Ukuxilongwa kwe-Apnea yokulala yaseKhaya Mhlawumbi isebenza kakuhle kwiimeko
Phantse akukho mntu ulele ebhodini lobuthongo ekufundeni ubuthongo obunobusuku obunzima ngokuthelekiswa nekhaya. Kucacile ukuba kukho iindlela ezingcono zokulala kunokugqithiswa kwiiscingo kunye nomntu obukeleyo kunye novakalelo lokulala. Izigulane ezininzi zibuza imibuzo yeziphumo zokuvavanya xa zinobusuku obubi bokulala. Yintoni enye? Ngethamsanqa, ukuhlolwa kwe-apnea yokulala ekhaya kungabonakalisa umdla.
Yintoni ukuhlolwa kwe-apnea yokulala ekhaya (HSAT)? Cinga olu khetho olufanelekileyo, nokuba ngaba kufanelekile ukuvavanya ukugula kwakho kokulala, kunye neendleko kunye nemida ehambelana nezifundo zokulala ekhaya.
Yintoni i-Home Sleep Apnea Testing?
Njengoko igama libhekisela, ukuvavanya i-home sleep apnea kukulawulwa kwesifundo sokulala ekuthuthukisweni kwekhaya lakho ukuxilongwa kwe- apnea yokuphazamiseka kokulala . Kukho izixhobo ezahlukeneyo ezikhoyo kule vavanyo. Ezi zi no kufumaneka ngophando lokulala, umniki-nkonzo oyintloko, okanye nakwiinkampani ezizimeleyo zenkampani.
Uninzi lwekhaya lokuhlola i-apnea yokulinganisa iiparameters eziwusizo ekufumaneni ukuphefumula okuphazamisekile. Nangona amacebo ahluka, abaninzi banokubona iqondo legazi le-oksijeni kunye ne- oximeter , intliziyo yesantya, umgudu wokuphefumula ngesalathisi esiswini esiswini, ukugubha izibilini, kunye nokuphuma kwempompo ngeempumlo ze-oxygen. Ezinye izixhobo zirekhode amanyathelo angaphezulu, njengamaqondo angagqithanga ngengqondo nge- EEG yokulala, isikhundla sokulala, kunye nokunyakaza.
Ngaba I-Home Apnea Yokulala Ilungelo Lwam?
Kukho imigaqo echanekileyo esetyenziselwa ukuchonga izigulane ezinokuhlolwa kwe-apnea yokulala ekhaya. Ezi zikhokelo ziyakwandisa impumelelo yovavanyo kwaye ziqinisekise ukuxilongwa ngokufanelekileyo.
Okwangoku, kunconywa ukuba izigulana zezilwanyana ziyaqhubeka nokuya kwi- polysomnogram yokuhlola.
Ngoko ke, i-HSAT iphela kulabo bantu abaneminyaka eyi-18 okanye ngaphezulu. Abo banomgangatho ophezulu wokumodareyithwa obunzima bokuphalaza ngenxa yokubonakalisa iimpawu kunye ne- anatomy yenkxaso kufuneka kukhethwe ukuhlolwa kwekhaya. Ezinye zeempawu ezibalulekileyo ziquka:
- Ukukhawuleza
- I-apnea yeNgqina (ukuyeka ukuphefumula ngexesha lokulala)
- Ukulala ngokwemini ebusika ( isikolo se-Epworth > 10)
- I-Nocturia (ukuvusa rhoqo ukuvuthwa)
- I-Bruxism (amazinyo agaya okanye adibanise)
- Ubuthongo obuqhekekileyo nokulala
- Ukunyanya
- Uphakathi ukuya kwidala elidala (kubandakanywa nabasetyhini beposi)
Kuye kubaluleke kakhulu ukuba uphando lobungqingili obuqinisekisiweyo bebhodi ukuvavanya ukuba ufumane uvavanyo olufanelekileyo kuwe. Kwezinye iimeko, kunokubakho ukuchasene nokuhlola ukulala ekhaya.
Imiqathango efuna ukuba iLeb-Lab ibone ukuhlolwa kweeSifundo
Ngenxa yobume bokuvavanywa kunye nokulinganiselwa kwayo, ezi zilandelayo zikhethiweyo. Kwezinye iimeko, into enokuthi iphazamise ukuphathwa kakuhle kovavanyo ekhaya. Kukho nezinye iimeko zonyango apho isifundo sokulala ngokusemthethweni kwisiko lokuvavanya siyadingeka ukuba uhlolisise kakuhle i-disorder. Izizathu eziqhelekileyo zokungabi nekhaya lokuhlola i-apnea yokulala ziquka:
- Izithintelo zengqondo okanye yolwimi eziphazamisa ukulawulwa kovavanyo
- I-moderate isifo sesifo esiphambanayo
- Isifo se-Neuromuscular
- Ukukhubazeka kwentliziyo
- Ukuxhatshazwa kwepnea yokulala ebumbini
- Ukuxhatshazwa kwentshukumo yokunyakaza kwesigxina (PLMD)
- Ukulala kweprayimari
- Iziphazamiso zengqungquthela yeCycadian
- I-Parasomnias (ukuziphatha ngokulala)
- Ukunqongophala
Uvavanyo lunokuqwalaselwa kwimeko ngeziganeko phakathi kwezigulane ezingenakho ukuya kwi-polysomnography ngenxa yokungahambi kakuhle, ukhuseleko okanye ukukhathazeka ngokugula. Izigulane eziqinisekisiwe yi-Medicare zingadinga ireyithi ephakamileyo yokusola inikwe imigaqo ephezulu yokufaka amanqaku asetyenziswayo kunye nokuhlolwa kwekhaya.
