Ingxaki yoBusuku iholele ekungabikho komzamo wokuphefumula
Kukho izizathu ezininzi zokuphazamisa ukuphefumula ngexesha lokulala, kwaye enye yazo i-apnea yokulala ebumbini, kodwa yintoni i-apnea yokulala ephakathi? Ingakhokelela ekuphumeni kokuphefumula ebusuku, kodwa ngenxa yokuba isizathu esicacileyo sihluke kwi- apnea yokuphazamiseka yokulala , idinga unyango olukhethekileyo. Ukufumanisa iimpawu eziqhelekileyo, izizathu, ukuxilongwa, kunye nokunyanga okukhethiweyo (njengokonyango lwe-bilevel) ye-apnea yangaphakathi yokulala.
Ziziphi iimpawu ze-Central Sleep Apnea?
Ukugula okuphambili kwe-Central isifo sokuphefumula esenzeka ngexesha lokulala kunye neziphumo xa ubuchopho buhluleka ukuvuselela imisipha yokuphefumula. Oku kukhokelela kumzuzwana omncinci ekuphefumla okungahlala kweemitha ezili-10 okanye ngaphezulu. Ngokungafani nokuphefumula komzimba obangelwayo obunzima-obangelwa xa i- airway engenayo ikhuseleka okwesikhashana - kwindawo yokulala ephakathi, umzamo wokuphefumula uyeka kwaye akukho ncitshiseko ecacileyo yomoya.
Nangona imbangela ihluke kancinci, umphumo we-apnea yokulala ebumbini iyafana. I-Apnea ivela kwiGrike kwaye ithetha "akukho moya". Ngaloo ndlela, inxulumene namaconsi kumanqanaba e-oxygen egazini. Ingqondo ibona oku kwaye kukho umzamo wokuvusa umntu ohluphekileyo ukuze abuyisele ukuphefumla. AmaNgqina anokufumana ukuphefumula okanye ukuphefumula ebusuku kwaye unokubona ukuphambuka kokuphefumla. Umcimbi we-apneic ukhokelela ekuvukeleni okufutshane ukulala.
Njengoko oku kwenzeka ngokuphindaphindiweyo ngexesha lobusuku, kuholele ekubuthongeni okwehlukileyo kunye nobuthongo obungaphantsi. Oku kungabangela ukulala nokungabikho kobusuku obukhulu .
Yintoni Ebangelwa Ubomi Bokulala Ubumbano?
Isizathu esona siphumo sokulala esiphakathi asikwaziwa. Isiko lokulawula ukuphefumula kwingqondo ngokuqhelekileyo silawula ukuphefumula.
Ukuba iqondo le-carbon dioxide liyancitshiswa ngaphantsi kwexesha eliqhelekileyo okanye ukuba kukho umonakalo ezindleleni ze-neural ezichaphazelekayo ekulawuleni ukuphefumula, kunokuphazamiseka ekuphefumla. Njengoko kuchazwe ngentla, ngokungafani nokuphefumula kokuphazamiseka kokulala, indlela yokuhamba emoyeni ayinqatshelwe.
I-apnea yokulala ebumbini ihlala ikhona ekutshintsheni phakathi kokulala nokuvuka, kodwa ingaqhubeka iphinda ibe nezigaba zokulala ezibizwa ngokuba yi- NREM . Kwamanye amaxesha kuza kwenzeka emva kokuvuswa, kwaye kuthiwa yi-central-arousal central ngaphakathi kwimeko.
Ukungazinzi kokulawula ukuphefumula kufuthi kubonakala kwiintsholongwane ezininzi ze-neurologic, kubandakanya isifo se-Parkinson kunye ne- multiplerotic system . Ingabonakala emva kwesifo, ngakumbi ukuba i-brainstem yonakaliswe. Kungenzeka kwakhona ngokubambisana nomzekelo wokuphefumula we-Cheyne-Stokes obonwe kwizigulane ezinokukhubazeka kwentliziyo .
Kungenzeka ngokuqhelekileyo phakathi kwalabo abasebenzisa imithi yeentlungu okanye i-opioid. Ngethamsanqa, kulo mzekelo, liya kulungiswa ngokuyeka ukunyango.
Kubalulekile ukuhlukanisa ukuphalaza okuphambili kwendawo yokulala eqhubekayo ekuphenduleni ukunyanzeliswa kokuhamba komoya (CPAP). Kungaba nzima xa iingcinezelo ziphezulu kakhulu. Oku kuthiwa yi- apnea yobuthongo obunzima . Kwi-98% yamatyala, olu hlobo lwe-apnea yokulala ebumbini luza kulungiswa ngexesha, ngokuphindaphindiweyo inyanga eziliqela, kunye nokunyanga okuqhubekayo.
Akufuneki olunye utshintsho kwiyeza.
Ukuxilongwa kunye nokunyangwa kwe-Central Sleep Apnea
I-apnea yokulala ebumbini inokuthi ifumaneke isifundo sokulala esifanelekileyo esibizwa ngokuba yi-polysomnogram. Oku kuya kubonisa ukuhlala okuphefumulayo ngokuphefumula ngexesha lokulala nokungabikho komzamo wokuphefumula. Iibhanti zembatho zifakwe kwisisu sakho nesifuba sisetyenziselwa ukulinganisa umzamo wokuphefumula. Ziqulethe inzwa ekwazi ukubona ukunyakaza, kunye nokulala okuphakathi komgudu uya kuhla okanye ukuyeka ngokupheleleyo. Kuya kuba nako ukubhala amanqabunga kwizinga le-oksijeni yegazi kunye neenguqu kwi- EEG ebonisa ukuhlukana kokulala.
Unyango luqhutyelwa ngonyango lwama-bilevel (ngezinye ngexesha libizwa ngokuba yi-BiPAP okanye i-VPAP) ngokubonelela ukugeleza komoya ohanjiswe kumzobo obuso obugqoke ngexesha lokulala. Uxinzelelo olumiselweyo luhamba phakathi kwamanqanaba amabini: enye yokuphefumula (IPAP) kunye nokuphefumula (EPAP). Umoya ucinezelwa ngumatshini omncinci kwaye uhanjiswe ngeplastiki ukuxhomekeka kwimaski. I-oksijeni isenokusetyenziswa. Ezinye iifowuni zinako ukuhambisa umoya othe xa uhlala ixesha elide ekuphefumla kwethu. Kwezinye iimeko, i-adaptive okanye i-auto-servoventilation (ASV) ingaboniswa.
Ukuba unenkxalabo yokuba unokuba ne-apnea yokulala ebumbini, thetha nodokotela wakho olele malunga neendlela zokonyango.
> Umthombo:
> Mowzoon, N et al . "I-Neurology ye-Sleep Disorders." Ukubuyiselwa kweBhodi ye-Neurology: Isikhokelo esibonakalisiweyo. 2007; 726.