Kuyini Ukuphefumula Kokulala Okunamandla nokuthi Kuphathwa Kanjani?

-Delile

• Izimpawu zokuphefumula kanzima uma ulele
• Kubi kangakanani ukuphelelwa umoya kokulala?
• Ingabe i-apnea yokulala ifaneleka njengokukhubazeka?
• Yiziphi izici eziyingozi zokuphefumula kokulala?
• Ingabe i-apnea yokulala iyazithinta izingane?
• Lapho uzobona udokotela wakho
• Yini engenziwa nge-apnea yokulala enzima?
• Izinguquko zendlela yokuphila
• Ukwelashwa
• Ukuhlinzwa
• Umbono

Ukuvimbela ukuphefumula kokulala kuyinkinga enkulu yokulala. Kubangela ukuphefumula ukuma nokuqala kaninginingi ngenkathi ulele.

Nge-apnea yokulala, imisipha esemoyeni wakho ophezulu uyakhululeka ngenkathi ulele. Lokhu kudala ukuthi izindiza zakho zivinjelwe, zikwenze ungatholi umoya owanele. Lokhu kungadala ukuphefumula kwakho ukuthi ume isikhashana imizuzwana engu-10 noma ngaphezulu kuze kube yilapho ingqondo yakho iqala ukuphefumula ukuqala kabusha.

Ucatshangelwa ukuthi unenkinga yokuphefumula kanzima uma ukuphefumula kwakho kuyeka bese uqala kabusha izikhathi ezingaphezu kwezingama-30 ngehora.

Inkomba ye-apnea-hypopnea (AHI) ilinganisela ukuvimbela ukuphefumula kokulala ukucacisa ibanga kusuka kokumnene kuya kokubi, ngokuya ngenani lezikhathi zokuphefumula ngehora onalo ngenkathi ulele.

Funda ukuze ufunde kabanzi mayelana ne-apnea yokulala enzima nokuthi ilashwa kanjani.

Izimpawu zokuphefumula kanzima uma ulele

Umlingani wakho wombhede angaqaphela ezinye izimpawu zokuphefumula kokulala okuphazamisayo ngaphambi kokuba wazi, kufaka phakathi:

• ukukhala okukhulu
• iziqephu zokuyeka ukuphefumula ngesikhathi sokulala

Izimpawu nobabili eningazibona:

• ukuvuka okungazelelwe ebuthongweni, imvamisa kuhambisana nokuklinya noma ukuhefuzela
• kwehle i-libido
• ukuguquka kwemizwelo noma ukucasuka
• ukujuluka ebusuku

Izimpawu ongazibona:

• ukulala emini
• ubunzima bokuhlushwa nokukhumbula
• umlomo owomile noma umphimbo obuhlungu
• ikhanda ekuseni

Kubi kangakanani ukuphelelwa umoya kokulala?

Ngokwe-American Sleep Apnea Association (ASAA), i-apnea yokulala ingaba nemiphumela yesikhathi eside empilweni yakho. I-apnea yokulala ishiywe ingalashwa noma ingatholakali ingaba nemiphumela emibi, njenge:

• Isifo senhliziyo
• umfutho wegazi ophakeme
• unhlangothi
• ukudana
• isifo sikashukela

Kunemiphumela yesibili futhi, njengezingozi zezimoto ezibangelwa ukulala esondweni.

Ingabe i-apnea yokulala ifaneleka njengokukhubazeka?

Ngokusho kwenethiwekhi yezomthetho yeNolo, iSocial Security Administration (SSA) ayinalo uhlu lokukhubazeka lwe-apnea yokulala. Kodwa-ke, inezinhlu zokuphazamiseka kokuphefumula, izinkinga zenhliziyo, nokuncipha kwengqondo okungabangelwa ukuphefumula kokulala.

Uma ungazifanelekeli lezi zimo ezibalwe, usengakwazi ukuthola izinzuzo ngefomu le-Residual Functional Capacity (RFC). Bobabili udokotela wakho kanye nomhloli wezicelo ezivela kwa-Disability Determination Services bazogcwalisa ifomu le-RFC ukuthola ukuthi uyakwazi yini ukusebenza ngenxa yalokhu:

• i-apnea yakho yokulala
• izimpawu zokuphefumula kwakho ubuthongo
• imiphumela yalezo zimpawu empilweni yakho yansuku zonke

Yiziphi izici eziyingozi zokuphefumula kokulala?

