Isisombululo sokuthintela i-sleep apnea kunye nokurhona: Funda ngotyando lwe-UPPP (Uvulopalatopharyngoplasty)

Ngaba urhona kakhulu ebusuku xa ulele? Ngaba ngamanye amaxesha uziva ngathi uyeka okomzuzwana uze ngequbuliso uphefumle ngamandla kwakhona? Ngaba usapho lwakho luhlala lukuxelela ngale nto? Esi simo saziwa ngokwezonyango njenge -Obstructive Sleep Apnea (OSA) . Siphazamisa ubuthongo bakho kwaye sinokubangela iingxaki zempilo zexesha elide. Enye yeendlela zokunyanga oku yi-Uvulopalatopharyngoplasty, okanye i-UPPP ngamafutshane. Makhe sijonge ukuba yintoni, ngubani oyenzayo, kunye nayo yonke into ekufuneka uyazi ngayo ngokulula.

Ngamafutshane, yintoni utyando lwe-UPPP?

Khawucinge ukuba indlela yomoya esemqaleni wakho ivalekile kancinci. Ebusuku, xa silele, izihlunu zomqala wakho ziyakhululeka kwaye oku kunciphisa indlela yomoya ngakumbi. Kulapho ke uva khona isandi sokurhona uze uzive uphelelwa ngumphefumlo.

Utyando lwe-UPPP lubandakanya ukususa okanye ukuguqula izicwili ezingaphezulu emqaleni wakho ezivala indlela yakho yomoya, ngaloo ndlela ziyenza yande. Kufana nokususa imiqobo kwindlela exakekileyo. Xa indlela yakho yomoya icocekile, unokuphefumla lula ebusuku kwaye ulale ngcono.

Ngexesha lotyando, ugqirha otyandayo udla ngokususa okanye atshintshe ezi ndawo:

• Inkalakahla ethambileyo: Inxalenye ethambileyo, enenyama emva kwenxalenye eqinileyo ephezu komlomo wakho.
• I-Uvula: Iqhekeza elincinci lenyama elimile okwethontsi leenyembezi elixhonywe ngasemva komqala, ngaphezulu kwesiseko solwimi.
• IiTonsils: Iingqumba ezimbini zenyama kumacala omabini omqala.

Ngamanye amaxesha olu tyando lwe-UPPP lwenziwa lodwa. Nangona kunjalo, kwabanye abantu, ukuba banengxaki yokuphefumla ngenxa yezinye iingxaki empumlweni okanye emqaleni, utyando lwe-UPPP lunokuhlanganiswa nolunye utyando ukusombulula ezo ngxaki.

Kuxa kutheni apho olu tyando lwenziwa khona? Ngaba wonke umntu angalwenza?

Hayi, olu asilotyando lomntu wonke. Xa benyanga i-Obstructive Sleep Apnea (OSA), oogqirha baqala bazame unyango olungelulo utyando.

Umzekelo:

• Umatshini we-CPAP: Esi sisixhobo osinxiba phezu kwempumlo yakho njengemaski xa ulele. Sinceda ukugcina indlela yakho yomoya ivulekile ubusuku bonke.
• Ukunciphisa umzimba: Ukutyeba kakhulu yeyona nto ibangela i-OSA. Ukunciphisa umzimba kunokunceda ukulawula imeko kubantu abaninzi.

Ukuba olu nyango alusebenzi, ugqirha wakho unokuqwalasela utyando lwe-UPPP. Kukwakho nenkqubo ekhethekileyo yokufumanisa ukuba ungumntu ofanelekileyo na kolu tyando. Ugqirha wakho uza kuhlola ulwakhiwo lomqala wakho, ubungakanani beetoni zakho, kunye ne-body mass index yakho (BMI).

Ugqirha oza kukuhlola uza kwenza isigqibo esifanelekileyo ngale nto. Ngoko thetha naye ngononophelo ngale nto.

Ndingazilungiselela njani ngaphambi kotyando?

Ugqirha wakho uza kukuchazela yonke into ekufuneka uyenze ngaphambi kotyando, kodwa ngokubanzi, kufuneka uzazi ezi zinto.

• Xelela ugqirha wakho imbali yakho epheleleyo yezonyango: naziphi na ezinye izifo onazo, utyando lwangaphambili, kunye naluphi na uhlobo lwe-allergies kwi-anesthesia.
• Yeka ukutshaya nokusebenzisa icuba: Ukutshaya kunokulibazisa kakhulu ukuphola kwenxeba, ngoko ke kubalulekile ukuyeka ukutshaya ngokupheleleyo ngaphambi kotyando.
• Landela imiyalelo malunga namayeza nokuzila ukutya: Ugqirha wakho uza kukuxelela ukuba uyeke nini ukutya nokusela ngaphambi kotyando, ngawaphi amayeza omele uyeke ukuwasela, kunye nento omele uyithathe. Landela loo miyalelo ngokuchanekileyo.
• Lungiselela umntu oza kukuyisa ekhaya: Awuyi kukwazi ukuziqhuba ngokwakho emva kotyando, ngoko ke lungiselela umntu oza kukuyisa ekhaya kwangethuba. Ukuba kunokwenzeka, kungcono ukuba nomntu oza kukukhathalela kwiiyure ezingama-24 zokuqala emva kotyando.
• Zisa umatshini we-CPAP esibhedlele: Ukuba sele usebenzisa umatshini we-CPAP, yizise esibhedlele njengoko ugqirha wakho eyalele.
• Xelela ugqirha wakho ukuba uyagula: Ukuba unesifo, njengomkhuhlane okanye umkhuhlane, kwiintsuku ezingaphambi kotyando lwakho, yazisa ugqirha wakho ngoko nangoko. Utyando lwakho lusenokufuna ukulibaziseka.

Kwenzeka ntoni ngexesha lotyando?

Akukho sizathu sokoyika oku. Yonke le nkqubo yenzeka ungazi nto.

1. Okokuqala, uza kunikwa iyeza lokuthomalalisa uze emva koko ufakwe phantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba awuyi kuva nto, uza kube ulele ngokupheleleyo.

2. Ugqirha uza kuvula umlomo wakho ngesixhobo esikhethekileyo, atyekise ulwimi lwakho ecaleni, aze alungise indawo ukuze ingaphakathi lomqala wakho libonakale ngokucacileyo.

3. Emva koko, izicubu ezingafunekiyo (iitoni, uvula, i-soft palate) emqaleni zisuswa ngononophelo njengoko bekucwangcisiwe. Oku kunokubandakanya ukusetyenziswa kwezixhobo zotyando ezibukhali okanye i-electrocautery .

4. Ekugqibeleni, amanxeba avalwa ngezititshi ezinyibilikayo.

Lonke utyando ludla ngokuthatha malunga neeyure ezimbini, kuxhomekeke kubungakanani botshintsho olwenziwayo emqaleni wakho.

Kuthatha ixesha elingakanani ukuphola emva kotyando?

Kungathatha iiveki ezimbini ukuya kwezine ukuba umntu aphile ngokupheleleyo. Abantu abaninzi abakwazi ukuya emsebenzini okanye esikolweni ngeli xesha kwaye kufuneka bathathe ikhefu.

Emva kotyando, unokukwazi ukuya ekhaya ngaloo mini inye, okanye ungadinga ukuhlala esibhedlele ubusuku bonke. Ugqirha wakho uza kukuvumela ukuba uye ekhaya xa uphefumla kakuhle kwaye ukwazi ukuginya ngokukhuselekileyo.

Lindela ezi zinto ngexesha lokuchacha

• Umphimbo obuhlungu: Usenokuziva umphimbo obuhlungu, ngokungathi utyandwe i-tonsillectomy. Le ntlungu inokuba mandundu xa uthetha okanye uginya into ethile. Ungakhathazeki, ugqirha wakho uza kukunika iyeza elifanelekileyo lokuthomalalisa iintlungu .
• Ukutya Neziselo: Kwiintsuku zokuqala, kuya kufuneka usele kuphela izinto ezimanzi (amanzi, isuphu, ijusi yeziqhamo). Njengoko ukhululeka ngakumbi, ungatshintshela kancinci kancinci ekutyeni okuthambileyo okufana ne-porridge, iyogathi, kunye ne-pudding. Kuphephe ukutya ukutya okuneziqholo, okumuncu, okuqinileyo, nokuqhotsiweyo (umz. iibhisikithi, ii-pickles) ngokupheleleyo, kuba zinokwenza inxeba libe buhlungu ngakumbi.
• Umsebenzi: Kuphephe ukuphakamisa izinto ezisindayo okanye ukwenza umthambo onzima kwiiveki ezimbini zokuqala. Nangona kunjalo, endaweni yokuhlala ebhedini imini yonke, ukuhambahamba endlwini kunokunceda ukuthintela ukuqhekeka kwegazi.

Ziziphi iingenelo kunye neengozi zalo tyando?

Njengalo naluphi na unyango lwezonyango, olu tyando luneengenelo kunye neengozi ezithile.

Iinzuzo

• Eyona nzuzo inkulu kukuba yenza ukuphefumla kube lula.
• Ukurhona kuncitshiswa kakhulu okanye kuyeke ngokupheleleyo.
• Ekubeni ubuthongo bungaphazanyiswa ebusuku, ukozela nokudinwa emini kuyancitshiswa.
• Kwabanye abantu, oku kuyayiphilisa ngokupheleleyo i-Obstructive Sleep Apnea (OSA).
• Abanye baneempawu ezimbalwa kakhulu kwaye banokukwazi ukuyeka ukusebenzisa umatshini we-CPAP.

Iingozi/Iingxaki

Ukongeza kwiingozi eziqhelekileyo zalo naluphi na utyando, njengosulelo kunye nokopha, kukho iingxaki ezininzi ezingaqhelekanga ezichaphazela olu tyando.

• I-Nasopharyngeal stenosis: Amaxesha amaninzi, njengoko inxeba liphola, kuyenzeka ukuba kubekho izicubu ezininzi ezibangela ukuba umoya unciphe kwakhona.
• Ukungoneli kweVelopharyngeal: Xa usela ulwelo olufana namanzi, ungaziva ngathi luphuma empumlweni yakho. Nangona kunjalo, oku kudla ngokuba yinto yexeshana kwaye kuya kuphela kwiintsuku ezimbalwa.
• Utshintsho lwelizwi: Kunokubakho utshintsho oluncinci kwilizwi lakho (njengelizwi eliphakame kancinci) okwethutyana emva kotyando. Oku kudla ngokuba yinto yexeshana.

Ugqirha wakho uza kuxoxa nawe ngale mingcipheko ngaphambi kotyando. Ungakhathazeki, ezi azenzeki rhoqo.

Ndifanele ndimbone nini ugqirha?

Kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza ukuba kukho naziphi na iingxaki eziphakamayo ngexesha lokuchacha.