Izibalo Zokufa Kwe-Apnea Yokulala kanye Nokubaluleka Kokwelapha

-Delile

• Ukufa okuhlobene nokuphefumula okuhlobene nokulala ngonyaka
• Izingozi zokuphefumula ubuthongo ngaphandle kokwelashwa: Okushiwo ucwaningo
• Izinhlobo zokulala zokulala
• Izimpawu zokulala zokulala
• Ungakwazi yini ukuba ne-apnea yokulala ngaphandle kokuhogela?
• Ukwelashwa kwe-apnea yokulala
• Ukubonana nodokotela nini
• Ukudla okudlela endlini

Ukufa okuhlobene nokuphefumula okuhlobene nokulala ngonyaka

I-American Sleep Apnea Association ilinganisela ukuthi abantu abangama-38,000 e-United States bafa unyaka nonyaka bebulawa yisifo senhliziyo abane-apnea yokulala njengesici esiyinkimbinkimbi.

Abantu abane-apnea yokulala banenkinga yokuphefumula noma bayeke ukuphefumula isikhathi esifushane ngenkathi belele. Lesi sifo sokulala eselaphekayo ngokuvamile asiqondakali.

Ngokwe-American Heart Association, umuntu oyedwa kwabahlanu unomphefumulo wokulala ngezinga elithile. Kuvame kakhulu kwabesilisa kunabesifazane. Izingane nazo zingaba ne-apnea yokulala.

Ngaphandle kokwelashwa, i-apnea yokulala ingaholela ezinkingeni ezinkulu.

Kungaholela noma kube kubi kakhulu izimo ezisongela impilo, kufaka phakathi:

• umfutho wegazi ophakeme
• unhlangothi
• ukufa okungazelelwe kwenhliziyo (inhliziyo)
• isifuba somoya
• I-COPD
• isifo sikashukela

Izingozi zokuphefumula ubuthongo ngaphandle kokwelashwa: Okushiwo ucwaningo

I-apnea yokulala ibangela i-hypoxia (izinga eliphansi le-oxygen emzimbeni). Uma lokhu kwenzeka, umzimba wakho uba nengcindezi bese uphendula ngempendulo yokulwa noma yokundiza, okwenza inhliziyo yakho ishaye ngokushesha nemithambo yakho inciphe.

Imiphumela yenhliziyo nemithambo yegazi ifaka:

• umfutho wegazi ophakeme
• izinga lokushaya kwenhliziyo eliphakeme
• umthamo wegazi ophakeme
• ukuvuvukala okungaphezulu nokucindezeleka

Le miphumela yandisa ubungozi bezinkinga zenhliziyo.

Ucwaningo lwango-2010 olushicilelwe ku- American Journal of Respiratory and Critical Care Medicine luthole ukuthi ukuba ne-apnea yokulala kungakhuphula ingozi yokushaywa unhlangothi kabili noma kathathu.

Ucwaningo olwenziwa ngo-2007 oluvela eYale School of Medicine luxwayisa ngokuthi ukuphefumula ubuthongo kungandisa amathuba okuhlaselwa yisifo senhliziyo noma ukufa ngamaphesenti angama-30 esikhathini esiyiminyaka emine kuya kwemihlanu.

Ngokusho kocwaningo luka-2013 ku- Journal of the American College of Cardiology, abantu abane-apnea yokulala banengozi enkulu yokufa ngenxa yezinkinga zenhliziyo ezihlobene. Ucwaningo luthole ukuthi i-apnea yokulala ingakhuphula ingozi yokufa okungazelelwe kwenhliziyo.

Lokhu kungenzeka kakhulu uma:

• baneminyaka engaphezu kwengu-60 ubudala
• ube neziqephu zokuphefumula ezingama-20 noma ngaphezulu ngehora lokulala
• babe nezinga le-oxygen yegazi elingaphansi kwamaphesenti angama-78 ngesikhathi sokulala

Ngokusho kokubuyekezwa kwezokwelapha ngo-2011, abantu abangamaphesenti angama-60 abanesifo senhliziyo nabo bane-apnea yokulala. Abantu abadala ocwaningweni ababelashelwa ukuphefumula ubuthongo babenezinga lokusinda elingcono leminyaka emibili kunalabo ababengenalo. Ukuphefumula ubuthongo kungadala noma kubhebhethekise izimo zenhliziyo.

I-National Sleep Foundation iphawula ukuthi abantu abane-apnea yokulala kanye ne-atrial fibrillation (isigqi senhliziyo esingajwayelekile) banethuba elingamaphesenti angama-40 kuphela lokudinga ukwelashwa okwengeziwe kwenhliziyo uma zombili lezi zimo zilashwa.

Uma i-apnea yokulala ihlala ingalashwa, ithuba lokudinga ukwelashwa okuqhubekayo kwe-fibrillation ye-atrial likhuphukela kumaphesenti angama-80.

