Ukulinganisa Kwembula Izinga lamazinga e-oksijeni Yehla ku-Apnea yokulala
Uma usufunde ukulala ukuze uhlole ukuphefumula kokuphefumula kokulala, akungabazeki ukuthi unemibuzo ethile ngegama elilodwa elisetshenziswe embikweni ochaza imiphumela yokuhlolwa. Isilinganiso esisodwa esingasetshenziswa, esibizwa ngokuthi i-oxygen desaturation index (ODI), singase sibe ngokuphazamisa ikakhulukazi. Iyini inkomba ye-oxygen deaturation?
Funda ukuthi lesi sifaniso singasiza kanjani ukubona ukuthi i-apnea enkulu yokulala engase ihlotshaniswe namaconsi wezinga le-oksijeni kanye neminye imiphumela yezempilo yesikhathi eside efana nesifo senhliziyo nokuhlukumezeka kwengqondo.
Iyini Index Desaturation Index (ODI)?
I-oxygen desaturation index (i-ODI) yinombolo yezikhathi ngehora lokulala ukuthi izinga le-oksijeni yegazi lihlehlise ngezinga elithile kusuka kokuqala. I-ODI ivame ukulinganiswa njengengxenye yezifundo ezijwayelekile zokulala, ezifana ne- polysomnogram yokuxilonga, ukuhlolwa kwe-apnea yokulala ekhaya , noma nge- oximetry yokulala ebusuku . Kungenzeka ukuthi akuyona into enembile uma izigaba zokulala zingalinganiswa nokuhlolwa njengoba inkomba ingahle ibe ngaphezu kwesikhathi sokuqopha esiphelele, okungabandakanya isikhathi esichithe siphapheme.
Izinga lokuguqulwa kusuka kwesisekelo singalinganiswa ngezindlela ezimbili ezahlukene. I-criteria esetshenziselwa ukunquma inkomba ingahlukahluka kuye ngemithetho yokulinganisa esetshenzisiwe. Ngokweziqondiso zango-2007 ezivela e-American Academy of Sleep Medicine, noma yimuphi umcimbi wokuphefumula ngesikhathi ulala namaphesenti angu-3 ewela emazingeni e-oksijeni wegazi kubalwa ngokuphelele. Isibonelo, ushintsho oluvela kumaphesenti angama-95 kuya kwangu-92 luyoba ngumcimbi obala ngokubheka inani lenkomba.
Kodwa-ke, i-Medicare kanye nezinye izibambiso zisekelwe emithethweni emidala yokufaka amagoli futhi zidinga ushintsho lwamaphesenti angu-4 ukuze kube khona umcimbi okufanele ubalwe kuso.
Lawa awela emazingeni e-oxygen abizwa ngokuthi ama- desaturations . I-ODI ilinganiswa ne-oximeter, okuyinto idivayisi ngokuvamile ebeka phezu komunwe okhanyisa ukukhanya okubomvu esikhumbeni futhi angalinganisa inani le-oksijini egazini legazi.
Ubuchwepheshe obusha bungavumela ukuthi lokhu kulinganiswe ngezindlela ezahlukene ebusweni besikhumba.
Lapho ukuphefumula kuphazanyiswa ngesikhathi sokulala, njengoba kungase kwenzeke ekuphefumuleni okuphazamisayo kokulala , amazinga e-oksijeni egazi angase awa kaningi. Lawa amaconsi ngokuvamile ahlobene nokuwa kwe-airway engenhla, izenzakalo ezibizwa ngokuthi i-apnea noma i-hypopnea. (I-hypopnea imele ukuwa okuyingxenye ye-airway.) Amaconsi e-oksijene ayenzeka kancane kakhulu ekubheni noma e- upper airway ukumelana nesifo (UARS) , izimo ezimbili lapho ukuphefumula kuphazamiseka khona, kodwa kuze kube sekuncane. Ukuhlukaniswa kokulala kungabangela ngaphandle kwama-desaturations ahlobene.
Kubalulekile ukuqonda ukuthi i-ODI ihluke kwesinye isilinganiso esibizwa ngokuthi i- apnea-hypopnea index (AHI) . I-AHI ibuye ibandakanye izenzakalo ezingabangela ukuvuka noma ukuvuvukala ebuthongweni ngaphandle kokuthinta amazinga e-oxygen. I-ODI ayibonakali izinga eliphansi le-oksijeni yegazi elilinganiselwe, elingase libizwe ngokuthi i-oksijeni saturation encane noma i-oxygen nadir yesifundo. Uma amazinga e-oksijeni ephansi ngokwanele (ngokuvamile engaphansi kwezingamaphesenti angu-88 ingumngcele) futhi agcinwe imizuzu engaphezu kwemi-5, i-hypoxemia ingatholakala.
Yini Ebangela I-ODI Ephuthumayo?
I-ODI ingahle ibe nzima kubantu abanesifo samapayipi angaphansi, kuhlanganise nesifo esingenasifo se-pulmonary chronic obstructive (COPD), kanye nokuhluleka kwenhliziyo ye-congestive.
Njengoba kunciphise izindlu, ukuwa kwe-airway engenhla kungabangela amazinga e-oksijeni egazi ukuba awe phansi ngokushesha. Lokhu kungase kuhlotshaniswe nezinga elikhuphukile le-carbon dioxide, njenge- obesity hypoventilation syndrome .
Imiphumela yezeMpilo
Kukholelwa ukuthi ukuphakama kwe-ODI kungabangela ukucindezeleka okwenyuka kwe-oxidative kanye nama-radicals mahhala emzimbeni ongase ubeke abantu phambili engozini yengqondo yesikhathi eside, okubandakanya ukucindezeleka kwegazi (ukucindezeleka kwegazi), ukuhlasela kwenhliziyo, ukushaya isisu, ukuhlelwa kwe-arrhythmi njenge-fibrillation ye-atrial, kanye ukulahlekelwa inkumbulo okuhambisana nokuwohloka komqondo. Ukuvuthwa okuhlanganisiwe kwe-cortisol kungabangela ukuvimbela i-insulin futhi kwandisa ingozi yesifo sikashukela nesifo esiqinile.
Le miphumela yindawo esebenzayo yokucwaninga ubuthongo.
Izwi elivela
Ngenhlanhla, ukwelashwa okuphumelelayo kwe-apnea yokulala yokuvimbela ukulala nokucindezela okuqhubekayo kwe-airway (CPAP) kungavumelana nokuphefumula nokunciphisa izingozi zesikhathi eside ezihambisana nokuphefumula okungaphenduliwe. Njengengxenye yokubukeza imiphumela yakho yokufunda yokulala, khuluma nodokotela wakho obuthongo obuthwele ngokuqinisekiswa mayelana nemithi engcono kakhulu yesimo sakho. Ukuxazulula ukuphefumula okuphazamisekile ukulala kungase kuzuze kokubili ikhwalithi yokulala kanye nempilo yesikhathi eside.
> Umthombo:
> Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." I-ExpertConsult , i-6th edition, 2017.