Uthola i-snorer enkulu nge- apnea yokulala eduze kwakho embhedeni? Uma kunjalo, angase abe engozini okungaphezu nje kokucasula kwakho ekuvukeni futhi. Ucwaningo oluthile luye lwaphetha ngokuthi labo abane-apnea yokulala bangase babe nengozi yokukhumbula izinkinga , njengokukhubazeka okuncane okungaqondakali , isifo se-Alzheimer, nokugula komqondo okungaziwa. Ungaphelelwa ithemba, noma kunjalo.
Kungase kube nendlela elula yokunciphisa ingozi.
Mayelana ne-Sleep Apnea
I-apnea yokulala yisimo lapho uyeka ukuphefumula uma ulala. Ngokusho kochwepheshe bezinkinga zokulala , uDkt Brandon Peters, ungase ubambe umoya wakho imizuzwana engu-10, uqale ukuphefumula, bese uphinda izikhathi ezingaphezu kuka-100 ebusuku. Ungase uphuze, uphefumule, noma ukhwehle njalo lapho umzimba wakho usebenza ukukhokhela i-apnea yokulala. Njengoba ungacabanga, lokhu kuphazamisa ukulala kwakho ngokuphindaphindiwe.
Cishe umuntu oyedwa kwabadala abane abaphakathi kweminyaka engu-30 no-70 une-apnea yokulala. I-apnea yokulala sele ixhunywe ekucindezelweni kwegazi eliphezulu , isifo senhliziyo , isifo , isifo sikashukela sohlobo lwesibili , nokucindezeleka.
Buyekeza izimpawu zokuphefumula okuphazamiseka kokulala futhi uxhumane nodokotela wakho uma ukhathazekile ukuthi ungase uhlaselwe i-apnea yokulala.
Ukulala kwe-Apnea ne-Dementia Risk
Abacwaningi abaningana baye bahlola ukuphefumula kokuphefumula ukuze bafunde ukuthi, futhi kanjani, ingaxhunyaniswa nokusebenza kobuchopho, inkumbulo, kanye nobungozi bokudangala komqondo.
Ngenye inhlolovo yesayensi, abacwaningi babheka izifundo eziningana ezazingenwe ngaphambili eziye zaqhutshwa ekuphefumuleni kwe-sleep and dementia futhi zathola ukuxhumana okuqinile phakathi kwalezi zici ezimbili. Ngokuqondile, abantu ababenesifo se-Alzheimer bebaphindwe kabili ngaphezu kwalabo abangenawo i-Alzheimer ukuze baphinde baphelelwe ukulala.
Ngaphezu kwalokho, bathola ukuthi cishe ingxenye yocwaningo labafundi abaye bathola ukuthi banesifo sengqondo sokushona kwengqondo esikhathini esithile ngemuva kokuxilongwa kwabo.
Ucwaningo oluhlukile olushicilelwe encwadini ye- Neurology futhi olwenziwe eNew York University School of Medicine luveza ucwaningo oluqhutshwa nabangaphezu kuka-2000 abahlanganyeli. Emva kokubukeza amaphethini okulala nokusebenza kwengqondo kwalaba bahlanganyeli, abacwaningi bafinyelela eziphethweni ezilandelayo:
- Abantu abane-apnea yokulala bahlakulela ukukhubazeka okunengqondo mayelana neminyaka eyi-10 ngaphambi kwalokho empilweni kunelabo abangenalo i-apnea yokulala. ( Ukukhubazeka okuncane kwengqondo , noma i-MCI, kwandisa ingozi yokugula komqondo, kodwa abanye abantu abane-MCI bahlala bezinzile ekusebenzeni kwabo.)
- I-apnea yokulala yayihlotshaniswa nokutholakala kwe-Alzheimer eneminyaka engu-83 ubudala uma kuqhathaniswa neminyaka engu-88 kulabo abangenawo umoya wokulala.
- Nazi izindaba ezinhle: Esifundweni, abantu abaphatha ukuphefumula kwabo ngokulala ngokusebenzisa imishini ye-CPAP bathola cishe iminyaka eyishumi yokusebenza kwengqondo. Bakha ukukhubazeka okunengqondo (MCI) cishe eminyakeni engu-82, kanti labo abangazange baphathe i-apnea yabo yokulala bakha i-MCI cishe eminyakeni engu-72 ubudala.
Ucwaningo lwesithathu lwathola ukuthi i-apnea yokulala ihambisana nokunciphisa umthamo we-hippocampal nokunyuka kwezilonda ezimhlophe ebuchosheni-izinguquko ezivame ukubhekana nezinkinga zokucabangela ezifana nesifo se-Alzheimer's.
Esinye isifundo senze ukuthi abantu abane-apnea yokulala ababenokusebenza okubonakalayo okujwayelekile okubonakale ekuboneni baye babonisa ukunciphisa ukubambezeleka ukukhumbula nokuncipha kokusebenza okuphezulu uma behlolwe nge-Test Making Making. ( Ukuhlolwa Kwemoto Kuyingxenye yezivivinyo eziningi zokuhlola ukucabangela.) Ukusebenza okusebenzayo kusebenzelana nokukwazi ukuhlela nokuhlela imisebenzi eminingi, kanye nokuqapha ukuziphatha kwethu.
Abacwaningi ocwaningweni lwesihlanu ababuyekeze abangaphezu kuka-400 abathintekayo besifazane bathola ukuthi abesifazane abane-apnea yokulala babenezinkinga ezingqondweni zabo, kubandakanya ukuwohloka komqondo.
Olunye ucwaningo lwabheka ukulahlekelwa kwezimali, ukusebenza okuphezulu, ikhono lokubona-indawo kanye nokukhumbula okubambe iqhaza kwabahlanganyeli abane-apnea yokulala, kodwa futhi wathola ukuthi ukwelashwa kwe-CPAP kuthuthukise lezo zimpawu.
Amaprosesa we-CPAP
Imishini ye-CPAP ithatha i-apnea yokulala ngokusebenzisa imaski ukufaka umoya ocindezelayo emlonyeni wakho ukuze uvule umoya wakho. Ucwaningo oluningi luthole ukuthi ukwelashwa kwe-CPAP kungakwazi ukusiza ukwehlisa ukwehla kokucabanga nokukhumbula okuhlobene nokuphefumula kokuphefumula. Abantu abaningi babika ngcono ekulaleni kwabo nasekusebenzeni emva kokusebenzisa umshini we-CPAP.
Izinyathelo Ezilandelayo
Nakuba lezi zifundo zingabonakali ukuthi i-apnea yokulala idala ukugula komzimba, ibonisa ukulungiswa okunamandla. Ngenxa yalokhu, kanye nezinye izingozi zezempilo eziphethwe yi-apnea yokulala, ukuhlonza nokwelashwa udokotela kunconywa kakhulu. Ukukhuluma nge-apnea yakho yokulala kungaba indlela elula yokuthuthukisa impilo yakho yamanje neyesikhathi esizayo, zombili umzimba wakho nobuchopho bakho.
> Imithombo:
> Ducca EL, Gumb T, Pirraglia E, et al. Ukuphefumula okuphazamiseka ukulala kuqhubekela phambili ekunciphiseni kwengqondo kubantu asebekhulile. I-Neurology . Ngo-Ephreli 2015: 10-1566.
> Emamian F, Khazaie H, Tahmasian M, et al. Ukuhlangana phakathi kwe-apnea ne-Alzheimer's sleep obstructive: Umbono we-Meta-Analysis. 2016; 8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828426/.
> G G, Yoon I, Lee S, Kim T, Choe J, Kim K. Imiphumela ye-sleep apnea syndrome kumemori okulibazisekile kanye nomsebenzi ophezulu kubantu abadala. I-Journal ye-American Geriatrics Society. 2012; 60 (6): 1099-103. https://www.ncbi.nlm.nih.gov/pubmed/22646710.
> Kinugawa K, Nguyen-Michel V, Mariani J. [Ukuvimbela ukulala kwe-apnea syndrome: Isizathu sokukhathazeka kwengqondo kubantu asebekhulile?]. La Revue de medecine interne. 2014; 35 (10): 664-9. https://www.ncbi.nlm.nih.gov/pubmed/24630586.
> Ukukhuphuka kwe-apnea yokulala e-US Kuhlasela impilo yomphakathi - i-American academy of sleeping medicine (AASM). http://www.aasmnet.org/articles.aspx?id=5043
> Yaffe K, Laffan AM, Harrison SL, et al. Ukuphefumula okuphazamisekile ukulala, i-Hypoxia, kanye nobungozi bokukhubazeka okuncane nokukhathazeka komqondo kwabesifazane abadala. I-JAMA. http://jamanetwork.com/journals/jama/fullarticle/1104205
> Zhonghua Yi Xue Za Zhi. 2014 Dec 2; 94 (44): 3483-7. [Umphakathi phakathi kokuvuvukala nomsebenzi wokuqaphela kanye nemiphumela yokwelapha okuqhubekayo okucindezela umoya womoya ekuvimbeleni i-apnea hypopnea syndrome].
> Zhonghua Yi Xue Za Zhi. 2014 Mar 18; 94 (10): 724-8. [Ukubambisana phakathi kokusebenza kwengqondo kanye ne-hippocampal atrophy kanye nezilonda ezimhlophe zendaba yobuchopho ezigulini ezinezinkinga zokuvimbela ukulala kwe-apnea hypopnea syndrome].