Ukuhona kanye nokuphelelwa umoya ngokuzumayo ngesikhathi sokulala ebusuku sekuyinsakavukela kubantu abaningi. Lokhu kwaziwa ngokwezokwelapha ngokuthi i-Obstructive Sleep Apnea (OSA). Enye yezindlela zokwelapha ezithandwa kakhulu zalokhu umshini we-CPAP. Kodwa-ke, ukulala nale mask kanye nomshini ebusweni bakho ngenkathi ulele ebusuku akulula kuwo wonke umuntu. Ngakho-ke, kulabo abangakuthandi lokhu, noma kulabo abangenayo imiphumela ephumelelayo, sikhuluma ngesisombululo esithuthuke kakhulu esitholakalayo namuhla. Leso yi-Sleep Apnea Implant, efakwa ngokuhlinzwa emzimbeni wethu.
Kalula nje, iyini le Sleep Apnea Implant?
Lena idivayisi kagesi efakwa emzimbeni wakho ngemva kokuhlinzwa okuncane. Umsebenzi wayo oyinhloko ukugcina indlela yakho yokuphefumula ivulekile ngenkathi ulele. Lokhu kusiza ukulawula izimpawu ze-Obstructive Sleep Apnea (OSA).
Idivayisi esetshenziswa kakhulu emhlabeni namuhla yi-Inspire®. Ibizwa nangokuthi idivayisi yokuvuselela imizwa ye-hypoglossal. Kalula nje, ivuselela inzwa elawula ulimi.
Isebenza kanjani le divayisi?
Indlela esebenza ngayo ilula kakhulu. Uma une-OSA, uma ulele, ulimi lwakho lungabuyela emuva futhi luvale indlela yokuphefumula emphinjeni wakho. Yilapho-ke uphelelwa umoya.
Lokhu kufakelwa kuthumela isignali encane kagesi emthanjeni olawula ukunyakaza kolimi lwakho, i-hypoglossal nerve . Uma ithola lesi signali, ulimi lwakho luya phambili kancane, luvule indlela yakho yokuphefumula. Ngakho ungaphefumula ngaphandle kwezithiyo ubusuku bonke.
Lonke lolu hlelo lunezingxenye ezine eziyinhloko.
| Ingxenye yedivayisi | Umsebenzi ewenzayo |
|---|---|
| Idivayisi Yokuvuselela | Yilapho ibhethri eliyinhloko kanye ne-circuitry kutholakala khona. Yilapho kukhiqizwa khona izimpawu zikagesi. |
| I-Electrode Yokukhuthaza | Lena yintambo encane exhumanisa ne-nerve elawula ulimi. Yilapho isignali kagesi ithunyelwa khona ku-nerve. |
| I-Electrode Yenzwa Yokucindezela | Lokhu kuthola iphethini yakho yokuphefumula futhi kubonise ukuthi i-stimulator isebenza kuphela uma uphefumula. |
| Isilawuli kude (isilawuli kude) | Yilokhu okusebenzisa ukuvula idivayisi ebusuku uma ulala bese uyivala ekuseni. Ungalawula futhi amandla esignali. |
Ubani ongenza lokhu kuhlinzwa?
Lokhu akuyona into engenziwa yiwo wonke umuntu. Udokotela uzocabangela izici eziningana ngaphambi kokunquma ukuthi lokhu kulungile yini kuwe. Abantu abalandelayo bavame ukufaneleka kulokhu.
Kodwa khumbula, ungakhathazeki uma ungenazo lezi zimfanelo. Udokotela wakho kuphela ongenza isinqumo esingcono kakhulu mayelana nokuthi lokhu kulungile yini kuwe.
| Ukucabangela | Incazelo |
|---|---|
| Ubudala | Kumelwe ube neminyaka engaphezu kwengu-18 ubudala. |
| Inkomba Yesisindo Somzimba (i-BMI) | I-BMI engama-35-40 noma ngaphansi ifanelekile. |
| Uhlobo lwesifo | Kumelwe ube ne-Obstructive Sleep Apnea (OSA) ephakathi noma enzima. |
| Ukusetshenziswa kwe-CPAP | Kumelwe kube umuntu ongakwazi ukusebenzisa umshini we-CPAP noma ongatholi imiphumela ephumelelayo kuwo. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuvuma ukuhlinzwa, udokotela wakho uzokwenza ukuhlolwa okukhethekile kuwe. Kubizwa ngokuthi i-drug-induced sleep endoscopy (DISE) . Lokhu kuhilela ukukunikeza imithi yokukulalisa, bese ufaka ithubhu elincane elifakwe ikhamera (i-endoscope) emphinjeni wakho ukuze uhlole umphimbo wakho, ulimi, kanye nendlela yokuphefumula.
Lokhu kuhloswe kakhulu ukuhlola ukuthi izindonga zomphimbo wakho ziyawa ngaphakathi yini nxazonke. Lokhu kubizwa ngokuthi i-complete concentric collapse (CCC) . Uma lokhu kwenzeka, idivayisi ingase ingaphumeleli.
Ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, udokotela wakho uzokunikeza imiyalelo efana nale:
- Gwema ukudla nokuphuza ngobusuku bangaphambi kokuhlinzwa.
- Tshela udokotela wakho ngemithi oyiphuzayo, bese uyiphuza noma uyiyeke ngokweseluleko sakhe.
