Abasetyhini bavikelekile kwi- apnea yokulala ebomini babo ubomi, kodwa ukufika kokumisa isikhashana kubonisa ukuqala komngcipheko wokwanda kweengxaki. Ukusukela kwimiba kuthintela njani ingozi ephezulu yokugubha kunye nokulala kwe-apnea kwabasetyhini? Ziziphi iimpawu ezinokuthi zibangelwa ukutshintsha kwe-hormone, ukuphuma kwindoda, okanye "ukukhula" nje kunokudibaniswa nokuphazamiseka kokuphazamiseka kokulala?
Funda malunga nale miba uze uthathe isigqibo sokuba ngaba ubuthongo bakho bufuna ukuphonononga okuthe gqolo.
Kutheni Ukuziyeka Kwexesha?
Ngenkcazo, ukuphela kwesisu kukungabikho kwexesha lokuya esikhathini kwabesetyhini kwiinyanga ezili-12 ezilandelelanayo. Iphawula ukuphela kokuzala kwaye iyenzeka xa ama-ovari asakhupha i-hormone i-estrogen kunye neprogesterone. EUnited States, umyinge ophakathi kweminyaka yokuqalisa ukuphuma kwimizuzu eyi-51. Kwamanye amabhinqa, uqala ukususela kwiminyaka engama-40 okanye ekupheleni kweminyaka engama-55 ubudala. Ibhinqa liyakwazi ukuphucula umxheshana ngexesha elifanayo kunye noodadewabo okanye unina. Ikwaqala kwakhona ngokukhawuleza nge-hysterectomy kunye nokususwa ngokukodwa kwamabini ama-ovari (oophorectomy).
Iimpawu zokuqeda ukukhulelwa kwexesha lokulala kunye ne-Apnea yokulala
Kukho iimpawu ezenzeka ngokuqhelekileyo ngaphambi kokuba kuphelelwe umva, ngexesha lokuphela kwexesha, okanye njengengxenye yentshukumo yokuzimela. Ezinye zeempawu ziquka:
- Ixesha elingavumelekanga (ukutshintsha kwexesha okanye ukuqina)
- Ukutshisa okutshisa okanye iintyatyambo ezitshisa (ukufudumala ngokubomvu nokukhupha)
- Ingxaki yokulala ( ukulala , ubusuku bokulala , ubuthongo bemini)
- Ukugxininisa okanye ukulahlekelwa kwememori
- Umoya utshintsho okanye ukuguquka kwemizwelo (ukugwenxa, ukudabuka)
- Iingxaki zengqondo kunye nezomchamo (ukomisa, izifo, ukungahambi)
- Ukunciphisa intshisekelo yesondo okanye ukungaphumeleli
- Intlungu ehlangeneyo okanye emisipha
- Osteoporosis
- Ukutyeba kwakho
Kuyathakazelisa, ezininzi zeempawu ziyakwenzeka nakwiintlungu zokulala .
Ubunzima bokuwa okanye ukuhlala ubuthongo ebusuku bungabonakalisa ukulala. Ukuvuswa kwamaxesha asemini kungabonakalisa uphawu lokuphazamiseka kokulala. Ngaphezu koko, ubusuku busuku, ubuthongo bemini, ukuphazamiseka kwengqondo, kunye nezikhalazo ezinengqondo ezinjengeenkxalabo ezingahambi kakuhle okanye iingxaki ezinokubakho ukukhumbula okufutshane. Ngenxa yolu hlobo, kubalulekile ukuqaphela iimpawu ezongezelelweyo ezinokubakho kokulala kwe-apnea .
Iimpawu Zongezelelekileyo Zokulala Nge-Apnea
Ngaphandle kweempawu ezichazwe ngasentla, zikhona ezinye iimpawu zokulala kwe-apnea . Okuqhelekileyo kubandakanya ukuhluma okukhulu, ukubonela ukuyeka ukuphefumla, kunye neziqwenga zokutshiza okanye ukukhahlela ebuthongweni. Kungenxa yokuba ezi zigcinwe, akuthethi ukuba ukuphefumula okuphazamiseka ukulala akukwenzeka.
