I-apnea yokulala: yintoni, iimpawu kunye neentlobo eziphambili

Umxholo

• Indlela yokuchonga
• Indlela yokuqinisekisa ukuxilongwa
• Iindidi zokuphefumla xa ulele
• Unyango njani

I-apnea yokulala kukuphazamiseka okubangela ukuba ume kancinci ekuphefumlweni okanye ukuphefumla nzulu ngexesha lokulala, okukhokelela ekutsaleni nasekuphumleni kancinci okungakuvumeli ukuba ubuye namandla akho. Ke, ukongeza ukozela emini, esi sifo sidala iimpawu ezinjengobunzima bokugxila, intloko ebuhlungu, ukuba nochuku kunye nokungabi namandla.

I-apnea yokulala yenzeka ngenxa yokuphazamiseka kweendlela zomoya ngenxa yokudakumba kwezihlunu ze-pharyngeal. Ukongeza, kukho imikhwa yokuphila ekonyusa umngcipheko wokuba ne-apnea xa ulele, njengokutyeba kakhulu, ukusela utywala, ukutshaya nokusebenzisa iipilisi zokulala.

Esi sifo sokulala kufuneka sinyangwe ngokuphucula indlela yokuphila kunye nokusebenzisa imaski yeoksijini etyhala umoya kwiindlela zomoya kwaye iququzelele ukuphefumla.

Indlela yokuchonga

Ukuchonga isithintelo sokuphefumla xa ulele, kuya kufuneka uqaphele ezi mpawu zilandelayo:

1. Ukurhona xa ulele;
2. Ukuvuka amaxesha amaninzi ebusuku, nokuba yimizuzwana embalwa kwaye kungabonakali;
3. Ukuphefumla kuyayeka okanye ukufuthaniseka xa ulele;
4. Ukulala kakhulu kunye nokudinwa emini;
5. Ukuvuka uchame okanye ulahle umchamo xa ulele;
6. Yiba nentloko kusasa;
7. Ukunciphisa ukusebenza kwizifundo okanye emsebenzini;
8. Utshintshe uxinzelelo kunye nenkumbulo;
9. Ukuphuhlisa ukucaphuka noxinzelelo;
10. Ukuba namandla esini.

Esi sifo senzeka ngenxa yokuncipha kwendlela yomoya, kwimpumlo nakwindawo yomqala, eyenzeka ikakhulu, ngokupheliswa kokusebenza kwezihlunu zommandla womqala obizwa ngokuba yipharynx, onokuthi ukhululeke kakhulu okanye unciphise ngexesha lokuphefumla. Unyango lwenziwa yi-pulmonologist, onokucebisa isixhobo esibizwa ngokuba yi-CPAP okanye, kwezinye iimeko, utyando.

Kuqheleke kakhulu kubantu abangaphezu kweminyaka engama-50 ubudala, kwaye inani kunye nokuqina kweempawu kuyahluka ngokobunzima be-apnea, echaphazeleka kwizinto ezinje ngokutyeba kakhulu kunye ne-anatomy yendlela yomoya yomntu, umzekelo.

Jonga ezinye izifo ezibangela ukulala kakhulu nokudinwa.

Indlela yokuqinisekisa ukuxilongwa

Ukuchongwa ngokuqinisekileyo kwesifo sokuphefumla ubuthongo kwenziwa nge-polysomnografi, eluvavanyo oluhlalutya umgangatho wokulala, ukulinganisa amaza engqondo, ukuhamba kwemisipha yokuphefumla, inani lomoya elingena liphuma xa liphefumla, ukongeza kwinani ioksijini egazini. Olu vavanyo lusebenza ekuchongeni zombini i-apnea kunye nezinye izifo eziphazamisa ukulala. Funda ngakumbi malunga nendlela eyenziwa ngayo ipolysomnografi.

Ukongeza, ugqirha uya kwenza uvavanyo lwembali yesigulana kunye nokuhlolwa komzimba kwemiphunga, ubuso, umqala kunye nentamo, ezinokunceda ukwahlula phakathi kweentlobo zokuphefumla.

Iindidi zokuphefumla xa ulele

Kukho iintlobo ezintathu eziphambili zokuphefumula kokulala, ezinokuthi:

• Ukuphefumla kokulala okuthintelayo: kwenzeka kwiimeko ezininzi, ngenxa yokuthintelwa komoya, okubangelwa kukuyekelela izihlunu zokuphefumla, ukunciphisa kunye notshintsho kulwakhiwo lomqala, lwempumlo okanye lomhlathi.
• I-apnea yokulala ephakathi: ngesiqhelo kwenzeka emva kwesifo esithile esibangela ukonakala kwengqondo kwaye sitshintshe amandla aso okulawula iinzame zokuphefumla ngexesha lokulala, njengakwimeko yethumba ebuchotsheni, emva kokubetha okanye izifo zengqondo eziwohlozelayo, umzekelo;
• I-apnea exubekileyo: kubangelwa bubukho bobabini obuphazamisayo kunye nobuphakathi obuphakathi, ukuba lolona hlobo lunqabileyo.

Kukho iimeko zokuphefumla okwethutyana, ezinokuthi zenzeke kubantu abanokudumba kweetoni, ithumba okanye iipolyps kwingingqi, umzekelo, ezinokuthintela ukuhamba komoya ngexesha lokuphefumla.

Unyango njani

Ukunyanga i-apnea yokulala, kukho iindlela ezizezinye:

• CPAP: sisixhobo, esifana nesigqumathelo seoksijini, esityhala umoya kwiindlela zomoya kwaye zenze kube lula ukuphefumla kwaye ziphucule umgangatho wokulala. Olona nyango luphambili lokuphefumla ubuthongo.
• Ugqirha: kwenziwa kwizigulana ezingaphuculiyo ngokusetyenziswa kwe-CPAP, enokuthi ibe yindlela yokunyanga i-apnea, ngokulungiswa kokunciphisa okanye ukuphazamiseka komoya kwiindlela zomoya, ukulungiswa kweziphene emhlathini okanye ukubekwa kwezinto .
• Ukulungiswa kwendlela yokuphila: kubalulekile ukushiya imikhwa enokuthi ibe mandundu okanye ibangele ukuphefumla ubuthongo, njengokutshaya okanye ukungenisa izinto ezibangela ukudumba, ukongeza ukunciphisa umzimba.

Iimpawu zokuphucula zinokuthatha iiveki ezimbalwa ukuba ziqwalaselwe, kodwa sele ubona ukwehla kokudinwa imini yonke ngenxa yokulala okungaphaya kokubuyisela. Fumana ezinye iinkcukacha malunga nonyango lwe-apnea yokulala.