I-apnea yokulala engavinjelwe yinkinga lapho umuntu eyeka ukuphefumula ngokuphindaphindiwe ebusuku. Kunemibangela eminingi engabangela, konke okuholela ekutheni umgwaqo ophezulu uwile ngenkathi umuntu elele. Ukwelashwa kwe-apnea yokulala kuyadingeka ukuvimbela izinkinga ezinkulu zezempilo. Ikuphi ukwelashwa kwe-apnea yokulala okungcono kuwe? Cabanga ngezindlela zokubhekana nezizathu kanye nezinketho ezengeziwe ezifana nokwelapha okuqhubekayo okucindezela umoya we-airway (CPAP), izixhobo zomlomo ezivela kudokotela bamazinyo, ukuhlinzwa, ukulahlekelwa isisindo, nezinye izinketho.
Ukubhekana Nezimbangela Zokulala Kwe-Apnea
Ukuze kuvimbele ukuvinjelwa kwendiza yomoya, okuyiyona imbangela evame kakhulu yokuphefumula kokuphefumula, kungase kube usizo ukubona izici ezithintekayo. I-apnea yokulala ingenzeka ngenxa ye- anatomy yakho ye-airway. Kungase kube nzima kakhulu ukugonywa kwamanzi ngenxa yemithi noma umkhuhlane. Kuvame ukukhushulwa ukuzuza kwesisindo. Kwabesifazane, ukuyeka esikhathini sokuqala kungenza ukuba i-apnea yokulala ingase ibe khona. Isikhundla sinomthelela uma ulele ebusweni bakho. Utshwala nemithi eyenziwa njenge-muscle relaxants ingabangela ukuphefumula okuphazamisekile.
Kwezinye izimo, ukuphefumula kwe-apnea kungathuthuka ngokubhekana nesibangela. Kwamanye abantu, ukulahlekelwa isisindo kungenele ukuxazulula kokubili ukuphuza nokulala kwe-apnea. Ngeshwa, akuzona zonke izimbangela ezibuyiselwayo. Kungadingeka ukuthi uhlole ezinye izindlela zokwelapha lapho i-apnea yokulala iqhubeka.
Yini ongayilindela nge-CPAP Therapy
Ukugcina i-airway engenhla ivulekile, kuvamise kudingekile ukuyixhasa ngokugeleza komoya okuqhutshwa njalo ngesikhwama sombuso obugqoke ngenkathi ulele.
Le ukwelashwa okuvame kakhulu futhi ephumelelayo kubizwa ngokuthi ukucindezela okuqhubekayo kwe-airway, noma i- CPAP . Kukhona okufanayo okubizwa ngokuthi i-bilevel positive airway pressure, noma i- BiPAP , lapho okunye ukucindezelwa okuphakathi kwezinga eliphakeme neliphansi ngenkathi kuphefumula ngaphakathi nangaphandle.
Uma sekubekwe udokotela ukuthi ukwelashwa kwe-PAP kuyindlela engcono yokwelashwa kwesimo sakho, kubalulekile ukuvakashela nomhlinzeki wezokwelapha ezihlala njalo.
Umshini we-CPAP noma we-bilevel uzobekwa esimweni esinqunyiwe nezinye izinto zokusebenza - kufaka phakathi i-humidifier, i-tubing, ne-mask efanelwe ngokwayo - izokhishwa. Kubalulekile ukuthola i-mask ekhululekile, enokuvuza okuncane uma igqoke.
Iningi labantu abasebenzisa i-CPAP bayakwazi ukubekezelela futhi bazuze kulo emva kwamasonto ambalwa okusetshenziswa njalo. Abanye abantu bangase badinge ukubhekana nezinkinga ezincane zokukhathazeka . Uma kuphakama ubunzima, kubalulekile ukuthi uxhumane nomhlinzeki wemishini kanye nochwepheshe bakho bokulala.
Ingabe Kukhona Okunye Ukwelashwa Kwe-Apnea Ukwelapha Izinketho?
Nanobe ukuphika kwe-CPAP ngokusobala kuyindlela engcono kunazo zonke ekuhambeni okulinganiselwe ku- apnea enkulu yokulala , abanye abantu abakwazi ukubekezelela. Lokhu kungenzeka uma unokuqwashisa okungapheli. Uma naphezu kwemizamo yakho emihle, awukwazi ukuyisebenzisa kahle, ungase ube nesithakazelo ekuhloleni ezinye izindlela zokwelashwa. Kulokhu, ezinye izinketho zokwelashwa zingase zilandelwe, kubandakanya:
- Ukulahlekelwa kwesisindo
- Ukwelashwa ukususa izicubu ezingaphezu kweqanda emqaleni
- Izinsiza zokulala zesikhashana (njengokuthi "izinwele zokulala" noma ama-wedge ukuze ugweme ukulala emuva)
- Amadivaysi amazinyo noma izixhobo zomlomo ukuhambisa umhlathi ophansi (nolimi) phambili
- Ukwesekwa kwe-oksijeni (okungavamile ngokwanele yedwa)
Uma ukwelashwa okunye kukhethiwe, kufanele uqiniseke ukuthi uhlola ukuphumelela kokwelashwa ngokuphinda ukuhlolwa kokulala. Kubalulekile ukuxazulula ukuphefumula nokulala okuphefumulayo, nokukhombisa izinga elivamile le-oksijini nokulala ukuzinza, ukuthuthukisa izinzuzo zesikhathi eside enhlalakahleni yakho kanye nempilo.
Yiziphi izinzuzo zokwelapha?
Uma ukwelashwa, izimo eziningi ezingapheli ezihlobene ne-apnea yokulala zingaxazululwa. Kuye kwaboniswa ukuthuthukisa ubuthongo besikhathi samalanga, ukuhlushwa kanye nenkumbulo, isifo senhliziyo nokuhluleka kwenhliziyo , ukushaya kwenhliziyo kanye ne-reflux , ukulawulwa kwesifo sikashukela, ukungasebenzi kwe-erectile, ukucindezeleka , nokunciphisa ingozi yemoto yemoto.
Uma kushiywe kungalashwa, i-apnea yokulala ingandisa ingozi yokufa kungazelelwe .
Ngenhlanhla, abantu abaningi bangathola ukwelashwa okuphumelelayo nokwamukelekayo kwe-apnea yokulala. Qala ngokukhuluma nochwepheshe bakho bokulala mayelana nezinketho zokwelashwa ezingcono kakhulu kuwe. Uma unzima, qiniseka ukuthi uyazama ukuthola usizo oludingayo.
> Imithombo:
> American Sleep Apnea Association
> Collop MD, uNancy. "Umphumela we-obstructive sleep apnea ngezifo ezingelapheki zezokwelapha." I-Cleveland Clinic Journal of Medicine . 2007 74: 1.
> Epstein, LJ et al. "Isiqondiso somtholampilo sokuhlolwa, ukuphathwa, nokunakekelwa isikhathi eside kwe-apnea yokuvimbela ubuthongo kubantu abadala." J Clin Sleep Med. 2009; 5: 263.
> Kryger, MH et al. "Izimiso Nemikhuba Yokulala Imithi." Elsevier, edition 6, 2016.