Ho lemalla ho kopanela liphate le ho qobelloa: The Journal of Treatment & Prevention
Lijun Chen, Cody Ding, Xiaoliu Jiang & Marc N. Potenza
E phatlalalitsoe marang-rang: 26 Jan 2019
https://doi.org/10.1080/10720162.2018.1547234
inahaneloang
Ho na le lipotso mabapi le mokhoa o nepahetseng oa ho hlalosa liketso tsa thobalano tse fumanehang marang-rang (OSAs) le mabapi le litsela tse ka lebisang ts'ebeliso e mpe ea li-OSAs le litlamorao tsa tsona. Leha khafetsa le nako le tšebeliso ea matla le tšusumetso ea maikutlo, joalo ka ha motho a lakatsa, ho sheba litšoantšo tse litšila tse tsosang takatso li bile le tšusumetso ho li-OSA tse se nang mathata, likamano tsa tsona tsa kamano e netefatsang tlhahlobo e tobileng. Re fana ka maikutlo le ho leka mokhoa oo ka ona ho lakatsa ho sheba litšoantšo tse litšila tse tsosang takatso ho ka khothalletsang ho nka karolo khafetsa ho li-OSAs le nako e eketsehileng ea ho qeta ho etsa li-OSA, mme sena se ka lebisa ho mathata a OSA le litlamorao tse kamorao tse joalo ka maikutlo a mabe. Lintlha tse tsoang ho baithuti ba koleche ea 1070 li bontšitse hore 20.63% ea baithuti e kotsing ea tšebeliso ea mathata a OSA, mme sehlopha sena se na le maqhubu a mangata a li-OSA, nako e eketsehileng ea tšebeliso, litakatso tse phahameng tsa bootsoa le maikutlo a mabe a thuto.
Moetso oa rona oa morero o ts'ehelitsoe o ts'ehetsoe karolo e itseng. Ho lakatsa litšoantšo tse manyala tse hlephisang boitšoaro ho ne ho amahanngoa le li-OSA tse nang le mathata tse sebelisang ho feta, ka hona khafetsa ho feta bongata ba li-OSA, mme li-OSA li ne li amana le maikutlo a mabe a thuto. Lithuto tsa nako e tlang tsa tšebeliso ea li-OSA tse nang le mathata li lokela ho nahana ka ho rarahana ha likamano lipakeng tsa ho lakatsa, tšebeliso ea li-OSA le mehato e mebe ea bophelo bo botle ho baithuti ba koleche le lihlopha tse ling.
LIPOTSO
LITLHAKISO
Mohlala oa baithuti ba fetang kolecheng ea 1,000 ea China, re lekile mohlala oa hore ho lakatsa ho sheba litšoantšo tse litšila tse tsosang takatso ho ka sebetsa ka bongata le ka mehato ea tšebeliso ea li-OSA ho lebisa tšebeliso e mpe ea li-OSA, mme sena se ka lebisa ho maikutlo a mabe a thuto. Mohlala oa rona o tšehelitsoe haholo.
Mohlaleng oa baithuti ba kolecheng, re fumane hore hoo e ka bang 20% ea baithuti ba ne ba le sehlopheng sa tlokotsi / sa mathata-sa OSA. Sehlopha sena, se le seng sa tse tharo se khethiloeng ke tlhahlobo ea boemo ba morao-rao, se bonts'a maemo a mangata a boima ho kenyeletsa ts'ebeliso e mpe ea li-OSA, boholo le makhetlo a ts'ebeliso ea li-OSA, takatso ea litšoantšo tsa bootsoa, le maikutlo a mabe a thuto. Sehlopha se mahareng sa kotsi, se kenyeletsang 35% ea sampole, se bonts'itse lintlha tse mahareng ho li-OSA tse nang le mathata tse amanang le lihlopha tse sebelisang kotsi le ts'ebeliso e mpe. sehlopha sa likotsi tse mahareng se boetse se bonts'a lintlha tse ngata mefuteng ea litakatso tsa bootsoa, khafetsa ea li-OSAs, le maikutlo a mabe a thuto, empa li fumane lintlha ka mokhoa o tšoanang nakong ea ts'ebeliso ea OSAs. Liphumano tsena li hlahisa liphetho tse 'maloa tsa bohlokoa. Taba ea mantlha, ho na le sehlopha se seholo sa batho ba bang (21.1%) se bonts'ang ts'ebeliso e mpe ea ts'ebeliso ea li-OSA, mme sehlopha sena se bonts'a mathata a maholo ho feta mefuta e mengata ea boits'oaro. Taba ea bobeli, karolo e kholo le ho feta (35%) e bonts'a maemo a mahareng a tšebeliso ea mathata a li-OSA, mme sehlopha sena se amanang le sehlopha sa ts'ebeliso e se nang mathata se tšoauoa ka takatso e matla ea litšoantšo tsa bootsoa le khafetsa ts'ebeliso ea li-OSA, mme haholoholo ho shebella SEM. Leha ho le joalo, sehlopha sa karolelano ea likotsi ha se bapisoa le sehlopha sa ba kotsing / ha se na mathata ha se bonahale se fapana haholo ka mehato ea tšebeliso ea bongata le litlamorao tse ka bang teng, ho kenyelletsa le mabapi le maikutlo a mabe a thuto. Tsephetho sa hese se fana ka maikutlo a hore ho ka ba le phapang ea bohlokoa bo boholo le mehatong ea maqhubu a ts'ebeliso ea litšoantšo tsa bootsoa, joalo ka ha ho boletsoe pele (Fernandez et al., 2017). Phuputso e eketsehileng e bontšoa ho hlahloba karolo e ka bang teng ea litlamorao tse amanang le ho kenya letsoho ho pharaletseng ho li-OSA, ho kenyelletsa le mabapi le maikutlo a mabe a thuto. Ho feta moo, lithuto tsa nako e telele lia hlokahala ho lekola botsitso ba lihlopha tsena le hore na lintlha tse itseng li ka susumetsa phetoho joang.
Ho fumana hore 20% ea baithuti ba koleche e ne e khethiloe ke tlhahlobo ea boemo ba morao-rao lipuisanong tse matla ka ho fetesisa tsa sehlopha. Hoo e ka bang lilemo tse leshome tse fetileng, Cooper et al. e tlalehile ho ata ha 9.6% bakeng sa ts'ebeliso e thata ea li-OSA (Cooper, Morahan, Mathy, & Maheu, 2002), athe Daneback et al. e fumane ho ata ha 5.6% (Daneback, Cooper, & Mansson, 2005). Haufinyane tjena, phuputso e entsoeng ke Ross et al. e tlalehile ho ata ha ho nka karolo ho nang le mathata ho li-OSA tsa 5% ho basali le 13% ho banna (Ross, Mansson, & Daneback, 2012). Lithutong tsena, litekanyetso le lisebelisoa li fapane, ho fana ka maikutlo a hore liphetho li na le monyetla oa ho bapisa 'me papiso ea tsona e thata (Karila et al., 2014; W_ery et al., 2016). Ka kakaretso, lithuto tse fumanehang tsa lefu la seoa li fana ka maikutlo a hore ho ata ha ts'ebeliso e nang le mathata ea li-OSA ho kanna ha eketseha ho tloha nakong ea katoloso ea Marang-rang le ka ho fumaneha ho eketsehileng ha libaka tsa marang-rang tse ncha le tsa mahala tsa thobalano (Wetterneck, Burgess, Short, Smith, & Cervantes, 2012).
Morero o moholo oa boithuto ba hona joale e ne e le ho etsa lipatlisiso tsa hore na ho lakatsa ho sheba litšoantšo tse litšila tse tsosang takatso ho ka sebetsa joang ka makhetlo a mangata a tšebeliso ea li-OSA ho lebisa ts'ebeliso e mpe ea li-OSA le ho ba le maikutlo a mabe a thuto. Ho latela maikutlo a rona a mantlha, tšusumetso ea ho sheba litšoantšo tsa bootsoa e ka lebisa batho ho sebelisa li-OSA khafetsa le bongata bo bongata (Setšoantšo sa 1, tsela ea B), e lebisang tšebelisong e mpe ea ts'ebeliso ea li-OSAs (Setšoantšo sa 1, tsela ea C), 'me hamorao ho lithuto tse mpe. maikutlo a mohlaleng ona oa koleche. Litšusumetso tsa rona li tšehelitsoe haholo. Litšoantšo tse manyala tse hlephisang boitšoaro tse tsosang takatso ea ho sheba litšoantšo tse litšila tse tsosang takatso li boletse esale pele tšebeliso ea mathata ea li-OSA ka ho toba le ka tsela e sa tobang makhetlo a mangata a ma-OSA (empa eseng bongata ba li-OSA, li hlakisa bohlokoa ba ho lekola mehato ka bobeli) (Fernandez et al., 2017). Ho feta moo, li-OSA tse nang le mathata li ne li amana le maikutlo a fosahetseng a thuto.