Usengozini enkulu yokuphefumula ukulala uma:

• Ukhuluphele ngokweqile noma ukhuluphele ngokweqile. Yize noma ngubani angaba ne-apnea yokulala, ukukhuluphala kubhekwa yi-American Lung Association (ALA) njengeyona nto ebaluleke kakhulu engcupheni. NgokukaJohns Hopkins Medicine, i-apnea yokulala ithinta abantu abangaphezu kwamaphesenti angama-20 abanokukhuluphala uma kuqhathaniswa namaphesenti ama-3 abantu abanesisindo esilinganiselwe. Ngokusho kweMayo Clinic, ukuvimbela ukuphefumula kokulala kungabangelwa nezimo ezihambisana nokukhuluphala, njenge-polycystic ovary syndrome ne-hypothyroidism.
• Ungowesilisa. Ngokusho kwe-ALA, abesilisa banamathuba aphindwe kabili kuya kwamathathu okuba ne-apnea yokulala evimbelayo kunabesifazane be-premenopausal. Ingozi icishe ifane nabesifazane nabesilisa abaya esikhathini.
• Unomlando womndeni. Uma kutholakala ukuthi i-apnea yokulala ivimbela amanye amalungu omndeni, ngokusho kweMayo Clinic, ungaba sengozini enkulu.
• Umdala. Ngokusho kwe-ALA, ukuvimbela ukuphefumula kokulala kuya ngokuya kukhula njengoba ukhula, wehla lapho usufinyelele ama-60s nama-70s akho.
• Uyabhema. Ukuvimbela ukuphefumula kokulala kuvame kakhulu kubantu ababhemayo.
• Unezimo ezithile zezokwelapha. Ingozi yakho yokuthola i-apnea yokulala ephazamisayo inganda uma une-high blood pressure, isifo sikashukela, noma i-asthma.
• Uba nokucinana kwamakhala okungapheli. I-apnea yokulala evimbelayo ivela kabili kaningi kubantu abanokuminyana okungapheli kwamakhala ebusuku.
• Unepharynx egcwele. Noma yini eyenza i-pharynx, noma i-airway engenhla ibe ncane - njengamathoni amakhulu noma izindlala - ingaholela ethubeni elikhulu lokuvinjelwa umoya wokulala okuvimbelayo.

Ingabe i-apnea yokulala iyazithinta izingane?

I-ASAA ilinganisela ukuthi amaphesenti aphakathi kuka-1 no-4 ezingane zaseMelika ane-apnea yokulala.

Yize ukukhishwa kwamathanga kanye ne-adenoids kuyindlela ejwayelekile yokwelapha ukuphefumula kokulala kwengane, ukwelashwa okuhle kwengcindezi yomoya (PAP) nezinto ezisetshenziswayo ngomlomo nazo ziyabekwa.

Lapho uzobona udokotela wakho

Yenza i-aphoyintimenti nodokotela wakho uma ukhombisa noma yiziphi izimpawu zokuphazamiseka kokulala, ikakhulukazi:

• ukukhala okukhulu, okuphazamisayo
• iziqephu zokuyeka ukuphefumula ngenkathi zilele
• ukuvuka okungazelelwe ebuthongweni okuvame ukuhambisana nokukhefuzela noma ukuminyana

Udokotela wakho angakudlulisela kuchwepheshe wokulala, udokotela onokuqeqeshwa okwengeziwe nemfundo emithini yokulala.

Yini engenziwa nge-apnea yokulala enzima?

Ukwelashwa kwe-apnea yokulala yokuvimbela okunamandla kufaka phakathi izinguquko zokuphila, izindlela zokwelashwa nokuhlinzwa, uma kudingeka.

Izinguquko zendlela yokuphila

Labo abane-obstruction sleep apnea diagnostic bazokhuthazwa, uma kunesidingo:

• gcina isisindo esilinganisiwe
• yeka ukubhema
• iqhaza ukuzivocavoca umzimba njalo
• ukunciphisa ukusetshenziswa kotshwala

Ukwelashwa

Izindlela zokubhekana nokuphefumula kokulala zifaka:

• ingcindezi eqhubekayo yomoya (CPAP) esebenzisa umfutho womoya ukugcina imigwaqo yakho ivulekile ngesikhathi sokulala
• okokukhuluma noma okokukhuluma okwenzelwe ukugcina umphimbo wakho uvulekile ngenkathi ulele

Ukuhlinzwa

Udokotela wakho angancoma ukuhlinzwa, okufana nalokhu:

• uvulopalatopharyngoplasty (UPPP) ukususa izicubu ukudala isikhala
• ukugqugquzela okuphezulu komoya
• ukuhlinzwa komhlathi ukudala isikhala
• tracheostomy ukuvula intamo, imvamisa kuphela esimweni sokuphefumula kokulala okubeka engozini impilo
• Izimila zokunciphisa ukuwa okungaphezulu komoya

Umbono

Ukuphefumula kanzima okuvimbela ukulala kuyisifo esibi sokulala esihilela ukuphefumula okuma ngokuphindaphindiwe nokuqala ngenkathi ulele.

Ukuphefumula kokulala okungavinjelwe okushiywe kungalashwa noma kungatholakali kungaba nemiphumela emibi futhi esongela impilo. Uma uhlangabezana nanoma yiziphi izimpawu, yenza i-aphoyintimenti yokubona udokotela wakho ngezinketho zokuxilongwa nokwelashwa.