Ukuba ukhankanywa ukuba unesifo sokulala njengesifo sokukhubazeka sokulala, umnikezeli wakho wezokwelapha unokuncoma ukuba uqhube i-oximetry yokupasa ubusuku obuncinane, uvavanyo oluqhelekileyo oluhlola ukuhlola i-oxygen level levels. Olu vavanyo lusetyenziselwa ukufumana ukusetyenziswa kwe-oxygen ekhaya. Kwenzeka ntoni ngolu vavanyo? Ulwazi lusetyenziswa njani? Funda malunga ne-oximetry kwaye ingaba luncedo njani ukuphonononga ukuphefumula kwakho ebuthongweni.
Yintoni i-Oxetry Pulse?
I-oximight oximetry luvavanyo olulula olwenziwe lula ekhaya. Inika ulwazi olusisiseko olunokuba luncedo ekuqalekaliseni ukuba unesifo esithile esivamile sokulala, i- apnea yokulala .
Uvavanyo luquka ukusetyenziswa kweplastiki kwisiqalo somunwe wakho. Khawucinge nje ngengubo enkulu yokugqoka okanye iplastiki efaka isandla sakho. Esi siqhotyoshelweyo sinokuthi siqhutywe endaweni kunye nenqwelwana yetheyipu, kodwa akubuhlungu ukuba sibe kunye kwaye ingasuswa kalula. Ngokuqhelekileyo ixhunywe ngekhebula kwibhokisi elincinci elirekhoda idatha ngobusuku. Ukuba usebenzisa uxinzelelo oluqhubekayo lwe-airway (CPAP) , linokuxhumeka kule fowuni ukurekhoda idatha. Izixhobo ezintsha zingamathela ngqo kwesikhumba kwaye zinike izilinganiso ezifanayo.
Ngaphakathi kweso-night oximeter sensor kubomvu obomvu. Ukukhanya okubomvu kubonakale ngomnwe wakho okanye ubuso besikhumba sakho.
Ngokuqhelekileyo ngaphesheya, okanye ngamanye amaxesha kufana nokukhanya okuphumayo, yintliziyo engakwazi ukulinganisa i-pulse yakho (okanye intlawulo yenhliziyo) kunye nomxholo we-oksijini wegazi lakho. Olu hlobo lugqitywa ngumbala wegazi lakho, eliya kufanana nomlinganiselo we-oksijini equlethe. Igazi eliphezulu kakhulu libomvu, ngelixa igazi elingenasiphelo kwi-oksijini liluhlaza okwesibhakabhaka.
Olu tshintsha ubukhulu bexesha elide lokukhanya eliboniswa emva kwesikhombisi.
I-Oximetry ingabajonga njani amanqanaba e-Oxygen kwaye ichonga i-apnea yokulala?
Ezi nkcukacha zirekhodwa ngokuqhubekayo kwikhosi yobusuku kwaye ziya kubangela igrafu. Umboneleli wakho wonyango uza kukwazi ukuyihlolisisa kwaye aqinisekise ukuba kukho amaconsi angavamile kwiqondo lakho le-oxygen elibizwa ngokuba yi- desaturations . Oku kuya kwenzeka ngokuphindaphindiweyo kwi-apnea yokulala.
Kwakhona kunokwenzeka ukuba amanqanaba e-oksijini azinzileyo kumanqanaba aphantsi, ngokukodwa ekusetyenzisweni kwezifo zamaphaphu ezinjenge-chronic obstructive disease pulmonary disease (COPD) okanye i-emphysema.
Nge-desaturations ye-oksijini, kunokunokunyuka okwenziwe kwintliziyo yakho. Ezi ziganeko zingakhombisa ukuba khona kwe-apnea yokulala kuba kubandakanya ukuhamba kwexesha elizeleyo ekuphefumla kwakho kunye nokunyuka kwinqanaba le-oksijini yegazi lakho elikhokelela kwi-spike ye-cortisol (i-hormone yoxinzelelo) echaphazela intliziyo.
Ziziphi iiNqanaba eziqhelekileyo zeMilinganiselo ye-Oxetry Measurements?
Ngokuqhelekileyo, kuthathwa njengesiqhelo ukuba amazinga oksijini awela ngaphantsi kweepesenti ezingama-88 kubantu abadala okanye ngaphantsi kweepesenti ezingama-90 kubantwana. Kubaluleke kakhulu, ubude bolu buncipha imiba. Ukuba amanqanaba angaphantsi kwama-88 ekhulwini ngaphezu kwemizuzu engama-5 ngeli busuku, imeko ebizwa ngokuba yi-hypoxemia ingafumaneka.
Ezi nqanaba zingaba ziphantsi kakhulu, kwaye ngokubanzi i-desaturations ibe ngaphantsi kwama-80 ekhulwini ithatyathwa kakhulu.
Ezi zihlahla kumanqanaba e-oksijeni yegazi zingadinga unyango. Ukuba imbangela ebangelwa ukulala nge-apnea, i-CPAP okanye unyango lwe-bilevel lungasebenza . Nangona kunjalo, ekungabikho kwe-apnea yokulala, ukusetyenziswa kwe-oksijeni eyongezelelweyo njengoko kuhanjiswa nge-tubing kwi-cannula yasemanzini ukusuka kwi-oxygen concentrator okanye itanki yomoya-moya ingafuneka ukuba isombulule ukungaqhelekanga.
I-Pros and Cons Cons of Overnight Oximetry kwi-Sleep
Olu vavanyo lokuhlola lulula kwaye alubizi, kodwa alufezekanga. Ezi zixhobo ziya kuba zifumaneke ngokubanzi kubathengi.
Zingathengwa kwi-intanethi okanye nakwii-pharmacy. Yiyiphi ixabiso eli nokuba le milinganiselo inika?
Ii-oximeters zibonelela kuphela inani elincinci lolwazi. Ukongezelela, kukho ubuqhetseba obandakanyekayo kwiintlungu zokulala ezingenakukwazi ukuzibona. Umzekelo, indawo yokulala (ngokukodwa ukulala kumqolo ) kunye nezigaba zokulala (ingakumbi ukulala kwe-REM ) zinokuchaphazela ukuguquka kwe-oxygen. Izixhobo ezilula azikwazi ukuchonga ezi ntlawulo.
I-overnight oximetry yedwa ayaneleyo ukufumanisa i-apnea yokulala kwaye ayikwazi ukusetyenziswa kwiinjongo zomshuwalense ukufumana unyango olunjenge-CPAP. Nangona kunjalo, kunokuba luncedo ekuboneni abanye abantu abavumelanisa ukuvavanya , njengepolyomnographie okanye ukuhlolwa kwe-apnea enkulu yokulala ekhaya . Kwakhona kunokuba luncedo ukuqinisekisa ukuba unyango lwe-apnea lokulala lusebenza kwaye i-oxygen desaturations eziye zaphawulwa phambi kokuvavanywa kwangaphambili kokuxilonga ziye zazisombulula.
ILizwi
Ukuba unenkxalabo yokuba amazinga akho oksijini angabonakaliyo ngexesha lokulala, thetha nodokotela wakho malunga nesidingo sokuvavanya nokunyango. Xa amaqondo oksijini ephantsi ngaphandle kwe-apnea yokulala, ukuxhaswa kwe-oksijini kunokukunceda ukuba ulale kwaye uzive ungcono. Ezi zixhobo ze-oximeter ziqokelela idatha, kodwa kuya kuwe ukuba wenze kwaye uzise nantoni na ukukhathazeka ngogqirha wakho.
> Umthombo:
> UBennett JA noKinnear WJM. "Ulale ebuthathaka: indima yobusuku obuninzi kwi-diagnosis ye-apnea hypopnoea syndrome." Thorax 1999; 54 : 958-959.