Abantu abangaba ngu-75 abanesifo senhliziyo babika ukulala njalo, okwenza lokhu kube esinye sezibonakaliso ezivame kakhulu zokuhluleka kwenhliziyo .
Ukuqwashisa kubhekene nobunzima bokulala, ubunzima bokulala, noma ukuvuka ekuseni kakhulu (noma bonke abathathu), kulandelwa izimpawu zokulahlwa ngesikhatsi semini, njengokulala, ukukhathala, ukungabi namandla, ukuzizwa kahle, kanye / noma ubunzima ukugxila.
Ngesikhathi noma ubani engakwazi ukulala nokulala, ngezikhathi ezithile abantu abanokuhluleka kwenhliziyo cishe bazobhekana nakho njalo futhi behluke kakhulu kunabanye abantu.
Izimbangela Zokuqwashisa
Kunezimbangela eziningi zokulala. Lokhu kufaka phakathi izakhi zofuzo (njengokwenyuka kwesilinganiso semethamo noma ukungahloniphi); izici zokuziphatha (ezifana nesimiso somsebenzi, izidingo zomndeni, noma ukudla okuhlwa noma imikhuba yomsebenzi); izici zengqondo (njengokucindezeleka, ukuthambekela kokukhathazeka, ukucindezeleka okungapheli, noma inkinga yokuphila yamuva); nokugula (njengokuhluleka kwenhliziyo).
Abaningi bezobuchwepheshe bakholelwa ukuthi, noma yikuphi ukuphoqelela ukulala, isimo singasetshenziswa isikhathi eside ngokukhathazeka ngokungalali ngokwanele (okuyinto eyenza kube nzima ukulala), noma ngokwenza izindlela zokubhekana nazo (njengokubuka i-TV noma ukudlala imidlalo yevidiyo ngesikhathi sokulala). Ngakho-ke ukuhamba kwesikhathi okwesikhashana kokulala-kela ukuvame ukuqhutshelwa yindlela esabela ngayo kuso.
Okwenza Ukwehluleka Inhliziyo Kuhlangene Nokuqothulwa
Abantu abanokuhluleka kwenhliziyo basuke bejwayele izici ezivamile zokweqa ukulala njengokunye omunye umuntu. Eqinisweni, ngenxa yokuthi bangaphansi kokucindezeleka kokugula okungapheli, futhi ngenxa yokuthi kungenzeka ukuthi bakhulise ukucindezeleka, "izici ezivamile zokucindezeleka" zivame ukwanda.
Kodwa ngaphandle kokuba okungenani kunokwenzeka ukuthi omunye umuntu abone izimbangela ezivamile zokulala, abantu abanesifo senhliziyo bancike ezinkingeni eziningana ezengeziwe ezivame ukuveza ukuphazamiseka kokulala.
Ukulala Nezimpawu Zokuhluleka Inhliziyo
Izimpawu ezivamile zokuhluleka kwenhliziyo zingaphazamisa ukulala. I-Orthopnea- ukuphefumula kokuphefumula lapho ilele phansi-ingenza kube nzima ukulala. Isimo esilandelayo- i- paroxysmal nocturnal dyspnea, noma i-PND- izimpawu ngokuphazima kweso zivuka ekulaleni, futhi kuvame ukwethusa isipiliyoni sokubuyela emuva emva kwesigatshana se-PND kaningi esingenakwenzeka. Imithi yokwelashwa eyenzelwe iziguli eziningi ezinesifo senhliziyo ingaphazamisa ubuthongo ngokubangela i-nocturia-isidingo sokuvuka nokuvuthwa ebusuku. Ngakho ukwehluleka kwenhliziyo ngokwayo kungabangela ukuphazamiseka kokulala.
Ukuphuleka kwe-Apnea nokushaya kwenhliziyo
I-apnea yokulala ivame ukuhluleka kwenhliziyo. Iziguli ezine-apnea zokulala ziye zahlala isikhathi eside ekuphefumuleni kwabo ngesikhathi sokulala. Lezi zikhathi zokuphefumula zidala ukuvusa ngokuzumayo kusuka ebuthongweni obunzima, ngokuvamile kuvame isikhathi isikhathi ngasinye ebusuku, futhi kubangele ukulahlekelwa okubalulekile kokulala. Iziguli ezine-apnea zokulala zivame ukungazi ukuthi zizovuthwa ebusuku, futhi zingase zingakhononi ngokulala-kodwa zithola izimbonakaliso eziningi zokulahla ubuthongo.
