Ingabe othile emndenini wakho, mhlawumbe umyeni wakho noma umkakho, uhogela kakhulu ebusuku elele? Wake waphawula ukuthi lapho ehogela, ngokuzumayo ayeke ukuphefumula bese eqala ukuphefumula futhi njengokungathi uphefumula kanzima? Noma ucabanga ukuthi ulale amahora angu-8 noma angu-9 kahle ebusuku, kodwa usazizwa ukhathele ngendlela engavamile futhi ulele ngosuku olulandelayo? Ingabe ngezinye izikhathi uyalala ngenkathi usebenza, ushayela, noma ubukele i-TV? Lezi akuzona izinto ezingabhekwa njengezithi "ukuhogela" noma "ukungakwazi ukulala kahle." Ngemuva kwalezi zimpawu kungase kube nesimo sempilo esibi esibizwa ngokuthi i-Obstructive Sleep Apnea . Ngakho-ke, namuhla sizokhuluma ngesilinganiso esibaluleke kakhulu odokotela abasisebenzisayo ukukala ubunzima balesi simo. Lelo inani le-AHI (i-Apnea-Hypopnea Index) .
Kalula nje, iyini i-AHI?
I-AHI imele i-Apnea-Hypopnea Index . Ilinganisa ukuthi ukuphefumula kwakho kuyeka kangaki (i-apnea) bese kuba kuncane kakhulu (i-hypopnea) phakathi nehora ngenkathi ulele. Cabanga ngakho njengekhadi lombiko lokuphefumula kwakho ulele.
Ukuze sicacise lokhu kakhudlwana, ake sibheke incazelo eqondile yala magama amabili:
- Ukuphefumula: Lokhu kwenzeka lapho ukuphefumula kwakho kuyeka ngokuphelele imizuzwana eyi-10 noma ngaphezulu . Phakathi nalesi sikhathi, akukho moya ongena emaphashini akho.
- I-Hypopnea: Lokhu kwenzeka lapho ukuphefumula kwakho kungayeki ngokuphelele, kodwa indlela yakho yokuphefumula ivalekile kakhulu futhi ukuphefumula kwakho kuba kuncane kakhulu . Lokhu kubangela ukuthi izinga lomoya-mpilo egazini lakho lehle kakhulu.
Manje ungase ucabange ukuthi, "Ngizokwazi kanjani uma ngiyeka ukuphefumula?" Yilokhu okwenzekayo ngempela. Lapho ukuphefumula kwakho kuyeka, kungakhathaliseki ukuthi kuncane noma cha, ubuchopho bakho buzwa ngokushesha le ngozi. Ubuchopho buyazi ukuthi umzimba wakho awutholi umoya-mpilo owanele. Ngaleso sikhathi, ubuchopho bukuvusa ebuthongweni obujulile isikhashana (ukuvuka). Kodwa lokhu kuvuka kuncane kangangokuthi awukhumbuli ngisho nokukukhumbula. Uma uqala ukuphefumula futhi, ubuchopho bakho bukuvumela ukuthi ulale futhi. Uma i-Sleep Apnea inzima, lokhu kungenzeka izikhathi ezingamakhulu ebusuku . Ngakho cabanga ngakho, uma ubuthongo bakho buphazamiseka izikhathi eziningana ngehora noma ngisho nezikhathi eziyishumi, ungalala kanjani kahle, okuqabulayo? Yingakho uzizwa ukhathele usuku lonke.
Inani le-AHI yinani elimaphakathi lokuphumula kanye neziqephu zokuphefumula okungajulile ezenzeka ngehora ngesikhathi sokulala. Uma leli nani liphezulu, kulapho i-sleep apnea yakho iba nzima khona.
Ngakho-ke leli nani le-AHI lilinganiswa kanjani?
Ukuze uthole leli nani, udinga ukwenza ukuhlolwa okukhethekile. Sikubiza ngokuthi i- Sleep Study , noma ngokwezokwelapha, i-Polysomnography . Lokhu kuvame ukwenziwa ngemva kokuhlala ubusuku bonke elabhorethri ekhethekile yokulala esibhedlela.
