni.
- Ithumba : Ithumba elikhula kwindlela yomoya nalo linokubangela ukuvaleka. Nangona kunjalo, oku kunqabile kakhulu.
Ngubani osengozini enkulu yokuba nale meko? (Izinto Ezinobungozi)
Umntwana wakho usenokuba sengozini enkulu yokuba ne-sleep apnea ngenxa yezi zizathu zilandelayo:- Ii-Allergies : Izinto ezifana nomkhuhlane oqhelekileyo kunye ne-allergies yothuli.
- Isifuba .
- Ukuba ukhe watyandwa i-cleft palate okanye utyando oluhambelanayo (`pharyngeal flap surgery`) .
- Ukuchanabeka kumsi wecuba : Ukuba umntu ohlala ekhaya uyatshaya, oko kunokuba nefuthe.
- Ukuba nelungu losapho elinale meko (ufuzo oluxhomekeke kwimikhwa) .
- Ukutyeba kakhulu : Ukuba ubunzima bomzimba buphezulu kunobunzima obufanelekileyo ngokweminyaka.
- Iingxaki ze-acid reflux kwinkqubo yokugaya ukutya : njenge-gastritis.
- Usulelo lwendlela yokuphefumla ephezulu (`Usulelo lwendlela yokuphefumla ephezulu`): Ukuba uhlala ufumana umkhuhlane kunye nomkhuhlane.
Ugqirha uyixilonga njani le nto?
Ugqirha uza kuxilonga isifo sobuthongo ebuntwaneni ngokukubuza ngeempawu zomntwana wakho. Baza kubuza imibuzo efana nokuba umntwana wakho uyarhona na kunye nendlela alala ngayo ebusuku. Baza kwenza uvavanyo lomzimba baze bathathe imbali epheleleyo yezonyango zomntwana wakho. Ngamanye amaxesha ugqirha wakho unokukuthumela kwingcali yokulala. Ingcali yokulala ingenza iimvavanyo ezifana nezi:- Imbali yokulala : Ingxelo yeendlela zokulala zomntwana wakho ebusuku. Oku kungenziwa ngokucela iinkcukacha kuwe.
- Uvavanyo lomoya ophezulu : Oku kuquka uvavanyo lomzimba. Ngamanye amaxesha i-X-ray okanye i-endoscopy yempumlo inokwenziwa ukujonga ukuba akukho mpumlo uvalelekileyo na.
- Isifundo sokulala (`Uphononongo lokulala / iPolysomnography`) : Olu lolona vavanyo lubalulekileyo. Apha, umntwana ujongwa ngelixa elele. Olu vavanyo lulinganisa izinto ezininzi, ezifana nomsebenzi wengqondo yomntwana, isantya sentliziyo, ubungakanani bomoya ongena ngomlomo nangempumlo, ubungakanani beoksijini kunye nekhabhoni diokside egazini, umsebenzi wemisipha, iintshukumo zesifuba nesisu, kunye nokuphazamiseka kokulala.
Zithini iindlela zonyango zoku?
Unyango lwe-sleep apnea ebantwaneni luyahluka ngokuxhomekeke kwisizathu kunye nobunzima bemeko. Injongo ephambili kagqirha kukucoca indlela yomoya yomntwana. Iindlela zonyango zingabandakanya:- Utyando : Kunokufuneka utyando ukuze kususwe iitoni ezinkulu okanye ii-adenoids (i-tonsillectomy / i-adenoidectomy), okanye kulungiswe iingxaki kwisakhiwo samathambo entloko nasentanyeni yomntwana. Oku kuvumela indawo engakumbi yomoya.
- Utshintsho kwindlela yokuphila : Ukuzilolonga rhoqo kunokunceda ukugcina indlela yomoya yomntwana wakho ivulekile. Kwakhona, ukwenza utshintsho kwindlela atya ngayo umntwana wakho kunokunceda ukugcina i-body mass index (BMI) esempilweni ngokweminyaka yakhe.
- Amayeza : Amayeza anokunceda umntwana wakho agcine umoya wakhe uvulekile okanye ucocekile. Ugqirha uza kukunika amayeza ngokuxhomekeke kwisizathu sokuba umntwana wakho angakwazi ukulala. Umzekelo, ii-antihistamines, i-fluticasone (Flonase®), kunye ne-montelukast (Singulair®) zinokunikwa abantu abane-allergies. Izinto zokunciphisa ukuxinana kweempumlo zinokunikwa ukuba kukho usulelo oluphezulu lokuphefumla.
- Uxinzelelo Lomoya Oluqhubekayo Olulungileyo (CPAP): Oku kuquka ukunxiba imaski encinci phezu kwempumlo ngelixa ulele. Le maski iqhagamshelwe kumatshini omncinci, ophathwayo. Lo matshini uthumela umoya ngempumlo ungene kwindlela yomoya. Olu xinzelelo lomoya lugcina indlela yomoya yomntwana ivulekile, ukuze akwazi ukuphefumla ngokuqhelekileyo ngelixa elele.
Ukuba umntwana wakho ufumana i-complex sleep apnea emva kokuba enyangwe i-obstructive sleep apnea, ugqirha wakho unokucebisa ukuba ulungise uxinzelelo lomoya kumatshini we-CPAP okanye ulungise indlela imaski ehambelana ngayo nobuso bomntwana wakho. Oku kudla ngokubangelwa kukuba umatshini we-CPAP uphezulu kakhulu okanye uphantsi kakhulu. Olu hlengahlengiso ludla ngokuphucula iimpawu ze-complex sleep apnea.
