Nangona uninzi lwethu lucinga ukuba ukurhona kuyinto eqhelekileyo, ngamanye amaxesha kunokuba luphawu lwengxaki enkulu yempilo. Oku kubaluleke kakhulu kwabo banemeko ebizwa ngokuba yi -Obstructive Sleep Apnea (OSA) , imeko apho ukuphefumla kuyeka ngokuphindaphindiweyo ngexesha lokulala. Ngoko ke namhlanje sithetha ngotyando olukhethekileyo olwenziwa njengesisombululo sale nto. Olu lutyando lwe-UPPP. Ungakhathazeki, masiqonde yonke into ngale nto ngokulula.
Ngamafutshane, yintoni utyando lwe-UPPP?
I-UPPP sisifinyezo segama elide lezonyango elithi Uvulopalatopharyngoplasty. Le nkqubo ibandakanya ukususa okanye ukutshintsha ezinye zezicwili ezingaphezulu emqaleni wakho (pharynx) ezivala indlela yakho yomoya ngelixa ulele. Oku kuvula indlela yakho yomoya, okwenza kube lula ukuphefumla, kwaye kunciphise ukurhona.
Cinga ngayo njengengxinano yezithuthi kwindlela emxinwa. Esikwenzayo ngolu tyando kukususa imiqobo endleleni nokwandisa indlela. Ezi ziindawo zomqala ezidla ngokususwa okanye ukutshintshwa ngexesha lotyando.
| Inxalenye yomphimbo | Ingcaciso elula |
|---|---|
| Intlama ethambileyo | Inxalenye ethambileyo enenyama engasemva kwenxalenye eqinileyo ephezu komlomo wakho (inkalakahla). |
| I-Uvula | Iqhekeza elincinci lenyama elimile okwethontsi leenyembezi elixhonywe ngasemva komqala. |
| Iitoni | Amaqhuma amabini enyama kumacala omabini omqala. Abantu abaninzi bakhula bengabantwana. |
Ngamanye amaxesha olu tyando lwe-UPPP lwenziwa lodwa. Ngamanye amaxesha, ukuba kukho ezinye iingxaki empumlweni okanye emqaleni, olu tyando lwenziwa ngaxeshanye.
Lufuneka nini utyando lwe-UPPP?
Oogqirha abadli ngokucebisa olu tyando ngoko nangoko. Baqala bazame ezinye iindlela zokulawula i-Obstructive Sleep Apnea (OSA).
- Umatshini we-CPAP: Ukusebenzisa umatshini onemaski yobuso ehambisa ioksijini ukugcina indlela yomoya ivulekile ngexesha lokulala.
- Ukwehla kobunzima: Ukunyuka kobunzima yeyona nto ibangela i-OSA. Ngoko ke, kuyacetyiswa ukuba unciphise ubunzima.
Utyando lwe-UPPP luqwalaselwa kuphela ukuba ezi zinto azisebenzi. Nangona kunjalo, olu tyando alufanelekanga kuye wonke umntu. Oogqirha baza kuhlola izinto ezininzi ukuze babone ukuba ungumntu ofanelekileyo na kule nkqubo.
- Ubungakanani beetoni zakho.
- Indlela umlomo wakho othambileyo obekwe ngayo xa kuthelekiswa nolwimi lwakho.
- Isalathisi sakho sobunzima bomzimba, oko kukuthi, i-Body Mass Index (BMI).
Ngokusekelwe kwezi zinto, izigulana zihlelwa njengeSigaba 1, 2, okanye 3. Abo baneSigaba 1 ngabo baneziphumo eziphezulu nezibalaseleyo kolu tyando. Abo banezinye izigaba ezimbini abanamathuba amaninzi okufumana iziphumo. Ke ngoko, kubaluleke kakhulu ukuthetha ngokukhululekileyo nogqirha wakho malunga nokuba olu tyando lufanelekile na kuwe okanye akunjalo.
Ulungiselela njani ngaphambi kotyando?
Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo ngaphambi kotyando ukuqinisekisa isiphumo esiphumelelayo. Nazi ezinye izinto ekufuneka uzikhumbule:
- Xelela ugqirha wakho ngembali yakho yezonyango: naziphi na ezinye iimeko zempilo onazo, utyando lwangaphambili, ukunganyamezelani neziyobisi okanye amayeza okubulala iintlungu, kunye namayeza owathathayo (kuquka neevithamini). Xelela ugqirha wakho ukuba ukhulelwe okanye uceba ukukhulelwa.
- Yeka ukutshaya nokusebenzisa icuba: Ukuba utshaya icuba, icuba, i-e-cigarettes, okanye i-chew gum, yeka ukuzisebenzisa ngokupheleleyo kwiiveki ezimbalwa ngaphambi kotyando. Ezi zinokulibazisa ukuphola kwenxeba.
- Ukuzila Ukutya kunye namayeza: Ugqirha wakho uza kukuxelela ukuba kufuneka uyeke ukutya nokusela ixesha elingakanani ngaphambi kotyando lwakho. Angakuxelela nokuba uyeke okwethutyana ukuthatha amayeza athile (afana ne-blood thinners). Landela le miyalelo ngononophelo.
- Lungiselela umntu oza kukuyisa ekhaya: Lungiselela kwangaphambili umntu oza kukuyisa ekhaya emva kotyando. Kungcono ukuba umntu angakukhathalela ubuncinane iiyure ezingama-24 zokuqala.
- Zisa umatshini wakho we-CPAP: Ukuba sele usebenzisa umatshini we-CPAP, yizise esibhedlele.
- Xela naluphi na ukugula: Ukuba unesifo somkhuhlane okanye umkhuhlane kwiintsuku ezimbalwa ngaphambi kotyando lwakho, yazisa isibhedlele ngoko nangoko. Utyando lwakho lusenokufuna ukulibaziseka.
Kwenzeka ntoni ngexesha lotyando?
Awunasizathu sokoyika oku. Uza kuba phantsi kwe-anesthesia kwaye ulale ubuthongo obunzulu kulo lonke utyando. Awuyi kuva nto.
1. Okokuqala, uza kunikwa isithomalalisi sokuthomalalisa umsindo, uze emva koko unikwe isithomalalisi sokuthomalalisa ngokupheleleyo.
2. Ugqirha uza kuvula umlomo wakho, ashukumise ulwimi lwakho ecaleni, aze abone kakuhle umva womqala wakho.
3. Emva koko, iindawo zezicubu eziza kususwa ziphawulwe ngokuchanekileyo.
4. Kusetyenziswa isixhobo esibukhali okanye isixhobo esikhethekileyo esisebenzisa ubushushu (i-electrocautery), iitoni eziphawulweyo, uvula, kunye nentamo ethambileyo ziyasuswa.
5. Okokugqibela, kusetyenziswa imithungo enyibilikayo ukuvala amanxeba.
Olu tyando ludla ngokuthatha malunga neeyure ezimbini, kuxhomekeke kubungakanani bezicubu ezisusiweyo kunye nokuba ezinye iindlela zotyando zenziwa ngaxeshanye.
Ngaba akukho mingcipheko kunye neengxaki?
Njengakwezinye iintlobo zotyando, kukho iingozi. Umzekelo, ukopha, usulelo, kunye neempendulo ze-allergy kwi-anesthesia. Ukongeza, kukho ezinye iingxaki ezithile kutyando lwe-UPPP.
Into ebalulekileyo kukuba uninzi lwazo azifumaneki rhoqo, kodwa kulungile ukuba uzazi.
- I-Nasopharyngeal stenosis: Njengoko izilonda emqaleni ziphola, izicubu ezibomvu zinokwakheka kwaye zinciphise indlela yomoya kwakhona. Oku kunokubangela ukuziva uxinene kwaye womile emqaleni. Oku kunqabile kakhulu.
