Lezi zinsuku zokuhlola ukulala ekhaya zivame ukusetshenziselwa ukuxilonga izinkinga zokulala ezifana ne- obstructive sleep apnea . Kungani ungatshelwa ukuthi ube nesifundo sokulala ekhaya? Ziyini izinzuzo kanye nokuphazamiseka kokuhlolwa kokulala ekhaya uma kuqhathaniswa ne- polysomnogram ephakathi? Funda mayelana nokusetshenziswa kwezifundo zokulala ekhaya, ukuthi yini ongayilindela ngokutadisha kwakho, nokuthi yiziphi izinyathelo ezilandelayo ekuxilongweni kwakho nokwelashwa okungenzeka kube.
Indlela Yokuthola Isifundo Sokulala Ekhaya
Okokuqala, ungase uzibuze ukuthi kungani udingekile ukuthola isifundo sokulala kuqala. Lezi zivivinyo zisetshenziselwa ukubona izifo ezihlukahlukene zokulala. Yize izimpawu kanye nokuhlolwa okusemzimbeni kungase kubhekisele kubangelwa izinkinga zakho zokulala, kuhlolwa ukuthi kudingeke ukuthi kutholakale ukuxilongwa (futhi, ekugcineni, ukuze umshuwalense akhokhele ukwelashwa).
Abahlengikazi abaqinisekisiwe beBhodi bahlale benomthwalo wokuhleleka ukuhlolwa kokulala. Labaqeqeshi bavame ukubona iziguli zikhononda ngezinkinga zokulala futhi ngokuqeqeshwa kwazo zingabuyekeza izifundo futhi zincome ukwelashwa okufanele kakhulu. Abanikezeli bokunakekelwa okuyinhloko nabanye ochwepheshe bezempilo bangase bavunyelwe ukuba bahlole ukuhlolwa kwezindlu zokulala, kodwa i-American Academy of Sleep Medicine ayincoma lo mkhuba.
Akuwona wonke umuntu okufanele abe nesifundo sokulala ekhaya. Kuwusizo kuphela ukuxilongwa kwe-obstructive sleep apnea (OSA).
Lokhu kuhlolwa kufanele kulandiswe uma kukhona okusobala okungenani okulinganiselwe kuya kwezinga eliphezulu le-OSA. Ukuhlolwa kubuye kusetshenziswe ngezikhathi ezithile ukuze kuhlolwe ukuphumelela kokwelashwa kwe-apnea yokulala njengokusebenza komlomo noma ukuhlinzwa .
Uma ngabe kunezinye izimo zezokwelapha ezikhona ezingase zonakalise ukuchithwa kokuhlonza, ukuhlolwa ekhaya kokulala akubhekwa njengokufanelekile.
Futhi ayisetshenziselwa ukuxilonga ezinye izifo zokulala ngaphandle kokuphefumula kokulala. Ezinye zalezi zingqinamba kwezokwelapha ukuhlolwa kokulala ekhaya zihlanganisa:
- Isifo esiphezulu sesifo se-pulmonary
- Isifo se-neuromuscular
- Ukuhluleka kwenhliziyo ukulahla
- I-apnea yokulala ephakathi
- Ukunyakaza kwesinye isikhathi sokulala
- Ukungalali
- I-Parasomnias (ukuziphatha kokulala)
- Iziphazamiso zokulala eziphakathi kwe-Circadian
- Ukuhlukumezeka
Okokugcina, ukuhlolwa ekhaya ukulala kungasetshenziswa ngezikhathi ezithile kubantu abangakwazi ukuthola i-polysomnogram yokuxilonga esikhungweni ngenxa yokungahambi kahle, ukuphepha, ukugula okubucayi, noma ezinye izingxabano. Okubalulekile, ukuhlolwa ekhaya ukulala akufanele izingane.
Izinzuzo Neziqephu Zokuhlolwa Kwezindlu Zokulala
Izifundo zokulala ekhaya ziyindlela enhle kakhulu yokubusa-e-apnea yokulala phakathi kwabantu abakhethiwe kahle. Uma kukhona ukusola okuphezulu kwalesi sifo, kungaba umbuzo olula wokuqinisekisa ovumela isiguli ukuba siqhubeke nesigaba sokwelashwa. Noma kunjalo, ukuhlolwa okungalungile kungase kungabikho ukuphazamiseka kwesifo. Uma ukuhlolwa kokulala ekhaya okungalungile kwenzeka (nge-apnea-hypopnea index noma i- AHI engezansi ku-5), i-polysomnogram yokuxilonga esikhungweni sokulala ngokuvamile iyadingeka.
Kunezizathu eziningi iziguli ezithandayo zokuhlola ukulala ekhaya, kubandakanya:
- Kuyinto engabizi kakhulu , ebiza ama-dollar amakhulu uma kuqhathaniswa nezinkulungwane zamaRandi ukuhlolwa okuphakathi ngaphakathi kungadla.
