Ukusetshenziswa kwe-oksijeni eshisayo kungasetshenziselwa ukuvimbela ukuphefumula, ukulala
Ukwelapha i-oksijeni ngezinye izikhathi kusetshenziselwa ukuphatha i- apnea yokulala , ikakhulukazi uma ukukhathazeka ngendlala kuqala kuphakanyiswa. Kodwa-ke, kwezinye izilungiselelo, ukusetshenziswa kwe-oksijini kungase kube nenhlekelele engaphezu kokuhle. Ingabe ukwelapha okwe-oksijeni kufanele kusetshenziswe kuphela ukuphatha i-apnea yokuvimbela ukulala? Isimo se-pulmonary singasidinga nini ukusetshenziswa kwayo? Funda ngendima ye-oksijeni ekuphefumuleni kwe-sleep apnea nokuthi ngabe uyayidinga ukukuphatha ukuphazamiseka noma ngabe ezinye izinketho ezifana nokwelashwa okuqhubekayo okucindezela umoya (CPAP) kungasebenza kangcono.
Ukusetshenziswa kwe-oksijeni ku-Apnea yokulala
Ochwepheshe bokulala bavame ukuhlangana neziguli ezibhekiswe ekufundeni ubuthongo ukuze zihlolwe futhi ziphathe ukuphefumula okuphazamisayo okulele. Odokotela abadluliselayo, ngaphandle kokuthandwa ukuvikela iziguli zabo, bangase bahlinzekele oksijithali okwengezayo ukuthi basetshenziswe ubusuku bonke ngenkathi belindele ukubuyiselwa nokuhlolwa. Lokhu kuhlinzeka nge-tubing epulasitiki ebizwa ngokuthi i- cannula yamanzi , ngokuvamile ngesilinganiso samalitha amaningana ngomzuzu. Ingabe le thérapiya iyadingeka noma iyasiza?
Le mbono ibonakala ezwakalayo: Amazinga e-oksijeni wehla kwegazi ebusuku (okungukuthi, i- hypoxemia ) ngenxa yokuphambana okuphindaphindiwe ekuphefumuleni okubizwa ngokuthi i-apnea, ngakho-ke sizonikeza oksijini okwanele ukubuyisela emuva izinto ezijwayelekile. Ngokuvamile ukuhlolwa kwe- oxymetry ebusuku kuhlelwe ukuthi amazinga e-oksijeni kanye nesilinganiso se-pulse alinganiselwe ngobusuku obuneminwe ebeka eceleni. Uma amazinga e-oksijeni engaphansi kwamaphesenti angu-88 emaminithi angaphezu kwangu-5 ebusuku, kuthiwa umuntu othintekayo une-hypoxemia yelanga.
Lokhu kuhlola kungase kulungele umuntu ukusetshenziselwa oksijini, kodwa kuyasiza?
Ngeshwa, nakuba izinombolo ze-oxygen zingajwayelekile, ezinye izinguquko ezibangelwa i-apnea (njenge-carbon dioxide ukugcinwa nokuvuswa okuholela ekulele ubuthongo) kungenzeka. Ukuphefumula kakhudlwana kubangelwa ukwehla kwezicubu ezingenhla .
Uma umphimbo uvinjelwe noma uvalwe ngokuphelele, akukhathaleki ukuthi ukhiphe kangakanani oksijini nge-cannula yomzimba, lo moya awukwazi ukufinyelela emaphashini. Ngeshwa, i-oksijini ayikwazi ukufika lapho kudingeka khona, futhi ngeke isisize ngokwanele. Kunezinye izimo lapho ukwelashwa okungase kuphumelele khona, futhi kungase kube nokulimaza.
Okwenza i-oksijeni ingasebenzi
Ukusebenzisa i-oksijeni eyengeziwe kubantu abane-apnea yokulala nokusebenza okuvamile okuphefumula kunemiphumela ehlangene. Izinga le-oksijeni elilinganisiwe lizophuthuma ngempela. Kodwa-ke, umphumela we- apnea-hypopnea index (AHI) nobude bezenzakalo ze-apneic akudingeki. Ukulala ngokweqile kwansuku zonke , isikhalazo esibalulekile ekuphefumuleni kokulala, akuthuthuki. Lokhu kungenxa yokuphikelela kokuhlukaniswa kokulala okungancishiswa ukusetshenziswa kwe-oxygen. Ukusetshenziswa kwe-oksijeni kunganikeza umqondo wokuvikela wamanga ngenkathi isimo kanye nezihlobo zayo ziqhubeka ziphathwa ngendlela efanele.
Ngaphezu kwalokho, amazinga e- carbon dioxide phakathi nobusuku nobusuku anganda lapho i-oksijeni isetshenziswa ebusuku. Ukusebenzisa i-oksijeni yedwa akuthuthukisi amazinga we-carbon dioxide ngokweqile angaqongelela ngesikhathi sokulala, futhi lokhu kungaba yingozi.
Ingozi Ye-Oxygen Sebenzisa ne-Sleep Apnea ne-COPD
Kunezimo lapho ukusetshenziswa kwe-oksijeni ukuphatha i-apnea yokulala kungase kube yingozi.
Lapho isifo se-chronic obstructive pulmonary (COPD) , njenge- emphysema , livela yedwa, i-oxygen iboniswe ukuthi inenzuzo. Kodwa-ke, uma kwenzeka nge-apnea yokuvimbela ukulala, isithombe esivela kuvela.
Kulesi okuthiwa "i-overlap syndrome," ukusetshenziswa kwe-oksijeni yesikhombisa ngaphandle kokukhululeka kokuvinjelwa kwomoya kungabangela ukuphefumula okungapheli ebusuku. Lokhu kungabangela izikhalazo ezifana nokukhanda ikhanda noma ukudideka. Ngakho-ke, kubalulekile ukuthi ukucindezeleka okuqhubekayo kwe-airway (CPAP) noma i- bilevel therapy kusetshenziselwa ukuphatha ukuvinjelwa, nge-oksijeni eyongezwayo efakwe kwisistimu njengoba kudingeka ukunikeza ezinye izinzuzo.
Ngakho-ke, kubalulekile ukuthi abantu abaneCOPD bafunde isifundo sokulala uma kukhona ukusola kokuphefumula kokuphefumula okubangela izikhalazo zabo. Futhi, ngokusobala, i-oksijini yedwa ayilona ukwelashwa okwanele kulabo abasolwa ngokuba ne-apnea yokulala.
Ukwelashwa kwe-oksijeni kungase kwengezwe ku-CPAP noma nge-bilevel therapy uma amazinga e-oxygen ehlala ephansi ebusuku, naphezu kokwelashwa okwanele kwe-apnea yokulala ehambisanayo. Lokhu kusikisela ukuthi amaphaphu akakwazi ukukhipha okwanele oksijini okwanele, ngisho nalapho umoya ophezulu ungagcinwa uvulekile.
Uma ukhathazekile ngokuphefumula kwakho ngenkathi ulele, khuluma nomchwepheshe obuthongo obuthongo obuqinisekisiwe futhi uthole ukwelashwa okudingayo.
Imithombo:
Igolide, A et al . "Umphumela wokulawulwa kwe-oksijeni engapheli ngesikhathi se-apnea yokulala." Am Rev Respir Dis 1986; 134: 925.
UMasa, JF et al . "Ukungenwa kwe-pressure okungenayo ingavumeleki futhi hhayi umoya-mpilo kungavimbela ukwehluleka okukhulu kwe-ventilatory kwiziguli ezinezifo zesikhumba esifubeni." I-Chest 1997; 112: 207.