Uma usola ukuthi unesifo sokulala njengokuphefumula okuphazamiseka kokulala, umhlinzeki wakho wezokwelapha angase ancome ukuthi uhambe u-oximetry wokushisa ebusuku, ukuhlola okujwayelekile okusetshenziselwa ukuhlola amazinga e-oksijeni egazi. Lokhu kuhlolwa kusetshenziselwa ukufaneleka ukuthola ukusetshenziswa kwe-oxygen ekhaya. Kwenzekani nalokhu kuhlolwa? Ulwazi lusetshenziswa kanjani? Funda nge-oximetry nokuthi kungasiza kanjani ukuhlola ukuphefumula kwakho ekulele.
Iyini i-Oximetry yokuqhuma?
Ngobusuku oximetry ukuhlolwa okulula okungenziwa kalula ekhaya. Ihlinzeka ngolwazi oluyisisekelo olungaba usizo ekuhloleni kuqala ukuthi unesifo esithile esivamile sokulala, i- apnea yokulala .
Ukuhlolwa kuhilela ukufaka isiqeshana sepulasitiki phezu kokuphela komunwe wakho. Cabanga ngengubo enkulu yokugqoka i-dressspin noma ipulasitiki efaka isandla sakho. Lesi siqeshana singase sibekwe ngendwangu yamateyipu, kodwa akusizi ubuhlungu ukuba sibe khona futhi singasuswa kalula. Ngokuvamile kuxhunyiwe ngekhebula ebhokisini elincane elirekhoda idatha phakathi nobusuku. Uma usebenzisa ukucindezela okuqhubekayo kwe-airway (CPAP) , ingaxhunyaniswa kule divayisi ukurekhoda idatha. Amadivayisi amasha angabambelela ngqo esikhumbeni futhi ahlinzeke ngezilinganiso ezifanayo.
Ngaphakathi kwensuku ye-oximeter yebusuku ukukhanya okubomvu. Lokhu kukhanya okubomvu kukhanya ngomunwe wakho noma kwesikhumba sakho.
Ngokuvamile ngakolunye uhlangothi, noma ngezinye izikhathi kufana nokukhanya okukhiphayo, iyinzwa engakwazi ukukala ukushayela kwakho (noma izinga lokushaya kwenhliziyo) nokuqukethwe oksijini kwegazi lakho. Lesi sigaba sinqunywa umbala wegazi lakho, okuzohluka ngokulingana nomoya okhiphe. Igazi eliphakeme kakhulu elibomvu libomvu kakhulu, kanti igazi elingenampofu emoyeni liluhlaza okwesibhakabhaka.
Lokhu kushintsha imvamisa yesikhathi eside sokukhanya okubonakala emuva emuva kwenzwa.
I-Oximetry ingahlola kanjani amazinga e-oksijeni futhi ikwazi ukuthola i-apnea yokulala?
Lezi datha zirekhodwa ngokuqhubekayo phakathi nobusuku futhi zizoholela kugrafu. Umhlinzeki wakho wezokwelapha uzokwazi ukuyibuyekeza futhi anqume ukuthi kukhona amaconsi angavamile emazingeni akho e-oksijeni ebizwa ngokuthi ama- desaturations . Lokhu kungase kwenzeke ngokuphindaphindiwe ku-apnea yokulala.
Kungenzeka ukuthi amazinga e-oksijeni aqiniseke emazingeni aphansi, ikakhulukazi ekubhekaneni nesifo samaphaphu angaphansi kwesifo se-chronic obstructive pulmonary disease (COPD) noma emphysema.
Nge-desaturations ye-oksijini, kungase kube nokunyuka okuhambisanayo ngenhliziyo yakho. Lezi zenzakalo zingase ziphakamise ukuba khona kwe-apnea yokulala ngoba kuhilela ukuphazamiseka kwesikhashana ekuphefumuleni kwakho futhi kwehla ezingeni le-oksijeni yegazi lakho eliholela ku-spike ye-cortisol (i-hormone yokucindezeleka) echaphazela inhliziyo.
Yiziphi Izinga Ezijwayelekile Zokulinganiswa Kwama-Pulse Oximetry?
Ngokuvamile, kubhekwa njengokwejwayelekile uma amazinga e-oxygen ewela ngezansi ngamaphesenti angu-88 kubantu abadala noma ngaphansi kwamaphesenti angu-90 ezinganeni. Okubalulekile, isikhathi salokhu sinciphisa izinto. Uma amazinga angaphansi kwamaphesenti angu-88 isikhathi eside ngaphezu kwemizuzu emihlanu phakathi nobusuku, isimo esibizwa ngokuthi i-hypoxemia singatholakala.
La mazinga angaba aphansi kakhulu, futhi ngokuvamile ama-desaturations angaphansi kwamaphesenti angu-80 abhekwa njengabanzi.
Lawa amaconsi emazingeni e-oksijeni wegazi angadinga ukwelashwa. Uma imbangela eyimbangela ingenxa yokuphefumula i-apnea, i-CPAP noma i- bilevel therapy ingasebenza. Kodwa-ke, uma kungekho ukuphefumula kokulala, ukusebenzisa i-oksijeni eyongezwayo nge-tubing kumgodla we-nasal ovela e-oxygen concentrator noma e-oxygen tank kungadingeka ukuxazulula ukungavamile.
I-Pros and Cons ye-Overnight Oximetry e-Sleep
Loluhlolo lokuhlola lulula futhi alubizi, kodwa aluphelele. Amadivayisi atholakale kabanzi kulabo abathengi.
Zingathengwa ku-intanethi noma ngisho nakuma-pharmacy. Ngabe lezi zilinganiso zinganikeza?
Amaphesenti ambalwa kuphela anikeze inani elinganiselwe lokwaziswa. Ngaphezu kwalokho, kukhona ukuhlakanipha okuhilelekile ekuhluphekeni kokulala okungase kungaboni. Isibonelo, ukulala (ikakhulukazi ukulele emhlane ) kanye nezigaba zokulala (ikakhulukazi ukulala kwe-REM ) kungathinta izinga lokushintsha kwe-oxygen. Amadivaysi alula awakwazi ukubona lezi zinikelo.
Ubusuku obuningi oximetry wodwa alufanelekile ukuthola ukuthi i-apnea yokulala ngeke isetshenziselwe izinhloso zomshuwalense ukufanelekela ukwelashwa njenge-CPAP. Noma kunjalo, kungase kube usizo ekuboneni abanye abantu abavumelanisa nokuhlolwa okuqhubekayo , njenge-polysomnography noma ukuhlolwa kwe-apnea yokulala ekhaya okubanzi. Kungasiza futhi ukuqinisekisa ukuthi ukwelashwa kwe-apnea yokulala kusebenza kahle nokuthi i-oxygen desaturations eyaziwayo ekuhlolweni kwangaphambi kokuhlola ixazulule.
Izwi elivela
Uma ukhathazekile ukuthi amazinga akho e-oksijeni angase ajwayelekile ngesikhathi ulele, khuluma nodokotela wakho ngesidingo sokuqhubeka nokuhlolwa nokwelashwa. Lapho amazinga e-oksijeni ephansi ngaphandle kokuvela kwe-apnea yokulala, i-oxygen supplementation ingakusiza futhi ukuba ulale futhi uzizwe ungcono. Lawa madivaysi e-oximeter aqoqa idatha, kodwa kuwe ukwenza okuthile futhi ulethe ukukhathazeka nodokotela wakho.
> Umthombo:
> Bennett JA no Kinnear WJM. "Hlala eshibhile: indima ye-oximetry yokulala ebusuku ekutholeni ukulala kwe-apnea hypopnoea syndrome." Thorax 1999; 54 : 958-959.