Ukulala, Utshwala, Nokuguga Kuphakathi Kwezinto Ezihamba Ngama-apnea
Nakuba umzimba wakho ungakusiza ukuba ube ne- apnea yokuvimbela ukulala , kunezinye izici nezingozi ezingase zenze isimo sibe sibi nakakhulu. Ezinye zalezi zinsiza ezikhona zingaphansi kokulawula kwakho kanti ezinye azikho. Yini eyenza i-apnea yokulala ibuhlungu futhi yini ongayenza ngayo? Thola izindima ze-anatomy, indawo yokulala, izigaba zokulala ezifana ne-REM, utshwala, ukuphuma esikhathini kwabesifazane, imithi yokwelashwa kanye nokuphumula kwemisipha, ukuguga nokuthola inzuzo.
I-apnea yokulala iqala nge-Anatomy yakho
Isizathu esibaluleke kunazo zonke sokuphefumula kwe-apnea yisakhiwo se-anatomy yakho ye-airway. Kunezinhlobo zezingxenye ezinendima: izimpumu, amathoni, i-palate, ulimi, nomhlathi. Lezi zakhiwo zakha ngokusekelwe ku-genetics yakho. Njengoba nje sifana nabazali bethu kanye nabantakwethu, kufana nokuhlelwa okufanayo. Ukweqisa ngokweqile noma ukugqilaza kungadala ingozi yokulala ne-apnea yokulala. Ngeshwa, lesi sisekelo asikho ngaphansi kokulawula kwakho, kodwa kunezinye izici ezingenza ukuthi i-apnea yokulala ibe nzima kakhulu. Ezinye zalezi zici ezengeziwe zifaka:
Indawo yokulala
Ukuphefumula kwesibindi somuntu othile kubhekene nendawo yokulala . Isifundo sokulala singabonisa ukuthi ukulala ngemuva kwakho, endaweni ephezulu, kuholela ekuphazamiseni ukuphefumula okwandayo. Lokhu kwenzeka ngenxa yokuthi izicubu ezithambile zomoya, kuhlanganise ne-palate elincane nelimi, zingawela emuva futhi zivimbele umoya.
Ukuvuthwa komzimba kunika futhi kulele ngemuva kwakho kuzokwenza lokhu kwenzeke kakhulu. Kwamanye abantu, ukusetshenziswa kwe- postitional therapy ukuhlala ulele ezinhlangothini zakho kungasiza kakhulu.
REM Sleep
Kuyinto engokwemvelo ukuguquka ngezigaba ezahlukene zokulala kulo lonke ubusuku. Iningi lokulala liqukethe ubuthongo obungewona i-REM.
Nokho, cishe yonke imizuzu engu-90 ukulala kwe-REM kwenzeka. Ukunyakaza kwamehlo okusheshayo kwenzeka kanye nokukhubazeka kwemisipha. Lesi simo sibonakala ngokuphupha okukhulu, okuzwakalayo, njengokubukela i-movie. Ukuze uvimbele ukwenza okuvela kula maphupho, umzimba ukhubazekile. Imisipha yomoya ibuye iphelelwe amandla. Le tube iba i-floppy futhi ihlukana. Ngenxa yalokho, i-apnea yokulala ivame ukukhula ngesikhathi sokulala kwe-REM. Lokhu kungabangela inani elikhudlwana lemicimbi noma ukwehla okukhulu kwamanjini e-oxygen njengoba kulinganiswa nge-oximetry. Njengoba ubuthongo be-REM buyingxenye ebalulekile yokulala kwekhwalithi, lesi sici esiyingozi singenakugwema.
Utshwala
Ukubhekana nesiko sokulala ebusuku, kusobala ukuthi utshwala bulimaza kabi ukulala. Nakuba kungenza uzizwe ulele, njengoba uguga kuyo kuholela ekuqhekekeni kokulala nokulala . Ngaphezu kwalokho, njengemisipha ephumuzayo, ingenza ukuthi umoya ophezulu ungeneke kakhulu. Lesi sici sengozi singaphansi kokulawula kwakho. Kungcono ukugwema utshwala ngaphambi kokulala. Njengomthetho wesithupha, vumela ihora elilodwa ukuba lidlule isiphuzo ngasinye esiphuzayo odla ngaphambi kokulala. Lokhu kuzosiza ukunciphisa imiphumela yotshwala ngethuba lakho lokuthola i-apnea yokulala.
