Ukuphefumla umntwana xa elala

Ngokuphefumla komntwana xa elala, ukuphefumla komntwana kuyanqumama ngexesha lokulala kuba indlela yomoya iye yacutheka okanye ngokuyinxenye yavalwa.

Ngexesha lokulala, zonke izihlunu ezisemzimbeni ziye zikhululeke ngakumbi. Oku kubandakanya izihlunu ezinceda ukugcina umqala uvulekile ukuze umoya ungene emiphungeni.

Ngokwesiqhelo, umqala uhlala uvulekile ngokwaneleyo ngexesha lokulala ukuze kudlule umoya. Nangona kunjalo, abanye abantwana banomqala omxinwa. Oku kuhlala kungenxa yeetoni ezinkulu okanye iiadenoids, ezithintela ngokuyinxenye ukuhamba komoya. Xa izihlunu ezisemqaleni wazo ziphumla ngexesha lokulala, izicwili ziyavala kwaye zivimbe indlela yomoya. Ukuyeka ukuphefumla kuthiwa yi-apnea.

Ezinye izinto ezinokunyusa umngcipheko wokuphefumla kokulala ebantwaneni zibandakanya:

• Umhlathi omncinci
• Iimo ezithile zophahla lomlomo (inkalakahla)
• Ulwimi olukhulu, olunokubuyela umva kwaye luvale indlela yomoya
• Ukutyeba kakhulu
• Ithoni yemisipha engalunganga ngenxa yeemeko ezinje nge-Down syndrome okanye i-cerebral palsy

Ukukhwaza okukhulu luphawu oluxelayo lwe-apnea yokulala. Ukurhona kubangelwa kukuxinzezeleka komoya kwindlela ecutheneyo okanye evaliweyo. Nangona kunjalo, ayinguye wonke umntwana okrokrelayo one-apnea yokulala.

Abantwana abane-apnea yokulala nabo banempawu ezilandelayo ebusuku:

• Ukuthula cwaka ixesha elide ekuphefumleni kulandelwe kukukrala, ukukrwitshwa, kunye nokuphefumla umoya
• Ukuphefumla ikakhulu nangona umlomo
• Ukulala ngokungapheliyo
• Ukuvuka rhoqo
• Ukulala
• Ukubila
• Ukwaluka ebhedini

Ngexesha lasemini, abantwana abane-apnea yokulala banokuthi:

• Ndiziva ndisozela okanye ndozela imini yonke
• Yenza into enomsindo, ukungabi namonde, okanye ukucaphuka
• Unengxaki yokugxila esikolweni
• Yiba nokuziphatha okungafunekiyo

Umboneleli wezempilo uya kuthatha imbali yezonyango yomntwana wakho kwaye enze uvavanyo lomzimba.

• Umboneleli uya kujonga umlomo, intamo, nomqala womntwana wakho.
• Umntwana wakho unokucelwa malunga nokulala emini, ukuba balala kangakanani, kunye nemikhwa yokulala.

Umntwana wakho unokunikwa isifundo sokulala ukuqinisekisa ukuphefumla kokulala.

Utyando lokususa iitoni kunye neeadenoids zihlala ziphilisa imeko ebantwaneni.

Ukuba kuyimfuneko, utyando lusenokusetyenziselwa:

• Susa izicubu ezongezelelweyo emva komqala
• Lungisa iingxaki ngezakheko ebusweni
• Yenza ukuvula i-windpipe yokugqitha kwindlela yomoya evaliweyo ukuba kukho iingxaki emzimbeni

Ngamanye amaxesha, utyando alukhuthazwa okanye alunakunceda. Kwimeko apho, umntwana wakho esebenzisa isixhobo esiqhubekayo soxinzelelo lomoya (CPAP).

• Umntwana unxiba imaski phezu kwempumlo ngethuba lokulala.
• Isigqumathelo sidityaniswe ngombhobho kumatshini omncinci ohleli ecaleni kwebhedi.
• Umatshini upompa umoya phantsi koxinzelelo ngokusebenzisa ithumbu kunye nemaski nakwindlela yomoya ngexesha lokulala. Oku kunceda ukugcina indlela yomoya ivulekile.

Kungathatha ixesha ukuba uqhele ukulala usebenzisa unyango lwe-CPAP. Ulandelo olulungileyo kunye nenkxaso evela kwiziko lokulala kunokunceda umntwana wakho oyise naziphi na iingxaki esebenzisa i-CPAP.

Olunye unyango lunokubandakanya:

• Ukungenisa i-nasal steroids.
• Isixhobo samazinyo. Oku kufakwa emlonyeni ngexesha lokulala ukugcina umhlathi ungaphambili kwaye indlela yomoya ivulekile.
• Ukuthoba umzimba, kubantwana abatyebe kakhulu.

Kwiimeko ezininzi, unyango luyazikhulula ngokupheleleyo iimpawu kunye neengxaki kwi-apnea yokulala.

Ukungaphathwa kakubi kokulala kwabantwana kunokukhokelela ku:

• Igazi elonyukayo
• Iingxaki zentliziyo okanye zemiphunga
• Ukukhula kancinci kunye nophuhliso

Fowunela umnikezeli ukuba:

• Uyazibona iimpawu zokuphefumla xa ulala emntwaneni wakho
• Iimpawu aziphucuki kunyango, okanye iimpawu ezintsha ziyavela

I-apnea yokulala-yabantwana; I-apnea - isifo sokulala kwabantwana xa belala; Ukuphefumla kokulala okungalunganga-kwabantwana

• Adenoids

UAmara AW, uMaddox MH. I-Epidemiology yeyeza lokulala. Ku: Kryger M, Roth T, Dement WC, ii-eds. Imigaqo kunye nokuziqhelanisa neyeza lokulala. Umhla wesi-6. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 62.

UIshman SL, uProsser JD. Uvavanyo kunye nolawulo lokungaphefumli kwabantwana xa belele. Ku: UFriedman M, uJacobowitz O, ii-eds. Ukulala Ukuphefumla kunye Ukurhona. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2020: isahluko 69.

UMarcus CL, Brooks LJ, Draper KA, et al. Ukuchongwa kunye nolawulo lwe-apnea syndrome yokulala kwabantwana. IPediatrics. Ngo-2012; 130 (3): e714-e755. IINKCUKACHA: 22926176 pubmed.ncbi.nlm.nih.gov/22926176.