Ngaba loluphi uhlobo lokuvavanywa kokulala kwempumlo ekuLungeleyo?

Umxholo

• Kufunyaniswa njani i-apnea yokulala?
• Isifundo sokulala ngaphakathi elebhu (ipolysomnografi)
• Iinkonzo kunye neengxaki zesifundo sokulala kwi-lab
• Iinkonzo
• Bendlela
• Uvavanyo lokulala ekhaya
• Iinkonzo kunye neengxaki zovavanyo lokulala ekhaya
• Iinkonzo
• Bendlela
• Iziphumo zovavanyo
• Izinketho zonyango
• Umgca wezantsi

I-apnea yokulala yimeko eqhelekileyo ebangela ukuba uyeke ukuphefumla ixesha elifutshane ngelixa ulele. Ukuba ishiywe inganyangwa, inokuba nefuthe elibonakalayo kwimpilo kwixesha elide.

Ukuba ugqirha wakho ucinga ukuba unokuba ne-apnea yokulala, uya kufumana uvavanyo lokulala ebusuku olujonga ukuphefumla kwakho.

Masiqwalasele ngakumbi iindlela zovavanyo ezikhoyo zokuchonga i-apnea yokulala.

Kufunyaniswa njani i-apnea yokulala?

Ukufumanisa i-apnea yokulala, ugqirha wakho uya kuqala akubuze malunga neempawu zakho.

Ugqirha wakho unokukucela ukuba ugcwalise iphepha elinye okanye nangaphezulu ukuze uvavanye iimpawu ezinje ngokulala emini kunye nezinto ezinobungozi kule meko, njengoxinzelelo lwegazi oluphezulu, ukutyeba kunye nobudala.

Ukuba ugqirha wakho ukrokrela i-apnea yokulala, banokucebisa uvavanyo lokujonga ubuthongo. Ikwabizwa ngokuba sisifundo sokulala okanye ipolysomnografi (PSG), kubandakanya ukuchitha ubusuku elebhu, eklinikhi, okanye esibhedlele. Ukuphefumla kwakho kunye neminye imiqondiso ebalulekileyo iya kujongwa ngelixa ulele.

Kuyenzeka ukuba ubeke esweni ukulala kwakho ekhayeni lakho. Ugqirha wakho unokucebisa ukubeka esweni ukulala ekhaya ukuba iimpawu zakho kunye nemingcipheko iphakamisa kakhulu i-apnea yokulala.

Isifundo sokulala ngaphakathi elebhu (ipolysomnografi)

Izifundo zokulala kwi-lab zisetyenziselwa ukuxilonga i-apnea yokulala, kunye nolunye uluhlu lwezinye iingxaki zokulala.

Izifundo ezininzi zokulala zihlala zenzeka phakathi kwentsimbi ye-10. Kwaye ngo-6 ekuseni ukuba ulikhova ebusuku okanye i-lark yasekuseni, eli xesha linokungangqinelani. Uvavanyo lwasekhaya lunokucetyiswa endaweni yoko.

Uya kuhlala kwigumbi labucala elenzelwe ukuba uzive ukhululekile, kakhulu njengegumbi lasehotele. Yiza neepijama nayo yonke into oqhele ukuyilala.

Izifundo zokulala azihlali. Awudingi ukunika isampulu yegazi. Nangona kunjalo, uya kuba neentambo ezahlukeneyo eziqhotyoshelwe emzimbeni wakho. Oku kwenza ukuba ubuchwephesha bokulala bujonge ukuphefumla kwakho, ukusebenza kwengqondo, kunye neminye imiqondiso ebalulekileyo ngelixa ulele.

Okukhona ukhululeke ngakumbi, kokukhona kungcono uchwepheshe anokujonga ukulala kwakho.

Nje ukuba ulale, igcisa liya kubeka iliso koku kulandelayo:

• umjikelo wakho wokulala, njengoko kumiselwa ngamaza obuchopho bakho kunye nokuhamba kwamehlo
• izinga lokubetha kwentliziyo yakho noxinzelelo lwegazi
• ukuphefumla kwakho, kubandakanya amanqanaba eoksijini, ukuphefumla okuphefumlayo kunye nokurhona
• isikhundla sakho kunye nayiphi na intshukumo yelungu

Zimbini iifomathi zezifundo zokulala: ubusuku ogcweleyo kunye nobusuku obuhlukanisiweyo.

Ngexesha lokufunda ubusuku bonke bokulala, ukulala kwakho kuya kujongwa ubusuku bonke. Ukuba ufumana ukuxilongwa kwe-apnea yokulala, unokufuna ukuba ubuyele ebhodini ngomhla kamva ukusetha isixhobo ukukunceda uphefumle.

Ngexesha lokufunda ebusuku, isiqingatha sokuqala sobusuku sisetyenziselwa ukubeka esweni ukulala kwakho. Ukuba kufunyaniswa i-apnea yokulala, icandelo lesibini lobusuku lisetyenziselwa ukuseta isixhobo sonyango.

Iinkonzo kunye neengxaki zesifundo sokulala kwi-lab

Iimvavanyo zokulala kwilebhu zinezibonelelo kunye nezinto ezingalunganga. Thetha nogqirha wakho malunga nokukhetha uvavanyo lwakho.

Iinkonzo

• Olona vavanyo luchanekileyo luyafumaneka. Uvavanyo lokulala e-lab lubonwa njengemigangatho yegolide yokuvavanywa kovavanyo lwe-apnea yokulala.
• Ukhetho lokwenza isifundo sasebusuku sokwahlulahlula. Izifundo zokwahlula-hlula ebusuku zivumela ukuxilongwa kunye nonyango ngobusuku obunye, ngokungafaniyo nobusuku obugcweleyo kunye novavanyo lwasekhaya.
• Olona vavanyo luhle kwiintlobo ezithile zomsebenzi. Abantu abazibeka emngciphekweni omkhulu kubo okanye kwabanye ukuba balale emsebenzini kufuneka bathathe inxaxheba kufundo lokulala ngaphakathi elebhu ukuqinisekisa ukuxilongwa ngokuchanekileyo. Oku kubandakanya abantu abasebenza njengeteksi, ibhasi, okanye abaqhubi bezabelo zokukhwela, kunye nabaqhubi beenqwelo moya kunye namapolisa.
• Eyona ndlela ikhethekileyo kubantu abanezinye iingxaki zokulala okanye iingxaki. Ukubeka iliso kwelebhu kufanelekile kubantu abanezinye iimeko zempilo, kubandakanya ukuphazamiseka kokulala kunye nesifo sentliziyo kunye nemiphunga.

Bendlela

• Ixabiso eliphantsi kunovavanyo lwasekhaya. Uvavanyo lwe-elebhu lubiza ngaphezulu kwe- $ 1,000. Ukuba unayo i-inshurensi, umboneleli wakho unokugubungela ezinye okanye zonke iindleko, kodwa ayingabo bonke ababoneleli abagubungela olu vavanyo. Abanye ababoneleli bafuna iziphumo zovavanyo lwasekhaya ngaphambi kokuba uthathe uvavanyo lweelebhu.
• Kufikeleleka kancinci. Izifundo zangaphakathi elebhu zifuna ukuthuthwa ukuya nokubuya kwilebhu yokulala. Kuxhomekeka kwindawo ohlala kuyo, oku kungathatha ixesha okanye kubize.
• Ixesha elide lokulinda. Kuxhomekeke apho uhlala khona kunye nemfuno yolu hlobo lovavanyo, kuya kufuneka ulinde iiveki ezininzi okanye iinyanga ukwenza uvavanyo.
• Ngaphantsi kulula. Ukuthatha uvavanyo lokulala e-lab kunokwenzeka ukuba kuphazamise ishedyuli yakho yomsebenzi okanye kuphazamise indlela yakho yemihla ngemihla kunye noxanduva.
• Misela iiyure zokulala. Izifundo ezininzi zokulala zenzeka phakathi kwe-10 ebusuku. Kwaye ngo-6 ekuseni ukuba uneshedyuli eyahlukileyo yokulala, uvavanyo lwasekhaya lungangcono.

