Ngaba umntwana wakho uyarhona ebuthongweni? Ngaba ubonakala ngathi uyafuthaniseka? Makhe sithethe nge-Obstructive Sleep Apnea!

Ngaba umntwana wakho ulala kamnandi ebusuku? Ngamanye amaxesha kukho iingxaki ezinokuphazamisa ubuthongo babantwana ngeendlela esingazicingiyo. Enye imeko enjalo abazali abaninzi abangayaziyo, kodwa enokuchaphazela uphuhliso olusempilweni lwabantwana babo, ibizwa ngokuba yi-`(Obstructive Sleep Apnea)`. Ngamafutshane, yimeko apho ukuphefumla kuyeka okwethutyana ngexesha lokulala. Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kuba ukuba uyayibona kwangethuba, ungamnceda umntwana wakho.

Yintoni i-Obstructive Sleep Apnea?

Ngamafutshane, `(Obstructive Sleep Apnea)` kuxa umntu eyeka ukuphefumla okwethutyana ngelixa elele. Isizathu soku kukuba into ethile ekwindlela yomoya, oko kukuthi, emqaleni, ithintela ukuhamba komoya. "Obstructive" kuthetha ukuba ivaliwe. "Apnea" ithetha ukuba ukuphefumla kuyeka okwethutyana. Ngoko ke xa ezi zimbini zidityanisiwe, le meko ibizwa ngokuba yi `(Obstructive Sleep Apnea)` okanye `(OSA)`. Xa ukuphefumla kuyeka ngolu hlobo ngexesha lokulala, inqanaba leoksijini emzimbeni linokwehla kwaye inqanaba lekhabhoni diokside linokwanda . Oku kuthintela umntwana ekufumaneni ubuthongo obuhle ebusuku. Ukuba ayinyangwa ngokufanelekileyo, le meko `(OSA)` ayinakuchaphazela kuphela ukufunda komntwana, ukuziphatha kwakhe, kunye nophuhliso lwakhe lomzimba, kodwa inokubangela neengxaki zentliziyo. Ke ngoko, kubaluleke kakhulu ukuyinyamekela le nto.

Kutheni oku kusenzeka kubantwana abancinci? Zithini izizathu?

Xa silele, zonke izihlunu zomzimba wethu ziyaphumla. Ngokufanayo, izihlunu ezingasemva komqala wethu, ezinceda ukugcina indlela yomoya ivulekile, nazo ziyaphumla. Kumntu one-Obstructive Sleep Apnea, ezi zihlunu ziyaphumla kakhulu kwaye zinokuvala indlela yomoya. Oku kwenza kube nzima ukuphefumla. Ingakumbi ebantwaneni, ukuba iitoni ezisemqaleni okanye ii-adenoids ezingasemva kwempumlo zikhulu , kukho ithuba elikhulu lokuba ezi zinokuvala indlela yomoya ngexesha lokulala. Isizathu esiphambili sokuba abantwana abancinci bafumane i-OSA kungenxa yezi tonsils kunye nee-adenoids ezandisiweyo. Ngaphandle koku, kukho ezinye izinto ezininzi ezinokuchaphazela uphuhliso lwe-OSA emntwaneni:

• Ukuba kukho umntu kusapho one-`(OSA)`: Ngamanye amaxesha oku kunokuba yimfuza.
• Ukutyeba kakhulu : Izicubu ezinamafutha amaninzi ezijikeleze intamo yabantwana abatyebe kakhulu zinokubangela ukuba indlela yomoya ibe mxinwa.
• Ezinye iimeko zempilo: Umzekelo, abantwana abaneengxaki ezifana ne-" Down syndrome " okanye "cerebral palsy" basengozini enkulu.
• Iingxaki ezithile ngomlomo, emhlathini, okanye emqaleni : Ingabangelwa nangumahluko athile okuzalwa kwindlela indlela yomoya encipha ngayo.
• Indawo enkulu yolwimi: Abanye abantwana baneelwimi ezinkulu kunesiqhelo, nto leyo enokubangela ukuba bawe ngasemva xa belele kwaye ivale indlela yomoya.

