Izahluko
Isingeniso
Kulesi siqephu sencwadi ethi Londoloza Imali Yakho, Yonga Amazinyo, uDkt Clifford Yudelman uhlola inkambiso ekhulayo yokuthinta umlomo ukuze kuthuthukiswe ukuhona nokukhuthaza ukuphefumula ngamakhala. Ukuhlola ubufakazi bamanje, kuphikisa izinganekwane eziku-inthanethi, futhi kunikeze isiqondiso esisebenzayo sokwenza okuphephile.
Zibonisani Izifundo Zemitholampilo?
[00:01:20]
Ucwaningo oluningi luncane futhi luncike emibikweni yozakwethu kunezifundo zokulala. Ukuncishiswa kokuhona okungama-30% kuyaphawulwa, kodwa ubufakazi buhlala bungaphelele.
Kungani Ucwaningo Lulinganiselwe?
[00:04:24]
Ukuthepha emlonyeni kuyisixazululo se-DIY esingenakho ukusekelwa kwezentengiso, ngakho-ke kunesikhuthazo esincane sokuxhasa izifundo eziqinile uma kuqhathaniswa ne-CPAP noma izinto zikagesi ezisetshenziswa ngomlomo.
Debunking Online Izinganekwane
[00:06:50]
Izimangalo zokuthi ukuqopha ngomlomo kwelapha i-apnea yokulala, kubumba kabusha umhlathi, noma kukhiphe ubuthi emaphashini azinasisekelo. Ayikho indlela yokuphila yale miphumela.
Ubani Okufanele Agweme Ukuthepha?
[00:08:35]
Abantu abane-apnea yokulala emaphakathi kuya kokubi kakhulu, ukuvaleka kwamakhala, noma i-claustrophobia kufanele bagweme ukuthinta ngenxa yezingozi ze-hypoxia nokungakhululeki.
I-Physiological Rationale Yokuphefumula Kwekhala
[00:12:26]
Ukuphefumula ngamakhala kuhlunga umoya, kukhulisa i-nitric oxide ukuze kuthathwe umoya-mpilo, futhi kulinganisa i-CO₂. Ukuthepha kuhlose ukugcina le miphumela ngesikhathi sokulala.
Kubukeka Kuwubuwula Kangakanani?
[00:15:51]
Itheyiphu evamile ingabukeka iyinqaba futhi izwakale ikhawulela. I-MyoTape inikeza inketho encane ye-claustrophobic futhi yengeza amahlaya ngamaphekhi "awakhe neyakhe".
Izinketho ze-Tape ephephile
[00:17:52]
Sebenzisa i-hypoallergenic, itheyiphu ye-micropore yebanga lezokwelapha noma i-MyoTape. Gwema itheyiphu yokudonsa kanye nemikhiqizo yezentengiso engahloliwe engalimaza isikhumba.
Izingozi okufanele uziqaphele
[00:18:41]
Bheka izimpawu ezinjengobomvu noma ukuminyana emakhaleni. Ungalokothi uphinde usebenzise itheyiphu, futhi uyeke ukusebenzisa uma uhlangabezana nokukhathala noma izinkinga zokuphefumula.
Ukuzihlola Umsebenzi Wamakhala
[00:20:47]
Zama ukuhlolwa kwe-lip-seal, isheke le-nostril-patency, kanye nesikolo se-BOLT (amasekhondi angu-20-30 muhle; ngaphansi kwemizuzwana eyi-10 iphakamisa ukuphefumula okubi kwekhala).
Uma Kufanele Ume Futhi Ufune Usizo
[00:24:17]
Yeka ukusebenzisa uma ubhekana nokwethuka, ukuphathwa yikhanda, ukuhefuzela, noma ukozela. Xhumana ne-ENT noma udokotela wokulala ukuze uthole isiqondiso sochwepheshe.
Isiphetho
Nakuba ukuqopha umlomo kungase kusize abahonqayo, akunalo ukusekelwa okuqinile kwesayensi futhi kungase kungavikeleki kwabanye. Hlala uthintana nochwepheshe ngaphambi kokuzama.
