Igazi lakho lijongene nokuthwala i-oksijini kwizitho zakho kunye nezinye iifom. Nangona kunjalo, ngamanye amaxesha ebusuku, ayithwali i-oksijini eninzi njengesiqhelo. Le ngxaki ibizwa ngokuba yi-désaturation yangomso emini, echaza ngokutshintsha kwexeshana kumanqanaba e-oksijeni yegazi ukusuka kwinqanaba labo eliqhelekileyo, emanqanaba emini ("i- oxygen saturation " yinqanaba le-oksijini igazi lakho eliphetheyo).
Ukutshatyalaliswa kwexesha elidlulileyo kwintsiba yinto eqhelekileyo kubantu abanezifo ezingapheliyo zokuphazamiseka kwemiphunga - kunokuchaphazela kuma-38% abo abaneCOPD .
Izinto zobungozi
Abantu abanezempilo abaneempesheni eziqhelekileyo zemiphunga badla amanqanaba e-oxygen saturation phakathi kwama-95% kunye ne-100%. Oku kuthetha ukuba iiseli zabo ezibomvu zegazi zisebenza ngokusondeleyo okanye zigcwele amandla okwenza oksijini.
Abantu abaneCOPD banamanqanaba athile okwehla oksijini. Ezinye izifundo ziye zagqiba ukuba amaxesha okwenziwa kwe-oksijeni ye-oxygen angaphantsi okanye alingana no-93% angaqikelela umngcipheko ophezulu we-désaturation yangomso emini kubantu abane-COPD.
Ngokukodwa, ukuba umntu afunyaniswe ukuba unesaturation yantambama emini, i-oksijithi ye-oxygen level level kumele ilahle ngaphezu kwe-4% ukusuka kwisithuba sabo semini ngokuyiminyaka emihlanu ngelixa ilele.
Izizathu
Ukutshatyalaliswa kwexesha lesantya kungenziwa xa ukuphefumula kwakho kugxina ngexesha lokulala.
Oku kwaziwa ngokuba yi- hypoventilation .
I-Hypoventilation inokukhokelela ekutshintsheni kwiigesi zegazi ezinjenge- hypercapnia (kakhulu i-carbon dioxide) kunye ne- hypoxemia (i-oxygen encinci) kwizigulane ze-COPD, ingakumbi ngexesha lokulala kwe-REM. Ezi ziguqulwa zingakhokelela kwiziganeko ezikhulayo zokuvusa nokuphazamiseka kokulala, uxinzelelo lwe-pulmonary kunye nezinga eliphezulu lokufa.
Ukongezelela, ukuba nezinye iintlungu zokulala ezifana ne- sleep apnea zinganceda ukwandisa iingxaki kunye neempawu ezinxulumene ne-désaturation yangomso.
Ukutshatyalaliswa kwexesha elidlulileyo kwimihla ngemihla kuya kwenzeka ngenxa yezinto ezibizwa ngokuba yi- ventilation / perfusion , oku kuthetha ukuba ukuphefumula kwakho akuhambelani nexesha legazi lakho elijikelezayo kwimiphunga yakho. Enye ingxaki eqhelekileyo kwizigulane zeCOPD.
Ukuqwalasela izicwangciso
Kubantu abanomodareyitha kwi-COPD enobungqina obukrokrelwayo ukuba babe ne-désaturation yangomso emini, i- oximetry yasekhaya iyisisombululo esisebenzayo ekuhlolweni kwesi simo.
Iindlu zee-oximeter zasekhaya zilinganisela amanqanaba e-oxygen saturation ngexesha lokulala kwaye zixhotyiswe nge-alamu ezivakalayo xa i-oxygen saturation iwela ngaphantsi kwezinga elithile. Bakubhalisa amanqanaba akho okwenzela i-oksijini ukwenzela ukuba umnonophelo wakho wezempilo angakuhlalutya kangcono ukutshatyalaliswa kwexesha lesantya.
Esinye isixhobo esiluncedo ekuboneni ukuchithwa kwexesha lesantya kunye nezinye ukuphazamiseka kokulala, isifundo sokulala, saziwa ngokuba yi-technical term polysomnography (PSG).
Izifundo zokulala zenziwa kwindawo elawulwayo, mhlawumbi iziko lokulala. Xa ufunda isifundo sokulala, uya kujongwa ngumcuphi oqeqeshiwe.
Izixhobo zokufunda ngokufanayo zirekhoda iiparameter ezahlukeneyo zomzimba ezinxulumene nokulala nokuvuka, kuquka ukuphefumula, intliziyo yenqanaba, amaqondo oksijini, umsebenzi we-muscle kunye nokuhamba kwamehlo.
Unyango
Izigulane ezinesifo esiphathekayo sexesha elidlulileyo sexesha elizayo ziza kuxhamla ngokucacileyo kwi- oksijeni yexesha elide, ingakumbi ukuba kukho ubungqina bentsholongwane yomsuku.
Ukongezelela, ukuba usebenzisa i-oksijini emini, kufuneka uxoxe nomboneleli wakho wezempilo malunga nokuba ufuna i-oksijini engakumbi ngexesha lokulala ukukhusela ukutshatyalaliswa okungakumbi ebusuku. Abantu abaneCOPD banokufumana ukuba balala ubusuku obubhetele ngokusebenzisa i-oksijini kuphela ebusuku, kodwa, inzuzo yale nto ihlala ingacacile.
Umthombo
Fanfulla F, i-Cascone L, iTaurino AE.Minerva Med. Ukuphefumula okungafihlekiyo kwizigulane ezinezifo ezingapheliyo. 2004 Aug; 95 (4): 307-21.
Lacasse Y et. al. Ukuphonononga i-oxygen deaturation kwiCOPD - ihlaziywe. Respir Med. 2011 Meyi 9.
Marrone O, Salvaggio A, Insalaco G. Int J Chron Vimbela iPulmon Dis. Izifo zokuphefumula ngexesha lokulala kwisifo esingasasigxina sepmmonal disease. 2006; 1 (4): 363-72.
I-Weitzenblum E, i-Chaouat A, i-Charpentier C, i-Krieger J. Ukulala kunye ne-COPD. U Prat. Ngo-1995 Meyi 15; 45 (10): 1257-60.