Ukuphazamiseka Kokuphefumula Kunamabangela amaninzi
Ubunzima be-hypoventilation syndrome buquka ukuphefumula okunzima phakathi kwabantu abagqithiseleyo, kodwa kubangelwa yintoni? Ngokuqonda kakuhle ukuba kutheni kwenzeka, unokukwazi ukufumana unyango olufanelekileyo olungenza izinto zilungele. Kwakhona kubalulekile ukuqonda ukuxhamla kwi- apnea yobuthongo obunqanda , imeko eqhelekileyo kunye neempawu ezigqithisiweyo.
Funda ngobudlelwane obubalulekileyo phakathi kokukhuluphala, ukuphazamiseka kokuphazamiseka kokulala, kunye ne-carbon dioxide yokulala.
I-Obesity Hypoventilation Syndrome ivela njani
Ubungqina be-hypobestilation syndrome (OHS) eyenzeka xa ukuphefumla kungonelanele ukukrazula umzimba we- carbon dioxide kumntu ogqithiseleyo. Kusenokuba neqela elingaphantsi kwezizathu ezifaka isandla kulo mphumo. Ekugqibeleni, isiphumo sinye, kwaye ezi ngxaki zokuphefumula zingakhokelela ekuphelelweni kokuphefumula. Oku kungabonwa ngokulinganisa amanqanaba e-carbon dioxide egazini, ephakanyiswayo ngexesha lokuvuka kubantu abane-hypoestilation syndrome.
I-Carbon dioxide yinto eyenziwa yintengiso edlalwa yimipuphu ngokutshintshela i-oksijeni. Xa ukuphefumla kungenakwanela, ngenxa yezizathu ezahlukeneyo, oku akunakwenzeka. Kunoko, i-carbon dioxide ihlala isasazeka kwaye isakha ngokukhawuleza.
Iba ngumtyhefu ngeempembelelo ezinobungozi, okukhokelela ekubeni ubuthongo kwaye (ekugqibeleni) ukungazi okanye ukufa.
Igama elithi hypoventilation lithetha ukuphefumula okungapheliyo. Kungabangela ukuba ukuphefumula kungabikho kwanele ngokwaneleyo okanye xa kungabikho okwaneleyo. Cinga nje ukukwazi ukuzalisa imiphunga yakho isigxina.
Ukuphefumla okungazange kube nzima ukuphelisa i-carbon dioxide kwaye uthathe i-oksijini ofuna ukuyiphila. Ngaphezu koko, ukuthatha umoya ongaphantsi kancinane kunokuba uyifunayo kuya kukushiya ngokukhawuleza ukuphefumula. I-hypoventilation ebonakalisa le meko ingaba ngenxa yokudibanisa kwezi zinto. Ngelishwa, abo bahluphekileyo bafumene le mingcipheko bangaphaya kolawulo lwabo lokunqoba.
Indima ebalulekileyo yokukhusela i-Apnea yokulala
Ayikwazi ukugqithisa indlela ephakathi ngayo inxaxheba yokuphazamiseka kokulala kwe-apnea ekhoyo kule meko. Enyanisweni, i-apnea yokulala ivela kuma-85 kuya ku-92% abantu abane-hypoestilation syndrome. Oku kungenziwa ngenxa yeendlela ezifanayo kunye ne-anatomy predisposing. Kwakhona kunokwenzeka ukuba i-OHS ibonisa uhlobo olugqithiseleyo lokulala ngomoya ophefumlelweyo apho ukuphefumula kuya kuphazamiseka kangangokuba kuqala ukuba neminye imiphumo yemini, ngokukodwa ukuphefumula (okanye i- dyspnea ) ngokuzikhandla.
Njengesikhumbuzo, i-apnea yokulala iyenzeka xa i-airway engenhla ikhutshwa ngokukhawuleza okanye ivalwe ngokupheleleyo ngexesha lokulala. Lo mqobo uholela ekuphumeni okuvakalayo ekuphefumla. Ukuphazamiseka kunemiphumo emibili: Amanqanaba e-oksijeni aphuka ngelixa i-carbon dioxide ikhula.
Ukuba ezi ziganeko ze-apnea zithe gqolo, umzimba wakho unako ukubuyisela kwaye akukho miphumo exabisekileyo. Nangona kunjalo, xa i-apnea isebenza kaninzi, akukho xesha lokubeka izinto ngokuchanekileyo. Iinkqubo eziza kuhlawulwa, kubandakanywa utshintsho ukulungisa ukulinganiswa kweekhemikhali kwegazi lakho, akunakwenzeka.
Ukuphefumula kuyaba nzima ngakumbi ekutyebeni
Ngokubanzi, umgudu wokuphefumula uba nzima nakubantu abagqithiseleyo. Kunzima ukwandisa imiphunga ngokubhekiselele kwingcinezelo eyongeziweyo. Yiba nomfanekiso wakho uzama ukufaka ibhaluni ngotshani. Kuwumsebenzi onzima.
Ngoku faka incwadi enzima phezu kwebhaluni uze uzame into efanayo. Kuba ngumsebenzi wenene. Ngendlela efanayo, ubunzima obuninzi kumntu ogqithisileyo kunenza kube nzima kwimiphunga ukuzalisa.
Imiphunga iqhelekile izaliswe ngoncedo lwe-diaphragm kunye neentsholongwane zokuphefumula ecaleni kwembambo. Xa ezi zihlunu zidonsa, imiphunga izalisa njenge-bellows. Abantu abanamahloni banokunciphisa ngokunyanisekileyo ngamandla emisipha. Akunjalo nje ukulwa nokuchasana okuchazwe ngasentla, kodwa izihlunu ezisetyenzisiweyo azizinzileyo njengoko zifanele ukuba zibe njalo.
Ezi zinto zidibeneyo zikhokelela ekunyuseni umsebenzi wokuphefumla. Oku kuya kumnceda umntu, ukwenzela ukuba ekugqibeleni angabi ncinane okanye aphefumlelwe ngokuphefumula rhoqo. Oku kubangela u-hypoventilation obonakalisa le syndrome.
Ukulungiswa koMzimba kuWorld Hypoventilation
Ngenxa yesimo sokuphefumula, umzimba uzama ukulungelelanisa imeko. Ngelishwa, ezinye zezi ntshintsho zenza i-hypoventilation ibe yimbi.
Ingqondo iqala ukungahoywa iimpawu zomoya ophantsi we-oxygen kunye ne-carbon dioxide ephezulu egazini. Ezi zibonakaliso ziza kubangela ukuba ingqondo ivuselele umzimba ukuba uphefumle ngokukhawuleza xa uzama ukulungisa ukungaqhelekanga. Xa imeko ihlala ingapheliyo, i-alamu iyalahlwa. Ngethamsanqa, unyango lulungisa ngokukhawuleza le nkqubo yokuphendula eyakhelwe.
Kwakhona kwaziwa kakuhle ukuba abantu abagqithisileyo banamazinga angavamileko wehomoni ebizwa ngokuba yi- leptin . Akucaci ukuba yiphi indima i-leptin engadlala ngayo ekutshintsheni iipatheni zokuphefumla, nangona kunjalo. Uphando olu lukhokelela ekubeni ubungqina obuphikisanayo kweli nqaku.
Ekugqibeleni, ngenxa yokuba imiphunga ayigcini ngokupheleleyo, i-lobes esezantsi ingahlala idibene. Oku kwenza kube nzima ukuvuselela igazi elijikeleza kule mimandla yemiphunga. Ngenxa yoko, iingxaki ze-oxygen kunye ne-carbon dioxide exchange exacerated.
Izizathu ezibangela ukunyameka kwe-hypoventilation syndrome zizinto ezininzi. Ekugqibeleni kwenzeka xa kukho utshintshiselwano olunganeleyo lwe-oxygen kunye ne-carbon dioxide. Oku kunokwenzeka ngenxa yecandelo lokunciphisa umzimba owenziwe kwimiphunga ngokukhuluphala. Kukho ngokucacileyo indima yokuphazamiseka kokuphazamiseka kokulala, njengoko ukuphazamisa ukuphefumula kwasebusuku kwenza izinto zibe zibi nakakhulu. Nokuba izilungelo zomzimba zendalo ziqala ukuhluleka. Ngethamsanqa, kukho iindlela ezikhoyo zokonyango ezifumanekayo ezingayilungisa le meko, kubandakanywa nonyango oluxinzelelweyo lwe-airway.
Imithombo:
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Mokhlesi, B et al . "Uvavanyo kunye nokulawulwa kwezigulane ezine-hypoestilation syndrome." UMnyuli weThorac Soc 2008; 5: 218.
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