Ngaba kukho umntu kusapho lwakho, mhlawumbi umyeni okanye umfazi wakho, orhona kakhulu ebusuku xa elele? Ngaba wakha waphawula ukuba xa erhona, ngequbuliso uyeka ukuphefumla aze aphinde aqalise ukuphefumla ngokungathi uphefumla umoya? Okanye ucinga ukuba ulale iiyure ezisi-8 okanye ezi-9 ebusuku, kodwa usaziva udiniwe ngendlela engaqhelekanga kwaye ulele ngosuku olulandelayo? Ngaba ngamanye amaxesha uyalala ngelixa usebenza, uqhuba, okanye ubukele iTV? Ezi asizozinto ezinokujongwa njengezi "rhona" okanye "ukungakwazi ukulala kakuhle." Emva kwezi mpawu kunokubakho imeko yempilo embi ebizwa ngokuba yi -Obstructive Sleep Apnea . Ngoko ke, namhlanje siza kuthetha ngomlinganiselo obaluleke kakhulu osetyenziswa ngoogqirha ukulinganisa ubunzima bale meko. Leyo yi -AHI value (Apnea-Hypopnea Index) .
Kalula nje, yintoni i-AHI?
I-AHI imele i-Apnea-Hypopnea Index . Ilinganisa ukuba ukuphefumla kwakho kuyeka kangaphi (i-apnea) kwaye kube nzulu kakhulu (ii-hypopnea) ngexesha leyure ngelixa ulele. Cinga ngayo njenge "ngxelo" yokuphefumla kwakho ulele.
Ukuze sicacise oku ngakumbi, makhe sijonge intsingiselo echanekileyo yala magama mabini:
- I-Apnea: Oku kwenzeka xa ukuphefumla kwakho kuyeka ngokupheleleyo imizuzwana eli-10 nangaphezulu . Ngeli xesha, akukho moya ungena emiphungeni yakho.
- I-Hypopnea: Oku kwenzeka xa ukuphefumla kwakho kungayeki ngokupheleleyo, kodwa indlela yakho yomoya ivalekile kakhulu kwaye ukuphefumla kwakho kuba nzulu kakhulu . Oku kubangela ukuba inqanaba leoksijini egazini lakho lehle kakhulu.
Ngoku usenokuba ucinga, "Ndingazi njani ukuba ndiyeka ukuphefumla?" Yile nto eyenzekayo ngokwenene. Xa ukuphefumla kwakho kuyeka, nokuba akunzulu okanye akunjalo, ingqondo yakho iyayibona le ngozi ngoko nangoko. Ingqondo iyazi ukuba umzimba wakho awufumani ioksijini eyaneleyo. Ngelo xesha, ingqondo ikuvusa ebuthongweni obunzulu ixesha elifutshane (ukuvuka). Kodwa oku kuvuka kuncinci kangangokuba awukhumbuli nokukukhumbula. Xa uqala ukuphefumla kwakhona, ingqondo yakho ikuvumela ukuba ubuyele ebuthongweni. Xa i-Sleep Apnea inzima, oku kunokwenzeka kangangamakhulu ebusuku . Ngoko cinga ngayo, ukuba ubuthongo bakho buphazamiseka kaninzi ngeyure okanye kalishumi, ungalala njani kakuhle, uhlaziye? Yiyo loo nto uziva udiniwe imini yonke.
Ixabiso le-AHI linani eliqhelekileyo lokuma kancinci kunye neziqendu zokuphefumla okungenzulu ezenzeka ngeyure ngexesha lokulala. Okukhona eli xabiso liphezulu, kokukhona i-apnea yakho yokulala inzima ngakumbi.
Ngoko ke eli xabiso le-AHI lilinganiswa njani?
Ukuze ufumane eli xabiso, kufuneka wenze uvavanyo olukhethekileyo. Silubiza ngokuba yi- Sleep Study , okanye ngokwezonyango, i-Polysomnography . Oku kudla ngokwenziwa emva kokuhlala ubusuku bonke kwilabhoratri yokulala ekhethekileyo esibhedlele.
