Izimpawu zingase zibonise izifo ezinzima noma zimele ukungaboni kahle kwe-apnea yokulala
Ngenkathi abanye abantu bangase bahlaselwe isisu noma bahlaziye ngesikhathi belele, kungenzeka ukuvimbela lezi zimpawu ezingenakuzwakala. Ukwehla kwesisu kungase kwenzeke njalo noma ebusuku, futhi kubalulekile ukufuna ukwelashwa ukuvimbela imiphumela ebalulekile. Ngenhlanhla, kunezinketho eziningi zokwelashwa eziphumelelayo, kuhlanganise nokusetshenziswa kwemithi yokudlula ngaphezulu neyomuthi.
Ukugwema izimbangela, ukuguqulwa kwesimo sokulala nokusebenzisa umcenge womcengezi, kanye nokwelashwa kwe-apnea yokuvimbela ubuthongo nge-CPAP therapy bonke bangabamba iqhaza ekunciphiseni ukushisa kwenhliziyo nokucubungula ebusuku.
Kuyini Ukuphuza Inhliziyo noma I-Reflux (GERD)?
Ukuphuza isisu kuyisimo esivamile kakhulu esibangela ukuzwa kwesibindi phakathi kwesisu esingenhla noma ngemuva kwesifuba. Ngezinye izikhathi kuthiwa yi-reflux isifo se-gastroesophageal (GERD).
Abantu abaneGERD bangase baphinde bahlanza noma babuhlungu ngokugwinya. Bangase babe nezwi elihlabayo noma babe nesimiso sokuthuthukisa i-pneumonia. Bangase babe nobumnandi obuhle emqaleni noma emlonyeni wabo. Kungenzeka ngisho nokudla ukuhamba kusuka esiswini emuva kuya ku-esophagus. Kungase kuhlotshiswe ukuxuba noma ukukhwehlela.
Yini Ebangelwa Ukugubha Inhliziyo Ukuze Kufike Emini?
Ukuphuza ukuvuthwa kuvame ukuhlotshaniswa nokudla kakhulu, noma ngokudla okubabayo, okune-acidic, noma i-caffeinated.
Okunye ukudla kwezinkinga kungabandakanya:
- Imikhiqizo yamatamatisi
- I-Citrus
- Utshwala
- Ikhofi
- Chocolate
- I-Peppermint
- Ukudla okunamafutha
Kungenzeka ukuthi kube nokushisa kwenhliziyo okubi kakhulu lapho kudliwa ukudla okude kakhulu ukulala ngesikhathi sokulala , ikakhulukazi uma ukudla kwenzeka okungaphansi kwamahora amabili ngaphambi kokulala.
Kungani Ukuguquka Kwesifo Kungenzeka Uma Ulala?
Ukudla kuhamba kusuka emlonyeni kuya esiswini ngokusebenzisa isisu, okuyinto tube muscular.
Phakathi kwesisu nesisu kukhona indandatho yemisipha okuthiwa i-sphincter esezansi ephansi (LES). I-LES iyeka ukudla nesisu esiswini ekuhambeni emuva kwe-esophagus, engabangela izimpawu zokuphefumula.
Ngenkathi elele embhedeni, amandla adonsela phansi akagcini okuqukethwe kwesisu kude ne-LES. Uma i-LES ibuthakathaka, ingase ivule kancane futhi ivumele ezinye ze-asidi esiswini zibe yi-esophagus, kubangele ukuzwa okuvuthayo. Ukudla okunye, okufana nalabo okuchazwe ngenhla, kungabangela ukuthi le sphincter iphumule.
Abanye abantu babhekana nesisindo sokukhahla ebusuku. Kungaba ngumphumela we-GERD, kodwa enye kungenzeka ukuthi iziphonso zokuphinda zibuyele ebusuku ebusuku i- apnea yokulala . I-apnea yokulala ingabangela ukuwa kwe-airway. Ukuze uyivule isipele, imisipha ikhonjiswe futhi lokhu kungadonsela okuqukethwe kwesisu ngokuya emoyeni. Uma i-apnea yokulala ikhona, ukwelashwa ngokucindezela okuqhubekayo kwe-airway (CPAP) kungaba yindlela ephumelelayo.
Kufanele Ukubhekwa Kanjani Nesifo Sezinhlungu?
Kunezinketho eziningi zokwelashwa eziphumelelayo kakhulu zokuphefumula. Uma ubhekene nezimpawu ebusuku, udinga ukufuna ukwelashwa ngoba lokhu akuyona into evamile. Ukusetshenziswa kwemithi eminingi kanye nokudokotela okunomuthi kujwayelekile:
- I-Antacids (i- Tums , i- Maalox , i- Mylanta )
- Imithi yokulwa nomlando ( iZantac , Pepcid , Tagamet )
- Iproton pump inhibitors ( Prilosec , Nexium , Prevacid , Protonix )
Ukwelapha okuhlinzwa kungase kungadingeki kwezinye izimo. Lokhu kuvame ukugcinwa kulawo maqiniso lapho imithi ingasebenzi khona. Ukuhlinzwa okuvame kakhulu, okubizwa ngokuthi i- Nissen fundoplication , kuhilela ukuhlinza ngesisu esiswini esingaphansi ukudala ukuqinisa lokho okuvimbela i-reflux.
Ungase ucabange nokushintsha okulula kokuphila. Lokhu kuhlanganisa ukugwema ukudla okudlulile ebusuku, ikakhulukazi lezo ezifaka ukudla okunzima.
Ukulahlekelwa isisindo kungenye indlela enhle kakhulu. Futhi, ukuphakamisa ikhanda lombhede u-6 kuya ku-8 amasentimitha ngokusetshenziswa kwamabhuloki enkuni, i-foam wedge, noma imikhiqizo yezokuhweba okuthiwa ukulala imithwalo yemigqa ingasebenza kakhulu. Kodwa-ke, akunconywa ukuthi basebenzise imithwalo eyengeziwe njengoba lokhu kungase kudale ukugoba nokucindezela okungokwemvelo esiswini, okwenza kube ne-reflux ebuhlungu.
Uma izimpawu zakho ziqhubeka, funa usizo kudokotela wakho futhi ungakhohlwa ukucabangela indima engalindelekile yokuphefumula kokulala njengokungabangela ukuba izimpawu.
Imithombo:
DeVault, KR et al . "Imihlahlandlela ebuyekeziwe yokuxilongwa nokwelashwa kwesifo se-reflux se-gastroesophageal." Am J Gastroenterol. 2005; 100: 190.
Kaltenbach, T. et al . "Ingabe izindlela zokuphila ziphumelela ezigulini ezinezifo ze-reflux ze-gastroesophageal? Indlela yokusekela ubufakazi. "I- Arch Intern Med. 2006; 166: 965.