Uxinzelelo oluqhubekayo lwe-airway (CPAP) lusetyenziswa ngokuqhelekileyo ukuphatha i- apnea yokulala . Injongo kukuphucula ukuphefumula ebusuku, kodwa uyazi njani ukuba i-CPAP isebenza ngokufanelekileyo? Inkcazo ye- apnea-hypopnea index (AHI) ingaba ngumlinganiselo onceda ukulandelelanisa ukusebenza kwonyango lwakho.
Ukufunda i-AHI kuthetha ntoni kwisifundo sokulala okanye umshini we-CPAP?
Yintoni ethathwa njengesiganeko? Ukuba inombolo ye-AHI iphakanyisiwe, unokubuza, "Ndiyilungisa njani umshini wam CPAP?"
Funda ukuba yintoni injongo yakho i-AHI ukuba ikhulise iinjongo zokusebenzisa i-CPAP yonyango olufanelekileyo kunye nendlela ukunyanzeliswa kugqityiweyo kwaye kufuneka kulungiswe ngayo.
Yintoni i-AHI?
Okokuqala, kubalulekile ukuqonda oko kuthethwa yi-AHI, kokubili izifundo zokulala kunye nomshini we-CPAP.
Lo mlinganiselo uvame ukuhanjiswa ngaphakathi kwimeko yokufunda ingxelo yokulala . Yona inani leeyure ngelo lokulala ukuhamba kwendlela yakho ephezulu (ulwimi okanye i-palate ephosakeleyo emqaleni) ngokukhawuleza okanye ngokugqithiseleyo, okukhokelela ekuvukeleni okufutshane okanye ukuvusa ebuthongweni okanye ekuhlaleni kwamanqanaba e-oxygen. Ukuwa ngokukodwa kwe-airway kuthiwa yi-hypopnea. Ukungabikho kokuphumla kwomoya ngeempumlo nomlomo, nangona umzamo wokuphefumula njengoko ulinganiswe kwisifuba nesisu, kuthiwa yi-apnea.
I-AHI isetyenziselwa ukuhlukanisa ubunzima be-apnea yokulala.
Ukwahlula okufanayo kusetyenziswa ukuvavanya indlela umshini we-CPAP osebenza ngayo. Ezi zikhokelo zilandelayo zisetyenziselwa abadala:
- Eziqhelekileyo : Iimbalwa ezingaphantsi kwama-5 iziganeko zokuphefumula ngeyure yokulala
- I-apnea ebuthongo yokulala : 5 ukuya kwe-15 iziganeko zokuphefumula ngeyure yokulala
- Ukuphefumula okuphambili kokulala : 15 ukuya ku-30 iziganeko zokuphefumula ngeyure yokulala
- Ukuphefumula okukhululekileyo kokulala : Kukhulu kuneziganeko zokuphefumla ezingama-30 ngeyure yokulala
Ukulala kwabantwana kuhlalutyiweyo ngeendlela eziqinileyo kunye nesiganeko esinye kwisinye sokulala sibhekwa njengesiqhelo ekuhlolweni kokulala.
Iyini injongo ye-AHI yokwenza ngcono unyango?
Injongo yakho i-AHI ifanele ibe yintoni? Okokuqala, qonda ukuba kunokuhlukahluka ubusuku nobusuku kule milinganiselo. Njengoko kuphawulwe, ukuphalaza kokulala kungahle kube nzima ngokulala ngaphezulu, ukulala okungaphezulu kwe-REM , nokuba mhlawumbi uphuze kakhulu utywala ngexesha lokulala. Ngoko ke, akunakunceda ukuxosha inombolo yansuku zonke. Kunoko, le mihluko ifanele ibe ngaphezu kweentsuku ezingama-30 ukuya kwi-90.
Ngokubanzi, i-AHI kufuneka igcinwe ngaphantsi kweziganeko ezi-5 ngeyure, ephakathi kwebala eliqhelekileyo. Ezinye iingcali zokulala ziza kujolisa i-AHI ye-1 okanye-2 ngokucinga ukuba iziganeko ezimbalwa ziya kubaphazamisa ukulala. Ukuba isiseko se-AHI kwisifundo sokulala siphezulu kakhulu, njengeziganeko ezili-100 ngeyure, eziganeko ezili-10 ngeyure zingabonakalisa ukuphucuka okukhulu.
Iintlobo zeziganeko ezinokuthi ziphazamise, eziphambili (ezimele iziphephelo zokuphefumula), okanye ezingaziwa (ezihlobene nokuvuza). Ezi ntlobo zinezigqibo ezizodwa. Ngokomzekelo, ingcinezelo ye-CPAP ingafuneka iphendulwe-okanye iphantsi-okanye imaski ingadinga ukutshintshwa.
Injongo efanelekileyo kuwe inokuxhomekeka kubunzima kunye nemeko yesimo sakho sokuqala. Ingacetyiswa ngokuthotyelwa kwakho kunyango, kunye neengcinezelo eziphantsi ezivunyelwe ukuphucula induduzo. Isimangcipheko esiphezulu sezona zinto esinqunyiwe ngokubhekiselele kwi-bhod-certified certified specialist yakho ne-AHI yesilinganiso esetyenziswe kwimeko yamava akho kunyango.
Amashishini aseCAPAP asebenza njani kunyango?
I-CPAP yanamashishini kunye ne- bilevel iyakwazi ukulandelela inani elishiyekileyo leemeko zokuphefumula ezenzeka kwiimeko zakho zangoku. Ngenye yezi ziganeko ziyakunxibelelana ngokukhawuleza okufutshane okanye ukuhla kwexesha elide kwizinga le-oksijeni yegazi.
Ungakholelwa ukuba ukusebenzisa i-CPAP yakho kuya kukuthintela imeko ngokupheleleyo, kodwa oku akunjalo. Kuxhomekeke, kwinqanaba, kwingcinezelo ebekwe nguwe olala ubungcali.
Khawucinge ucinge ukuzama ukufaka ityhubhu ende ende ngokufumba umoya. Ngomoya omncinci, ityhubhu ayiyi kuvula kwaye iya kuhlala iphela. Ngokufanayo, ukuba uxinzelelo lube luphantsi kakhulu kumatshini wakho we-CPAP, uhambo lwenu olungaphezulu luyakwazi ukuwa. Oku kungakhokelela kwiziganeko eziqhubekayo ze-hypopnea okanye i-apnea. Ngaphezu koko, iimpawu zakho zihlala ziqhubeka ngenxa yokunyanga.
Kwakhona kunokwenzeka ukuba ezinye iinguqu ziya kuthintela isixa soxinzelelo olufunekayo ukugcina indlela yakho ivulekile. Ezi zinto zibandakanya indawo yokulala (ubunzima xa ulala emhlane), isigaba sokulala (esibi kakhulu ekuleleleni kwe-REM), ukuxininiseka kwesisu, kunye nokusetyenziswa kotywala okanye imichiza eyenziwa njenge-muscle relaxants.
Indlela yeeCop Machine Machine zokuhlala eziPhepha zeApnea Events
Umatshini omtsha unokulandelela iziganeko zakho zokuphefumula ezingaqhelekanga kunye nokwenza i-AHI. Oku kufumaneka kwidivaysi okanye nge-intanethi yokulandelela iiwebhu okanye ii-apps. Oku kufezwe njani?
Ewe, impendulo emfutshane kukuba ezi ndlela ziyimfihlo, ziyimfihlo, kwaye azibonakaliswa yiinkampani ezenza izixhobo. Ngokwemigaqo elula, ke, cinga ukuba umatshini udala uxinzelelo oluqhubekayo. Iyakwazi kwakhona ukuvelisa ukuqhutyelwa kweengcinezelo ezongezelelweyo. Emva koko ulinganisa ukukhuseleka ngaphakathi kwendlela yokuhamba ngomoya.
Ukuba akukho mfahluko ocacileyo kwintsebenzo phakathi kweengcinezelo ezingaphantsi nephezulu, kuyaqondwa ukuba indlela yokuhamba ngomoya ivulekile. Nangona kunjalo, ukuba i-airway isenxalenye (okanye ingqongqo), ingcinezelo eyongeziweyo ingahlangabezana nokuchasana. Ngomatshini "oomatshini", oku kuya kwenza umatshini ukuba uvuselele uxinzelelo ngaphakathi kwinqanaba elinqunyiwe ukuxhasa kangcono indlela yakho yokuhamba.
Khumbula ukuba lo mlinganiso awunelungelo oluchanekileyo njengoko oko kwenzeka kwisifundo esisemthethweni sokulala. Umlinganiselo ungangcoliswa ngumfutho omkhulu wemaski. Ukuba ihlala iphakanyisiwe ngaphandle kwengcaciso efanelekileyo, inokufuna ukuphinda ufunde ukulala ukuze uhlole imeko yakho.
I-AHI eyenziwa ngumatshini ibhalwa kwikhadi leenkcukacha zokuthobela. Umboneleli wakho wezinto zokusebenza okanye ugqirha unokukwazi ukukhuphela oku kwaye uvelise ingxelo ukukhokela unyango lwakho. Kwakhona kungabonakaliswa kusasa kwisikrini okanye kwisixhobo somsebenzisi. Le ngcaciso ingakwabelwana kwifu kwaye ikunike ulwazi malunga nokusebenza kweyeza lakho kunye neenkqubo ezihambelanayo.
Indlela yokujonga iimfuno zoxinzelelo kunye nokulungiswa kwe-CPAP
Njengoko kuphawuliwe ngasentla, kukho inamba yeziguquko zokuqwalasela xa uguqulela i-AHI ukufunda. Akunakunqunywa ngokutshintsha i-device ingcinezelo okanye iphantsi.
Inani elifunekayo lokutshintsha lingaba nzima. Ngokomzekelo, umntu ophethe i-AHI ephezulu kwisifundo sokulala angeke afune ukuba uxinzelelo oluphezulu lwe- CPAP ukulungisa imeko. I-Anatomy kunye nezinye izinto zinokuthatha indima. Ukuba ifowuni iphakanyisiwe kakhulu, ingabangela ukuba i-apnea yokulala ephakathi ivele. Ukuba izicwangciso ziphantsi kakhulu, zingase zisebenze kakuhle ngokwaneleyo ukulungisa imeko.
Ukuba i-AHI ihlala iphakanyisiwe, sekuyisikhathi sokubuyela kwi-your-certified certified board for your assessment. Lo mboneleli unako ukutolika i-AHI kumxholo wesifundo sakho sokulala esisiseko, i-anatomy, imichiza, utshintsho kwiimeko zempilo kunye nezinye izinto. Lo mntu makabe nguye ozocwangcisa izicwangciso zomshini wakho we-CPAP. Nangona izicwangciso zingatshintshwa ngabani na, ngumniki wakho kuphela onokwenza isigqibo esinolwazi.
ILizwi
Ukuba unemibuzo malunga nokuba i-CPAP yakho isebenza kunye nokuba ingaba yintoni kuwe, qhagamshelana nomboneleli wakho ukuba axoxe ngesimo sakho kunye neendlela ezikhoyo zokuphucula unyango lwakho. Ukulandelelana rhoqo kwikliniki kuya kuqinisekisa ukuba unyango lwakho luyimpumelelo.
> Imithombo:
> "Iifayile eziqhelekileyo ze-AHI." FAQ, i- Philips Respironics DreamMapper.
> Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." I-ExpertConsult , i-6th edition. 2017.
> "Kutheni utshintsho lwam lwe-apnea-hypopnea (AHI) lushintsha ?