Iingxaki zezeMpilo ezixhamle kwi-Sleep-Disordered Breathing
Kukho ubungqina obuninzi bokuthi i- apnea yokulala ingaphezulu nje kokuphazamisa ubuthongo bakho. I-apnea yokulala - edlalwa kakhulu kulabo abaqhwaba kakhulu-ichazwa ngamaxesha aphindaphindiweyo ekuphefumla. Oku kunokubangelwa ngokukhutshwa komoya okanye ngqondweni ekulibale ukuphefumula. Xa kwenzeka oko, amaqondo e-oksijeni awela, amazinga e- carbon dioxide aphakama, kwaye kukho i-spike kwixinzelelo lwegazi, izinga leentliziyo, kunye nama-hormone afana ne-cortisol njengoko umzimba uvuselela ukuphefumula.
Ukulala kwe-apnea kuye kwaxhunywa kwiimeko ezininzi zonyango ezingapheliyo, kwaye kwanokufa ngokukhawuleza. Funda malunga nombutho phakathi kwe-apnea yokulala kunye nomfutho wegazi ophezulu, isifo senhliziyo, ukungaphumeleli kwentliziyo, ukuhlaselwa kwentliziyo, ukubetha, nokufa ngokukhawuleza.
U xinzelelo
Kulinganiselwa ukuba ama-50-70% abantu abane-apnea yokulala baxinzelelekile, okanye uxinzelelo lwegazi oluphezulu. Oku kwandisa ingozi yokuhlaselwa yintliziyo, ukuphazamiseka, kunye nezinye iingxaki zempilo. Uvavanyo lweLebhu kwizilwanyana libonise ubudlelwane obangela-kunye-nentsingiselo, kunye nobukho bokuphambana nokulala kwe-apnea okukhokelela ekuphuhlisweni kogqirha lwexinzelelo. Kubantu abanengcinezelo yokhuseleko olukhuni, mhlawumbi ukuba i-apnea yokulala igalelo. Kuyothusayo ukuba amadoda angama-96% adinga ukuxilongwa kweempawu zengcinezelo zegazi ezintathu zokulala ne-apnea yokulala ebangela ingxaki! Unyango olusebenzayo kunye noxinzelelo oluqhubekayo lwengqondo (CPAP) lunokukunceda ukuphucula uxinzelelo lwegazi, ngokufana nokunyanga kwegazi.
I-Coronary Artery Disease and Attack Heart
Umngcipheko wesifo senhliziyo usanda ngenxa yeendlela ezininzi. Ukuphulukana ne-apnea yokulala kungaholela ekusebenziseni inkqubo yesantya evelwano. Le nto inoxanduva lokuphendula "ukulwa-okanye-moya". Khawucinge ngomxinzelelo emzimbeni wakho owenzeka xa ingonyama ikuxosha, le yinkqubo enobubele yintliziyo emsebenzini.
Iziganeko ze-Apnea zikhokelela ekugqibeleni kwe-cortisol, i-hormone yokucindezeleka, ngokuphindaphindiweyo ngexesha lokulala. Ukongezelela, i-apnea yokulala iholele iingxaki kunye nemigca yemida yegazi, ukuvuvukala, kunye neengxaki ngokulawulwa komzimba kunye nesifo sikashukela. Zonke ezi zinto zingabangela iingxaki ngemithanjeni yegazi kunye nesifo se-coronary disease engakhokelela kwiingxaki ezinkulu ezifana nokuhlaselwa kwentliziyo.
Stroke
Ngokomphando, umbutho phakathi kwesifo sokugaya kunye nokulala ngomoya olalayo mhlawumbi unamandla njengobambiswano phakathi kokutshaya nokushaya. Kukho izinto ezininzi ezibandakanyekayo. Ngexesha le-apnea, imilambo yegazi ngaphakathi kwengqondo iyancipha xa amaqondo oksijini ewa. Ngaphezu koko, abantu abane-apnea yokulala banamaqondo aphakamileyo egazi okwenza ukuba banokubakho ukuvala okungabangela ukuba baqhube. Phantse isiqingatha sabantu abane- fibrillation ye-agrification , ingozi enkulu yokwenza isifo, i-apnea yokulala igalelo kulezi ziqendu. Phantse ama-40-60% abantu abane-stroke bafunyaniswa ukuba banokuphefumula ukulala kwe-apnea.
Ukunqongophala kweNtliziyo yeCrows
Xa iziganeko ze-apneic zenzeka, amazinga e-oksijini ayancipha angenza imithwalo yegazi kwimiphunga ibe yimida. Oku kwandisa uxinzelelo lwegazi kule mikhumbi, kwaye emva kwexesha kunokukhokelela ekuphelelweni kwentliziyo engapheliyo.
Uxinzelelo olukhulu lwegazi luyinxalenye enkulu ekuncedeni kwenhliziyo entle. Ezinye iziphumo zibonise ukuba abaninzi abantu abangama-37% abanesifo senhliziyo banokuphelelwa yi-apnea yokulala. Ukungabikho kokulala kwe-apnea yokulala kunokunyusa amathuba okufa ngaphezu kweminyaka.
Ukufa ngokukhawuleza
Kuhlolisiso lwezigulane ezafa ngokukhawuleza ezazenzele izifundo zokulala zitshatileyo, kwaboniswa ukuba malunga nesiqingatha sezigulane zokulala i-apnea zafa phakathi kweeyure zobusuku ukuya ku-6 ekuseni, xa kuthelekiswa ne-21% ngaphandle kokuphalaliswa kwe-apnea. Kungenzeka ukuba aba bantu bafa ngokukhawuleza ngexesha le-apnea. Ezi zokufa ziyakwenzeka ngenxa yokuphefumula okubangelwa ukuphefumula inhliziyo, ukuhlaselwa yintliziyo kunye nokubetha.
Iindaba Ezilungileyo
Iindaba ezilungileyo kukuba kukho unyango olufanelekileyo lwe- apnea yokulala kwaye oku kunokukunceda ukuphelisa ezininzi zeengozi ezihambelana nesi sifo. Ukuphucula ubuthongo bakho, umsebenzi wakho wemihla ngemihla, kunye nempilo yakho yexesha elide ngokufumana unyango onokuhlala nalo.
> Imithombo:
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> I-Collop, N. "Umphumo wokuphefumula obuthintekayo bokulala ngentsholongwane engapheliyo." I-Cleveland Clinic Journal of Medicine . 2007; 74: 1.
> Logan AG, Perlikowski SM, Mente A, et al . "Ukuphakama okuphezulu kwe-apnea yokulala engaziwayo kwi-blood pressure." J Hypertens . 2001; 19: 2271-2277.
> Shahar E, Whitney CW, Redline S, et al . "Ukuphefumula okuphefumulayo nokugula kwesifo senhliziyo: iziphumo eziphambanweni zeSifundo seMpilo yeNtliziyo yokulala." Ngaba i-Respiratory Crit Care Med . 2001; 163: 19-25.
> Yaggi HK, Concato J, Kernan WN, Lichtman JH, Brass LM, Mohsenin V. "Ukuphazamiseka kokulala kwe-apnea njengomngcipheko wokushaya isifo nokufa." N Engl J Med . 2005; 353: 2034-2041.