Utyando lokulala i-Apnea

Umxholo

• Zithini iinkqubo ezahlukeneyo?
• Radiofrequency ukunciphisa ivolumu yemisipha
• Uvulopalatopharyngoplasty
• Ukuqhubela phambili kweMaxillomandibular
• Ngaphambili i-osteotomy engaphantsi kwegunya
• Ukuqhubela phambili kweGenioglossus
• I-midline glossectomy kunye nesiseko sokunciphisa ulwimi
• Iilwimi ezinobunzima
• I-Septoplasty kunye nokunciphisa i-turbinate
• Isishukumisi se-Hypoglossal nerve
• Ukumiswa kweHyoid
• Zeziphi iingozi zotyando lwe-apnea yokulala?
• Thetha nogqirha wakho
• Umgca wezantsi

Yintoni i-apnea yokulala?

I-apnea yokulala luhlobo lokuphazamiseka kokulala okunokuba nemiphumo emibi yezempilo. Kubangela ukuphefumla kwakho kuma ngamaxesha xa ulele. Oku kuhambelana nokuphumla kwezihlunu emqaleni wakho. Xa uyeka ukuphefumla, umzimba wakho uhlala uvuka, ubangele ukuba uphulukane nokulala okusemgangathweni.

Ngokuhamba kwexesha, i-apnea yokulala inokunyusa umngcipheko wokukhula koxinzelelo lwegazi, imiba ye-metabolic, kunye nezinye iingxaki zempilo, ke kubalulekile ukuyinyanga. Ukuba unyango lwezonyango alunakunceda, unokufuna utyando.

Zithini iinkqubo ezahlukeneyo?

Kukho iindlela ezininzi zokunyanga zokunyanga i-apnea yokulala, kuxhomekeke kwindlela obunzima ngayo ukuphefumula kwakho kokulala kunye nempilo yakho yonke.

Radiofrequency ukunciphisa ivolumu yemisipha

Ukuba awukwazi ukunxiba isixhobo sokuphefumla, esifana noxinzelelo oluqhubekayo lomatshini womoya (CPAP), ugqirha wakho unokucebisa ngeradiofrequency volumetric tissue reduction (RFVTR). Le nkqubo isebenzisa amaza e-radiofrequency ukunciphisa okanye ukususa izicubu ngasemva komqala wakho, uvule indlela yakho yomoya.

Gcina ukhumbule ukuba le nkqubo ihlala isetyenziselwa ukunyanga i-snoring, nangona inokukunceda kunye ne-apnea yokulala.

Uvulopalatopharyngoplasty

NgokweCleveland Clinic, le yenye yezona ndlela zotyando zixhaphakileyo ekunyangeni i-apnea yokulala, kodwa ayisiyiyo eyona isebenzayo. Kubandakanya ukususa izicwili ezingaphezulu kumphezulu womqala wakho nasemva komlomo wakho. Njengenkqubo yeRFVTR, ihlala yenziwa kuphela ukuba awukwazi ukusebenzisa umatshini we-CPAP okanye esinye isixhobo, kwaye ihlala isetyenziswa njengonyango lokurhona.

Ukuqhubela phambili kweMaxillomandibular

Le nkqubo ikwabizwa ngokuba kukumiswa kwakhona kwemihlathi. Kubandakanya ukuhambisa umhlathi wakho phambili ukwenza indawo ethe kratya emva kolwimi. Oku kunokuvula indlela yakho yomoya. Into encinci ebandakanya abathathi-nxaxheba abali-16 yafumanisa ukuba ukuqhubela phambili kwe-maxillomandibular kunciphise ubukrakra bokuphefumla kokulala kubo bonke abathathi-nxaxheba ngaphezulu kwe-50%.

Ngaphambili i-osteotomy engaphantsi kwegunya

Le nkqubo yahlulahlula amathambo akho esilevu abe ngamacandelo amabini, ukuvumela ulwimi lwakho ukuba luqhubele phambili. Oku kunceda ukuvula indlela yakho yomoya ngelixa uzinzisa umhlathi nomlomo wakho. Le nkqubo inexesha elifutshane lokubuyisela kunabanye abaninzi, kodwa ihlala ingasebenzi kakuhle. Ugqirha wakho unokucebisa ukuba wenze le nkqubo ngokudibeneyo nolunye uhlobo lotyando.

Ukuqhubela phambili kweGenioglossus

Ukuqhubela phambili kwe-Genioglossus kubandakanya ukuqinisa ngokuthe ngcembe iithoni ngaphambili kulwimi lwakho. Oku kunokuthintela ulwimi lwakho ekubuyiseleni umva kwaye luphazamise ukuphefumla kwakho. Ihlala yenziwa ecaleni kwenkqubo enye okanye nangaphezulu.

I-midline glossectomy kunye nesiseko sokunciphisa ulwimi

Olu hlobo lotyando lubandakanya ukususa icandelo ngasemva kolwimi lwakho. Oku kwenza ukuba indlela yakho yomoya ibe nkulu. NgokweAmerican Academy of Otolaryngology, uphononongo lubonisa ukuba le nkqubo inamazinga empumelelo angama-60 eepesenti okanye ngaphezulu.

Iilwimi ezinobunzima

Le nkqubo isusa zombini iitoni kunye neetoni zeethoni kufutshane nasemva kolwimi lwakho. Ugqirha wakho unokucebisa olu khetho ukunceda ukuvula indawo esezantsi yomqala wakho ukuze uphefumle lula.

I-Septoplasty kunye nokunciphisa i-turbinate

Iseptum yempumlo ngumxube wethambo kunye nentlala eyahlula iimpumlo zakho. Ukuba i-septum yakho yempumlo igobile, inokuchaphazela ukuphefumla kwakho. I-Septoplasty ibandakanya ukulungisa i-septum yakho yempumlo, enokukunceda ukolula imingxunya yakho yeempumlo kwaye wenze kube lula ukuphefumla.

Amathambo agobileyo ecaleni kweendonga zempumlo yakho, ebizwa ngokuba zii-turbinates, ngamanye amaxesha anokuphazamisa ukuphefumla. Ukunciphisa i-turbinate kubandakanya ukunciphisa ubungakanani bala mathambo ukukunceda uvule indlela yakho yomoya.

Isishukumisi se-Hypoglossal nerve

Le nkqubo ibandakanya ukufaka i-electrode kwimithambo-luvo ephambili elawula ulwimi lwakho, ebizwa ngokuba yi-hypoglossal nerve. I-electrode iqhagamshelwe kwisixhobo esifana nesomenzi wenhliziyo. Xa uyeka ukuphefumla xa ulele, ivuselela izihlunu zolwimi lwakho ukuzithintela ekuthinteleni indlela yakho yomoya.

Olu lukhetho lonyango olutsha oluneziphumo ezithembisayo. Nangona kunjalo, le nkqubo iqaphele ukuba iziphumo zayo azingqinelani kubantu abanesalathiso sobunzima obuphezulu bomzimba.

Ukumiswa kweHyoid

Ukuba i-apnea yakho yokulala ibangelwa kukucinywa kufutshane nasezantsi kolwimi lwakho, ugqirha wakho unokucebisa inkqubo ebizwa ngokuba kukumiswa kwe-hyoid. Oku kubandakanya ukuhambisa ithambo le-hyoid kunye nezihlunu ezikufutshane entanyeni yakho kufutshane nomphambili wentamo yakho ukuvula indlela yakho yomoya.

Xa kuthelekiswa nolunye utyando lwe-apnea lokulala oluqhelekileyo, olu khetho luyinkimbinkimbi kwaye kuhlala kungasebenzi kakuhle. Umzekelo, ukubandakanya abathathi-nxaxheba abangama-29 bafumanise ukuba inqanaba lempumelelo leepesenti ezili-17 kuphela.

Zeziphi iingozi zotyando lwe-apnea yokulala?

Ngelixa lonke utyando luneengozi ezithile, ukuba ne-apnea yokulala kunokunyusa umngcipheko weengxaki ezithile, ngakumbi xa kuziwa kwi-anesthesia. Amayeza amaninzi e-anesthesia akhulula imisipha yakho yomqala, enokwenza ukuba i-apnea yokulala ibe mandundu ngexesha lenkqubo.

Ngenxa yoko, uya kufuna inkxaso eyongezelelweyo, enjenge-endotracheal intubation, ukukunceda uphefumle ngexesha lenkqubo. Ugqirha wakho unokucebisa ukuba uhlale esibhedlele ithutyana ukuze babeke esweni ukuphefumla kwakho njengoko uchacha.

Eminye imingcipheko yokuhlinzwa iquka:

• ukopha kakhulu
• usulelo
• i-vein thrombosis enzulu
• iingxaki zokuphefumla ezongezelelweyo
• ukugcinwa komchamo
• ukusabela komzimba kwi-anesthesia

Thetha nogqirha wakho

Ukuba unomdla kotyando lwe-apnea yokulala, qala ngokuthetha nogqirha wakho malunga neempawu zakho kunye nolunye unyango ozamile ngalo. Ngokwe-Mayo Clinic, kungcono ukunika ezinye iindlela zonyango okungenani iinyanga ezintathu ngaphambi kokuqwalaselwa kotyando.

Olunye ukhetho lubandakanya:

• umatshini we-CPAP okanye isixhobo esifanayo
• Unyango lweoksijini
• usebenzisa imiqamelo eyongezelelweyo ukuzixhasa xa ulele
• ukulala ngecala lakho endaweni yomqolo
• isixhobo somlomo, esifana nesilondolozi somlomo, esenzelwe abantu abane-apnea yokulala
• utshintsho kwindlela yokuphila, njengokunciphisa umzimba okanye ukuyeka ukutshaya
• Ukunyanga nayiphi na into ephantsi kwentliziyo okanye ukuphazamiseka kwemithambo-luvo enokubangela ukuba ungalali ngokwaneleyo

Umgca wezantsi

Kukho iindlela ezininzi zokunyanga ukunyanga i-apnea yokulala, kuxhomekeke kwisizathu esingunobangela. Sebenza nogqirha wakho ukufumanisa ukuba yeyiphi na inkqubo eza kusebenza kakuhle kwimeko yakho.