Ukukhusela i- apnea syndrome yokulala , okanye ukulala kwe-apnea yokulala, yinkqubo yesifo esibangelwa iziqulatho eziphindaphindiweyo zokuvalwa kwendlela yokulala ngexesha lokulala, oku kuphumela ekunciphiseni ukukhutshwa komoya kunye ne-oksijini kwimiphunga. Oku kungakhokelela kumgangatho ophantsi we-oksijeni kwigazi, izigubhu kunye nokuvuswa kwamaxesha onke.
Uninzi lwabantu abanokuphefumula ubuthongo obunzima bokubuthwa , ukuyeka ukuphefumula ngexesha lokulala kunye neengqungquthela zokugubha, ukukhahlela, ukugubha nokukhwehlela.
Ngokuqhelekileyo, umntu akaqapheli ukuba uvuka ngezihlandlo ezininzi ebusuku ngenxa yenkxwaleko yokuphefumula, kodwa ezi ziqendu zikhokelela ekuphumeni ukulala kwaye ngenxa yokuphelelwa yimini, kungakhathaliseki ukuba lixesha elingakanani umntu uzama ukulala.
Nangona abantu abaninzi behlelwa yi-apnea ebuthongo abangenayo i-asthmatic, uphando lubonisa ukuba abantu abane-asthma banomngcipheko ophezulu wokulala kwe-apnea kwaye ukuba i-apnea yokulala ingakwazi ukuphazamisa imiphumo ye-asthma kunye neempawu ze-astmma ngeendlela ezininzi. Ngokomzekelo, i-apnea yokulala ikhulisa i-acid reflux, enokubangela ukuzuza ubunzima kunye nokukhuluphala, okubangela ukunciphisa ukukhutshwa komoya kwimiphepha yamaphaphu, kwaye kunokubangela ukwanda kwamanzi emzimbeni, kuquka imiphunga.
Iindlela ezahlukeneyo zokulala nge-Apnea zichaphazela iimpawu ze-asthma
I-Acid reflux ngexesha lokulala liyaziwa ngokubangela kwaye zibuhlungu ngakumbi iimpawu ze-asthma zexesha lokuhlwa ebusuku. Ukugula okungapheliyo kubangele kunye / okanye kukugqithise ngakumbi i-acid reflux, ngokunciphisa ubuchule bemisipha ye-sphincter kwisigxina ukugcina i-acid kwisisu.
Ukulala kancinci kungabangela ukwandisa kwinani leemichiza ezivuthayo ngaphakathi kwegazi, ezinokudambisa ukuvuvukala kwimiphunga ebangelwa yi-asthma. Ezi khemikhali ezivuthayo nazo zenza ukuba inzuzo yesisindo kunye nokukhuluphala, okwenza kube nzima ngakumbi ukuphefumula.
Ekubeni ukuhamba kwe-air kuyancipha ngexesha lokuphunyuka kwe-apnea, oku kukhokelela kumgangatho ophantsi we-oksijeni kwigazi kunye neengxaki entliziyweni.
Ukugqithisa kweendlela ezincinci kuqhubela phambili ekwenzeni ukucaphukisa kunye nokuqhekeka kwemisipha ephosakeleyo ejikelezayo kwindoda ehamba nesifo se-asthma, ukuphazamisa iimpawu ze-asthma.
Unyango
Uxinzelelo oluqhubekayo lwe-airway (CPAP) luyonyango ekhethiweyo yokuphazamiseka kokuphazamiseka kokulala kwe-apnea. I-CPAP ibandakanya isigulane sigqoke imaski ngexesha lokulala esinika umfudlana oqhubekayo womoya ocinezelekileyo ukugcina i-airways ivule.
Kukho ukhetho oluphandwayo kunyango lwe-apnea yokulala, ebizwa ngokuba ngu- Uvulopalatopharyngoplasty (UP3 okanye UPPP). Le yinkqubo esetyenziselwa unyango lwezifo ezahlukahlukeneyo kodwa ukwenziwa ngokugqithiseleyo ngokuqhelekileyo ukuphefumula kokuphefumula kokulala. Kuquka ukuthabatha iitoni kunye nenxalenye yesondlo esithambileyo kwaye uvula. Kunconywa kwizigulane ezingekho ngaphezu komzimba okanye zigqithise. Nangona kunjalo, nangophakamiso lwe-UPPP, abaninzi abantu baphelo bafuna unyango lwe-CPAP nangoko.
Kubalulekile ukuba uqaphele ukuba ngaphambi kokusebenzisa idivayisi ye-CPAP, kuyimfuneko ukufumana ukuxilongwa kwe-apnea yokuphazamiseka yokulala ebusweni. Ukusebenzisa i-CPAP ngokungalunganga kungabangela ukuba iimpawu zibe zibi kakhulu.
Kodwa xa zisetyenziswe ngongamela ugqirha, i-CPAP ibonakala iguqula ezininzi iziphumo ezinobungozi bokugula kwe-apnea.
I-reflux ye-Acid iphuculwe kunye nokusetyenziswa kweCPAP kunye neekhemikhali ezivuthayo ezibangelwa ukugula kwe-apnea yokunciphisa nokusetyenziswa kwe-CPAP, oku kunokubangela ukuvuvukala okungaphantsi komzimba nemiphunga. Ukuthuthwa komoya ngaphakathi kwindleko zomoya kuyenyuka kunye nokusetyenziswa kwe-CPAP, okukhokelela ekuvukeni kwe-airways, ukuphefumula okungcono kweemiphunga, kunye nokunciphisa ukungqubuzana kwemisipha epholileyo ejikelezayo.