- Ukungakwazi ukusebenza kakuhle kwemithambo yegazi: Xa usela amanzi, incasa ethambileyo emqaleni ayivaleki kakuhle, nto leyo ebangela ukuba uzive ngathi uphuma empumlweni. Oku kudla ngokuba yinto yexeshana kwaye kuphele emva kweentsuku ezimbalwa.
- Utshintsho lwelizwi: Okwethutyana emva kotyando, ilizwi lakho lisenokuvakala lahlukile kancinci, ngokungathi uthetha ngempumlo yakho. Oku kudla ngokuba yinto yexeshana.
Masifunde ngexesha lokuchacha.
Kungathatha iiveki ezimbini ukuya kwezine ukuze uphile ngokupheleleyo. Kusenokufuneka uthathe ikhefu emsebenzini okanye esikolweni ngeli xesha. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngeli xesha.
| Ixesha | Izinto ekufanele uzenze nezo ungafanele uzenze |
|---|---|
| Iiveki zokuqala ezi-1-2 | Kuphephe ukuphakamisa izinto ezisindayo okanye ukwenza umsebenzi onzima. Nangona kunjalo, izinto ezifana nokuhambahamba kancinci zilungile ekuthinteleni ukuqhekeka kwegazi. |
| Iiveki zokuqala ezi-1-3 (ukutya) | Ekuqaleni, yitya kuphela izinto ezimanzi (iisuphu ezikhaphukhaphu, iijusi zeziqhamo). Emva koko kancinci kancinci qhubekela ekutyeni okuthambileyo okufana ne-ayisikhrim, iyogathi, ijeli, kunye neetapile ezicoliweyo. Kuphephe ukutya okuneziqholo, okumuncu, okuqinileyo, okanye okomileyo (umz., iibhisikithi, isonka). Ukutya ukutya okubandayo okanye okushushu kwegumbi kulungile emqaleni wakho. |
| Ukuya kuthi ga kwinyanga (iintlungu) | Uza kuba nomphimbo obuhlungu, ingakumbi xa uthetha kwaye uginya. Sela amayeza okudambisa iintlungu achazwe ngugqirha ngexesha. |
Ndifanele ndibonane nogqirha nini?
Ukuba ufumana ezi mpawu zilandelayo ngexesha lokuchacha kwakho, fowunela ugqirha wakho ngoko nangoko.
- Ukuba iimpawu zakho ze-apnea yokulala (ukurhona, ukuphefumla kancinci) ziya zisiba mandundu kwakhona.
- Ukuba kukho igazi elibonakalayo kumathe.
- Ukuba ukutya kunzima ukukuginya okanye kubhajwe emqaleni.
- Ukuba ubona iimpawu zosulelo, ezinje ngomkhuhlane, ukudumba, ukubomvu, okanye ubomvu obuvela kwinxeba.
Okubaluleke kakhulu: Ukuba uphuma igazi elininzi emqaleni, oko kuthetha ukuba kukho igazi elininzi eliphuma emlonyeni, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko, ungalibazisi nomzuzu omnye.
Umyalezo Wokuya Ekhaya
- Utyando lwe-UPPP lunyango lwe-Obstructive Sleep Apnea (OSA). Ludla ngokucetyiswa xa ezinye iindlela zonyango, ezifana noomatshini be-CPAP, ziye zasilela.
- Impumelelo yolu tyando ixhomekeke ekubeni ulufanele kangakanani, ngoko thetha nogqirha wakho ngalo mba ngononophelo.
- Ixesha lokuchacha lithatha malunga neeveki ezi-2-4, kwaye ngelo xesha, kufuneka ulumke kakhulu malunga nokutya kwakho kunye nemisebenzi yakho.
- Njengakwezinye iintlobo zotyando, kukho iingozi ezithile. Buza ugqirha wakho ngazo zonke ezi zinto ngaphambi kokuba wenze utyando.
- Ukulandela imiyalelo kagqirha ngononophelo emva kotyando kubalulekile ukuze uphile ngokukhawuleza.
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