Izinga le-oksijeni Izinkinga zezempilo zeDrop nezinsuku zesikhathi eside Zakha
Uma kungenzeka ube ubufakazi bokuzibonela, kungase kube yinto esabekayo ukubuka umuntu eyeka ukuphefumula ngenkathi elele. Kwenzekani uma uyeka ukuphefumula ebuthongweni bakho? Kungani kwenzeka? Funda ngezinye zezimbangela ezikhona, okubandakanya i- apnea yokulala , nokuthi yimiphi imiphumela emifushane nesikhathi eside.
Lapho Ukuphefumula Kuyeka Ukulala
Ukuphazanyiswa okuphefumulayo kungavame ukubonakala ngesikhathi sokulala.
Okuvame ukuphawula kuyaphazamisa . Lapho izicubu ze-airway engenhla ziduduza ngesikhathi sokuphefumula, lokhu kubangela umsindo we-snoring. Kungenzeka nokuthi ukuphefumula ukuyeka ngokuphelele, kodwa yini ebangela lokhu?
Ukuphefumula ekuphefumuleni ngesikhathi sokulala kubizwa ngokuthi i-apnea yokulala, kusukela kulesiGreki ukuze "kungabikho umoya". Lezi zenzakalo ngencazelo zigcina okungenani imizuzwana engu-10 kodwa zingaphelela emaminithini amaningana. Ngokuvamile, lokhu kubangelwa ukuphefumula kwe-apnea yokulala (OSA). I-OSA ivela lapho izicubu zomgwaqo ongenhla - ulimi, i-soft palate, nokuvula-ukuwa nokuphazamisa ukuhamba kwe-air evamile. Kungase kube khona umzamo wokuphefumula, isifuba nesisu esishukumisayo, kodwa umoya awuvame ukudlula isikhubekiso ngaphakathi komphimbo. Ngenxa yalokho, ukugeleza komoya kuyancishiswa noma kungabonakali ukuthi kuhamba emakhaleni noma emlonyeni ngalezi zikhathi.
Kukhona nezinye izimbangela ezingabangela ukuphefumula okuphazamisayo lapho ubuthongo obucatshangelwayo.
Ngokuvamile, iphethini yokuphefumula kungenzeka ibe engavamile ngenxa yokwehluleka kobuchopho ukuze kuvuselele ukuphefumula. Lokhu kwenzeka e- central apnea yokulala , ukuphefumula kwe- Cheyne-Stokes, kanye ne- congenital central hypoventilation syndrome . Izimo ezimbili zokuqala zingase zibe khona ekuhlulekeni kwenhliziyo, ngokusebenzisa i-narcotic, noma eduze nokufa.
Ukuphazamiseka kokugcina akuvamile ukuba khona kwezinye izingane ngesikhathi sokuzalwa.
Ngokuphefumula okungalungile, amazinga e-oksijeni wegazi awela. Izinzwa zobuchopho ziyabona ukuthi ukuphefumula okunganele, kuyenzeka amazinga e- carbon dioxide , futhi kushukumisa ukuvusa. Lokhu kwenzeka nge-hormone ye-cortisol eqhuma. Le mpendulo yokucindezeleka iveza izinga lenhliziyo nokucindezelwa kwegazi futhi kungaholela kwezinye izinkinga esikhathini eside. Umuntu obhekene nakho angase avuke ukugubha noma ukuchofoza futhi umbonisi angase abone ngokuzwakalayo nokunyakaza komzimba.
Ukulala Kwama-apnea Kuba Kakhulu Kangakanani?
Ubukhulu be-apnea yokulala buhluka. Kucatshangwa ukuthi kuvamile ukuthi ukuyeka ukuphefumula kwenzeke izikhathi eziyisihlanu ngehora kubantu abadala kanye kanye ngehora kubantwana. Lezi zenzakalo zingase zenzeke njengengxenye yokuguquka okujwayelekile kokulala. Uma ukuphazamiseka kokuphefumula kwenzeka kaningi, ukulala kwe-apnea kungase kutholakale ukuthi kunesifundo sokulala . Izigaba ezilandelayo zisetshenziselwa ukuhlukanisa i-apnea yokulala esekelwe i- apnea-hypopnea index (AHI) :
- Ubumnene: izenzakalo ezingu-5-15 ngehora
- Okulinganiselwe: imicimbi engu-15-30 ngehora
- Okukhulu: Izenzakalo ezingaba ngu-30 ngehora
Kubalulekile ukuqaphela izinga lokunciphisa oksijini okwenzeka ngalezi zenzakalo. Lapho amazinga e-oxygen ewela ngezansi kwezingu-90%, lokhu kubizwa ngokuthi i-hypoxemia.
Esikhathini sokubekwa kwesifo senhliziyo noma sephaphu, amazinga e-oxygen angase awe phansi kakhulu ngephutha ngalinye le-apnea. Ngenxa yalokho, kungaba khona ukucindezeleka okukhulu emzimbeni ubusuku bonke. Ukwehliswa okwenyuka kwe-oksijeni okungapheli kungaholela emiphumeleni yesikhathi esifushane nesikhathi eside.
Yiziphi Imiphumela Zesikhashana Zokungapheli Ukulala?
Akunakwenzeka neze ukuthi ukuphumula okukodwa okufakwe ekuphefumulweni kungaba ukuphefumula kokugcina umuntu athatha. Esikhundleni salokho, umcimbi cishe uzophela njengoba kuchaziwe ngenhla. Uma i-apnea ivela njalo, ingaholela kwezinye izinkinga zempilo , kodwa ingaholela ekufeni okungazelelwe?
Ukuphefumula kwe-apnea kwandisa ingozi yokufa kungazelelwe ekulele.
Kungabangela ukuguquka komzimba okuholela ekuboshweni komsebenzi wenhliziyo, okuthiwa yi-asystole. Kungase futhi kuholele ekufubeni kwe-atrial, ukuhlasela kwenhliziyo (infarction ye-myocardial), ngisho nokushaya isisu. Lezi zenzakalo zibonakala zikhuphuka ekuseni, okuhambisana ncamashi uma ubuthongo be-REM buvame kakhulu futhi uma kungenzeka ukuthi kune-apnea yokulala ngaphezulu.
Lezi zenzakalo eziyingqayizivele kanye ne-apnea yokulala ngokwayo isifo esivame ukuhlala iminyaka noma ngisho namashumi eminyaka. Ngakho-ke, akudingekile ukuba ukhathazeke ngemiphumela yobusuku obunye bokuphefumula okuphazamisekile. Akufanele ixoshwe ngaphandle kwemiphumela, noma kunjalo.
Ingozi Ehlala Ngayo Yokuphefumula Okuphazamisekile Ekulele
Njengomunye ugwayi ngeke kuholele ekuqothulweni kwakho emdlalweni wamaphaphu, ubusuku obunye bokuphefumula ukulala lungase kungabi nhlobo inhlekelele. Kodwa-ke, ukubhema usuku nosuku, unyaka nonyaka cishe kuzokubeka ekupheleni okubuhlungu. Ukukhathazeka okufanayo kungakhuliswa nge-apnea yokulala engelashwa ngokulimala kwempilo.
Kukhona ubufakazi bokuthi ukuphefumula okuhlala isikhathi eside-ukuphefumula kungaba nemiphumela ebalulekile yezempilo. Kungandisa ukwanda kwegazi eliphezulu (ukucindezeleka komfutho wegazi), isifo sikashukela, nezinkinga zenhliziyo. Kuhlobene nezinkinga zokucindezeleka nezinkumbulo ezifana nesifo se-Alzheimer. Ukwandisa ubuthongo bemini futhi kungabangela izingozi. Njengoba kukhulunywe ngaphambilini, kungaholela ekuhlaselweni kwenhliziyo, i-arrhythmias yenhliziyo, nemivimbo. Ngamafuphi, i-apnea yokulala engalashwa ingakubulala.
Uma wena noma umuntu othanda okuhlangenwe nakho okuphazamisa okuphindaphindiwe ekuphefumuleni, kufanele ufune ukuhlolwa kwezokwelapha. Ezinye izibonakaliso noma izibonakaliso zingase zikhomba ukuxilongwa, kodwa isifundo sokulala sizokunikeza impendulo eqondile mayelana nesizathu. Ngenhlanhla, kunezinketho zokwelashwa ezitholakalayo ezitholakalayo, kuhlanganise nokusetshenziswa kwe- CPAP noma uhlelo lokusebenza lomlomo .
Ungavumeli ukuphazamiseka kokuphefumula ebuthongweni njengento engenakwenzeka; ngokuhamba kwesikhathi, izinkinga ezinkulu zingathuthuka. Khuluma nodokotela wakho futhi uthole ukwelashwa okudingayo ukuze uphefumule futhi ulale kangcono. Uyothokoza ngokuthi uyenzile.
> Umthombo:
> Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." Elsevier , edition 5, 2011.