Ukulungiswa kunye nokwenza iNdebe yokuHlala kwe-Apnea yokulala
Izigulane eziye zahlolwa kwaye zibonwa zifanelekile kwiHSAT ziya kuqhubeka kunye nokuhlolwa.
Emva kokuba ugqirha wakho wayala umyalelo wokufunda, uchwepheshe okanye uncedisi wezokwelapha uza kubonisa indlela yokusebenzisa izixhobo. Uya kuwathatha ekhaya uze wenze uvavanyo, ngokuphindaphindiweyo omnye okanye nobusuku bobabini. Emva kokuvavanywa kugqityiwe, ifowuni ibuyiselwe ukuze ikhutshwe ukuze ugqirha ahlaziye idatha kunye nokwenza iingcebiso zokuxilongwa kunye neyeza. Ngokufumana uvavanyo olwenziwe ngongcali obuthongole ubuthongo obungqina obunokuthi uyichaze iziphumo, unokukhawuleza ukudibana nodokotela oya kukunyamekela kwaye uqale unyango ukulungisa isifo sakho sokulala.
I-Pros and Cons Cons of Home Sleep Apnea Testing
Kukho izibonelelo ezithile ezibonakalayo zokuba uvavanyo lwe-apnea lokulala ekhaya. Enye yezona ziqheno ezinkulu kukulungele ukulala ebhedeni lakho ekhaya. Ukuba ungumntu onoxanduva lomntu omnye, kuquka nabantwana, oku kungenza izinto zibe lula. Kukho iifowuni ezimbalwa ezifunekayo zokulinganisa, okwenza uvavanyo olungaphantsi lube lukhulu kwaye lukhulu ngakumbi. Uvavanyo oluqhelekileyo lubiza ngexabiso eliqhelekileyo, ngokuqhelekileyo libiza ama-dollar angamawaka angama-dollar xa kuthelekiswa nokudlula i-$ 1000. Ngenxa yokufumaneka kokunyuka, kungenziwa ngokukhawuleza ngokukhawuleza ukuqala ukunyanga.
Ngaphambi kokuba ukhethe ukuvavanya i-home apnea yokulala, kufuneka uqwalasele ukuxhomekeka kwimeko yokuvavanya. Njengoko kuphawuliwe, lo vavanyo lusetyenziselwa ukuxilonga ukuphazamiseka kokuphazamiseka kokulala kwe-apnea kuphela. Akukufanelekanga ukuvavanya ukulala komgudu wokulala, ukulala, ukugula, ukuphazamiseka kwemilenze, ukuphazamiseka kwe-circadian, i-parasomnias, i-narcolepsy, i-seizures, kunye nezinye iingxaki.
Ukuba uvavanyo lubuya lube lubi, lube nesiphumo esiqhelekileyo, oku kungenako ukuba kuchaneke. I-apnea ebuthongo yokulala ingaphuthelwa. Oku kubaluleke ngakumbi kubasetyhini abaselula kunye nabantu bobunzima bomzimba obuqhelekileyo. Naliphi na ixesha elihlala livukile liza kunciphisa inani eliqhelekileyo leemeko ze-apnea zokulala ezigcinwe ngeyure yokurekhoda. Oku kunokutshintsha ukuxilongwa okanye ukukhokelela kwisimo sengqondo sobuxoki. Ukuba kukho into engalunganga ekusebenziseni iisensi okanye iimilinganiselo ezirekhodiweyo, uvavanyo luya kuphinda luphindwe.
Ngokuqhelekileyo, ukuba uvavanyo lwekhaya lwe-apnea lokulala luhluleka ukufumanisa i-apnea yokulala, uvavanyo lovavanyo lwe-lab luyakucetyiswa ukuba luhlolisise ngokupheleleyo imeko. Ukuba i-central apnea yokulala ifunyenwe ngophando lwe-apnea yokulala ekhaya, isifundo se-titration kwi -rapy ye-bilevel ifunwa rhoqo. Ukuba uvavanyo lubonisa ubumnyama bokulala, kuya kuba lula ukuhamba kunye nonyango, njengokwelashwa kwe-CPAP okanye ukusebenzisa umbane womlomo.
Ukuba unomdla wokufunda okungakumbi malunga nokuhlolwa kwe-apnea yokulala ekhaya njengendlela yokukhetha, funda ingcali yokulala yokuqinisekisa ubuthongo kufuphi nawe kwaye uvavanywe ekugqibeleni ufumane ukuxilongwa, unyango kunye nokuphumla komgangatho oyifunayo.
Umthombo:
Collop NA et al . " Izikhokelo zeeKliniki zokuSebenza kweeNgcebisi ezingapheliyo kwiiNgcaciso zokuHlola iziNtu zokuThuthuka kwabaPhepha kwabakhulileyo ." I- Journal ye-Clinical Sleep Medicine . 2007; 3 (7): 737-747.