Ukuphazanyiswa Okuphefumulayo Kunamabomu Amaningana
Ukukhuluphala kwe-hypobestilation syndrome kunezinkinga ezinkulu zokuphefumula phakathi kwabantu abakhuluphele, kodwa yini ebangela ukuba kube khona? Ngokuqonda kangcono ukuthi kungani kwenzeka, ungase ukwazi ukuthola imithi efanele engenza izinto zibe zilungile. Kubalulekile futhi ukuqonda ukuxhumeka kokuphefumula okuphazamisayo kokulala , isimo esivumelana nezimpawu eziqhamukayo.
Funda ngobuhlobo obubalulekile phakathi kokukhuluphala, ukuphazamiseka kokuphazamiseka kokulala nokuphefumula kwe-carbon dioxide.
Yeka ukuthi i-Obesity Hypoventilation Syndrome ivela kanjani
I-Obesity hypoventilation syndrome (OHS) kwenzeka lapho ukuphefumula kungenele ukukhipha umzimba we- carbon dioxide kumuntu okhuluphele. Kungase kube nezizathu ezimbalwa zezizathu ezibangela kulo mphumela. Ekugcineni, umphumela uyafana, kanti lezi zinkinga ukuphefumula kungaholela ekuhlulekeni kokuphefumula okuphelele. Lokhu kungabonakala ngokulinganisa amazinga e-carbon dioxide egazini, okuphakanyiswa ngesikhathi sokuvuka kubantu abane-obesity hypoventilation syndrome.
I-carbon dioxide iyimithi engcolile evame ukukhishwa emaphashini ethu ngokushintshanisa oksijini. Lapho ukuphefumula kungeneli ngokwanele, ngenxa yezimbangela ezihlukahlukene, lokhu akunakwenzeka. Esikhundleni salokho, i-carbon dioxide ihlala isakazwa futhi ithuthuka kancane kancane.
Kuba yisifo esinobuthi obuyingozi, okuholela ekubeni ulele futhi (ekugcineni) ukungaqondi noma ngisho nokufa.
Igama elithi hypoventilation libhekisela ekuphefumuleni okunganele. Kungaba nomphumela lapho umoya ungenayo ivolumu elanele noma uma ingenzi njalo okwanele. Cabanga nje kuphela ukuthi uyakwazi ukugcwalisa amaphaphu akho isigamu esigcwele.
Lokhu kuphefumula okungeke kwenzeke kube nzima ukuqeda i-carbon dioxide futhi ungene emoyeni oyidingayo ukuze uphile. Ngaphezu kwalokho, ukuthatha umoya kancane kunalokho okudingayo kuzokushiya ngokushesha ukuzwa ukuphefumula okuncane. I-hypoventilation eveza lesi simo ingase ibe ngenxa yokuhlanganiswa kwalezi zici. Ngeshwa, labo abahluphekile bathola lezi zimingcele zingaphezu kokulawula kwabo ukuze banqobe.
Indima Ebalulekile Yokuvimbela I-Apnea Yokulala
Awukwazi ukunqotshwa ukuthi i-central a role obstructive sleep apnea injani kule nkinga. Empeleni, i-apnea yokulala ivela kubantu abangu-85 kuya ku-92% abanesifo sofuba se-hypoventilation syndrome. Lokhu kungase kubangelwe ngenxa yezinqubo ezifanayo kanye ne-anatomy predisposing. Kungenzeka nokuthi i-OHS imelela uhlobo olubi kakhulu lokuphefumula lokuphefumula lapho ukuphefumula kugxila khona kangangokuthi kuqala ukuba neminye imiphumela yemini, ikakhulukazi ukuphefumula (noma i- dyspnea ) ngokuzikhandla.
Njengesikhumbuzo, i-apnea yokulala ivela lapho umoya ophezulu ungena noma uvinjelwe ngokuphelele ngenkathi ubuthongo. Lokhu kuvimbela kuholela ekuphumeni okuzwakalayo ekuphefumuleni. Lokhu kuphazanyiswa kunemiphumela emibili: Amazinga e-oksijeni awela lapho amazinga e-carbon dioxide ekhuphuka.
Uma lezi zenzakalo ze-apnea zivame kakhulu, umzimba wakho uyakwazi ukuphola futhi kungase kungabi nemiphumela ehloniphayo. Kodwa-ke, uma i-apnea iqhubeka kaningi, asikho isikhathi sokubeka izinto kahle. Izinqubo ezivame ukukhokhela, kufaka phakathi izinguquko zokulungisa ukulinganisa kwamakhemikhali egazini lakho, akunakwenzeka.
Ukuphefumula Kuba Nzima Kakhulu Ekukhulupheni
Ngokuvamile, umzamo wokuphefumula uba nzima nakakhulu kubantu abakhuluphele kakhulu. Kunzima ukwandisa amaphaphu ngokumelene nengcindezi eyengeziwe ukuthi isisindo esiningi sibeka. Zibone wena uzama ukufaka ibhaluni ngotshani. Kuwumsebenzi onzima.
Manje faka incwadi enzima phezulu ebhaluni bese uzama into efanayo. Kuba yinto yangempela. Ngendlela efanayo, isisindo esengeziwe kumuntu othobekile kwenza kube inselele emaphashini ukugcwalisa.
Amapayipi ngokuvamile agcwaliswe ngosizo lwe-diaphragm kanye nemisipha yokuphefumula eduze kwendawo yokudoba. Lapho lezi zinhlanzi zidonsa, amaphaphu agcwalisa njengezimpondo. Abantu abakhulu banciphisa kancane emandleni emisipha. Akukhona kuphela ukuthi balwa nokuphikisana okuchazwe ngenhla, kodwa imisipha esetshenzisiwe ayinamandla njengoba kufanele ibe njalo.
Lezi zici ngokubambisana ziholela emsebenzini owandayo wokuphefumula. Lokhu kuzokhipha umuntu ngaphandle, ukuze ekugcineni kungapheli noma ukuphefumula okungapheli kuthathwa. Lokhu kubangela i-hypoventilation efana nale syndrome.
Ukuguquguquka komzimba iWorsens Hypoventilation
Ngenxa yokuphefumula kanzima, umzimba uzama ukuvumelanisa nesimo. Ngeshwa, ezinye zalezi zinguquko empeleni zenza i-hypoventilation ibe yimbi nakakhulu.
Ubuchopho buqala ukunganaki izibonakaliso zamazinga aphansi e-oxygen kanye ne-carbon dioxide ephezulu egazini. Lezi zimpawu ngokuvamile zizokwenza ubuchopho buvuse umzimba ukuba uphefumule ngokushesha ngokuzama ukulungisa ukungajwayelekile. Uma lesi simo singapheli, i-alamu inganakwa. Ngenhlanhla, ukwelashwa ngokushesha kulungisa lesi sakhiwo sokuphendula esakhelwe ngaphakathi.
Kuyaziwa ukuthi abantu abakhuluphele banezinga elingavamile lehomoni elibizwa nge- leptin . Akucaci ukuthi iyiphi i-leptin engadlala ekuguquleni amaphethini wokuphefumula, noma kunjalo. Ucwaningo ngalokhu luholele ebufakazini obungqubuzanayo kuleli phuzu.
Okokugcina, ngoba amaphaphu awagcini ngokugcwele, ama-lobes aphansi angase ahlale ewa. Lokhu kwenza kube nzima ukunciphisa igazi elijikeleza kulezi zingxenye zamaphaphu. Ngenxa yalokho, izinkinga ezine-oxygen ne-carbon dioxide exchange zanda.
Izimbangela eziyinhloko zokukhuluphala kwe-hypoventilation syndrome ziningi. Ekugcineni kwenzeka lapho kukhona ukushintshaniswa okunganele kwe-oxygen ne-carbon dioxide. Lokhu kungase kudingeke ngokuyingxenye ekunciphiseni ngokomzimba okufakwe emaphashini ngokukhuluphala. Kukhona futhi okucacile indima ye-obstructive sleep apnea, njengoba lokhu kuphazamise ukuphefumula ebusuku kubangela izinto zibe zimbi nakakhulu. Ngisho nezilinganiso zemvelo zomzimba ziqala ukuhluleka. Ngenhlanhla, kunezinketho zokwelashwa ezitholakalayo ezikhona ezingasilungisa lesi simo, kufaka phakathi ukwelashwa okucindezelayo kwe-airway.
Imithombo:
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Mokhlesi, B et al . "Obesity hypoventilation syndrome: ukusabalalisa nokubikezela kweziguli ezine-apnea yokuvimbela ukulala." Sleep Breath 2007; 11: 117.
Mokhlesi, B et al . "Ukuhlolwa nokuphathwa kweziguli ezine-obesity hypoventilation syndrome." I-Proc Am Thorac Soc 2008; 5: 218.
I-Piper, i-AJ et al . "Izindlela ezikhona manje ekukhusheni kwe-hypoestilation syndrome." I-Curr Opin Pulm Med 2007; 13: 490.