Kungani Ukucindezela Okuhle Kusetshenzisiwe Ezingxenyeni Zokuphefumula?
Uma uhlala e-United States futhi uneminyaka engama-30 no-70 ubudala, ungase ube omunye wabantu abangu-26 kwabangu-100 abanesifo sokuphefumula. Amanani okulala ahambisana nokuphazamiseka kokuphefumula aselokhu ekhuphuka kusukela ngo-2000 njengoba ukukhuluphala kuba yinkinga enkulu. Ukuphefumula kwe-apnea kwenzeka lapho umoya wakho wehlela emoyeni; ukukhawulela ukuphefumula.
Uma ungenayo izinkinga zamaphaphu, ungaphefumula futhi uphume ngaphandle kokuvinjelwa. Kodwa-ke, uma uthola isisindo, kungenzeka ukuthi njengoba uphumelela, umoya wakho ongenhla uzowa. Lokhu kungakwenza ukuze umoya omoya ungavuli ngokuzenzakalelayo uma uphefumula futhi unesiqephu se-apnea (ukuphelelwa yisikhathi ukuphefumula). Kukhona amadivaysi amaningana asebenzisa ukucindezela okuhle (ukucindezela kuya emaphashini) ukusiza ngokuphefumula. Izibonelo zifaka: i-CPAP, i-BiPAP, ne-EPAP
Kumele wazi ukuthi ngenkathi sizoxoxa ngemithi yokwelashwa okuphazamisa ukulala, into enhle ongayenza ukuze uphathe i-apnea yakho yokulala iwukuba ulahlekelwe isisindo (ngaphandle kokuthi i-apnea yakho yokulala ingathinti ukukhuluphala).
Imiphumela ye-Sleep Apnea
- ukulala kwansuku zonke nokukhathala
- umsebenzi ongenakucabangela
- ukungasebenzi komzimba - umzimba wakho awuphuli noma uthola izakhi ngendlela evamile
- Isifo senhliziyo
- ukufa
Ukucindezela Komoya Okumnandi Okuphelelwa yisikhathi
I-EPAP ingumfanekiso ochaza "ukuphefumula okuhle kwe-airway." Le ndlela yokusekela ukuphefumula isebenza kuphela ngcindezi enhle uma usuphefumula.
Lokhu kucatshangwa ukuthi kufanele kusebenze ngenxa yenkolelo yokuthi ukuwa kwezindiza kanye ne-apnea yokulala ebangelwa ukuthi kungenzeka kakhulu uma kwenzeka uphefumula.
Idivayisi eyodwa esebenzisa i-EPAP ukuphatha i- apnea yokulala ibizwa ngokuthi i-Provent. Lolu buchwepheshe lwaziwa ngokuthi i-EPAP yangasese . Ngokomkhiqizi, i-Provent isebenzisa i-valve yendlela eyodwa ebeka phezu kwamakhaza ebusuku.
I-valve ivuleka uma uvula, kepha uvala kancane ngesikhathi sokuphuma umoya uphoqa umoya wakho wokuphefumula ngaphandle emigodini encane, udala ukucindezela okuhle emoyeni. I-Provent ayisebenzisi amanzi noma umthombo kagesi kagesi. Kuyinto futhi ephathekayo ngaphezulu. Umkhiqizi uthi lokhu kuyinzuzo, nokuthi izifundo zabo zibonise ukuhambisana okukhulu ne-EPAP kunalokho kubonakala kubantu abasebenzisa i-CPAP ekwelapheni i-apnea yokulala.
Umehluko Phakathi kwe-EPAP, i-IPAP, i-CPAP ne-BiPAP
I-CPAP, ukucindezela okuqhubekayo kwe-airway, ingenye yezindlela ezivame kakhulu zokwelapha i-apnea yokulala. Nge-CPAP, ingcindezi enhle isetshenziswa umshini njalo kuzo zonke iziphetho nokuphelelwa yisikhathi. I-BiPAP (ingcindezi enhle ye-bilevel) isebenza ngokucindezela okuhle phakathi kokubili izigaba, kodwa hhayi njengengcindezi eqhubekayo. I-EPAP ihluke ezinkambeni ezimbili ezedlule zokusekela ukuphefumula ngoba ayihambisani nokucindezela okuhle phakathi nesigaba sokuphefumulela sokuphefumula. Ivumela kuphela ukucindezela okuhle lapho usuphefumula. I-IPAP, ukucindezela okuhle okuphefumulelwe, ibhekisela ekucindezelekeni okuhle uma uphefumulela. Izivini (umshini wokusekela impilo wokuphefumula) kanye ne-BiPAP sebenzisa kokubili i-IPAP ne-EPAP.
Imithombo:
I-American Academy ye-Sleep Medicine. (2014). Ukukhula okuphezulu kwe-apnea yokulala e-US kusongela impilo yomphakathi.
Ukuvimbela Ukwelashwa Kwe-Apnea Ukulala. Mayelana ne-Provent Therapy. http://www.proventtherapy.com/
Rosenthal L, Massie CA, Dolan DC, Loomas B, Kram J, Hart RW. I-multilingual, okuzofundwa kwendiza yomsindo we-EPAP wezinyosi ekwelapheni kwe-apnea yokuvimbela ukulala: ukusebenza kahle nokunamathela kwezinsuku ezingu-30. J Clin Sleep Med. 2009 Dec 15; 5 (6): 532-7.
Yaremchuk, KL & Wardrop, PA (2010). Imithi yokulala. http://www.ebrary.com (Okubhaliselwe Kudingeka)