Musa ukucinga ukuba oku kubuhlungu. Akubuhlungu konke konke. Into oyenzayo yile:
- Iisensa ezincinci ezininzi zinamathele entlokweni yakho, ebusweni, esifubeni, nasemilenzeni.
- Bafaka imitya emibini ejikeleze isifuba sakho nesisu sakho ukuze balinganise iintshukumo njengoko uphefumla.
- Isixhobo esincinci esifana nekliphu sincamathiselwa emnweni ukuze kulinganiswe inqanaba leoksijini egazini.
Emva koko ulala ngokuqhelekileyo. Ubusuku bonke, ezi zixhobo zirekhoda umsebenzi wobuchopho bakho, izinga lokubetha kwentliziyo, iipatheni zokuphefumla, amanqanaba eoksijini egazini, ukurhona, kunye neentshukumo zomzimba, phakathi kwezinye izinto.
Ngosuku olulandelayo, oogqirha bayayihlalutya le datha baze babale amanqaku akho e-AHI. Nantsi indlela ekwenziwa ngayo oku:
Inani leziganeko ze-Apnea kunye ne-Hypopnea ezenzeke ubusuku bonke ÷ Iiyure ezipheleleyo olele kuzo = Ixabiso lakho le-AHI
Ngamanye amaxesha kukho izixhobo ezilula zokufunda ubuthongo onokuzenza ekhaya. Nangona kunjalo, idatha efunyenwe kuvavanyo olwenziwe esibhedlele ichaneke ngakumbi kwaye ineenkcukacha. Ugqirha wakho uya kugqiba ukuba yintoni ekulungeleyo.
Ubunzima be-apnea yokulala njengoko kulinganiswa ngexabiso le-AHI (kubantu abadala)
Oogqirha baza kuhlela imeko yakho ngokwexabiso le-AHI elifunyenwe emva kokufunda kwakho ukulala. Le yindlela olu hlobo lohlulo olusebenza ngayo kumntu omdala.
| Ixabiso le-AHI (iziganeko ngeyure) | Ubunzima bemeko | Ithetha ntoni le nto? |
|---|---|---|
| Ngaphantsi kwe-5 | Eqhelekileyo | Awunaso isifo sokuphefumla xa ulele. Nokuba umntu ophilileyo unokuba nokuphefumla okungaphantsi kwezihlandlo ezi-5 ngeyure. |
| Ukususela kwi-5 ukuya kwi-14 | Ubuthambileyo | Une-apnea encinci yokulala. Usenokuziva ulele kancinci emini. |
| Ukususela kwi-15 ukuya kwi-29 | Iphakathi | Le meko imbi kakhulu. Usenokufumana ukozela okukhulu emini kunye nobunzima bokugxila. |
| Uneminyaka engama-30 nangaphezulu | Inzima kakhulu | Le yimeko embi kakhulu. Umngcipheko wokufumana ezinye izifo ezifana nesifo sentliziyo, uxinzelelo lwegazi oluphezulu, kunye nesifo seswekile uphezulu kakhulu. |
Ingaba ixabiso le-AHI lahlukile ebantwaneni abancinci?
Ewe, ngokuqinisekileyo. Imizimba yabantwana abancinci kunye neenkqubo zokuphefumla zahlukile kwezabantu abadala, ngoko ke isikali esisetyenziswayo ukulinganisa i-AHI yabo naso sahlukile.
Ukuba i-AHI yomntwana ingaphezulu kwe-1 , ithathwa njengengxaki yokungakwazi ukulala. Ixabiso eliqhelekileyo lomntwana kufuneka libe ngaphantsi kwe-1.
Udidi lwe-AHI lwabantwana lulandelayo:
- Ixabiso eliphantsi: Ixabiso le-AHI ukusuka ku-1 ukuya ku-4
- Ixabiso eliphakathi: Ixabiso le-AHI ukusuka kwi-5 ukuya kwi-9
- Inzima: Ixabiso le-AHI liyi-10 okanye ngaphezulu
Ukuba umntwana wakho urhona kakhulu ebusuku, uphefumla evule umlomo wakhe elele, ubonakala ephefumla nzima, okanye uxakekile emini okanye unengxaki yokunikela ingqalelo esikolweni, qiniseka ukuba uthetha nogqirha wabantwana ngaloo nto.
Ixabiso le-AHI lomntu osebenzisa umatshini we-CPAP
Unyango oluphambili nolusebenzayo lwe-sleep apnea yi- CPAP (Continuous Positive Airway Pressure) . Oku kusebenza ngokuhambisa uxinzelelo lomoya oluthambileyo ngemaski oyinxiba ebusweni bakho ngelixa ulele, ukugcina umoya wakho uvulekile. Oku kukuthintela ekuyekeni ukuphefumla.
Xa uqala unyango lwe-CPAP, injongo kukugcina i-AHI yakho ingaphantsi kwe-5 ngeyure.Ulondolozo. Oomatshini abaninzi be-CPAP namhlanje banesici esikuvumela ukuba ujonge i-AHI yakho rhoqo kusasa. Nangona ingachanekanga ngokupheleleyo njengophando lokulala, inokuba yindlela entle kuwe nakugqirha wakho yokujonga indlela unyango lwakho olusebenza ngayo.
Ingaba ixabiso le-AHI lodwa lanele? Zithini iintsilelo zale ndlela?
I-AHI sisixhobo esibaluleke kakhulu ekuxilongeni nasekunyangeni i-Sleep Apnea. Nangona kunjalo, ayixeli yonke into. Ixabiso le-AHI linemida emininzi.
- Ayibonisi ubunzulu beziganeko: I-AHI ikuxelela kuphela ukuba ukuphefumla kwakho kuyeke kangaphi ngeyure. Nangona kunjalo, i-AHI ayibonisi ngokuthe ngqo ukuba inqanaba le-oksijini egazini lakho liye lehla kangakanani ngexesha lesiganeko ngasinye, okanye ukuba ukuphefumla kuyeke ixesha elingakanani. Omnye umntu unokuba ne-AHI ye-10, kodwa amanqanaba akhe e-oksijini anokwehla kakhulu. Omnye umntu unokuba ne-AHI ye-10, kodwa amanqanaba akhe e-oksijini asenokunganciphi kangako.
- Umahluko kwinkcazo ye-Hypopnea: Nangona kukho inkcazo ecacileyo ye-apnea, ngamanye amaxesha kunokubakho umahluko omncinci kwindlela echazwa ngayo i-hypopnea.
- Imida yovavanyo lwasekhaya: Nangona uvavanyo lwasekhaya lulula, ngamanye amaxesha iziphumo zalo zisenokungabi zichanekile ngokupheleleyo.
Yiyo loo nto ugqirha engenzi sigqibo ngemeko yakho ngokusekelwe kuphela kumanqaku akho e-AHI. Uza kuqwalasela izinto ezininzi, kuquka amanqaku akho e-AHI, ukuba amanqanaba akho eoksijini egazini aphantsi kangakanani, iimpawu zakho, kunye nendawo olala kuyo, ukuze afumane umfanekiso opheleleyo.
Umyalezo Wokuya Ekhaya
- Ukuba ubonakala ngathi uyarhona kwaye uyeka ukuphefumla xa ulele, oko akuqhelekanga. Yiqaphele loo nto.
- I-AHI (i-Apnea-Hypopnea Index) luphawu olubalulekileyo olulinganisa ubukhali be-Sleep Apnea.
- Ukuba i-AHI yomntu omdala ingaphezulu kwe-5 ngeyure, kubaluleke kakhulu ukufuna ingcebiso kagqirha.
- Ukuba i-AHI yomntwana ingaphezulu kwe-1, yimeko ekufuneka ibonwe ngugqirha ngokuqinisekileyo.
- I-AHI yinxalenye enye nje yokuxilongwa. Ugqirha wakho uza kuqwalasela impilo yakho iyonke ukuze amisele unyango olufanelekileyo.
- I-Sleep Apnea, ukuba ayinyangwa, inokukhokelela kwiimeko ezinzulu ezifana noxinzelelo lwegazi oluphezulu, isifo sentliziyo, kunye nesifo seswekile. Ngoko ke ukuba unamathandabuzo ngale nto, ungabi nazintloni kwaye uthethe nogqirha.
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