Yintoni Oyaziyo Ngokuzigcina
Abantwana abaninzi banxiba. Enyanisweni, kuqikelelwa ukuba phakathi kwe-3% kunye ne-12% yabantwana abaneminyaka engama-11 ubudala. Uninzi lwaba bantwana banempilo, ngaphandle kweminye impawu, kwaye banomdla wokuqala.
Ukunqongophala nokuVimbela i-Apnea yokulala
Kodwa abanye abantwana ababethayo, malunga ne-2% ngokuqikelelwa okunye, banokuphazamiseka kokulala kwe-apnea syndrome (i-OSAS), imeko eyaziwayo ngokukhokelela ekujongeni iingxaki zesikolo nokuziphatha kwabantwana.
Izikhokelo ezivela kwi-American Academy ye-Pediatrics, Ukuxilongwa kunye nokuLawula koBantwana bokuVuthwa kwe-Sleep Apnea Syndrome , kufuneka bancede oogqirha bezilwanyana baqonde, baxilonge baze baphathe abantwana nge-OSAS.
Uyazi njani ukuba umntwana wakho ngumntu oqhelekileyo okanye unobungozi bokulala? Abantwana abaqhwabayo nabangenawo i-OSAS kufuneka babe ngenye indlela kakuhle, bengenabuthongo bemini kwaye kufuneka babe neepatheni zokulala eziqhelekileyo. Ngokwahlukileyo, abantwana abane-OSAS bavame ukuphazamisa ubuthongo ngeemputshane "iiphampo, ukuxhamla, okanye ukuphazamisa" ebuthongweni babo. Abantwana abane-OSAS nabo banokuba neengxaki zokuziphatha, inkcazelo emfutshane kunye neengxaki esikolweni.
Ezinye iimpawu okanye iimpawu zingabandakanya:
- iitoni ezinkulu kunye / okanye i-adenoids kunye nokuphefumula komlomo rhoqo, intetho ye-hyponasal, kunye nesithintelo somzimba
- ukufumana ubunzima obunzima
- ukugqithisa
- igazi elonyukayo
Ngaba ukuhlutha komntwana wakho kuqhelekile?
Ukuphonononga abantwana abanoko
Uvavanyo lunokwenziwa xa kucingelwa ukuba umntwana wakho unalo i-OSAS, kubandakanywa nesifundo sokulala ebusuku (i-polysomnograph nobusuku).
Ngelishwa, kunokuba nzima ukufumana isibhedlele okanye isikhungo esenza izifundo zokulala zezingane ngaphandle kokuba uhlala kwindawo enkulu yedolophu.
Olunye uvavanyo lunokuquka ukuphulaphula i-audiotaping okanye i-videotaping yokulala komntwana wakho (nangona unokuba ufuna i-specialist ukutolika amateyipu), ukusebenzisa i-oximetry ye-night-hour ukulinganisa amazinga oksijini xa elele, okanye nje ukwenza isifundo sokulala ngexesha lokulala emini.
Ezi ezinye iimvavanyo ziboniswe ukuba luncedo xa zibonisa i-OSAS, kodwa umntwana usenokuba no-OSAS ukuba ezi zivavanyo ziqhelekileyo. Ngoko kuqhubeka ukuvavanywa kufuneke kwenziwe ukuba uvavanyo luqhelekile kodwa kusenokwenkcenkcesha ukuba umntwana wakho ulele i-apnea yokulala.
Ukuphatha Abantwana Abangenayo
Xa kunqunywe ukuba umntwana wakho unesifo sokulala sengqondo sokulala, kuya kuba nexesha lokuxoxa ngeendlela zokwenza unyango, eziqhelekileyo ziquka ukususa i-adenoids ephakamileyo kunye neetons (i-adenotonsillectomy).
Ezinye iindlela zonyango zingabandakanya ukunyanga kwengxaki yomntwana kunye nokuncedisa abantwana abangaphezu kwesisindo. Inkqubo yonyango lobusuku eyaziwa ngokuba yindlela eqhubekayo yoxinzelelo lwe-airway (CPAP) kunye ne-mask yomnxeba yenye inketho yokonyango kubantwana abangenakho ukuhlinzwa okanye abaqhubela phambili ukuba ne-apnea yokuphazamiseka kokulala emva kokuba i-adenoids kunye neetoni zikhutshwe.
Oogqirha abazodwa ekuphatheni abantwana abane-OSAS kubandakanya i-otolaryngologists (i-ENT ngcali) yezilwanyana, i-pulmonologists kunye neurologists. Ukuba ugqirha wezilwanyana ufumanisa umntwana wakho ngokuphazamiseka kokuphazamiseka kokulala, kuya kufuneka ukuba ubone enye yala ogqirha. Qiniseka ukuba ufumana umntu onamava ekunyamekeleni abantwana ngale ngxaki. Unokubona kwakhona ingcali ukuba uyakrokrela ukuba umntwana wakho unomsebenzi we-OSA kunye nokuvavanya akubi okanye ukuba awukwazi ukufumana uvavanyo olwenziwa.
Khumbula ukuba uyakrokra ngokukodwa ukuba umntwana wakho unokuba ne-OSA ukuba uhlala emncenga kwaye unesifo sokugula, ubuthongo bemini, kunye / okanye iingxaki zesikolo nokuziphatha.
Imithombo
I-American Academy yePediatrics. Isikhokelo soKhuseleko lweZikliniki: Ukuchonga kunye noLawulo lwe-Childhood Obstructive Sleep Apnea Syndrome, i-Pediatrics. 2002; 109: 704-712.