Izimbangela Zihlanganisa Ukulala Kwe-Apnea, Ukuphuza Inhliziyo, Nokudwengula Kwe-Postnasal
Uma wake wavusa ukuphuma ebuthongweni, akungabazeki ukuthi wazibuza ukuthi kungabangela yini. Kungaba isenzakalo esesabekayo ezinokubangela eziningana. Funda ngesinye, i-laryngospasm ehlobene nokulala, nokuthi ingase ihambelane kanjani nezinye izinkinga ezibandakanya i-apnea yokulala nokushisa kwe-night. Ngokuthola i-trigger, ngethemba ukuthi ungathola ukwelashwa okufanele ukuvimbela ukuphindaphinda okuzayo.
Yini Ebangelwa Ukugqoka Ukulala?
Kunezimbangela eziningana ezingase zibe yizimbangela zokuchofoza, ukuvuza, noma ukukhwehlela ngaphandle kokulala. Ngokuvamile, lokhu kwenzeka njengengxenye ye- obstructive sleep apnea . Lapho izicubu ezithambile zomphimbo ziwela emoyeni, kubalulekile ukuvuka ngokuzumayo ukuze uphinde uphefumule ngokuvamile. Lokhu kuvame ukwenzeka lapho i-palate elula, uvula nelimi ivimba umphimbo. Kodwa-ke, ezinye izakhiwo ezikhona zingavimbela ukuhamba kwamanzi emaphashini futhi ziholele ekuvuseni.
I-laryngospasm ehlobene nokulala ivela lapho izicubu nezicubu ezithambile zizungeze inkontileka ye-trachea (noma i-windpipe) noma ivule futhi iminyene. Lokhu kungabangela ukuphefumula komsindo okufana nokuhlehlisa , kodwa kuboniswa umsindo ophefumulayo futhi ohlotshisiwe obizwa nge-stridor. Kubonakala sengathi kwenzeka kaningi ngesikhathi sokulala kwe-REM .
Uma ukugeleza komoya kuphazanyiswa ngokwanele, ngezinye izikhathi ngokuphelele, ukuvuswa kubangelwa ubuchopho.
Lokhu kuholela ekuvukeni okungazelelwe kusuka ebuthongweni. Ukuvinjelwa kungadlulela kumasekhondi angu-5 kuya ku-45 ngaphambi kokuvusa. Noma kunjalo, isiteji somsindo singaphikelela imizuzu embalwa ngemva kokuvuka. Ekugcineni, ukuphefumula kubuyela ekujwayelekile.
Kungase kube nokuzwa kwesifo senhliziyo noma ukushaya inhliziyo. Kungase kuhlotshaniswe nomzwelo wokuphelelwa amandla futhi lokhu kungaholela ekuvekeni kwesaba nokwesaba.
Ezimweni ezingavamile, lo muntu angase avele eluhlaza okwesibhakabhaka (nge-cyanosis). Isilinganiso sokuphefumula singakhuphuka sibe ngaphezu kwemiphefumula engu-20 ngomzuzu (tachypnea). Ukungahambi kahle nokwesaba kungabangela ukwesaba ukulala nokulala .
Yiziphi Izimo Ezivamile Ezihlobene Ne-Sleepy Related Laryngospasm?
Njengoba kuphawuliwe, i-obnetive obstructive sleep apnea ingase iphutha futhi ihlotshaniswe ne-laryngospam ehlobene nokulala. Kunezinye izimpawu ezihambisanayo. Abantu abane-apnea ejwayelekile yokulala ngeke bavuke nobunzima obuphikelela bokuphefumula noma isiteji sebevukile.
Ukushisa kwesifo se-night or gluro-esophageal reflux (GERD) ebusuku kungabangela ukuba i-laryngospasm. Uma i-asidi ingena emgodini ophansi kanye ne-trachea, ingabangela ukuvuvukala. Iningi labantu lizophinde lizwe ne-GERD ngesikhathi semini.
Kungase kubangelwe ukusetshenziswa kwamaphilisi okulala okuthiwa i-hypnotics noma ngeminye imithi ethinta ukuphefumula ngokucindezela isimiso sezinzwa esiyinhloko (brainstem) noma ngokuphumula imisipha yomoya. Ukwengeza, kubonakala sengathi ukuvuza okungahle kwenzeke okungenzeka kube nemisipha engapheli kungase kubangele abanye.
Yiziphi Izimo Ezivamile Ezihlobene Ne-Sleepy Related Laryngospasm?
Ngaphansi kwalokho kungase kube ukubonakaliswa kokuphazamiseka kokulala .
Lezi zivame ukuthinta izingane, kepha zingase ziqhubekele ekukhuleni, futhi zivame ukuhlobana nokuphefumula, ukukhathala, ukushaya kwenhliziyo okusheshayo nokukhathazeka. Ukuvuswa okungazelelwe, ukuphefumula kanzima, nokwesaba ukufa kubonakala nangokwesaba ukuphazamiseka, nakuba iziqephu zizovela ngesikhathi semini. I-asthma ebusuku ingabangela ukukhwehlela, ukuqhuma nokuphefumula kokulala. Ukukhubazeka kokuziphatha kwe-REM , lapho umuntu evuka ephethe iphupho, kungase kube khona.
Yini enye engaba khona? Kunezinye izimbangela ezimbalwa ezingavamile ze-laryngospasm ehlobene nokulala. Ukuzizwa kungase kwenzeke ezinganeni futhi kuholele ezimpawu ezifanayo.
Izicubu ngaphakathi kwendiza zingase zibe imbangela futhi i-endoscopy ingakwazi ukukhomba noma yikuphi ukungasebenzi kahle kwezingcingo noma ezinye izifo. Kubantu abadala, isifo sezinzwa eziqhubekayo okuthiwa i- multiple system atrophy ngokuvamile ihlotshaniswa nesiteji.
Uma ukhathazekile ukuthi ungase uhlupheke ngeziqephu ze-laryngospasm ngenkathi ulele, khuluma nodokotela wakho mayelana nezimpawu zakho ukucacisa imbangela enkulu. Kungadingeka ukuba ube nesifundo sokulala sokuhlonza okuthiwa i- polysomnogram . Ukuhlolwa okuqhubekayo kungalungiswa futhi ngezinye izikhathi izivivinyo zemithi zokwelashwa zingasisiza.
> Imithombo:
> I-American Academy Yokulala Imithi. Ukuhlukaniswa ngamazwe ngamazwe okuphazamiseka kokulala , 3rd ed. Darien, IL: i-American Academy of Sleep Medicine, 2014.
> Roland MM, et al . "I-laryngospasm ehlobene nokulala ibangelwa i-reflux ye-gastroesophageal." Sleep Med . 2008; 9: 451-3.