Iingxaki zibandakanya ukulala kwe-Apnea, i-Heartburn, ne-Postnasal Drip
Ukuba uye wakha wavusa ukulala ebuthongweni, akungabazeki ukuba wazibuza ukuba ngaba yintoni isizathu. Ingaba yinto eyoyikisayo kunye neendlela ezinokubangela. Funda ngo-one, i-laryngospasm ehlobene nokulala, kunye nokuba ingahambelana njani nezinye iingxaki kubandakanya ukugula kwe-apnea ne-nightcturn night. Ngokufumanisa i-trigger, sinethemba lokuba unokufumana unyango olufanelekileyo ukukhusela ukuphindaphinda kwakhona.
Yintoni Ebangelwa Ukukhethwa Kwokulala?
Kukho izimbalwa ezinokubangela ukukhahlela, ukugubha, okanye ukukhwehlela ngaphandle kokulala. Ngokuqhelekileyo, oku kwenzeka njengenxalenye yokuphazamiseka kokuphefumula kokulala . Xa izicubu ezithambileyo zomphefumlo ziwela e-airway, kuyimfuneko ukuvuka ngokukhawuleza ukuba uphinde uphefumle ngokuqhelekileyo. Oku kudla ngokukhawuleza xa i-palate epholileyo, uvula, kunye nolwimi uvimba umqala. Nangona kunjalo, ezinye izakhiwo ezinokuthi zingavimbela ukuhamba kwamanzi kwimiphunga kwaye zikhokelela ekuvuseleleni.
I-laryngospasm ehlobene nobuthongo iyenzeka xa izicubu kunye nezicubu ezinotsholongwane zijikeleza umkhontrakthi (okanye umbhobho womoya) okanye uphazamise kwaye unciphise isicatshulwa. Oku kunokubangela ukuphefumla okukrakra okufana nokugubungela , kodwa kubonakaliswe isandi esiphezulu esiphezulu nesichukumisayo esibizwa ngokuba yi-stridor. Kubonakala ngathi kwenzeka ngokuphindaphindiweyo ngexesha lokulala kwe-REM .
Xa ukuphuma kwomoya kuphazamiseka ngokwaneleyo, ngamanye amaxesha ngokupheleleyo, ukuvuswa kubangelwa yingqondo.
Oku kukukhokelela ngokukhawuleza ekuvukeni kokulala. Ukukhutshwa kungahlala kwimizuzu emi-5 kuya kwe-45 ngaphambi kokuvuswa. Nangona kunjalo, igridi yomsindo ingaphikelela imizuzu embalwa emva kokuvuka. Ekugqibeleni, ukuphefumula kubuya kwinto evamile.
Ku no kubakho intlungu yesifuba okanye intlungu. Inokuthi idibaniswe nomoya wokuxhatshazwa kwaye oku kunokukhokelela ekuvekeni kwentswelo kunye nokwesaba.
Kwiimeko ezinqabileyo, umntu angabonakala e-blue (nge-cyanosis). Isantya sokuphefumula singanyuka sibe ngaphezu kwama-20 ukuphefumula ngomzuzu (tachypnea). Ukuphazamiseka kunye nokwesaba kunokuba negalelo lokulala nokulala .
Ziziphi iimeko eziqhelekileyo ezidibana neLaryngospasm yokulala?
Njengoko kuphawuliwe, ukuphazamiseka kokubuthwa kwe-sleep apnea kudla ngokuphambuka kunye nokudibanisa ne-laryngospam enxulumene nokulala. Kukho ezinye iimpawu ezichaphazelekayo. Abantu abane-apnea yokulala ngokuqhelekileyo abayi kuvuka kunye nobunzima bokuphefumula okanye umgca ovukileyo.
Ukuhlwaya kwentlungu okanye isifo se-reflux yesifo se-gastro-esophageal (GERD) ngobusuku kunokufaka isandla kwi-laryngospasm. Xa i-asidi ingena kwisigxina esezantsi kunye ne-trachea, ingabangela ukuvuvukala. Uninzi lwabantu luya kuphinda lufumane i-GERD ngethuba lemini.
Inokubangela ukusetyenziswa kweepilisi zokulala ezibizwa ngokuthi i-hypnotics okanye ezinye iyeza ezichaphazela ukuphefumla ngokukhupha isistim kwinkqubo ye-nervous (brainstem) okanye ngokuphucula izihlunu zomoya. Ukongezelela, kubonakala ukuba ukuqhuma emva kokusasazeka okungenzeka nge-allergies ezingapheliyo kungabangela inxalenye kwezinye.
Ziziphi iimeko eziqhelekileyo ezidibana neLaryngospasm yokulala?
Ngaphantsi kaninzi kungabonakalisa ukuphazamiseka kokulala .
Ezi zinto zihlala zichaphazela abantwana, kodwa zinokuqhubeka ziba ngabantu abadala, kwaye zihlala zihambelana nokuphefumula, ukukhahlela, ukunyaniseka kwentliziyo kunye nokuphazamiseka. Ukuphazamiseka ngokukhawuleza, ukuphefumula ukuphefumula, kunye nokwesaba ukufa kuya kubonakala kwimeko yokuphazamiseka, nangona iziqephu ziza kwenzeka ngexesha lemini. I-asthma ebusuku ingabangela ukukhwehlela, ukuvuthwa, kunye nokuphefumula kokuphefumula ebuthongweni. Ingxaki yokuziphatha ye-REM , apho umntu evukela ukwenza iphupha, inokuba yinto enokwenzeka.
Yintoni enye enokuyenza? Kukho ezinye ezimbalwa ezingabonakaliyo zokubambisa i-laryngospasm yokulala. Ukuqubuka kungenzeka kubantwana kwaye kukhokelela kwiimpawu ezifanayo.
Iindumbu ngaphakathi kwendlela yomoya zingabangela kwaye i-endoscopy ingakwazi ukuchonga nayiphi na into engeyiyo yokusebenza kwemigodi yamagama okanye ezinye izifo. Kubantu abadala, isifo esiqhubekayo se-neurological esibizwa ngokuthi i-atrophy ye-multiple system isoloko ihambelana nomdlalo.
Ukuba unenkxalabo yokuba unokubandezeleka kwiipasiti ze-laryngospasm ngexesha lokulala, thetha nodokotela wakho malunga neempawu zakho ukucacisa isizathu esona sizathu. Kufuneka ukuba ube nesifundo sokulala sokuxilongwa esibizwa ngokuba yi- polysomnogram . Ukuvavanywa okuqhubekayo kunokulungiswa kwaye ngamanye amaxesha izilingo zamachiza zokugubungela ingakunceda.
> Imithombo:
> I-American Academy ye-Medicine Sleep. Ulwahlulo lwamazwe ngamazwe okuphazamiseka kokulala , 3rd ed. Darien, IL: I-American Academy yoLwazi lweMpilo, ngo-2014.
> Roland MM, et al . "I-laryngospas ehlobene nobuthongo ibangelwa yi-reflux ye-gastroesophageal." Sleep Med . 2008; 9: 451-3.