Lesi simo esivamile singaba nezimbangela ezihlukahlukene, imiphumela ephazamisayo
Ukunqoba kungase kube umngane ojwayele, kodwa yini nje okuklanyayo futhi yiziphi izimbangela nemiphumela? Ngokuqonda ezinye zezici zayo eziyisisekelo ungathola izindlela zokuqeda ubukhona bayo, ikakhulukazi uma kuphazamisa ukulala kwakho noma ukulala kwabathandekayo bakho.
Kuyini ukunqoba?
Ukunqoba kumane nje umsindo owakhiqizwa ngesikhathi ubuthongo ngokudumala kwezicubu ezithambile e-airway engenhla, kuhlanganise nekhala kanye nomphimbo.
Ngokuvamile kwenzeka uma umoya udonsela ngaphakathi, kodwa futhi kungenzeka uma uphefumula. Ukunakekelwa kwenzeka ngezikhathi ezithile cishe wonke umuntu, kodwa abantu abaningi bashaya njalo. Kubantu abaneminyaka engama-30 kuya kwengu-60 ubudala, amaphesenti angu-44 amadoda namaphesenti angu-28 abesifazane abajwayele ukuphuza. Abesifazane bangase bakhonze ngemuva kokuya esikhathini sokuya esikhathini.
Yiziphi Izimbangela Zokunqoba?
Uma ku-snoring kukhona, kuphakamisa ukuthi impumu noma umphimbo ungase uvinjwe kancane ngesikhathi ubuthongo. Lokhu kuvimbela kubangela ubunzima bokuhambisa umoya. Ngenxa yalokho, umoya uhamba ngesivinini emoyeni futhi lokhu kubangele ukudlidliza nokuzwakala komsindo. Uma umoya womoya uvinjelwa ngokuphelele umphumela wokuphefumula kokuphazamiseka kokulala . Ngisho nokuvinjelwa okuyingxenye kungaholela emithonjeni ye-hypopneas noma ngaphezulu kwe-airway ukumelana nesifo (UARS) , okuyizinhlobo ezimbi zokuphefumula kokulala.
Ukunqoba kuhlotshaniswa nezinye izimo ezivamile, kufaka phakathi:
- Ukukhuluphala
- Ukungqubuzana kwe-nasal (ukulimala kanye nokubandayo)
- I-Hypothyroidism
- I-Acromegaly
- Amathani amancane noma ama-adenoids
- Ukuthuthukiswa kombuso okungavamile
Utshwala luyisicefe esiphumuzayo esingenza ukuqhuma kunzima kakhulu. Ngaphezu kwalokho, imishanguzo ephumula imisipha (kuhlanganise ne-benzodiazepines esetshenziswa njengezinsiza zokulala kanye nokukhathazeka) ingaba nethonya elifanayo.
Imiphumela Ye-Snoring
Ukuhlunga okuncane kungaba nomthelela omncane kwikhwalithi yokulala kwakho.
Kodwa-ke, njengoba umoya womoya uvinjelwa ngokwengeziwe umzamo wokuphefumula uyanda. Uma ukuphefumula kusengozini, amazinga e-oxygen egazini azokwehla. Lokhu kungaholela ekuvusweni kwesikhashana nokulala kungase kuphazamiseke.
Ukutholakala kwatholakala ukuthi kwandisa ingozi yokumisa imithwalo yegazi entanyeni, into ebizwa nge-carotid atherosclerosis. Esicwaningweni seziguli ezingu-110, isikhathi sokulala esiphelele sichitha ukukhuphula ingozi yokuthuthukisa ukugxila. Kucatshangwa ukuthi ukulimala okushayisayo kwemithambo ye-carotid ngaphakathi entanyeni kungaholela ekwenzeni ukwakhiwa kweplate ngaphakathi kwale mithini yegazi.
Mhlawumbe inkinga enkulu kakhulu yokunyakaza (ikakhulukazi uma iphakamisa) ukuphazamiseka kokulala kwabanye, kufaka phakathi umlingani wakho wombhede. Lokhu kungadinga amalungiselelo okulala okukhethekile , njengokulala egumbini lokulala noma embhedeni.
Ukuhlola nokuphathwa kwe-Snoring
Njengoba kuboniswe ngenhla, ukuhlunga kufinyelela yonke indawo futhi kungenjalo, kungase kungakhulumi neze ukukhathazeka. Kunezinye izimo lapho kufanele zihlolwe khona, noma kunjalo. Njengoba kuhlotshaniswa nezinye izimo, lokhu kungadingeka ukuba kukhishwe ngaphandle ukuqinisekisa ukuthi akukho neminye imiphumela yezempilo eyenzekayo.
Ukuhlolwa kokuqala kokuhlehlisa kungabandakanya ukuvakashela ehhovisi likadokotela wakho. Kungaba kubalulekile umlingani wakho wombhede noma omunye umndeni ukuba eze ndawonye ukuze banikeze imininingwane mayelana nokushaya kwakho nokunye ukuphazamiseka kokuphefumula ekulele. Noma yikuphi ukuphazamiseka ekuphefumuleni kwakho ebusuku kumele kukhulunywe njengoba lokhu kungase kusiphakamise ukuphefumula kwe-apnea. Uma ubuthongo obungenasiphelo noma unomqondo wokuchofoza noma ukuvuza, lokhu kungabalulekile futhi. Ezinye izimpawu ezihambisana ne-apnea yokulala zingase zibandakanye:
- Ukulala ngokweqile kwamalanga
- Ukuzijabulisa (ukucasula, ukukhathazeka nokucindezeleka)
- Izinkinga ezimbi nezinkinga zenkumbulo
- Izinhloko zekhanda
- Umfutho wegazi ophezulu (umfutho wegazi ophezulu)
- Ukuvuka ukuchama (i-nocturia)
- Amazinyo ukugaya noma ukuxuba (bruxism)
Ngaphezu kwalokho, noma yikuphi ubunzima obuhlobene nezono zakho kufanele kuhlolwe. Uma unenkinga emakhaleni akho, izifo, izifo zesifo (sinusitis), noma umlando wokuhlinzwa kwesono lokhu kungadinga uphenyo oluqhubekayo. Uma unesifo somlomo omningi noma umlomo ukuphefumula, kungenzeka ukuthi unwetshiwe amathani noma adenoids. Izinkinga zokukhathala, ukuzuza kwesisindo, ukubekezeleleka okubandayo, nokuqokwa kungase kusiphakamise i-hypothyroidism.
Ukuhlola okungokwenyama kufanele kufaka phakathi ukuhlolwa kwe-airway engenhla ngokulinganisa kwendlala yakho kanye nokubuka ngokucophelela ikhala, umlomo, nomphimbo wakho. Uma udokotela wakho esolwa ukuthi ungaba ne-apnea yokulala, kungase kudingeke ube nesifundo sokulala okuthiwa i- polysomnogram noma ukuhlolwa kwe-apnea yokulala ekhaya.
Ukwelashwa kwe-snoring kuhloswe ukubhekisisa isimo esibucayi esibangela ukuba ubambe. Kungabandakanya izinguquko zendlela yokuphila ezifana nokulahlekelwa isisindo noma ukugwema utshwala ngaphambi kokulala, okungase kuphumule umoya. Ukwelashwa kungase kube yindlela yokukhetha, ikakhulukazi uma unomgwaqo omncane ngenxa ye- septum ephukile noma amathani amancane noma adenoids. Ukulondeka kwemikhakha kunganciphisa ukungqubuzana kwamanzi, njengoba kunamandla angaphezu kwe-counter-the-counter afana nokuphefumla ama-Right strips. Uma kuhlotshaniswa ne-apnea yokulala, ukucindezela okuqhubekayo kwe-airway (CPAP) noma uhlelo lokusebenza lomlomo lungasiza.
Kungakhathaliseki ukuthi ukwelashwa okuphezulu okulandelwayo, uma kudingeka, ukuhlolwa ngokucophelela kunganikeza ukuqinisekiswa okudingayo ukuze ulale kahle.
Imithombo:
I-American Academy ye-Sleep Medicine. "Ukuhlukaniswa kwamanye amazwe okuphazamiseka kokulala: ibhuku lokuhlola nokubhala." I-2nd ed. 2005.
Lee, SA et al . "Ukushaya okunamandla njengesizathu se-atherosclerosis ye-artery carotid." Ukulala . 2008; 31: 1207.
Intsha, T et al . "Ukuvela kokuphefumula okuphazamiseka ukulala phakathi kwabantu abadala asebekhulile." N Engl J Med 1993; 328: 1230.