Izimpawu Eziqhakambisa Zokulala Nge-Apnea Ezinganeni

Ukulala, i-Bedwetting, nomlomo wokuphuza uMeyi kungabonakalisa i-OSA

Uma ucabanga nge- apnea yokulala , ungase ungacabangi ngomntwana njengomuntu ojwayelekile kakhulu ukuba abe nesimo. Eqinisweni, ungase ungacabangi ngezingane njengendlela yokuphefumula i-apnea yokulala. Ukwehlisa nokulala ngokuphefumula yizimo ezivame ukuvama ezingathinta izingane, noma kunjalo. Lokhu kungaba nemiphumela ebalulekile ekukhuleni nasekuziphatheni. Cabangela izibonakaliso eziyishumi zokuphazamiseka kwezifo zokulala njengoba kwenzeka ezinganeni.

1 -

Ukulala

Ukulala kungase kuthinte cishe ama-10% wezingane okungenani kanye phakathi kweminyaka engama-3 no-10. Uqala cishe uneminyaka engama-5 futhi uhlale ungaphansi kokukhula. Ukulala kungase kuhlotshaniswe nokuvusa ukudideka . Uma lokhu kwenzeka, ingane ibonakala ivuselela kodwa ihlala isesimweni esingaqondakali, isimo esididekile. Lezi ziqephu zivamise ukwenzeka engxenyeni yesithathu yobusuku, ngokuvamile ziphuma ebuthongweni obuthile. Nakuba imbangela yokulala ingase ingabonakali ngaso sonke isikhathi, kubonakala sengathi ngezinye izikhathi kungenzeka ngenxa ye-apnea yokulala. I-apnea yokulala ingaholela ekuvukeni okuncane ukuze kuqhubeke ukuphefumula, futhi lokhu ukuhlukaniswa kokulala kungaholela esimweni sokuqwashisa okungenza ukulala kube lula. (Ngokusobala, i- syndrome yezinyawo ezingenalutho kanye nokuphazamiseka kwendima yokunyakaza kwesinye isikhathi kungase kuqhubekise le ndlela yokuziphatha.)

Okuningi

2 -

Amazinyo agaya

Kukhona okuphazamisayo ngokuzwa othile egaqa amazinyo. Kungathumela ukuthungula phansi umgogodla wakho, kodwa kungaba yini isibonakaliso sokuphefumula kwe-apnea? Ukugaya amazinyo, noma ukuxuba, kungase kwenzeke ngempela kulo mongo. I-apnea yokulala ivame ukuvela lapho izicubu ezithambile (amathani, ama-adenoids, i-palate ethambile, nolimi) ngemuva komphimbo uvimba umoya. Ukugcoba, ukugcoba, noma ukugaya amazinyo kungase kube indlela umzimba ogcina ngayo umoya ovulekile. Iqinisa imisipha emhlathini, ulimi, futhi, kancane kancane, ehamba emoyeni. Lokhu kungavimbela ukuwa noma ukuvinjelwa kwe-airway okuvame ukuveza i-apnea yokulala. Uma lokhu kukhulunywa ngokweqile kwe-muscle tone kubonakala kuhlangene nemicimbi yokuphefumula esifundweni sokulala , inhlangano iqine kakhulu. Nakuba abalindi bomlomo bangasiza ekuvimbeleni ukulimala kwamazinyo, ukuphathwa imbangela kuyathandwa.

3 -

I-Bedwetting

Izingane zivame ukumanzisa ubhede ebusuku, kodwa kubhekwa njengenkinga uma kwenzeka kabili ngeviki elingaphezu kweminyaka engama-5 ubudala. Ukulala kwe-enuresis, njengoba kubizwa, kuthinta kakhulu abafana futhi kungase kube khona ku-3-30% wezingane ezineminyaka emine kuya kweyishumi nambili. Kwenzeka ngesikhathi sokulala kwe-wave-wave lapho kukhona ukwehluleka ukuvusa lapho isifiso sigcwele. Nakuba kungenzeka ngenxa yokutheleleka, ukucindezeleka, i-caffeine, noma ezinye izimo zezokwelapha, nakho kungaba uphawu lwe-apnea yokulala. Ngenhlanhla, kulabo bantwana abanesifo sokulala ngenxa yokuphefumula ukuphumula, ukwelashwa kuzokusiza ukuhamba.

