Ukudandatheka, Ubunzima beBongo, kunye nePeeing ngoNovemba kaMeyi zivela kwiMeko
Ukukhusela i-apnea yokulala ingabonakalisa iimpawu kunye nezimpawu ezimangalisa le meko. Unokulindela kumntu ogqithiseleyo, uyamncoma ngokukhawuleza, kwaye ngokuphindaphindiweyo uvuka elele ebuthongweni. Nangona kunjalo, kunokukho nezinye iimpawu ezibonisa ukuba khona kwentleba. Cinga ezinye zeempawu ezingezinye kwaye nokuba ingaba imbangela yeso sizathu singabangelwa kukugula okungapheliyo.
Ukuxinezeleka
Kukho ukungqubuzana okukhulu phakathi kweengxaki zokulala kunye neengxaki ngeemvakalelo. Ukuxinezeleka ngokukhethekileyo kunxulumano olunamandla ne-apnea yokulala. Oku kungabonakala njengento ephantsi okanye edabukisayo, kwaneziqendu zokulila, kodwa kukho nezinye iziphumo ekudandathekeni. Kukho ukulahlekelwa ngumdla kwimisebenzi eyayiyolisayo ngaphambili. Abanye abantu baziva benetyala ngezinto ezenzileyo okanye abahlulekile ukwenza. Amanqanaba emandla aphantsi kunye noxinzelelo olubi luya kwenzeka. Ukutya kunokuncitshiswa okanye kwandiswe, okukhokelela ekulahlekeni kwesisindo okanye ukuzuza, ngokulandelanayo. Kusenokwenzeka nokuba nokuba neengcinga zokuzilimaza okanye abanye. Xa kukho nayiphi na le mpawu, ukuphulukana nokulala ngomoya kunokunceda, kodwa abanye abantu banokufuna ukusetyenziswa kweemithi ezichasayo okanye unyango. Ukongezelela ukuxinezeleka, ukuxhalaba , ukuhlaselwa kwesoyiki ebusuku, kunye nokukhungatheka kungenzeka nangokugula kwe-apnea.
Iingxaki Ukucinga
Ukuphulukiswa kwe-apnea kunokuba nemiphumo emihle ekukwazi kwakho ukucinga ngokucacileyo ngeli xesha. Ngezinye amaxesha kuthiwa "ingqondo yengqondo." Iziqulatho eziphindaphindiweyo zokuphazamisa ukuphefumla ezenzeka kwiingqungquthela zokulala ebusuku. Njengoko umntu olala ngumbuthongo obuthongweni uwela ebuthongweni obunzulu, ugwaya umoya, kwaye ukuvusa okufutshane kufana nokubuyisela ukuphefumla.
Olu qhekeko lubangela ukuvusa rhoqo kunye nokulala okusemgangathweni. Enye yemisebenzi emikhulu yobuthongo kukucima i-debris kwiindlela zengqondo, kuquka ne-neurotransmitter adenosine . Xa lo msebenzi wesondlo uphazamiseka, ukulala akusiqabuli. Oku kunokwenza umntu onobomi bokulala afune ukuziva ngathi ukucinga kwakhe kunzima. Ngenxa yoko, ubunzima bokugxininiswa okubi, imiba yokuqwalasela (njenge-ADHD okanye i-ADD), kunye neengxaki zeememori zesikhashana zenzeke.
Ukungabi namandla
Ubunzima ukufezekisa okanye ukugcina ukulungiswa kungabonakalisa uphawu lokuphulukana ne-apnea kubantu. Oku kungenakukwazi ukuqhutyelwa ngenxa yokuphuma kwegazi okanye ukutshintsha kwinkqubo yeentlanzi ezichaphazela i-penis. Kukho iziganeko ezininzi apho i-apnea yokulala iyaziwa ngokuba nemiphumo ye-cardiovascular. Ingaba negalelo ekunyanzelekeni kwegazi, ukungaphumeleli kwentliziyo, kunye ne-hyperlipidemia (i-cholesterol ephezulu). Kukholelwa ukuba i-apnea yokulala ibangela ukuvuvukala kwenkqubo. Uxinzelelo lweziganeko eziphindaphindiweyo zokuphefumula ebusuku, kunye nehlahla kumanqanaba e-oxygen, ukwandisa amanqaku okuvuvukala. Oku kunokuchaphazela imithwalo yegazi ngqo. Ukongezelela, kunokubakho nemiphumo kwi-system ye-nervous system elawula ukuhamba kwegazi.
Uxinzelelo oluphezulu lwegazi
Ukupheka kwe-apnea kubangela umngcipheko wokuphuhlisa uxinzelelo lwegazi. Le meko, ebizwa ngokuba yingozi yegazi, ingakhokelela kwimiphumo emibi njengesihlungu senhliziyo okanye isifo . Njengoko kuchaziwe ngasentla, iziqulatho eziphindaphindiweyo zokuphazamiseka ukuphefumula ngexesha lokulala zikhokelela ekuhlahleni kwamanqanaba e-oksijeni yegazi, ama-spikes kwizinga lentliziyo, kunye nokunyuswa kwengcinezelo yegazi. Ukuvutha komphumo kuchaphazela umzimba wonke. Xa uxinzelelo lwegazi lukhuni ukulawula ngokutshintshwa kwendlela yokuphila okanye unyango, ukuphalaza ukulala kufuneka kuphandwe njengento ebangela ukuba ufunde ngokulala. Xa indoda idinga imishanguzo emithathu yengcinezelo yegazi kwaye ingenakuyigcina ingcinezelo yakhe yecindezelo, kukho ithuba lama-96% lokuba ulele i-apnea!
Ngethamsanqa, unyango oluneenkqubela eziqhubekayo zengcinezelo yomoya (CPAP) lunokuba luncedo njengamachiza omnye ukunciphisa uxinzelelo lwegazi.
Ukuvuka ukuVala
Ukuba ufumana uvuka ebusuku ukuze ugijime, oku kusenokuba ngumqondiso wokuphefumula kwe-apnea. Le meko, ebizwa ngokuthi i- nocturia , inokuthi ivele kwiimeko ezahlukahlukeneyo: ukutywala okuninzi ngokwemitha ngexesha lokulala, ukusetyenziswa kweyeza ezinobomi njengeLasix (furosemide), okanye kumadoda ane-prostatic hypertrophy (BPH). Kwakhona kwenzeka ngo-apnea yokulala. Ukuqhekeka kobuthongo obwenzekayo kunokuphazamisa ukukhutshwa kwehomoni ye-anti-diuretic (ADH). Ngokuqhelekileyo, le hormone isithintela ukuba singaboni ebusuku. Xa ingakhange ikhutshwe, ukuhamba ngokuphindaphindiweyo kwindlu yokuhlambela kwenzeka. Ukongezelela, ukulala kwe-apnea kungabangela ubuthongo obugqithiseleyo obangela ukuqonda okungakumbi malunga nendlela egciniweyo ngayo i-bladder ebusuku, nayo ibangela ukucoca. Kukho ubungqina bokuthi ukuxhamla entliziyweni ngenxa yeengcinezelo ezimbi kwi-esifubeni kuthinta ukukhutshwa komchamo ukunciphisa oko kubonwa njenge-overload volume. Unyango lunokunciphisa isidingo sokurhoxisa ubusuku.
Amanzi Agaxa
Ukucima okanye ukugaya amazinyo ebusuku kungabonakalisa ukuphalaza kokulala. Eyaziwa nangokuthi i-bruxism, amazinyo okugaya aqhelekile kwaye anokuchaphazela ukuya kuma-10 ekhulwini labantu. Kwabanye abantu, kunokuthi kwenzeke ngokugqithiseleyo ekulala ukuze kuqiniswe imisipha yendlela yokuhamba kunye nokugcina umhlathi ungasemva. Oku kukuthintela ulwimi, oluqhotyoshelwe kumhlathi osezantsi, ukungena kunye nokuvimba ukuhamba kwendlela. Ngokudibeneyo, ukuwa kwe-airway kunokulwa, kwaye oku kunokukhokelela ekuvukeni okumbalwa kwe-apnea yokulala. Ngelishwa, ukugaya kwamazinyo kunokukhokelela kumonakalo we-inoth, izinkinga ze-temporo-mandibular (TMJ) kunye neentloko.
Ukuphucula Ukulala
Xa ukulala kungabuqabuli, kungakhathaliseki ukuba kufumaneka phi, oku kungabonakalisa ukugonjwa kwe-apnea. Ubuninzi obuninzi buthongo bubangele kubangele iimpawu zokulahlwa kokulala. Nangona kunjalo, xa umgangatho wobuthongo uphathwe ngenxa yokuqhekeka kwi-apnea yokulala, iingxaki ezifanayo zingenzeka. Ukulala ngokweqile kwamini ngokuqhelekileyo kuvela kwi-apnea yokulala. Oku kungenza kube lula ukuthatha i-naps. Ngokusoloko kwenza kube lula ukulala ebusuku, kwaye abantu abanokulala ngomoya balala bengalala ngaphakathi kwemizuzwana ukuya kwemizuzu. Oku kunokuba yingozi, ngakumbi ukuba ukulala kubangela ukuba ulale xa uqhuba.
Ukuguquka
Ukubhukuda kokuhlwa okanye i-reflux ye-asidi ingabonakalisa uphawu lwe-apnea yokulala. Abantu abaninzi abafumana ezi ziqulatho banesifo somhlaza se-gastro-esophageal reflux (GERD). Kukho umxube we-muscular of tissu obizwa ngokuba yi-sphincter esezantsi esechageal sphincter evimbela iziqulatho zesisu, kuquka i-acid isisu, ukungena kwisigxina. I-esophagus ishubhu ye-muscular ehamba ukusuka emqaleni ukuya kwisisu. Xa i-sphincter ibuthathaka, ayikwazi ukuyivala ngokupheleleyo ityhubhu kwaye oku kuholele ekutheni i-reflux ne-burnburn. Ukuwa kwe-airway ngexesha le-apnea yokulala kungabangela uxinzelelo olubi olukhupha iziqulatho zesisu kwisigxina. Ngoko ke, ukutshaya okanye ukuhlaziya ebusuku, ngokukodwa xa bangela ukuba iziqholo zokukhwehlela okanye ukukhahlela ngexesha lokulala, kunokubonisa ukuba u-apnea wokulala ukhona.
Ukulala
Oku kunokuba yenye yeempawu eziqhelekileyo zokuphala kwe-apnea. Enye yeendlela ezingaqhelekanga zokuziphatha, okanye i-parasomnias, ukulala ngokubakho kungabonakalisa uphawu lokulala ngomoya wokulala. Enyanisweni, ezinye iziganeko ezifana nokulala (somniloquy), ukulala kokutya , kunye nezinye izinto zokuziphatha kunye nokunyakaza kunokubonisa ukuba i-apnea yokulala. Ngokomzekelo, ukunyakaza kweembandeko zemizuzu kungabonisa iinzame zokuqalisa ukuphefumla kwaye ngokuphindaphindiweyo zihamba neyeza zokuphulukana ne-apnea. Izenzo ezinzima ngakumbi ziyakwenzeka xa imeko yolwazi ichithwa. Esikhundleni sokuba bonke bavuke okanye bonke balele, ingqondo ingaba nomoya odibeneyo apho ukuvuka kunye nokulala kuvela ngexesha elifanayo. Inxalenye yengqondo elawula ukuqonda kunye nememori ingahlala ilele ngelixa ilawula ukuhamba, njengokuhamba, inokuthi isebenze. Ngenxa yoko, umntu onokulala angase avuke aze aphume kwigumbi lokulala (okanye kwindlu) engenakho ukukhumbula. I-apnea yokulala ingakwazi ukwahlula ukulala kwesimo, mhlawumbi kubangele amazwe adibeneyo kwaye aholele kulezi ziphatha ezinzima.
Umlomo omile kunye noNgcoliseko
Iziphumo ezimbini eziphikisanayo zingabonisa ukuba i-apnea yokulala: umlomo owomileyo kunye ne-drooling. Umlomo omile udlalwa xa inqindi yomlomo ivalwe kwaye umlomo uphefumula. Oku kungakho ngenxa ye-allergies, i- septum yangasese ephosakeleyo , okanye ngenxa yokubanda. Ukuba uvuka ngomlomo owomileyo okanye ulala neglasi yamanzi kwi-nightstand yakho, oku kunokubonisa ukuba usemngciphekweni wokulala kwe-apnea. Ukuphefumula emlonyeni kudla ngokukhokelela ekunyukeni okukhulu kwaye kunokubangela ukuwa kwe-airway ebuthongweni. Ngenye into engalindelekanga, ukuhlahlela kunganciphisa imeko efanayo. Ukuxolisa kubakho ngenxa yokuba umlomo uvulekile ngexesha lokulala, nge-saliva ekhululekile ukuxhoma emacaleni omlomo emlanjeni. Ngoko ke, zombini umlomo owomileyo kunye ne-drooling ingabonisa ukuba khona komlomo ukuphefumula kunye nomngcipheko wokulala ngomoya wokulala.
ILizwi
Ukulala ngesifo sokulala siyisimo esiqhelekileyo esithintela umgangatho wobuthongo kwaye kunokukhokelela kwimiphumo emibili ekulindelekileyo nengalindelekanga. Le miqondiso ingabi yinto oqala ukuyicinga nge-apnea yokulala, kodwa ngokwenene bangabonisa ukuba imeko ikhona. Ngethamsanqa, kukho unyango olululo olunokukunceda ulale kwaye uzive ungcono. Ukuba unomdla, uvavanywe ngugqirha wokulala oqinisekisiweyo webhodi ukuba uhlolwe kwaye uqale unyango.
> Imithombo:
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> Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." Elsevier , edition 5, iphe. 502-503.
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> I-Oksenberg, A., i-Arons, E. "Ukulala kwe-bruxism ehambelana nokuphazamiseka komzimba wokuphazamiseka kokulala: umphumo wokunyamezela okuqhubekayo kokuhamba komoya." Ukulala. 2002 Nov; 3 (6): 513-5.
> Peppard, PE, Young T, uPalta M, Skatrud J. "Ukufunda ngokuthe ngqo ngumbutho phakathi kokuphefumula okuphazamisekile ukulala nokuxinzelela kwegazi." N Eng J Med . 2000. 342: 1378-1384.
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