Ugqirha uza kuhlola ngononophelo iimpawu zomntwana wakho ngaphambi kokuba acebise unyango okanye ulawulo lwasekhaya. Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?
Thetha nogqirha womntwana wakho malunga nemiphumo emibi yalo naluphi na unyango olucetyiswayo kumntwana wakho. Zonke iintlobo zotyando zinemingcipheko. Iziphumo ebezingalindelekanga zamayeza ziyahluka ngokuxhomekeke kuhlobo. Buza ugqirha womntwana wakho ukuba kukho naziphi na iziphumo ebezingalindelekanga ekufuneka uzazi ngexesha lonyango. Ngaba oku kungathintelwa ukuba kwenzeke?
Uninzi lwezizathu ze-sleep apnea ebuntwaneni kunzima ukuzithintela. Nangona kunjalo, ungamnceda umntwana wakho anciphise umngcipheko wokuba nale meko ngokuthi:- Ukuzilolonga rhoqo.
- Ukuphepha iindawo ezinecuba.
- Ukulawula ii-aleji zexesha lonyaka.
Ugqirha angenza iingcebiso ezilungiselelwe wena ezinokunciphisa umngcipheko womntwana, ingakumbi ukuba kukho umntu kusapho onale meko. Kuza kwenzeka ntoni ukuba umntwana unale meko? Ngaba uza kuphila?
Ngonyango, iimpawu ze-obstructive sleep apnea ebuntwaneni zinokuphela. Kwakhona, kusenokungabikho miphumo yexesha elide njengoko umntwana ekhula. Nangona kunjalo, ukuba ayinyangwa, i-sleep apnea ingaba yingozi kwaye inokuchaphazela ukukhula nophuhliso lomntwana. Abanye abantwana banokuqhubeka benazo iimpawu njengoko bekhula, kwaye kwiimeko ezinjalo, kunokufuneka zilawulwe ngexesha lobudala. Kukho unyango lokunciphisa iimpawu ze-obstructive sleep apnea, ezinokubangelwa ziimeko ezithile. Ukuba umntwana wakho uneempawu ezincinci, zinokuba ngcono ngokwazo njengoko ekhula. Oku kwenzeka kuba izicubu ezingasemva komphimbo ziyancipha njengoko umntwana wakho ekhula, zivula indlela yomoya. Utyando lokususa iitoni okanye ii-adenoids lunyango olusebenzayo kule meko. Nangona kunjalo, ukuba umntwana wakho ufumana umqobo omtsha kwindlela yakhe yomoya, iimpawu ze-obstructive sleep apnea zinokubuya. Ndifanele ndimbone nini ugqirha? Kuthekani ukuba yingxamiseko?
Ukuba ubona iimpawu ze-sleep apnea kumntwana wakho, ingakumbi ukuba umntwana wakho uvuka rhoqo phakathi kobusuku okanye uneengxaki zokuphefumla xa elele, bonana nogqirha ngokukhawuleza.Kwimeko enjalo, yiya kwigumbi likaxakeka (ER) ngoko nangoko, okanye utsalele umnxeba ku-1990:- Ukuba umntwana wakho unengxaki yokuphefumla.
- Ukuba ulusu lomntwana, imilebe, kunye neenzipho zimhlophe, ziluhlaza okwesibhakabhaka, okanye zingwevu.
Imibuzo ebalulekileyo yokubuza ugqirha wakho
Xa ubona ugqirha, ungalibali ukubuza le mibuzo:- Yintoni ebangela iimpawu zomntwana wam?
- Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?
- Ngaba umntwana wam udinga utyando?
- Umntwana wam uza kuyidinga ixesha elingakanani ukusebenzisa umatshini we-CPAP?
I-sleep apnea ebuntwaneni inokuba yingxaki kuwe nakumntwana wakho. Umntwana wakho unokufumana kunzima ukulala kakuhle ebusuku, nto leyo emenza azive ediniwe emini. Oku kunokuchaphazela imisebenzi yakhe yemihla ngemihla, imisebenzi, iimvakalelo, kunye nokuziphatha. Ke ngoko, ukuba ubona iimpawu ze-sleep apnea kumntwana wakho, funa ingcebiso kagqirha ngoko nangoko. Ugqirha unokukunceda wena nomntwana wakho nilawule le meko kwaye ancede umntwana wakho aphefumle lula. Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)
- I-Obstructive Sleep Apnea yimeko eqhelekileyo phakathi kwabantwana abancinci.
- Ukurhona, ukuvuka rhoqo ebusuku, kunye nokulala emini zisenokuba zezona mpawu ziphambili.
- Iitoni ezinkulu kunye nee-adenoids zihlala ziyimbangela.
- Le meko inokuchaphazela ukukhula komntwana, ukufunda kwakhe, kunye nokuziphatha kwakhe.
- Le meko ingalawuleka kakuhle ngokuxilongwa nonyango olufanelekileyo.
- Ukuba unamathandabuzo, ungoyiki ukuthetha nogqirha. Okukhona uxilongwa ngokukhawuleza, kokukhona kungcono kumntwana wakho.
Siyathemba ukuba olu lwazi luza kukunceda unike umntwana wakho ubuthongo obusempilweni nobukhululekileyo!
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho