I-Anatomy igaxa kodwa ezinye izimbangela zingabuyekezwa
Umbuzo ovame ukuphakanyiswa abantu abaningi abane-diagnosis: Ingabe i- apnea yokulala ihamba? Funda kancane mayelana nezimbangela ezibangela ukulala kwe-apnea, kungakhathaliseki ukuthi kungenzeka yini ukuba uhambe, futhi yiziphi izici ezingozini ezingashintshwa ezingahle zithuthukise ukubikezela.
Ukucabangela Izimbangela Zokulala Kwe-Apnea
I-apnea yokulala engavimbeleki iyenzeka uma kunoma yikuphi ingxenye yendlela yokuhamba emoyeni esuka emkhaleni wempumu kuya emaphashini wehlela ngesikhathi sokulala futhi iphazamise ukuphefumula.
Ngenxa yalokho, ngokuvamile kubangelwa umuntu oyisimo sengqondo somuntu. I- septum ye-nasal ephukile noma i- turbinates ekhuphukile ekhaleni ingaphazamisa ukugeleza komoya. I-floppy soft palate, amathoni amakhulu noma ama-adenoids, noma ulimi oluyinhloko lingavimbela le ndawo emqaleni.
Ukwakhiwa kwe-airway ngokwayo kungabangela ukuvimbela. Ukuguquka okungapheli kuholela ekudlideni kwe-airway nokulimala. Lokhu kungabangela ukuvuvukala eceleni kwendatshana elula kancane. Ngokuhamba kwesikhathi, ama-nerp receptors angase aphendule kancane, futhi imisipha ingase ingakwazi ukugcina ithoni eyanele ukusekela umoya womoya. Inzuzo yesisindo, ikakhulu lapho iholela entanyeni enkulu , ingase ibe yingozi nakakhulu.
Ukulala emhlane kungavumela ulimi ukuba lubuyele emgwaqweni womoya, okunye okufaka isandla ekuvimbeleni nase-apnea yokulala. Ukusebenzisa utshwala , ikakhulukazi emahoreni ambalwa ngaphambi kokulala, kungenza imisipha yomoya ingeneke kakhulu.
Yonke yale misebenzi ehlukahlukene kufanele ilandelwe uma ihlola ukuthi i-apnea yokulala ingahamba yini.
Ingabe Ukulala Nge-Apnea Kungashiya?
Ngokuyinhloko, ukulala ne-apnea yisimo esingapheli esingahambi. I-anatomy ijwayele ukuhlala ihleliwe, ikakhulukazi ngemva kokuphela kokukhula. Ngakho-ke, izingane ezine-apnea yokulala zingalondoloza ithemba lokuthi lesi simo siletha ngokuphumelelayo futhi siphathwe ngokuqinile.
Ukukhishwa kwamathani kanye ne-adenoids nge-tonsillectomy ne-adenoidectomy kungaba nenzuzo kakhulu ezinganeni. Ukuphathwa kokwelashwa nokwandiswa kwenkinga enzima nge-orthodontic therapy ebizwa ngokuthi ukwandiswa okukhulu kwe-maxillary kungasiza. Emva kokukhula sekuphelile, kukhona izinketho zokwelapha ezengeziwe.
Intsha eseqedile ukukhulelwa kanye nabanye abantu abadala inakho okukhethwa kukho okuhlinzeka ukuthi iyasiza. Ukuhlinzwa ngokuphumelelayo kunomsoco . Le nqubo, ebizwa ngokuthi i-maxillo-mandibular, ingaba yimpumelelo kakhulu, ixazulule ukuphefumula kwe-sleep apnea kubantu abangaba ngu-80%. Kuhilela ukuhlinzeka okukhulu lapho amathambo omhlathi aphulwa khona, aqhubekela phambili, bese ehlelwa endaweni, ngokuvamile aneziqu ze-titanium nezigcwale. Lokhu kushintsha iphrofayela yobuso. Ukubuyisela ngokuvamile kuthatha izinyanga ezimbalwa.
