Ingabe ingane yakho iyahogela ebuthongweni? Ingabe ibonakala sengathi iyacinana? Ake sixoxe nge-Obstructive Sleep Apnea!

Ingabe ingane yakho encane ilala kahle ebusuku? Ngezinye izikhathi kunezinkinga ezingaphazamisa ukulala kwezingane ngezindlela esingazicabangi ngisho nokuzicabanga. Esinye isimo esinjalo abazali abaningi abangasiqapheli, kodwa esingathinta intuthuko enempilo yezingane zabo, sibizwa ngokuthi `(Obstructive Sleep Apnea)`. Kalula nje, yisimo lapho ukuphefumula kuyeka khona isikhashana ngesikhathi sokulala. Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, ngoba uma ukuqaphela lokhu kusenesikhathi, ungasiza ingane yakho.

Kuyini i-Obstructive Sleep Apnea?

Kalula nje, `(Obstructive Sleep Apnea)` yilapho umuntu eyeka ukuphefumula isikhashana ngenkathi elele. Isizathu salokhu ukuthi into ethile emgudwini womoya, okungukuthi, emphinjeni, ivimba ukuhamba komoya. "Obstructive" kusho ukuthi ivinjiwe. "Apnea" kusho ukuthi ukuphefumula kuyayeka okwesikhashana. Ngakho-ke uma lokhu kokubili kuhlanganiswa, lesi simo sibizwa ngokuthi `(Obstructive Sleep Apnea)` noma `(OSA)`. Uma ukuphefumula kuyayeka kanje ngesikhathi sokulala, izinga lomoya-mpilo emzimbeni lingancipha futhi izinga le-carbon dioxide linganda . Lokhu kuvimbela ingane ekutholeni ubuthongo obuhle ebusuku. Uma ingelashwa kahle, lesi simo `(OSA)` asikwazi nje kuphela ukuthinta ukufunda kwengane, ukuziphatha kwayo, kanye nokukhula kwayo ngokomzimba, kodwa futhi sibangele izinkinga zenhliziyo. Ngakho-ke, kubaluleke kakhulu ukunakekela lokhu.

Kungani lokhu kwenzeka ezinganeni ezincane? Yiziphi izizathu?

Uma silele, yonke imisipha emzimbeni wethu iyaphumula. Ngokufanayo, imisipha engemuva komphimbo wethu, esiza ukugcina indlela yokuphefumula ivulekile, nayo iyaphumula. Kumuntu one-Obstructive Sleep Apnea, le misipha iphumula kakhulu futhi ingavimba indlela yokuphefumula. Lokhu kwenza kube nzima ukuphefumula. Ikakhulukazi ezinganeni, uma amathonsili emphinjeni noma ama-adenoids ngemuva kwekhala amakhulu , kunethuba elikhulu lokuthi lokhu kungavimba indlela yokuphefumula ngesikhathi sokulala. Isizathu esiyinhloko esenza izingane ezincane zithole i-OSA kungenxa yala mathonsili nama-adenoids akhulisiwe. Ngaphandle kwalokhu, kunezinye izici eziningana ezingathinta ukuthuthukiswa kwe-OSA enganeni:

• Uma othile emndenini ene-`(OSA)`: Ngezinye izikhathi lokhu kungaba yifa.
• Ukukhuluphala ngokweqile : Izicubu ezinamafutha amaningi entanyeni yezingane ezikhuluphele kakhulu zingabangela ukuthi indlela yokuphefumula ibe mncane.
• Izimo ezithile zezokwelapha: Isibonelo, izingane ezinezimo ezifana ne-" Down syndrome " noma "cerebral palsy" zisengozini enkulu.
• Izinkinga ezithile ngomlomo, emhlathini, noma emphinjeni : Kungabangelwa futhi umehluko othile wokuzalwa endleleni umgudu womoya oncipha ngayo.
• Ukuma kolimi olukhulu: Ezinye izingane zinezilimi ezinkulu kunokuvamile. Lokhu kungabangela ukuthi ulimi lubuyele emuva ngesikhathi sokulala futhi kuvimbele indlela yokuphefumula.

Ziyini izimpawu ze-`(Obstructive Sleep Apnea)`? Itholakala kanjani?

Uma ukuphefumula kuyeka, amazinga omoya-mpilo emzimbeni ayehla futhi amazinga e-carbon dioxide ayakhuphuka. Uma lokhu kwenzeka, ubuchopho bethu buthumela isignali ethi, "Vuka uphefumule." Esikhathini esiningi, lokhu kwenzeka ngokushesha kakhulu, bese siphinde silale ngaphandle kokukhumbula nokuvuka. Kodwa umuntu one-Obstructive Sleep Apnea uyaqhubeka nokuma futhi evuka ubusuku bonke. Ngenxa yalokhu, akalokothi alale ubuthongo obujulile nobuphumuzayo. Nazi ezinye izimpawu ingane encane ene-OSA engase izibonise:

• Ukuhogela ebuthongweni: Lokhu akuwona nje umsindo wokuhogela. Ngokuvamile, umuntu uzohogela kakhulu, bese eyeka ngokuzumayo, enze umsindo othi "hhhh" noma umsindo wamakhala njengokungathi unenkinga yokuphefumula, bese eqala ukuphefumula futhi. Ngezinye izikhathi, azokwenza umsindo wokuhogela lapho ephefumula.
• Kubonakala sengathi unenkinga yokuphefumula ngenkathi ulele.
• Ukulala okungaphumuli: ukujikijela nokuphenduka embhedeni, ukulala ezindaweni ezingajwayelekile.
• Ukuchama Embhedeni: Lokhu kubaluleke kakhulu ukukucabanga uma ingane ebingawunami umbhede ebusuku iqala ukuchama futhi.
• Ukulala emini noma izinkinga zokuziphatha/zokufunda: Ukuzizwa ukhathele emini futhi unenkinga yokugxilisa ingqondo ngenxa yokungalali ngokwanele ebusuku.
• Ukuhamba ngezinyawo noma ukwesaba ebusuku.

Ngenxa yokuthi abalali ngokwanele ebusuku, laba bantwana bangase babhekane nalokhu okulandelayo:

• Kunzima kakhulu ukuvuka ekuseni.
• Ngikhathele kakhulu emini, futhi ngezinye izikhathi ngiyalala esikoleni.
• Ubunzima bokugxila noma ukuba matasa ngokweqile.

Ngenxa yalokhu, i-Obstructive Sleep Apnea ingaba nomthelela omkhulu ekusebenzeni kwengane esikoleni. Ngezinye izikhathi othisha noma abanye bangase bacabange ukuthi ingane inokukhubazeka kokufunda okufana ne-ADHD (Attention Deficit Hyperactivity Disorder).

Cabanga nje, ingane enenkinga yokuphefumula kahle ubusuku bonke izizwa kanjani iqabulekile ngakusasa ekuseni? Ikhumbula kanjani lokho ekufundile? Yingakho kubalulekile ukuqaphela lokhu.

Uyixilonga kanjani le nkinga?

Uma ingane yakho inanoma yiziphi zalezi zimpawu, kungcono ukukhuluma nodokotela:

• Uma uvame ukuhogela ebuthongweni bakho.
• Uma ubuthongo bakho bungaphumuli, uma ujikajika.
• Uma uhlala ulele emini.
• Uma unezinye izimpawu zokuphelelwa umoya.

Udokotela womndeni wakho angakudlulisela kuchwepheshe wezokulala noma akuncomele ukuthi wenze ucwaningo lokulala. Ucwaningo lokulala ``(polysomnogram)``Kuwukuhlolwa okusiza odokotela ukuthi baxilonge i-sleep apnea nezinye izimo ezihlobene nokulala. Akubuhlungu futhi akubandakanyi izingozi. Kodwa-ke, ingane kuzodingeka ilale esibhedlela noma esikhungweni sokulala. Ungakhathazeki, kuklanyelwe ukuba kube lula ngengane ukukwenza. Phakathi nalolu vivinyo lokulala (i-polysomnogram), odokotela bahlola okulandelayo:

