Ingabe uvuka ngokuzumayo ebusuku, uphefumula kanzima? Noma unenkinga yokulala ngoba umlingani wakho uyahona? Mhlawumbe uzizwa sengathi uyeka ukuphefumula okwesikhashana phakathi nalesi sikhathi? Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi i-Obstructive Sleep Apnea (OSA) , noma i-obstructive sleep apnea. Uma ingelashwa, lesi simo singaholela ezinkingeni ezinkulu zempilo. Ngakho-ke namuhla sizokhuluma ngokwelashwa kwalokhu, ikakhulukazi ikhambi abantu abaningi abangakhulumi ngalo.
Kalula nje, ziyini lezi Zisetshenziswa Zomlomo?
Empeleni lawa ngamadivayisi akhethekile enzelwe umlomo wakho ngudokotela wamazinyo. Afana nezivikelo zomlomo ezisetshenziswa ngabashayi bebhokisi, kodwa asebenza ngendlela ehlukile kakhulu. Uma uwagqoka emlonyeni wakho ebusuku ngenkathi ulele, asiza ukugcina umoya wakho uvulekile.
Manje, okwenzekayo kumuntu one-Sleep Apnea ukuthi ngesikhathi sokulala, imisipha engemuva komphimbo iyaphumula bese indlela yokuphefumula incipha noma ivaleke ngokuphelele. Ngemuva kwalokho, umoya awungeni, bese kuthi isignali iye ebuchosheni ukuze ikuvuse kancane ukuze uphefumule. Lo mjikelezo uyaqhubeka ubusuku bonke. Ngenxa yalokhu, awulali kahle, futhi izitho zomzimba wakho azitholi inani lomoya-mpilo eziwudingayo. Ngakho-ke lokho okwenziwa yilezi zinto zomlomo ukugcina umlomo wakho, umhlathi, nolimi lwakho endaweni ethile, ukugcina indlela yakho yokuphefumula ivulekile.
Kunezinhlobo ezimbili eziyinhloko zala madivayisi.
Lawa madivayisi asetshenziswa ukwelapha i-sleep apnea angahlukaniswa kakhulu ngezigaba ezimbili.
1. Amadivayisi Okuthuthukisa Amadolo (ama-MAD)
Lolu uhlobo oluvame ukusetshenziswa kakhulu. Lubizwa nangokuthi ama-splint okuthuthukisa i-mandibular, ama-mandibular repositioning appliances, njll. Kalula nje, le divayisi idonsa umhlathi wakho ongezansi (i-mandible) phambili kancane. Lapho umhlathi ongezansi uhamba phambili, ulimi olunamathele kuwo nalo luya phambili. Lokhu kwandisa isikhala somoya ukuthi udlule ngemuva komphimbo.
Lawa ma-MAD avame ukuza ngezingxenye ezimbili: eyodwa yesethi ephezulu yamazinyo kanye nenye yesethi engezansi yamazinyo. Lezi zingxenye ezimbili zixhunywe ngezikulufo, ama-hinge, noma amabhande enjoloba. Lokhu kukuvumela ukuthi ulungise ukuthi umhlathi ongezansi udinga ukuqhubekela phambili ibanga elingakanani.
2. Amadivayisi Okuzinzisa Ulimi (ama-TSD)
Lezi zibizwa nangokuthi amadivayisi okugcina ulimi. Azithandwa njenge-MAD, kodwa kwabanye abantu ziyisisombululo esihle. Zisebenzisa ukumunca, okuyinqubo edonsa ulimi lwakho phambili bese ilubamba endaweni yalo. Idivayisi inengxenye egcina ulimi efana nebhalbhu egcina ulimi lwakho lusendaweni yalo ngesikhathi sokulala.
Ama-TSD angaba yindlela enhle kulabo abangakwazi ukuba nedivayisi ye-MAD, isibonelo, ngoba amazinyo abo awaqinile ngokwanele.
| Uhlobo lwedivayisi | Indlela esebenza ngayo | Ubani ofaneleka kakhulu kulokhu? |
|---|---|---|
| Amadivayisi Okuthuthukisa Amadolo (ama-MAD) | Ukudonsa umhlathi ongezansi phambili kuvula indlela yokuphefumula. | Kunconywa kakhulu kubantu abaningi abane-Sleep Apnea. |
| Amadivayisi Okuzinzisa Ulimi (ama-TSD) | Ulimi ludonswa phambili futhi lubanjwe endaweni yalo ngokulumunca. | Ilungele labo abanamazinyo aqinile noma abangakwazi ukusebenzisa ama-MAD. |
Okubaluleke kakhulu, lezi zinto zikagesi zisebenza kahle kakhulu uma zenziwe ngokwezifiso ngudokotela wamazinyo ukuze zilingane nomlomo wakho. Nakuba kunezinhlobo "zokubilisa nokuluma" ezitholakala emakhemisi noma ku-inthanethi, ucwaningo luye lwabonisa ukuthi izinto zikagesi ezenziwe ngokwezifiso ziveza imiphumela emihle kakhulu.
Ubani lokwelashwa okufanelekela kangcono?
Ukwelashwa ngemishini yomlomo kufaneleka kakhulu kubantu abane -apnea yokulala evimbekile engabambi kahle kuya kwephakathi . Kuyindlela enhle kakhulu kulabo abanenkinga yokusebenzisa umshini we-CPAP (Continuous Positive Airway Pressure), obhekwa njengokwelashwa okungcono kakhulu kwe-apnea yokulala.
Umshini we-CPAP uwumshini ohambisa umoya ocindezelwe emigudwini yakho yomoya ngepayipi kanye nemaski ukuze uhlale uvulekile. Nakuba i-CPAP isebenza kahle kakhulu, abanye abantu bakuthola kunzima ukulala nemaski njalo ebusuku. Ngokuhamba kwesikhathi, bayayeka ukuyisebenzisa. Nakuba umshini womlomo ungasebenzi kahle njenge-CPAP, ungasiza abantu abaningi ukulawula izimpawu zabo.
Abanye abantu basebenzisa kokubili umshini we-CPAP kanye nomshini womlomo. Isibonelo, basebenzisa i-CPAP ekhaya kanye nomshini womlomo okulula ukuwuthatha uma behamba.
Ingabe bakhona abantu okungafanele basebenzise lokhu?
Yebo, lawa madivayisi awafanele wonke umuntu. Ikakhulukazi kulabo:
- Abantu abane-Central Sleep Apnea: Lesi yisimo lapho ukuphefumula kuyeka ngenxa yenkinga yezimpawu zobuchopho. Lokhu akukwazi ukwelashwa ngezinto zomlomo.
- Izingane ezincane: Izinkinga zokuphefumula zezingane zidinga ukwelashwa okuhlukile kunezabantu abadala. Cabanga ngalokhu kuphela uma kunconywa udokotela wengane yakho.
- Abantu abane-OSA enzima: Kungaba yingozi kumuntu onenkinga yokuphefumula kakhulu uma ezama ukulawula ubuthongo bakhe esebenzisa le divayisi eyedwa. Ngakho-ke, kufanele ukhulume nodokotela wakho mayelana nokuthi lokhu kulungile yini kuwe.
Uyenza kanjani idivayisi efana nale?
Ukuze ulungise lokhu, udinga ukulandela inqubo ethile.
1. Okokuqala, udinga ukwenza ucwaningo lokulala ukuze uqinisekise ukuthi une-Obstructive Sleep Apnea.
2. Uma udokotela wakho enquma ukuthi ithuluzi lomlomo liyindlela enhle kuwe, uzokudlulisela kudokotela wamazinyo .
3. Udokotela wamazinyo uzothatha isithombe noma athathe i-3D scan yamazinyo akho.
4. Ngokusekelwe kulezo zilinganiso, umenzi uzokwakhela idivayisi eqondene nawe ngqo.
5. Ngemva kokuba umshini usuwenziwe, kuzodingeka ubone udokotela wamazinyo futhi. Bazohlola ukuqinisekisa ukuthi ungena kahle emlonyeni wakho futhi awunamathele ukuze ungaphumi ebusuku.
6. Futhi, kuzonikezwa imiyalelo yokuthi lokhu kuhlanzwa kanjani futhi kunakekelwe kanjani.
Udokotela wakho angase futhi ancome olunye ucwaningo lokulala ngemva kokufakwa kwedivayisi ukuze abone ukuthi isebenza kahle kangakanani.
Yiziphi imiphumela emibi kanye nezinzuzo?
Njenganoma yikuphi ukwelashwa, lokhu kunemiphumela emibi nezinzuzo ezincane.
| Okuqhamuka uma udla imishanguzo | |
|---|---|
| Isikhathi esifushane - emavikini ambalwa okuqala | |
| Ukukhiqizwa kwamathe ngokweqile | Ekuqaleni, kungase kube namathe amaningi ngoba kukhona into engavamile emlonyeni. |
| Ubuhlungu bomhlathi, izinyo, kanye nobuhlungu be-temporomandibular joint (TMJ) | Ungase uzizwe ubuhlungu obuncane ekuqaleni ngoba umhlathi ongezansi usesesimweni esisha. |
| Umlomo owomile kanye nokungakhululeki kwezinsini | Lokhu kuvame ukuphela phakathi nezinsuku ezimbalwa. |
| Isikhathi eside - akuvamile | |
| Izinguquko endaweni yamazinyo (ukuluma) | Ngokuhamba kwesikhathi, indlela amazinyo akho ahlangana ngayo ingashintsha. |
| Amazinyo ayathuthumela noma ayanyakaza | Yingakho ukuhlolwa kwamazinyo njalo kubalulekile. |
Izinzuzo zalokhu
- Kunganciphisa izimpawu ze-OSA, ikakhulukazi ukozela emini kanye nobunzima bokugxilisa ingqondo .
- Kusiza ekufinyeleleni ubuthongo obujulile, obungenaziphazamiso.
- Ukuhona kungancishiswa noma kumiswe ngokuphelele .
- Enye indlela enhle kulabo abangakwazi ukusebenzisa umshini we-CPAP.
- Kulula kakhulu ukuhamba nayo uma usohambweni.
Umlayezo Wokuya Nawe Ekhaya
- Izinto zokusetshenziswa ngomlomo ziyindlela enhle yokwelapha i-obstructive sleep apnea, ikakhulukazi ezigulini ezincane kuya kweziphakathi kanye nalabo abathola imishini ye-CPAP ingakhululekile.
- Amadivayisi aphumelela kakhulu kulawa yilawo enziwe ngokwezifiso ngudokotela wamazinyo ukuze alingane nomlomo wakho.
- Kungathatha isikhathi ukujwayela lokhu emasontweni ambalwa okuqala. Nakuba kungase kube nokungakhululeki okuncane, kuvame ukuphela ngemva kwezinsuku ezimbalwa.
- Ngaphambi kokuqala lokhu kwelashwa, qiniseka ukuthi ukhuluma nodokotela wakho ukuqinisekisa ukuthi kufaneleka esimweni sakho.
- Kubaluleke kakhulu ukuthi udokotela wamazinyo ahlole amazinyo nomlomo wakho njalo phakathi nesikhathi sokusebenzisa idivayisi.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho