Qalabka Iinta La Qaadey (Activated Device) wuxuu uqalmaa Muscles Tongue in Open Airway
Daawooyinka caadiga ah ee hurdada hurdada - cadaadiska marinka hawada ee joogtada ah (CPAP) ama bilevel - way adkaan kartaa in la dulqaado. Maadaama ay xaaladaadu noqon karto mid halis ah, iyo xitaa dhimasho , cawaaqib, waxaa laga yaabaa inaad dhiirigeliso inaad raadsato doorashooyin kale. Qaliinka waxaa laga yaabaa inuu u egyahay sida doorasho macquul ah iyo isticmaalka qalab cusub oo lagu magacaabo kicinta dareemaha dareemeyaasha ee hypoglossal ayaa laga yaabaa inay rafcaan qaataan.
Sidee qaliinka loogu talagalay kiciyaha dareenka "hypoglossal stimulator", oo lagu magacaabo Inspire , oo lagu daweeyo apnea hurdada? Baro sida qalabka wadnaha qalabka wadnaha qalooc leh.
Waa Maxay Nooca Dabeecadda ah ee Hypoglossal?
Dareemaha dareemaha 'hypoglossal' waa qalab caafimaad oo loo yaqaan 'implanted medical device' kaas oo ka shaqeeya in la yareeyo dhacdooyinka hurdada hurdada ee hibada leh iyada oo si habboon u kicinaysa dareemaha 'hypoglossal' ee afka. Kicintaasi waxay kicisaa muruqyada carrabka, kor u qaadka codka iyo u gudbinta hore, meel ka baxsan dhinaca dambe ee hawada. Xanuun ma keeno. Sidaa darteed waxay si wax ku ool ah ula dhaqmi kartaa hurdada hurdada ee hurdada ah.
Sidee ayuu u shaqeeyaa dareemaha 'Hypoglossal Nerve Stimulator'?
Apnea hurdada hurdada ayaa lagu gartaa xannibaadda hawo-mareenka sare (sida caadiga ah dhabarka afkiisa ama dhuunta). Marka cilladahan oo dhaco, marin-haweedku si gebi ahaanba u burburo oo neefta caadi ah inta lagu jiro hurdada ma dhici karto.
Waxaa jira shuruudo gaar ah oo laga yaabo in ay qofka u sheegaan nooca xanibaada.
Waddada hawadu waxay burburi kartaa sababtoo ah luminta murqaha muruqyada ee dhacda sida qayb ka mid ah dhaqdhaqaaqa indhaha ee degdega ah (REM) . Waxaa laga yaabaa inay noqoto mid ka sii daran markaan ku seexanno dhabarkeena. Waxaa laga yaabaa inay noqoto mid caadi ah marka aan da ' nahay. Waxaa hubaal ah in ay ka badan tahay cayilka iyo cayil. Isticmaalka aalkolada iyo daawooyinka ka riixaya muruqyada ayaa sidoo kale laga yaabaa in ay u jeedaan.
Waxaa intaa dheer, waxaa jira qaybo ka mid ah anatomy oo keeni kara hurdo xumo. Tusaale ahaan, carrab weyn (oo la yiraahdo macroglossia ) ama daanka hoose ee loo yaqaan ' retrognathia ' ayaa laga yaabaa inuu keeno xannibaadda hawada.
Dareemaha dareemaha 'hypoglossal stimulator' waxaa loola jeedaa in la furo marinka hawada adigoo u dhaqaajinaya luqadda inta lagu jiro hurdo. Marka la dhaqaajiyo, waxay koronto u kicisaa dareemaha hypoglossal ee afka. Tani waxay keentaa murqo muruq oo keenaya afka hore. Waqtiga kicintaasi waxay noqon kartaa mid joogta ah inta lagu jiro hurdada ama la iskugu duubo si ay ugu habboonaato qaabka neefsashadaada.
Xaaladahee Ayuu Daaweynayaa?
Dareemaha dareemaha ee hypoglossal waxaa hadda loo isticmaalaa daaweynta hurdada hurdada ee hurdada ah. Kuma caawineyso dadka qaba hurdada dhexe ee hurdada . Waxa kale oo laga yaabaa inay sii wanaajiso caajis, laakiin looma oggolaanayo oo keliya in lagu daaweeyo xaaladdan. Shakhsiyaadka leh cilladda caabuqa hawada sare waxay sidoo kale heli kartaa daaweyn si ay u caawiso.
Nidaamka Qalliinka ee Meeleynta
Kicinta dareen-qabeyaasha ee hypoglossal waa in la dhigo qaliinka. Qeybta ugu muhiimsan ee qalabka waxaa lagu geliyaa maqaarka maqaarka sare ee xabadka, sida qalabka wadnaha. Qaybtan waxaa ka mid ah batteriga iyo sidoo kale qaybta keenaysa kicinta korantada.
Laga soo bilaabo halkan, siligga dhabta ah ee carrabka ku kicinaya wuxuu ku fidaa dareemaha hypoglossal.
Khatarta ka imanaysa Nooca Dabeecadda ee Hypoglossal
Khataraha ugu badan ee la isticmaalo isticmaalka kicinta dareemaha dareemaha ee hypoglossal waa kuwa la xiriira qalliinka meeleynta laftiisa. Haddii xaaladahaaga caafimaad iyo xaalad-caafimaadeedaba ay kugu dhejiyaan khatar aad u sareeya oo ah qaliinka, markaa tani waxay noqon kartaa ikhtiyaar wanaagsan oo adiga kugu habboon. Sida qalliin kasta, waxaa jira halis ah dhiigbax iyo caabuq.
Kicinta dareenka dareemayaasha ee hypoglossal ayaa laga yaabaa inay noqoto mid liita. Taas macnaheedu waa inay joojiso shaqada oo dhan. Waxa kale oo laga yaabaa in ay dabka ama firfircoonaan karto si aan habooneyn.
Bateriga ayaa ugu dambeyntii ku guuldaraysta, wuxuu u baahan yahay qalliin kale si uu ugu baddalo qalabka la geliyey (laakiin ma aha qasab ah inuu xadhigga ku xiro dareemaha).
Waxyaabaha loo yaqaan 'Hypoglossal Nerve Stimulator'
Haddii aad go'aansato in kiciyaha dareemaha dareemaha "hypoglossal non-stimulator" uusan ahayn adiga, waxaa laga yaabaa inaad dooneyso inaad sahamiso xulashooyinka kale ee daaweynta. Dhab ahaan, CPAP waa daaweynta koowaad ee daaweynta, waxaadna baran kartaa inaad u dulqaadato si ka wanaagsan adigoo raacaya tilmaamaha asaasiga ah . Waxay noqon kartaa mid fudud sida barashada sida loo doorto maaskaro . Dadka qaarkiis waxay door bidaan isticmaalka qalabka ilkaha , taas oo keeni karta daanka iyo dib u dhigista hurdada hurdada. Waxaa jira xitaa fursado qalliin oo kale, oo ay ku jiraan habka tiirarka iyo tracheostomy . Xitaa wax aad u fudud miisaanka lumisku waxay noqon kartaa wax ku ool.
Haddii aad rabto in aad wax badan ka barato kicinta dareemeyaasha dareemayaasha, waxaad u badan tahay inaad u baahan tahay in laguu gudbiyo takhasus hurdada ah oo khibrad u leh qalabka. Laga yaabee in aan laga helin gobollada oo idil maadaama ay tahay hab daaweyn oo cusub.
Ilaha:
Eastwood, PR et al . "U diyaargaroobida hurdada hurdada ee hordhac ah oo leh dareenka dareemaha 'hypoglossal'. Hurdada . 2011 Nov 1; 34 (11): 1479-86.
Eisele, DW iyo al . "Dareenka neuromuscular-ka iyo kicinta dareen-celinta tooska ah ee loogu talagalay hurdo-xumada hurdada." Otolaryngol Clin North Am. 2003 Jun; 36 (3): 501-10.
Kezirian, EJ et al . "Kicinta koronto ee dareemaha hypoglossal ee daaweynta hurdada hurdada ee hurdada." Hurdada Xabsiga . 2010 Oct; 14 (5): 299-305.
Waxaa la sameeyey, A. "U diyaargaroobida hurdada hurdada ee hordhac ah oo leh dareenka dareemaha 'hypoglossal'. Curr Opin Pulm Med. 2011 Nov; 17 (6): 419-24.