• Indlela amehlo ahamba ngayo
• Isilinganiso senhliziyo
• Iphethini yokuphefumula (uma uyeka ukuphefumula nokuthi isikhathi esingakanani)
• Amaza obuchopho (funda ngezigaba ezahlukene zokulala)
• Izinga le -oxygen egazini
• Izinga le-carbon dioxide egazini
• Ukuhona kanye neminye imisindo yokulala
• Ukunyakaza komzimba kanye nezikhundla zokulala

Kungokuqoqa lonke lolu lwazi kuphela lapho odokotela bangasho ngokunembile ukuthi ingane ine-OSA nokuthi inzima kangakanani.

Iyini indlela yokwelapha lokhu?

Uma isimo singesibi kakhulu, okungukuthi, sincane, odokotela ngezinye izikhathi baqapha ukulala kwengane isikhashana ngaphambi kokuqala ukwelashwa ukuze babone ukuthi izimpawu ziyathuthuka yini ngokwabo. Ezinye izingane zingalawula i-OSA encane ngezifutho zamakhala noma eminye imithi. Kodwa-ke, uma amathonsi amakhulu eyimbangela yobunzima bokuphefumula , udokotela wakho uzokudlulisela kudokotela wendlebe, impumulo, nomphimbo (udokotela we-ENT). Udokotela we-ENT angase ancome ukuhlinzwa okufana nalokhu:

• Ukususwa kwama-tonsill (ukususwa kwama -tonsils )
• Ukususwa kwe-adenoids ekhulisiwe (i-adenoidectomy)
• Ukususa kokubili ngesikhathi esisodwa (i-adenotonsillectomy)

Lokhu kuhlinzwa kuvame ukuba yindlela yokwelapha ephumelela kakhulu ye-Obstructive Sleep Apnea. Ngemva kokuhlinzwa, ingane yakho ingaphefumula kangcono futhi ilale kangcono. Uma i-OSA ibangelwa esinye isimo (isibonelo, inkinga yomhlathi), udokotela wakho angancoma i-CPAP (Continuous Positive Airway Pressure) . I-CPAP ihilela ukugqoka imaski ebusweni bengane yakho ngenkathi ilele. Le mask ingamboza ikhala noma kokubili ikhala nomlomo. Ixhunywe emshinini omncane oqhubeka nokuletha ingcindezi yomoya ukuze kugcinwe umgudu womoya uvulekile. Kungase kuzwakale kungavamile ekuqaleni, kodwa izingane ziyakujwayela ngokushesha. Uma i-OSA ibangelwa isisindo sengane,, Kufanele nakanjani usebenzisane nodokotela ukuze uthuthukise uhlelo lokunciphisa isisindo oluphephile, njengokudla nokuzivocavoca. Kodwa-ke, kungadingeka futhi usebenzise umshini we-CPAP ukuze ukusize uphefumule kahle ngenkathi ulele.

Okokugcina, izinto okufanele uzikhumbule

Ngakho-ke, sixoxe kakhulu nge-`(Obstructive Sleep Apnea)`. Lokhu akuyona into engavamile njengoba ungase ucabange, futhi yisimo esingelashwa ngempumelelo uma sitholakale kusenesikhathi.

Into ebaluleke kakhulu ukubona udokotela uma ingane yakho ihona ebusuku, ibonakala inobunzima bokuphefumula, noma ilele emini, futhi ungamane uyishaye indiva njengokuthi "indlela izingane eziyiyo."

Kungase kungabi yinto engathí sina. Kodwa, uma kuyi-"(OSA)``, ukuqala ukwelashwa kusenesikhathi kuzoba kuhle empilweni yonke yengane. Kungumsebenzi wawo wonke umuntu ukusiza ingane yakho ukuba ilale kahle futhi iphumule. Ungakhathazeki, odokotela bakhona ukukusiza.

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Ukuphefumula komoya, ukulala kwezingane, ukuhona, amathonsi, ama-adenoid, i-CPAP, i-polysomnogram