Kwabo banesifo sokunyameka kwe-hypoventilation syndrome , kubaluleke kakhulu ukufuna unyango. Njengoko imeko ingaba nemiphumo embi kwaye ibhubhise, ukungenelela kwangaphambili kunye nobudlova kungabonakala kuyimfuneko. Funda malunga nezinye iindlela zokunonyamekela unyango lwe-hypoventilation syndrome kunye neenjongo zonyango.
Izinyango Zonyango
Izinyathelo zokonyanga zokunyamezeka kwe-hypoventilation syndrome (OHS) zingabelana ngokubambisana nezi zibini ezibalulekileyo ze-disorder: ukulahleka kwesisindo kunye nenkxaso yokuphefumla.
Ukuhla ukusinda
Njengoko igama lithetha, ukunyamezeka kuyinxalenye ebalulekileyo kwi-disorder. Ukuba ukulahlekelwa kwesisindo esikhulu kunokufezekiswa, kunceda ufumane uncedo. Oku kuya kufumaneka ngokutya kunye nokuzilolonga, kodwa ngaphezu kweepounds ezili-100 zokulahlekelwa kwesisindo kunokufuneka. Njengoko ukulahleka kwesisindo ngokukhawuleza kunokuba yingozi, kuyacetyiswa ukuba abantu benze oku ngaphantsi kolawulo lwegqirha. Izondlo zi no kunika isiluleko esinceda ekwenzeni utshintsho lokuziphatha. Ngelishwa, akunakwenzeka ukuqikelela ubungakanani bexabiso elimele lilahleke ukuba umntu aphilise ii-OHS.
Njengamanje, amayeza okulahlekelwa isisindo ayanconywanga ukulawula ukunyanya kuninzi kwi-OHS.
Njengoko ukutya kunye nokuzivocavoca kungenako ukugcina umphumo wokunciphisa ubunzima, kunokufuneka ukuba uphendule kwiindlela zokukhetha ezifana nokuhlinzwa kwesantya. Ezi nkqubo kubantu abagqithiseleyo kwaye baphelelwe yindlala yokulala baye bangandisa ingozi. Ngokukodwa, uhambo lwangaphakathi luya kuwela phantsi kwe-anesthesia esetyenziselwa ukuhlinzwa kunye nokubuyisela kube nzima.
Kunconywa ukuba utyando lwe-bariatric lugcinwe kubantu abane-index ye-mass mass (BMI) enkulu kunama-35 kwaye akukho zinye iimeko zonyango eza kwandisa umngcipheko wokukhusela. Kunceda ukuba ufunde ukulala okubizwa ngokuba yi- polysomnogram ngaphambi nangemva kokuhlinzwa ukuba kuqaphele iinzuzo zenkqubo.
Njengoko ukulahleka kwesisindo kwenzeka kwithuba leenyanga, kunokuba kuyimfuneko ukuxhasa ukuphefumula ngeli xesha kunye nezinye izibonelelo.
Inkxaso Yokuphefumula
I-mainstay yonyango kwi-OHS kukubonelela ngenkxaso yokuphefumla, ngokuqhelekileyo ngokusebenzisa ukuqhutyelwa kokunyanzelwa komoya (CPAP) okanye i- bilevel . Ezi zixhobo zivelisa ukuhamba komoya okunyanzelekileyo okungazigcina i-airway engenhla ingaphumeleli ngexesha lokulala.
Ukuba i-OHS ibhekisela kwingxaki ngokuphefumla, ingasebenzisa i- oksijeni ukuyiphatha? Ulwaphulo olongezelelweyo lwe-oksijini lungenakongezwa ukuba kukho isifo sengumphunga njengesifo se- COPD , kodwa ayinelanga ngokwalo. Enyanisweni, ukusebenzisa i-oksijini yodwa kwi-OHS inokuphelisa ukuphefumla.
Kwiimeko ezinzima, kunokufuneka ukuba wenze i- tracheostomy . Le nkqubo ibandakanya ukungeniswa kwiphubhu encinci yeplastiki ephambili emqaleni. Oku kudlula i-airway engenhla, ekulungele ukuwa okanye ukuphazamiseka kubantu abane-OHS. Nangona i-tracheostomy isebenza kakuhle, kukho iingxaki ezinxulumene nokusetyenziswa kwayo. Kunokuba nzima ukulungelelanisa utshintsho, ngokukodwa indlela ekuchaphazela ngayo intetho. I-brronchitis ingenzeka kwakhona rhoqo. Ngokubanzi, enikwe ezinye iinketho zokonyango, ngoku ayilunqabile ukusetyenziswa.
Kwakhona kuyimfuneko ukunqanda utywala kunye neziyobisi ezithile ezithintela ukukwazi ukuphefumula.
Iimpazamo ezinokuthi ziquka imishanguzo yonyango, njenge- benzodiazepines , opiates, kunye ne-barbiturates. Kufuneka uhlaziye amayeza akho kunye nogqirha wakho ukuqinisekisa ukuba akukho namnye kubo obeka ingozi enkulu.
Iinjongo Zonyango
Ekugqibeleni, injongo yonyango unyango lwe-hypoventilation syndrome kukulungisa iingxaki ezisisigxina kwisifo. Ukuphefumula okungafanelekiyo okuphawulekayo kwesi sifo kubangela ukungalingani kumanqanaba emichiza egazini. Xa i- carbon dioxide ayikwazi ukususwa ngokufanelekileyo, amanqanaba ayo akhula kwaye enze igazi libe lukhuni ngakumbi. Oku kubangela ukuba utshintsho oluninzi emzimbeni onokuba nemiphumo emibi.
Unyango lunokuthintela ukuhla kwamanzi e- oksijini , ukuphakama kwi-cell red count ebizwa ngokuthi i-erythrocytosis, kunye nokuhluleka kwentliziyo (eyaziwa njenge- cor pulmonale ). Ukulahlekelwa kwesisindo kufakela i-oxygen kunye nezinga le-carbon dioxide. Ukusetyenziswa kwe-CPAP okanye i-bilevel, kunye namanye amanyathelo, ngokunjalo ukukhusela le miphumo.
Ekugqibeleni, ubuthongo buba buncinci kwaye oku kuphucula ubuthongo obukhulu kakhulu. Oku kubangela umgangatho ophuculweyo wobomi, nto leyo injongo yonyango oluyimpumelelo.
Imithombo:
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Conway, W et al . "Imiphumo emibi ye-tracheostomy ye-apnea yokulala." JAMA 1981; 246: 347.
Perez de Llano, LA et al . "Ixesha elifutshane elifutshane kunye nexesha elide loxinzelelo lwangaphakathi oluxinzelelekileyo kwizigulane ezinobunene-isifo se-hypoventilation syndrome." I- 2005: 128: 587.
Scrima, L et al . "Ukunyuka kwe-apnea yobuthongo obunqanda ukulala emva kokulala ngexesha lokunxiliswa kotywala: ukukwazi ukuxilonga kunye nokucetywa kwamanyathelo." Ukulala ngo- 1982; 5: 318.
Sugerman, H et al . "Ixesha elide lotyando lwegastric for the treatment of breathing failure of fatness." Am J Clin Nutrition 1992; 55: 597S.