Ngaba uvuka ngequbuliso ebusuku, uphefumla nzima? Okanye ngaba unengxaki yokulala ngenxa yokuba iqabane lakho lirhona? Mhlawumbi uziva ngathi uyeka ukuphefumla okomzuzwana phakathi? Oku sibiza ngokuba yi-Obstructive Sleep Apnea (OSA) ngokwezonyango, okanye i-obstructive sleep apnea. Ukuba ayinyangwa, le meko inokukhokelela kwiingxaki zempilo ezinzulu. Ngoko ke namhlanje siza kuthetha ngonyango lwale nto, ingakumbi isisombululo abantu abaninzi abangathethi ngaso.
Ngamafutshane, zithini ezi zixhobo zomlomo?
Ezi zizixhobo ezikhethekileyo ezenzelwe umlomo wakho ngugqirha wamazinyo. Zifana nezikhuselo zomlomo ezisetyenziswa ngababhekisi, kodwa zisebenza ngendlela eyahlukileyo. Xa uzinxiba emlonyeni wakho ebusuku ngelixa ulele, zinceda ukugcina umoya wakho uvulekile.
Ngoku, okwenzekayo kumntu one-Sleep Apnea kukuba ngexesha lokulala, izihlunu ezingasemva komphimbo ziyaphumla kwaye indlela yomoya iyancipha okanye ivaleke ngokupheleleyo. Emva koko, umoya awungeni, kwaye isignali iya engqondweni ukuze ikuvuse kancinci ukuze uphefumle. Lo mjikelo uyaqhubeka ubusuku bonke. Ngenxa yoku, awulali kakuhle, kwaye amalungu omzimba wakho awafumani umlinganiselo weoksijini ayidingayo. Ngoko ke into eyenziwa zezi zixhobo zomlomo kukugcina umlomo wakho, umhlathi, nolwimi lwakho kwindawo ethile, ukugcina indlela yakho yomoya ivulekile.
Kukho iintlobo ezimbini eziphambili zezi zixhobo.
Ezi zixhobo ezisetyenziselwa ukunyanga i-sleep apnea zingahlulwahlulwa zibe ngamacandelo amabini.
1. Izixhobo zokuqhubela phambili zeMandibular (ii-MAD)
Olu lolona hlobo lusetyenziswa kakhulu. Lukwabizwa ngokuba zii-mandibular progression splints, izixhobo zokubeka kwakhona i-mandibular, njl. Kalula nje, esi sixhobo sitsala umhlathi wakho ongezantsi (i-mandible) phambili kancinci. Xa umhlathi ongezantsi usiya phambili, ulwimi olunamathele kuwo nalo luya phambili. Oku kwandisa indawo yokuba umoya udlule ngasemva komqala.
Ezi MAD zihlala ziza ngamacandelo amabini: elinye lelamazinyo aphezulu nelinye lelamazinyo asezantsi. La macandelo mabini aqhagamshelwe ngezikrufu, iihinji, okanye iibhanti zerabha. Oku kukuvumela ukuba ulungise ukuba umhlathi ongezantsi kufuneka uhanjiswe kangakanani phambili.
2. Izixhobo Zokuzinzisa Ulwimi (iiTSD)
Ezi zikwabizwa ngokuba zizixhobo zokugcina ulwimi. Azithandwa njengee-MAD, kodwa kwabanye abantu zisisisombululo esilungileyo. Zisebenzisa ukufunxa, inkqubo etsala ulwimi lwakho phambili kwaye ilubambe endaweni yalo. Esi sixhobo sinenxalenye efana nebhalbhu yokugcina ulwimi egcina ulwimi lwakho luhlala endaweni yalo xa ulele.
IiTSD zinokuba lolunye ukhetho olufanelekileyo kwabo bangenaso isixhobo se-MAD, umzekelo, kuba amazinyo abo akanamandla ngokwaneleyo.
| Uhlobo lwesixhobo | Ingaba isebenza kanjani | Ngubani ofanelekileyo koku? |
|---|---|---|
| Izixhobo zoPhuculo lweMandibular (ii-MAD) | Ukutsala umhlathi ongezantsi phambili kuvula indlela yokungena komoya. | Ihlala icetyiswa kakhulu kubantu abaninzi abane-Sleep Apnea. |
| Izixhobo Zokuzinzisa Ulwimi (iiTSD) | Ulwimi lutsalwa phambili luze lubanjwe endaweni yalo ngokufunxa. | Ifanelekile kwabo banamandla aphantsi okanye abangakwaziyo ukusebenzisa ii-MAD. |
Okubaluleke kakhulu, ezi zixhobo zisebenza kakuhle xa zenziwe ngugqirha wamazinyo ukuze zilingane nomlomo wakho. Nangona kukho iintlobo "zokubilisa nokuluma" ezifumaneka kwiikhemesti okanye kwi-intanethi, uphando lubonise ukuba izixhobo ezenziwe ngokwezifiso zivelisa iziphumo ezilungileyo.
Ngubani olu nyango lufanelekileyo kuye?
Unyango lwezixhobo zomlomo lufanelekile kakhulu kubantu abane -apnea yokulala ebuthathaka kancinci ukuya kokuphakathi . Lukhetho oluhle kakhulu kwabo banengxaki yokusebenzisa umatshini we-CPAP (Continuous Positive Airway Pressure), othathwa njengolona nyango lungcono lwe-apnea yokulala.
Umatshini we-CPAP sisixhobo esihambisa umoya oxinzelelweyo kwiindlela zakho zomoya ngetyhubhu kunye nemaski ukuze zihlale zivulekile. Nangona i-CPAP isebenza kakuhle, abanye abantu bakufumanisa kunzima ukulala nemaski ubusuku ngabunye. Ekuhambeni kwexesha, bayayeka ukuyisebenzisa. Nangona isixhobo somlomo singasebenzi njenge-CPAP, sinokunceda abantu abaninzi ukulawula iimpawu zabo.
Abanye abantu basebenzisa umatshini we-CPAP kunye nesixhobo somlomo. Umzekelo, basebenzisa i-CPAP ekhaya kunye nesixhobo somlomo ekulula ukuhamba naso xa besiya eluhambeni.
Ngaba kukho abantu abangafanele bayisebenzise le nto?
Ewe, ezi zixhobo azifanelekanga kuye wonke umntu. Ingakumbi kwabo:
- Abantu abane-Central Sleep Apnea: Le yimeko apho ukuphefumla kuyeka ngenxa yengxaki yemiqondiso yobuchopho. Oku akunakunyangwa ngezixhobo zomlomo.
- Abantwana abancinci: Iingxaki zokuphefumla zabantwana zifuna unyango olwahlukileyo nolwabantu abadala. Ziqwalasele ezi kuphela xa zicetyiswe ngugqirha womntwana wakho.
- Abantu abane-OSA enzima: Kunokuba yingozi kumntu onesifo sokuphefumula esinzima ukuzama ukulawula ubuthongo bakhe esebenzisa esi sixhobo eyedwa. Ke ngoko, ngokuqinisekileyo kufuneka uthethe nogqirha wakho malunga nokuba oku kulungile na kuwe.
Uyenza njani isixhobo esinje?
Ukuze ulungise oku, kufuneka ulandele inkqubo ethile.
1. Okokuqala, kufuneka wenze uphando malunga nokulala ukuze uqinisekise ukuba unayo na i-Obstructive Sleep Apnea.
2. Ukuba ugqirha wakho ugqiba kwelokuba isixhobo somlomo siyindlela elungileyo kuwe, uza kukuthumela kugqirha wamazinyo .
3. Ugqirha wamazinyo uza kuthatha umfanekiso okanye athathe iskeni ye-3D yamazinyo akho.
4. Ngokusekelwe kwezo zilinganiso, umenzi uza kudala isixhobo esilungiselelwe wena ngokukodwa.
5. Emva kokuba isixhobo senziwe, kuya kufuneka uphinde ubonane nogqirha wamazinyo. Baza kujonga ukuqinisekisa ukuba singena kakuhle emlonyeni wakho kwaye asibambeki ukuze singaphumi ebusuku.
6. Kwakhona, kuya kunikwa imiyalelo malunga nendlela yokucoca nokunyamekela oku.
Ugqirha wakho unokucebisa ukuba uphinde uphande ngokulala emva kokuba isixhobo sifakiwe ukuze kubonwe ukuba sisebenza kakuhle kangakanani.
Zithini iziphumo ebezingalindelekanga kunye neenzuzo?
Njengalo naluphi na unyango, olu lunemiphumo emibi kunye neenzuzo ezincinci.
| Imiphumela | |
|---|---|
| Ixesha elifutshane - kwiiveki ezimbalwa zokuqala | |
| Ukuveliswa kwamathe ngokugqithisileyo | Ekuqaleni, kusenokuba kukho amathe amaninzi kuba kukho into engaqhelekanga emlonyeni. |
| Intlungu yomhlathi, izinyo, kunye nentlungu yejoyinti ye-temporomandibular (TMJ) | Usenokuziva iintlungu kancinci ekuqaleni kuba umhlathi ongezantsi ukwindawo entsha. |
| Umlomo owomileyo kunye nokungonwabi kweentsini | Ezi zifo zihlala ziphela emva kweentsuku ezimbalwa. |
| Ixesha elide - ayifumaneki | |
| Utshintsho kwindawo yamazinyo (ukuluma) | Ekuhambeni kwexesha, indlela amazinyo akho adibana ngayo inokutshintsha. |
| Amazinyo ayaqhaqhazela okanye ashukuma | Yingakho kubalulekile ukuxilongwa rhoqo kwamazinyo. |
Iingenelo zoku
- Inganciphisa iimpawu ze-OSA, ingakumbi ukozela emini kunye nobunzima bokugxila .
- Inceda ekufumaneni ubuthongo obunzulu, obungenasiphazamiso.
- Ukurhona kungancitshiswa okanye kupheliswe ngokupheleleyo .
- Eyona ndlela ilungileyo kwabo bangenako ukusebenzisa umatshini we-CPAP.
- Kulula kakhulu ukuyithatha xa uhamba.
Umyalezo Wokuya Ekhaya
- Izixhobo zomlomo ziluncedo kakhulu kwi-obstructive sleep apnea, ingakumbi kwizigulana ezibuthathaka ukuya kweziphakathi kunye nabo bafumanisa ukuba oomatshini be-CPAP abakhululekanga.
- Ezona zixhobo ziphumelelayo zezi zezo zenziwe ngugqirha wamazinyo ukuze zilingane nomlomo wakho.
- Kungathatha ixesha ukuqhela oku kwiiveki ezimbalwa zokuqala. Nangona kusenokubakho ukungakhululeki okuncinci, kudla ngokuphela emva kweentsuku ezimbalwa.
- Ngaphambi kokuba uqale olu nyango, qiniseka ukuba uthetha nogqirha wakho ukuqinisekisa ukuba lufanelekile kwimeko yakho.
- Kubaluleke kakhulu ukuba amazinyo nomlomo wakho uhlolwe rhoqo ngugqirha wamazinyo ngalo lonke ixesha lokusebenzisa esi sixhobo.
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