Ukuqonda lokho okuhlola ngokuphathelene nokulala
Inkomba ye-apnea-hypopnea , noma i-AHI, yinkomba esetshenziselwa ukuhlola ubunzima be- apnea yokulala esekelwe inani lokuphela kokuphela (i-apnea) nokuvinjelwa okuyingxenye (hypopnea) yokuphefumula okwenzeka ngehora lokulala. Ngencazelo, lezi zikhathi zokuphefumula kufanele zihlale okungenani imizuzwana engu-10. Ama-Hypopneas kumele ahlotshaniswe nokunciphisa amazinga e-oxygen egazini ngamaphesenti angu-3 noma angama-4 noma avuke noma avuke ebuthongweni.
Wena muntu uzibuza ukuthi lezi zenzakalo zilinganiswa kanjani ngesikhathi sokufunda isifundo sokulala. Kungakhathaliseki ukuthi isifundo senzeke phakathi nobusuku esikhungweni sokuhlola noma ukuhlolwa kwe-apnea ekhaya , izilinganiso ezifanayo zisetshenziselwa ukunquma i-AHI. Ukugeleza kwamanzi ngekhaleni noma emlonyeni kubalwa, kaningi nge-cannula ye-oksijini erekhoda ukucindezela kokushintsha noma inzwa ebizwa ngokuthi i-thermistor ekhomba izinguquko zokushisa. Njengoba uphefumula, umoya ophuzi ungena ekhaleni, futhi njengoba uphefumula, umoya oshisayo ushiya. Lo umehluko ungadala isignali engabhekwa. Izingxabano zokucindezela zivame ukusetshenziswa ekukhonjisweni kwe-hypopnea ngenkathi izinga lokushisa lisetshenziselwa ukubona imicimbi ye-apnea.
Ngaphandle kokuhluka kokungena kwamanzi noma ukushisa, kuzomele kube nomphumela walezi zinguquko zokuphefumula. Ukuze kutholakale i-apnea yokulala, kufanele kube nemithelela emitholampilo ekubonweni. Uma ushintsho ekuphefumuleni luphansi kakhulu, kufanele luhlanganiswe nokudonsa emazingeni e-oxygen egazini.
Ngaphandle kwalokho, uma izigaba zokulala zirekhodwa nge- EEG , ukuvuvukala ekujuleni okujulile kuya ekulele ukukhanya noma ukuvuswa okugcwele okuhambisana nokuphefumula okuphazamisekile ukulala kubonisa izenzakalo ezinengqondo.
Ukuhlukaniswa kwe-Sleep Apnea Ubuhlungu obusekelwe ku-AHI
Ngokuvamile, i-AHI ingasetshenziselwa ukuhlukanisa ubunzima besifo.
Izigaba ezilandelayo zijwayele ukusetshenziselwa ukuhlukanisa ubunzima be-apnea bokulala kubantu abadala:
- Okuvamile : ngaphansi kwemicimbi engu-5 ngehora
- I-apnea yokulala okuncane: 5-14.9 imicimbi ngehora
- I-apnea yokulala ejwayelekile: 15-29.9 imicimbi ngehora
- I-apnea yokulala ekhululekile : izenzakalo ezilinganayo noma ezinkulu kunezingu-30 ngehora
Izingane zibhekwa njengezifo ze-apnea zokulala uma zinomcimbi ongaphezu koku-1 ongaphefumulayo ngehora lokulala. Kuyinto engavamile ukuba bahlale bethwebula.
Ukusebenzisa i-AHI ukuze ukhethe ukwelashwa futhi uqonde ukusebenza kwe-CPAP
I-AHI izosetshenziselwa ukusiza ukhethe ukwelashwa okufanele kakhulu. Ukusetshenziswa kwengcindezi eqhubekayo ye-airway (CPAP) kulungele ukuphefumula okuncane, okulinganisela noma okunamandla okulala. Ngokuphambene nalokho, ukusetshenziswa komshini womlomo kunganciphisa ukuphefumula okulula noma okulinganisela kokulala. Ukuhlinzwa kungase kukhethwe ngokusekelwe ezinkingeni ezihlobene ne-anatomy yakho. Imithi yokwelapha ingase iphakanyiswe uma i-apnea yakho yokulala ibuhlungu ngokulala ngemuva kwakho. Ezinye izindlela zokwelashwa zinganconywa, kuye ngezinga le-AHI elibhekwa ngokutadisha kwakho kokulala.
Ngaphandle kokukhethwa kokuqala kokwelashwa, ukusebenza okuqhubekayo kokwelapha kungagwetshwa ngokuqapha i-AHI. Ngomshini we-CPAP wanamuhla, i-AHI ingabikwa nge-nightlyrapy ngedivayisi uqobo.
Yize lokhu kungalinganiswanga ngendlela efanayo, kungaba ngumlinganiso osebenzayo we-proxy ukuqinisekisa ukuthi ukusetshenziswa kwe-CPAP kuyindlela yokwelapha. Ilinganisa ukumelana ngaphakathi kwendiza. (Kuyaphawuleka ukuthi ukuvuza kwe-mask kunganciphisa ukulinganisa.) Uma i-AHI ihlala iphakanyisiwe , ingase iphakamise ukuthi i-CPAP ayisebenzi kahle. Kungenzeka ukuthi ukulungiswa kwengcindezi kungadingeka. Ngezinye izikhathi ushintsho esibonakalayo se-mask noma uhlobo lwezokwelapha kuyadingeka.
Uma ukuhlinzwa kwenziwa, noma umshini womlomo wenziwe, ukuhlolwa kungabuyekezwa ukuqinisekisa ukuthi ukwelashwa kuphumelele ekuxazululeni i-AHI.
Uma unemibuzo eminye mayelana nokuthi i-AHI ikuphi kuwe mayelana nokuxilongwa, ukuqina, nokuphathwa kwe-apnea yokulala, khuluma nochwepheshe bakho bokulala.
Okunye okubizwa ngokuthi : i- Apnea-Hypopnea Index , Index Index Disturbatory Index noma RDI
Izibonelo: I-AHI yami yayiphakanyisiwe, kepha ukulala kwami kokulala kuthuthuke kakhulu nge-CPAP yokwelapha.