Ukulinganisa Okusetshenziselwa Ukuhlola Ukulala Kwe-Apnea Ubuhlungu
Uma unesifundo sokulala njengokuthi i-polysomnogram ephakathi nendawo yokuhlola noma ukuhlolwa kwe-apnea yasekhaya, ungathola umbiko ovela kudokotela wakho ochaza ubukhulu be- apnea yakho yokulala ngokusho kwe-apnea-hypopnea index (AHI), kodwa yini i-AHI? Uma usebenzisa ukucindezela okuqhubekayo kwe-airway (CPAP) yokwelashwa, ungase ubone i-AHI ibike ukusetshenziswa kobusuku ngabunye.
Funda ukuthi i-AHI ingukuthi nokuthi isilinganiso sisetshenziselwa ukuhlola ubukhulu bokuphefumula kokuphefumula nokuphendula kwakho kokwelapha.
Yini i-Apnea-Hypopnea Index (AHI)?
I-AHI, noma i- apnea-hypopnea index , iyinani lezinombolo ezibalula inani lezikhathi zokuphefumula ngehora lokulala. Izenzakalo zingase zihlotshaniswe nokuphefumula okuphethwe noma ukuvinjelwa okuyingxenye noma okuphelele komphimbo ngolimi noma izicubu ngemuva komphimbo. Ukuphazamiseka kokuphefumula kuvame ukuhambisana nokuvusa okuncane noma ukuvusa kusuka ebuthongweni noma ukwehla kwamaphesenti angu-3 kuya kwangu-4 emazingeni e-oxygen-oxygen, okuthiwa i-desaturation.
I-AHI isetshenziselwa ukuhlola ubunzima bokuphefumula komuntu. Ihambisana nomdwebo wokuphazamiseka kokuphefumula (RDI), esinye isilinganiso esingabikwa, nakuba lesi samuva sihlukile njengoba sivame ukuhlanganisa nezinye izinkinga ezincane zokuphefumula. I-AHI ingengxenye yombiko ovela kwisifundo esijwayelekile sokulala se-apnea yokulala.
Kungabonakala futhi kumininingwane ehlobene nokusetshenziswa kwe-CPAP, nakuba ukulinganisa kulo mongo kuhluke.
Isilinganiso se-AHI Ngesikhathi Sokufunda Kwokulala
Isifundo sokulala esesikhungweni sezinkinga zokulala esibizwa ngokuthi i-polysomnogram ngokuvamile sisetshenziselwa ukuxilonga i-apnea yokulala. Kungenzeka futhi ukuthi isimo sitholakale sisekelwe ekuhlolweni kwekhaya.
Ukwaziswa okuningi kuqoqwe, futhi ingxenye yenhloso yalezi zifundo kulandela ukulandelela amaphethini akho okuphefumula ebusuku. Lokhu kufezwa ngenzwa ehlezi emakhaleni kanye nebhande lokuphefumula elidlula esifubeni futhi kaningi isisu. Ngaphezu kwalokho, inzwa ebizwa ngokuthi i- oximeter ihlola umoya wakho oqhubekayo ne-pulse rate ngokukhanyisa ukukhanya kwelaser ngokusebenzisa umunwe wakho nge-clip.
Lonke lolu lwazi luhlaziywa ukucacisa izikhathi ezingakanani oziphefumula noma oyeka ukuphefumula ngokuphelele phakathi nobusuku. Noma yikuphi ukuvinjelwa okuyingxenye ye-airway kubizwa ngokuthi i-hypopnea. I-Hypopnea ibhekisela ekunciphiseni okudlulayo kokugeleza komoya (ngokuvamile lapho ulele) okugcina okungenani imizuzwana engu-10. Ukuphefumula okungajwayelekile noma izinga lokuphefumula elingavamile lingabizwa ngokuthi i-hypoventilation.
Ukuphela kokuphela kokuphefumula kuthiwa i-apnea. I-Hypopnea ingaphansi kakhulu kune-apnea (okuyinto ukulahlekelwa okuphelele kakhudlwana kokuhamba komoya). Kungase kube nomphumela wokunciphisa ukunyakaza kwemoya emaphashini futhi kungabangela amazinga e-oksijeni egazini ukuwa phansi. I-apnea yokulala ivame kakhulu ngenxa yokuvinjelwa okuyingxenye ye-airway engenhla.
