Chithandizo cha Nthenda ya Hypoglossal Mitsempha ya Kugonana Kwakufa

Chipangizo Chokhazikitsidwa Chimalumikiza Mitundu Yachilankhulo Kutsegula Mphepete mwa Airway

Njira zowonjezereka zothandizira kugona tulo tomwe timagonera tulo - kupitilira kwapansi kwapansi (CPAP) kapena bilevel - kungakhale kovuta kupirira. Pamene mkhalidwewo ukhoza kukhala woopsa, komanso wovulaza , zotsatira zake, ukhoza kukulimbikitsani kufunafuna njira zina. Kuchita opaleshoni kungawoneke ngati chinthu chofunika kwambiri ndipo kugwiritsa ntchito chipangizo chatsopano chotchedwa hypoglossal nerve stimulator kungaoneke chokongola.

Kodi opaleshoni yotchedwa hypoglossal nerve stimulator, yotchedwa Inspire , imathandiza bwanji kuti munthu asagone ndi matenda obisala? Phunzirani momwe lilime lokhazikika lomwe limagwiritsira ntchito chipangizo cha pacemaker chimagwira ntchito.

Kodi Hypoglossal Mitsempha ya Mitsempha N'chiyani?

Mankhwala a hypoglossal nerve stimulator ndi mankhwala omwe amagwiritsidwa ntchito pofuna kuchepetsa kuchitika kwa matenda obisala ogona chifukwa chogwiritsira ntchito magetsi pofuna kulimbikitsa nthenda ya hypoglossal kuti ikhale lilime. Kusangalatsa kumeneku kumapangitsa minofu ya lilime kukulirakulira, kuwonjezera liwu ndi kuliyendetsa patsogolo, kutali ndi kumbuyo kwa msewu. Sizimapweteka. Choncho, zimatha kuthetsa matenda obisala ogona.

Kodi Ntchito Yopangitsira Mitsempha ya Hypoglossal?

Kupewa kugona tulo tomwe timakhala tomwe timakhala tomwe timakhala tomwe timakhala tomwe timakhala tomwe timakhala tomwe timakhalapo. Pamene zowonongeka zimachitika, mlengalenga imatha kugwedezeka komanso kupuma mokwanira pamene sagona.

Pali zikhalidwe zina zomwe zingayambitse munthu kuti asokonezeke.

Mphepete mwa msewu ukhoza kugwa chifukwa cha kutayika kwa minofu yomwe imapezeka ngati gawo la kugona kwa maso mwamsanga (REM) . Zingakhale zofala pamene tigona kumbuyo kwathu. Zingakhale zofala kwambiri tikamakula. Ndizowonjezereka pakati pa olemera kwambiri ndi owonjezera. Kugwiritsa ntchito mowa ndi mankhwala omwe amachititsa kuti minofu ichepetseko ingayambitsenso.

Kuphatikizanso apo, pali mbali ya thupi lathu lomwe lingayambitse kugona. Mwachitsanzo, chilankhulo chachikulu (chotchedwa macroglossia ) kapena chifuwa chotsika (chotchedwa retrognathia ) chikhoza kutsogolera njira zowonongeka.

Nthenda yotchedwa hypoglossal nerve stimulator imatanthawuza kutsegula panjira poyendetsa lirime patsogolo pa tulo. Iyo ikatsegulidwa, imagetsi imayambitsa mitsempha ya hypoglossal ku lilime. Izi zimayambitsa kupweteka kwa minofu komwe kumabweretsa lilime patsogolo. Nthawi yotsitsimula iyi ikhoza kukhala yosavuta nthawi yogona kapena yosinthika kuti ikugwirizana ndi chitsanzo chanu chopuma.

Kodi Ndi Zinthu Ziti Zomwe Zimachiza?

Nthenda yotchedwa hypoglossal nerve stimulator ikugwiritsidwa ntchito pothandizira kuperewera kwa mpata wobisala. Sizingakhale zothandiza kwa anthu omwe ali ndi matenda apakati apakati . Zingakhalenso zowonjezereka bwino, koma sizivomerezedwa kuti zithetse vutoli. Anthu omwe ali ndi matenda apamwamba othamanga mpweya angapeze kuti chithandizocho chikhale chothandiza.

Njira Yopangira Opaleshoni Yopangidwe

Mankhwala a hypoglossal nerve stimulator ayenera kuikidwa opaleshoni. Mbali yaikulu ya chipangizocho imayikidwa pansi pa khungu la khoma la chapamwamba, monga ngati pacemaker. Chigawo ichi chimaphatikizapo batri komanso gawo lomwe limapangitsa mphamvu ya magetsi.

Kuchokera apa, waya yomwe imalimbikitsa lilime likufikira ku mitsempha ya hypoglossal.

Ngozi za Hypoglossal Mitsempha ya Mitsempha

Zowopsa kwambiri ndi kugwiritsidwa ntchito kwa chithumwa cha hypoglossal nerve stimulator ndizo zomwe zimagwirizanitsidwa ndi opaleshoni yokhayokha. Ngati chithandizo chanu cha thanzi ndi zamankhwala chikukuika pa chiopsezo chachikulu cha opaleshoni iliyonse, ndiye kuti izi sizingakhale zabwino kwa inu. Mofanana ndi opaleshoni iliyonse, pali ngozi yowopa ndi matenda.

Nthenda yotchedwa hypoglossal nerve stimulator ikhoza kuyambitsa matenda. Izi zikutanthauza kuti zimasiya kugwira ntchito. Ikhoza kuwotcha kapena kuyambitsa zosayenera.

Beteli lidzatha kulephera, kuchitanso kuti opaleshoni ina idzasinthanitse chipangizo chopangidwa (koma osati makamaka waya womwe umagwirizanitsa ndi mitsempha).

Njira Zina Zotsitsimula Mitsempha ya Hypoglossal

Ngati mutasankha kuti chithunzithunzi cha matenda a hypoglossal si cha inu, mungafune kufufuza njira zina zothandizira. Ndithudi, CPAP ndi mankhwala oyambirira ndipo mungaphunzire kulekerera bwino mwa kutsatira mfundo zoyenera . Zingakhale zophweka ngati kuphunzira kusankha maski . Anthu ena amakonda kugwiritsa ntchito chipangizo cha mano , chomwe chingasinthe nsagwada ndi kuchepetsa kugona kwa kugona. Palinso njira zina zochitiramo opaleshoni, kuphatikizapo chitoliro ndi tracheostomy . Ngakhale chinthu chophweka ngati kulemera kwake chingakhale kothandiza.

Ngati mukufuna kuphunzira zambiri za stimulator ya hypoglossal nerve stimulator, mungafunike kutumizidwa kwa katswiri wa kugona yemwe ali ndi luso mu chipangizochi. Zingakhale zisanakhalepo m'madera onse monga akadali njira yatsopano yothandizira.

_Zotsatira:

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_{Eisele, DW et al . "Lilime la neuromuscular ndi lolondola la hypoglossal nerve lolimbikitsa kuti munthu asagone mpweya wodwala tulo." Chipatala cha Otolaryngol North Am. 2003 Jun; 36 (3): 501-10.}

_{Kezirian, EJ et al . "Kupititsa patsogolo magetsi kwa mitsempha ya hypoglossal pochiza matenda obisala obettive." Kugonjetsa Wamisala . 2010 Oct; 14 (5): 299-305.}

_{Oliven, A. "Kuchiza matenda otupa ogona osokoneza bongo ndi kusokoneza maganizo." Curr Opin Pulm Med. 2011 Nov; 17 (6): 419-24.}