Ungacabangi ukuthi lokhu kubuhlungu. Akubuhlungu nhlobo. Okwenzayo:
- Izinzwa ezincane eziningana zinamathiselwe ekhanda lakho, ebusweni, esifubeni, nasemilenzeni.
- Bafaka imichilo emibili esifubeni sakho nasesiswini ukuze balinganise ukunyakaza njengoba uphefumula.
- Kufakwe idivayisi encane efana ne-clip emunweni ukuze kulinganiswe izinga lomoya-mpilo egazini.
Bese ulala kahle. Phakathi nobusuku bonke, lawa madivayisi aqopha umsebenzi wobuchopho bakho, izinga lokushaya kwenhliziyo, amaphethini okuphefumula, amazinga omoya-mpilo egazini, ukuhona, kanye nokunyakaza komzimba, phakathi kwezinye izinto.
Ngosuku olulandelayo, odokotela bahlaziya le datha bese bebala amaphuzu akho e-AHI. Nansi indlela okwenziwa ngayo:
Inani lezehlakalo ze-Apnea kanye ne-Hypopnea ezenzeke ubusuku bonke ÷ Amahora aphelele owalala ngawo = Inani lakho le-AHI
Ngezinye izikhathi kunezindlela ezilula zokufunda ubuthongo ongazenza ekhaya. Kodwa-ke, idatha etholwe ekuhlolweni okwenziwe esibhedlela inembe kakhulu futhi inemininingwane eminingi. Udokotela wakho uzonquma ukuthi yini engcono kakhulu kuwe.
Ubunzima be-apnea yokulala njengoba kulinganiswa ngenani le-AHI (kwabantu abadala)
Ngokusekelwe enanini le-AHI elitholwe ngemuva kocwaningo lwakho lokulala, odokotela bazohlukanisa isimo sakho. Kumuntu omdala, lokhu kuhlukaniswa kungokulandelayo.
| Inani le-AHI (imicimbi ngehora) | Ubunzima besimo | Kusho ukuthini lokhu? |
|---|---|---|
| Ngaphansi kuka-5 | Okuvamile | Awunayo i-sleep apnea. Ngisho nomuntu ophilile angaba nokuphefumula okungaphansi kuka-5 ngehora. |
| Kusukela ku-5 kuya ku-14 | Okuncane | Une-apnea encane yokulala. Ungase uzizwe ulele kancane emini. |
| Kusukela ku-15 kuya ku-29 | Okumaphakathi | Lesi simo sibi kakhulu. Ungase ube nobuthongo obuningi emini kanye nobunzima bokugxilisa ingqondo. |
| Abaneminyaka engu-30 noma ngaphezulu | Okubi kakhulu | Lesi yisimo esibi kakhulu. Ingozi yokuthola ezinye izifo ezifana nesifo senhliziyo, umfutho wegazi ophakeme, nesifo sikashukela iphezulu kakhulu. |
Ingabe inani le-AHI lihlukile ezinganeni ezincane?
Yebo, impela. Imizimba yezingane ezincane kanye nezinhlelo zokuphefumula zihlukile kwezabantu abadala, ngakho-ke isikali esisetshenziswa ukukala i-AHI yabo naso sihlukile.
Uma i-AHI yengane ingaphezu kuka-1 , kubhekwa njengesifo sokuphefumula esibangelwa ubuthongo. Inani elijwayelekile lengane kufanele libe ngaphansi kuka-1.
Ukuhlukaniswa kwe-AHI kwezingane kungokulandelayo:
- Okuncane: Inani le-AHI lisuka ku-1 liye ku-4
- Okumaphakathi: Inani le-AHI lisuka ku-5 liye ku-9
- Okubi kakhulu: Inani le-AHI elingu-10 noma ngaphezulu
Uma ingane yakho ihona kakhulu ebusuku, iphefumula umlomo wayo uvulekile ngenkathi ilele, ibonakala sengathi iyaphefumula kanzima, noma ikhuthele kakhulu emini noma inenkinga yokunaka esikoleni, qiniseka ukuthi ukhuluma nodokotela wezingane ngakho.
Inani le-AHI lomuntu osebenzisa umshini we-CPAP
Ukwelashwa okuyinhloko nokuphumelela kakhulu kwe-sleep apnea umshini we -CPAP (Continuous Positive Airway Pressure) . Lokhu kusebenza ngokuletha umfutho womoya omnene ngemaski oyigqoka ebusweni bakho ngenkathi ulele, ukugcina umoya wakho uvulekile. Lokhu kukuvimbela ukuthi uyeke ukuphefumula.
Uma uqala ukwelashwa kwe-CPAP, umgomo ukugcina i-AHI yakho ingaphansi kwama-5 ngehora.Ukulungisa. Imishini eminingi ye-CPAP namuhla inesici esikuvumela ukuthi uhlole i-AHI yakho njalo ekuseni. Nakuba ingeyona enembe njengesifundo sokulala, ingaba yindlela enhle yokuthi wena nodokotela wakho niqaphele ukuthi ukwelashwa kwakho kusebenza kahle kangakanani.
Ingabe inani le-AHI lodwa lanele? Yimiphi imikhawulo yale ndlela?
I-AHI iyithuluzi elibaluleke kakhulu ekuxilongeni nasekwelapheni i-Sleep Apnea. Kodwa-ke, ayilandi yonke indaba. Inani le-AHI linemikhawulo eminingana.
- Akubonisi ubucayi bezehlakalo: I-AHI ikutshela kuphela ukuthi ukuphefumula kwakho kuyeke kangaki ngehora. Kodwa-ke, i-AHI ayibonisi ngqo ukuthi izinga lakho le-oxygen egazini lehle kangakanani ngesikhathi sesehlakalo ngasinye, noma ukuthi ukuphefumula kuyeke isikhathi esingakanani. Othile angase abe ne-AHI engu-10, kodwa amazinga akhe e-oxygen angase ehle kakhulu. Omunye angase abe ne-AHI engu-10, kodwa amazinga akhe e-oxygen angase angehli kangako.
- Umehluko encazelweni ye-Hypopnea: Nakuba kunencazelo ecacile ye-apnea, ngezinye izikhathi kungaba nomehluko omncane endleleni i-hypopnea echazwa ngayo.
- Imikhawulo yokuhlolwa kwasekhaya: Nakuba ukuhlolwa kwasekhaya kulula, ngezinye izikhathi imiphumela yabo ingase ingabi yi-100% enembayo.
Yingakho udokotela engenzi isinqumo ngesimo sakho ngokusekelwe kuphela kumaphuzu akho e-AHI. Uzocabangela izici eziningi, okuhlanganisa amaphuzu akho e-AHI, ukuthi amazinga akho e-oxygen egazini aphansi kangakanani, izimpawu zakho, kanye nendawo olala kuyo, ukuze athole isithombe esiphelele.
Umlayezo Wokuya Nawe Ekhaya
- Uma kubonakala sengathi uyahona futhi uvala umoya wakho ebuthongweni bakho, lokho akuvamile. Naka lokho.
- I-AHI (i-Apnea-Hypopnea Index) iyinkomba ebalulekile elinganisa ubukhali be-Sleep Apnea.
- Uma i-AHI yomuntu omdala ingaphezu kwamahora ama-5 ngehora, kubaluleke kakhulu ukufuna iseluleko sezokwelapha.
- Uma i-AHI yengane ingaphezu kwe-1, kuyisimo okufanele nakanjani sibonwe udokotela.
- I-AHI iyingxenye eyodwa kuphela yokuxilongwa. Udokotela wakho uzocabangela impilo yakho iyonke ukuze anqume ukwelashwa okungcono kakhulu.
- I-Sleep Apnea, uma ingelashwa, ingaholela ezimweni ezibucayi njengomfutho wegazi ophakeme, isifo senhliziyo, nesifo sikashukela. Ngakho-ke uma unokungabaza ngalokhu, ungabi namahloni futhi ukhulume nodokotela.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho