Ukucindezela okungahambi kahle kwe-airway (CPAP) kuvame ukushiwo ukuphatha i- apnea yokulala . Umgomo ukuthuthukisa ukuphefumula ebusuku, kodwa wazi kanjani ukuthi i-CPAP isebenza kahle? Inkomba ye-apnea-hypopnea (AHI) ingaba isilinganiso esiwusizo sokulandelela ukusebenza komuthi wakho.
Ukufundwa kwe-AHI kusho ukuthini ngesifundo sokulala noma umshini we-CPAP?
Yini ethathwa njengomcimbi? Uma inombolo ye-AHI iphakanyisiwe, ungase ubuze, "Ngilungisa kanjani umshini wami we-CPAP?"
Funda ukuthi umgomo wakho we-AHI kufanele ube yini ukwandisa izinzuzo zokusebenzisa i-CPAP ukuze uthole ukwelashwa okulungile nokuthi ukucindezelwa kunqunywa kanjani futhi kufanele kulungiswe.
Kuyini i-AHI?
Okokuqala, kubalulekile ukuqonda lokho okushiwo yi-AHI, kokubili izifundo zokulala kanye nomshini we-CPAP.
Lesi silinganiso sivame ukuhanjiswa ngaphakathi komongo wesifundo sokulala . Yinkinga yezikhathi ngehora lokulala ukuthi umoya wakho ophezulu (ulimi noma i-palate ephansi emphinjeni) ugobile noma uphelele ngokuphelele, okuholela ekuvusweni okuncane noma ekuvuseni ukulala noma ukwehla emazingeni e-oksijeni egazi. Ukuwa okuncane kwe-airway kubizwa ngokuthi i-hypopnea. Ukuntuleka kokungena emoyeni emakhaleni nasemlonyeni, naphezu komzamo wokuphefumula njengoba kulinganiswa esifubeni nesisu, kubizwa ngokuthi umcimbi we-apnea.
I-AHI isetshenziselwa ukuhlukanisa ubunzima be-apnea yokulala.
Lesi sigaba esifanayo sisetshenziselwa ukuhlola ukuthi umshini we-CPAP usebenza kahle kangakanani. Imikhombandlela elandelayo isetshenziselwa abantu abadala:
- Okuvamile : Kuncane kakhulu kunezehlakalo ezingu-5 zokuphefumula ngehora lokulala
- I-apnea yokulala okuncane : 5 kuya ku-15 izenzakalo zokuphefumula ngehora lokulala
- I-apnea yokulala okulinganiselwe : 15 kuya ku-30 izenzakalo zokuphefumula ngehora lokulala
- I-apnea yokulala ekhululekile : Imicimbi engaphezu kwezingu-30 ngehora lokulala
Ukulala kwezingane kuhlaziywa ngemigomo eqinile futhi umcimbi ongaphezu kwesisodwa ngehora lokulala ubhekwa njengokungajwayelekile ekuhlolweni kokulala.
Iyini Inhloso AHI Yokuthuthukisa Ukwelapha?
Yini okufanele umgomo wakho we-AHI ube khona? Okokuqala, qonda ukuthi kungaba khona ukuhlukahluka ebusuku nobusuku kule nqubo. Njengoba kuphawuliwe, i-apnea yokulala ingase ibe nzima kakhulu ngokulala ngaphezulu, ukulala okungaphezulu kwe-REM , noma ngisho nangokuphuza utshwala obuningi eduze nokulala. Ngakho-ke, akusizi ukuxosha inombolo yansuku zonke. Kunalokho, lezi zinguquko kufanele zibekwe phakathi kwezinsuku ezingama-30 kuya kwezingu-90.
