I-Anatomy igalelo kodwa ezinye izizathu zingabuyekezwa
Umbuzo oqhelekileyo ophakanyiswe ngabantu abaninzi abane-diagnosis: Ngaba i- apnea yokulala ihamba? Funda okufutshane malunga nezizathu zokubangela ukulala, nokuba ngaba kunokukwazi ukuhamba, kwaye ziphi iingozi ezinokuthi zitshintshwe ezinokuphucula ukuhlaselwa.
Ukuqwalasela Iingxaki Zobuthongo Bokulala
Ukuphefumula kokuphefumula ukuphefumula kwenzeka xa kukho nayiphi na inxalenye yendlela yokuhamba ngomoya ukusuka kumphunga wempumlo ukuya emiphakeni iyawa ngexesha lokulala kwaye iphazamise ukuphefumla.
Ngaloo ndlela, kubakho ngenxa yomntu osisiseko somntu. I- septum ye-nasal ekhethiweyo okanye i- turbinates ephakamileyo kwimpumlo inokuphazamisa ukukhutshwa komoya. I-floppy soft palate, iitoni ezinkulu okanye i-adenoids, okanye ulwimi olubanzi lunokubhenca loo ndoda emqaleni.
Ubuncwane bomoya womoya ngokwawo lunokuba ngumqobo. Ukunyuka kwexesha elingapheli kukukhokelela ekudakaleni komoya kunye nomonakalo. Oku kunokuba negalelo ekukhuphukeni kwinqanaba elincinci ngakumbi. Ngexesha, ama-receptor ne-receptors angakwazi ukuziphendulela, kwaye izihlunu zingenako ukugcina ithoni eyaneleyo ukuze ixhase indlela. Ukuzuza ubunzima, ngakumbi xa kukhokelela entanyeni enkulu , kunokubangela ngakumbi ngakumbi imeko.
Ukulala emhlane wakho kungavumela ulwimi ukuba lubuyele e-airway, olongezelelekileyo lunokubangela ukuphazamiseka nokulala. Ukusetyenziswa kotywala , ingakumbi kwiiyure ezimbalwa ngaphambi kokulala, kunokukwenza ukuba izidumbu zomoya zenzeke ngakumbi.
Yonke le mivuzo kufuneka ifakwe ingqalelo xa iqwalasela ukuba i-apnea yokulala ingahamba.
Ngaba Ubuthongo Bokulala Ubunzima?
Ngokona nxalenye, ukulala nge-apnea yimeko engapheliyo engahambiyo. I-Anatomy ihlala ihleli, ngakumbi emva kokuba umntwana sele ephele. Ngoko ke, abantwana abane-apnea yokulala bangaba nethemba lokuba imeko ifike ngokuphumelelayo kwaye iphathwe ngokufanelekileyo.
Ukususwa kweetoni kunye ne-adenoids kunye ne-tonesillectomy kunye ne-adenoidectomy inokuba luncedo kakhulu kubantwana. Unyango lwezonyango kunye nokwandiswa kwesilonda esinzima kunye ne-orthodontic therapy ebizwa ngokuba yandisa ngokukhawuleza maxillary ingaba luncedo. Emva kokukhula kuphelile, kukho izinyathelo zokongeza ezonyango.
Abaselula abagqibile ukukhulelwa kunye nabanye abantu abadala banokukhethwa kwindlela yokuhlinzwa eyenzekayo. Eyona mpu melelo ngunyango oqhutywe phambili . Le nkqubo, ebizwa ngokuba yi-maxillo-mandibular, ingaba yimpumelelo kakhulu, isombulula i-apnea yokulala ebangaphezulu kwama-80% abantu. Iquka ukuhlinzwa okukhulu apho amathambo omhlathi aphulwa khona, aqhube phambili, aze agqitywe endaweni, ngokuqhelekileyo kunye nezicathulo zeetanium kunye namacwecwe. Oku kuguqula ubuso obuso. Ukubuyisela kuthatha iinyanga ezimbalwa.
Olunye uphando lungasetyenziselwa ukutshintsha i-anatomy, kodwa, ngokubanzi, le nkqubo ayisebenzisekanga. Ezi zikhethi zibandakanya utyando kwi- palate edibeneyo njenge-uvulopalatopharyngoplasty (UPPP) kunye ne-septoplasty ukulungisa i-septum ekhethiweyo. Ukongezelela, ukuxhoma kwe-radiofrequency of turinates yamanzi kungabangela ukukhululeka kokuxininiswa kwamanzi kunye nokuphazamiseka.
Ukuxhaswa kwesiseko seelwimi kunye nokunyakaza kweelwimi ezimbi (ezibizwa ngokuba yi- hyoid phambili) nazo zenziwa ngamanye amaxesha.
Ukongezelela, kukho izinto ezinobungozi ezinokuguqulwa nezinye iinguqu ezingadingi ukuhlinzwa.
Ukutshintsha iiMngcipheko zobungozi be-Apnea yokulala
Ngaphandle kokuhlinzwa, kukho ezinye izinto ezinokutshintshwa eziza kunciphisa ubunzima okanye nokuba nobukho bomoya bokulala. Ukuba ukhuluphele okanye ukhuluphele, ukulahleka kwesisindo kunokuba yinxalenye ebalulekileyo yokulungisa i-apnea yokulala. I-Fat okanye i-adipose tissue iyakwazi ukuhamba kwindlela yokuhamba, igalelo ekunciphiseni kunye nomngcipheko wokuwa kwe-airway. Ukulahlekelwa kwesisindo kunokuba nefuthe elihle kule mngcipheko.
I-tone ye-muscle ehamba ngeendlela zangaphakathi ingahlaziywa ngokusebenzisa umsebenzi ojoliswe kuyo. Izifundo ziye zabonisa iziphumo ezintle zetyhula zokusebenzisa ukuphefumula ezisetyenziselwa ukudlala i- didgeridoo kunye nokuzilolonga kolwimi olubizwa ngokuba yi- myofunctional therapy .
Ngelishwa, inqwaba yemisipha kunye nefuthe ilahleka ngokuguga, kwaye ngaphandle kokuchasene nale miphumo, ngokuqinisekileyo oku kukukhokelela ekwenzeni ukwanda kokulala kwe-apnea. Ukongezelela, abafazi abadlulayo kwiminyaka yokuyeka umyeni ngexesha lokukhuselwa kweprogesterone kunye ne-estrogen, banokuthi banokuphuphuma kancinci kwe-apnea yokulala nokuguga.
Ukugcina isicatshulwa esiswini evulekileyo ngokunyanga i-allergies ne- nasal steroids sinokukunceda. Imithi efana neNasonex , iFlonase , kunye neRhincocort inokuba luncedo kulo mbandela. Ukuchasana nemiphumo yokudakalisa ekukhuseleni umoya, ngokukodwa ekutshintsheni ulwimi emva, kuya kuba luncedo ukulala emacaleni akho. Ukongezelela, ukuphakamisa intloko yebhedi ukuya kuma-30 ukuya kuma-45 degrees ngokuyifakela kwiincwadi okanye nakwiibhloko ze-block kungasiluncedo.
Ekugqibeleni, nangona i-apnea yokulala ayinakukhuselwa kwiimeko ezininzi, iindaba ezilungileyo kukuba kusekho unyango osebenzayo: uxinzelelo oluqhubekayo lwengqondo (CPAP) . Ukuhamba rhoqo komoya kugcina umoya uvule kwaye uvimbele ukuwa kwawo. Ngokufana neendidi zeglasi, isebenza kuphela xa isetyenziswe, kodwa inokusebenza kakuhle kubantu abanokunyamezela.
Ukuba unemibuzo emalunga nokunyangwa kwe-apnea yokuphazamiseka kokulala, ungathetha ngolwazi lwakho lokulala malunga neendlela zokonyango ezikhoyo kuwe. Ngethamsanqa, kukho iindlela ezininzi zonyango ezikhoyo, nokuba ngaba yimeko engazange ihambe yodwa.
Umthombo:
Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." Elsevier , edition 5. 2011.