Okulotshiweyo
U-Eon Engelbrecht – E-Radio-SA: Siyakwamukela futhi kokuthi Londoloza Imali Yakho, Yonga Amazinyo Akho, i-podcast lapho ilukuluku lihlangana khona nodokotela bamazinyo, ngokuqondile kusukela kochwepheshe. Futhi ngingu-Eon Engelbrecht – E-Radio-SA, futhi masonto onke ngixoxa noDkt Clifford Yudelman – OptiSmile, ngingena ngokujulile emhlabeni wokunakekelwa kwamazinyo ngokombono womthengi. Kungakhathaliseki ukuthi ufuna ukukhanyisa ukumamatheka kwakho noma ukuvikela isikhwama sakho semali, sikuphathele izeluleko ezisebenzayo kanye nemininingwane yakamuva. Ngakho-ke hlala njalo njengoba sembula izimfihlo zokugcina impilo yakho yamazinyo kanye nezimali zakho. Iviki elisha, isihloko esisha. UDkt Yudelman, wamukelekile futhi.
UDkt Clifford Yudelman - OptiSmile: Ngiyabonga wena. Futhi ngithole izimpendulo eziningi ezinhle ngesonto eledlule kubalaleli abathile mayelana nokuhlafuna iqhwa, futhi neziqephu zokuluma izinzipho nezindebe zisize abantu abambalwa, ngakho-ke ngijabule kakhulu. Kamuva nje, abantu abaningi bebelokhu bengibuza ngokuthinta umlomo nokuphefumula emakhaleni, ngakho-ke nginqume ukwenza isiqephu engisibiza ngokuthi I-Mouth Taping kanye Nezinganekwane Zokuphefumula Kwekhala, Ubufakazi kanye Nomkhuba Ophephile. Bengifuna ukugxeka izinto ezimbalwa futhi nginikeze owami umbono kokunye kwalokhu.
[00:01:20] Eon Engelbrecht – E-Radio-SA: Ngifuna ukukubuza, Dkt Clifford Yudelman - OptiSmile, yiziphi izifundo zomtholampilo ezenziwe ngokuthinta umlomo ngokuhona noma ukuphefumula okuncane okuphazamisekile futhi zikhombisani ngempela?
UDkt Clifford Yudelman - OptiSmile: Lowo ngumbuzo omuhle kakhulu ngoba, uyazi, kulezi zinsuku yonke into ibheke emuthini osekelwe ebufakazini. Lapho ngibheka, kwakukhona isivivinyo esincane esincane kakhulu—abahlanganyeli abangaphansi kwama-20—futhi babika cishe ukwehla okungamaphesenti angama-30 ekuhoneni lapho kusetshenziswa uhlobo lwetheyiphu ye-micropore njalo ebusuku. Kodwa yayisekelwe kakhulu ezingodweni zozakwethu basembhedeni—ingabe umkakho wakhononda ngokuhona kwakho noma umyeni wakho—futhi ayizange ifake i-polysomnograph ephelele, okuyisifundo sokulala esibhedlela. Sikhulume ngezifundo zokulala eziqeshini zangaphambili ze-apneea yokulala. Ucwaningo lokulala esibhedlela lulandelela ukuhamba komoya wakho, ukuhona, amazinga komoyampilo, indlela yokulala futhi lirekhoda i-AHI yakho (inkomba ye-apnoea-hypopnoea), kodwa izifundo ezinjalo zibiza kakhulu—cishe u-R16 000 ngobusuku esibhedlela—ngakho udinga indawo enkulu yasenyuvesi. Ungenza isifundo sokulala sasekhaya nge-oximeter ye-finger pulse, inzwa yamakhala, negajethi yebhande lesifuba, kodwa alukho uhlolo olushicilelwe lokuthinta umlomo olusebenzise lokho. Bathembele emibikweni yozakwethu, ngakho-ke asikwazi ukuqinisekisa ukuthi izinzuzo zihlala njalo yini noma kusiza ukuphefumula okujulile okunezinkinga zokulala. Kuyathakazelisa kodwa akunabufakazi—mhlawumbe kuphela ukulungisa okusheshayo kwabahonayo abamnene kakhulu.
[00:04:24] Eon Engelbrecht – E-Radio-SA: Kodwa dokotela, kungani ucwaningo lusalinganiselwe?
