Amanqanaba e-oksijeni kunye neengxaki zezeMpilo zexesha elide
Ukuba kwenzeka ukuba ubungqina bokuzibonela, kunokusinda kunene ukujonga umntu eyeka ukuphefumula ngexesha lokulala. Yintoni eyenzekayo xa uyeka ukuphefumla ebuthongweni bakho? Kutheni kwenzeka? Funda ngezinye zezizathu ezinokubakho, kubandakanywa ne- apnea yokulala , kwaye yiyiphi imiphumo emfutshane kunye nexesha elide.
Xa Ukuphefumula Kuyeka Ukulala
Ukuphazamiseka okuphefumulayo kunokuqhelekileyo kubonwa ngexesha lokulala.
Eyona nto iboniswe rhoqo ibonisa ukunyusa . Xa izicubu zendlela ephezulu ziduduma ngexesha lokuphefumula, oku kubangela ukuba kukhwankqiswe. Kwakhona kunokwenzeka ukuphefumla ukuyeka, kodwa yintoni ebangela ukuba oku?
Ukuphefumula ngokuphefumula ngexesha lokulala kuthiwa i-apnea yokulala, ukusuka kwisiGrike ukuba "akukho moya". Ezi ziganeko ngcaciso yokugqibela ubuncinane imizuzwana engama-10 kodwa zingapheli ukuya emininzi imizuzu. Ngokuqhelekileyo, oku kungenxa yokuphazamiseka kokuphazamiseka kokulala kwe-apnea (OSA). I-OSA iyenzeka xa izicubu zendlela ehamba phambili-ulwimi, i-palate ethambileyo, kunye nokuvula-ukuwa kunye nokuphazamisa ukuhamba kwe-air evamile. Kukho ukuzama ukuphefumula, kunye nesifuba nesisu esishukumisayo, kodwa umoya awuqhelekanga udlule umqobo phakathi komqala. Ngenxa yoko, ukuhamba komoya kungancinci okanye kungabonakali ukuba kuhamba kwimpumlo okanye emlonyeni ngeli xesha.
Kukho ezinye izizathu ezibangelwa ukuphefumula okuphazamisekileyo ebuthongweni ukuze uqikelele.
Ngokuqhelekanga, iphethini yokuphefumula ingaba yinto engavamile ngenxa yokusilela kwengqondo yenkohlakalo ukukhuthaza ukuphefumula. Oku kwenzeka kwi -apnea yokulala phakathi , ukuphefumula kwe-Cheyne-Stokes, kunye ne-congenital central hypoventilation syndrome . Iimeko ezimbini zokuqala zinokuthi zikhoyo kwiintliziyo ezingaphumeleli, kunye nokusetyenziswa kwamachiza, okanye kufutshane nokufa.
Ingxaki yokugqibela ayifumaneki kubantwana abathile ekuzalweni.
Ngokuphefumula okungafanelekanga, izinga le-oksijeni yegazi liyancipha. Iintsholongwane zengqondo ziyabona ukuba ukuphefumula okungapheliyo kwenzeka, ngokunyuka kwamazinga e- carbon dioxide , kunye nokukhuthaza ukuvusa. Oku kwenzeka nge-horstone enkulu ye-cortisol. Le mpendulo yokuxininisa igxininisa izinga lentliziyo kunye noxinzelelo lwegazi kwaye ingakhokelela kwezinye iingxaki ngaphezu kwexesha elide. Umntu ojongene nalo unokuvusa ukuphazamisa okanye ukukhahlela kwaye umbonisi angangqina ngokukhawuleza nokunyakaza komzimba.
Xa Ukulala Kwama-Apnea Kuba Nzulu?
Ubunzima be-apnea yokulala buhluka. Kucingelwa ukuba kuqhelekile ukuba iiphampo zokuphefumula zifike kumaxesha ama-5 ngeyure kubantu abadala kunye kanye ngeyure kubantwana. Ezi ziganeko zinokuthi zibe khona njengenxalenye yokuguqulwa kwesiganeko sokulala. Ukuba ukuphazamiseka ukuphefumula kwenzeka kaninzi, ukulala kwe-apnea kungafumaneka ukuba ufunde ukulala . Ezi zintlu zilandelayo zisetyenziselwa ukuhlukanisa i-apnea yokulala ngokusekelwe kwi- apnea-hypopnea index (AHI) :
- Ubumnandi: iziganeko ezi-5-15 ngeyure
- I-Moderate: Iziganeko ezi-15-30 ngeyure
- Ukhulu: Iziganeko ezingaphezu kwezi-30 ngeyure
Kwakhona kubalulekile ukuqaphela izinga lokunyanzelwa kwe-oksijini eyenzekayo ngeziganeko. Xa amaqondo oksijini awela ngaphantsi kwe-90%, oku kuthiwa yi-hypoxemia.
Kwiimeko zesifo okanye isifo seemiphunga, umgangatho we-oksijeni unokuhlahlela ngokugqithiseleyo kwisiganeko ngasinye se-apnea. Ngenxa yoko, kunokubakho uxinzelelo olukhulu olubekwe emzimbeni ubusuku bonke. Ukunyanzelwa kwe-oksijini engapheliyo kunokukhokelela kwimiphumo emfutshane kunye nexesha elide.
Ziziphi iziphumo ezimfutshane zokungapheli ukulala?
Akunakwenzeka ukuba kukho ukuyeka ukuphefumla kubakho ukuphefumula kokugqibela umntu athabatha. Kunoko, umcimbi unokuphela njengoko uchazwe ngasentla. Xa i-apnea ivela ngokungapheliyo, inokukhokelela kwezinye iingxaki zempilo , kodwa ingakhokelela ekufeni ngokukhawuleza?
Ukulala kancinci kwandisa umngcipheko wokufa ngokukhawuleza ekulele.
Inokuvusa i-cardiac arrhythmia ekhokelela ekubanjweni komsebenzi wenhliziyo, obizwa ngokuba yi-asystole. Ingakhokelela ekufayeleni kwe-agrification, i-heart attack (i-myocardial infarction), kunye ne-stroke. Ezi ziganeko zibonakala zikhuphuka ngokusa kusasa, okuhambelanayo xa ubuthongo be-REM bubonakala ngokuqhelekileyo kwaye xa kuqhutywe i-apnea yokulala.
Ezi ziganeko kunye ne-sleep apnea ngokwayo isifo esoloko sihlala iminyaka okanye kwamashumi eminyaka. Ngoko ke, akufuneki ukuba uxhalabele ngenxa yeziphumo zobusuku obunye bokuphefumula okuphazamisekileyo. Akufanelekanga ukuxothwa ngaphandle ngaphandle, nangona kunjalo.
Umngcipheko ongapheliyo wokuphefumula okuphazamisekileyo ekulala
Njengaye i-cigarette enye ayiyi kubakhokelela ekuphefumulweni kwakho komdlavuza wamaphaphu, ngobusuku obubodwa bokuba u-apnea ubuthongo alunakuthi ukuthethelela inhlekelele. Nangona kunjalo, ukutshaya usuku nosuku, unyaka emva konyaka kuya kubeka ithuba lokuphela. Ukukhathazeka okufanayo kunokuphakanyiswa ngenxa yokugula okungapheliyo okuphambene nokulala neempembelelo eziphezulu kwimpilo.
Kukho ubungqina bokuba ukuphefumula kokulala ixesha elide kunokuba nemiphumo ebalulekileyo yezempilo. Inokunyusa iziganeko zengcinezelo yegazi ephezulu (uxinzelelo lwegazi), isifo sikashukela, kunye neengxaki zeentliziyo. Inxulumene nokudakumba kunye neengxaki zeememori ezifana nesifo se-Alzheimer. Yandisa ubuthongo bemini kwaye ingabangela ingozi. Njengoko kuchazwe ngaphambili, kunokukhokelela ekuhlaselweni kwentliziyo, i-arrhythmias yehliziyo, kunye nemivimbo. Ngamafutshane, i-apnea yokulala ingaphelelwanga ingakubulala.
Ukuba wena okanye umntu omthandayo amava aphindaphindiweyo ekuphefumla, kufuneka ufune uvavanyo lwonyango. Ezinye iimpawu okanye iimpawu zingabhekisela ekuxilweni, kodwa isifundo sokulala siza kukunika impendulo ecacileyo malunga nesizathu. Ngethamsanqa, kukho iindlela zokwenza unyango olukhoyo, kuquka ukusetyenziswa kwe- CPAP okanye umbane womlomo .
Musa ukuphefumula ukuphazamiseka kokuphefumula ebuthongweni njengento engenakwenzeka; ixesha elide, iingxaki ezinzulu ziyakhula. Thetha nogqirha uze ufumane unyango olufunekayo ukuphefumula nokulala kangcono. Uyavuya ukuba wenze.
> Umthombo:
> Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." Elsevier , edition 5, 2011.