Xa Ukunciphisa Kubalulekile Ukuthintela Ukulala Kwama-Apnea
Ziziphi iimpawu zokugula kwe-apnea kubantwana? Kuphi na ukunyanga kwizingane eziqhelekileyo, kwaye nini na ingxaki?
Sibanzi
Ukukhusela i-apnea syndrome yokulala (OSAS) yinkathazo eqhelekileyo kubantwana, echaphazelayo 2 ukuya kwi-4% yabantwana ngexesha elithile. Kuya kubonakala ngokubonakalayo njengembangela yokuqwalaselwa kweengxaki kunye neengxaki zokuziphatha.
Ukulala nge-Apnea kwi-Children vs abadala
Ngokungafani nabantu abadala abane-apnea yokulala , abavame ukugqithisa kakhulu kwaye bavame ukuvuka ebusuku, abantwana abane-OSA banzima ukuyiqonda nokuxilonga.
Ngokuchasene nabantu abadala, abaninzi abantwana abanesifo sokulala singaphumi komzimba. Oko kwathiwa, ukugqithisa kakhulu kubangelwa ubungozi bokulala kwe-afnea kubantwana njengabantu abadala, ngenxa yokunyuka kwamafutha entanyeni nasemqaleni.
Iimpawu
Nangona ukugcoba kuyimpawu eziqhelekileyo kubantwana abanokukhubazeka kokulala, kubalulekile ukuba ukhumbule ukuba phakathi kwama-10 ukuya kuma-20 ekhulwini kubantwana abaqhelekileyo baqhwaba (i-snoring yokuqala) ngokuqhelekileyo okanye ngokukhawuleza.
Ezinye zeempawu kunye neempawu zokuphazamiseka kokuphazamiseka kobuthongo kubantwana zibandakanya:
- Ukunciphisa - Ukunyuba kudla ngokukhawuleza kwaye kwenzeka ubuninzi bobusuku.
- Ukuvuswa rhoqo okanye ukungazinzi ngokulala. Unokubona ukuba umntwana wakho unamaxesha xa ukuphefumla kwakhe kuyeka ixesha elifutshane.
- Ukungaphumeleli ukukhula (ukulahleka kwesisindo okanye ukufumana ubunzima obunzima) - Ukulala kwe-apnea kungabangela ukuncipha kwemveliso ye-hormone yokukhula, enokuthi, ibangele ukukhula okunciphisa nokufumana ukuphakama.
- Ukugqithisa kakhulu - Nangona i-apnea yokulala ingabangela ukukhula kakubi nokuphuhliswa, kungakhokelela ekugqithiseni, njengokuba ubuthongo bemini kungabangela ukunciphisa umzimba kwaye kubangele ukukhuseleka kwe-insulin.
- Ukuphefumula komlomo.
- Iitoni ezikhulisiweyo kunye ne-adenoids.
- Ukukhupha okudlulileyo ebusuku.
- Zihlala zihlazo.
- Bedwetting.
- Ukulala ngokugqithiseleyo kwemini.
- Iintloko zamasa.
- Ingxaki yemihla yokuqonda kunye neendlela zokuziphatha, kuquka neengxaki zokubeka ingqwalasela, ukuziphatha kakubi kunye nokunyanzelisa, ezinokubangela iingxaki esikolweni.
Iingxaki zokuziphatha njengeSimboli se-Sleep Apnea kwi-Kids
Ukubaluleka kokutshekisha ukuba kungenzeka ukuba u-apnea yokulala kubantwana abanenkinga yokuziphatha abakwazi ukugxininiswa ngokwaneleyo. Hayi nje kuphela ukulungiswa kwe-apnea yokulala njengento elula (enjalo) indlela yokulungisa ezi ngxaki, kodwa ngenxa yokuba imiphumo yesikhathi eside kubantwana yinto enzima kakhulu kunabantu abadala, kubandakanywa nje kuphela imiba yezokwelapha kodwa ukukhula nokuphuhliswa ngokomzwelo kanye.
Kubalulekile ukuthetha nodokotela wakho wezilwanyana malunga naluphi na utshintsho olwenzayo. Gcina ukhumbule ukuba oku akuthethi nje kuphela abantwana abenza izinto ezinobungozi okanye abanomdla. Ingabandakanyeka nabo babesakuba ngaphambili kwiwebhusayithi "enesibindi" kodwa ngoku bebaxhomekeke ngakumbi kwaye bezolile ngenxa yokukhathala kwamalanga.
Izimo zoNyango
Ziziphi iimeko zonyango ezinokuphakamisa umngcipheko wokuba umntwana wakho abe ne-apnea yokulala?
- I-Down's syndrome - Abantwana abane-Down's syndrome basengozini enkulu yokulala ne-apnea yokulala, ngokukodwa kuxhomekeke ekunciphiseni ithoni ye-muscle kunye nokwandiswa kobukhulu beelwimi.
- Inkqubo ye-neuromuscular and central central irregularity including cerebral palsy .
- I-craniofacial engafanelekiyo njenge-Pierre Robin syndrome, i- Treacher Collins kunye neCrouzon syndrome.
- Abantwana abane-craniosynostosis ezifana ne-Pfeffer's syndrome kunye nokunye.
- Ukunyanya.
Ukuxilongwa
Ukuxilongwa kwe-OSA kubantwana ngokuqhelekileyo kusekelwe kwiimpawu zobungqina kunye nobungqina be-adenotonsillar hypertrophy (amakhulu amakhulu kunye ne-adenoids) kunye nomlomo wokuphefumla. Abantwana abasolwayo ukuba babe ne-OSA kufuneka bavandlakanwe ngutitshala we-ENT ukuze baphonononge.
Ukuba kuyimfuneko, ukuvavanywa okuqhubekayo kunokubandakanya i- polysomnography (isifundo sokulala sezingane).
Unyango
Nangona abantwana abaninzi abancinci be-OSA bengabinamandla kakhulu, ukuba umntwana unzima kakhulu, oko kunokubangela ukuba abe negalelo kwiimpawu zakhe. Ukulahlekelwa kwesisindo, ngoko ke, kubalulekile kubantwana abangaphezu komzimba obunzima bokuphelisa ubuthongo obuthintekayo.
Ezinye iziganeko zonyango, ngokukodwa ukunyamezela, kufuneka ziphathwe. I-nasal steroid inokukunceda ukuphucula umqobo we-nasal kunye neempawu ze-OSA kubantwana abanobuchopho.
Uphuhliso oluphambili lwezingane kunye ne-OSA lugqirha, ngokususwa kweetoni ezikhulisiwe zomntwana kunye ne-adenoids ( tonsillectomy kunye ne-adenoidectomy okanye i-T & A ). Ngexesha langoku, ezininzi ze-T & A kwi-States e-Untied zenziwa ukulala nokuphazamiseka kokuphefumula kokuphefumula nokuphazamiseka kokugula.
Uninzi lwexesha, ukuhlinzwa (i-T & A) kuya kubangela isisombululo se-apnea yokulala ebantwaneni. Ukuba akunjalo, utyando olungakumbi lungafuneka, okanye ugqirha wakho unokuncoma ukusebenzisa ukunyanzeliswa kwengcinezelo ehamba phambili (CPAP) . okanye iinkqubo ze-orthodontic ezifana nokwandiswa kwe-maxillary ngokukhawuleza .
Oko Okufuneka Ukwazi Njengomzali
- Njengabantu abadala, ukuphazamiseka kokubuthwa kwe-apnea kungabangela iingxaki ezininzi, kuquka ukukhula okubi, iintloko, uxinzelelo lwegazi kunye nezinye iingxaki zeentliziyo kunye nemiphunga.
- I-OSA, kunye neengxaki zokulala, ngokubanzi, ziyabonakala zibangelwa njengesizathu senkxalabo yesikolo yeentsuku kunye neengxaki zokuziphatha. Ukuba umntwana wakho unenkathazo esikolweni okanye ngokuziphatha kwakhe kwaye uyakhala ngokukhawuleza, kufuneka ucele isifo sakho sezingane malunga ne-OSA.
Okukwintsusa
Ukuba umntwana wakho unayo nayiphi na impawu kuyo yonke i-apnea yokulala, khuluma nomntwana wakho. Nceda uqaphele kwakhona ukuba, ngokungafani nabantu abadala, abaninzi abantwana abahluphekileyo ngenxa yokuphulukana ne-apnea yokulala abagqithisi. Ukuphulukiswa kwe-apnea kunokuba nemiphumo emibi kumntwana ngokwezinga lamandla, ukuziphatha nokufunda. Iziphumo zokugonya kwe-apnea kubantwana zingathintela iziphumo zabo kwiimvavanyo zengqondo.
Imithombo:
I-American Academy ye-Otolaryngology - iNtloko kunye nokuPhepha kweNeck. Ubomi Bokulala Ukuphazamiseka Ukuphefumula / Ukuthintela Ukulala Nge-Apnea. http://www.entnet.org/content/pediatric-leep-disordered-breathingobstructive-leep-apnea
Dehlink, E., no H. Tan. Ukuhlaziywa kwi-apnea yobuthongo obuthintela abantwana. Umbhalo Wezifo Zesifo . 2016. 8 (2): 224-35.
UMarcus, C., Brooks, L., Draper, K. et al. Ukuxilongwa kunye nokulawulwa kobomi bokuphelisa ubuthongo obumbela ubuthongo lwe-apnea syndrome. Pediatrics . 2012. 130 (3): e714-55.