Okunye ukuhlinzwa kungasetshenziselwa ukushintsha isisu, kepha, ngokuvamile, le nqubo ayisebenzisi kangako. Lezi zinketho zibandakanya ukuhlinzekwa nge- palate elithambile njenge-uvulopalatopharyngoplasty (UPPP) kanye ne-septoplasty ukulungisa i-septum eguqukile. Ngaphezu kwalokho, ukukhishwa kwe-radiofrequency kwe-turbinates yangasese kunganikeza ukukhululeka kokungqubuzana komzimba kanye nokuvinjelwa.
Ukuguqulwa kwesisekelo solimi nokuhamba kwezinsimbi zezilimi (okuthiwa i- hyoid progress ) nazo ngezinye izikhathi zenziwa.
Ngaphezu kwalokho, kunezici ezithile ezingozi ezingaguqulekayo nezinye izinguquko ezingadingi ukuhlinzwa.
Ukushintsha Izingozi Ze-Apnea Yokulala
Ngaphandle kokuhlinzwa, kunezinye izinto ezingashintshwa ezizokwehlisa ngempela ukuqina noma ngisho nokuba khona kwe-apnea yokulala. Uma ukhuluphele ngokweqile noma ukhuluphele, ukulahlekelwa isisindo kungaba yingxenye ebalulekile yokulungisa i-apnea yokulala. Amafutha noma izicubu ze-adipose zingakwazi ukuhamba nomoya womoya, okufaka isandla ekunciphiseni nasekupheleleni kokuwa kwezindiza. Ukulahlekelwa kwesisindo kungaba nethonya elihle kule ngozi.
Ithembo le-muscle elifaka umoya womoya lingathuthukiswa ngokuzivocavoca okuhlosiwe. Ucwaningo luye lwabonisa imiphumela emihle yamasu okuphefumula eyindilinga asetshenziselwa ukudlala i- didgeridoo kanye nezivivinyo zokuqinisa ulimi ezibizwa ngokuthi i- myofunctional therapy .
Ngeshwa, inqwaba yemisipha kanye nezwi lilahlekelwa ukuguga, futhi ngaphandle kokuphikisana nalezi zinkinga, lokhu kungaholela ekubhebhekeni kwe-apnea yokulala. Ngaphezu kwalokho, abesifazane abadlula isikhathi sokuya esikhathini lapho umphumela wokuzivikela we-progesterone ne-estrogen ulahlekelwa khona, bangase bahlushwa kancane kancane kwe-apnea yokulala nokuguga.
Ukugcina i-nasal passage evulekile ngokuphatha ukwelashwa nge- nasal steroids kungasiza futhi. Imithi efana ne- Nasonex , i- Flonase , ne- Rhinocort ingaba yinzuzo kulokhu. Ukuze umelane nemiphumela yokuvuthwa kwemvelo ngokuwa kwe-airway, ikakhulukazi ekushintsheni ulimi emuva, kungasiza ukulala ezinhlangothini zakho. Ngaphezu kwalokho, ukuphakamisa ikhanda lombhede ku-30 kuya ku-45 degrees ngokuyibeka ezincwadini noma ngisho namabhuloki okuvimba kungase kube usizo.
Okokugcina, nakuba i-apnea yokulala ingeke igwemeke ezimweni eziningi, izindaba ezinhle ukuthi kukhona okuqhubekayo ukwelashwa okuphumelelayo: ukucindezela okuqhubekayo okuvela emoyeni (CPAP) . Ukugeleza komoya njalo kuvimbela umoya ovulekile futhi kuvimbele ukuwa kwawo. Kunjengezibuko ezimbili, kusebenza kuphela uma kusetshenziswa, kodwa kungasebenza kakhulu kulabo abangakwazi ukukubekezelela.
Uma unemibuzo eqhubekayo mayelana nokwelashwa kwe-apnea yokuvimbela ukulala, ungakhuluma nodokotela wakho wokulala mayelana nezinketho zokwelashwa ezitholakalayo kuwe. Ngenhlanhla, kunezinketho eziningi zokwelapha ezitholakalayo, ngisho noma kuyimfuneko engashiyi yedwa.
Umthombo:
Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." Elsevier , edition 5. 2011.