- Uma ubhema, kubaluleke kakhulu ukuyeka noma ukunciphisa ukubhema.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngosuku lokuhlinzwa kwakho, uzonikezwa i-anesthesia ejwayelekile. Lokhu kusho ukuthi uzobe ulele ngokuphelele ukuze ungezwa ubuhlungu. Lezi yizinyathelo ezizokwenzeka ngesikhathi sokuhlinzwa.
1. Kwenziwa izimbobo ezimbili ezincane: eyodwa entanyeni, ngaphansi komhlathi (ukuze kutholakale inzwa yolimi). Enye esifubeni, ngaphansi kwethambo lentamo (ukufaka idivayisi eyinhloko).
2. Ukuhlanganisa i-stimulator nerve: I-hypoglossal nerve itholakala ngokusikwa entanyeni futhi i-stimulation electrode inamathele kuyo.
3. Ukufakelwa kwensiza eyinhloko: Kudalwa isikhala esincane ngaphansi kwesikhumba ngokusikwa esifubeni, bese kufakwa idivayisi eyinhloko (idivayisi yokuvuselela) lapho.
4. Ukufaka inzwa yokuphefumula: I-electrode yenzwa yokucindezela ethola amaphethini okuphefumula inamathele emisipheni ephakathi kwezimbambo.
5. Izintambo ezixhumanisayo: Lezi zingxenye ezintathu zixhunywe ngezintambo ezincane.
6. Ukuhlolwa: Ekupheleni kokuhlinzwa, idivayisi iyavulwa futhi ihlolwe ukuqinisekisa ukuthi isebenza kahle.
7. Ukuthunga izimbobo: Ekugcineni, izimbobo ziyathungwa bese zimbozwa ngeplasta.
Lonke lolu hlinzo luvame ukuthatha imizuzu engama-90 .
Kwenzekani ngemva kokuhlinzwa?
Lokhu kuvame ukuba inqubo yokulaliswa esibhedlela . Lokhu kusho ukuthi ungaya ekhaya usuka esibhedlela ngalolo suku. Ngemva kokuhlinzwa, ungase uzwe ubuhlungu nokuvuvukala ezindaweni zokusikwa. Udokotela wakho uzokunikeza imithi yobuhlungu yalokhu. Lokhu kungakhululeki kuzophela ngokuphelele emavikini ambalwa.
Into ebaluleke kakhulu ukuthi le divayisi ayisebenzi ngokushesha ngemva kokuhlinzwa. Kuze kube yilapho izimbobo sezipholile ngokuphelele, yilokho.Sengilokhu ngikwenza lokhu cishe inyanga yonke manje.
Uma uya kudokotela ngemva kwenyanga, uzokukhombisa ukuthi ungayisebenzisa kanjani i-remote. Uzovula idivayisi ene-remote bese elungisa izilungiselelo ukuze imizwa yolimi lwakho ivuselelwe. Lokhu akubuhlungu , kodwa uzozwa ulimi lwakho luqhubekela phambili kancane. Ungalungisa ubukhali bube sezingeni elikhululekile.
Ngokuvamile kuthatha cishe izinyanga ezintathu ukuyilungisa ibe namandla afanele owadingayo. Ngemva kwalokho, kwenziwa olunye ucwaningo lokulala ukuze kubonakale ukuthi idivayisi isebenza kahle kangakanani.
Yiziphi izinzuzo nemiphumela emibi yale ndlela?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane.
| Izinzuzo eziyinhloko | Imiphumela/izingozi ezingaba khona |
|---|---|
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Kuthatha isikhathi esingakanani ukululama ngokuphelele?
Kubalulekile ukuphumula izinsuku ezimbalwa ngemva kokuhlinzwa. Ngemva kwamasonto amabili, ungaqhubeka nemisebenzi evamile, ngaphandle kokuphakamisa izinto ezisindayo. Kodwa-ke, kuzothatha isikhathi esithile ukuthi umzimba wakho ujwayele le divayisi. Ukuvakashelwa njalo nodokotela wakho ngokulandelana kubalulekile .
Ibhethri elisedivayisini lingasetshenziswa cishe iminyaka eyi-10 . Uma kudingeka ukufaka ibhethri elisha, lonke idivayisi alisuswa. Ibhethri kuphela elifakwa esikhundleni salo ngokusikwa okuncane.
Kunini lapho udinga ukukhuluma nodokotela?
Ngemva kokuhlinzwa, wenaUma uzwa ubuhlungu obukhulu, ukuvuvukala, noma umkhuhlane, tshela udokotela wakho ngokushesha. Futhi, uma ukuthola kunzima ukujwayela idivayisi ngemva kokuyisebenzisa, noma uma ibonakala ingakhululekile, khuluma nodokotela wakho ngayo. Angalungisa izilungiselelo ukuze ikwenze kube lula kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Sleep Apnea Implant iyisisombululo esihle kubantu abane-OSA ephakathi nendawo kuya kwenzima, ikakhulukazi labo abangafuni ukusebenzisa umshini we-CPAP.
- Lokhu kusebenza ngokuvuselela imizwa elawula ulimi ngenkathi ulele, igcina umoya wakho uvulekile.
- Lena idivayisi efakwa ngokuhlinzwa emzimbeni. Isebenza inyanga eyodwa ngemva kokuhlinzwa.
- Kuthatha isikhathi ukujwayela lokhu. Ngakho-ke, kubalulekile ukuhlala uxhumana nodokotela njalo bese uya kohlolwa njengoba kuhleliwe.
- Into ebaluleke kakhulu ukukhuluma nodokotela wakho mayelana nokuthi lokhu kulungile yini kuwe nokuthi yiziphi izinzuzo nezingozi, bese wenza isinqumo.
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