Akuyona into engavamile ukuba umuntu abe ne- apnea yokulala ne- COPD. Kodwa, ngokuphambene nenkolelo evamile, ukuba khona kwe-apnea yokulala akukona okwedlula iziguli ze-COPD kunabantu abaningi. Lokhu kusho ukuthi ubuhlobo babo buvele nje ngenxa yengozi hhayi ngenxa yesisekelo, isixhumanisi se-pathophysiological. Noma kunjalo, ukubhekana nezinkinga zombili ngesikhathi esifanayo kuyinselele ngempela.
Uma une-COPD futhi usolwa ukuthi ungaba ne-apnea yokulala, funda.
Sibutsetelo
I-apnea yokulala yisifo esibucayi nesesifo esithile esasongela ukuphila esibhekene nezikhathi zokuphefumula (ukuphefumula) ngesikhathi sokulala. Kuvame ukuhambisana ne-snoring enkulu, ephazamisayo.
Ngesikhathi sesiqephu se-apneic, ungase uyeke ukuphefumula imizuzwana engaphezulu kwengu-10 noma ngaphezulu futhi, njengoba izinga lakho le-oksijeni lehla, ungase uvuke ngokuzumayo ngokuzwakalayo okukhulu noma ukuqhuma. Inani lezehlakalo ze-apneic ozozizwa zingase zibe ngaphezulu kwama-20 kuya kwangu-30 ubusuku noma ngaphezulu, futhi imiphumela ingase iholele ekuhluphekeni kwezempilo okukhulu.
Izinhlobo
Kunezinhlobo ezintathu ze-apnea yokulala: Ukuvimbela, okuphakathi nokuxubana. I-apnea yokulala engavinjelwe (OSA) ibonakala kakhulu kubantu abaningi nakwabantu abane-COPD. I-OSA iyenzeka lapho imisipha yakho iminyanya, kuhlanganise nolimi lwakho, uphumule ngesikhathi ubuthongo bese uvimbela umoya wakho. Ngenxa yokuthi abantu abaningi abahlukunyezwa yi-OSA banamafutha kakhulu, bavame ukuba nolimi olukhulisiwe kanye ne-soft palate kanye / noma amafutha amaningi ngokweqile endaweni yabo yomphimbo.
Izingozi Zezingozi
Nakuba noma ubani angakwazi ukulala ne-apnea yokulala, lezi zici eziyingozi zingakwandisa ingozi yakho:
- Ukuba owesilisa
- Ukukhula
- Ukuba ngumuntu wase-Afrika-waseMelika, waseSpain noma wasePacific
- Ukuba okhuluphele
- Ukuba nomthamo omkhulu wezintamo (17 "noma ngaphezulu kumadoda no-16" noma ngaphezulu kwabesifazane)
- Ukuphuza utshwala
- Ukubhema
- Izimo zezokwelapha ezihlanganisiwe, ezifana ne-reflux disorder (GERD) ye-gastroesophageal (GERD), isifo sikashukela, noma isifo sofuba se-polycystic
Izimpawu
Kanye neziqephu ze-periodic ze-apnea ngesikhathi sokulala nokuphuza okuphakathi, izimpawu zokuphefumula kwe-apnea zihlanganisa:
- Ukulala ngokweqile kwamalanga
- Inhloko yesisu
- Umphimbo obuhlungu
- Izinguquko zobuntu bakho
- Ukuwohloka kwengqondo
- Izifo zokuziphatha
- Ukulala kunamanzi
- Ukungabi namandla
- Ukukhuluphala
- Izikhalazo ezivela kumngane wakho oshade naye ukuthi uyashesha kakhulu
I-COPD ne-Sleep Apnea
Ngokubambisana, i-COPD ne-OSA zivame ukuhlanganiswa njenge-syndrome engaphezulu (i-OS.) Kokubili i-COPD ne-OSA ziyizici ezizimele ezizimele ezinkingeni zenhliziyo ezingabandakanya ukushaya kwenhliziyo okungajwayelekile, ukucindezeleka kwegazi, ukuhlasela kwenhliziyo nokushaya, futhi ukuhlala kwabo ku-OS kungathuthukisa lezi izingozi zenhliziyo. Lokhu kwenza ukuhlonza kuqala kwe-OSA kubantu abane-COPD ebaluleke kakhulu.
Abantu abane-OS bangase babe nalokhu:
- I-degree ephakeme ye- hypoxemia ne- hypercapnia
- Ukukhula kwanda kwegazi lomfutho wegazi kanye ne- cor pulmonale
- Izinga eliphezulu lokudoba
Ukwelapha
Izinketho zokwelapha ezingezona ukwelashwa ze-OSA zihlanganisa:
- Ukulahlekelwa kwesisindo
- Ukucindezela okuqhubekayo okuvela emoyeni (CPAP)
- Amadivaysi agcina ulimi noma abalindi bezilonda
Uma ungumuntu ongakwazi ukubekezelela i-CPAP ne-OSA yakho inzima, ungase ufune ukuxoxa ngezinketho ezilandelayo zokuhlinzekwa nomhlinzeki wezempilo:
- Uvulopalatopharyngoplasty (UPPP)
- I-uvulopalatoplasty eyasizwa nge-laser (LAUP)
- Ukuhlinzekwa kwe-gastric forpass (kubantu abakwa-OSA ngenxa yokukhuluphala ngokweqile)
- Tracheostomy
- Ukuhlinza ngo-Jaw
Uma Ucabanga Unayo i-OSA
Uma une-OSA, kungenzeka ukuthi awukwazi ngisho nokuyiqaphela, ikakhulukazi uma uhlala wedwa. Ukubheka ngokucophelela amaphethini akho okulala futhi izimpawu zakho zasemini kuzokusiza uqaphele inkinga engenzeka. Uma ucabanga ukuthi ungaba ne-OSA noma, uma umlingani wakho ekhononda ukuthi ukushaya kwakho kunzima, kungase kube yisikhathi sokuvakashela umhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole ukuhlolwa nokuthola olunye ulwazi.
Imithombo:
I-Pronzato C. Isifo se-Chronic obstructive pulmonary and apnea sleeping obstructive: Association, imiphumela, kanye nokwelapha. I-Monaldi Arch Chest Dis Dis. 2010 Dec; 73 (4): 155-61.
UVictor, uLyle DMD Ukuvimbela Ukulala Kwama-Apnea. I-American Family Physician. Ngo-November 15, 1999.