UDkt Clifford Yudelman - OptiSmile: Ngoba i-mouth taping yindlela engabizi kakhulu, ye-DIY engenabaxhasi abakhulu, kunesikhuthazo esincane noma uxhaso lwezimali lwezilingo ezinkulu. Izinkampani ezenza imithi noma zamathuluzi zixhasa izifundo ezinkulu lapho zizobuyisela izindleko ngokuthengiswa kwemikhiqizo—izidakamizwa zomdlavuza, imishini ye-CPAP, izinto ezisetshenziswa ngomlomo. I-tape ayithembisi imali engenayo ebalulekile. Kunomkhiqizo obizwa ngokuthi i-MyoTape engizamile, kodwa isilingo esiklanywe kahle sizodinga ukwenza ngokungahleliwe amakhulu ababambiqhaza babe bangempela ngokumelene nokuthepha mbumbulu, uma kuqhathaniswa ne-CPAP nezinto zikagesi ezisetshenziswa ngomlomo, okuhlanganisa i-polysomnography egcwele, ukungaboni kahle, ukulandelela ukubambelela kanye nezinyanga zokulandelela. Lolo hlobo lokuqina ludinga uxhaso, ngakho-ke okwamanje ubufakazi busencane.
[00:06:50] Eon Engelbrecht – E-Radio-SA: Kodwa ngisho, Dkt Yudelman, yiziphi izinganekwane eziku-inthanethi eziqhubekayo mayelana nokuqoshwa komlomo empeleni zikuhlanyisa—futhi ubufakazi bubuchitha kanjani labo?
UDkt Clifford Yudelman – OptiSmile: Kuyahlanya. Abanye abagqugquzeli abadumile bathi ukucofa ngomlomo kwelapha i-apnea yokulala, kubumba kabusha umhlathi wakho noma “kukhiphe ubuthi” amaphaphu akho. Umbhedo wangempela lowo. Ukuvala izindebe ezingenzi lutho kunamandla angenakuqhathaniswa ethanjeni, futhi ayikho indlela yokususa ubuthi emaphashini. Okubi nakakhulu, ukuthinta umlomo wakho kungenza i-apnea ibe yimbi kakhulu ngokuvimbela noma yikuphi ukugeleza komoya ngomlomo uma imigudu yakho yamakhala iwa. Okuwukuphela kwesisekelo esizwakalayo ukuthi kungase kunciphise ukuhona okuncane kwabanye abantu, kodwa alukho ucwaningo oluhloniphekile olusekela izimangalo ezinesibindi.
[00:08:35] Eon Engelbrecht – E-Radio-SA: UDkt Yudelman, ubani okufanele akugweme ngokuphelele ukuqopha futhi ngani?
UDkt Clifford Yudelman - OptiSmile: Noma ubani onokuphazamiseka okuphawulekayo kwamakhala—i-septum echezukile, ama-polyps akhala, i-rhinitis engapheli—kufanele acace, njengoba ethembele ekuphefumuleni ngomlomo. Labo abanenkinga yokuphefumula ephakathi nendawo ukuya kokunzima (i-AHI ngaphezu komkhawulo ophansi) akufanele bateyiphe, noma abaphefumula ngomlomo abangase babe ne-hypoxia eyingozi. Abantu abathambekele ekubeni ne-claustrophobia noma izimpendulo zokwethuka bazokuthola kungabekezeleleki. Uma uzimisele ngokuyizama, i-MyoTape ikhululeke kakhulu kune-micropore tape—inesikhala sokuvumela ukudonsa amanzi noma ukukhuluma—kodwa kwenze lokho kuphela uma ungumuntu ohonayo omnene futhi uqaphe ngohlelo lokusebenza olufana ne-SnoreLab.
[00:12:26] Eon Engelbrecht – E-Radio-SA: Dkt Yudelman, yimiphi imiphumela ebalulekile yomzimba noma izinzuzo zokuphefumula ngamakhala ezisekela isisekelo sokuthinta umlomo?
UDkt Clifford Yudelman - OptiSmile: Ukuphefumula ngamakhala kumanzisa futhi kuhlunge umoya, kunciphisa ukucasuka komzila womoya futhi kukhiqiza i-nitric oxide, enweba imithambo yamaphaphu, ikhuphule ukumuncwa komoyampilo futhi ithuthukise ukuthuthwa kwe-oksijini kwe-hemoglobin ezicutshini. Ugcina izinga elincane le-CO₂, uthuthukisa ukusebenza kahle kokuphefumula. Lezi zinzuzo zisebenza lapho uphefumula ngamakhala akho ngokuqaphela emini—ukuvalwa kwezindebe ngokucofa ebusuku kuwumzamo wokuzinweba zilale, kodwa isayensi ngokuzicofa ngobusuku nje ayinabufakazi.
[00:15:51] Eon Engelbrecht – E-Radio-SA: Ingabe ubukeka uhlekisa uma uqoshwa ebusuku? Angahleka yini umlingani wakho? Ingabe kubukeka sengathi uthunjiwe noma okuthile?
UDkt Clifford Yudelman - OptiSmile: Nakanjani. Itheyiphu ye-Micropore ezindebeni zakho ibukeka iyinqaba futhi ingazizwa i-claustrophobic—okungakho i-MyoTape ithandeka. Uma uvuka ebusuku ukuze uphuze amanzi noma ukhulume, ungakwazi nge-MyoTape; itheyiphu ejwayelekile ingaba mnandi. Ukukhathazeka okufanelekile: abanye ozakwethu bangahle bagigitheke, kodwa uma nobabili nivuma, ningazama amaphekhi “awakhe newakhe”—i-MyoTape ize ingene ngombala obomvana noluhlaza okwesibhakabhaka.
[00:17:52] Eon Engelbrecht – E-Radio-SA: Ngifuna futhi ukukubuza, yiziphi izinhlobo zamatheyiphu noma ama-seal seal strips aphephile futhi asebenzayo futhi angabangela izinkinga zesikhumba noma zokuphefumula?
UDkt Clifford Yudelman - OptiSmile: Namathela kutheyiphu ye-micropore yezinga lezokwelapha enga-hypoallergenic ne-latex-free; buza usokhemisi wakho ngezinketho zokunamathela kancane. Gwema amateyipu asendlini, amateyipu okuthunjwa noma “amateyipu”—anamathela kakhulu, ashiye izinsalela futhi abeke engcupheni izinyembezi zesikhumba. Imichilo ye-Silicone ikhona ku-inthanethi, kodwa ayinabufakazi futhi iyabiza. Ungakhokhi izintengo ezimba eqolo zemikhiqizo ye-TikTok ephambili—ayinakho ukuqinisekiswa komtholampilo.
[00:18:41] Eon Engelbrecht – E-Radio-SA: Yiziphi izingozi zesikhumba nezokuphefumula okufanele izilaleli ziziqaphele, futhi zingazinciphisa kanjani?
UDkt Clifford Yudelman - OptiSmile: Qaphela ububomvu noma uthinte i-dermatitis ezintweni ezinamathelayo, izinyembezi ezincane noma izibazi uma usebenzisa futhi imicu. Ungaphinde usebenzise ucezu olufanayo. Uma ikhala lakho liminyene ngobusuku obubodwa, ungase ube ne-hypoxia—iziguli ezindala ezinezinkinga zenhliziyo zisengozini yokufa ngokuzumayo ebusuku uma zingakwazi ukuphefumula. Ngaso sonke isikhathi gcina isikelo eduze kombhede ukuze sisuswe ngendlela ephephile, shintsha amapheshana ebusuku, futhi uqaphe ubuhlungu bekhanda noma ukukhathala kwasemini; uma kukhona okwenzekayo, yima ngokushesha.
[00:20:47] Eon Engelbrecht – E-Radio-SA: Dr Yudelman, ingabe ikhona indlela ongazihlolela ngayo ukuphefumula kwamakhala ngaphambi kokuthi uzame iteyipu?
UDkt Clifford Yudelman - OptiSmile: Yebo. Okokuqala, ukuhlolwa kwe-lip-seal: hlala uvale izindebe kancane imizuzu emibili-uma uphefumula ngokunethezeka, umoya wakho wamakhala cishe ulungile. Okulandelayo, cindezela ikhala ngalinye ngokushintshana ngenkathi uphefumula; uhlangothi oluvinjiwe luphakamisa isibuyekezo se-ENT. Ekugcineni, ngemva kokukhipha umoya ovamile, bamba umoya wakho nesikhathi esingakanani ngaphambi kokuba udinga ukuhogela—isikolo se-BOLT. Imizuzwana eyishumi iphansi; Imizuzwana engu-20–30 ilungile. Lezi zivivinyo ezilula zivela encwadini ye-Oxygen Advantage.
[00:24:17] Eon Engelbrecht – E-Radio-SA: Futhi ekugcineni, uDkt Yudelman, ngaphandle kwalokho esikushilo—ukuvuka ufile—iziphi izimpawu eziyisixwayiso ezisho ukuthi sekuyisikhathi sokuyeka ukuqopha futhi ufune ukuhlolwa kochwepheshe?
UDkt Clifford Yudelman - OptiSmile: Yeka uma uvuka nekhanda elibuhlungu kakhulu noma ukuphikelela kokulala emini. Izimpendulo zokwethuka, ukuhefuzela, ukucasuka kwesikhumba okusha noma okuba kubi kuyizimpawu ezibomvu. Gcina idayari ukuze wahlulele ukusebenza kahle. Uma ungabaza, thintana nodokotela wokulala noma i-ENT esikhundleni sokuqhubeka nokuthepha-okuhlala kungaqinisekisiwe ukuphepha noma inzuzo yesikhathi eside.
U-Eon Engelbrecht – E-Radio-SA: Kuyakhanya. UDkt Yudelman, ngiyabonga kakhulu futhi—kujabulisa kakhulu.
UDkt Clifford Yudelman - OptiSmile: Kubonga mina. Ngethemba ukuthi lesi siqephu sisiza okungenani umuntu oyedwa agweme ukuvuka efile.
U-Eon Engelbrecht – E-Radio-SA: Futhi khumbula, ngenkathi silwela ukunikeza imininingwane ebalulekile, hlala uthintana nochwepheshe wakho wamazinyo ukuze uthole iseluleko esilungiselelwe wena. Bhalisela izingxoxo ezengeziwe ezimpambanweni zempilo yamazinyo kanye nolwazi lwezezimali—qhubeka umomotheka futhi unakekele kakhulu amazinyo akho. Hamba kahle!
Umshwana wokuzihlangula: Okuqukethwe okuhlinzekwe kule podcast, “Yonga Imali Yakho Yonga Amazinyo Akho” ngeMisombuluko Yezokwelapha, okwezinjongo zolwazi nezemfundo kuphela. Akuhloselwe ukusebenza njengeseluleko samazinyo noma sezokwelapha. Imibono nemibono evezwe uDkt. Clifford Yudelman kanye nanoma yiziphi izihambeli zenzelwe ukugqugquzela ukuqonda kangcono impilo yamazinyo, izinyathelo zokuvimbela, kanye nempilo enhle evamile, kodwa akufanele kuhunyushwe njengezincomo zamazinyo ezichwepheshile noma zezokwelapha.UDkt. U-Clifford Yudelman akahloli, akalaphi, noma anikeze ngamasu okuvimbela anoma yiziphi izimo zezempilo ngokuqondile ngale podcast. Le nkundla ayithatheli indawo yokunakekelwa komuntu siqu nezeluleko ezinikezwa udokotela wamazinyo onelayisensi noma uchwepheshe wezokunakekelwa kwezempilo. Sikhuthaza kakhulu abalaleli bethu ukuthi baxhumane nabahlinzeki babo bamazinyo ukuze babhekane nezidingo zempilo yamazinyo ngabanye kanye nezinto ezibakhathazayo.Ulwazi olwabiwe lapha luhlose ukunika abalaleli amandla olwazi mayelana nempilo yamazinyo kodwa akufanele lusetshenziswe njengesisekelo sokwenza izinqumo ezihlobene nempilo ngaphandle kosizo lwezempilo. isiqondiso sochwepheshe. Umhlinzeki wakho wokunakekelwa kwamazinyo ungumthombo ongcono kakhulu weseluleko mayelana namazinyo akho kanye nempilo yakho iyonke. Sicela uhlale ucela iseluleko sikadokotela wakho wamazinyo noma abanye ochwepheshe bezempilo abaqeqeshiwe mayelana nanoma yimiphi imibuzo noma okukukhathazayo mayelana nempilo yakho yamazinyo.