Ngokuvamile, i-AHI kufanele igcinwe ngaphansi kwemicimbi engama-5 ngehora, elingaphakathi kobubanzi obujwayelekile. Abanye ochwepheshe belele bazogxila i-AHI ye-1 noma ye-2 ngokucabanga ukuthi izenzakalo ezimbalwa ziyophazamiseka kakhulu ekulele. Uma i-AHI eyisisekelo ekufundeni kokulala iphezulu kakhulu, njengemicimbi engu-100 ngehora, ngisho nemicimbi engu-10 ngehora lingase limele ukuthuthukiswa okukhulu.
Izinhlobo zezenzakalo zingase zivimbele, eziphakathi (ezimelela iziqephu zokuphefumula), noma ezingaziwa (ezihlobene nokuvuza). Lezi zinhlobo zinezinqumo ezihlukile. Isibonelo, ingcindezi ye-CPAP ingadinga ukuvulwa-noma phansi-noma imaski ingadinga ukushintshwa.
Umgomo ongcono kuwe ungase uxhomeke ebuqini nasimweni sesimo sakho sokuqala. Kungase kulungiswe ngokulandela ukuphathwa kokwelapha, ngokucindezelwa okuphansi okuvunyelwe ukuthuthukisa induduzo. Isimo esingcono kakhulu sokucindezela wena sinqunywe ngokukhethekile ngophethiloli wakho oqinisekisiwe webhodi nge-AHI ejwayelekile esetshenziselwa umongo wakho wezokwelapha.
Ama-CPAP Amashini Asebenza Kanjani Ukwelashwa?
I-CPAP yanamuhla nemishini ye- bilevel ikwazi ukulandelela inombolo ehleliwe yemicimbi yokuphefumula eyenzeka esimweni sakho sokucindezela samanje. Ngamunye walezi zenzakalo zingase zihambisane nokuphazamiseka okufutshane noma ukwehla kwesikhashana endaweni yegazi oksijini.
Ungakholelwa ukuthi ukusebenzisa i-CPAP yakho kuzokuvimbela isimo ngokuphelele, kodwa lokhu akunjalo neze. Kuncike, ngokuyingxenye, ekucindezelekeni okubekwe ochwepheshe bakho bokulala.
Cabanga nje uzama ukufaka ithubhu ende ye-floppy ngokushaya umoya. Ngomoya omncane kakhulu, i-tube ngeke ivule futhi izohlala iwa. Ngokufanayo, uma ingcindezi isethwe kakhulu kumshini wakho we-CPAP, umoya wakho ongenhla usengakwazi ukuwa. Lokhu kungase kubangele imicimbi eqhubekayo ye-hypopnea noma i-apnea. Ngaphezu kwalokho, izimpawu zakho zingase ziqhubeke ngenxa yokwelashwa okunganele.
Kungenzeka nokuthi ezinye iziguquko zizophazamisa inani lomshini odingekayo ukuze uvule umoya wakho. Lezi zici zihlanganisa ukulala (okubi nakakhulu uma ulala ngemuva), ukulala (okubi kakhulu ekulelekeni kwe-REM), ukungqubuzana komzimba, nokusebenzisa utshwala noma imithi eyenziwa njengeziphumuli ze-muscle.
Yeka ukuthi amathrekhi womshini we-CPAP ahlala kanjani e-Sleep Apnea Events
Imishini emisha ingalandelela izenzakalo zakho zokuphefumula ezingavamile futhi zenze i-AHI. Lokhu kungafinyeleleka kudivayisi noma ngamawebusayithi elandelwayo wokulandelela noma izinhlelo zokusebenza. Lokhu kufezwa kanjani?
Impendulo emifushane ukuthi lezi zindlela ziyimfihlo, ziyimfihlo futhi azidalwanga izinkampani ezenza amadivayisi. Ngokwemibandela elula, cabanga ukuthi umshini udala ukucindezela njalo. Kungabangela futhi ukuqhuma okuphakathi kokucindezela okwengeziwe. Ibe isilinganisa ukumelana ngaphakathi kwendiza kule ncindezelo eyengeziwe.
Uma kungekho umehluko ocacile wokumelana phakathi kokucindezela okuphansi nangaphezulu, kuyaqondakala ukuthi i-airway ivulekile. Kodwa-ke, uma ukuhamba emoyeni kusengxenye (noma ngisho ngokuphelele) ukuwa, ingcindezi eyengeziwe ingase ibhekane nokuphikiswa. Emishini "yezimoto", lokhu kuzokwenza umshini ukhiphe ingcindezi ngaphakathi kwebanga elibekiwe ukusekela kangcono indlela ohamba ngayo.
Khumbula ukuthi lesi silinganiso asinembile njengalokho okwenzeka esifundweni sokulala ngokusemthethweni. Isilinganiso singase sithinteke ngokuvuza okukhulu kwe-mask. Uma ihlala iphakanyisiwe ngaphandle kwencazelo enhle, ingadinga isifundo sokulala sokuphinda ukuze uhlole isimo sakho.
I-AHI eyenziwa ngumshini ibhalwe phansi ekhadini lemininingwane yokuthobela. Umhlinzeki wakho wemishini noma udokotela angakwazi ukulanda lokhu futhi akhiqize umbiko ukuqondisa ukwelashwa kwakho. Kungase kuboniswe ekuseni kusikrini sedivayisi noma isikhombimsebenzisi somsebenzisi. Lolu lwazi lungabuye lwabelwana efwini futhi lunikeze ulwazi mayelana nokusebenza kokwelashwa kwakho ngezinhlelo ezihlobene.
Indlela Yokunquma Izidingo Zokucindezela futhi Ulungise i-CPAP
Njengoba kuphawuliwe ngenhla, kunezinombolo ezihlukahlukene okufanele zicatshangelwe lapho uhumusha i-AHI ukufunda. Kungase kungalungiswa ngokumane uguqule ukucindezela kwedivayisi phezulu noma phansi.
Ukuguqulwa okudingekayo kungase kube nzima. Isibonelo, umuntu ophethe i-AHI ephezulu ekufundeni ubuthongo angeke adinge ukucindezela okuphezulu kwe- CPAP ukuxazulula isimo. I-anatomy nezinye izici zingase zibe nendima. Uma ngabe idivayisi iphakanyisiwe kakhulu, ingabangela ukuba i-apnea yokulala ephakathi isebenze. Uma izilungiselelo ziphansi kakhulu, zingase zingasebenzi kahle ngokwanele ukuxazulula isimo.
Uma i-AHI isalokhu iphakanyisiwe, sekuyisikhathi sokubuyela kuchwepheshe wakho wokulala ebhodini oqinisekisiwe wokuhlola. Lo mhlinzeki angakwazi ukuhumusha i-AHI kumongo wesifundo sakho sokulala esisekelwe phansi, i-anatomy, imithi, ushintsho esimweni sezempilo, nezinye izici. Lo muntu kufanele abe nguye ozolungisa izilungiselelo zakho zomshini we-CPAP. Yize izilungiselelo zingashintshwa nanoma ubani, umhlinzeki wakho kuphela ongenza isinqumo esinolwazi.
Izwi elivela
Uma unemibuzo mayelana nokuthi i-CPAP yakho isebenza yini futhi ingaba kuwe, xhumana nomhlinzeki wakho ukuze uxoxe ngesimo sakho kanye nezinketho ezitholakalayo zokwandisa ukwelashwa kwakho. Ukulandelwa njalo emtholampilo kuzoqinisekisa ukuthi ukwelashwa kwakho kuyimpumelelo.
> Imithombo:
> "Izincazelo ezijwayelekile ze-AHI." I-FAQ, i- Philips Respironics DreamMapper.
> Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." I-ExpertConsult , umagazini wesi-6. 2017.
> "Kungani i-apnea-hypopnea index (AHI) ishintsha?" Hlela kabusha .