Yintoni i-Sne Epnea yokulala kakhulu kwaye iphathwa njani?

Umxholo

• Iimpawu zokuphefumla kanzima
• Kunzulu kangakanani i-apnea yokulala?
• Ngaba i-apnea yokulala ifanelekile njengokhubazeko?
• Ziziphi izinto ezinobungozi bokuphefumula kokulala?
• Ngaba i-apnea yokulala ichaphazela abantwana?
• Uza kubona nini ugqirha wakho
• Yintoni enokwenziwa xa umntu elala ngokwaneleyo?
• Utshintsho kwindlela yokuphila
• Unyango
• Ugqirha
• Imbonakalo

Ukuthintela ukuphefumla kukungalali kakuhle. Kubangela ukuba ukuphefumla kuyeke kwaye uqale ngokuphindaphindiweyo ngelixa ulele.

Ngokuphefumla xa ulala, izihlunu ezikumphezulu womoya wakho ziyaphumla xa ulele. Oku kubangela ukuba iindlela zakho zomoya zivaliwe, zikugcine ekufumaneni umoya owaneleyo. Oku kunokubangela ukuphefumla kwakho ukuba ume kancinci imizuzwana eli-10 okanye ixesha elide de imeko yakho iqale ukuphefumla ukuqala kwakhona.

Ucingelwa ukuba une-apnea yokulala kakhulu ukuba ukuphefumla kwakho kuyayeka kwaye uqalise ngaphezulu kwamaxesha angama-30 ngeyure.

Isalathiso sokuphefumla (i-apnea-hypopnea index) (AHI) sithatha amanyathelo okuthintela ubuthongo bokulala ukuze kuqinisekiswe uluhlu olusuka kolo lucekeceke, ngokuxhomekeke kwinani lokuphefumla ngeyure onayo ngelixa ulele.

Funda ukuze ufunde ngakumbi malunga ne-apnea yokulala kakhulu kunye nendlela ephathwa ngayo.

Iimpawu zokuphefumla kanzima

Umlingane wakho olala naye unokuqaphela ezinye iimpawu zokuphazamiseka kokulala ngaphambi kokuba wazi, kubandakanya:

• ukukhwaza kakhulu
• iziqendu zokuyeka ukuphefumla ngexesha lokulala

Iimpawu eninokuzijonga zombini:

• ukuvuka ngesiquphe ebuthongweni, kuhlala kuhamba kunye nokutswina okanye ukukhefuzela
• yehle i-libido
• ukutshintsha kwemood okanye ukucaphuka
• ukubila ebusuku

Iimpawu onokuthi uziqaphele:

• ukulala emini
• ubunzima bokugxila kunye nenkumbulo
• umlomo owomileyo okanye umqala obuhlungu
• iintloko zakusasa

Kunzulu kangakanani i-apnea yokulala?

Ngokwe-American Sleep Apnea Association (ASAA), i-apnea yokulala ingaba nefuthe elide kwimpilo yakho. I-apnea yokulala ishiywe ingaphendulwanga okanye ingafumaneki ingaba nemiphumo emibi, njenge:

• isifo sentliziyo
• igazi elonyukayo
• ukubetha
• ukudakumba
• isifo seswekile

Kukho iziphumo zesibini ngokunjalo, ezinje ngeengozi zeemoto ezibangelwa kukulala ivili.

Ngaba i-apnea yokulala ifanelekile njengokhubazeko?

Ngokutsho kwenethiwekhi yezomthetho yeNolo, uLawulo loKhuseleko loLuntu (SSA) alunalo uluhlu lokukhubazeka lwe-apnea yokulala. Kodwa ke, inoluhlu lweengxaki zokuphefumla, iingxaki zentliziyo, kunye nokusilela kwengqondo okunokuthi kubangelwe kukuphefumla kokulala.

Ukuba awuyilungelanga le miqathango idwelisiweyo, usenokukwazi ukufumana izibonelelo ngokusebenzisa ifom eyi-Residual Functional Capacity (RFC). Bobabini ugqirha wakho kunye nomvavanyi wamabango kwiiNkonzo zokuQiniseka kokuKhubazeka baya kugcwalisa ifom yeRFC ukumisela ukuba uyakwazi ukusebenza ngenxa:

• ukuphefumla kwakho xa ulele
• iimpawu zokulala kwakho
• iimpembelelo zezo mpawu kubomi bakho bemihla ngemihla

Ziziphi izinto ezinobungozi bokuphefumula kokulala?

