Izingozi zezempilo zokulala nge-apnea

Izinkinga Zempilo Ezixhumene Nokuphuza Ukulala Okuphazamisekile

Kunobufakazi obuningi bokuthi i- apnea yokulala ingaphezu nje kokuphazamisa ukulala kwakho. I-apnea yokulala - okuyinto evame ukuvela kulabo abaqhwaba kakhulu - ichazwa ngezikhathi eziphindaphindiwe ekuphefumuleni. Lokhu kungabangelwa ukuvinjelwa kwomoya noma ubuchopho obukhohlwa ukuphefumula. Uma lokhu kwenzeka, amazinga e-oksijeni awela, amazinga e- carbon dioxide aphakama, futhi kukhona i-spike e-blood pressure, isilinganiso senhliziyo, nama-hormone afana ne-cortisol njengoba umzimba uvuselela ukuphefumula.

I-apnea yokulala iye yaxhunyaniswa nezimo eziningi zezokwelapha ezingapheli, ngisho nokufa okungazelelwe. Funda mayelana nokuhlangana phakathi kwe-apnea yokulala ne-hypertension, isifo senhliziyo, ukwehluleka kwenhliziyo, ukushaya kwenhliziyo, ukushaya isifo, nokufa okungazelelwe.

I-hypertension

Kulinganiselwa ukuthi abantu abangu-50-70% abane-apnea yokulala banesifo somfutho wegazi, noma umfutho wegazi ophakeme. Lokhu kwandisa ingozi yokuhlasela kwenhliziyo, isifo sohlangothi, nezinye izinkinga zempilo. Izivivinyo zeLabuloni ezilwaneni zibonise ubudlelwane obangela imbangela, kanye nokutholakala kwe-apnea yokulala okuholela ekuthuthukiseni kamuva komfutho wegazi ophezulu. Kubantu abanenkinga yokucindezela kanzima, kungenzeka ukuthi i-apnea yokulala ibambe iqhaza. Kuyadabukisa ukuthi amadoda angama-96% adinga imishanguzo ye-blood pressure yesithathu ephethe ukuphefumula kwe-apnea okubangela inkinga! Ukwelashwa okuphumelelayo nokucindezela okuqhubekayo kwe-airway (CPAP) kungasiza ekuthuthukiseni ukucindezelwa kwegazi njengoba nje nemithi yegazi.

I-Coronary Artery Disease and Attack Heart

Ingozi yesifo senhliziyo isanda ngenxa yezimo eziningana. I-apnea yokulala ingabangela ekusebenziseni uhlelo lomzwelo oluzwelayo. Lokhu kubangela impendulo "yokulwa noma yezindiza". Cabanga ukucindezeleka emzimbeni wakho okwenzeka lapho ingonyama ikuxosha, lokhu kuyisimiso somzwelo ozwelayo emsebenzini.

Izimo ze-apnea zingabangela ukuqhuma kwe-cortisol, i-hormone yokucindezeleka, ngokuphindaphindiwe ngesikhathi sokulala. Ngaphezu kwalokho, i-apnea yokulala iholela ezinkingeni zokugeleza kwemithambo yegazi, ukuvuvukala, nezinkinga zokulawulwa komzimba kanye nesifo sikashukela. Zonke lezi zingabangela izinkinga ngemithambo yegazi kanye nalesi sifo se-coronary isifo esingaholela ezinkingeni ezinkulu ezifana nesifo senhliziyo.

Isibungu

Ngokusho kocwaningo, ubudlelwane phakathi kwesifo sohlangothi nesifo sokulala singase siqine njengenhlangano ephakathi kokubhema nokushaywa yisisu. Kungase kube nezici eziningana ezihilelekile. Phakathi ne-apnea, imithwalo yegazi ngaphakathi kwengqondo iyancipha uma amazinga e-oksijini ewa. Ngaphezu kwalokho, abantu abane-apnea yokulala banamazinga aphezulu egazi okwenza babe namandla okuvota okungabangela ukushaywa yisifo. Cishe ingxenye yengxenye yabantu abane -fibrillation e-atrial , ingozi ebalulekile yokushaywa yisifo, i-apnea yokulala iqhaza kulezi ziqephu. Abantu abangaba ngu-40-60% abane-stroke bathola ukuthi bane-apnea yokuvimbela ukulala.

Ukungaphumeleli Kwezinhliziyo Zenkululeko

Lapho izenzakalo ze-apneic zenzeka, amazinga wehla oksijithi anganciphisa angenza imithwalo yegazi emaphashini igxile. Lokhu kwandisa ukucindezelwa kwegazi kulezi zitsha, futhi ngokuhamba kwesikhathi kungaholela ekuhlulekeni kwenhliziyo okungapheli.

Umfutho wegazi ophezulu ungumthelela omkhulu ekuhlulekeni kwenhliziyo kwesokunxele. Ucwaningo olunye lubonisile ukuthi abaningi abangaba ngu-37% wabantu abanesifo senhliziyo bangase babe ne-apnea yokulala. Ukuphazamiseka kwe-apnea yokungalali kungase kwande amathuba okufa iminyaka eminingi.

Ukufa Okungazelelwe

Ekucwaningweni kweziguli ezafa ngokuzumayo ezazifundela ukulala, kwaboniswa ukuthi cishe isigamu seziguli ezine-apnea zokulala zafa phakathi kwamahora phakathi kwamabili kuya ku-6 ekuseni, uma kuqhathaniswa no-21% ngaphandle kokuphefumula ukulala. Kungenzeka ukuthi laba bantu bafa ngokuzumayo ngezikhathi ze-apnea. Lezi zifo zingase zivele ngenxa yokuphefumula okubangelwa ukuphefumula komzimba, ukuhlasela kwenhliziyo, nokushaya isifo.

Izindaba Ezinhle

Izindaba ezinhle ukuthi kukhona ukwelashwa okuphumelelayo kwe- apnea yokulala futhi lokhu kungasiza ukuqeda eziningi zalezi zingozi ezihambisana nalesi sifo. Thuthukisa ubuthongo bakho, umsebenzi wakho wansuku zonke, kanye nempilo yakho yesikhathi eside ngokuthola ukwelashwa ongaphila nakho.

> Imithombo:

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> Collop, N. "Umphumela we-obstructive sleep apnea ngezifo ezingelapheki zezokwelapha." I-Cleveland Clinic Journal of Medicine . 2007; 74: 1.

> Logan AG, Perlikowski SM, Mente A, et al . "Ukuphakama okuphezulu kwe-apnea yokulala engaziwa e-hypertension engamelana nezidakamizwa." J Hypertens . 2001; 19: 2271-2277.

> Shahar E, Whitney CW, Redline S, et al . "Ukuphefumula okuphazamisekile ukulala nokugula kwesifo senhliziyo: imiphumela elandelanayo yeSifundo Sezempilo Sokulala." Am J Respir Crit Care Med . 2001; 163: 19-25.

> Yaggi HK, Concato J, Kernan WN, Lichtman JH, Brass LM, Mohsenin V. "Ukuphefumula kokuphuza ukulala njengengozi ebangela ukushaywa nokufa." N Engl J Med . 2005; 353: 2034-2041.