Izizathu Ezivamile Ukuhlolwa Okubalulekile Kudingekile
Uma uhlangabezane nobunzima bokutadisha ubusuku bokulala , ungase uzibuze: Kungani ngidinga isifundo sesibili sokulala? Funda ukuthi kungani ochwepheshe bokulala angase acabange ukuphindaphinda isifundo nokuthi yiziphi izimo ezingasiza ukuphathwa kwesifo sakho sokulala.
Amarekhodi aPhezulu noma awanelisekile
Esinye sezizathu ezivame kakhulu ukuthi isazi sokulala sizohle senze isifundo sokulala sokuphinda siphumelele ngoba amarekhodi okufundwa kokuqala ayitholakali.
Ngeshwa, iziguli kanye nodokotela ngokufanayo akuzange kube njalo abagcini bamarekhodi amakhulu. Lokhu kuvame kakhulu uma ushintsho kudokotela wakho wokulala lwenzekile. Uma isifundo sigcwalisiwe eminyakeni edlule, kunamathuba amaningi ukuthi imibiko kanye nedatha ehambisanayo yocwaningo ilahlekile. Ukuze kutholakale ukuxilongwa, ukufundwa kokulala kuyadingeka yonke indawo ukuze umshuwalense ukhokhele imishini ye- CPAP .
Ngaphezu kwalokho, kuye kwaba nezinguquko zakamuva ezimfuno zomshuwalense, ikakhulu kulabo abasebenzisa i-Medicare e-United States. Imithetho eqinile manje isendaweni efuna amanothi emtholampilo eningiliziwe, imibiko yokutadisha yokulala echazwa yizobuchwepheshe obuthongo bokulala, kanye nemibhalo yokuthobela ukwelashwa ezinsukwini zokuqala ezingama-90 zokusetshenziswa. Uma lezi zincwadi zingekho, njengoba ngokuvamile kungabi ngenxa yezidingo ezincane ezingaphezu kweminyaka eminingi edlule, isifundo esisha sokulala sivame ukuvuselela noma ukuqhubeka nokwelashwa kwe-CPAP, kufaka phakathi ukufaneleka ngempahla entsha njengama-masks kanye ne-tubing.
Izinguquko empilweni yakho
Uma isifundo sokulala senziwa eminyakeni ethile edlule, kungase kube nezinguquko ezibalulekile empilweni yakho ezidinga ukuhlolwa kabusha kokulala kwakho. Ukushintsha okuncane kakhulu kwesisindo, noma ukuthola noma ukulahlekelwa ngu-10% wesisindo somzimba wakho, kungaba yisizathu sokuphinda isifundo. Ukuzuza kwesisindo kuzoba nzima kakhulu ukuphuza i-apnea yokulala ngenkathi ukulahlekelwa kungase kuthuthukise noma kuphule ngokuphelele isimo.
Izimpawu ozithuthukile ezazingekho ngesikhathi sokuxilongwa kwakho kokuqala zingase ziphinde zivuselele ukuhlolwa kokulala. Isibonelo, uma usanda kuba ne- syndrome yezinyawo ezingenakuphumula noma uqaphele ukuthi uhamba ngezinyawo njalo ebusuku, lokhu kungadinga ukuhlolwa. Ngaphezu kwalokho, ukuziphatha okungavamile kokuziphatha okufana nokukhubazeka kwe-REM kungase kuthuthuke kamuva ekuphileni futhi kufanele kuhlolwe ngesifundo sokulala somlomo.
Okokugcina, izinguquko zempilo ezibaluleke nakakhulu zingadinga ukubukeka kwesibili. Ukuhluleka kwenhliziyo, ukushaya isisu, noma ukwethulwa kwemithi yezinambuzane kungase kube yizizathu zokuqinisekisa ukuthi izinguquko zokuphefumula ngesikhathi sokulala azange zenzeke. Ngayinye yalezi zimo zingase zihlotshaniswe ne- central apnea yokulala , isifo esivame ukudinga ukwelashwa kwe-bilevel .
Ukuhlolwa Kwempumelelo Yezinye izindlela zokwelapha
Abantu abaningi bakhetha ukwelashwa okunye ukuze baphathe i-apnea yokulala, kuhlanganise nokusetshenziswa komshini womlomo kusuka kumamazinyo noma ukwelashwa okuhlinzekwayo . Uyazi kanjani ukuthi ukwelashwa kusebenza? Imishini ye-CPAP iyakwazi ukulandelela impendulo yansuku zonke yokwelashwa, kodwa lezi zindlela zokwelashwa ezingezansi azihlinzeki ngale mpendulo eqhubekayo ekusebenzeni kokwelapha. Ngenxa yalokho, isifundo sesibili sokulala singaba indlela ewusizo yokuhlola ukuthi uhlelo lwakho lokusebenza lusebenza kanjani noma ngabe ukuhlinzwa kwaba yimpumelelo.
Umshini womlomo ungagqokwa ngenkathi isifundo sokulala esijwayelekile sifakwa ukuhlola ukuphefumula kwakho. Ucwaningo lungenziwa futhi emva kokusebenza, futhi luzovela ezinyangeni ezimbili noma ngaphezulu ngemva kokuhlinzwa. Kubalulekile ukuqhathanisa ama-apula nama-apula nama-oranges: uhlolisise uhlobo olufanayo (nasendaweni efanayo) njengokuhlola kwakho kwangaphambili ukuqinisekisa ukuthi ezinye izinto eziguquguqukayo aziqedi ukufaniswa. Uma i-apnea yokulala iphikelela naphezu kwalezi zelashwa, kuvame ukudingeka ukucubungula ezinye izinketho zokwelashwa.
Izimpawu ezingaxazululwa nokulungiswa kwe-CPAP Therapy
Ngezinye izikhathi isifundo sokulala siphindwa ukulungisa izimpawu ezingaxazululwa.
Uma useselele kakhulu , lokhu kungase kube uphawu lokumba kancane kancane. Lezi zifundo eziphindaphindiwe nazo zivumela ukwenziwa ngcono kwezokwelapha, kuhlanganise nokubizwa kwe-CPAP therapy.
Ukulala ngokweqile kwamalanga emini kungadinga ukuhlolwa kabusha njengoba ezinye izimo zingenzeka. I- Epworth Sleepiness Scale iyithuluzi lokuhlola elisetshenziswe emitholampilo ukuthola umuntu okungenzeka ukuthi ulele kakhulu. Ukuhlolwa okunamandla okuvame ukukhombisa ukuthi kudingekile ukuxazulula imbangela ebusayo yombuso. Kungenzeka ngenxa yokulahlwa kokulala, i-apnea yokulala engaphansi, i- narcolepsy , noma ezinye izici. I-polysomnogram yokuxilongwa elandelwa ukuhlolwa kwe-latency amaningi yokulala (MSLT) ingahlinzeka ubufakazi ngokuqondene nombangela.
Isibonakaliso esivame kakhulu sobusuku lwesibili sokutadisha ukulala ukuqala nokwenza ngcono ukwelashwa okucindezelayo kwe-airway ukulungisa i-apnea yokulala. Ngezinye izikhathi kubonakala kungenakwenzeka ukuthola izilungiselelo zokucindezela eziphumelelayo kakhulu njengengxenye yocwaningo lokuqala lokuhlukanisa ebusuku noma nokuhlolwa kwelashwa ekhaya. Esikhundleni salokho, isifundo sesibili sesihloko singasetshenziselwa ukuqinisekisa ukufaniswa kwemaski efanele, ngcono ukulungiswa kwemithi yokwelapha, nokukhomba ukucindezeleka okudingekayo ukugcina umoya womoya ngesikhathi sokulala. Kwezinye izimo, ezinye izindlela zokwelashwa zingacutshungulwa kuhlanganise i-CPAP, i-bilevel, ngisho ne-servo-ventilation ye-auto noma evumelekile (ASV). Uchwepheshe wezolala angasebenza nawe ukuze ukwandise isipiliyoni sokwelashwa.
Uma ukholelwa ukuthi ungase uzuze esifundweni sokulala sesibili, khuluma nomchwepheshe wokulala mayelana nezinketho ezikhona kuwe. Kuye ngezidingo zakho, ungase uhlole ngisho nokuthi kungenzeka yini ukuthi uhlole ukulala ekhaya. Ngenhlanhla, lezi zifundo eziyinkimbinkimbi zingakusiza ukuthola ubuthongo obuhle obudinga ukuthuthukisa impilo yakho yonke nenhlalakahle yakho.