Usemngciphekweni omkhulu wokuphefumla ubuthongo bokulala xa:

• Unobunzima obukhulu okanye ukukhuluphala. Nangona nabani na enokuba ne-apnea yokulala, ukutyeba kakhulu kujongwa yi-American Lung Association (ALA) njengeyona nto ibaluleke kakhulu emngciphekweni. Ngokuka-Johns Hopkins Medicine, i-apnea yokulala ichaphazela ngaphezulu kweepesenti ze-20 zabantu abatyebe kakhulu xa kuthelekiswa neepesenti ezi-3 zabantu abanobunzima obulinganiselweyo. Ngokwe-Mayo Clinic, ukuphazamiseka kokulala okungafunekiyo kunokubangelwa ziimeko ezinxulumene nokukhuluphala, njenge-polycystic ovary syndrome kunye ne-hypothyroidism.
• Uyindoda. Ngokutsho kwe-ALA, amadoda angama-2 ukuya kuma-3 amathuba okuba ne-apnea yokulala ephazamisayo kunabesifazane be-premenopausal. Umngcipheko ulingana ngokufanayo nakwamadoda nakwabasetyhini abasemva kokuba sexesheni.
• Unembali yosapho. Ukuba kufunyaniswe ukuba kukho ubuthongo bokuphefumla kwamanye amalungu osapho, ngokweKliniki yaseMayo, unokuba semngciphekweni omkhulu.
• Umdala. Ngokutsho kwe-ALA, ukuphazamiseka kokuphefumula kokulala kuya kusiba rhoqo njengoko uneminyaka yobudala, ulungelelanisa xa ufikelela kuma-60s nakuma-70s.
• Uyatshaya. Ukuthintela ukuphefumla kokulala kuqhelekile kubantu abatshayayo.
• Unemiqathango ethile yonyango. Umngcipheko wokuba ne-apnea yokulala ephazamisayo unokunyuka xa unoxinzelelo lwegazi oluphezulu, isifo seswekile, okanye isifuba.
• Unengxaki yokuxinana kwempumlo. Ukuthintelwa kukuphefumla kokulala kuthintela amaxesha amabini ngokufuthi kubantu abanexinzelelo lwempumlo engapheliyo ebusuku.
• Unayo pharynx egcweleyo. Nantoni na eyenza i-pharynx, okanye i-airway ephezulu encinci-njengama-tonsils amakhulu okanye i-glands-inokubangela ithuba elikhulu lokuphazamiseka kokulala.

Ngaba i-apnea yokulala ichaphazela abantwana?

I-ASAA iqikelela ukuba phakathi kwe-1 ne-4 yeepesenti yabantwana baseMelika banesifo sokuphefumla.

Nangona utyando lokususa iitoni kunye neadenoids lolona nyango luxhaphakileyo kunyango lwabantwana lokuphazamiseka kubuthongo bokunyanga, unyango olunempembelelo lwomoya (PAP) kunye nezixhobo zomlomo nazo zichaziwe.

Uza kubona nini ugqirha wakho

Yenza idinga nogqirha wakho ukuba ubonakalisa naziphi na iimpawu zokuphefumla xa ulala, ingakumbi:

• ingxolo enkulu, ephazamisayo
• iziqendu zokuyeka ukuphefumla ngelixa ulele
• ukuvuswa ngokukhawuleza ebuthongweni okuhlala kuhamba kunye nokukhafula okanye ukukrwitsha

Ugqirha wakho unokukuthumela kwingcali yokulala, ugqirha oqeqesho olongezelelweyo kunye nemfundo kunyango lokulala.

Yintoni enokwenziwa xa umntu elala ngokwaneleyo?

Unyango lwe-apnea yokulala ebambekayo ibandakanya utshintsho kwindlela yokuphila, unyango kunye notyando, ukuba luyimfuneko.

Utshintsho kwindlela yokuphila

Abo bane-obstructive sleep apnea diagnostic baya kukhuthazwa ukuba, xa kukho imfuneko yoko:

• gcina ubunzima obulinganiselweyo
• yeka ukutshaya
• thatha inxaxheba ekuzilolongeni rhoqo
• ukunciphisa ukusetyenziswa kotywala

Unyango

Iindlela zokujongana ne-apnea yokulala zibandakanya:

• Uxinzelelo oluqhubekayo lwengcinezelo yomoya (CPAP) esebenzisa uxinzelelo lomoya ukugcina umoya wakho uvulekile xa ulele
• isixhobo somlomo okanye into ethetha ngomlomo eyenzelwe ukugcina umqala wakho uvulekile xa ulele

Ugqirha

Ugqirha wakho unokucebisa utyando, olufana:

• uvulopalatopharyngoplasty (UPPP) ukususa izicubu ukudala indawo
• ukuvuselela umoya ophezulu
• utyando lomhlathi ukwenza indawo
• i-tracheostomy yokuvula intamo, ihlala ibakho kuphela kwimeko yengozi yokuphefumla yokulala
• Ukufakelwa ukunciphisa ukuwa kwendlela ephezulu yomoya

Imbonakalo

Ukuphazamiseka kokulala okungalunganga kukungalali kakuhle okubandakanya ukuphefumla okumisa rhoqo kwaye uqale ngelixa ulele.

Ukuthintelwa kwe-apnea yokulala ishiywe inganyangwa okanye ingafunyanwanga inokuba neziphumo ezibi nezisongela ubomi. Ukuba ufumana naziphi na iimpawu, yenza idinga lokubonana nogqirha wakho ukuze afumane isifo kunye nokhetho.