Isilinganiselo sichaza isifundo sezinga le-oksijeni yehla kwi-Apnea yokulala
Ukuba ufunde ukulala ukuze uhlolisise ukuphazamiseka kokuphefumula ukulala, akungabazeki ukuba unemibuzo ethile malunga nesigama esetyenziswa kwingxelo echaza iziphumo zovavanyo. Enye imilinganiselo enokuthi ingabandakanywa, ebizwa ngokuba yinkcazelo ye-oxygen deaturation (ODI), inokubangela ukuphazamiseka ngokukodwa. Iyintoni inkcazo ye-oxygen deaturation?
Funda indlela le milinganiselo inokuba luncedo ngayo ukufumanisa i-apnea ebuthongweni obunzima obunokudibaniswa neqondo le-oksijeni kunye nezinye iziphumo zempilo zangexesha elide ezifana nesifo sengqondo kunye nokugula komqondo.
Yintoni i-Oxygen Desaturation Index (ODI)?
I-oxygen desaturation index (ODI) yimizuzu yezihlandlo ngeyure yokulala ukuba izinga le-oksijeni yegazi liye lahla ngeqondo elithile ukusuka kwisiseko esisezantsi. I-ODI ilandelwa njengenxalenye yezifundo zokulala eziqhelekileyo, ezifana nokuhlola i- polysomnogram , ukuhlolwa kwe-apnea yokulala ekhaya , okanye i- oximetry yobusuku . Ingenokuba yinto echanileyo ukuba izigaba zokulala zingalinganiswa kunye nokuvavanywa njengoko isalathisi sinokubakho ngaphezu kwexesha lokurekhoda elipheleleyo, elinokubandakanya ixesha lokuhlala liphapheme.
Iqondo lokutshintsha ukusuka kumgca wesiseko lingalinganiswa ngeendlela ezimbini ezahlukeneyo. Iikhrayitheriya ezisetyenziselwa ukuchonga isalathisi ziyahlukahluka kuxhomekeke kwimithetho yokubeka imivuzo. Ngokwezikhokelo ze-2007 ezivela kwi-American Academy ye-Sleep Medicine, nayiphi na isiganeko sokuphefumula ngexesha lokulala kunye neepesenti ezi-3 ezisezantsi kwiqondo le-oksijeni yegazi libalwe ngokubanzi. Ngokomzekelo, utshintsho oluvela kwipesenti ezingama-95 ukuya kuma-92 ekhulwini luya kuba ngumcimbi obalwa kwi-index.
Nangona kunjalo, i-Medicare kunye namanye ama-inshorensi athembele kwimithetho emidala yokubeka amanqaku kwaye ifuna utshintsho lwama-4 ekhulwini ukwenzela ukuba umcimbi ubalwe kwi-index.
Ezi zehla zomoya zibizwa ngokuba yi- desaturations . I-OD ikulinganiswa ngumlinganiselo wee-oximeter, okuyiyo ifowuni ebekayo kwi-fingertip ekhanyisa ukukhanya okubomvu kwesikhumba kwaye inokulinganisela inani le-oksijini egazini legazi.
I-teknoloji entsha inokuvumela ukuba le nto ilinganiswe ngeendlela ezahlukeneyo ngaphaya kwesikhumba.
Xa ukuphefumula kukuphazamiseka ngexesha lokulala, njengoko kunokuthi kwenzeke kwi- apnea yokuphazamiseka kokulala , amazinga oksijini wegazi angaphinda awa. La matonsi ahlotshaniswa nokuwa kwe-airway engenhla, iziganeko ezibizwa ngokuba yi-apnea okanye hypopnea. (I-hypopnea ibonisa ukuwa kweqela lokuhamba.) Amanxuwa e-oksijeni ayenzeki ngokuphindaphindiweyo ekunyuzeni okanye kwi- upper airway resistance syndrome (UARS) , iimeko ezimbini apho ukuphefumula kukuphazamiseka, kodwa kusezantsi. Ukuqhekeka kokulala kungabangela ngaphandle kwee-desaturations ezidibeneyo.
Kubalulekile ukuqonda ukuba i-ODI iyahluka kwenye imilinganiselo ebizwa ngokuba yi- apnea-hypopnea index (AHI) . I-AHI iquka iziganeko ezinokubangela ukuvuswa okanye ukuvuswa ebuthongweni ngaphandle kokuchaphazela amazinga oksijini. I-ODI ayibonakali neyona ncinane yezinga le-oksijeni yegazi elilinganiselweyo, elingabizwa ngokuba yincinci ye-oxygen saturation okanye i-oxydi nadir yesifundo. Ukuba izinga le-oksijini liphantsi ngokwaneleyo (ngokuphindaphindiweyo ngaphantsi kwama-88 ekhulwini ngumyinge) kwaye lugcinwe ngaphezu kwemizuzu engama-5, i-hypoxemia ingafumaneka.
Yintoni ebangela i-ODI ephucukileyo?
I-ODI ingaba nzima ngakumbi kubantu abanesifo sengqondo samaphaphu, kuquka nesifo esingapheliyo se-pulmonary disease (COPD), kunye nokuhluleka kwentliziyo ye-congestive.
Ngenxa yokuncipha kweendawo zokuhlala, ukuwa kwe-airway engenhla kungakhokelela ekubeni amazinga e-oksijeni yegazi ahlawule ngokukhawuleza. Oku kungabandakanywa nezinga eliphezulu le-carbon dioxide, njengokwanda kwe- hypoventilation syndrome .
Iziphumo zeMpilo
Kukholelwa ukuba ukuphakama kwi-ODI kunokukhokelela ekunyuseni ukuxininiswa kwe-oxyidative kunye ne-radicals ekhululekile emzimbeni onokubangela abantu ukuba babe neengozi zentsholongwane yexesha elide, kubandakanywa uxinzelelo lwegazi oluphezulu (ukunyuka kwengqondo), ukuhlasela kwentliziyo, ukuphazamiseka, i-arrhythmias njenge-fibrillation ye-atrial, kunye ukulahleka kweememori ezichaphazelekayo. Ukuqhawulwa kwama-cortisol kungadibanisa nokuxhathisa i-insulin kwaye kwandisa ingozi, kunye nobunzima besifo sikashukela.
Le miphumo yindawo esebenzayo yophando lokulala.
ILizwi
Ngethamsanqa, unyango olusebenzayo lwe-apnea yobuthongo obunqandekileyo kunye noxinzelelo oluqhubekayo lwe-airway (CPAP) lunokuqhelanisa ukuphefumula nokunciphisa ingozi yesikhathi eside edibene ne-apnea yokulala engaphelelwanga. Njengengxenye yokuphonononga iziphumo zokufunda zakho zokulala, thetha nogqirha wakho ogqirha ngokubhekisele ebhodini malunga nonyango olungcono kwiimeko zakho. Ukuxazulula ukuphefumula okuphazamisekile ukulala kungazuzisa umgangatho wobuthongo kunye nempilo yexesha elide.
> Umthombo:
> Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." I-ExpertConsult , i-6th edition, 2017.