Ukuthintelwa kukuphefumla xa ulala - abantu abadala

I-apnea yokulala ethintelayo (i-OSA) yingxaki apho ukuphefumla kwakho kuyayeka xa ulele. Oku kwenzeka ngenxa yomoya omncinci okanye ovaliweyo.

Xa ulele, zonke izihlunu emzimbeni wakho zikhululeka ngakumbi. Oku kubandakanya izihlunu ezikunceda ugcine umqala wakho uvulekile ukuze umoya ungene emiphungeni yakho.

Ngokwesiqhelo, umqala wakho uhlala uvulekile ngokwaneleyo xa ulele ukuze kudlule umoya. Abanye abantu banomqala omxinwa. Xa izihlunu ezisemqaleni wazo ziphumla ngexesha lokulala, izicwili ziyavala kwaye zivimbe indlela yomoya. Ukuyeka ukuphefumla kuthiwa yi-apnea.

Ukukhwaza okukhulu luphawu lwe-OSA. Ukurhona kubangelwa kukuxinzezeleka komoya kwindlela ecutheneyo okanye evaliweyo. Asinguye wonke umntu okrokrelayo one-apnea yokulala nangona.

Ezinye izinto zinokunyusa umngcipheko wakho:

• Umhlathi ongezantsi omfutshane xa kuthelekiswa nomhlathi wakho ongasentla
• Ezinye iimilo zophahla lomlomo wakho (inkalakahla) okanye indlela yomoya ebangela ukuba iwe ngokulula
• Intamo enkulu okanye ubungakanani bekhola, iisentimitha ezili-17 (iisentimitha ezingama-43) okanye nangaphezulu kumadoda kunye nee-intshi ezingama-16 (iisentimitha ezingama-41) okanye nangaphezulu kwabasetyhini
• Ulwimi olukhulu, olunokubuyela umva kwaye luvale indlela yomoya
• Ukutyeba kakhulu
• Iitoni ezinkulu kunye neeadenoids ezinokuthintela indlela yomoya

Ukulala emqolo kunokubangela ukuba indlela yakho yomoya ivalwe okanye incitshiswe.

I-apnea yokulala ephakathi yenye ingxaki yokulala ngexesha lokuphefumla kunokuyeka. Kwenzeka xa ingqondo iyeka okwethutyana ukuthumela imiqondiso kwimisipha elawula ukuphefumla.

Ukuba unayo i-OSA, uhlala uqala ukurhona ngokukhawuleza emva kokulala.

• Ukurhona kuhlala kungxola.
• Ukurhona kuphazanyiswa lixesha elide elithe cwaka ngelixa ukuphefumla kwakho kuyekile
• Ukuthula kulandelwa ngumsindo omkhulu kunye nokukhefuzela, njengoko uzama ukuphefumla.
• Le patheni iphinda ubusuku bonke.

Uninzi lwabantu abane-OSA abazi ukuba ukuphefumla kwabo kuqala kwaye kuyeka ebusuku. Ngokwesiqhelo, iqabane lokulala okanye amanye amalungu osapho akuva ukurhona okukhulu, ukukhefuzela kunye nokufutha. Ukurhona kunokuba phezulu kakhulu ukuva ngeendonga. Ngamanye amaxesha, abantu abane-OSA bavuka bekhwaza umoya.

Abantu abane-apnea yokulala banokuthi:

• Vuka ungahlaziywanga kusasa
• Ndiziva ndisozela okanye ndozela imini yonke
• Yenza into enomsindo, ukungabi namonde, okanye ukucaphuka
• Libala
• Lala xa usebenza, ufunda okanye ubukele iTV
• Zive ulele xa uqhuba, okanye ulale xa uqhuba
• Unobunzima bokunyanga iintloko

Ezinye iingxaki ezinokuthi zenzeke zibandakanya:

• Uxinzelelo
• Ukuziphatha okungafunekiyo, ngakumbi ebantwaneni
• Kunzima ukunyanga uxinzelelo lwegazi oluphezulu
• Intloko ebuhlungu, ingakumbi ekuseni

Umboneleli wakho wezempilo uya kuthatha imbali yakho yezonyango kwaye enze uvavanyo lomzimba.

• Umboneleli wakho uya kujonga umlomo wakho, intamo, nomqala.
• Unokubuzwa malunga nokulala emini, indlela olala ngayo kunye neendlela zokulala.

Uya kudinga ukuba ube nesifundo sokulala ukuze uqinisekise i-OSA. Olu vavanyo lunokwenziwa ekhayeni lakho okanye kwilebhu yokulala.

Olunye uvavanyo olunokuthi lwenziwe lubandakanya:

• Iigesi zegazi
• I-Electrocardiogram (ECG)
• Echocardiogram
• Izifundo zomsebenzi we-thyroid

Unyango lunceda ukugcina umoya wakho uvulekile ngelixa ulele ukuze ukuphefumla kwakho kungapheli.

Utshintsho kwindlela yokuphila lunokunceda ukukhulula iimpawu kubantu abane-apnea yokulala kancinci, enje:

• Thintela utywala okanye amayeza akwenzela ukuba ulale ngaphambi kokuba ulale. Banokuzenza mandundu iimpawu.
• Kuphephe ukulala ngomqolo.
• Ukunciphisa umzimba.