Ezi ziganeko zibangela ukuhlukana kokulala kwaye oku kunokukhokelela ekuphumeni ubuthongo, ubuthongo bemini kunye ne-naps. Ukongezelela, umlomo owomileyo ebusuku, ukugaya okanye ukuzinya kwamazinyo, kunye nokuvuthwa rhoqo ebusuku. Ukunyuka kwexabiso kunye nokulahlekelwa kwetoni ye-muscle, inxalenye evakalayo yokuguga, kunokukwenza ukuba i-apnea yokulala ibe nzima.
Ngokuqhelekileyo abafazi babonisa ubunzima babo kwiinguqulelo ze-hormonal okanye ukuba bahlala bekhulile. Ngethamsanqa, iimpawu ezenzeka ngenxa yokulala i-apnea ziza kusombulula ngonyango olusebenzayo njengengcinezelo ehamba phambili yomoya (CPAP) okanye ukusetyenziswa kombane .
Ukunyuka Kwenyuka Kwenyuka Ukulala Kwe-Apnea?
Amanqanaba aphezulu e-estrogen kunye neprogesterone ikhusela abasetyhini ngaphambi kokuqala kokuphuma kwesisu. Ezi ihomoni zigcina ithoni ye-airway kunye ne-keep it from falling. Nangona kunjalo, njengoko la manqanaba ehla ngethuba lokuphela kwexesha kwaye ahla aye kumazinga aphantsi kakhulu njengenxalenye yokumisa umyeni, iziganeko zokugonya kwe-apnea zikhuphuka.
Kuhlolisiso lwabasetyhini bamaqela ahlukeneyo, ukuxhaphaka kwe-intnea yokuphazamisa ubuthongo obunzima (i- AHI > iziganeko ezili-15 ngeyure) kwanda ukusuka ku-0.6% kulawo ma-20 ukuya kuma-44, ukuya ku-2% kulawo ma-45 ukuya kuma-64, kwaye ukuya ku-7% kule 61 ukuya ku-100.
Ngaphambi kokuba ubonise ukunyuka ukuguga yodwa, cinga indima yamahomoni.
Ubuninzi be-apnea yokulala babephantsi kwabesetyhini abasengaphambili be-menopausal kwi-0.6%, abaphakathi kwala mabhinqa angama-post-menopausal kwi-hormone yonyango yokutshintshwa (1.1%), kunye neyona ndlela ephezulu kuma-post-menopausal abesifazane abangenayo i-hormone esikhundleni sika-5.5%.
Kufuneka Uvavanyo Oluqhubekayo Ngomxholo Wokulala
Ukuba unenkxalabo yokuba ezinye iimpawu zakho zokuphuma kwindoda zingase zibe ngenxa yokulala, kufuneka uthethe nodokotela wakho ngokufumana uvavanyo olufanelekileyo. Kunokuba luncedo ukuthetha ngongcali yokulala kwaye ufumane ukuxilongwa okwenziwe ngesifundo sokulala .
Njengoko kuchaziwe ngasentla, kukho unyango olufanelekileyo lwe-apnea yokulala ekwazi ukukhupha ezinye zeempawu ezenza kube nzima kunzima ukuba ngumyeni.
> Imithombo:
> Bixler EO et al . "Ukuxhaphaza kokuphefumula okuphazamisekileyo kubuthongo: iziphumo zesini." U- J Jrrrr Crit Care Med 2001; 163: 608-613.
> IsiPunjabi, iNM. "I-epidemiology ye-Adult Obstructive Sleep Apnea." Iinkqubo ze-American Thoracic Society . 2008; 5 (2): 136-143.
> Womenshealth.gov. "Ukunquma kwexesha." I-Ofisi yeMpilo Yabasetyhini, Isebe Lempilo Yase-US kunye Neenkonzo Zoluntu.