Idivaysi esetshenzisiwe isebenzela imisipha yamagama ukuvula umoya
Imithi ejwayelekile yokulala i-apnea yokulala - ukucindezela okuqhubekayo kwe-airway (CPAP) noma i-bilevel - kungase kunzima ukubekezelela. Njengoba isimo singaba nemiphumela emibi, ngisho nokubulala , ungase ukhuthazwe ukufuna ezinye izindlela ongakhetha kuzo. Ukuhlinzwa kungase kubonakale kuyindlela efiselekayo futhi ukusetshenziswa kwedivaysi entsha ebizwa ngokuthi i-hypoglossal nerve stimulator ingase izwakale iyabonakala.
Ukuhlinzekwa kanjani kwe-hypoglossal nerve stimulator, okuthiwa i- Inspire , ilapha ukuphefumula okuphazamisayo kokulala? Funda ukuthi idivayisi ye-pacemaker yolimi efakwe kanjani isebenza.
Yini i-Hypoglossal Nerve Stimulator?
I-hypoglossal nerve stimulator yinkampani yezokwelapha esakhiwe eyenza ukunciphisa ukutholakala kwe-apnea yokuvimbela ukulala ngokwenza ugesi ugqugquzele i-hypoglossal nerve ulimi. Lokhu kuvuselela kuvuselela imisipha yolimi, kukhulise ithoni futhi kuyishukumisela phambili, kude nomhlane we-airway. Akubangeli ubuhlungu. Ngakho-ke kungaphatha kahle ukuphefumula okuphazamisayo kokulala.
Usebenza kanjani umgqugquzeli wezinzwa ze-Hypoglossal?
I-apnea yokulala yokuvimbela ibonakala ngokuvinjelwa kwendiza engenhla (ngokuvamile emhlane nasemlonyeni). Uma lokhu kuphazamiseka kwenzeka, umoya womoya ugoqa ngokuphelele futhi ukuphefumula okuvamile lapho ulele ngeke kwenzeke.
Kunezimo ezithile ezingahle zibeke umuntu kulolu hlobo lokuvimbela.
I-airway ingase iwele ngenxa yokulahlekelwa kwezwi lomzimba okwenzeka njengengxenye yokulala kwe- eye ngokushesha (REM) yokulala . Kungase kube kakhulu uma silala emhlane wethu. Kungaba yinto evame kakhulu njengoba sikhula. Kuyiqiniso nakakhulu phakathi kokuqhathanisa nokugqwala. Ukusetshenziswa kotshwala kanye nemithi ephumukisa imisipha ingase ibuye ibe khona.
Ngaphezu kwalokho, zikhona izingxenye ze-anatomy yethu ezingase ziholele ekuphefumuleni kwe-apnea. Isibonelo, ulimi olukhulu (olubizwa ngokuthi i- macroglossia ) noma oluhlehlisiwe emhlathini (olubizwa ngokuthi i- retrognathia ) lungabangela ukuvinjelwa kwamanqamu.
I-hypoglossal nerve stimulator ihloswe ukuvula umoya womoya ngokuhambisa ulimi ngokulala ngesikhathi sokulala. Uma isebenze, i-electrical stimulates the nerve hypoglossal kulimi. Lokhu kubangela ukuchotshozwa kwemisipha okuletha ulimi phambili. Isikhathi salokhu kuvuselela kungase kube njalo ngesikhathi sokulala noma okuvumelanisiwe ukuhambisana nephethini yakho yokuphefumula.
Iziphi Izimo Eziphatha Ngayo?
I-hypoglossal nerve stimulator okwamanje isetshenziselwa ukwelashwa kwe-apnea yokuvimbela ukulala. Ngeke kube usizo kubantu abane- apnea yokulala phakathi . Kungase futhi kuthuthukise ukudlala, kepha akuvunyelwe kuphela ukuphatha lesi simo. Abantu abane- highway resistance resistance syndrome bangase bathole ukuthi ukwelashwa kuyasiza.
Inqubo Yokuhlinza Yokubekwa
I-hypoglossal nerve stimulator kumele ibekwe ngokuhlinzwa. Ingxenye eyinhloko yedivayisi ifakwe ngaphansi kwesikhumba sodonga oluphezulu lwesifuba, kufana ne-pacemaker. Le ngxenye ihlanganisa ibhethri kanye nengxenye edala ukugqugquzela kagesi.
Kusuka lapha, ucingo olushukumisa ngempela ulimi luya enyeni ye-hypoglossal.
Izingozi ze-Hypoglossal Nerve Stimulator
Izingozi ezivame kakhulu ukusetshenziswa kwe-hypoglossal nerve stimulator yizo ezihlobene nokuhlinzekwa kokubekwa ngokwayo. Uma impilo yakho kanye nemibandela yezokwelapha ibeka kuwe engozini ephakeme kunoma yikuphi ukuhlinzwa, lokhu kungase kungabi yindlela enhle kuwe. Njenganoma yikuphi ukuhlinzwa, kunengozi yokuphuma nokutheleleka.
I-hypoglossal nerve stimulator ingase ibe yinkinga yokusebenza. Lokhu kungase kusho ukuthi liyeka ukusebenza ngokuphelele. Kungase futhi umlilo noma kusebenze ngokungalungile.
Ibhethri ekugcineni ngeke ihluleke, idinga ukuthi olunye ukuhlinzwa lishintshe idivaysi esetshenzisiwe (kodwa hhayi ngempela ucingo oluxhuma emanzini).
Eminye indlela eya ku-Hypoglossal Nerve Stimulator
Uma unquma ukuthi i-hypoglossal nerve stimulator akuyona kuwe, ungase ufise ukuhlola ezinye izindlela zokwelapha. Ngokuqinisekile, i-CPAP iyindlela yokwelapha yokuqala futhi ungafunda ukubekezelela kangcono ngokulandela ezinye iziqondiso eziyisisekelo . Kungaba lula njengokufunda indlela yokukhetha imaski . Abanye abantu bakhetha ukusebenzisa idivayisi yamazinyo , engakwazi ukubeka kabusha umhlathi nokunciphisa i-apnea yokulala. Kukhona nezinye izinketho zokuhlinza, kuhlanganise nenqubo yenkambiso kanye ne- tracheostomy . Ngisho into elula njengokusindiswa kwesisindo ingasebenza.
Uma ufisa ukufunda kabanzi mayelana nesishukela se-hypoglossal nerve, cishe kuzodingeka uthunyelwe kubungcali bokulala obunolwazi kudivayisi. Kungenzeka ukuthi ayitholakali kuzo zonke izifunda njengamanje indlela yokwelapha entsha.
Imithombo:
Eastwood, PR et al . "Ukwelapha i-apnea yokuvimbela ubuthongo nge-hypoglossal nerve stimulation." Ukulala . 2011 Nov 1; 34 (11): 1479-86.
U-Eisele, uDW et al . "Ulimi lwe-neuromuscular ne-direct hypoglossal nerve stimulation for obstructive sleep apnea." I-Otolaryngol Clin North Am. 2003 Jun; 36 (3): 501-10.
Kezirian, EJ et al . Ukuvuselela kagesi kwenzalo ye-hypoglossal ekwelapheni i-obnetive obnetive apnea. " Umbukiso wokulala . 2010 Okthoba; 14 (5): 299-305.
U-Oliven, A. "Ukwelapha i-apnea yokuvimbela ubuthongo nge-hypoglossal nerve stimulation." I-Curr Opin Pulm Med. 2011 Nov; 17 (6): 419-24.