Uma kubhekwa, i-apnea yokulala itholakele kumaphesenti angama-50 weziguli ezinesifo senhliziyo. Ukuphefumula kwe-apnea kuvame ukwenza ukuhluleka kwenhliziyo kube bubi nakakhulu, futhi ukuhlukumeza kwenhliziyo ngokweqile ngokuvamile kwenza ukuba i-apnea yokulala ibubi-ngakho-ke umjikelezo ononya ungenza. Ngenxa yalesi sizathu, kubaluleke kakhulu ukuba iziguli ezihluleka ukushaya inhliziyo zibe ne-apnea yokulala ukuze zithole ukwelashwa okuhle kokubili .
Ukuphazamiseka Kwama-Nocturnal Movement kanye Nokuhluleka Kwezinhliziyo
Kuye kwaqaphela ukuthi iziguli ezinenkinga yenhliziyo zingenzeka kakhulu kunabantu abaningi ukuba bahlakulele izinhlobo ezimbili ze-disorder disorder disorder ezingaphazamisa ukulala okungenakuphumula kwesifo somlenze kanye nokuphazamiseka kwendima yokunyakaza kwesilungu.
I-restless leg syndrome (RLS) ibonakala izimpawu eziningana ezingakhululekile emilenzeni eyenzeka ngokulala ngesikhathi sokulala ebusuku. Lezi zimpawu zibandakanya ukushisa, ukuguqulwa, kanye / noma izinzwa ezinwabuzelayo eziphoqelela abagulayo ukuba baqale ukuhamba ngezinyawo zabo ukuze bathole usizo (ngakho-ke, "ukuphumula imilenze"). Bayobika ukuthi benza ama-jerks cishe angazibandakanyi, noma bezama ukunyakaza kwemilenze yabo. Ngenxa yalokho, lezi ziguli zivame ukuba nezinkinga eziningi zokulala. Ngenhlanhla, ukwelashwa kungasebenza kahle.
Ukuphazamiseka kwendima yokunyakaza kwesikhashana (PLMD) kufana nesifo esingenalutho, ngoba kuhilela ukunyakaza okungenakuzithandela kwemilenze (ukushaya, ukukhahlela noma ukuchoboza) okuhambisana nokulala. Umehluko omkhulu wukuthi i-PLMD ivela ngesikhathi sokulala, futhi ingase ingabonwa ngokuqondile yi-sufferer (nakuba kungenzeka ukuthi ingabonwa, ngokuvamile ibuhlungu, ngumlingani olele). Kodwa-ke, i-PLMD ivame ukubangela ukuphazanyiswa ebuthongweni obunzima, futhi ngaleyo ndlela iveza ukulahlwa kokulala. Ngokufanayo ne-RLS, i-PLMD ingaphathwa uma ihlonishwa.
Izwi elivela
Uma unesifo senhliziyo, kunethuba elihle lokuthi uhlushwa ubuthongo bokulala, okungenzeka kubangelwa ukuphefumula kokuphefumula, ukuphazamiseka kokunyakaza kwelanga noma "ukulala" okulula. Ukwelashwa okuphelele kokuhluleka kwenhliziyo yakho kubaluleke kakhulu ekuphatheni zonke lezi zifo zokulala, ngakho-ke wena nodokotela wakho kudingeka nithole ukuthi uthola yonke inqubo yokwelashwa kwenhliziyo okufanele uyenze.
Kodwa-ke, ukwelashwa okuhloswe ngazo izinkinga ezithile zokulala-ikakhulukazi, i-apnea yokulala kanye nezinkinga zokunyakaza kwelanga-kungase kubaluleke kakhulu ekunakekeleni ukulala kwakho. Uma unesifo senhliziyo futhi ubhekene nezimpawu zokunakekelwa kokulala-njengokungapheli kwamalanga, ukukhathala, ukugxila okuncane, ukukhathazeka ngokweqile-noma ngabe uyazi inkinga yokulala, kufanele ukhulume nodokotela wakho ngakho. Ucwaningo lokulala-i- polysomnogram- kungadingeka ukuze kwenziwe ukuxilongwa okuqondile, ukuze ukwelashwa okufanele kuqalwe.
Imithombo:
I-American Academy ye-Sleep Medicine. Ukuhlukaniswa kwamazwe ngamazwe okuphazamiseka kokulala, 2nd ed: Ibhukwana le-Diagnostic and coding, i-American Academy of Sleep Medicine, eWestchester, IL.
I-Leung RS, uBradley TD. I-apnea yokulala nesifo senhliziyo. Am J Respir Crit Care Med; 164: 2147.
Ohayon MM, Hara R, Vitiello MV. I-Epidemiology yezinkinga zemilenze ezingenalutho: i-synthesis of the books. I-Sleep Med Rev 2012; 16: 283.