Ukunqamuka kwesikhashana kwabesifazane
Kulungile, ngakho-ke lokhu kubonakala kusebenza kuphela kwabesifazane.
Kodwa-ke, kuyisici esibalulekile esingabangela ingozi. Abesifazane abasebancane bavikelwa yi-progesterone ye-hormone ne-estrogen egcina isimo se-airway. Isifo sokuphefumula kokulala phakathi kwabesifazane ngaphambi kokuqala kokuya esikhathini sinciphile. Lapho lezi zinhlanzi zilahlekile, lesi sigameko sanda phakathi kwabesifazane ukulingana nabantu. Ukunqamuka kwemikhumbi yokuhlinzwa, inkulumo esetshenziselwa ukuchaza isimo esilandelayo ngemuva kokukhipha i-osterectomy nokukhipha ama-ovari, iveza ingozi efanayo yokuphefumula ukuphefumula. Abesifazane abasebenzisa ukwelapha okwenziwa esikhundleni se-hormone batholakala ukuthi banengozi ephakathi (kepha ephansi) yokuphefumula kokulala.
Imithi yokwelapha kanye nama-Relaxant Relaxants
Imithi ingayithinta kanjani i-apnea yokulala? Ngokuvamile, kunezigaba ezintathu zemithi engaba yinkinga: i-benzodiazepines, i-opiates, ne-barbiturates. I-Benzodiazepines ivame ukushiwo ukukhathazeka, ukugunjwa, futhi ngaphambili yayivame ukusetshenziselwa ukulala. Zenza futhi njengeziphumuli ze-muscle futhi lokhu kungathinta umoya womoya futhi kuholele ekuphefumuleni kwe-apnea. Ama-opiates yimithi yokwelapha i-narcotic esetshenziselwa ukulawula ubuhlungu. Zingaba negalelo ekuphefumuleni okuphakathi kokulala, okubonakala ngokuphefumula okungajulile noma okungavamile. Ukwengeza, ama-barbiturates asetshenziselwa ukuguqulwa nokulawula ukuthunjwa futhi lokhu kungathinta nokuphefumula. Uma ukhathazekile ukuthi imishanguzo yakho ingase ikhulise ingozi yokuphefumula kokuphefumula, kufanele ukhulume nodokotela wakho odokotela.
Ukuguga
Okokugcina, ukuguga ngokwayo kungenza i-apnea yakho yokulala. Njengoba nje ulahlekelwa umfutho we-muscle ezandleni nasezinyaweni zakho, nawe ngokufanayo ungalahlekelwa ithoni ye-muscle ngaphakathi kwendiza yakho. Lokhu kunganciphisa ikhono layo lokuhlala livulekile. Akukho okuningi okumelwe kwenziwe mayelana nalesi simo esiyingozi. Izindaba ezinhle ukuthi ukukhubazeka kwe-apnea yokulala kubonakala kufinyeleleka lapho uneminyaka engama-60. Uma uzokwakha i-apnea yokulala, kubonakala sengathi uzoyihlakulela ngaleso sikhathi.
Ukutholakala kwesisindo
Ukuthola isisindo, ikakhulukazi uma ukhula ngokweqile noma ukhuluphele, kungase kube nomthelela omkhulu ekuphefumuleni kokulala. Uma umgwaqo ongenqamukile ukuqala, ukufakwa kwamafutha phansi kolunye ulimi kanye nokuhamba emoyeni kungenza izinto zibe zimbi nakakhulu. Ukulahleka kwesisindo, ngokuvamile okungenani ukuncipha kwe-10% kwesisindo, kungasiza ukunciphisa kokubili ukugwinya nokulala okuphefumulayo.
Yini Ongayenza Ukuze Kunciphise Izingozi Zokulala U-Apnea?
Qala ngokuqeda noma iyiphi yalezi zingozi ezingenakugwema noma eziguqulwayo ongazibona. Kungakhathaliseki ukuthi yini engase yenza ukuthi i-apnea yakho yokulala ibuhlungu, kusekhona izinketho zokwelapha ezitholakalayo ezitholakalayo kuhlanganise nokusetshenziswa komshini womlomo noma ukucindezela okuqhubekayo kwe-airway (CPAP) .
Xoxa ngezingozi ozibhekana nazo ochwepheshe bakho bokulala futhi uthole isisombululo esifanele kuwe.
> Imithombo
> Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." Elsevier . 5th edition. 2011.
> I-International Classification of Sleep Disorders. I-American Academy ye-Sleep Medicine . I-2 nd edition. 2005.