Isixazululo sokuphefumula komoya kanye nokukhonkotha: Funda ngokuhlinzwa kwe-UPPP (Uvulopalatopharyngoplasty)

Ingabe uyahona kakhulu ebusuku uma ulele? Ingabe ngezinye izikhathi uzizwa sengathi uyama isikhashana bese ngokuzumayo uphefumula kanzima futhi? Ingabe umndeni wakho uhlala ukutshela ngalokhu? Lesi simo saziwa ngokwezokwelapha ngokuthi i-Obstructive Sleep Apnea (OSA) . Siphazamisa ubuthongo bakho futhi singabangela izinkinga zempilo zesikhathi eside. Enye yezindlela zokwelapha lokhu yi-Uvulopalatopharyngoplasty, noma i-UPPP ngamafuphi. Ake sibheke ukuthi kuyini, ukuthi ubani okwenzayo, kanye nakho konke okudingeka ukwazi ngakho ngamazwi alula.

Kalula nje, kuyini ukuhlinzwa kwe-UPPP?

Cabanga ukuthi indlela yokuphefumula emphinjeni wakho ivaliwe kancane. Ebusuku, lapho silele, imisipha emphinjeni wakho iyakhululeka futhi lokhu kunciphisa indlela yokuphefumula nakakhulu. Yilapho uzwa khona umsindo wokuhogela bese uzizwa uphelelwa umoya.

Ukuhlinzwa kwe-UPPP kuhilela ukususa ngokuhlinzwa noma ukuguqula izicubu ezengeziwe emphinjeni wakho ezivimba indlela yakho yokuphefumula, ngaleyo ndlela zinwetshwe. Kufana nokususa izithiyo emgwaqweni omatasa. Uma indlela yakho yokuphefumula ihlanzekile, ungaphefumula kalula ebusuku futhi ulale kangcono.

Phakathi nalokhu kuhlinzwa, udokotela ohlinzayo uvame ukususa noma ukushintsha lezi zingxenye:

• Ulwanga oluthambile: Ingxenye ethambile, enenyama ngemuva kwengxenye eqinile phezulu komlomo wakho.
• I-Uvula: Ingcezu encane yenyama emise okweconsi lenyembezi elenga ngemuva komphimbo, ngaphezu kwesisekelo solimi.
• Amathonsili: Izigaxa ezimbili zenyama kuzo zombili izinhlangothi zomphimbo.

Ngezinye izikhathi lokhu kuhlinzwa kwe-UPPP kwenziwa wedwa. Kodwa-ke, kwabanye abantu, uma benenkinga yokuphefumula ngenxa yezinye izinkinga ekhaleni noma emphinjeni, ukuhlinzwa kwe-UPPP kungahlanganiswa nokunye ukuhlinzwa ukuze kuxazululwe lezo zinkinga.

Kukuziphi izimo lapho lokhu kuhlinzwa kwenziwa khona? Ingabe wonke umuntu angakwenza?

Cha, lokhu akulona ukuhlinzwa kwawo wonke umuntu. Lapho belapha i-Obstructive Sleep Apnea (OSA), odokotela baqale bazame ukwelashwa okungekona ukuhlinzwa.

Ngokwesibonelo:

• Umshini we-CPAP: Lona umshini ogqokwa phezu kwekhala lakho njengemaski ngenkathi ulele. Usiza ukugcina indlela yakho yokuphefumula ivulekile ubusuku bonke.
• Ukwehlisa isisindo: Ukukhuluphala ngokweqile kuyimbangela enkulu ye-OSA. Ukwehlisa isisindo kungasiza ekulawuleni lesi simo kubantu abaningi.

Uma lokhu kwelashwa kungasebenzi, udokotela wakho angase acabangele ukuhlinzwa kwe-UPPP. Kukhona futhi inqubo ekhethekile yokunquma ukuthi ungumuntu ofanele yini kulokhu kuhlinzwa. Udokotela wakho uzohlola isakhiwo somphimbo wakho, usayizi wamathonsi akho, kanye ne-body mass index yakho (BMI).

Udokotela ozokuxilonga uzothatha isinqumo esingcono kakhulu ngalokhu. Ngakho khuluma naye ngokucophelela ngalokhu.

Kufanele ngilungiselele kanjani ngaphambi kokuhlinzwa?

Udokotela wakho uzochaza konke okudingeka ukwenze ngaphambi kokuhlinzwa, kodwa ngokuvamile, kufanele uqaphele lezi zinto.

• Tshela udokotela wakho umlando wakho wezokwelapha ophelele: noma yiziphi ezinye izifo onazo, ukuhlinzwa kwangaphambilini, kanye nanoma yikuphi ukungezwani komzimba nokubulala izinzwa.
• Yeka ukubhema nokusebenzisa ugwayi: Ukubhema kungalibazisa kakhulu ukuphola kwenxeba, ngakho-ke kubalulekile ukuyeka ukubhema ngokuphelele ngaphambi kokuhlinzwa.
• Landela imiyalelo mayelana nemithi nokuzila ukudla: Udokotela wakho uzokutshela ukuthi kufanele uyeke nini ukudla nokuphuza ngaphambi kokuhlinzwa, ukuthi yimiphi imithi okufanele uyeke ukuyisebenzisa, nokuthi yini okufanele uyithathe. Landela leyo miyalelo ngqo.
• Hlela ukuthi othile akuyise ekhaya ngemoto: Ngeke ukwazi ukuzishayela imoto ngemva kokuhlinzwa, ngakho-ke hlela ukuthi othile akuyise ekhaya kusenesikhathi. Uma kungenzeka, kungcono ukuba nomuntu ozokunakekela emahoreni okuqala angu-24 ngemva kokuhlinzwa.
• Letha umshini we-CPAP esibhedlela: Uma usuvele usebenzisa umshini we-CPAP, ulethe esibhedlela njengoba kuqondiswe udokotela wakho.
• Tshela udokotela wakho uma ugula: Uma unesifo, njengomkhuhlane noma umkhuhlane, ezinsukwini ezingaphambi kokuhlinzwa kwakho, yazisa udokotela wakho ngokushesha. Ukuhlinzwa kwakho kungase kudingeke kuhlehliswe.