Ukuze ubale ku-AHI lezi zikhathi zokuphefumula kufanele zihlale imizuzwana engu-10 futhi zihlotshaniswe nokuncipha emazingeni e-oksijeni egazini noma kubangele ukuvuswa okubizwa ngokuthi i-arousal.
I-AHI yilezi zinombolo zezimangalo ezenzekayo njengoba zilinganiselwe ngehora lokulala.
Indlela i-AHI isetshenziselwa ngayo ukuxilonga i-apnea yokulala
I-AHI isetshenziselwa ukuhlukanisa ubunzima be-apnea yakho yokulala, ngokusho kwalokhu okulandelayo kubantu abadala:
- Okuvamile : ngaphansi kwemicimbi engu-5 ngehora lokulala
- Ubumnene : izenzakalo ezingu-5-14.9 ngehora lokulala
- I- moderate: imicimbi engu-15-29.9 ngehora lokulala
- Okukhulu : izenzakalo ezingaphezu kuka-30 ngehora lokulala
Ezinganeni, kubhekwa njengokwejwayelekile uma kunomcimbi owodwa wokuphefumula okungavamile ngehora lokulala njengoba kulinganiswa i-AHI, futhi izingane akufanele zihlale zihlunga.
Lokhu kuhlukaniswa kuyasiza ekunqumeni izinketho zokwelashwa ezingcono kakhulu kanye namathuba okuthola izimpawu ezihambisanayo, kuhlanganise nokulala ngokweqile kwansuku zonke , ukucindezeleka okukhulu kwegazi , isifo sikashukela, isifo sohlangothi , nezinye izinkinga.
Uma isimo sinomnene noma sinomthelela, umshini womlomo ungafaneleka .
Ukuhumusha i-AHI ne-CPAP Therapy
Kuzo zonke izigaba zobunzima, ukucindezela okuqhubekayo kwe-airway (CPAP) kungacatshangelwa. Imishini eminingi ye-CPAP iyakwazi ukunikeza isilinganiso se-proxy yansuku zonke njengendlela yokuqinisekisa ukuphendula okufanele ukwelashwa. Lokhu kwenza lokhu ngokulinganisa ukumelana nokuhamba kwe-air. Lapho ukumelana kukwanda, kungase kuhumushe lokhu ngenxa yokuthi ukuhamba kwemimoya kuvinjelwe. Ngokuvamile umgomo wokwelapha ukuthola i-AHI ngaphakathi kobubanzi obujwayelekile ne-CPAP ukwelashwa, kodwa okuphansi kungenzeka kube ngcono.
Kubalulekile ukuthi udokotela wakho acabangele izimbangela zakho ezingozini zokulala ne-apnea yokulala ekukhetheni ukwelashwa kwakho. Isibonelo, isifundo esisodwa silinganisa ukuthi amaphesenti angu-30 kuphela abantu abane-apnea yobuthongo obuthakathaka obunzima abazobekezelela ukwelashwa kwe-CPAP. Lokhu kuthuthukisiwe ngamadivayisi amasha namaskriki omaski, noma kunjalo. Ngaphezu kwalokho, ungathola ukuthi i-AHI yakho iphezulu uma ulele ngemuva noma ngesikhathi sokulala kwe-REM, okungase kube nomthelela wokwelapha.
Izwi elivela
Uma unemibuzo eminye mayelana nokuthi i-AHI yakho isho ukuthini ngesimo sakho, khuluma nodokotela wakho obuthongo obuqinisekiswe yibhodi. Kufanele kube khona ukuthola ukwelashwa okuphumelelayo okuzokushiya ulele futhi uzizwe kangcono.
Imithombo:
I-American Academy ye-Sleep Medicine. Ukuhlukaniswa Kwamazwe Omhlaba Okuphazamiseka Kwokulala: Incwadi Yokuthola I-Diagnostic and Coding. " I-2nd ed. 2005.
Giles, TL et al . "Ukucindezela Okuqhubekayo Kwemimoya Yomoya Yokuvimbela Ukulala Kwama-Adelele Kubantu Abadala." I-Cochrane Database Syst Rev. 2006; 3: CD001106.