Wake wazizwa sengathi ingane yakho iyeka ukuphefumula ngokuzumayo noma iba nobunzima bokuphefumula ngenkathi ilele? Ngezinye izikhathi lokhu kwenzeka ezinganeni ezincane ngenkathi zilele. Lokhu sikubiza ngokuthi "i-childhood sleep apnea." Lokhu kuyinto abazali abaningi abakhuluma ngayo futhi okudingeka bayiqaphele.
Ingabe izingane ezincane nazo ziyacinana ngesikhathi zilele? Kuyini i-Obstructive Sleep Apnea?
Kalula nje,
i-apnea yokulala ebuntwaneni iwukumiswa kwesikhashana kwendlela yokuphefumula yengane yakho ngenkathi ilele. Lokhu kungenzeka ngoba kukhona ukuphazamiseka endleleni yayo yokuphefumula. Noma, kungenzeka futhi ngoba ubuchopho abuthumeli izimpawu ezifanele emisipheni yayo yokuphefumula. Cabanga ngakho ngale ndlela. Ngesikhathi ulele, ucingo luyakhala. Uvuka wethukile, kodwa ubuyela ebuthongweni ungaphenduli. Yileyo ndlela esebenza ngayo. Ubuchopho bengane yakho buzwa ukuthi kukhona ukuntuleka komoya emzimbeni wayo. Ubuchopho bube sebuthumela isignali emaphashini ukuze aphefumule. Lokhu kungabangela ingane yakho ukuba ivuke njalo phakathi nobusuku. Nakuba lokhu kuvuka kufushane kakhulu, kungathinta amaphethini okulala kwengane yakho. Ngenxa yalokho, ingane yakho ingase
ikhathale kakhulu emini. Kungenzeka ukuthi wake wezwa odokotela ngezinye izikhathi bebiza lokhu ngokuthi `(Pediatric Sleep Apnea)`.
Ingabe kunezinhlobo ezahlukene zalokhu?
Yebo, kunezinhlobo ezintathu eziyinhloko ze-sleep apnea ebuntwaneni. Ake sibheke ukuthi ziyini.
1. Ukuphelelwa Yisikhathi Kokulala Okungavimbeli (OSA)
Lolu
uhlobo lwe-asthma oluvame kakhulu ezinganeni ezincane. Luvela uma kukhona ukuvinjelwa kwendlela yokuphefumula yengane, noma umphimbo womoya. Kufana nepayipi lamanzi elivalekile.
2. I-Central Sleep Apnea (CSA)
Lesi yisimo
esingavamile . Sivame ukubonakala ezinsaneni ezisanda kuzalwa. Okwenzekayo lapha ukuthi ubuchopho bomntwana abukwazi ukuxhumana kahle nemisipha elawula ukuphefumula. Okusho ukuthi, "umyalezo" wokuphefumula awudluli kahle.
3. I-Mixed/Complex Sleep Apnea noma i-Treatment-Emergent Central Sleep Apnea
Lokhu futhi kuyindlela ye-`(Central Sleep Apnea)`. Yilokhu okwenzekayo lapho ingane ene-`(Obstructive Sleep Apnea)` iphathwa ngomshini we-`(CPAP)` (lo mshini osiza ukuphefumula, sizoxoxa ngawo kamuva), futhi ithuthukisa i-`(Central Sleep Apnea)`.
Kuvamile kangakanani lesi simo ezinganeni ezincane?
Eqinisweni, i-sleep apnea ivame kakhulu emhlabeni wonke. Kulinganiselwa ukuthi abantu abayizigidi eziyinkulungwane emhlabeni wonke bahlushwa yilesi simo. Phakathi kwezingane ezincane,
i-` (Obstructive Sleep Apnea)` ingathinta phakathi kuka-1% no-5% wabantu, kungakhathaliseki ubudala. Lokhu kusho ukuthi izinsana ezisanda kuzalwa, izingane ezincane, izingane zasenkulisa, izingane eziseminyakeni yesikole, kanye nabantu abadala abasebasha bonke bangabhekana nalesi simo. Kodwa-ke,
Kuvame kakhulu ezinganeni eziphakathi kweminyaka emi-2 neyi-6. Ingabe i-apnea yokulala ingaba yingozi?
