Isixhobo esilungelelweyo sisebenzela iziNtu zoLwimi ukuvula uMoya
Ukufumana unyango oluqhelekileyo lwe- apnea yokulala - uxinzelelo oluqhubekayo lwe-airway (CPAP) okanye i-bilevel - lunokuba nzima ukunyamezela. Njengoko imeko ingaba neyingozi, kwaye ingeyo imiphumo, unokushukunyiswa ukuba ufune ezinye iindlela. Ukuhlinzwa kungabonakala ngathi kuyindlela enqwenelekayo kunye nokusetyenziswa kwesicwangciso esitsha esibizwa ngokuba yi-hypoglossal nerve stimulator kungathi kunomdla.
Utyando lwe-hypoglossal nerve stimulator, elibizwa ngokuba ngu- Inspire , lugqithisa njani ukuphazamiseka kwe-apnea yokulala? Funda indlela ifowuni eyenziwa ngayo i-pacemaker ifowuni isebenza.
Yintoni i-Hypoglossal Nerve stimulator?
I-hypoglossal nerve stimulator yinkqubo yezobugqirha eyenziweyo eyenza ukunciphisa ukuvela kwe-apnea yokulala ngokuphazamiseka ngombane okhuthaza umdla we-hypoglossal ulwimi. Ukuvuselela oku kuvuselela izihlunu zolwimi, ukwandisa ithoni kwaye uyishukumisele phambili, kude nomva we-airway. Ayibangeli intlungu. Ngoko ke unako ukuphelisa ngokukhawuleza ukuphazamiseka kokuphazamiseka kokulala.
Usebenza njani nge-Hypoglossal Nerve Stimulator Work?
Ukuvuthwa kwe-apnea yokubuthwa ibonakala ngokukhutshwa kwe- airway engenhla (ngokuqhelekileyo emva emlonyeni okanye emqaleni). Xa lo mqobo ukhuba, i-airway iyawa ngokupheleleyo kwaye iphefumula ngokuqhelekileyo ngexesha lokulala ngeke kwenzeke.
Kukho iimeko ezithile ezinokumisela umntu kulolu hlobo lwesithintelo.
I-airway ingase iwele ngenxa yokulahlekelwa kwetoni ye-muscle eyenzeka njengenxalenye yokunyakaza kwamehlo okukhawuleza (REM) yokulala . Kungenzeka ngakumbi xa silala emhlane wethu. Ingaba yinto eqhelekileyo xa sisebudala . Ngokuqinisekileyo kunokwenzeka kakhulu phakathi kokugqithisa nokugqithisa. Ukusetyenziswa kotywala kunye nemichiza ephumayo i-muscle inokuthi iphinde ibe yinto ejongene nayo.
Ukongezelela, kukho iinxalenye zesimo sethu sokuthi singakhokelela ekuphumeni kwe-apnea. Ngokomzekelo, ulwimi olukhulu (olubizwa ngokuba yi- macroglossia ) okanye oluhlanjululwe ngumhlathi (olubizwa ngokuba yi- retrognathia ) lunokukhokelela ekukhuselweni komoya.
I-hypoglossal nerve stimulator isetyenziselwa ukuvula indlela yokuhamba ngokuhamba kolwimi ngexesha lokulala. Xa isebenze, i-electrical stimulates the nerve of hypoglossal ulwimi. Oku kubangelwa ukuqhekeka kwemisipha ezisa ulwimi. Ixesha le-stimulation lingahlala lilala ngexesha lokulala okanye lihambelaniswe ukuhambelana nomzekelo wakho wokuphefumla.
Ziziphi Iimeko Eziziphathayo?
I-hypoglossal nerve stimulator njengamanje isetyenziselwa unyango lwe-apnea yokulala. Akunakuba luncedo kubantu abane -apnea yokulala ebumbini . Kungaphinde kuphuculwe ukunyusa, kodwa ayivunywanga kuphela ukuphatha le meko. Abantu abathile abane- highway resistance syndrome banokufumana unyango luncedo.
Inkqubo yoPhando yokuFakela
I-hypoglossal nerve stimulator kufuneka ifakwe kwisifo. Inxalenye ephambili yale divayisi ifakwe phantsi kwesikhumba sodonga oluphezulu lwesifuba, kufana ne-pacemaker. Eli candelo liquka ibhetri kunye nenxalenye eyenza ukuvuselelwa kombane.
Ukusuka apha, intambo ekhuthaza ngokwenene ulwimi luya kwi-nerve ye-hypoglossal.
Izingozi ze-Hypoglossal Nerve Stimulator
Iingozi eziqhelekileyo kunye nokusetyenziswa kwe-hypoglossal nerve stimulator yilabo badibene nokutyunjwa ngokwabo. Ukuba iimeko zakho zempilo kunye nezokwelapha zibeka emngciphekweni ophezulu kunoma yimuphi utyando, oko kungenako ukukhetha okulungileyo kuwe. Njengalo naluphi na utyando, kukho umngcipheko wokuphuma kwegazi kunye nosulelo.
I-hypoglossal nerve stimulator isenokungasebenzi. Oku kunokuthetha ukuba iyeka ukusebenza ngokupheleleyo. Inokutsha okanye isebenze ngokungalunganga.
Ibhetri ekugqibeleni iphela, idinga ukuba olunye utyando litshintshe idivaysi efakelwe (kodwa kungekhona ingcingo edibanisa kwisibindi).
Eminye i-Hypoglossal Nerve Stimulator
Ukuba unquma ukuba uncedo lwe-nerve ye-hypoglossal ayikho kuwe, unokufisa ukuphonononga ezinye iindlela zokonyango. Ngokuqinisekileyo, i-CPAP yonyango lokuqala kwaye unokufunda ukunyamezela ngokulandela izikhokelo ezisisiseko . Kungenzeka kube lula njengokufunda indlela yokukhetha imaski . Abanye abantu bakhetha ukusetyenziswa kwesicingo samazinyo , esinokumisa umhlathi kunye nokunciphisa i-apnea yokulala. Kukho ezinye iindlela zokugonywa, kubandakanywa nenkqubo yendlela kunye ne- tracheostomy . Nento into elula njengokulahleka kwesisindo iyakwazi ukusebenza.
Ukuba unqwenela ukufunda okungakumbi malunga ne-hypoglossal nerve stimulator, kuya kufuneka ukuba uhanjiswe kwingcali yobuthongo obunenkcenkceshelo kwisixhobo. Kungenako ukufumaneka kuzo zonke iindawo njengoko kusekho indlela entsha yokonyango.
Imithombo:
Eastwood, PR kunye al . "Ukwelapha ukukhuseleka kokugonjelwa kwesibhedlele nge-hypoglossal nerve stimulation." Ukulala . 2011 uNgo-1; 34 (11): 1479-86.
Eisele, DW et al . "Ulwimi lwe-neuromuscular kunye ne-hypoglossal nerve stimulation for breathing apnea." Otolaryngol Clinic North Am. 2003 Juni; 36 (3): 501-10.
Kezirian, EJ et al . "Ukuvuselela umbane we-hypoglossal nerve ekwenzeni unyango lokuphazamiseka kokulala." Ukuguquka kweMedi . 2010 Oct; 14 (5): 299-305.
U-Oliven, A. "Ukuphatha ukukhuseleka kokuphefumula ubuthongo nge-hypoglossal nerve stimulation." Curr Opin Pulm Med. NgoNovemba 2011; 17 (6): 419-24.