Uvavanyo lokulala ekhaya

Uvavanyo lokulala ekhaya yinguqulelo elula yovavanyo lwelebhu. Akukho gqirha. Endaweni yoko, ugqirha wakho uya kukuyalela isixhobo sokuphatha ukuphefumla esiphathwayo oya kusithatha ekhaya.

Ngobusuku bovavanyo, unokulandela indlela yakho yesiqhelo yokulala. Nika ingqwalaselo eyodwa kwimiyalelo enikezwe kwikhithi yokuqinisekisa ukuba ulungisa ngokuchanekileyo izivamvo zokubeka esweni.

Uninzi lwabahloli be-apnea bokulala ekhaya kulula ukuseta. Ngokuqhelekileyo zibandakanya ezi zinto zilandelayo:

• iklip yomnwe elinganisa amanqanaba eoksijini nokubetha kwentliziyo yakho
• Impumlo yeempumlo yokulinganisa ioksijini kunye nokuhamba komoya
• Abenzi boluvo ukulandelela ukunyuka nokuwa kwesifuba sakho

Ngokungafaniyo novavanyo lwaselebhu, uvavanyo lwasekhaya alulinganisi imijikelezo yakho yokulala okanye indawo okanye intshukumo yamalungu ebusuku.

Ukulandela uvavanyo, iziphumo zakho ziya kuthunyelwa kugqirha wakho. Baya kuqhagamshelana nawe ukuba baxoxe ngeziphumo kwaye bachonge unyango, ukuba kukho imfuneko.

Iinkonzo kunye neengxaki zovavanyo lokulala ekhaya

Iimvavanyo zokulala ekhaya zinezibonelelo kunye nokungalunganga. Thetha nogqirha wakho malunga nokukhetha uvavanyo lwakho.

Iinkonzo

• Elula ngakumbi. Uvavanyo lwasekhaya lulunge ngakumbi kuneemvavanyo zaselebhu. Ungayilandela indlela yakho yasebusuku, enokuthi inikezele ngokufunda ngokuchanekileyo malunga nendlela ophefumla ngayo xa uleleyo kunokuvavanywa kwelebhu.
• Ixabiso elincinci. Uvavanyo lwasekhaya lumalunga neendleko zovavanyo lwelebhu. I-inshurensi kunokwenzeka ukuba iyigubungele, nayo.
• Ukufikeleleka ngakumbi. Uvavanyo lwasekhaya lunokuba yinto enokwenzeka ngakumbi kubantu abahlala kude neziko lokulala. Ukuba kukho imfuneko, ukubekwa esweni kwayo kungathunyelwa kuwe ngeposi.
• Iziphumo ezikhawulezayo. Ngokukhawuleza nje ukuba unesiphatho sokuphefumla esiphathwayo, ungalwenza uvavanyo. Oku kunokukhokelela kwiziphumo ezikhawulezayo kunokuvavanywa kwelebhu.

Bendlela

• Ichanekile kancinci. Ngaphandle kwengcali ekhoyo, iimpazamo zovavanyo zinokwenzeka. Iimvavanyo zasekhaya azifumani ngokuthembekileyo zonke iimeko zokuphefumla kokulala. Oku kunokuba yingozi xa unomsebenzi onomngcipheko ophezulu okanye enye imeko yempilo.
• Ingakhokelela kufundo lokulala ngaphakathi elebhu. Ingaba iziphumo zakho zilungile okanye zibi, ugqirha wakho usenokucebisa uvavanyo lokulala kwi-lab. Kwaye ukuba ufumana ukuxilongwa kwe-apnea yokulala, usenokufuna ukuchitha ubusuku kwilebhu ukuze ufumane isixhobo sonyango esifanelekileyo.
• Musa ukuvavanya ezinye iingxaki zokulala. Iimvavanyo zasekhaya zilinganisa kuphela ukuphefumla, ukubetha kwentliziyo, kunye namanqanaba eoksijini. Ezinye iingxaki zokulala eziqhelekileyo, ezinjenge-narcolepsy, azifumaneki kolu vavanyo.

