Ukuthungulwa kweMisipha ye-Airway Kungabangela Ukunyuka, iiPaus Breathing
Nangona uqhelane nemeko ebizwa ngokuba yi- apnea yokulala , awukwazi ukuqonda into eyenzekayo emzimbeni. Ukulala kwe-apnea kwenzeka njani? Yintoni eyenzekayo ngqo kwi-airway ngexesha leempawu zokuphefumula? Ngokuxhomekeke kububungakanani, inkqubo enye ingayenza njani i-snoring, hypopnea, okanye i-apnea? Fumana ukungafani nokuba indlela yokuphefumula igalela ngayo ukuphazamiseka ngexesha lokulala.
Ukuze siphendule le mibuzo, makhe sihlolisise inkcazo evela kwi- UpToDate -inkcazo yezobuchwephesha ezithembekileyo ezisetyenziswe ngababoneleli bezempilo kunye nezigulane ngokufanayo. Emva koko, qhubeka ufunda apha ngezantsi malunga nokuba le ngcaciso inokuthetha ntoni kuwe.
"Umphefumlo ujikelezwe yimisipha elawula umoya wokuthetha, ukugwinya nokuphefumula." Ngesikhathi sokulala, ezi zihlunu zisebenzisayo, kwaye oku kubangela ukuba umqala ube mncinci. kungabangela ukuhluma, ngamanye amaxesha ngokunciphisa okanye ukukhutshwa kwamanzi ngokupheleleyo. I-airway evinjiweyo ngokupheleleyo ngaphandle kwe-airflow ibizwa ngokuba yi-apnea yokuphazamiseka."Ukuphefumula okwaneleyo ngenxa yokuphefumula i-apnea okanye i-hypopnea kubangela ukuba amazinga e-oxygen awele kwaye i-carbon dioxide iphakame. Ukuba uvule umsila, umntu uthabatha ukuphefumula ngokukhawuleza ukuba aphefumule. , umntu angashukuma ngokupheleleyo ngentshukumo yokutshitshisa, ukuphazamisa okanye ukukhahlela.
"Ukuba umntu ulala emva kokulala ngokukhawuleza, akayi kukhumbula isiganeko." Abantu abaninzi abane-apnea yokulala abaqapheli ukuphefumula kwabo ngokungaqhelekanga, kwaye zonke izigulane zijongela ukuba balala kangangoko ukulala kwabo. ingabuyiselanga kwaye ibangela ukukhathala nokulala ubusuku. "
Kukho imisipha emzimbeni wakho, nakwiindawo ezingalindelekanga ezifana nomqala wakho. Kukho iintlobo ezimbini ezisisiseko zesisipha, isisipha samathambo kunye nesisipha. I-muscle muscle ifunyenwe emlonyeni wakho nasemqaleni, ngelixa i-muscle epholileyo iphantsi, idibanisa isisu sakho kunye ne-trachea. Enye yeendlela eziphambili kukuba i-muscle muscle iphantsi kolawulo lwenu.
Oku kuthetha ukuba unako ukuyikontomba ngentando yakho, njengokuba ugqiba ukugwinya okanye ukukhwehlela. Inokuthi isebenze ngokucatshulwa. Nonke ezi zihlunu zikunceda ukugcina umoya wakho uvule kwaye ukhusele ukuwa kwawo.
Indlela i-Airway iguquka ngayo ngexesha lokulala
Ngexesha lokulala, ke, izihlunu zolwimi kunye nokuphumla kwomoya. Oku kuyinyaniso ngokukhawuleza kwentshukumo yelanga (REM) yokulala xa ingqondo isebenzayo kodwa umzimba ukhubazekile. Imisipha embalwa iyakusindiswa ekukhubazeni, ngokugqithiseleyo ezo zinto ezihambisa amehlo kunye nesifudum, esenza njengemivimbo yokuzalisa imiphunga. Ngokuxhomekeka kwi-anatomy yakho, ukuphumla kwesihlunu kungabonakalisa ingxaki.
Ukuba ucinga indlela ohamba ngayo njengetyhubhu ye-floppy, iisifuba zigcina ziwa phantsi xa zibonisa ithoni evamile. Nangona kunjalo, ngexesha lokulala-kwaye ukuba yakho ityhubhu yincinci okanye ininzi (njengokuba inokubangela ukukhuluphala) - inokuthi iwele ngokulula. Esikhundleni sevesi elicacileyo ukuba umoya ungadlulela ngaphandle kokuzikhandla, ukukhupha umoya kuphazamiseka. Xa ukuphazamiseka kwenzeka, ukuguqulwa kungabangela. Oku kuhlutha . Ityhubhu ingasenyuka ngakumbi, mhlawumbi inxenye (ekubangeni kwi-hypopnea) okanye ngokupheleleyo (kubangelwa i- apnea ).
Ukulala Nge-Apnea Kubangelwa Ukuphefumula Okuphazamisayo ukuba iziqhekeza zilele
Xa ukuphefumula kwakho kugxininiswa ngenxa yokuwa, imiphunga yakho ayifumani oksijini kwaye ayikwazi ukukhupha i-carbon dioxide.
Isisombululo ukuvula ityhubhu. Oku kufuna ukuba umntu ochaphazelekayo avuke kwisigaba sokulala, ukuba nje ngokufutshane. Oku kuvuswa kungabonakali ngumntu onomphefumlo we-apnea njengoko kwenzekayo, ngaphandle kokuba iinguqu ezingapheliyo zokulala ubangela ukulala ngokugqithiseleyo kwemini kunye neminye imiphumo.
Umzimba uphendula ngentswelo kula maxesha okuphefumla. Kanye njengoko unokuyinciphisa xa ubetha phantsi kwamanzi, umzimba wakho wenza konke okusemandleni akho ukusetha ukuphefumla kwakho. Kukho i-hormone yoxinzelelo (ebizwa ngokuba yi-cortisol) kwaye izinga lentliziyo yakho kunye noxinzelelo lwegazi lunokuthi luqhube njengoko umzimba wakho uphakamisa i-alamu.
Njengoko uvuse, izihlunu kwindlela yakho yokuhamba umoya ziphinde ziphinde zivule ityhulwa. Kodwa, njengoko ulala ulale, iingcinezelo ezifanayo zingabangela ukuba iphinde iwale kwakhona. Ngako oko, umjikelo uqhubeka ubusuku bonke njengoko ukuphefumla kwakho kugxilwe, umzimba wakho uvuse, kwaye uphinde ulale ukuphazamisa ukuphefumula kwakho kwakhona.
Kulabo abambona umntu ophethwe yi-apnea yokulala, kunokubakho ixesha lokuthulisa elilandelwa ngumsindo okhulu. Oku kuphefumula kwakhona emva kwexesha le-apnea. Kungenzeka amawaka ngamaxesha ngobusuku bonke. Kwisifundo sokulala esiqhelekileyo njengepolysomnogram , isantya sokuphefumula ukuphefumula singalinganiswa nesilinganiselo esibizwa nge- apnea-hypopnea index (AHI) .
Izinto ezongezelelweyo ezichaphazela ukuphefumula kwi-Apnea yokulala
Kukho ezinye izinto ezibangela ukulala kwe-apnea engakwazi ukulawulwa, njengokwakhiwa kwe- anatomy yakho ye- airway . Nangona kunjalo, kukho ukhetho oluthile olunokubangela ukuwa kwe-airway, njengokusetyenziswa kotywala . Ukongezelela, ukulala emhlane wakho kunokufaka isandla. Ukuba ukhuluphele okanye ukhuluphele, oku kungakhokelela kwiingxaki. Ukongezelela, kukho iindlela zokwenza unyango lokulala ngomoya wokulala njengengcinezelo eqhubekileyo yomoya (CPAP) osebenza ngokugcina umoya ovulekile. Kukho uphando olutsha malunga nokusetyenziswa kwezixhobo ezifana ne-hypoglossal nerve stimulators ezenza izidumbu zomoya ngexesha lokulala.
Ukuba ukhathazekile ngokuphefumla kwakho okanye umntu othandayo ngexesha lokulala, kufuneka udibane nodokotela wakho malunga nemeko kunye neendlela zakho zokonyango.
Ufuna ukufunda ngaphezulu? Jonga i- UpToDate isihloko esithi, "Ukulala nge-apnea kubantu abadala," ukwenzela ngolwazi olongezelelweyo olunzulu lwezokwelapha.
> Umthombo:
> Schmidt-Nowara W, et al . "Ukulala i-apnea kubantu abadala." UpToDate .