Litšoantšo tse manyala tse hlephisang boitšoaro tse tsosang takatso ea ho sheba litšoantšo tse litšila tse boletsoeng esale pele li boletse esale pele tšebeliso ea mathata ea li-OSA ntle le tšebeliso ea hangata ea ts'ebeliso ea li-OSA empa eseng palo ea ts'ebeliso ea li-OSA. Kakaretso ea li-OSA lipakeng tsa litabatabelo tsa bootsoa le tšebeliso e thata ea li-OSA e tsamaellana le liphetho tse fetileng (Kraus & Rosenberg, 2014). Leha data e fana ka maikutlo a hore nako e sebelisitsoeng ho sebelisa marang-rang e ka bolela tšebeliso e mpe ea Marang-rang (Tokunaga & Rains, 2010), ho boetse ho na le liphuputso tse fanang ka maikutlo a hore nako ea ts'ebeliso ea inthanete feela e ke ke ea bolela esale pele bokhoba ba inthanete (Carbonell et al., 2012). Tšebeliso e nang le bothata ba ho sheba litšoantšo tse manyala tse hlephisang boitšoaro e bile le kamano e fokolang le nako eo motho a e qetileng a shebelletse litšoantšo tse manyala tse hlephisang boitšoaro Inthaneteng (Bothe et al., 2017), le phapang ea makhetlo a fapaneng le ts'ebeliso ea litšoantšo tse manyala tse hlephisang boitšoaro e kanna ea ba bohlokoa ho nahanoa ha ho lekoa liteko tsa ho qoba tšebeliso ea litšoantšo tsa bootsoa (Fernandez et al., 2017).
Tšebeliso e mpe ea li-OSA e ka lebisa ho tšoenyehong ea bophelo bo botle ba kelello (Bostwick & Bucci, 2008; Cavaglion, 2008; Egan & Parmar, 2013; Balichaba, Coyne, & Bricolo, 2012; Griffiths, 2011; Pyle & Bridges, 2012). Phuputsong ea morao tjena, ts'ebeliso e mpe ea li-OSAs lipalo-palo e ile ea bolela esale pele maikutlo a mabe a barutoana ba koleche. Litšoantšo tse manyala tse hlephisang boitšoaro li ka sebelisoa ho hlahisa tšusumetso e ntle (mohlala, ho itlosa bolutu ka boithabiso) kapa ho fokotsa maemo a mabe a kang ho teneha, khatello ea maikutlo kapa khatello ea maikutlo (Bridges & Morokoff, 2011), ho fana ka maikutlo a hore maikutlo a mabe a kelello a ka etella pele tšebeliso ea litšoantšo tsa bootsoa (Kohut &? Stulhofer, 2018). Ha nako e ntse e feta, baithuti ba ka shebella litšoantšo tse manyala tse hlephisang boitšoaro khafetsa mme ka hona ba ka ba le mekhoa e mebe ea ho ithuta le / kapa ea ho robala, ba thatafalloa ho tsepamisa mohopolo, mme mohlomong ba hloloheloa lithuto kapa mesebetsi e meng ea sekolo (Ohuakanwa et al., 2012), ho baka maikutlo a mabe a thuto. (ho jeoa ke bolutu, ho hloka thuso, khatello ea maikutlo kapa mokhathala). Ka kakaretso, motho a ka ba le boits'oaro bo nang le boiphihlelo, ho shebella litšoantšo tse manyala tse hlephisang boitšoaro Inthaneteng le ho sebelisoa ha li-OSA, maikutlo a mabe ka nakoana a imoloha ka nako e khuts'oane, 'me ho hlaha mathata a nako e telele, ka hona a matlafatsa bothata kapa ho lemalla potoloho (Brand et al., 2016). Ha ho etsoa ketso e 'ngoe le e' ngoe ea potoloho, taolo e fokotsehileng, taolo e mpe ea nako, takatso ea litšoantšo tsa bootsoa le mathata a sechaba li ka ba le boiphihlelo, e leng se ka tsoelang pele ho putlama (Cooper, Putnam, Planchon, & Boies, 1999).
Liphumano tsa hajoale li na le moelelo litloaelong tsa bongaka. Liphetho li bonts'itse hore takatso e phahameng ea litšoantšo tsa bootsoa, ho ata le tšebeliso ea li-OSA hangata le maikutlo a mabe a thuto a ne a amahanngoa le li-OSA tse nang le mathata. To hlahisa litholoana tse tšoanang le tsa lithuto tsa pejana tse tlalehang litakatso tse manyala tse hlephisang boitšoaro tse amanang le lits'ebetso tse ling tse mpe tsa bophelo bo botle (Drummond, Litten, Lowman, & Hunt, 2000; Kraus & Rosenberg, 2014). Liphuputso li fana ka maikutlo a tsela eo takatso e ka lebisang ts'ebetsong e eketsehileng ea li-OSA le mathata a mangata hamorao
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