- Kuyinto elula kakhulu , okuvumela ukuba ulale ekhaya hhayi endaweni engavamile.
- Kukhululekile kakhulu , ngezingcingo ezimbalwa futhi kufinyelela emnandi ekhaya.
- Kunokufinyelela okuningi kokuhlolwa. Izikhungo zokulala angeke zifinyeleleke ngenxa yendawo noma ngisho nokuhlela. Amadivaysi wokuhlola ekhaya angathunyelwa ekhaya evela ehhovisi likadokotela futhi ngezinye izikhathi athunyelwa ngaphandle.
I-standard yegolide yokuxilongwa kwazo zonke izifo zokulala ihlala i-polysomnogram ye-diagnostic esikhungweni sokulala.
Lokhu kuhlanganisa izinyathelo ezengeziwe zokulala futhi ulale ukuhlukaniswa nge- EEG , isigqi senhliziyo nge EKG, nezinzwa zomlenze noma zengalo zokuhamba; konke okungahle kuhlanganiswe nokuhlolwa kwekhaya okuvamile. Ngaphezu kwalokho, uma une-apnea yobuthongo obuncane, ukuvivinya ekhaya kungase kungabikho ukuxilongwa.
Yini Ongayilindela Ngesifundo Sekhaya Ukulala
Uma udokotela wakho enquma ukuthi kufanele ube nesifundo sokulala ekhaya, uzokwaziswa ukuthi ungayisebenzisa kanjani idivayisi ekhaya. Ngokuvamile umsizi wezokwelapha, ochwepheshe bokuphefumula, noma ochwepheshe bokulala uhlinzeka le miyalo. Uzoboniswa ukuthi ungasebenzisa kanjani izinzwa ezidingekayo. Ngokujwayelekile, lokhu kuzobandakanya ibhande eligoqa isifuba noma isisu ukukala umzamo wokuphefumula, i-oxygen cannula egazini efakwe ekhaleni ekala ukugeleza kwe-air, futhi i-oximeter isetshenziswe kumunwe ogcina izinga lokushayela negazi le-oksijeni. Kuye kudivayisi esetshenzisiwe, kungase kube khona ukuhlukahluka kulezi zici eziyisisekelo. Uma usungene kahle, kufanele futhi uthole isiqondiso sendlela yokuvula noma ukuvala idivayisi.
Uma ulungele ukulala ekhaya, uphinde usebenzise izinzwa bese uvula idivayisi njengoba ufundiswe. Uma uvuka ukuya endlini yokugezela ebusuku, ungase ugcine iningi lalezi zinzwa endaweni. Ekuseni, amanye amadivaysi azokukwazisa ngokukhanya noma ekufundeni ukukukwazisa ukuthi idatha eyanele iqoqwe. Njengomthetho jikelele, okungenani amahora amaningi okuqopha adingekayo ukuze kuvivinywe ngokwanele. Abanye odokotela bancoma ukuthi iziguli zenze ubusuku obubili (ngisho no-3) bokuhlola ukuqinisekisa ukuthi ukuhlolwa okuphumelelayo kugcwaliswe.
Izinyathelo Ezilandelayo Ekuqaphelweni Nokunakekelwa Emva kokuhlolwa kwekhaya lokulala
Ngemva kokubuyisa idivayisi, udokotela olele uzolanda idivayisi, abukeze ngokuqondile futhi ahumushe idatha, futhi enze umbiko wokufingqa wemiphumela. Njengoba kukhonjisiwe ngenhla, uma ukuhlolwa kwezindlu ukulala kwembula idatha engenele noma kungalungile ukuphefumula kwe-apnea, ukuhlolwa okuphakathi ngaphakathi kungadingeka ukukhomba isimo. Ku-aphoyintimenti yokulandelela emtholampilo wokulala, le miphumela izobuyekezwa nawe futhi izinyathelo ezilandelayo zizoxoxwa ngazo.
Uma ukuhlolwa kubonisa ukuthi i-apnea yokulala, izinketho zokwelapha zizobuyekezwa, kuhlanganise nokusetshenziswa komshini ohamba phambili ohamba phambili (CPAP) , izitsha zomlomo, ukulahlekelwa isisindo, ukwelashwa kwesimo somzimba, ukuhlinzwa, kanye nezinye izindlela zokwelashwa.
Ukuhlola ukulala ekhaya kungaba yindlela ekhangayo yokukhomba i-apnea yokulala kulabo abasolakala ukuthi banesimo futhi abanakho ukuphikiswa noma ezinye izinkinga zokulala zokusola. Uma unesithakazelo sokuthola isifundo sokulala ekhaya nokuphishekela ukwelashwa, qala ngokubona isazi sokulala sokuqinisekiswa kwebhodi okungakunika ukuhlolwa okuphelele, isiqondiso ekuhlolweni nasekusekeleni ngenqubo yokwelapha.
> Umthombo:
> 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.