Xa umntu enesifo sokuphefumula sokulala , ukusetyenziswa ngonyango oluqhubekayo kukusetyenziswa kwindlela yokwelashwa yomoya oqhubekayo (CPAP) . Xa isebenza kakuhle, i-CPAP ingaba yityhilelo. Impendulo engcolileyo inokuvakalelwa ngathi ikhuselo liphakanyiswa, kodwa abo abanenzuzo enkulu banokuziva ngathi ukukhanya kuvuliwe kwigumbi elimnyama. Ngelishwa, akubona wonke umntu onandipha impendulo enenzuzo kunyango.
Kutheni kunjalo? Fumana izizathu zokuba ungazive ungcono emva kokusebenzisa unyango lwe-CPAP ukuphatha i-apnea yakho yokulala kunye nokuba kuthatha ixesha elingakanani ukuphawula ukuphuculwa.
Awunayo i-Apnea yokulala
Nangona kungenakwenzeka, kunokwenzeka ukuba awuqapheli inzuzo kwi-CPAP yokwelapha ngenxa yokuba ungafumani kakuhle nge-apnea yokulala. Kwakhona kungenzeka ukuba imeko ihambe . Kukho ukuhlukahluka kobusuku nobusuku kwiziphumo zovavanyo lokulala. I-cent-center eya kwi- diagnostic polysomnogram yimiqathango yegolide yokuxilongwa. Inokukunceda ukuchonga utshintsho olusisigxina kwiindlela zokulala kunye neepsiphu zomoya, ukuphefumula okungaqhelekanga, ukuphazamiseka komzimba, kunye nokunyuka komlenze. Ukuvavanya kwe-apnea yokulala ekhaya , nangona kulungelekile, kunokuba kuchaneke. Ukuba unombuzo wokuxilongwa, okanye ukuba ubunzima bezinto ezifana nesisindo sakho sitshintshile, cinga ukuhlaziywa kwakhona.
Awunayo Ubuthongo
Ukulala ngokweqile emini ngenxa yobuthongo obuqhekekileyo ngenye yeempawu eziqhelekileyo ezinxulumene ne-apnea yokulala engaphelelwanga.
Nangona kunjalo, akubona wonke umntu unalo uphawu. Umgangatho wokulala ungancitshiswa kakhulu ngenxa yokuvuswa okungahambelani nokuphefumula okungavamile. I-apnea yokulala ebuncinane ingadibana nokuvukela amaxesha angama-15 ngeyure ukuqhubeka nokuphefumla! Kwakungeke kumangalise ukuba ukulala kwakungenakubuyiselwa, nokuba ngaba uneeyure ezisibhozo.
Ubuthongo buya kuhlolwa ngophawu lwe - Epworth . Ukuba awuyi kulala ngaphambi kokuba uqalise unyango, awukwazi ukuqaphela umahluko omkhulu emva kokuwusebenzisa.
AwuyiSebenzisi ixesha elide Ubusuku bonke
Kunokuba nzima ukulungelelanisa unyango lwe-CPAP. Ukuvuka ebusuku kungabangela ukuba kususwe imaski. Abantu abaninzi bayithatha ukuya ekuseni, bazikholise ukuba, ngaphandle kwayo, banokufumana "ubuthongo obuhle". Ngelishwa, i-apnea yokulala idla ngokugqithiseleyo kwiiyure ezimbalwa zokugqibela zobusuku. Ukuhamba kwamehlo okukhawuleza (REM) ukulala kubonakala kwisithathu sokugqibela sobusuku. Eli nqanaba lokulala lidibene neephupha ezicacileyo kunye nokuphumula kwemisipha, ukukhusela ukunyanzelwa kwephupha. Iimisipha zomoya ophumayo kwaye oku kunokubangela ukonakalisa ukwanda kwe-apnea yokulala. Ukuba ususile imaski yakho ngaphambi kokusa, awukwazi ukufumana inzuzo. Kufuneka uzame ukwandisa ukusebenzisa, usebenzisa i-CPAP ukususela ekuqaleni ukuya ekupheleni kobusuku obunye, ukuze uhlole ukuba lunceda ntoni.
Ubuthongo bakho buxhaswa yiingxaki ze-CPAP
Ngelishwa, i-CPAP inokuvelisa isethi sayo seengxaki. Ngaphandle kokuncediswa okwaneleyo kunye nokungenelela, le micimbi inokukhazamisa ngokukhawuleza iinzame zakho zokunyanzela unyango. Ekuqaleni, akunakukhathazeka ukuphefumula ingcinezelo, kodwa oku kuphuculwe kunye nokusebenza.
Uninzi lwabantu abajamelana nobunzima balwa ne- mask of CPAP . Ukuba ayilungiswanga kakuhle okanye ingatshintshi, ingabangela intlungu, amanqaku ebusweni, izilonda okanye izilonda, kwaye zikhokelela ekuphumeni komoya. Ukufumana i-mask efanelekileyo kuthatha isikhokelo esincinane kwisixhobo somthengisi. Kukho inketho eninzi: imilenze yamasal, iimaski zomzimba, kunye nemaski egcwele ubuso. Ngaphandle kwe-mask, umswakama kunye nokushisa kwomoya kungadinga ukulungiswa ukuze kuphuculwe induduzo. Ukuxinaniswa kwe-nasal okanye ukuphazamiseka kungaholela emlonyeni ukuphefumla nomlomo owomileyo. Uxinzelelo oludlulileyo lunokubangela umoya ukugwinya (aerophagia). Le micimbi ingaba nzima ukulala nokugqithisa ukulala.
Ukuba udibana okanye udidekile, ubuthongo buba nzima nakakhulu. Finyelela kubanikezeli bakho ukufumana zonke iinkxalabo zakho ezibhekiselele kusenokwenzeka ukuze ufike kwikhondo elifanelekileyo.
Uphela Unomphefumlo Obuhlungu Bokulala
Kungenzeka ukuba umntu onobulwelwe obuthongo obunzima akayi kubona into eninzi evela kwi-CPAP. Ukuba une-apnea enkulu yokulala, kunye nokuphazamiseka kokuphefumula okungaphezu kwama-100 okuvela kwiyure yokulala, kwaye unyango lwe-CPAP lukhawuleza lucacisa inombolo engezantsi ezintlanu, uya kuphawula ukuhluka okuphawulekayo. Ukuba unomoya obuthongo obunzima, kunye neziganeko ezili-10 kuphela ngeyure, kwaye inani liyancitshiswa libe lihlanu, awukwazi ukufumana uphuculo olungakumbi. Abantu abaninzi bayaqaphela ukuphuculwa, nangona kuphefumula ukulala, ngoko ke akufanele kube isizathu sokuba unyango lwangaphambili. Cinga ngeenzuzo onokuzifumana, ngokuthelekisa imeko yakho yangoku kunye nonyango olufanelekileyo kwiimpawu zakho zokuqala, kwaye uqwalasele ukuba nayiphi na intuthuko kunye nokusetyenziswa kwe-CPAP kulungelelanisa ukuphazamiseka.
Unayo i-insomnia
Ukuqhaqhazela kuyisimangalo esivakalayo esingaqhelekanga sokuguliswa kwe-apnea yokulala. Abantu abaninzi bavakalisa ukuvuka ebusuku ngenxa yesizathu esingachazwanga. Oku kunokwenziwa ukukhunjulwa nganye iiyure ezimbalwa, kodwa kunokuba kwenzeke kakhulu kunoko kwaye kubangelwa ingxaki ngokukhethekileyo kusasa xa kungenakwenzeka ukubuyela. Ukuba ufumana isizathu esifumene kakuhle, kwaye ugweme ukungabikho kwamapilisi okulala, unokuba nzima ukunyanga. Abantu abanokuqwashwa bavukile ebusuku kunye nemini, ngoko ukulala kungabonakaliswa. Ukuba sele sele unenkathazo yokulala ekuqalekeni kobusuku, oku kunokuba kubi kakhulu ngokugqoka imaski evuthela umoya ebusweni bakho. Ukulala iipilisi kunokunceda ukuphucula utshintsho, kwaye unyango lokuziphatha ngokungazinzi (CBTI) lunokukunceda ukuba ukulala kwaso kuqhubeka.
Awunayo i-CPAP ibeke ngokufanelekileyo
Kubuhlungu ukuthetha, kodwa abantu abaninzi abanakufumana uncedo olungakumbi kunyango ngenxa yezicwangciso ezingafanelekanga zomshini we-CPAP. Ezi zicwangciso ziyalelwe ngugqirha kwaye zinokumiselwa ngophando lokubhaliweyo apho kukho utshintsho kwinqanaba lokunyanzeliswa lwenziwa ngelixa uhlola ukuphefumla kwakho. Kungenzeka kwakhona ukuba ubeke uluhlu oluqhelekileyo lwezitshixo zoxinzelelo kwaye ulungelelanise njengoko ubuya ukulandelelana kwaye idatha yokusetyenziswa ihlaziywa. Xa ifowuni isetyenziswe kwisilungiselelo esingagqibekanga, ngokuqhelekileyo isusela kwi-4 ukuya kwi-20 okanye i-25 cm yexinzelelo lwamanzi, oku kungenako. Ukuba isibonakaliso se-apnea-hypopnea (AHI) siqhubeka ngaphezu kweziganeko ezi-5 ngeyure, ukulungiswa komxhesho kufuneka kutshintshwe. Eyona nto, injongo kukuba kufumaneke le nombolo ephantsi, kwaye abaninzi abantu baya kuxhamla kwisimo esiphezulu esiphumela kwi-AHI kufuphi ne-1 okanye i-2 imicimbi ngeyure.
Awunakukhathazeka Ngama-Apnea Alele Ngaphambi Kwonyango
Nangona kungamangalisi, abanye abantu bafuna unyango lwe-apnea yokulala okanye bahlaziye kuphela ngenxa yeempembelelo kwiqabane labo lokulala. Ukukhawuleza nokuphazamisa ukuphazamiseka kunokuchaphazela ubudlelwane. Kungakhokelela ekuhleleni kwamalungiselelo okulala. Ingonakalisa iholide okanye uhambo lokuhamba. Njengoko kukhankanywe ngasentla, abanye abantu abayiyo impawu evela kwi-apnea yabo yokulala. Bangaba neempembelelo zempilo, ezifana nokunyuka kwengcinezelo yegazi okanye umngcipheko omkhulu wesifo sikashukela okanye i-fibrillation ye-atrial, kodwa abanokwazi ukuba bangenayo ingxaki ngokulala kwabo. Ukuba uqala ukusuka kwimeko yokuvakalelwa, kunzima ukuphawula nayiphi na inkqubela yophuhliso. Cinga iimpawu ezinjengokugubungela, ukulala emini, ukuvuthwa rhoqo, ukuvuthwa ebusuku, kunye namazinyo okugaya njengoko kunokwenzeka izibonakaliso zobomi bokulala. Ungakwazi kwakhona ukuphawula, ukuxinwa, kunye neengxaki zeememori zesikhashana ezivela kwi-apnea yokulala engapheliyo.
Uphuhlise i-Complex Intlanu yokulala
Kunokwenzeka ukuba unyango lwe-CPAP lubangele imeko ehlukile. Uninzi lwabantu abane-apnea yokulala baqala ukuba neziganeko eziphazamisayo, ngenxa yokuwa kwe-airway engenhla (ngokuqhelekileyo umqolo womlomo kunye nolwimi). Oku kunokuncitshiswa ngomoya oqhubekayo owenziwa yi-CPAP. Ngelishwa, abanye abantu baya kuqala ukuphefumula ngokunyanzezela xa belele. Ngenxa yoko, i-apnea yobuthongo obunzima buyakwenzeka . Kuza kubakho ukuyeka ukuphefumula okungapheli imizuzwana eyi-10 apho akukho mzamo (akukho ntshukumo yesifuba okanye isisu) ikhona. Ukuba ezi ziganeko zenzeka ubuncinane amaxesha ama-5 ngeyure, ngaphandle kokuphikelela kwe-apnea yokulala ebangelwayo, imeko ikhoyo. Ngethamsanqa, iyanqumla kuma-98 ekhulwini abantu abanokunyango oluqhubekayo, rhoqo kwiinyanga eziliqela. Kwiimeko ezinqabileyo, unyango lwe-bilevel luyomfuneko ukuyicombulula.
Usanda Kuqala UkuSebenzisa
Kwezinye iimeko, abantu banokulindela iziphumo ngokukhawuleza kwi-CPAP unyango, kodwa oku akunjalo. Ukuba i-apnea yokulala ikhulu kakhulu kunye neempawu ezibalulekileyo ngaphambi kokuba unyango, ukuphuculwa okuphawulekayo kunokwenzeka. Xa kunengqiqo, kungathatha ixesha elide ukubona ukuphuculwa. Ukuba usebenzise kuphela unyango iintsuku ezimbalwa, kwaye ngakumbi ukuba awukwazi ukuwusebenzisa ubusuku, zinike ixesha elingakumbi. Kungathatha iiveki ezimbalwa ngaphambi kokuba uqaphele ukuphuculwa.
Ukuba awuqapheli inzuzo kwonyango lwakho, thetha noogqirha wakho ogqirha ukulala malunga neendlela zokunyanga kwakho.