Olunye ucwaningo olwenziwe eYale luxhumanise i-apnea yokulala kanye nohlobo 2 sikashukela. Ithole ukuthi abantu abadala abane-apnea yokulala babenengozi engaphezulu kokuphindwe kabili yokuthola isifo sikashukela uma kuqhathaniswa nabantu abangenayo i-apnea yokulala.

Izinhlobo zokulala zokulala

Kunezinhlobo ezintathu eziyinhloko zokuphefumula kokulala:

• Izimpawu zokulala zokulala

  Zonke izinhlobo zokuphefumula ubuthongo zinezimpawu ezifanayo. Ungahle uzwe:

  • ukukhala okukhulu
  • ame kancane ekuphefumuleni
  • ukuhogela noma ukuhefuzela
  • umlomo owomile
  • umphimbo obuhlungu noma ukukhwehlela
  • ukuqwasha noma ubunzima bokulala
  • isidingo sokulala uphakamise ikhanda
  • ikhanda lapho evuka
  • ukukhathala kwasemini nokulala
  • ukucasuka nokucindezeleka
  • ukuguquka kwemizwelo
  • izinkinga zememori

  Ungakwazi yini ukuba ne-apnea yokulala ngaphandle kokuhogela?

  Uphawu olwaziwa kakhulu lwe-apnea yokulala ukuhoxa lapho ulele. Kodwa-ke, akuwona wonke umuntu one-apnea yokulala ehogela. Ngokufanayo, ukuhogela akusho njalo ukuthi une-apnea yokulala. Ezinye izimbangela zokuthimula zibandakanya ukutheleleka ngeso, ukuxinana kwamakhala, namathoni amakhulu.

  
  

  Ukwelashwa kwe-apnea yokulala

  Ukwelashwa kwe-apnea yokulala yokuvimbela kusebenza ngokugcina umoya wakho uvulekile ngesikhathi sokulala. Idivayisi yezokwelapha eletha ingcindezi eqhubekayo yokuhamba emoyeni (CPAP) esiza ukwelapha ukuphefumula kokulala.

  Ngenkathi ulele, kufanele ugqoke imaski ye-CPAP exhunywe ngokufaka ishubhu kudivayisi esebenzayo. Isebenzisa umfutho womoya ukubamba indlela yakho evulekile.

  Enye into egqokekayo yokuphefumula ubuthongo iletha ingcindezi yomoya we-bilevel positive airway (BIPAP).

  Kwezinye izimo, udokotela angancoma ukuhlinzeka ukwelapha ukuphefumula kokulala. Ezinye izindlela zokwelashwa kanye namakhambi we-apnea yokulala afaka:

  • ukunciphisa isisindo esengeziwe
  • ukuyeka ukubhema ugwayi (lokhu kaningi kunzima, kepha udokotela angakha uhlelo lokuyeka olulungele wena)
  • ukugwema utshwala
  • ukugwema amaphilisi okulala
  • ukugwema imishanguzo nezidambisi
  • ukuzivocavoca umzimba
  • usebenzisa i-humidifier
  • usebenzisa ama-decongestant emakhaleni
  • ukushintsha indawo yakho yokulala

  Ukubonana nodokotela nini

  Ungase ungazi ukuthi une-apnea yokulala. Umlingani wakho noma elinye ilunga lomndeni lingabona ukuthi uyahona, uhogela, noma uyeke ukuphefumula ngesikhathi sokulala noma ukuthi uvuka ngokungazelelwe. Bheka udokotela uma ucabanga ukuthi ungahle ube ne-apnea yokulala.

  Tshela udokotela uma uvuka ukhathele noma uphethwe yikhanda noma uzizwa ucindezelekile.Bheka izimpawu ezifana nokukhathala kwasemini, ukozela, noma ukulala phambi kwe-TV noma ngezinye izikhathi. Ngisho nokuphefumula okuncane kokulala kungaphazamisa ukulala kwakho futhi kuholele ezimpawu.

  Ukudla okudlela endlini

  I-apnea yokulala ihlobene eduze nezimo eziningi ezisongela impilo. Kungadala noma kubhebhethekise izifo ezingamahlalakhona ezifana nomfutho wegazi ophezulu. I-apnea yokulala ingaholela ekufeni okungazelelwe kwenhliziyo.

  Uma unomlando wokushaywa unhlangothi, isifo senhliziyo, isifo sikashukela, noma esinye isifo esingelapheki, cela udokotela wakho ukuthi akuhlolele ukuphefumula kokulala. Ukwelashwa kungabandakanya ukuxilongwa emtholampilo wokulala nokugqoka imaski ye-CPAP ebusuku.

  Ukwelapha ukuphefumula kwakho kokulala kuzothuthukisa izinga lakho lokuphila futhi kungasiza nokusindisa impilo yakho.