I-apnea yokulala: kuyini, izimpawu nezinhlobo eziyinhloko

-Delile

• Ungayibona kanjani
• Ungakuqinisekisa kanjani ukuxilongwa
• Izinhlobo zokuphefumula ubuthongo
• Indlela yokwelapha

I-apnea yokulala yisifo esidala ukuthi ume isikhashana ekuphefumuleni noma ekuphefumuleni okungajulile ngesikhathi sokulala, okuholela ekuthomeni nasekuphumuleni okuncane okungakuvumeli ukuthi uphinde uthole amandla akho. Ngakho-ke, ngaphezu kokozela emini, lesi sifo sidala izimpawu ezinjengobunzima bokugxila, ikhanda elibuhlungu, ukucasuka ngisho nokungabi namandla.

I-apnea yokulala yenzeka ngenxa yokuvinjelwa kwemigwaqo yomoya ngenxa yokwehla kwemisipha yepharyngeal. Ngaphezu kwalokho, kunemikhuba yokuphila ekhulisa ubungozi bokuqunjelwa ukuphefumula kokulala, njengokukhuluphala ngokweqile, ukuphuza utshwala, ukubhema nokusebenzisa amaphilisi okulala.

Le nkinga yokulala kumele yelashwe ngokwenza ngcono imikhuba yokuphila nokusebenzisa imaskhi yomoya-mpilo edudulela umoya ezindleleni zomoya futhi isize ukuphefumula.

Ungayibona kanjani

Ukubona ukuvimbela ukuphefumula kokulala, kufanele kuphawulwe lezi zimpawu ezilandelayo:

1. Ukuhogela ngesikhathi sokulala;
2. Ukuvuka izikhathi eziningana ebusuku, noma imizuzwana embalwa futhi kungabonakali;
3. Ukuphefumula kuyama noma ukuminyana ngesikhathi sokulala;
4. Ukulala ngokweqile nokukhathala emini;
5. Ukuvuka ukuze uchame noma ulahlekelwe umchamo ngenkathi ulele;
6. Unekhanda ekuseni;
7. Nciphisa ukusebenza ezifundweni noma emsebenzini;
8. Yiba nezinguquko ekugxileni nasememori;
9. Thuthukisa ukucasuka nokucindezeleka;
10. Ukuba namandla okuya ocansini.

Lesi sifo senzeka ngenxa yokuncipha kwemigwaqo yomoya, esikhaleni nasekhaleni, okwenzeka, ikakhulu, ngokunciphisa ukusebenza kwemisipha yesifunda somphimbo ebizwa ngepharynx, engakhululeka ngokweqile noma inciphise ngesikhathi sokuphefumula. Ukwelashwa kwenziwa yi-pulmonologist, engancoma idivayisi ebizwa nge-CPAP noma, kwezinye izimo, ukuhlinzwa.

Kuvame kakhulu kubantu abaneminyaka engaphezu kwengama-50 ubudala, futhi inani nokuqina kwezimpawu kuyehluka kuye ngobukhulu be-apnea, ethonywe yizinto ezinjengokukhuluphala ngokweqile kanye nokwakheka kwemigwaqo yomoya yomuntu, ngokwesibonelo.

Bheka nezinye izifo ezidala ukulala nokudinwa ngokweqile.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa okucacile kwe-apnea syndrome yokulala kwenziwa nge-polysomnography, okuwukuhlolwa okuhlaziya ikhwalithi yokulala, ukukala amagagasi obuchopho, ukunyakaza kwemisipha yokuphefumula, inani lomoya ongena futhi uphume lapho uphefumula, ngaphezu kwenani umoya-mpilo egazini. Lokhu kuhlolwa kusebenza ukukhomba kokubili i-apnea nezinye izifo eziphazamisa ukulala. Funda kabanzi mayelana nokuthi kwenziwa kanjani i-polysomnography.

Ngaphezu kwalokho, udokotela uzokwenza ukuhlolwa komlando wezokwelapha wesiguli kanye nokuhlolwa komzimba kwamaphaphu, ubuso, umphimbo nentamo, okungasiza futhi ukuhlukanisa phakathi kwezinhlobo zokuphefumula.

Izinhlobo zokuphefumula ubuthongo

Kunezinhlobo ezintathu eziyinhloko zokuphefumula kokulala, okungaba:

• I-apnea yokulala evimbela: kwenzeka ezimweni eziningi, ngenxa yokuvinjelwa komoya, okubangelwa ukuphumula kwemisipha yokuphefumula, ukuncipha nokushintsha kwesimo sentamo, impumulo noma umhlathi.
• Ukuphefumula kokulala okuphakathi: kuvamise ukwenzeka ngemuva kwesifo esithile esidala ukulimala kobuchopho futhi siguqule amandla aso okulawula umzamo wokuphefumula ngesikhathi sokulala, njengasesimweni sesimila sobuchopho, ngemuva kokushaywa unhlangothi noma izifo eziwohlokayo zobuchopho, ngokwesibonelo;
• Ukuphefumula okuxubile: kubangelwa ukuba khona kokubili kokuphefumula nokuphazamisa okuphakathi, okuluhlobo olungajwayelekile.

Kukhona nezimo zokuphefumula okwesikhashana, okungenzeka kubantu abanokuvuvukala kwamalaka, isimila noma ama-polyps esifundeni, isibonelo, okungavimbela ukudlula komoya ngesikhathi sokuphefumula.

Indlela yokwelapha

Ukwelapha i-apnea yokulala, kunezinye izindlela ezimbalwa:

• I-CPAP: kuyithuluzi, elifana nesifihla-mpilo, esidudula umoya ezindleleni zomoya futhi lisize ukuphefumula futhi lithuthukise ikhwalithi yokulala. Kuyinto yokwelashwa okuyinhloko kokuphefumula kokulala.
• Ukuhlinzwa: kwenziwa ezigulini ezingathuthuki ngokusetshenziswa kwe-CPAP, okungaba yindlela yokwelapha ukuphefumula, ngokulungiswa kokuncipha noma kokuvinjelwa komoya ezindleleni zomoya, ukulungiswa kokukhubazeka emhlathini noma ukubekwa kwezimila .
• Ukulungiswa kwemikhuba yokuphila: kubalulekile ukushiya imikhuba engase ibe yimbi noma ibangele ukuphefumula kokulala, njengokubhema noma ukufaka izinto ezibangela ukuthambisa, ngaphezu kokwehlisa isisindo.

Izimpawu zokwenza ngcono zingathatha amasonto ambalwa ukuthi zibonwe, kepha usuvele ubona ukwehla kokukhathala usuku lonke ngenxa yokulala ngokwengeziwe okubuyisayo. Thola imininingwane eminingi mayelana nokwelashwa kwe-apnea yokulala.