Zithini iimpawu ze-`(Obstructive Sleep Apnea)`? Ifunyaniswa njani?

Xa ukuphefumla kuyeka, amanqanaba eoksijini emzimbeni ayehla kwaye amanqanaba ekhabhoni diokside ayenyuka. Xa oku kusenzeka, ingqondo yethu ithumela umyalezo othi, "Vuka uphefumle." Uninzi lwexesha, oku kwenzeka ngokukhawuleza, size silale kwakhona singakhumbuli nokuvuka. Kodwa umntu one-Obstructive Sleep Apnea uhlala eyeka aze avuke ubusuku bonke. Ngenxa yoku, akaze alale nzulu, kwaye aphumle. Nazi ezinye iimpawu umntwana omncinci one-OSA anokubonisa:

• Ukurhona ebuthongweni: Esi asisosandi sokurhona nje kuphela. Rhoqo, umntu uyarhona kakhulu, aze ngequbuliso ayeke, enze isandi esithi "hhhh" okanye isandi sempumlo ngokungathi unengxaki yokuphefumla, aze aqalise ukuphefumla kwakhona. Ngamanye amaxesha, baya kwenza isandi sokurhona xa bephefumla.
• Kubonakala ngathi unengxaki yokuphefumla ngelixa ulele.
• Ukuba nobuthongo obungaphumliyo: ukujikajika ebhedini, ukulala kwiindawo ezingaqhelekanga.
• Ukuchama Ebhedini: Oku kubaluleke kakhulu ukuba kuqwalaselwe ukuba umntwana obengazange achebe ibhedi ngaphambili ebusuku uqala ukuchama kwakhona.
• Ukulala emini okanye iingxaki zokuziphatha/zokufunda: Ukuziva udiniwe emini kwaye kunzima ukugxila ngenxa yokungalali ngokwaneleyo ebusuku.
• Ukuhambahamba ebusuku okanye izinto ezoyikisayo.

Ngenxa yokuba abalali ngokwaneleyo ebusuku, aba bantwana banokufumana oku kulandelayo:

• Kunzima kakhulu ukuvuka kusasa.
• Ndidinwe kakhulu emini, kwaye ngamanye amaxesha ndiyalala esikolweni.
• Ubunzima bokugxila okanye ukuba nomdla wokuzilolonga.

Ngenxa yesi sizathu, i-Obstructive Sleep Apnea inokuba nefuthe elikhulu kwindlela umntwana aqhuba ngayo esikolweni. Ngamanye amaxesha ootitshala okanye abanye banokucinga ukuba umntwana unengxaki yokufunda efana ne-ADHD (Attention Deficit Hyperactivity Disorder).

Khawucinge nje, umntwana onengxaki yokuphefumla kakuhle ubusuku bonke uziva njani ehlaziyekile kusasa olulandelayo? Ukhumbula njani oko akufundileyo? Yiyo loo nto kubalulekile ukukwazi oku.

Uyixilonga njani le meko?

Ukuba umntwana wakho unezinye zezi mpawu, kungcono ukuthetha nogqirha:

• Ukuba uhlala urhona xa ulele.
• Ukuba ubuthongo bakho abuphumli, ukuba uyajikajika.
• Ukuba uhlala ulele emini.
• Ukuba unezinye iimpawu ze-sleep apnea.

Ugqirha wakho wosapho unokukuthumela kwingcali yokulala okanye akucebise ukuba wenze uphando lokulala .Luvavanyo olunceda oogqirha ukuba baxilonge i-sleep apnea kunye nezinye iimeko ezinxulumene nokulala. Alunabuhlungu kwaye alubandakanyi zingozi. Nangona kunjalo, umntwana kuya kufuneka alale esibhedlele okanye kwiziko lokulala. Ungakhathazeki, lwenzelwe ukuba kube lula kumntwana ukuba alwenze. Ngexesha lovavanyo lokulala (i-polysomnogram), oogqirha bajonga oku kulandelayo:

• Indlela amehlo ahamba ngayo
• Inqanaba lentliziyo
• Indlela yokuphefumla (xa uyeka ukuphefumla kwaye ixesha elingakanani)
• Amaza obuchopho (funda ngezigaba ezahlukeneyo zokulala)
• Inqanaba leoksijini egazini
• Inqanaba le-carbon dioxide egazini
• Ukurhona kunye nezinye iingxolo zokulala
• Ukuhamba komzimba kunye neendawo zokulala

Kuphela kukuqokelela lonke olu lwazi apho oogqirha banokubona ngokuchanekileyo ukuba umntwana une-OSA kwaye inzima kangakanani.

Luluphi unyango lwale nto?

Ukuba imeko ayinzima kangako, oko kukuthi, incinci, oogqirha ngamanye amaxesha bayayijonga indlela umntwana alala ngayo okwethutyana ngaphambi kokuba baqale unyango ukuze babone ukuba iimpawu ziyaphucuka ngokwabo na. Abanye abantwana banokulawula i-OSA ethambileyo ngee-spray zeempumlo okanye amanye amayeza. Nangona kunjalo, ukuba iitoni ezinkulu ziyimbangela yobunzima bokuphefumla , ugqirha wakho uya kukuthumela kugqirha wendlebe, impumlo, nomqala (ugqirha we-ENT). Ugqirha we-ENT unokucebisa utyando olufana nolu:

• Ukususwa kweetoni ( tonsillectomy )
• Ukususwa kwe-adenoids eyandisiweyo (i-adenoidectomy)
• Ukususa zombini ngaxeshanye (i-adenotonsillectomy)

Olu tyando ludla ngokuba lolona nyango luphumelelayo kakhulu kwi-Obstructive Sleep Apnea. Emva kotyando, umntwana wakho unokuphefumla ngcono aze alale ngcono. Ukuba i-OSA ibangelwa yenye imeko (umzekelo, ingxaki yomhlathi), ugqirha wakho unokucebisa i-CPAP (Continuous Positive Airway Pressure) . I-CPAP ibandakanya ukunxiba imaski ebusweni bomntwana wakho ngelixa elele. Le mask inokugubungela impumlo okanye impumlo nomlomo kuphela. Iqhagamshelwe kumatshini omncinci ohlala ehambisa uxinzelelo lomoya ukugcina indlela yomoya ivulekile. Isenokuvakala ingaqhelekanga ekuqaleni, kodwa abantwana bayakhawuleza ukuyiqhela. Ukuba i-OSA ibangelwa bubunzima bomntwana,, Ngokuqinisekileyo kuya kufuneka usebenzisane nogqirha ukuze uphuhlise isicwangciso esikhuselekileyo sokunciphisa umzimba, njengokutya okunempilo kunye nokuzilolonga. Nangona kunjalo, kunokufuneka usebenzise umatshini we-CPAP ukukunceda uphefumle kakuhle ngelixa ulele.

Okokugqibela, izinto ekufuneka uzikhumbule

Ngoko ke, sithethe kakhulu nge-`(Obstructive Sleep Apnea)`. Oku akuqhelekanga njengoko unokucinga, kwaye yimeko enokunyangeka ngempumelelo ukuba ibonwe kwangethuba.

Eyona nto ibalulekileyo kukubona ugqirha ukuba umntwana wakho uyarhona ebusuku, ubonakala enengxaki yokuphefumla, okanye ulele emini, kwaye ungamthathi njengento nje "njengabantwana."

Isenokungabi yinto enzulu. Kodwa, ukuba ``(OSA)``, ukuqala unyango kwangethuba kuya kuba luncedo kubomi bonke bomntwana. Luxanduva lomntu wonke ukunceda umntwana wakho alale kakuhle kwaye aphumle. Ungakhathazeki, oogqirha bakhona ukukunceda.

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I-sleep apnea, ubuthongo babantwana, ukurhona, iitoni, ii-adenoids, i-CPAP, i-polysomnogram