Okuningi

4 -

Ukuphunga

Ngaphandle kokushisa komzimba ekulungiseleleni kokugula, akuyona into evamile ukuba izingane zivame ukuvuka zikhukhumezekile. Uma ama-pajamas, amashidi, noma izingubo zokugcoba zigcwala, lokhu kungaba ubufakazi bokuthi ingane yakho ihluleka ukuphefumula ngesikhathi sokulala. Lokhu kungafana nokuzivocavoca okukhulu kwe-aerobic, futhi kuwumsebenzi onzima uma ukuphumula kufanele kutholakale. I-apnea yokulala ivame ukuhlobana namazinga e-oksijeni wehle, ama-spikes e-blood pressure kanye ne-rate yehliziyo, kanye ne-hormone yokucindezeleka okukhulu. Uma lokhu kwenzeka kaningi ebuthongweni bezingane, ukujuluka ngokweqile kungase kwenzeke futhi ungathola ubufakazi bomzabalazo ekuseni.

5 -

Ukulala okungapheli

Kungaba umlutha womndeni othile: ukuthi ukulala okungenalutho kungaba kanjani! Ngeshwa, ukulala okungapheli kwengane kungase kube esinye isibonakaliso sezinkinga phakathi nobusuku. Lapho ukuphefumula kuba nzima, njengoba kwenza ku-apnea yokulala, lokhu kungase kubonakale ekunyameni okunamandla ebuthongweni. Uma izembozo ziphikisiwe zibe ibhola phansi kombhede noma phansi ekuseni, lokhu kungaba isibonakaliso sokucindezeleka. I-apnea yokulala ingase ibonakale nasezikhundleni ezingavamile zokulala. Ingane yakho ingase ishintshe izikhundla zokulala ngokuzama ukuthola indlela yokulala-nokuphefumula -kanyekanye. Izingane zingatholakala zihlaselwe embhedeni noma zihambisana nebhodibhodi. Bangase baziphakamise ngezindlela ezingavamile zokuzama ukugoqa umoya ovulekile. Ngaphezu kwalokho, ukulala okungenasiphelo ngokuvamile akuyona imfanelo enhle, futhi kungenzeka ukusikisela isidingo sokuhlolwa okufanele ngumchwepheshe wokulala .

6 -

Snoring

Ukunqoba phakathi kwezingane kuyinto ifulegi elikhulu elibomvu. Ngokuqinisekile, i-snore yesikhashana ingase ibe khona kumongo wokutheleleka okuphezulu okuphefumula njengomkhuhlane, kodwa uma kwenzeka ngenye indlela, lokhu kuyinkinga. Njengomthetho wesithupha, izingane akufanele zihlale ziphuza. Ungalokothi. Lokhu kuyisibonakaliso sokugeleza okungavamile komoya emoyeni ophezulu ovela emakhaleni nasemlonyeni kuya emaphashini. Kuyintuthuko kule ndima eveza umsindo. Kungenzeka ngenxa yezifo zomzimba, amathani amancane noma ama-adenoids, nezinye izinkinga ezingalungiswa. Ukunqoba ngokuvamile kuvame ukuhamba ngezandla nge-apnea yokulala, futhi uma ingane yakho ithokoza, kubalulekile ukubuka i-apnea yokulala, futhi.

Okuningi

7 -

Izinkinga zokukhula

Njalo uma uletha ingane yakho kudokotela wezingane, isisindo nokuphakama kuyalinganiswa, kubhaliwe futhi kuvamise ukudweba ekhasini elibizwa ngokuthi i-curve yokukhula. Leli hambo libonisa ama-percentile yalezi zinyathelo, okwenza kuqhathaniswe nesibalo esikhulu ngokususelwa eminyakeni yobudala nobulili. Isibonelo, umntwana omude futhi omncane angase abe yi-90c percentile yokuphakama kanye ne-40th percentile yesisindo. Kukholelwa ukuthi lezi zici ezihlelwe ngaphambilini zizakhiwe ngokofuzo, zizuzwe umama nobaba. Njengoba kunikezwe ukudla okunempilo kanye nempilo ejwayelekile, la ma-percentile ahlale ezinzile kulokhu kuthuthukiswa. Kodwa-ke, lapho ingane "iwa phansi ijika lokukhula" lokhu kungaba uphawu lwezinkinga. Ngokuvamile kubonakala kunzima ukuthambisa ezinsaneni, kodwa kungase kwenzeke ngenxa yokuphefumula kwe-apnea ezinganeni ezindala. Ukulala kancane (ngokuvamile okukhulunywe ngakho futhi okubaluleke kakhulu ezinganeni) lapho kukhululwa i-hormone yokukhula. Lokhu kusiza ekukhuleni nasekuthuthukisweni okujwayelekile. Uma lokhu kulala kuphazamiseka, njengoba kwenzeka ku-apnea yokulala, kukhululwa i-hormone encane yokukhula. Ngenxa yalokho, izingane azifinyeleli amandla abo okugcwele futhi ziphelela zibe mfushane kunokuba zingenjalo. Ngenhlanhla, ukwelashwa kwe-apnea yokulala kungaphumelela kakhulu ukuguqula lokhu kulahlekelwa kanye nezingane zizophinde ziphinde ziphinde zibuyele ekuhambeni kwazo ngaphambi kokukhula kwegrafu.

Okuningi

8 -

Iphutha

Ngesinye isikhathi, kuvamile ukuba izingane ziyeke ukuphumula. Uma kungenjalo, lokhu kungase kusiphakamise inkinga ngobuningi noma izinga lokulala abayithola. Ezinyangeni ezingu-12, iningi lezingane ezisencane kuphela noma kabili ngosuku, ngokuvamile ekuseni noma ntambama. Lawa angama-naps angahlala amahora angu-1 noma amabili. Kungakapheli izinyanga ezingu-6, ukulala kwamasikati kunganciphisa kanye kanye ngosuku. Ngesikhathi izingane ziqala isikole, ama-naps avame ukuhamba. Uma bengakwenzi, noma uma bebuyela ngaphakathi, lokhu kungaba uphawu lokuphefumula okuphazamisayo. Kuyinto engavamile kakhulu izingane ezindala ukuthi zidinga ukulala naphakathi emini, futhi ubuthongo obukhulu kakhulu phakathi kwaleli qembu kudinga ukuhlolwa okwengeziwe.

Okuningi

9 -

ADHD

Ukwehluleka kokukhathazeka ngokweqile (ADHD) kuyinto ejwayelekile yokuxilongwa ezinganeni, futhi ukulala ne-apnea yokulala kungenye yezinto ezivame ukubangela isimo. Izingane ezine-ADHD zihlangabezana nobunzima ukulalela, ukuziphatha okungahambi kahle, ukukhohlwa, ukulawula ukucindezeleka okungafanele noma ukungaziphathi kahle, nokuphazamiseka. Lokhu kungathinta ukusebenza kwesikole. Okuthakazelisayo, izingane ezinenkinga yokulala zinempendulo ephazamisayo. Esikhundleni sokulala, njengabantu abadala, ngokuvamile bavame ukungasebenzi kahle. Lokhu kungabasiza bahlale bephapheme. Izinkinga ezihlobene nokuhlushwa nokugxila yizibonakaliso ezivamile zokulala okuphazamisayo. Cishe ku-3 kwabantwana abane-ADHD snore uma kuqhathaniswa nabangu-10 kuphela kulabo abangenayo i-diagnostic. Ngakho-ke, izimpawu ezibonisa ukuthi i-ADHD kufanele futhi ivuselele ukuhlola ngokucophelela ukulala.

Okuningi

10 -

Ukuphefumula komlomo

Okokugcina, ukuphefumula komlomo kungase kube uphawu lokuthi kukhona (noma ingozi yokuthuthukisa) ukuphefumula kwe-apnea ezinganeni. Abantu baphoqeleka ukuvuthwa kwe-nasal, okusho ukuthi sihloselwe ukuphefumula ngekhala lethu. Uma ikhala livinjelwa ngokungapheli ngenxa ye-allergies noma i-septum yama-nasal ephukile, umlomo ukuphefumula kungabangela. Ngokuphefumula emlonyeni, imisipha yomhlathi isendaweni ekhululekile. Lokhu kuholela ekujuleni kwesimo ngokuhamba kwesikhathi. Kungasiza futhi ekubuthakathaka ngolimi nezinye izihluthulelo ze-oropharynx (umlomo nomphimbo). Ngenxa yalokho, ukugcoba nokuphuza i-apnea kungase kwenzeke kakhulu emlonyeni-obala.

Izwi elivela

Uma ukhathazekile ukuthi ingane yakho ingase ibe nezibonakaliso ezimangalisayo ezibonisa ukuthi i-apnea yokulala, qala ngokukhuluma nodokotela wezingane. Uma kudingekile, ukuhanjiswa kwesazi sokulala kungenziwa ukuhlelwa ukuze kuhlolwe lokhu okukhathazayo futhi kuqinisekiswe ukuthi ukulala okungcono kakhulu kanye nekhwalithi yokuphila ingatholakala.

_Imithombo:

_{I-Chervin, i-RD et al . "Izimpawu zokuphazamiseka kokulala, ukungalindelekile, nokucwasa ezinganeni." Ukulala . 1997 20 (12): 1185-92.}

_{UDurmer, JS et al . "Ukwelashwa Kwezingane Zamazinyo." Continuum Neurol . 2007; 13 (3): 158.}

_{Guilleminault, C et al . "Ukulala nokulala kwesibindi kuma-prepubertal izingane: yini ebangela ukuba babe khona?" Izingane zokwelapha 2003; 111 (1) e17-25.}

_{Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." Elsevier , edition 5.}

_{UTaheri, S. "Isixhumanisi phakathi kwesikhathi esifushane sokulala nokukhuluphala: kufanele sikhuthaze ukulala okwengeziwe ukuvimbela ukukhuluphala." I-Arch. Dis. Ingane. 2006; 91; 881-884.}