Ingabe i-Hypothyroidism Yesizathu Sokuvimbela Ukulala I-Apnea noma Ukuqwashisa?

Izinkinga Ukuphumula Ukulala, Ukuvuswa Kungenzeka Ngenxa Yenkinga Ye-Thyroid

Kubantu abanokuphefumula okuphazamiseka ukulala njengokubhukuda futhi bebona ukuyeka noma ukuphahlazeka, imbangela yokuphefumula kwabo okuvimbela ukulala ingase ibe yinto engavamile ngezikhathi ezithile. Nakuba kungase kungabi yinto ejwayelekile, i-hypothyroidism ingase idlale indima ngokumangalisayo. Cabanga ukuthi izinkinga ze-hormone ye-thyroid zingase zibe nomthelela ekubuneni ukulala njenge-apnea yokulala (noma ngisho nokulala nokulala ), izinketho zokuhlola igazi, nokuthi indlela yokwelapha ene-thyroid ingasiza kanjani.

Iyini i-Hypothyroidism futhi Ithinta Kanjani Ukuphuza?

I-Hypothyroidism ibhekisela ekusithekeni okwanele kwamahomoni wegciwane ngenduku ye-thyroid entanyeni. Lokhu ngezinye izikhathi kubhekwa ngokuthi kune-thyroid engasebenzi. Uma i-hypothyroidism ikhona, kungase kube nezinguquko ngaphakathi kwendiza engenhla okuholela ekubuneni ukuphefumula ngesikhathi sokulala.

I-Hypothyroidism Nokuvimbela I-Apnea Yokulala Ihlobene Kanjani?

Njenga-hypothyroidism, i-obnetive obstructive sleep apnea yinkinga evamile kubantu abaningi. Iziguli ezine-apnea yokulala engavinjelwe zivame ukuzwa izimpawu ezihlanganisa ukulala ngokweqile kwamalanga, ukunganaki nokuzizwa kube nzima. Lezi zimpawu zibuye zivame nakwe-hypothyroidism, okwenza kube nzima ukuhlukana ngokwemigomo yomuguli kanye nomzimba.

Ngaphezu kwalokho, iziguli ezine-hypothyroidism zingase zibe engozini enkulu yokuthuthukisa ukuphefumula okuphazamisa ukulala, ngenxa yezici eziningi ezihilela ukuphefumula, njengokungathi kunciphise ikhono lokubhekana nezinguquko zamakhemikhali ngaphakathi kwegazi ngisho nokulimaza izinzwa noma imisipha ehilelekile ekuphefumuleni.

Ngaphezu kwalokho, i-hypothyroidism ingase ibangele ukuvimbela i-apnea yokulala ngokuvimbela ulimi (okuthiwa i-macroglossia) noma ukuphazanyiswa kwemisipha elawula umoya ophezulu. Okokugcina, iziguli ezine-hypothyroidism zisengozini yokukhuluphala, esinye isici esibangela ukuphazamiseka kokuphefumula kokulala.

Isixhumanisi sezinkinga ze-Thyroid ku-Insomnia

Abanye abantu abane-hypothyroidism ne-apnea yokulala bazobhekana nokulala. Ukuphefumula kwe-apnea kungabangela ukuphazamiseka ukuphefumula okuholela ekuvusweni okungazelelwe kusuka ebuthongweni. Lokhu kungase kuboniswe ukuvuswa njalo ebusuku, ikakhulukazi ekuseni ngesikhathi sokulala kwe-REM. Ukulala kungase kube lula futhi kungabuyiselani.

Ngenxa yezinga elibi lokulala, isikhathi sokulala singase sandiswe. Ukulala ekuseni, noma ukulala embhedeni, kungabangela izinkinga ezilele ekuqaleni kokubusuku. Uma isikhathi esisele embhedeni sidlula inani lokulala elidingekayo ukuze uzizwe uphumule, ukuleleka okungapheli kungase kuqiniseke.

Ngakho-ke, kungase kube kubalulekile ukubheka i-apnea yokulala uma izimpawu zokulala zingase zifinyeleleke kumongo we-dysfunction ye-thyroid.

Ukwelapha Umthombo Wokuvimbela I-Apnea Yokulala

I-Hypothyroidism kulula ukuyihlolisisa futhi ilaphe ngokusekelwe imiphumela yokuhlolwa kwegazi okulinganisa izinkomba ezihlukahlukene zomsebenzi we -roid. Kulabo abatholakaliswe ukuthi bane-hypothyroidism nezimpawu zokuphefumula ukulala, isifundo sokulala singasiza ukuthi ngabe i-apnea yokulala ikhona yini. Phakathi nesifundo sokulala, abahlinzeki bezempilo bazoqapha ubuthongo bakho ebhodini noma ekhaya lakho usebenzisa imishini yokuhlola i-home sleep apnea.

Iziguli ezinezibonakaliso ze-apnea yokulala okungenzeka zibhekiswe ekuhlolweni noma ziye zafunyanwa ngokomthetho zingase zifise ukucela odokotela bazo ukuba bahlole ukuhlolwa kwegazi ukuze bahlaziye amazinga abo we-thyroid, ikakhulukazi uma izimpawu zabo ziqhubeka naphezu kokwelashwa okufanelekile kokuphuza i-apnea. I-apnea yokulala ivame ukuphathwa ngokuphikisana okuqhubekayo kokucindezela umoya (CPAP). Ezinye izinto zihlanganisa izinto ezisetshenziswa ngomlomo kusuka kumazinyo, ukuhlinzeka, ukwelashwa kwesimo sengqondo, nokulahlekelwa isisindo.

Ngaphandle kwezimpawu ezihambisana ne-apnea yokulala, kunezinye izimpawu ezingeziwe ezingenza ukuxilongwa kwe-hypothyroidism cishe.

Lokhu kufaka:

Uma unezinye zalezi zimpawu, kungase kube yisikhathi sokukhuluma nodokotela wakho mayelana nokuhlolwa kwegazi ukuhlola umsebenzi we-thyroid yakho. Ngokuvamile, kungasiza ukuhlola i-hormone ye -roid-stimulating (TSH). Uma lokhu kuphakanyiswa ngokungavamile, okuphakamisa ukuthi i-thyroid ayisebenzi kahle, amazinga ka-T3 no-T4 nawo angahlolwa.

Ngenhlanhla, uma i-hypothyroidism ibangela i-apnea yokulala noma ubunzima bokuphefumula, kuyokwenza ngcono nge-hormone ye-thyroid esikhundleni. Lokhu ngokuvamile kuthathwe njengepilisi ebizwa nge-Synthroid (levothyroxine). Kunezinye izindlela zemvelo, ezitholakala emithonjeni yezilwane, njenge-Armor thyroid.

Izwi kusuka

Kuyinto evamile ukuba ne-hypothyroidism. Kuyinto evamile kakhulu ukuba ne-apnea yokulala. Kungaba nobuhlobo phakathi kwezimo ezimbili. Uma unezimpawu eziphikelela, naphezu kokujwayelekile kokuhlolwa kwegazi, cabangela indima yokuphefumula kwe-apnea. Kungaba usizo ukutadisha ubuthongo ngemuva kokuhlolwa ngumphathi oqinisekisiwe wokulala ebhodini. Uma kutholakala i-apnea yokulala, futhi ephathwa kahle, ungase ujabulele kokubili ukuthuthukiswa empilweni yakho nenhlalakahle.

Umthombo:

I-Skatrud J et al . Ukuphefumula okuphazamisekile ngesikhathi sokulala ku-hypothyroidism. " Am Rev Respir Dis 1981; 124: 325.