Iziphumo zovavanyo

Ugqirha okanye ingcali yokulala iya kutolika iziphumo zelebhu yakho okanye kuvavanyo lwe-apnea ekhaya.

Oogqirha basebenzisa isikali esibizwa ngokuba yi-Apnea Hypopnea Index (AHI) ukufumanisa ukuba i-apnea ilele. Eli nqanaba libandakanya umlinganiso wenani le-apneas, okanye ukuphelelwa ngumoya, ngeyure yokulala ngexesha lokufunda.

Abantu abangenayo i-apnea yokulala, okanye abanesimo esifanelekileyo sokuphefumula kokulala, bahlala benama-apneas angaphantsi kwesihlanu ngeyure. Abantu abane-apnea yokulala kakhulu banokufumana ama-apneas okulala angaphezulu kwama-30 ngeyure.

Oogqirha baphinde baphonononge amanqanaba akho eoksijini xa kufunyaniswa i-apnea yokulala. Nangona kungekho nqanaba elamkelekileyo lokusika i-apnea yokulala, ukuba amanqanaba akho eoksijini egazi angaphantsi komndilili, kunokuba luphawu lokulala kwentliziyo.

Ukuba iziphumo azicacanga, ugqirha wakho unokucebisa ukuphinda uvavanyo. Ukuba i-apnea yokulala ayifumaneki kodwa iimpawu zakho ziyaqhubeka, ugqirha wakho unokucebisa olunye uvavanyo.

Izinketho zonyango

Unyango luxhomekeke kubukrakra bokulala kwakho. Kwezinye iimeko, utshintsho kwindlela yokuphila yiyo yonke into efunekayo. Oku kunokubandakanya:

• ukunciphisa umzimba
• usebenzisa umqamelo okhethekileyo wokuphefumla ubuthongo
• ukutshintsha indawo yakho yokulala

Kukho iindlela ezininzi zonyango zonyango lwe-apnea yokulala. Oku kubandakanya:

• Uxinzelelo oluqinisekileyo lokuhamba komoya (CPAP). Esona sixhobo siqhelekileyo nesisebenzayo sokunyanga i-apnea yokulala ngumatshini obizwa ngokuba yi-CPAP. Ngale fowuni, imaski encinci isetyenziselwa ukwandisa uxinzelelo kwiindlela zakho zomoya.
• Izixhobo zomlomo. Isixhobo samazinyo esityhalela umhlathi wakho osezantsi phambili sinokuthintela umqala wakho ekuvaleni ngelixa uphefumla. Ezi zinokusebenza kwiimeko ezinobumnene ukuya kumodareyitha zokulala kwe-apnea.
• Isixhobo se-Nasal. Isixhobo esincinci esifana nebhandeji esibizwa ngokuba yiProvent Sleep Apnea Therapy siye sabaneemeko ezithile zokuphefumla okungalunganga. Ibekwe nje ngaphakathi emathatheni kwaye yenze uxinzelelo olunceda ukugcina iindlela zakho zomoya zivulekile.
• Ukuhanjiswa kweoksijini. Ngamanye amaxesha, ioksijini imiselweyo ecaleni kwesixhobo se-CPAP sonyusa amanqanaba eoksijini egazini.
• Ugqirha. Xa ezinye iindlela zonyango zingasebenzi, utyando lunokuba lukhetho lokutshintsha ubume bomoya wakho.Kukho uluhlu olubanzi lweendlela zokunyanga ezinokunyanga i-apnea yokulala.

Umgca wezantsi

Zombini ezelebhu kunye neemvavanyo zokuphefumla zokulala ekhaya zilinganisa imisebenzi ebalulekileyo, enje ngeepateni zokuphefumla, ukubetha kwentliziyo, kunye nenqanaba leoksijini. Iziphumo zolu vavanyo zinokunceda ugqirha wakho ukuba anqume ukuba unayo i-apnea yokulala.

I-polysomnography (i-PSG) eqhutyelwe elebhu lolona vavanyo luchanekileyo olufumanekayo lokufumanisa isifo sokuphefumla. Uvavanyo lwe-apnea lokulala ekhaya luchaneka ngokuchanekileyo. Zikwabiza kakhulu kwaye ziluncedo.