Ukuqhubeka kokunyanzeliswa kwengcinezelo yomoya (CPAP) izixhobo zisebenza kakuhle ukunyanga ukuphazamiseka kokulala kubantu abaninzi.

• Unxiba imaski empumlweni okanye empumlweni nasemlonyeni xa ulele.
• Imaski idityaniswe ngombhobho kumatshini omncinci ohleli ecaleni kwebhedi yakho.
• Umatshini upompa umoya phantsi koxinzelelo ngokusebenzisa ithumbu kunye nemaski nakwindlela yakho yomoya ngelixa ulele. Oku kunceda ukugcina indlela yakho yomoya ivulekile.

Kungathatha ixesha ukuba uqhele ukulala nonyango lwe-CPAP. Ulandelo olulungileyo kunye nenkxaso evela kwiziko lokulala kunokukunceda woyise naziphi na iingxaki usebenzisa i-CPAP.

Izixhobo zamazinyo zinokunceda abanye abantu. Uyazinxiba emlonyeni ngelixa ulele ukugcina umhlathi uphambili kwaye umoya uvulekile.

Olunye unyango lunokufumaneka, kodwa akukho bungqina buncinci bokuba luyasebenza. Kukulungele ukuthetha nodokotela ojolise kwiingxaki zokulala ngaphambi kokuzama.

Ugqirha lunokuba lukhetho kwabanye abantu. Idla ngokuba sisigqibo sokugqibela ukuba ezinye iindlela zonyango azisebenzi kwaye uneempawu ezinzima. Ugqirha lunokusetyenziselwa:

• Susa izicubu ezongezelelweyo emva komqala.
• Lungisa iingxaki ngezakheko ebusweni.
• Yenza ukuvula i-windpipe yokugqitha kwindlela yomoya evaliweyo ukuba kukho iingxaki emzimbeni.
• Susa iitoni kunye neeadenoids.
• Ukufakela isixhobo esinjenge-pacemaker eshukumisa izihlunu zomqala ukuba zihlale zivulekile xa ulele.

Ugqirha alunakukunyanga ngokupheleleyo ukuphazamiseka kokulala okungalunganga kwaye lunokuba neziphumo zexesha elide.

Ukuba awunyangwa, i-apnea yokulala inokubangela:

• Ixhala kunye noxinzelelo
• Ukuphulukana nomdla kwisini
• Ukusebenza kakubi emsebenzini okanye esikolweni

Ukulala emini ngenxa yokuphefumula kokulala kunokunyusa umngcipheko woku:

• Iingozi zeemoto xa uqhuba ulele
• Iingozi zorhwebo ezivela ekulaleni emsebenzini

Kwiimeko ezininzi, unyango luyazikhulula ngokupheleleyo iimpawu kunye neengxaki kwi-apnea yokulala.

Ukungaphathwa kakubi kwe-apnea yokulala kungakhokelela okanye kubangele isifo senhliziyo, kuquka:

• Iimpawu zentliziyo
• Ukumelwa yintliziyo
• Ukuhlaselwa yintliziyo
• Igazi elonyukayo
• Ukubetha

Fowunela umnikezeli wakho ukuba:

• Uziva udinwe kakhulu kwaye ulele ebudeni bemini
• Wena okanye usapho lwakho niyazibona iimpawu zokuthintela ukuphefumla xa ulala
• Iimpawu aziphucuki kunyango, okanye iimpawu ezintsha ziyavela

I-apnea yokulala - isithintelo - abantu abadala; I-apnea - isithintelo se-apnea syndrome yokulala-abantu abadala; Ukuphefumla okungalunganga-kwabantu abadala; OSA - abadala

• Emva kotyando lokwehla kobunzima-yintoni oza kuyibuza ugqirha wakho
• Phambi kotyando lokwehla kobunzima-yintoni oza kuyibuza ugqirha wakho
• Utyando lokudlula kwisisu-ukukhupha
• I-Laparoscopic gastric banding - ukukhutshwa
• Iitoni kunye nokususwa kwe-adenoid-ukubhobhoza

• Ukuphefumla kokulala okuthintelayo

IGreenberg H, iLakticova V, iScharf SM. Ukuthintela ukuphefumla ukungalali: iimpawu zeklinikhi, uvavanyo kunye nemigaqo yolawulo. Ku: Kryger M, Roth T, Dement WC, ii-eds. Imigaqo kunye nokuziqhelanisa neyeza lokulala. Umhla wesi-6. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 114.

UKimoff RJ. Ukuphefumla kokulala okuthintelayo. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl 88.

Ng JH, Yow M. Izixhobo zomlomo kulawulo lwe-apnea yokulala yokuthintela. Ukulala ngeKlinikhi. 2019; 14 (1): 109-118. IINKCUKACHA: 30709525 www.ncbi.nlm.nih.gov/pubmed/30709525.

Patil SP, Ayappa IA, Caples SM, Kimoff RJ, Patel SR, Harrod CG. Unyango lwe-apnea yokulala yabantu abadala yokuthintela uxinzelelo kuhambo oluqinisekileyo lomoya: I-American Academy ye-Sleep Medicine isikhokelo sonyango. J Ikliniki yokulala ngeMed. 2019; 15 (2): 335-343. IINKCUKACHA: 30736887 pubmed.ncbi.nlm.nih.gov/30736887.

I-Redline S. Ukuphefumla okungalunganga kunye nesifo sentliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 87.