Abesifazane bavikelekile ekubhekaneni ne- apnea yokulala esikhathini esiyingxenye yokuphila kwabo, kepha ukufika kokuya esikhathini sokuqala kuyisiqalo sengozi eyengeziwe yokwehluleka. Ukuya esikhathini sokuya esikhathini kuyithinta kanjani izingozi eziphakeme zokugwedla nokulala kwe-apnea kwabesifazane? Iziphi izimpawu ezingase zibhekiswe ekushintsheni kwe-hormone, ukuyeka esikhathini, noma "ukukhula" kungase kuxhunywe ne-apnea yokuvimbela ukulala esikhundleni?
Funda ngalezi zinkinga bese unquma ukuthi ukulala kwakho kudinga ukuhlolwa okuqhubekayo.
Kuyini Ukuyeka Isikhathi?
Ngencazelo, ukuyeka esikhathini sokuhamba kwesikhathi kungabikho kokuya esikhathini ukuya kwabesifazane ngezinyanga ezingu-12 ezilandelanayo. Kubonisa ukuphela kokuzala futhi kwenzeka lapho ama-ovari engasaboni ama-hormone isrogen ne-progesterone. E-United States, isilinganiso seminyaka sokuqala kokumisa esikhathini seminyaka engu-51. Kwabesifazane abathile, uqala uneminyaka engama-40 noma sekupheleni kweminyaka engama-55. Owesifazane cishe uzoqala ukukhipha isisu ngesikhathi esisodwa njengodadewabo noma umama wakhe. Kungase futhi iqale ngokuqala nge-hysterectomy futhi kususwe kanyekanye kokubili ama-ovari (oophorectomy).
Izimpawu Zokunqamuka Kwesikhathi Sokuqeda Ukulala Nge-Apnea Yokulala
Kunezimpawu ezenzeka njalo nje ngaphambi kokuya esikhathini, ngesikhathi sokuhamba kwesikhathi, noma njengengxenye yokunqamuka kwesikhashana ngokwayo. Ezinye zalezi zimpawu zihlanganisa:
- Izikhathi ezingavamile (imvamisa ehlukahlukene noma amandla)
- Ukushisa okushisayo noma izibhamu ezishisayo (uzizwa ufudumele ngesikhumba sokubomvu nokujuluka)
- Ukuhluleka ukulala ( ubuthongo , ukujula ebusuku, ukulala kwansuku zonke )
- Ukugxila okuncane noma ukulahlekelwa inkumbulo
- Imodi iyashintsha noma ukushintsha kwemizwelo (ukucasula, ukukhala)
- Izinkinga zamagciwane nezomchamo (ukoma, ukutheleleka, ukungazitholi)
- Ukwehlisa isithakazelo socansi noma ukunganaki
- Ubuhlungu obuhlangene noma obunamahloni
- I-osteoporosis
- Inzuzo yesisindo
Kuyathakazelisa ukuthi eziningi zalezi zimpawu zingase zenzeke nezifo zokulala .
Ukulukhuni ukuwa noma ukulala ebusuku kungabonisa ukungalali. Ukuvuvukala njalo ebusuku kungase kube isibonakaliso sokuphefumula okuphazamisayo kokulala. Ngaphezu kwalokho, ukujula ebusuku, ukulala kwansuku zonke, imizwa ecindezelekile, nezikhalazo ezinjengezimo eziphuthumayo noma izinkinga zokukhumbula isikhashana zingase zivele nase-apnea yokulala. Ngenxa yalokhu kudlulela, kubalulekile ukuqaphela izimpawu ezengeziwe ezingase zibe khona ze-apnea yokulala .
Izimpawu Ezengeziwe Zokulala U-Apnea
Ngaphandle kwalezi zimpawu ezichazwe ngenhla, kunezinye izibonakaliso zokuphefumula kokuphefumula . Okuvamile kufaka phakathi ukudubula okukhulu, kubone ukuyeka ukuphefumula, kanye neziqephu zokugubha noma ukuphuma ebuthongweni. Ngenxa yokuthi lezi zingagcinwa, akusho ukuthi ukuphefumula okuphazamiseka ukulala akukwenzeka.
Lezi zenzakalo zenza ukuhlukana kokulala futhi lokhu kungaholela ekubuyiseleni ukulala, ukulala kwansuku zonke, nokulala. Ngaphezu kwalokho, umlomo omile ebusuku, ukugaya amazinyo, nokuvuthwa njalo ebusuku kungase kwenzeke. Ukuncipha kwesisindo nokulahlekelwa kwethambo le-muscle, ingxenye evamile yokuguga, kungenza ukuthi i-apnea yokulala ibe nzima nakakhulu.
Ngokuvamile abesifazane babonisa ubunzima babo ekushintsheni kwe-hormonal noma ukuthi bavele bekhulile. Ngenhlanhla, izimpawu ezenzeka ngenxa yokuphefumula i-apnea zizoxazululwa ngezokwelapha eziphumelelayo ezifana nokucindezela okuqhubekayo kwe-airway (CPAP) noma ukusetshenziswa komshini womlomo .
Ukuya Kwenyuka Kwenyuka Kanjani Ukulala Kwe-Apnea?
Amazinga aphezulu e-estrogen ne-progesterone avikela abesifazane ngaphambi kokuqala kokuya esikhathini. Lawa mahomoni agcina ithoni ye-airway futhi ayigcine ingawa. Kodwa-ke, njengoba la mazinga ehla ngesikhathi sokumisa bese ehla emazingeni aphansi kakhulu njengengxenye yokuya esikhathini, ukukhubazeka kwe-apnea yokulala kuphakama.
Ekuhlolisweni kwabesifazane abaneminyaka ehlukene ubudala, ukusabalala kokuphefumula okunamandla okuvimbela ukulala ( AHI > imicimbi engu-15 ngehora) kuye kwanda kusuka ku-0.6% kulabo abangu-20 kuya ku-44, kuya ku-2% kulabo abafika ku-45 kuya ku-64, futhi ku-7% kulabo abangu-61 kuya ku-100.
Ngaphambi kokusho lokhu kwanda ukuguga yedwa, cabanga indima yamahomoni.
Ukusabalala kwe-apnea yokulala kwakuphansi kunazo zonke abesifazane abesilisa abaneminyaka engama-0.6%, abaphakathi kwalabo besifazane abangenayo imithi e-hormone substitution therapy (1.1%), futhi abaphezulu kunabesifazane abangenayo imithwalo ye-hormone esikhundleni sika-5.5%.
Kudinga Ukuhlola Okuqhubekayo Nesifundo Sokulala
Uma ukhathazekile ukuthi ezinye zezimpawu zakho zokumisa esikhathini kungase kube ngenxa yokuphefumula, kufanele ukhulume nodokotela wakho ngokuthola ukuhlolwa okufanele. Kungaba usizo ukukhuluma nomchwepheshe wokulala futhi uthole ukuxilongwa okwenziwe ngesifundo sokulala .
Njengoba kuphawuliwe ngenhla, kunezindlela zokwelapha ezitholakalayo zokuthola i-apnea yokulala ezingase zikhulule ezinye zezimpawu ezenza kube nzima kunzima ukuya esikhathini.
> Imithombo:
> Bixler EO et al . "Ukuvama kokuphefumula okuphazamisekile ukulala kwabesifazane: imiphumela yobulili." U- Am J Respir Crit Care Med 2001; 163: 608-613.
> IsiPunjabi, NM. "I-Epidemiology Ye-Adult Obstructive Sleep Apnea." Izinqubo ze-American Thoracic Society . 2008; 5 (2): 136-143.
> Womenshealth.gov. "Ukunqamuka kwesikhashana." IHhovisi leMpilo yabesifazane, uMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu.