Iimpawu eziqhiphukisayo ze-Apnea yokulala kwabantwana

Ukulala, i-Bedwetting, kunye nomlomo wokuphuza uMeyi ungabonakalisa i-OSA

Xa ucinga ngo- apnea yokulala , awukwazi ukucinga ngomntwana njengomntu oqhelekileyo ukuba abe nesimo. Enyanisweni, ungeke ucinge ngabantwana njengokuba ulale u-apnea ukulala. Ukunqongophala nokulala kwe-apnea ziimeko eziqhelekileyo ezichaphazela abantwana, nangona kunjalo. Oku kunokuba nemiphumo ebalulekileyo ekukhuleni nasekuziphatheni. Cinga iimpawu ezili-10 zokumangalisa ukulala kwe-apnea njengoko kubonakala kubantwana.

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Ukulala

Ukulala kungathintela malunga ne-10% yabantwana ubuncinane kanye phakathi kweminyaka eyi-3 no-10 Ukulala kungabandakanywa nokuvusa ukudideka . Xa oko kwenzeka, umntwana ubonakala evusela kodwa uhlala engqongqo, edidekile. Ezi ziqendu zidla ngokuphindaphindiweyo kwisithathu sokuqala sebusuku, ngokuqhelekileyo zilele ngotshani . Nangona i-cause of sleepwalking ingasoloko ibonakala, kubonakala ngathi ngamanye amaxesha kubakho ngenxa ye-apnea yokulala. Ukulala ngomoya wokulala kungakhokelela ekuvukeleni okufutshane ukuvuselela ukuphefumula, kwaye ukuqhekeka kokulala kungakhokelela kwimeko yolwazi olungenza ukulala kungaphezulu. (Ngokuqinisekileyo, ukunyamezela imilenze yesifo kunye neengxaki zentshukumo yentshukumo yokuhamba kwintlungu kungakhokelela nokuziphatha.)

Kaninzi

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Amazinyo agaya

Kukho into ephazamisayo ngokuva umntu egawula amazinyo. Ingathumela ukukhupha umgudu wakho, kodwa ingabe ingaba ngumqondiso wokugula kwe-apnea? Ukutshaya amazinyo, okanye ukuxhamla, kuya kwenzeka ngokwenene kulo mongo. I-apnea yokulala idla ngokuphindaphindiweyo xa izicubu ezithambileyo (i-tonsils, i-adenoids, i-palate ethambileyo, kunye nolwimi) ngasemva kwebhola lebhola elihamba ngayo. Ukuqhaqha, ukuququza, okanye ukugaya amazinyo kungaba yindlela umzimba ongenakuqonda ngayo ukugcina umoya ovulekile. Iqinisa imisipha emlanjeni, ulwimi, kwaye, ngaphantsi kweendlela, ngokuhamba kwendlela. Oku kunokuthintela ukuwa okanye ukucinywa kwendlela yokuhamba ngomoya evame ukubonisa ukuba i-apnea yokulala. Ukuba le nto ithintela i-tone ye-muscle ibonakala ngokudibeneyo neziganeko zokuphefumula kwisifundo sokulala , umbutho uqinile ngakumbi. Nangona abalindi bomlomo banokukunceda ukukhusela umonakalo wamazinyo, ukunyangwa kwesi sizathu kukhethwa.

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Bedwetting

Abantwana bavame ukupholisa umbhede ebusuku, kodwa kuthathwa njengengxaki ukuba kwenzeka kabini ngeveki ngaphaya kweminyaka yobudala engama-5 ubudala. Ukulala i-enuresis, njengoko kubizwayo, kuthinta kakhulu abafana kunye nokuba ku-3-30% yabantwana abaneminyaka emine ukuya kwe-12. Iyenzeka ngexesha lokulala ngomsindo ophuculayo xa kukho ukungaphumeleli ukuvusa xa isilonda sigcwele. Nangona kungenzeka ngenxa yentsholongwane, uxinzelelo, i-caffeine, okanye ezinye iimeko zonyango, nayo ingabonakalisa uphawu lokugonya kwe-apnea. Ngethamsanqa, kubantwana abanobuhlungu bokulala ngenxa yokugula, ukunyango kuya kuncedisa ukuba ihambe.

Kaninzi

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Ukuxela

Ngaphandle kobuthathaka kwisimo sokugula, akuqhelekanga ukuba abantwana bavuswe ngokukhawuleza. Ukuba ama-pajamas, amakhishithi, okanye iingubo zinyanzelisiwe, oku kungaba bubungqina bokuba umntwana wakho unzima ukuphefumula ngexesha lokulala. Oku kunokuba kufana nokusebenza ngokugqithiseleyo kwe-aerobic, kwaye ngumsebenzi onzima xa kuphumla ukuphumla. I-apnea yokulala ivame ukudibaniswa nokunciphisa ama-oxygen, ama-spikes kwixinzelelo legazi kunye nentliziyo, kunye ne-hormone ephazamisayo. Xa oku kwenzeka rhoqo ekubuthweni kwabantwana, ukufufumla okugqithiseleyo kuya kwenzeka kwaye unokufumana ubungqina bomzabalazo kusasa.

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Ukulala ubuthongo

Kungaba yinkohlakalo yentsapho: indlela yokuhlala engenalo ukulala engakwazi ukuyenza! Ngelishwa, ukulala okungapheliyo emntwaneni kungabanye uphawu lobunzima phakathi nobusuku. Xa ukuphefumla kuba nzima, njengoko kwenzayo ekuphumeni kwe-apnea, oku kungabonakalisa ukunyakaza okugqithiseleyo ekulele. Ukuba iifowuni ziphoswe zibe ibhola phantsi kombhede okanye kumgangatho ekuseni, oku kungabonakalisa ukuxakeka. Ukupheka kwe-apnea kubuye kubonakale kwizikhundla ezingaqhelekanga zokulala. Umntwana wakho unokutshintsha iindawo zokulala kwizame zokufumana indlela yokulala-nokuphefumla-kanyekanye. Abantwana banokufunyanwa bahlaselwe embhedeni okanye befana nebhodibhodi. Basenokuzikhusela ngendlela ezingavamile zokuzama ukudibanisa i-airway evulekile. Ukongezelela, ukulala ubuthongo ngokuqhelekileyo akungabikho komgangatho ophezulu, kwaye mhlawumbi kubonisa ukuba kufuneka uhlolo olufanelekileyo ngongcali yokulala .

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Ukulingana

Ukunqongophala phakathi kwabantwana kuyisimboli esikhulu esibomvu. Ngokuqinisekileyo, i-snore ephindaphindiweyo inokuvela kwimeko yesifo esiphezulu sokuphefumula njengokubanda, kodwa ukuba kwenzeka ngenye indlela, le ngxaki. Njengomthetho wesithupha, abantwana akufanele bahlale bengahlali. Akukho. Lo ngumqondiso wokugeleza okungavamile komoya ngomoya ophezulu ophuma ekhaleni nasemlonyeni nasemiphakeni. Kuphazamiseka kweli nqaku elivelisa isandi. Kungenzeka ngenxa yeentlungu, iitoni eziwandisiweyo okanye i-adenoids, kunye nezinye iingxaki ezinokumiselwa. Ukunyuba ngokuqhelekileyo kuhamba ngesandla ngesandla sokulala, kwaye ukuba umntwana wakho uyamncoma, kubalulekile ukukhangela i-apnea yokulala, naye.

Kaninzi

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Iingxaki zokukhula

Njalo xa uzisa umntwana wakho kumntwana wezilwanyana, ubunzima kunye nokuphakama kulinganiswa, kubhaliweyo kwaye kaninzi kufakwa kwiphepha elibizwa ngokuba yi-curve curve. Le ngqungquthela ibonisa iipecentile zale nyathelo, ukuthelekisa abantu abaninzi ngokubhekiselele kwiminyaka yobudala kunye nesondo. Ngokomzekelo, umntwana omde kwaye onqabileyo unokuba ngowama-90 percentile ukuphakama kunye ne-40 percentile yesisindo. Kukholelwa ukuba ezi zixhobo eziphambili zihleliwe zizalwe ngokwemizimba, zizuzwe kumama nobaba. Ukunikezelwa kokutya okunempilo kunye nempilo jikelele, ezi zihlandlo zihlala zizinzile kulo lonke uphuhliso. Nangona kunjalo, xa umntwana "ewela kwinqanaba lokukhula" oku kungabonakalisa inkathazo. Ngokuqhelekileyo kubonisa ukunyameka ukuthambisa kwiintsana, kodwa kunokuthi kwenzeke ngenxa yokugula kwe-apnea kwabantwana abadala. Ubuthongo obuncinci (odla ngokubhekiselweyo kwaye obaluleke kakhulu kubantwana) xa kukhutshwa i-hormone yokukhula. Ezi zixhobo ekukhuleni nokuphuhliswa okuqhelekileyo. Xa ukulala kuphazamiseka, njengokuba kwenzeka kwi-apnea yokulala, i-hormone yokukhula encinane ikhutshwa. Ngenxa yoko, abantwana abakwazi ukufikelela kwiimpawu zabo ezipheleleyo kwaye baphelo baba mfutshane kunokuba bekungenjalo. Ngethamsanqa, unyango lwe-apnea yokulala luyakwazi ukusebenza kakuhle ukuguqula le ntlupheko kunye nabantwana baya kudla ngokuphindaphinda ukukhula kwabo kwangaphambili kwigrafu.

Kaninzi

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Iifake

Ngesinye isikhathi, kuvamile ukuba abantwana bayeke ukuthabatha. Ukuba azinjalo, oku kungaphakamisa ingxaki ngobungakanani okanye umgangatho wokulala abafumanayo. Kwiinyanga ezili-12, ininzi intsana kuphela nje okanye kabini ngosuku, rhoqo ngokusa kusasa okanye kusasa. Lawa ma-naps angadlulela i-1 okanye iiyure ezimbini. Kwiinyanga ezili-6, i-naps yemini inganciphisa kanye kuphela ngosuku. Ngelo xesha abantwana beqala isikolo, i-naps ithambekele ekuhambeni. Ukuba azinjalo, okanye ukuba abuyele ngaphakathi, oku kungabonakalisa uphawu lokulala ngomoya wokulala. Kuyinto engavamile kakhulu kubantwana abadala ukuba bafune i-naps ngexesha lemini, kwaye ubuthongo obukhulu kakhulu phakathi kweli qela lifuna ukuphonononga okuqhubekayo.

Kaninzi

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ADHD

Ukunqongophala kwengxaki yokuxhatshazwa kweengxaki (ADHD) kukuxilongwa ngokuqhelekileyo kubantwana, kwaye ukulala ngomoya wokulala kungaba yinto ebangela iimeko eziqhelekileyo. Abantwana abane-ADH bafumana ubunzima bokunakekelwa ingqalelo, ukuziphatha kakubi, ukulibaleka, ukulawula okungahambi kakuhle okanye ukungahambi kakuhle, kunye nokuphazamiseka. Oku kunokuchaphazela ukusebenza kwesikolweni. Inomdla, abantwana abaneengxaki zokulala baneempendulo ezixakekayo. Esikhundleni sokulala, njengabantu abadala, bahlala becala. Oku kunokubanceda bahlale bephapheme. Iingxaki ezinxulumene nokugxininisa kunye nengqwalasela zibonakalisa ukulala ngokuphazamiseka. Malunga ne-1 kwabantwana abathathu abane-ADHD snore xa kuthelekiswa ne-10% kuphela yabangenayo i-diagnostic. Ngoko ke, iimpawu ezibonisa ukuba i-ADHD kufuneka ibuye iqinisekise ukuhlola ngokucophelela ukulala.

Kaninzi

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Ukuphefumula komlomo

Ekugqibeleni, ukuphefumla umlomo kungabonakalisa ukuba khona (okanye umngcipheko wokukhula) ukulala kwe-apnea kubantwana. Abantu bazinyanzelekile ukuba baphuphule imisipha, oku kuthetha ukuba sifanele siphefumle ngeempumlo zethu. Ukuba impumlo ingavinjelwa ngokungapheli ngenxa yesifo okanye i-septum yangasese ephukayo, umlomo wokuphefumula ungabangela. Ngokuphefumula ngomlomo, izihlunu zomhlathi ziya kwindawo ekhululekile. Oku kukhokelela ekubongeni ubuso ngexesha elide. Kwakhona kunokufaka isandla ekubuthathaka kolwimi nakwezinye izihlunu ze-oropharynx (umlomo nomqala). Ngenxa yoko, ukugcoba nokulala kwe-apnea kusenokwenzeka ukuba kwenzeke emlonyeni-ukuphanga.

ILizwi

Ukuba unomdla wokuba umntwana wakho unokufumana iimpawu ezimangalisa ukuphazamiseka kokulala, qalisa ngokuthetha nodokotela wezilwanyana. Ukuba kufanelekile, ukuthunyelwa kwiingcali zobuthongo kunokulungiswa ukuba kuhlolwe ezi nkxalabo kunye nokuqinisekisa ukuba ubuthongo obuhle kunye nomgangatho wobomi bunokufumaneka.

_Imithombo:

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_{Durmer, JS et al . "Iingcali zokulala zonyango." Continuum Neurol . 2007; 13 (3): 158.}

_{Guilleminault, C et al . "Ukulala kunye nokulala neentlanzi ebantwaneni abaphambili: kubangelwa ntoni?" Izifo zonyango 2003; 111 (1) e17-25.}

_{Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." Elsevier , edition 5.}

_{UThaheri, S. "Unxibelelwano phakathi kokulala okufutshane kunye nokukhuluphala: kufuneka sicebise ukulala okuthintela ukukhuluphala." IArch. Dis. Umntwana. 2006; 91; 881-884.}