Imilinganiselo esetyenziselwa ukuhlola ukulala kwe-Apnea
Ukuba unesifundo sokulala njengendawo yokuhlola i-polysomnogram okanye kwindawo yokuhlola i-apnea yasekhaya, ungayifumana ingxelo evela kugqirha wakho echaza ubunzima bokuphalaza kwakho kokulala ngokutsho kwe-apnea-hypopnea index (AHI), kodwa yintoni yi - AHI? Ukuba usebenzisa i-CPAP) eqhubekayo yokwenza unyango, ungabona kwakhona i-AHI ibhengeze ukusetyenziswa kwansuku zonke.
Funda ukuba i-AHI yintoni kunye nokuba imilinganiselo isetyenziselwa njani ukuvavanya ubunzima bokuphefumula ukulala kunye neempendulo zakho kwiyeza.
Yintoni i-Apnea-Hypopnea Index (AHI)?
I-AHI, okanye i -index ye-apnea-hypopnea , ingumlinganiselo wenani obala inani leemoto zokuphefumula ngeyure yokulala. Iziganeko ezinokuthi zidibaniswe nokuphefumula okanye ukukhutshwa okukhawulezileyo okanye okupheleyo komqala ngeelwimi okanye izicubu emva komqala. Ezi ziphazamiso zokuphefumla zixhomekeke kunye nokuvusa okufutshane okanye ukuvusa ukusuka ebuthongweni okanye iipesenti ezi-3 ukuya kwi-4 zinciphisa kumanqanaba e-oksijeni yegazi, ebizwa ngokuthi unaturation.
I-AHI isetyenziselwa ukuvavanya ubunzima bomntu obuthongo bokulala. Inxibelelo yenkcazo yokuphazamiseka kokuphefumula (RDI), enye imilinganiselo enokuthi ibhengezwe, nangona okokugqibela kukufani njengoko kudla ukuquka ubunzima obunzima bokuphefumla. I-AHI inxalenye yengxelo evela kwisifundo esifanelekileyo sokulala ngenxa yokugula kwe-apnea.
Ikwabonakala kwakhona kwidatha ehambelana nokusetyenziswa kwe-CPAP, nangona umlinganiselo kule mongo uhlukile.
Imilinganiselo ye-AHI ngexesha lokuFunda
Isifundo sokulala esesikhungweni sokuphazamiseka kwezibhedlele esibizwa ngokuba yi-polysomnogram sisetyenziselwa ukuxilonga ukuphazamiseka kwe-apnea yokulala. Kwakhona kunokwenzeka ukuba imeko ifumaneke ngokusekelwe kuvavanyo lwekhaya.
Ulwazi oluninzi luqokelelwe, kwaye inxalenye yale njongo iquka ukulandelela iipatheni zokuphefumula ngobusuku. Oku kufezwe nge senzwa ehlala ekhayeni kunye nesibane sokuphefumula eselula ngaphantsi kwesifuba kwaye kaninzi isisu. Ukongeza, i-sensor ebizwa ngokuba yi- oximeter iyalinganisa i- oksijeni yakho kunye ne-pulse rate ngokukhanyisa ukukhanya kwe-laser ngesandla sakho ngeqhosha.
Yonke le ngcaciso ihlalutyiweyo ukuqinisekisa ukuba kaninzi kangakanani ukuphefumula okanye ukuyeka ukuphefumula ngobusuku. Nokuba nayiphi na ingqinamba ekhethiweyo yendlela yokuhamba nomoya kuthiwa yi-hypopnea. I-Hypopnea ibhekisela ekunciphiseni kwexesha lokuhamba komoya (ngokuphindaphindiweyo xa ilele) ehlala ubuncinane imizuzwana engama-10. Ukuphefumula okungapheliyo okanye izinga lokuphefumula elingaqhelekanga lingabizwa ngokuba yi-hypoventilation.
Ukuphelisa ngokupheleleyo ukuphefumla kuthiwa yi-apnea. I-Hypopnea inzima kakhulu kunokuba i-apnea (leyo ilahlekelwa ngokupheleleyo ngokukhutshwa komoya). Kananjalo kungakhokelela ekunciphiseni ukunyakaza komoya kwimipopho kwaye kungenza amazinga oksijini egazini alahle. I-apnea yokulala iqheleke ngokuqhelekileyo ngenxa yokuphazamiseka kwendawo engaphezulu.
