Iinguqu zeHormonal, Isisindo Sinokuthi Ukuphazamise Ukuphuza Ukulala
Ukuphefumula ngexesha lokulala kunokutshintsha ngexesha lokukhulelwa: xa ukhulelwe, kunokukho ukuhamba ngokucacileyo ukusuka kwi-soft-to- snoring ephezulu , kunye nokuphazamiseka okanye ukuphazamiseka kokuphefumla okubonisa imeko ebizwa ngokuba yi- apnea yokulala . Ukuphulukiswa kwe-apnea njengoko kwenzeka ngexesha lokukhulelwa kuye kwaqaphela ngokucacileyo izinto ezinobungozi, iimpawu kunye neyeza. Fumana indlela ukukhuselwa kwe-apnea yokuphazamiseka kubangelwa ukuthintela ukukhulelwa kwaye yintoni enokuyenza ukuze uphathe kakuhle le meko ukuqinisekisa impilo yemama nomntwana.
Izinto Zingozi Ze-Apnea Yokulala Ekukhulelweni
Ukunyuselwa kwanda ngokukhawuleza kwinqanaba kunye nokuvama ngexesha lokukhulelwa, kwaye xa i-airway iphazamiseka ngakumbi, i-apnea yokulala ingenzeka. I-apnea yokulala ibonakaliswa yimpumlo yokuphefumla ngexesha lokulala okugcina ubuncinane imizuzwana engama-10, kwaye ehambelana nokuvuswa (okubizwa ngokuba yi- arousals ) kwaye iyancipha kumanqanaba e-oksijini yegazi (ebizwa ngokuba yi- desaturations ). Ukuphulukana ne-apnea yokulala ingabangela imiphumo ebalulekileyo, kwaye abanye abafazi basenokuba yingozi enkulu ekuphuhliseni imeko.
Ngethamsanqa, umngcipheko wokuba i-apnea yokulala ngexesha elingaphantsi kokukhulelwa liphantsi, ngenxa yezinto ezimbalwa: okokuqala, amanqanaba eprogesterone aphakamileyo ngexesha lokukhulelwa-imeko ebonakalayo ekhusela, ekubeni i-hormone isebenza izihlunu ezithintela umoya. Ukongeza, i-progesterone ikwandisa ukuphendula kwengqondo kumanqanaba e- carbon dioxide , kwaye ukuhanjiswa kwe-oksijini kumathambo omzimba kuphucula nokunyuka kwentliziyo kunye nokwandiswa kwemithambo yegazi.
Okwesibini, ngenxa yokuphazamiseka ngokomzimba okubandakanya ukukhulelwa kwexesha elide, ixesha elifutshane lichitha ixesha lokulala emva , elidibene nomngcipheko wokwanda kwe-apnea yokulala.
Ukulala kwe-apnea kunokwenzeka. Nangona ukusabalalisa ngokuchanekileyo kungaziwa, kuqikelelwa kuthintela i-10% yabasetyhini abakhulelweyo. I-apnea yokulala idla ngokuphindaphindiweyo kubasetyhini abagqithiseleyo okanye abagqithiseleyo, kwaye ukufumana ubunzima obuninzi ngexesha lokukhulelwa kunokunyusa ingozi.
Abasetyhini abanomsila omkhulu weentamo banokuphelelwa kakhudlwana kwe-apnea yokulala. Ukongezelela, ukuxinwa kwamanzi ngenxa yamanqanaba aphakamileyo e-progesterone kunokufaka isandla kwiimeko. Imiqulu yemingcipheko ingancitshiswa ngenxa yoxinzelelo oluvela kumntwana okhulayo, obangela ukunyuka kokuphefumula. Ukubonakalisa ukutshaya kwakhona kuyingozi ebonakalayo yokuphuhlisa i-apnea yokulala.
Iimpawu zokulala kwe-Apnea ekukhulelweni
Abasetyhini abanexinzelelo zokuphefumula ekuphumeni bavelisa iimpawu ezifana nemeko xa kwenzeka kwezinye iimeko. Ezi zimpawu ziquka:
- Ukulingana
- Ukuphelisa ukuphefumula okanye ukuphefumula kokuphefumula ebuthongweni
- Ukukhupha ngokukhahlela, ukukhahlela okanye ukuyeka
- Ukulala ngokugqithiseleyo kwemini
- Ukuvuthwa rhoqo ebusuku ( nocturia )
Le meko iyakwazi ukuxilongwa. Kungabaluleka ukuba ufune ukuvavanya kwisifo sokulala, ingakumbi emva kwenyanga yesithandathu yokukhulelwa, xa iimpawu ziba nzima. Abasetyhini abasemngciphekweni benokukhuluphala, i-preeclampsia, isifo sikashukela, nesifo sokusweleka kwe-intrauterine kufuneka sihlolwe. Oku kungabandakanya isifundo sokulala ebusuku esibizwa ngokuba yi- polysomnogram .
Unyango lwe-Apnea yokulala nokulala
Kubalulekile ukuphatha ukukhulelwa kwe-apnea ephathelene nokukhulelwa, njengoko kunokufaka isandla kwimiphumo emibi kumama nomntwana.
Ukugonya kwe-apnea kudibene nokuxinzeleleka kwegazi, isifo sikashukela, kunye namaqela aseKhesari angacwangciswanga. Kungakhokelela ekukhuselweni kokukhula komntwana kunye nokusebenza kwexesha elide. Abasetyhini abachaphazelekayo banokuphuhlisa i-hypoestilation syndrome .
Emva kokunikezelwa kunye nokulahleka kokunyuka kwesisindo, i-apnea yokulala iya kuphucula. Uphando lubonisa ukuba umlinganiselo wobunzima bokugula obumnyama obubizwa ngokuba yi- apnea-hypopnea index (AHI) iyaqhubeka emva kokunikezelwa.
Ngexesha lokukhulelwa, kunokuba luncedo kubafazi ukuba balele emacaleni abo. Ukunyangwa kwimivuzo yegolide kukusetyenziswa koxinzelelo oluqhubekayo lwe-airway (CPAP) . Kwiimeko ezinzima kunye nokukhuluphala okunxulumene noko, okanye ukukhulelwa ngamawele, unyango lwe- bilevel lungasebenza .
Izicwangciso zoxinzelelo ezisetyenziswe kule zonyango ziya kufuneka zilungiswe ngexesha lokukhulelwa. Njengoko uzuko lobunzima bomzimba luyenzeka, uxinzelelo luya kufuna kwakhona ukwanda. Kwiimeko ezinqabileyo, ukusetyenziswa kwe-oksijeni eyongezelelweyo, okanye inkqubo yokuhlinzwa ebizwa ngokuba yi- tracheostomy , ingafuneka .
Ukuba uvakalelwa ukuba unempawu okanye iimpawu ezibonisa ukulala kwe-apnea ngexesha lokukhulelwa, kufuneka uqhagamshelane nogqirha wakho ukuze uxoxe ngokulungelelanisa iimvavanyo ezifunekayo kunye nonyango ukukunceda uphumule kwaye uphefumule lula.
Umthombo:
Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." I-ExpertConsult , i-5th edition, 2011, iphe. 1576-1577.