Isimo Kumelwe Sihlukaniswe Nesibindi, Ukulala Nge-Apnea
Kusasebusuku, ubuhlungu obude nokuphazamisa buvela kumuntu olele eceleni kwakho. Noma, mhlawumbe, uvuka ekuseni futhi utshele ukuthi nguwe owachitha ubusuku nokukhala nokugubha ebuthongweni bakho. Ku-catathrenia, enye yezinkinga zokulala ezibizwa ngokuthi i- parasomnias , lokhu kwenzeka kaningi. Iyini i-catathrenia, itholakala kanjani, futhi ingabe kukhona ukwelashwa okuphumelelayo kuyatholakala?
Kuyini Ukulala Ukulala?
I-Catathrenia isho ukuthi umuntu wenza umsindo ongaqondakali uma ephefumula ngesikhathi sokulala - ezwakala njengokufana nokububula noma ukukhala. Lezi zomsindo zenzeka nge-exhalation, kodwa nazo zihlobene nezinye izinguquko iphethini lokuphefumula. Kungase kube nokunciphisa isikhathi sokuphefumula, okuthiwa i-bradypnea. Ukwengeza, umuntu othintekile angase abambe isikhathi esifushane ngaphambi kokuqala kokububula. Kunezinye izibonakaliso ezicacile zokucindezeleka okuphefumulayo okubonwayo.
Uma ufakazwa, i-catathrenia ingase izwakale njengama-moan noma ubuhlungu obude. Kungase kuzwakale njengokumamatheka futhi kungase kubonakale kubonakala kukulila. Izingoma zingaba kakhulu kakhulu. Izikhathi eziningi, i-catathrenia iya ekunakekelweni kwezokwelapha uma ivakala kakhulu kangangokuthi iba yinto ephazamisayo kwabanye. Lokhu kungahle kwenzeke emibhokheni ekolishi noma emasosheni, noma uma njalo uhlanganyela embhedeni nomunye umuntu okokuqala.
Lezi zomsindo ezibubulayo zingase zivele ngezigaba ngezigaba bese zihlala imizuzwana emihlanu kuya kwangu-50. Kungase kube nokububula okuningi okuphindaphindiwe imizuzu embalwa kuze kube ihora elilodwa. Lezi zenzakalo zivame ukuphakama ngesikhathi sokulala kwe-eye ngokushesha (REM) ukulala kodwa kungenzeka ngisho nesiteji sesibili sokulala okungewona i-REM .
I-Catathrenia ivame ukuqala ebuntwaneni.
Ngokuvamile kuthinta amadoda asebasha futhi angaphikelela iminyaka. Isizathu asikwazi ngokuphelele, kodwa akusiyo ngenxa yokucindezeleka kwengqondo noma yengqondo.
Ukuxilongwa kwe-Sleep Groaning
Ngokuvamile uCatathrenia akakhunjulwa umuntu obhekana nakho. Ngaphandle kokunye ukuphazamiseka okukhulu, kungase kube nezimpawu ezimbalwa ezihambisanayo ezingahle zibonwe. Ngaphandle kobufakazi, ukububula kokulala kungase kungabonakali.
Ukuxilongwa ngokujwayelekile kwe-catathrenia kungaqinisekiswa ngesifundo sokulala sokuhlonza okuthiwa i- polysomnogram . Lolu cwaningo lwenziwa esikhungweni sokulala futhi luzobonisa ushintsho kumaphethini wokuphefumula futhi lungabhala ngisho nokukhala okuzwakalayo.
Kubalulekile ukuhlukanisa i-catathrenia kwezinye iziphazamiso zokuphefumula nokuphazamiseka kokulala. Kukhona ucwaningo olubonisa ubudlelwane obuphakathi kwe-catathrenia ne- apnea yokulala , lapho umoya ohamba khona uhamba kancane noma uphela ngokuphelele ngesikhathi ubuthongo futhi uphazamisa ukuphefumula. Kungokwemvelo ukuthi kungenzeka ukuthi i-catathrenia ingaba yindlela yokuvikela indlela yokuhamba emoyeni ngesikhathi sokulala, njengokufana nokugaya amazinyo .
Ngaphambi kokuthola i-catathrenia njengesifo sokuxilongwa, ezinye izimo kufanele zikhishwe ngaphandle, kubandakanya:
- I-asthma
Nakuba ngokuvamile umuntu ohluphekile engazi ukuthi izandi ziyabubula kanjani, kungabangela ukuphazamiseka okukhulu kokulala kumlingani wombhede noma abanye abaseduze.
Izixazululo Nezonyango Zokulala Ukulala
Ukuphumelela kokwelashwa kwe-catathrenia kuye kwahlukahluka. Njengoba kungavumelani kahle ukuthi kungani kwenzeka, ukwelashwa kungase kungabi njalo njalo ekubhekiseni imbangela ebalulekile.
Ngenxa yobuhlobo obukhona ne-apnea yokulala, ukucindezela okuqhubekayo okuvela emoyeni (CPAP) kuye kwahlolwa ngempumelelo ethile. Akuwona wonke umuntu one-catathrenia ophendula kulokhu ukwelashwa, noma kunjalo.
Ngezinye izikhathi ukusetshenziswa kwemithi engaphazamisa ukulala kwe-REM kungasetshenziswa uma umlingani wombhede ethola ukububula ikakhulukazi okukhathazayo.
Uma kwenzeka ikakhulukazi ngalesi sigaba sokulala, kungase kuthuthukiswe ngalokhu kungenelela.
Uma wena noma umlingani wakho wombhede uhlangabezana ne-catathrenia, qala ngokukhuluma nomchwepheshe wokulala. Emva kokuvivinywa okufanele, ungakwazi ukuphishekela ukwelashwa okubuyisela ethule kuze ulale.
> Imithombo:
> Guilleminault C, Hagen CC, Khaja AM. I-Catathrenia: i-parasomnia noma isici esingavamile sokuphefumula okuphazamise ukulala? Ukulala ngo-2008; 31: 132-139.
> Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." I-ExpertConsult , umagazini wesi-5, ngo-2011.
> Mowzoon, N et al . "I-Neurology Yezinkinga Zokulala." Ukubukezwa kweBhodi ye-Neurology: Umhlahlandlela odwetshiwe . 2007; 740-741.