Nakuba izingane zivame ukuba nezimpawu ezincane zalesi simo, i-sleep apnea ebuntwaneni ingaba yingozi uma ingelashwa. Ingaholela nasezinkingeni ezilandelayo:- Izinselele zokukhula nentuthuko: Lokhu kungathinta ukukhula kwengane ngokomzimba nangokwengqondo.
- Ukulahlekelwa ukulawula umchamo (ukuchama embhedeni - `(I-Enuresis)`) : Lokhu kungabangela nezinkinga zokuchama embhedeni ebusuku kwezinye izingane.
- Isifo senhliziyo namaphaphu : Uma singelashwa isikhathi eside, singathinta inhliziyo namaphaphu.
- Ukuntuleka Kokunaka/Isifo Sokungasebenzi Kakhulu ( ADHD ) : Ubunzima bokufunda kanye nokungakwazi ukuhlala endaweni eyodwa kungabonakala.
Izinguquko ezindleleni zokulala zengane zingathinta ukuziphatha kwayo, imizwa yayo, kanye nomsebenzi wesikole, ngakho-ke kubalulekile ukuqaphela lokhu.
Ziyini izimpawu zalokhu? Ukubona kanjani?
Kunezimpawu eziningana zokuphefumula ngesikhathi sokulala ebuntwaneni. Ake sizihlukanise zibe izigaba ezimbili. Izimpawu ezingabonakala ngesikhathi sokulala:
- Ukuphefumula ngomlomo, ukuphefumula kakhulu, noma ukuhona : Ukuhona ngokuvamile kuyisibonakaliso esiyinhloko.
- Ukuphefumula kuyama noma kuyama : Ungase uqaphele ukuthi ingane iyeka ukuphefumula ngokuzumayo imizuzwana embalwa.
- Ukukhwehlela noma ukuphelelwa umoya : Ungase uvuke ukhwehlela futhi uphelelwa umoya ebuthongweni bakho.
- Ukujikijela nokuphenduka embhedeni (ukulala okungenakuphumula) : Ukujikijela nokuphenduka ohlangothini olulodwa, ungakwazi ukulala.
- Ukujuluka ebusuku .
- Ukuhamba ulele noma ukukhuluma ulele .
- Ukuchama Embhedeni .
Izimpawu ezingabonakala emini (lezi zingase zibe izimpawu zokuthi ingane ine-sleep apnea):
- Ukukhathala : Ungase uzizwe ukhathele uma uvuka ekuseni. Ungase uzizwe ulele usuku lonke.
- Ukunganaki noma ukungakwazi ukugxila : Ukunganaki kungase kubonakale kuntuleka, ngisho nalapho wenza umsebenzi wesikole noma udlala.
- Ukucasuka, ulaka, noma ezinye izinkinga ezingokomzwelo noma zokuziphatha : Izinto ezifana nokuthukuthela ngezinto ezincane, ukulwa nabanye, njll.
- Ikhanda elibuhlungu ekuseni.
Uma ingane yakho inesinye noma ngaphezulu salezi zimpawu, kungcono ukukhuluma nodokotela. Kungani lokhu kwenzeka ezinganeni ezincane? Yiziphi izizathu?
Imbangela eyinhloko ye-Obstructive Sleep Apnea ebuntwaneni ukuvinjelwa kwendlela yokuphefumula yengane. I-Central Sleep Apnea ibangelwa inkinga ngezibonakaliso ezithunyelwa kusuka ebuchosheni bengane ziye emisipheni yomoya. Ngezinye izikhathi, ngisho nokusebenzisa umshini we-CPAP, i-sleep apnea eyinkimbinkimbi kakhulu ingenzeka. Yiziphi izifo ezibangela ukuphazamiseka kokuphefumula kokulala?
