Ukuxilongwa kwe-Apnea yokulala ekhaya kungase kusebenze kahle izimo ezithile
Cishe akekho olala kangcono ebhokisini lokulala ukuze afunde ngokulala ngokulala uma kuqhathaniswa nekhaya. Kusobala ukuthi kunezindlela ezingcono zokulala kunokuba uthinteke ezintambo nomuntu obuka wena futhi ezwa ukucindezeleka ukulala. Iziguli eziningi zibuza imiphumela yokuhlolwa kwazo uma zilala ebusuku. Yini enye? Ngenhlanhla, ukuhlolwa kwe-apnea yokulala ekhaya kungase kube ukucatshangelwa okukhangayo.
Kuyini ukuhlolwa kwe-apnea ekhaya yokulala (HSAT)? Cabanga ngalolu khetho oluhle, kungakhathaliseki ukuthi kungakufanele yini ukuxilonga ukugula kwakho kokulala, nezindleko kanye nokulinganiselwa okuhlotshaniswa nezifundo zokulala ekhaya.
Iyini Ikhaya Lokulala Lokuhlolwa Kwe-Apnea?
Njengoba leli gama lisho, ukuhlolwa kwe-apnea yokulala ekhaya ukuphatha isifundo sokulala ekududuzeni kwekhaya lakho ukuthola ukuthi i - obstructive sleep apnea . Kukhona amadivayisi ahlukahlukene atholakalayo kuloluhlolo. Lezi zingatholakala ngokusebenzisa isazi sokulala, umhlinzeki oyinhloko, noma ngisho nezinkampani ezizimele ezizinzuzo.
Iningi le-home sleep apnea test measures parameters ewusizo ukuthola ukuphefumula okuphazamiseka ukulala. Yize amadivaysi ehlukahluka, abaningi bathola amazinga e-oksijeni egazi nge- oximeter , isilinganiso senhliziyo, umzamo wokuphefumula onobunxele obukhulu besisu, ukudlala ukudumaza, nokuphuma emoyeni ekhaleni nge-cannula ye-oxygen. Amanye amadivaysi abhala izinyathelo eziqhubekayo, njengama-waves agciniwe ebuchosheni nge- EEG yokubamba ukulala, isikhundla sokulala, ngisho nokunyakaza.
Ingabe I-Home Yokulala I-Apnea Yokuhlola Ikulungele?
Kunemigomo ecacile esetshenziselwa ukukhomba iziguli ezingakwazi ukuhlolwa kwe-apnea yokulala ekhaya. Le mihlahlandlela izokwandisa impumelelo yokuhlolwa futhi iqinisekise ukuhlolwa okufanele.
Njengamanje, kunconywa ukuthi iziguli zezingane zisekhona i- polysomnogram ye- diagnostic.
Ngakho-ke, i-HSAT ivinjelwe kulabo bantu abaneminyaka engu-18 noma ngaphezulu. Labo abanamathuba amaningi okulinganisela ekuphefumuleni okukhulu okulele okususelwe ekuboniseni izimpawu kanye ne- anatomy yenkampani kufanele bakhethwe ukuhlolwa kwekhaya. Ezinye zezimpawu ezibaluleke kakhulu zihlanganisa:
- Ukunyakaza okuphezulu
- I-apnea yabona (ukuyeka ukuphefumula ngesikhathi sokulala)
- Ukulala ngokweqile kwamalanga (i- Epworth score > 10)
- I-Nocturia ( ivuka njalo ukuvuthwa)
- I-Bruxism (amazinyo agaya noma ahlanganisa)
- Ukulala okuhlukana nokuqwashisa
- Ukukhuluphala
- Ephakathi kuya eminyakeni yobudala (Kubandakanye nabesifazane be-post-menopausal)
Ngokuvamile kubalulekile ukuba isazi sokulala sokuqinisekiswa ebhodini sihlolisise ukuthi sinqume ukuhlolwa okufanelekile kuwe. Kwezinye izimo, kungase kube nokungahambisani nokuhlolwa kokulala ekhaya.
Izimo Ezidinga I-Lab Lab Hlala Ukuhlola Okufundwayo
Ngenxa yemvelo yokuhlolwa nokulinganiselwa kwayo, izinqubo ezilandelayo zokubanjwa ziyabonakala. Kwezinye izimo, lesi sici singase siphazamise ukuphathwa kahle kokuhlolwa ekhaya. Kukhona nezinye izimo zezokwelapha lapho isifundo sokulala ngokusemthethweni esikhungweni sokuhlola sidingeka ukuxilonga kahle lesi sifo. Izizathu ezivame kakhulu zokungabi naso ukuhlolwa kwe-apnea yokulala ekhaya zihlanganisa:
- Izithiyo zokuqonda noma izilimi eziphazamisa ukuphathwa kokuhlolwa
- Isifo esiphezulu sesifo se-pulmonary
- Isifo se-neuromuscular
- Ukuhluleka kwenhliziyo ukulahla
- I- apnea yokulala yokulala eseceleni
- Ukuxilongwa kwesigungu sokuhamba kwesinye isikhathi (PLMD)
- Ukulala okuyisisekelo
- Izimpikiswano zomculo we-Circadian
- I-Parasomnias (ukuziphatha kokulala)
- Ukuhlukumezeka
Ukuhlolwa kungacatshangwa ngezigameko ngezigameko phakathi kweziguli ezingenakwenzeka ukuya kwi-polysomnography ngenxa yokungahambi kahle, ukuphepha, noma ukukhathazeka okubuhlungu kakhulu. Iziguli eziphethwe yi-Medicare zingadinga ukuthi inkomba ephezulu yokusola inikezwe izinqubo ezingaphezulu ezinamathekisthi ezisetshenziselwa ukuhlolwa ekhaya.