Kwenzekani ngesikhathi sokuhlinzwa?

Asikho isizathu sokwesaba lokhu. Yonke inqubo yenzeka ngaphandle kokuthi wazi lutho.

1. Okokuqala, uzonikezwa umuthi wokudambisa bese ufakwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzwe lutho, uzobe ulele ngokuphelele.

2. Udokotela ohlinzayo uzovula umlomo wakho ngethuluzi elikhethekile, atshekise ulimi lwakho eceleni, bese elungisa indawo ukuze ingaphakathi lomphimbo wakho libonakale kahle.

3. Ngemuva kwalokho, izicubu ezingafuneki (amathonsi, uvula, ulwanga oluthambile) emphinjeni zisuswa ngokucophelela njengoba kuhleliwe. Lokhu kungase kuhilele ukusetshenziswa kwezinsimbi zokuhlinza ezibukhali noma i-electrocautery .

4. Ekugcineni, izimbobo zivalwa ngezithungo ezincibilikayo.

Ukuhlinzwa konke kungathatha cishe amahora amabili, kuye ngokuthi izinguquko zenziwa kangakanani emphinjeni wakho.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?

Kungathatha amasonto amabili kuya kwamane ukululama ngokuphelele. Abantu abaningi abakwazi ukuya emsebenzini noma esikoleni phakathi nalesi sikhathi futhi kufanele bathathe ikhefu.

Ngemva kokuhlinzwa, ungase ukwazi ukuya ekhaya ngalolo suku, noma ungase udinge ukuhlala esibhedlela ubusuku bonke. Udokotela wakho uzokuvumela ukuthi uye ekhaya uma ukuphefumula kwakho sekuzinzile futhi usukwazi ukugwinya ngokuphephile.

Lindela lezi zinto ngesikhathi sokululama

• Umphimbo obuhlungu: Ungase uzwe umphimbo obuhlungu, njengokungathi uhlinzwe amathonsi. Lobuhlungu bungaba bubi nakakhulu uma ukhuluma noma ugwinya okuthile. Ungakhathazeki, udokotela wakho uzokunikeza umuthi omuhle wokuqeda izinhlungu walokhu.
• Ukudla Neziphuzo: Ezinsukwini zokuqala, uzodinga ukuphuza uketshezi kuphela (amanzi, isobho, ujusi wezithelo). Njengoba uzizwa ukhululekile, ungashintsha kancane kancane uye ekudleni okuthambile njengephalishi, iyogathi, kanye ne-pudding. Gwema ukudla ukudla okubabayo, okumuncu, okuqinile, nokuqhoqhoqho (isib. amabhisikidi, ama-pickle) ngokuphelele, njengoba kungenza inxeba libe buhlungu kakhulu.
• Umsebenzi: Gwema ukuphakamisa izinto ezisindayo noma ukuzivocavoca okunzima emasontweni amabili okuqala. Kodwa-ke, esikhundleni sokuhlala embhedeni usuku lonke, ukuhambahamba endlini kungasiza ekuvimbeleni ukuqhekeka kwegazi.

Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?

Njenganoma yiluphi ukwelashwa kwezokwelapha, lokhu kuhlinzwa kunezinzuzo kanye nezingozi ezithile.

Izinzuzo

• Inzuzo enkulu ukuthi yenza ukuphefumula kube lula.
• Ukuhona kuncishiswe kakhulu noma kuphele ngokuphelele.
• Njengoba ubuthongo bungaphazanyiswa ebusuku, ubuthongo nokukhathala emini kuyancishiswa.
• Kwabanye abantu, lokhu kuyayelapha ngokuphelele i-Obstructive Sleep Apnea (OSA).
• Abanye banezimpawu ezincane kakhulu futhi bangase bakwazi nokuyeka ukusebenzisa umshini we-CPAP.

Izingozi/Izinkinga

Ngaphezu kwezingozi ezivamile zanoma yikuphi ukuhlinzwa, njengokutheleleka kanye nokopha, kunezinkinga eziningana ezingavamile eziqondene ngqo nalokhu kuhlinzwa.

• I-Nasopharyngeal stenosis: Akuvamile kakhulu, njengoba inxeba liphola, izicubu eziningi zesilonda zingakheka, okunciphisa indlela yokuphefumula futhi.
• Ukuntuleka kwe-Velopharyngeal: Uma uphuza uketshezi olufana namanzi, ungase uzizwe sengathi luphuma ekhaleni lakho. Kodwa-ke, lokhu kuvame ukuba okwesikhashana futhi kuzophela ezinsukwini ezimbalwa.
• Ukushintsha kwezwi: Kungase kube noshintsho oluncane ezwini lakho (njengezwi eliphakeme kancane) isikhathi esifushane ngemva kokuhlinzwa. Lokhu kuvame ukuba okwesikhashana.

Udokotela wakho uzoxoxa nawe ngalezi zingozi ngaphambi kokuhlinzwa. Ungakhathazeki, lokhu akwenzeki njalo.

Kufanele ngimbone nini udokotela?

Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma kuvela izinkinga ngesikhathi sokululama.