- Ama-tonsils noma ama-adenoid akhulisiwe : Lawa ama-gland angemuva komphimbo. Angakhula uma ingane inegciwane noma ukuvuvukala . Ngezinye izikhathi, la ma-gland angaba makhulu kunokujwayelekile ngenxa yezakhi zofuzo. Lena imbangela evame kakhulu ye-OSA ezinganeni ezincane.
- Ukushintsha kwethoni yemisipha : Ezinye izimo zofuzo, njenge-Down syndrome noma i-cerebral palsy, zingabangela ushintsho ethoni yemisipha yekhanda nentamo yengane. Ngisho noma ithoni yemisipha yengane ijwayelekile emini, le thoni yemisipha ingase yehle ebusuku lapho ingane ilele, okubangela ukuba izicubu zinamathele ndawonye futhi zivale indlela yokuphefumula.
- Ukukhubazeka kwesakhiwo samathambo : Isakhiwo samathambo esinciphile ebusweni, njengomhlathi omncane noma ukulunywa ngokweqile, nakho kungabangela izinkinga zokuphefumula enganeni.
- Isimila : Isimila esikhula endleleni yomoya singadala ukuvaleka. Kodwa-ke, lokhu akuvamile kakhulu.
Ubani osengozini enkulu yalesi simo? (Izici Eziyingozi)
Ingane yakho ingase ibe sengozini enkulu yokuphefumula ngenxa yezizathu ezilandelayo:- Ukungezwani komzimba : Izinto ezifana nomkhuhlane ovamile kanye nokungezwani komzimba nothuli.
- Isifuba somoya .
- Uma uke waba nobuhlungu be-cleft palate noma ukuhlinzwa okuhlobene nalokho (`ukuhlinzwa kwe-pharyngeal flap`) .
- Ukuchayeka entuthwini kagwayi : Uma othile ekhaya ebhema, lokho kungaba nomthelela.
- Ukuba nelungu lomndeni elinalesi simo (ukuthambekela kofuzo) .
- Ukukhuluphala ngokweqile : Uma isisindo somzimba siphakeme kunesisindo esifanele sobudala.
- Izinkinga ze-acid reflux ohlelweni lokugaya ukudla : njenge-gastritis.
- Ukutheleleka komgudu wokuphefumula ophezulu (Ukutheleleka kokuphefumula okuphezulu): Uma uvame ukuthola umkhuhlane kanye nomkhuhlane.
Udokotela uhlonza kanjani lokhu?
Udokotela uzoxilonga i-apnea yokulala ebuntwaneni ngokukubuza ngezimpawu zengane yakho. Bazobuza imibuzo efana nokuthi ingane yakho iyahona yini nokuthi ilala kanjani ebusuku. Bazophinde benze ukuhlolwa ngokomzimba futhi bathathe umlando wezokwelapha wengane yakho ophelele. Ngezinye izikhathi udokotela wakho angakudlulisela kuchwepheshe wokulala. Uchwepheshe wokulala angenza izivivinyo ezifana nalezi:- Umlando Wokulala : Irekhodi lamaphethini okulala kwengane yakho ebusuku. Lokhu kungadalwa ngokucela imininingwane kuwe.
- Ukuhlolwa komoya ophezulu : Lokhu kuhlanganisa ukuhlolwa ngokomzimba. Ngezinye izikhathi i-X-ray noma i-endoscopy yamakhala ingenziwa ukuhlola ukuvaleka kwamakhala.
- Ucwaningo lokulala (`Ucwaningo lokulala / i-Polysomnography`) : Lolu vivinyo olubaluleke kakhulu. Lapha, ingane ibhekwa ngesikhathi ilele. Lolu vivinyo lulinganisa izinto eziningi, njengokusebenza kobuchopho bengane, ukushaya kwenhliziyo, inani lomoya ongena ngomlomo namakhala, inani lomoya-mpilo ne-carbon dioxide egazini, umsebenzi wemisipha, ukunyakaza kwesifuba nesisu, kanye nokuphazamiseka kokulala.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kwe-sleep apnea ezinganeni kuyahlukahluka kuye ngembangela kanye nobukhali besimo. Umgomo oyinhloko kadokotela ukuhlanza umgudu womoya wengane. Izinketho zokwelapha zingafaka:- Ukuhlinzwa : Kungadingeka ukuhlinzwa ukuze kususwe ama-tonsils noma ama-adenoids akhuphukile (i-tonsillectomy / i-adenoidectomy), noma ukulungisa ukukhubazeka kwesakhiwo samathambo ekhanda nentamo yengane. Lokhu kuvumela isikhala esengeziwe sendlela yokuphefumula.
- Ukuguqulwa kwendlela yokuphila : Ukuzivocavoca njalo kungasiza ukugcina imigudu yokuphefumula yengane yakho ivulekile. Futhi, ukwenza izinguquko ekudleni kwengane yakho kungasiza ekugcineni inkomba yomzimba enempilo (i-BMI) ngokweminyaka yayo.
- Imithi : Imithi ingasiza ukugcina umoya wengane yakho uvulekile noma ucacile. Udokotela uzokunikeza imithi kuye ngokuthi imbangela yokuphefumula komntwana wakho. Isibonelo, ama-antihistamine, i-fluticasone (Flonase®), kanye ne-montelukast (Singulair®) anganikezwa ngenxa yokungezwani komzimba. Ama-decongestant okuvula ikhala anganikezwa uma kukhona ukutheleleka kokuphefumula okuphezulu.
- Ukucindezela Komoya Okuhle Okuqhubekayo (CPAP): Lokhu kuhilela ukugqoka imaski encane phezu kwekhala ngenkathi ulele. Le maski ixhunywe emshinini omncane, ophathwayo. Lo mshini uthumela umoya ngekhala ungene endaweni yomoya. Lo mfutho womoya ugcina indlela yomoya yengane ivulekile, ukuze ikwazi ukuphefumula ngendlela evamile ngenkathi ilele.
Uma ingane yakho iba nesifo sokuphefumula esiyinkimbinkimbi ngemva kokwelashwa nge-obstructive sleep apnea, udokotela wakho angase asikisele ukulungisa umfutho womoya emshinini we-CPAP noma ukulungisa ukulingana kwemaski nobuso bengane yakho. Lokhu kuvame ukubangelwa ukuthi umshini we-CPAP uphakeme kakhulu noma uphansi kakhulu. Lokhu kulungiswa kuvame ukuthuthukisa izimpawu ze-complex sleep apnea.
Udokotela uzohlola ngokucophelela izimpawu zengane yakho ngaphambi kokuncoma ukwelashwa noma ukuphathwa ekhaya. Ingabe ikhona imiphumela emibi yokwelashwa?
Khuluma nodokotela wengane yakho ngemiphumela emibi yanoma yikuphi ukwelashwa okunconyelwe ingane yakho. Konke ukuhlinzwa kunezingozi. Imiphumela emibi yemithi iyahlukahluka kuye ngohlobo. Buza udokotela wengane yakho ukuthi kukhona yini imiphumela emibi okufanele uyiqaphele ngesikhathi sokwelashwa. Ingabe lokhu kungavinjelwa ukuthi kwenzeke?
Izimbangela eziningi ze-sleep apnea ebuntwaneni kunzima ukuzivimbela. Kodwa-ke, ungasiza ingane yakho ukunciphisa ingozi yokuba nalesi simo ngokuthi:- Ukuzivocavoca njalo.
- Ukugwema izindawo ezinentuthu kagwayi.
- Ukuphatha ukungezwani komzimba kwesizini.
Udokotela angenza izincomo eziqondene nomuntu siqu ezinganciphisa ingozi yengane, ikakhulukazi uma othile emndenini enalesi simo. Kwenzekani uma ingane inalesi simo? Ingabe izolulama?
Ngokwelashwa, izimpawu ze-obstructive sleep apnea ebuntwaneni zinganyamalala. Futhi, kungase kungabi nemiphumela yesikhathi eside njengoba ingane ikhula. Kodwa-ke, uma ingelashwa, i-sleep apnea ingaba yingozi futhi ingathinta ukukhula nokukhula kwengane. Ezinye izingane zingase ziqhubeke nokuba nezimpawu njengoba zikhula, futhi ezimweni ezinjalo, kungadingeka zilawulwe phakathi nesikhathi sobudala. Kunezindlela zokwelapha zokuqeda izimpawu ze-obstructive sleep apnea, ezingabangelwa yizimo ezithile. Uma ingane yakho inezimpawu ezincane, ingase ibe ngcono ngokwayo njengoba ikhula. Lokhu kwenzeka ngoba izicubu ezingemuva komphimbo ziyancipha njengoba ingane yakho ikhula, zivule indlela yokuphefumula. Ukuhlinzwa kokususa ama-tonsils noma ama-adenoid kuyindlela yokwelapha ephumelelayo yalesi simo. Kodwa-ke, uma ingane yakho iba nokuphazamiseka okusha endleleni yayo yokuphefumula, izimpawu ze-obstructive sleep apnea zingase zibuye. Kufanele ngimbone nini udokotela? Kuthiwani uma kuyisimo esiphuthumayo?
Uma ubona izimpawu ze-sleep apnea enganeni yakho, ikakhulukazi uma ingane yakho ivuka njalo phakathi nobusuku noma inezinkinga zokuphefumula ngenkathi ilele, xhumana nodokotela ngokushesha.Kulesi simo, iya ekamelweni lezimo eziphuthumayo (ER) ngokushesha, noma ushayele u-1990:- Uma ingane yakho inenkinga yokuphefumula.
- Uma isikhumba sengane, izindebe, nezinzipho kuphaphathekile, kuluhlaza okwesibhakabhaka, noma kumpunga.
Imibuzo ebalulekile okufanele uyibuze udokotela wakho
Uma ubona udokotela, ungakhohlwa ukubuza le mibuzo:- Yini ebangela izimpawu zengane yami?
- Ingabe ikhona imiphumela emibi yokwelashwa?
- Ingabe ingane yami idinga ukuhlinzwa?
- Ingane yami izodinga isikhathi esingakanani ukusebenzisa umshini we-CPAP?
I-sleep apnea ebuntwaneni ingaba yinto ecindezelayo kuwe nakumntwana wakho. Ingane yakho ingase ikuthole kunzima ukulala kahle ebusuku, okuyenza izizwe ikhathele emini. Lokhu kungathinta imisebenzi yayo yansuku zonke, imisebenzi, imizwa, kanye nokuziphatha. Ngakho-ke, uma ubona izimpawu ze-sleep apnea enganeni yakho, funa iseluleko sezokwelapha ngokushesha. Udokotela angakusiza wena nomntwana wakho ukuthi niphathe lesi simo futhi asize ingane yakho ukuthi iphefumule kalula. Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
- I-Obstructive Sleep Apnea yisimo esivamile ezinganeni ezincane.
- Ukuhona, ukuvuka njalo ebusuku, kanye nokulala emini kungaba yizimpawu eziyinhloko.
- Ama-tonsils amakhulu kanye nama-adenoid ngokuvamile yimbangela.
- Lesi simo singathinta intuthuko yengane, ukufunda kwayo, kanye nokuziphatha kwayo.
- Lesi simo singaphathwa kahle ngokuxilongwa nokwelashwa okufanele.
- Uma unokungabaza, ungesabi ukukhuluma nodokotela. Uma usheshe uxilongwe, kungcono kakhulu enganeni yakho.
Sithemba ukuthi lolu lwazi luzokusiza ukuthi unike ingane yakho ubuthongo obunempilo nobukhululekile!
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