Ngabe Ukugwedla Kuvimbela Kanjani Ukuvimbela I-Apnea Yokulala?
Ziyini izimpawu zokuphefumula kwe-apnea ezinganeni? Ngabe nini ukushaya izingane ngendlela evamile, futhi kuyini inkinga?
Sibutsetelo
Ukuvimbela ukulala kwe-apnea syndrome (OSAS) kuyinkinga evamile ezinganeni, ezithinta 2 kuya ku-4% yezingane ngesikhathi esisodwa. Kuye kwabonakala kubonakala njengesizathu sokunakekelwa kwansuku zonke nezinkinga zokuziphatha.
I-Apnea yokulala e-Children vs abadala
Ngokungafani nabantu abadala abane-apnea yokulala , abavame ukukhuluphala ngokweqile futhi bavame ukuvuka ebusuku, izingane ezine-OSA zinzima kakhulu ukubona futhi zihlolisise.
Ngokungafani nabantu abadala, iningi lezingane ezine-apnea zokulala azikakhulu ngokweqile. Lokho kusho ukuthi ukukhuluphala ngokweqile kuyisici esiyingozi ekuguleni kwe-apnea ebantwaneni njengabantu abadala, ngenxa yokwanda kwamafutha entanyeni nasemqaleni.
Izimpawu
Nakuba ukugcoba kuyisifo esivamile kubantwana abane-apnea yokuvimbela ukulala, kubalulekile ukukhumbula ukuthi phakathi kuka-10 no-20 amaphesenti wezingane ezijwayelekile ukuphoqa (ukubamba okuyisisekelo) ngezikhathi ezithile noma ngezikhathi ezithile.
Ezinye zezibonakaliso ze-obstructive sleep apnea ezinganeni zifaka:
- Ukunqoba - Ukunqoba ngokuvamile kuvama futhi kwenzeka ubusuku obuningi.
- Ukuvuswa njalo noma ukuphumula ngokulala. Ungabona ukuthi ingane yakho inezikhathi lapho ukuphefumula kwakhe kume isikhashana.
- Ukwehluleka ukukhula (ukulahlekelwa isisindo noma ukungabi nesisindo esimpofu) - Ukuphumula kwe-apnea kungabangela ukuncipha kwe-hormone yokukhula, okungaholela ekutheni kube nesisindo esincane nokuzuza kokuphakama.
- Ukuqapha ngokweqile - Nakuba i-apnea yokulala ingabangela ukukhula okuncane nokuthuthukiswa, kungabangela ukukhuluphala, njengoba ubuthongo bemini kungabangela ukuncipha kokuzivocavoca futhi kubangele ukuvimbela i-insulin.
- Ukuphefumula komlomo.
- Amathani anamandla ne-adenoids.
- Ukujuluka ngokweqile ebusuku.
- Ama-nightmares avamile.
- I-Bedwetting.
- Ukulala ngokweqile kwamalanga.
- Izinhloko zekhanda.
- Izinkinga zemicabango yosuku nosuku kanye nokuziphatha, kuhlanganise nezinkinga zokulalela, ukuziphatha okubi nokuhlambalaza, okungabangela izinkinga esikoleni.
Izinkinga Zokuziphatha njengezibonakaliso zokulala kwe-Apnea ku-Kids
Ukubaluleka kokuhlola ukuthi kungenzeka ukuthi i-apnea yokulala ezinganeni ezinenkinga yokuziphatha ayikwazi ukugxila ngokwanele. Akukhona nje kuphela ukuthi ukulungisa i-apnea yokulala njengendlela elula (okunjalo) yokulungisa lezi zinkinga, kodwa ngoba imiphumela yesikhathi eside kubantwana yileyondlela kakhulu kunabantu abadala, kuhlanganise nezinkinga zezokwelapha kuphela kodwa ukukhula nokuthuthukiswa ngokomzwelo.
Kubalulekile ukukhuluma nodokotela wezingane mayelana nanoma yiziphi izinguquko zokuziphatha ezikukhathazayo. Khumbula ukuthi lokhu akusho njalo kuphela izingane ezenza i-moody noma ngokuhlukumeza. Kungase kubandakanye nalabo ababengaphambili kwi-site "ye-feisty" kodwa manje sebeyavumelana nokuthula ngenxa yokukhathala kwamalanga.
Izimo Ezihlobene Nezokwelapha
Iziphi izimo zezokwelapha ezingase ziphakamise ingozi yokuthi ingane yakho ingaba ne-apnea yokulala?
- I-Down's syndrome - Izingane ezine-Down's syndrome zisengozini enkulu yokuphefumula i-apnea yokulala, ingxenye ehlobene nokunciphisa ithoni ye-muscle kanye nokwanda komlimi.
- Isistimu ye-neuromuscular and central nervous abnormalities kubandakanya ukukhubazeka kwesibindi .
- Ukungafani kahle kwe-craniofacial njengo-Pierre Robin syndrome, i- Treacher Collins syndrome ne-Crouzon syndrome.
- Izingane ezine-craniosynostosis njenge-Pfeffer's syndrome nokuningi.
- Ukukhuluphala.
Ukuxilongwa
Ukuxilongwa kwe-OSA ezinganeni kuvame ukusekelwe ezibonakalweni zesimo nobufakazi be-adenotonsillar hypertrophy (amathani amakhulu kanye nama-adenoids) nokuphefumula komlomo. Izingane ezisolakala ukuthi zine-OSA kufanele zivame ukuhlolwa ngumphathi we-ENT wezingane ukuze zihlolwe ngokuqhubekayo.
Uma kunesidingo, ukuhlolwa okuqhubekayo kungase kubandakanye i- polysomnography (isifundo sokulala sezingane).
Ukwelapha
Nakuba iningi lezingane ezincane ne-OSA zingekho ngokweqile, uma ingane ikhuluphele kakhulu, lokho kungase kube nomthelela ezithombeni zakhe. Ngakho-ke, ukulahlekelwa isisindo kubaluleke kakhulu ezinganeni eziqine kakhulu eziphefumulayo zokuphefumula.
Ezinye izimo zezokwelapha ezisemqoka, ikakhulukazi izifo, kufanele nazo zilashwe. I-steroid yama-nasal ingasiza ekuthuthukiseni ukuvinjelwa kwemisipha kanye nezimpawu ze-OSA ezinganeni ezinesifo somzimba.
Ukwelashwa okuyinhloko kwezingane ezine-OSA kuyindlela yokuhlinza, ngokususwa kwamathani amanconywana wengane kanye ne-adenoids (i- tonsillectomy ne-adenoidectomy noma i-T & A ). Ngesikhathi samanje, iningi lama-T & A emazweni angakabanjwanga lenzelwa ukuphefumula nokuphefumula kokuphefumula kokulala nokuvimbela ukulala.
Esikhathini esiningi, ukuhlinzwa (i-T & A) kuzoholela ekusombulweni kwe-apnea yokulala ezinganeni. Uma kungenjalo, ukuhlinzekwa okuqhubekayo kungadingeka, noma udokotela wakho angancoma ukusetshenziswa kokucindezela okungahambi kahle kwe-airway (CPAP) . noma izinqubo ze-orthodontic ezifana nokukhulisa okukhulu kwe-maxillary .
Okudingeka Ukwazi Njengomzali
- Njengabantu abadala, i-obnetive obstructive sleep apnea ingabangela izinkinga eziningi, kubandakanya ukukhula okuncane, ikhanda, umfutho wegazi ophakeme nezinye izinkinga zenhliziyo nephuphu.
- I-OSA, nezinkinga zokulala, ngokujwayelekile, ziyaqhubeka zibonakala njengesizathu sezinkinga zezingane zokufunda esikoleni kanye nezinkinga zokuziphatha. Uma ingane yakho inenkinga esikoleni noma ngokuziphatha kwayo futhi ihlabelela ngokuzwakalayo, kufanele ubuze udokotela wezingane nge-OSA.
Ngaphansi
Uma ingane yakho inesifo se-apnea yokulala, khuluma nodokotela wezingane. Sicela uphinde uphinde uqaphele ukuthi, ngokungafani nabantu abadala, iningi lezingane ezibhekene ne-apnea yokulala azipheli. I-apnea yokulala ingaba nemiphumela emibi yengane ngokuya kwezinga lamandla, ukuziphatha, nokufunda. Umphumela we-apnea yokulala ezinganeni angathinta ngisho nemiphumela yabo ekuhlolweni kwe-intelligence.
Imithombo:
I-American Academy of Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi. Izingane zokulala ziphethwe ukuphefumula / ukuvimbela ukulala kwe-apnea. http://www.entnet.org/content/pediatric-sleep-disordered-breathingobstructive-leep-apnea
Dehlink, E., no H. Tan. Ukuvuselela ekuphefumuleni kwe-sleeping obstructive yezingane. I-Journal ye-Thoracic Disease . 2016. 8 (2): 224-35.
UMarcus, C., Brooks, L., Draper, K. et al. Ukuxilongwa nokuphathwa kwengane yokuvimbela ukulala kwe-apnea syndrome. Izingane zokwelapha . 2012. 130 (3): e714-55.