Ukuqonda Kungani Kufanele Uphuze Utshwala Ulale U-Apnea Musa Ukuxuba?
Ukusetshenziswa kotshwala kungaholela ekutheni i-apnea yokulala nokunye ukuphazamiseka kokulala. Iphazamisa ukulandelana kwemvelo nobude bokulala ngokusho ukuguqula isikhathi esiphelele sokulala nesikhathi esithatha ngaso ukuba ulale. Futhi kunezimpikiswano ezibalulekile ekuphefumuleni ngesikhathi sokulala. Ukuphuza utshwala kuyithinta kanjani ingozi yokuphefumula ukuphefumula nokuphumula ngokuphumula imisipha yomoya?
Nakuba amaphesenti angu-20 aseMelika ane-apnea yokuvimbela ukulala (OSA), amaphesenti angaba ngu-10 kuphela athole ukuxilongwa. Ngesikhathi se-epnea ye-apnea yokulala, umoya wakho womoya uhamba kancane kuze kube yilapho uphazamisa umjikelezo wakho wokuphefumula wemvelo futhi uvuse, nakuba ungase ubuyele emuva ukulala ngokushesha ungazi ukuthi uke uphapheme. Ngezinye izikhathi insimu yomoya ivala.
Kungenzeka ukuthi ube ne-OSA kunabantu abaningi uma:
- abaneminyaka emaphakathi noma ngaphezulu
- ngokweqile noma okugqamile
- has anatomy ukuthi unciphisa airway
Izinzuzo Zempilo Zokulala
Akekho owazi umsebenzi oqondile wokulala kodwa ukungatholi okwanele kubangela imiphumela embi. Uma ungatholi ngokwanele ubuthongo ukwandisa ingozi yokuthuthukisa:
- ukucindezeleka
- imetabolism empofu
- Isifo senhliziyo
- insulin ukumelana (isifo sikashukela)
Ngosuku olulandelayo ukulala ngokwanele ebusuku, uzizwa ukhathele ngosuku olulandelayo. Ukulala ngokweqile kwansuku zonke okubangelwa ukuphazamiseka kokulala, njengokuphazamiseka kokuphefumula, kuhlotshaniswa nalokhu:
- umsebenzi okhubazekile ezimweni zenhlalo nasemsebenzini
- ubunzima ngokukhumbula izinto
- izingozi zemoto
Le miphumela ibalulekile ukukhumbula engqondweni lapho ucabangela imiphumela yokuphuza utshwala ekuphefumuleni ngesikhathi ubuthongo.
Utshwala Ubangela Ukulala Kwe-Apnea Futhi Kuwenza Kubi Kakhulu
Kukhona ubudlelwane obuphakathi kokuphuza utshwala nokulala nokuphefumula ngisho noma ungenaso ukuxilongwa.
Ucwaningo lubonisa ukuthi ukuphuza okulinganiselayo noma okunzima kungabangela iziqephu ze-OSA kubantu abangenawo. Ukwengeza, uma unesifo sokuphuza utshwala, ungase ube engozini enkulu yokuthuthukisa i-OSA, ikakhulukazi uma usuvele udla.
Kulabo abane-OSA, imiphumela ye-apnea yokulala iyakhula uma uphuza ngoba utshwala kungandisa isikhathi phakathi kokuyeka ukuphefumula futhi "uvuke" ukuze uphefumule futhi. Ngamanye amazwi, kwenza i-OSA yakho ibe yimbi nakakhulu.
Ukwanda kokuqina kwezimpawu zakho kwenza amaconsi emazingeni e-oksijeni egazi, okuthiwa ama- desaturations , abe nzima kakhulu. Lokhu kungaholela ekwandeni kwamazinga e- carbon dioxide emzimbeni, isimo esibizwa ngokuthi i-hypercapnia, okuyinto, esimweni esibucayi, esingaba yingozi.
Umthelela Wotshwala Ngesikhathi Sokushisa Ukushisa Nokunqoba
Ukuphuza utshwala kungathinta ukuphefumula kokuhlwa kwamagciwane okuphefumula okuphazamiseka ukulala, okufana nokuphefumula kokuphefumula .
Utshwala unciphisa ukushayela kwakho ukuphefumula, ukunciphisa ukuphefumula kwakho nokwenza umoya wakho uphefumule. Ngaphezu kwalokho, kungase kuphumule imisipha yomphimbo wakho, okungenza kube lula ukuthi umoya wakho ophezulu ungene. Lokhu kungasiza ekubambeni kokubili, okuyinto emele ukuguqulwa kwezicubu ezithambile, ukuqedela ukuvinjelwa okwenzeka e-apnea yokulala.
Ingabe Kufanele Abalele Ababhekene Ne-Apnea Bagweme Utshwala?
Uma une-apnea yokulala, iseluleko esihle kakhulu kungaba ukugwema kuzo zonke izidakamizwa. Uma ujabulela ukuphuza utshwala, ngisho nangezinye izikhathi, lokhu akunakwenzeka. Okungenani, ungadli utshwala emahoreni ambalwa ngaphambi kokulala ukuze unciphise imiphumela ebusuku. Sebenzisa ukwelashwa kwakho ukuze uthole ubuthongo bokulala ubusuku bonke.
Kumele futhi uhlale ukhumbule ukubaluleka kokusetha ukucindezela kwakho okuqhubekayo kwe-airway (CPAP) ngaphansi kwezimo zokulala ezivamile. Ngakho-ke, uma uphuza utshwala nsuku zonke kodwa ungayeki ngaphambi kokufunda kwakho nge-titration, ingcindezi ingase ingabi ngokwanele ukuze ugcine umoya wakho uma uphuza.
Imishini ye-AutoCPAP engakwazi ukulungisa izingcindezi phakathi nobusuku ingasiza ekugwemeni le nkinga.
Ukwandisa impendulo yakho yokwelapha, cabanga indima okusetshenziswa ngayo utshwala ekubhekaneni kahle ne-apnea yakho yokulala.
Imithombo:
Finkel, KJ et al . "Ukuvama kwezifo eziphuthumayo zokuphuza ubuthongo phakathi kweziguli ezikhulile ezikhungweni zezokwelapha." Sleep Med . 2009 Aug; 10 (7): 753-8.
Issa, FG noSullivan, CE. "Utshwala, Ukunqoba, Nokulala Kwe-Apnea." Journal of Neurology, Neurosurgery & Psychiatry . 1982; 45: 353.
Isikhungo seNational on Alcohol Abuse and Alcoholism: Utshwala Nokulala (1998)
Scrima, L et al . "Ukwanda kakhudlwana kwe-apnea yokuvimbela ubuthongo ngemuva kokulala ngesikhathi sokulala utshwala: amandla okuhlola kanye nendlela ehlongozwayo yesenzo." Ukulala . 1982; 5: 318.