Ukucindezeleka, Inkohlakalo Yobunjane, Nokubheka Ngomhla kaNtshonalanga Kungenzeka Ngesimo
I-apnea yokulala engavinjelwe ingase ibe nezibonakaliso nezimpawu ezimangazayo zesimo. Ungalindela kumuntu oweqile kakhulu, uyamemeza ngokuzwakalayo, futhi avuke ngokuphindaphindiwe ukuphuma ebuthongweni. Nokho, kungase kube nezinye izimpawu eziphakamisa ukuthi kukhona ukukhubazeka. Cabangela ezinye zalezi zibonakaliso ezihlukile nokuthi ngabe imbangela ebangelwa yini ingabangela ukuphefumula okungalashwa ngukulala.
Ukucindezeleka
Kukhona ukungenelela okuningi phakathi kwezinkinga zokulala nezinkinga zemizwelo. Ukucindezeleka ikakhulukazi kunobungane obuqinile ne-apnea yokulala. Lokhu kungabonakala njengokuzizwa phansi noma okudabukisayo, ngisho neziqephu zokukhala, kodwa kungase kube nezinye iziphumo ekucindezelekeni. Kungase kube nokulahlekelwa kwesithakazelo emisebenzini eyayijabulisa ngaphambili. Abanye abantu bazizwa benecala ngezinto abenzile noma abahlulekile ukuzenza. Izinga lamandla aphansi kanye nokuhlushwa okubi kungase kwenzeke. Ukudla kunganciphisa noma kwandiswe, okuholela ekulahlekelweni kwesisindo noma ekuzuzeni, ngokulandelana. Kungase kube nemicabango yokuzilimaza noma abanye. Uma kunoma iyiphi yalezi zimpawu zenzeka, ukwelapha i-apnea yokulala kungasiza, kodwa abanye abantu bangase badinge futhi ukusetshenziswa kwemithi yokucindezeleka noma yokwelapha. Ngaphezu kokucindezeleka, ukukhathazeka , ukuhlaselwa kobuhlungu ebusuku, nokucasula kungase kwenzeke nokuphefumula kokuphefumula.
Izinkinga Ukucabanga
I-apnea yokulala ingaba nemiphumela emibi ekutheni unakho ukucabanga kahle phakathi nosuku. Ngezinye izikhathi lokhu kubizwa ngokuthi "inkohlakalo yobuchopho." Iziqephu eziphindaphindiwe zokuphazamiseka ukuphefumula okwenzeka ebusuku ukulala. Njengomuntu obhekene ne-apnea yokulala awela ebuthongweni obunzima, umoya we-air collapses, kanye nokuvuka okwesikhashana ukubuyisela ukuphefumula.
Lokhu kuhlukaniswa kuholela ekuvukeni okuvame njalo nokulala kahle kwekhwalithi. Omunye wemisebenzi emikhulu yokulala ukukhipha imfucumfucu emikhondweni yobuchopho, kuhlanganise ne-neurotransmitter adenosine . Uma lo msebenzi wokugcina uphazamiseka, ukulala akuyona into eqabulayo. Lokhu kungenza umuntu ogula i-apnea abe nomuzwa wokuthi ukucabanga kwabo akusizi. Ngenxa yalokho, ubunzima obumpofu obukhulu, izinkinga zokunaka (njenge-ADHD noma i-ADD), nezinkinga zememori zesikhashana zingenzeka.
Ukungabi namandla
Ukululama ukufeza noma ukugcina ukulungiswa kungase kube uphawu lwe-apnea yokulala emadodeni. Lokhu ukungabi namandla kungenzeka ngenxa yokugeleza kwegazi okwehlisiwe noma izinguquko ohlelweni lwezinzwa oluthinta ipeni. Kunezimo eziningi lapho i-apnea yokulala eyaziwa ukuthi inezifo zenhliziyo. Kungabangela ukucindezela kwegazi eliphezulu, ukuhluleka kwenhliziyo, ngisho ne-hyperlipidemia (i-cholesterol ephezulu). Kukholelwa ukuthi i-apnea yokulala ibangela ukuvuvukala kwesistimu. Ukucindezeleka kweziqephu eziphindaphindiwe zokuphefumula kusiphazamisekile ebusuku, ngamaconsi emazingeni e-oksijeni, kwandisa izimpawu zokuvuvukala. Lokhu kungathinta imithwalo yegazi ngokuqondile. Ngaphezu kwalokho, kungase kube nemiphumela kwisistimu ye-neon autonomic elawula ukugeleza kwegazi.
Ukucindezelwa Kwegazi Eliphakeme
I-apnea yokulala ibangela ingozi yokuthuthukisa ukucindezeleka kwegazi. Lesi simo, esibizwa nangokuthi ingcindezi yegazi, singaholela emiphumeleni emibi njengesihlasela senhliziyo noma isifo sohlangothi . Njengoba kuchazwe ngenhla, iziqephu eziphindaphindiwe zokuphazamiseka ukuphefumula ngesikhathi sokulala ziholela ekuhlahleni kwamazinga e-oksijeni egazi, ama-spikes ngenhliziyo, nokunyuka kwengcindezi yegazi. Ukuvuvukala okuphumela ekuthinteni umzimba wonke. Uma ukucindezeleka kwegazi kunzima ukulawula ngokushintshashintsha kwendlela yokuphila noma imithi, i-apnea yokulala kufanele iphenywe njengesizathu esingaba nesifundo sokulala. Uma umuntu edinga imithi yokucindezeleka kwegazi ezintathu futhi engakwazi ukugcina umfutho wegazi ophakeme ungaphansi kokulawula, kunethuba elingamaphesenti angama-96 ukuthi une-apnea yokulala!
Ngenhlanhla, ukwelashwa ngokucindezela okuqhubekayo kwe-airway (CPAP) kungasebenza njengemithi eyodwa yokunciphisa ukucindezelwa kwegazi.
Ukuvuka Ukuguqula
Uma uzithola uvuka ebusuku ukuze ugijime, lokhu kungase kube uphawu lwe-apnea yokulala. Lesi simo, esibizwa ngokuthi i- nocturia , singase senzeke ezimweni ezihlukahlukene: ukungenisa ngokweqile uketshezi oluseduze kokulala, ukusetshenziswa kwemithi yokwelapha njengeLasix (furosemide), noma kumadoda ane-benign prostatic hypertrophy (BPH). Kwenzeka futhi nge-apnea yokulala. Ukuhlukaniswa kokulala okwenzekayo kungaphazamisa ukukhululwa kwe-hormone anti-diuretic (ADH). Ngokuvamile, leli hormone lisithiya ukuba singaboni ebusuku. Uma ingakhululwa, ukuvakashelwa okuphindaphindiwe okugeza kungase kwenzeke. Ngaphezu kwalokho, i-apnea yokulala ingabangela ubuthongo obumhlophe obuholela ekuqaphelweni okwengeziwe ukuthi isisu sisigcwele kanjani ebusuku, futhi sikhuthaza ukuchama. Kukhona nobufakazi bokuthi bunzima enhliziyweni ngenxa yezingcindezi ezimbi ezithinta isifuba ukukhululwa komchamo ukunciphisa lokho okubonwa njengombuso wokukhululeka kwevolumu. Ukwelashwa kunganciphisa isidingo sokuvota ebusuku.
Amazinyo Ukugaya
Ukugaya noma ukugaya amazinyo ebusuku kungase kube uphawu lwe-apnea yokulala. Eyaziwa nangokuthi i-bruxism, ukugaya amazinyo kuvamile futhi kungathinta amaphesenti angu-10 wabantu. Kwamanye abantu, kungase kwenzeke ngokungahambisani nokulala ukuze kuqiniswe imisipha yomoya futhi ugcine umhlathi uhambe emuva. Lokhu kuvimbela ulimi, olunamathele emhlathini ongaphansi, ukungena ngaphakathi nokuvimbela umoya womoya. Ngokubambisana, ukuwa kwe-airway kungalwisana, futhi lokhu kungaholela ekuvukeni okuncane kokuphefumula kokuphefumula. Ngeshwa, ukugaya kwamazinyo kungaholela ekulimaleni kwezinyo zamazinyo, izinkinga ze-temporo-mandibular (TMJ), nezinsizwa.
Ukuvuselela Ukulala
Uma ukulala akuqabuli, kungakhathaliseki ukuthi kutholakala kangakanani, lokhu kungase kubonise ukuthi i-apnea yokulala. Ukulingana ngokwanele kokulala ngokuvamile kubangelwa izimpawu zokulahla ubuthongo. Kodwa-ke, lapho izinga lokulala liyekethiswa ngenxa yokuhlukaniswa okuvela e-apnea yokulala, izinkinga ezifanayo zingenzeka. Ukulala ngokweqile kwansuku zonke kubonakala ku-apnea yokulala. Lokhu kungenza kube lula ukuthatha izithombe. Ngokuvamile kwenza kube lula ukulala ebusuku, futhi abantu abane-apnea yokulala bangase balale ngaphakathi kwemizuzwana kuya emizuzwini. Lokhu kungase kube yingozi, ikakhulukazi uma ubuthongo bubangela ukulala ngesikhathi ushayela.
Ukuguquka kwenhliziyo
Ukuphefumula kokuhlwa ebusuku noma i-reflux ye-asidi kungaba uphawu lwe-apnea yokulala. Abantu abaningi abahlangabezana nalezi ziqephu banesifo se-reflux se-gastro-esophageal (GERD) yasemini. Kukhona indandatho ye-muscular of tishu ebizwa ngokuthi i-sphincter ephansi e-esophageal evimbela okuqukethwe kwesisu, kuhlanganise nesisu esiswini, ukungena emgodini. I-hoop isishubhu se-muscular esivela emqaleni kuya esiswini. Uma i-sphincter ibuthakathaka, ayikwazi ukuvala ithubhu ngokuphelele futhi lokhu kuholela ekutheni i-reflux ne-heartburn. Ukuwa kwe-airway ngesikhathi se-apnea yokulala kungadala ingcindezi embi edonsa okuqukethwe kwesisu ngaphakathi kwesigcawu. Ngakho-ke, ukuphuza ukushisa noma ukuhlaziya ebusuku, ikakhulukazi lapho becasula iziqephu zokukhwehlela noma ukukhahlela ngesikhathi sokulala, kungase kusiphakamise ukuthi i-apnea yokulala ikhona.
Ukulala
Lokhu kungaba yinye yezibonakaliso ezingavamile zokuphefumula ukulala. Esinye sezimo zokulala ezingavamile, noma i-parasomnias, ukulala kungase kube uphawu lwe-apnea yokulala. Eqinisweni, ezinye izenzakalo ezifana ne-sleeptalking (somniloquy), ukulala ukulala , nokunye ukuziphatha nokunyakaza kungase kusikisela ukuphefumula kwe-apnea. Isibonelo, ukunyakaza kwesikhumba ngezikhathi ezithile kungabonisa imizamo yokuqhubeka nokuphefumula futhi ngokuvamile ihambe nokuphathwa kwe-apnea yokulala. Izindlela eziyinkimbinkimbi ezengeziwe zingase zenzeke lapho isimo se-consciousness siphuka. Esikhundleni sokuba sonke siphapheme noma bonke abalele, ubuchopho bungaba nomoya ohlangene lapho ukuvuka nokulala kwenzeka khona kanyekanye. Ingxenye yobuchopho elawula ukuqonda kanye nenkumbulo ingase ihlale ilele ngenkathi lokho okulawula ukunyakaza, njengokuhamba, kungase kusebenze. Ngenxa yalokho, umuntu onokulala angase avuke futhi ashiye ekamelweni lokulala (noma ngisho nendlu) engenakho ukukhumbula. I-apnea yokulala ingahlukanisa isimo sokulala, okungenzeka kubangele lezi zindawo ezixubekile futhi ziholele kulezi zimo eziyinkimbinkimbi.
Umlomo omile noDoning
Ukuthola okubili okuphikisanayo kungabonisa ukuthi i-apnea yokulala: umlomo owomile kanye ne-drooling. Umlomo owomile uvame ukwenzeka uma ivesi elimnyama livinjelwe futhi umlomo uphefumula. Lokhu kungenxa ye-allergies, i- septum yama-nasal ephukile , noma ngenxa yesibanda. Uma uvuka ngomlomo owomile noma ulala ngilazi yamanzi kusihlwa sakho sasebusuku, lokhu kungase kusiphakamise ukuthi usengozini yokuphefumula i-apnea yokulala. Ukuphefumula emlonyeni kuvame ukuholela ekujuleni okukhulu futhi kungabangela ukuwa kwe-airway ebuthongweni. Ngokungalindelekile, ukwehla kungase kusiphakamise isimo esifanayo. Ukudonsa ngokuvamile kubangelwa ngoba umlomo uvulekile ngesikhathi sokulala, ngamathe avuleka emaceleni omlomo emgqeni. Ngakho-ke, kokubili umlomo owomile kanye ne-drooling kungabonisa ukuthi ukuphefumula komlomo kungabonakaliswa futhi kube yingozi yokuphefumula ukuphefumula.
Izwi elivela
I-apnea yokulala yisimo esivamile kakhulu esithinta izinga lokulala futhi kungaholela emiphumeleni emibili ekulindelekile nengalindelekile. Lezi zibonakaliso kungenzeka ukuthi akuzona lezo oqala ukuzicabangela nge-apnea yokulala, kodwa zingabonisa ukuthi isimo sikhona. Ngenhlanhla, kunezokwelapha eziphumelelayo ezingakusiza ukuba ulale futhi uzizwe ungcono. Uma ukhathazekile, uhlolwe udokotela olele ukuqinisekiswa ebhodini ukuba ahlolwe futhi aqale ukwelashwa.
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