Akuqhelekanga ukuba umntu abe ne- apnea yokulala ne- COPD. Kodwa, ngokuchasene neenkolelo eziqhelekileyo, ubukho bokuba u-apnea ubuthongo alukho phezulu kwizigulane zeCOPD kunabantu bonke. Oku kuthetha ukuba ulwalamano lwabo luvele nje ngenxa yithuba kwaye kungekhona ngenxa yesiseko, isixhumanisi se-pathophysiological. Sekunjalo, ukuba neengxaki zombini ngexesha elifanayo kunzima kakhulu.
Ukuba unayo i-COPD kwaye uyakrokrela ukuba unokupheka kwe-apnea yokulala, funda.
Sibanzi
Ukulala nge-apnea yingozi kwaye ngezinye izifo isifo sokulala esisongela ubomi esichazwa ngamaxesha okuphefumula (ukuphefumula) ngexesha lokulala. Ngokuqhelekileyo ihamba kunye nokukhawuleza okuphazamisayo.
Ngethuba leqhekeza le-apneic, unokuyeka ukuphefumula ukuya kumasekhondi angaphezulu kwe-10 okanye ngaphezulu kwaye, njengoko igazi lakho liphezulu, uphazamise ngokukhawuleza ngokukhawuleza okanye ukuphosa. Inani lemicimbi ye-apneic enamava inokuphakama ukuya kuma-20 ukuya ku-30 ngobusuku okanye ngaphezulu, kwaye iziphumo zingakhokelela kwiimeko ezinzima zempilo.
Iintlobo
Kukho iintlobo ezintathu ze-apnea yokulala: Ukuvuthwa, okuphakathi kunye nokudibanisa. I-apnea yokulala yokuvuthwa (OSA) ibonakala ngokubanzi kubemi kunye nakubantu abaneCOPD. I-OSA iyenzeka xa imisipha yakho yomlomo, kuquka ulwimi lwakho, phumula ngexesha lokulala kwaye uvimbele indlela ohamba ngayo. Ngenxa yokuba abantu abaninzi abanesifo se-OSA baninzi kakhulu, bahlala benalo ulwimi olukhulisiweyo kunye ne-soft palate kunye / okanye amanqatha amaninzi emqaleni wabo.
Izinto zobungozi
Nangona nabani na ongakwazi ukulala ne-apnea, le miba yengozi ingabangela ingozi:
- Ukuba ngumntu
- Ukukhula
- Ukuba ngumntu waseAfrika-waseMelika, waseSpain okanye wasePacific
- Ukuphelela
- Ukuba nomsi omkhulu kwintamo (17 "okanye ngaphezulu kwamadoda kunye no-16" okanye ngaphezulu kwabafazi)
- Ukusela utywala
- Ukutshaya
- Izifo zonyango ezihlangeneyo, ezifana nesifo se-reflux ye-gastroesophageal (GERD), isifo sikashukela okanye i-polycystic ovary syndrome
Iimpawu
Kanye kunye neepisodes ze-apnea ngexesha lokulala kunye nokuhlaziya okuphakathi, iimpawu zokulala kwe-apnea ziquka:
- Ukulala ngokugqithiseleyo kwemini
- Ikhanda lomusi
- Umqala obuhkungu
- Utshintsho lobuntu bakho
- Ukuphazamiseka kwengqondo
- Iziphazamiso zokuziphatha
- Ibhedi egaxa
- Ukungabi namandla
- Ukunyanya
- Izikhalazo ezivela kumlingane wakho oya kukhwaza kakhulu
I-COPD ne-Sleep Apnea
Ngokubambisana, i-COPD kunye ne-OSA zihlala zihlanganiswa njenge-syndrome ye-overlap (OS.) Zombini i-COPD kunye ne-OSA zizinto ezizimeleyo zengxaki zentliziyo ezingabandakanya intliziyo engavumelekanga, uxinzelelo lwegazi oluphezulu, ukuhlaselwa yintliziyo kunye nokubetha, kunye nokuhlala kwabo kwi-OS kunokunyusa ukwanda kwezi ingozi yomzimba. Oku kwenza ukuba i-OSA ibonakale kwangaphambili kubantu abaneCOPD ebaluleke kakhulu.
Abantu abane-OS banakho kwakhona:
- Umlinganiselo ophezulu we- hypoxemia kunye nokuxhamla
- Ukunyuka kwe- pulmonary hypertension kunye ne- cor pulmonale
- Ukuhlaselwa kwamanani aphezulu
Unyango
Izinketho zonyango ezingaphelelanga ze-OSA ziquka:
- Ukuhla ukusinda
- Uxinzelelo oluqhubekayo lwe-airway (CPAP)
- Izixhobo zokugcina izilimi okanye abalindi bamalimi
Ukuba ungumntu ongenako ukunyamezela i-CPAP kunye ne-OSA yakho inzima, unokufuna ukuxoxa ngeendlela ezikhethiweyo zokukhetha kunye nomboneleli wakho wezempilo:
- Uvulopalatopharyngoplasty (UPPP)
- I-uvulopalatoplasty (Lasup) incedisa i Laser
- Utyando lwe-gastric surpass (kuba abantu abane-OSA ngenxa yokukhuluphala kakubi)
- Tracheostomy
- Utyando oluthile
Ukuba Ucinga ukuba Unayo i-OSA
Ukuba unayo i-OSA, usenokungazi kakuhle, ngakumbi ukuba uhlala wedwa. Ukuqwalasela okufutshane kwiipatheni zakho zokulala kunye neempawu zakho zomhla ziya kukunceda uqaphele ingxaki. Ukuba ucinga ukuba unayo i-OSA okanye, ukuba iqabane lakho likhalazela ukuba ukunyathela kwakho kunzima, kungenokuba ixesha lokutyelela umboneleli wakho wezempilo ukuze uvavanyo kunye nolwazi olungaphezulu.
Imithombo:
I-Pronzato C. Izifo eziphazamisekayo eziphazamisayo zengqondo kunye nokuphefumula kokuphelisa ubuthongo: Umbutho, imiphumo, kunye nonyango. I-Monaldi Arch Chest Chest. 2010 Dec; 73 (4): 155-61.
UVictor, uLyle DMD Ukukhusela i-Apnea yokulala. WaseMerika ugqirha. Novemba 15, 1999.