Zonke izifo ezithathelisayo, kuhlanganise ne- allergenic rhinitis , i- asthma , ne- atopic dermatitis , seziye zavame kakhulu eminyakeni edlule engu-50. I-rhinitis ye-allergen ithinta cishe amaphesenti angu-30 e-United States, kuyilapho i-asthma ithinta cishe amaphesenti ayisishiyagalombili.
Izimpawu ze-rhinitis ne-asthma ezivame ukwenzeka ngokuvamile zikhona phakathi nobusuku, zibe nemiphumela eyingozi kwizinga lokulala.
Ukuphazamiseka kokulala, okufana nokuphazamiseka kokuphefumula kokulala , kubuye kube ngokwengeziwe kuzo kokubili izingane kanye nabantu abadala futhi kungahle kuhlobene nezifo ezithathelwanayo.
Izimpawu zesifo esiphundu sezimbi kakhulu ngesikhathi sokulala ngezizathu ezihlukahlukene.
- Okokuqala, izinga le-cortisol yomzimba, eliyi-hormone elwa nokuvuvukala, lisendaweni yalo ephansi kakhulu ebusuku, okwenza izinga eliphakeme lokuvuvukala emakhaleni nasempumeni.
- Okulandelayo, ukungezwani komzimba nezidakamizwa zasendlini kuvamile, kanti ukuvezwa okuphakeme kunabo bonke ebusuku, ngaleyo ndlela kwandisa izimpawu zokugula.
- Okokugcina, i- histamine , ibalulekile yamakhemikhali ekuphenduleni kwegazi, ihileleke ekulawuleni ubuthongo kodwa ingase ibe nzima nakakhulu izimpawu zokwelashwa kwe-rhinitis ne-asthma.
Zonke lezi zici zithinta izinga elibi lokulala ngenxa yokuzikhukhumeza kwezifo zesifo sokugula ebusuku.
Ukulala ne-Asthma
Izimpawu ze-asthma ebusuku zikhathazeka kakhulu kunezimpawu zamalanga, ngokusho kwe- National Asthma Education Prevention Program / Expert Panel Report-3 .
Lokhu okungenani yingxenye ngoba amaphaphu ayenamandla kakhulu ngenxa ye- bronchospasm ngenxa yemigomo ephansi ye-cortisol emzimbeni ebusuku.
Ukuphulukisa isifo semfuyo ebusuku kungaba nomthelela omkhulu ekwindinini yokulala, okuholela ekukhathala kwesikhashana, emsebenzini ompofu nokusebenza kwesikole, nokunciphisa izinga eliphezulu lokuphila.
I-apnea yokulala engavimbelekile, isimo esibangela ukuphefumula ukuphumula ngesikhathi sokulala ngenxa yokuvinjelwa kwe-airway engenhla kusuka emathisini amaningi noma ukuwa kwe-airway, kungalimaza izimpawu nobuhlungu be-asthma.
Ukuhamba kwamagesi nakho kwehla ngesikhathi se-apnea yokulala, okuholela emazingeni aphansi e-oksijeni ekusakazweni kwegazi nokucindezeleka enhliziyweni. Ukwengeza, ukunciphisa izindiza ezincane kuholela ekuthukutheliseni okukhulu nokuphambana kwemisipha ebushelelezi emhlabeni wonke kubantu abane-asthma, bebhebhethekisa izimpawu ze-asthma.
Ukulala ne-Rhinitis ye-allergic
I-rhinitis ye-allergic ivame ukuthinta izinga lomuntu lokulala. Eqinisweni, ucwaningo oluthile luqinisekisa ukuthi amaphesenti amakhulu abantu abanezifo zomzimba zizwa ukuthi izimpawu zabo ziphazamisa ukulala.
Ukungqubuzana kwe-nasal kubonakala sengathi yisimpawu esivame kakhulu ukuphazamisa ikhwalithi yokulala, nakuba ezinye izimpawu ze-rhinitis ehlwithayo, njengokuthunga, impumu egijima, nephunga elimnandi nelanga, kungabangela nasezinkingeni zokulala.
Abantu abane-rhinitis ye-allergen, ikakhulukazi izingane, nabo bangase bathuthukise ukukhuliswa kwamathani kanye ne-adenoids , okuyinto, kanye nokungqubuzana komzimba, okungabangela ukuphoyisa nokuphazamiseka kokuphazamiseka kokulala, okuyinto evame ukuba nomthelela omkhulu emgangathweni wobuntu bokulala.
I-Atopic Dermatitis nokulala
I-aperic dermatitis ihlotshaniswa nokushaywa kwesikhumba, okungaba nzima futhi kungase kubi nakakhulu ebusuku uma umuntu ezama ukulala. Ucwaningo luye lwabonisa ukuthi uma umuntu enesifo esibucayi se-atopic dermatitis, ebangela ukuchofoza nokukhipha, ikhwalithi yokulala ihlaselwe kakhulu.
Ukuhlobisa okuhlobene ne-dermatitis kungahle kube kubi ebusuku ngenxa yokutholakala kwezinhlayiya noma izilwanyana zesilwane, amazinga e-histamine akhudlwana ahambisana nomthetho wokulala, noma ngenxa yombono okhulayo wokubamba lapho igumbi libumnyama futhi lizolile (a ukwehla kwezinye ukugqugquzela) futhi umuntu uzama ukulala.
Izwi elivela
Ukwelashwa okuthuthukisa izimpawu ze-asthma, izimpawu ze-rhinitis, ne-atopic dermatitis nazo kungenzeka zithuthukise izinga lakho lokulala. Ngokwesibonelo:
- Abalawuli be-asthma baye baboniswa ukuthuthukisa izinga lokulala, ikakhulukazi ezinganeni.
- Ukwelashwa kokungqubuzana komzimba, njengama- sprays we-intranasal corticosteroid , kunganciphisa i-lymphoid hypertrophy kanye nokuphazamiseka kokuphefumula kokulala, ngaleyo ndlela kuthuthukiswe izinga lokulala.
- Ukwehla kokunciphisa okuhlobene ne-atopic dermatitis nokusetshenziswa kwe -corticosteroids yama-topic kuyophinde kuthuthukise ikhwalithi yokulala ngokunciphisa ukushaywa ebusuku.
Umthombo:
UKoinis-Mitchell D, uCraig T, u-Esteban CA, uKlein RB. Ukulala Nezifo Eziphuthumayo: Isifinyezo Seziqondiso ZemiBhalo Nezikhathi Ezizayo Zezocwaningo. J Allergy Clin Immunol. 2012; 130: 1275-81.