Ukuze ubale kwi-AHI le mizuzu yokuphefumula kufuneka ihlale imizuzwana engama-10 kwaye idibaniswe nokuhla kwezinga le-oksijini yegazi okanye kubangele ukuvuswa okubizwa ngokuba yi-arousal.
I-AHI yinani elipheleleyo leemigama ezenzekayo njengoko zilinganiselwe ngeyure yokulala.
Indlela i-AHI isetyenziselwa ngayo ukuchonga i-Apnea yokulala
I-AHI isetyenziselwa ukuhlukanisa ubunzima be-apnea yakho yokulala, ngokwemiqathango elandelayo kubantu abadala:
- Eziqhelekileyo : iziganeko ezingaphantsi kwezi-5 ngeyure yokulala
- Ubumnene : 5-14.9 iziganeko ngehora lokulala
- I-Moderate : Iziganeko ezili-15-29.9 ngeyure yokulala
- Ikhulu : iziganeko ezingaphezu kwe-30 ngeyure yokulala
Kubantwana, kuthathwa njengesiqhelo xa kukho esinye isiganeko sokuphefumula esingavamile ngokweyure yokulala njengoko kulinganiswe ngu-AHI, kwaye abantwana kufuneka bangalokothi baphuze.
Olu luhlu luncedo ekuqaliseni iindlela ezinonophelo zokonyango kunye nobuchule obunempawu ezihambelanayo, kubandakanya ubuthongo obuninzi bemini , uxinzelelo lwegazi oluphezulu , isifo sikashukela, ukubetha , kunye nezinye iingxaki.
Ukuba imeko ilula okanye imodareyitha, umbane womlomo unokufaneleka .
Ukutolika i-AHI ne-CPAP iTradio
Kuzo zonke izigaba zobunzima, uxinzelelo oluqhubekayo lwe-airway (CPAP) lunokuqwalaselwa . Uninzi lwamashishini we-CPAP akwazi ukubonelela nge-AHI ye-daily proxy njengendlela yokuqinisekisa ukuphendula okufanelekileyo kunyango. Yenza oku ngokulinganisa ukukhutshwa kwomoya. Xa ukuxhatshazwa kwandisiwe, kunokuthi ukutolika oku ngenxa yokukhutshwa komoya. Ngokuqhelekileyo unyango lwenjongo yokufumana i-AHI kwisigaba esiqhelekileyo ngonyango lwe-CPAP, kodwa isezantsi ingaba ngcono.
Kubalulekile ukuba ugqirha wakho acinge ngemingcipheko ye-apnea yokulala xa ukhetha unyango lwakho. Ngokomzekelo, uphando oluthile lubonisa ukuba kuphela iipesenti ezingama-30 zabantu abanokuphefumula obuthintekayo obuthongweni bokulala beza kunyamezela unyango lwe-CPAP. Oku kuphuculwe ngamacebo amatsha kunye nezitala zemaski, nangona kunjalo. Ukongeza, unokufumanisa ukuba i-AHI yakho iphezulu xa ulele kumqolo wakho okanye ngexesha lokulala kwe-REM, enokuthi ibe nempembelelo yonyango.
ILizwi
Ukuba unemibuzo engakumbi malunga ne-AHI yakho ithetha ntoni kwimeko yakho, thetha kunye nodokotela wakho wokulala ebhodini. Kufuneka kube lula ukufumana unyango osebenzayo oya kukushiya ulele kwaye uzive ungcono.
Imithombo:
I-American Academy yoLondolozo lweMpilo. Ulwahlulo lwaMazwe ngamazwe lweengxaki zokulala: I-Manual Diagnostic and Coding Manual. " Wesi-2. 2005.
Giles, TL et al . "Ukunyamezela okuqhubekayo kwe-Airways yokuvimbela ukulala kwe-Apnea kubantu abadala." Cochrane Database Syst Rev. 2006; 3: CD001106.