Ukuhlela nokwenza ikhaya I-Apnea yokulala Isifundo
Iziguli eziye zahlolwa futhi zithathwa ezifanelekile zeHSAT zizoqhubeka nokuhlolwa.
Ngemuva kokuthi udokotela wakho acele ukutadisha, udokotela noma umsizi wezokwelapha uzobonisa ukuthi angayisebenzisa kanjani imishini. Uzoyithatha ekhaya bese wenza uhlolo, ngokujwayelekile ngaphezu kokunye noma obusuku ababili. Emva kokuhlolwa sekuphelile, idivayisi ibuyiselwa ukuze ilandwe ngakho udokotela angabukeza idatha futhi enze izincomo zokuxilongwa nezokwelashwa. Ngokwenza uvivinyo olwenziwe ngumbonisi obuthongo obuqinisekisiwe webhodi ongakwazi ukuhumusha imiphumela, ungasheshe uhlangane nodokotela ozokuqondisa futhi aqale ukwelashwa ukuze axazulule i-apnea yakho yokulala.
I-Pros and Cons of Home Ukuhlaselwa Kwama-Apnea Ukulala
Kunezinzuzo ezithile ezicacile zokuba nokuhlolwa kwe-apnea yokulala ekhaya. Esinye sezikhangiso ezinkulu kakhulu ukukwazi ukulala embhedeni wakho ekhaya. Uma ungumnakekeli onomthwalo wemfanelo komunye umuntu, kuhlanganise nezingane, lokhu kungenza izinto zibe lula. Kunezintambo ezimbalwa ezidingekayo zokulinganisa, okwenza ukuthi ukuhlola kungabonakali futhi kukhululeke kakhulu. Ukuhlolwa ngokuvamile kubiza kakhulu, okuvame ukubiza ama-dollar angamakhulu ambalwa uma kuqhathaniswa nokudlula imali engu-$ 1000 ukuthi ukuhlolwa kwe-laboratory kuvame ukubiza . Ngenxa yokutholakala okwandayo, kungenziwa ngokushesha ngokushintshwa okusheshayo ukuqala ukwelashwa.
Ngaphambi kokukhetha ukuhlolwa kwe-apnea yokulala ekhaya, kufanele uphinde ucabange ukuthi unamandla okuhlola lokhu. Njengoba kuphawuliwe, lokhu kuhlolwa kusetshenziselwa ukuxilonga i-apnea yokuvimbela ubuthongo kuphela. Akufanelekile ukuhlolisisa i-apnea yokulala, ukulala, ukulala, imilenze yezinyawo ezingenalutho, ukuphazamiseka kwe-circadian, i-parasomnias, i-narcolepsy, i-seizures, nezinye izinkinga.
Uma ukuhlolwa kubuya njengokungalungile, nomphumela ojwayelekile, lokhu kungase kungabi ngokunembile. I-apnea yokulala encane ingase ilahleke. Lokhu kubaluleke ikakhulukazi kwabesifazane abasebasha kanye nabantu abayisisindo somzimba esivamile. Noma yisiphi isikhathi esichitha siphapheme sizonciphisa inani elijwayelekile lemicimbi ye-apnea yokulala ekhonjisiwe ngehora lokurekhoda. Lokhu kungashintsha ukuxilongwa noma kuholele emqondweni womanga wokujwayelekile. Uma kukhona okungahambi kahle ekusebenziseni izinzwa noma izilinganiso ezirekhodiwe, ukuhlolwa kungase kudingeke kuphindwe.
Ngokuvamile, uma ukuhlolwa kwe-apnea yokulala ekhaya kungaphumeleli ekuhloleni i-apnea yokulala, ukuhlolwa kwe-laboratory kuyotuswa ukuba kuhlolwe ngokucacile lesi simo. Uma kutholakala i-apnea yokulala ebhodini ngokuhlolwa kwe-apnea yokulala ekhaya, ukuhlolwa kwesifundo se-titration for therapy bellveling ngokuvamile kuyadingeka. Uma ngabe ukuhlolwa kubonisa ukuthi i-apnea yokulala, kuyoba lula ukuhamba nomuthi, njenge-CPAP therapy noma ukusetshenziswa komshini womlomo.
Uma unesithakazelo ekufundeni okuningi mayelana nokuhlolwa kwe-apnea yokulala ekhaya njengendlela yokukhetha, thola isazi sokulala esiqinisekisiwe ebhodini eduze kwakho bese uhlolisiswa ukuze uthole ukutholakala, ukulashwa, nokuphumula kwekhwalithi okudingayo.
Umthombo:
I-Collop NA et al . " Izinkombandlela Zomtholampilo Zokusetshenziswa Kwezingqapheli Ezingaxhunywanga Ezingaxilwanga Ngendlela Yokuthola Ukuvimbela Ukulala Kwe-Apnea Abaguli Abagulayo ." I- Journal of Clinical Sleep Medicine . 2007; 3 (7): 737-747.