Indawo yokulala, Utywala kunye nokuguga ziphakathi kwezinto eziphambili ze-apnea
Nangona i- anatomy yakho ingakunqanda ukuba ube ne- sleep apnea yokuphazamiseka , kukho ezinye izinto kunye nobungozi obuya kunokwenza ukuba imeko ibe yimbi. Abanye balaba banegalelo banokubakho kwaye abanye bangabikho. Yintoni eyenza u-sleep apnea lube nzima kwaye unokwenza ntoni ngawo? Fumana iindima ze-anatomy, indawo yokulala, izigaba zokulala ezifana ne-REM, utywala, ukunyuka komama kwabasetyhini, imithi yokugada imithi kunye nokuphumula kwemisipha, ukuguga kunye nokufumana ubunzima.
I-Apnea yokulala iqala nge-Anatomy yakho
Isizathu esibaluleke kakhulu sokubamba i-apnea yokulala yindlela yokwakheka kwe-airway. Kukho inani leenxalenye ezinendima: impumlo, iitoni, iilwimi, ulwimi, nomhlathi. Ezi zakhiwo ziphuhlisa ngokusekelwe kwi-genetics yakho. Njengoko sifana nomhlobo ofana kunye nabazali kunye nabantwana bakowenu, ngokunjalo izakhiwo zangaphakathi zilungiswe ngokufanayo. Ukugqithisa okanye ukugqithisa kunokubangela ingozi enkulu yokulala ne-apnea. Ngelishwa, esi siseko asinakho ukulawula, kodwa kukho ezinye izinto ezinokubangela ukulala kwe-apnea. Ezinye zezi ngqalelo ezongezelelweyo ziquka:
Indawo yokulala
Abanye abantu baphelelwa ukulala ngomoya wokulala ngokugqithiseleyo ngokugqithiseleyo ngendawo yokulala . Isifundo sokulala singabonisa ukuba ukulala emhlane wakho, kwindawo ephakamileyo, kubangela ukuphazamiseka kokuphefumla. Oku kwenzeka ngenxa yokuba izicubu ezithambileyo zomoya, kuquka i-palate ethambileyo neelwimi, zingawela emva kwaye zivimbele ukuhamba kwomoya.
Ubukhulu bemvelo buba negalelo kwaye ukulala emhlane wakho kuya kwenza ukuba kwenzeke oku kwenzeka. Kwamanye abantu, ukusetyenziswa kwonyango lwamaxesha ukuhlala ulele kumacala akho kunokuba luncedo gqitha.
REM Sleep
Kungokwemvelo ukuguquka ngeendlela ezahlukeneyo zokulala ubusuku bonke. Ubuninzi bokulala bubandakanya ukulala okungabikho kwe-REM.
Nangona kunjalo, malunga nemizuzu engama-90 ukulala kwe-REM kwenzeka. Ukunyuka kwamehlo okukhawulezayo kwenzeka kunye nokukhubazeka kwezihlunu. Eli lizwe libonakaliswe ngokuphupha okukhulu, kufana nokubukela ibhayisikobho. Ukuze uthintele ukusebenzela kula maphupha, umzimba ukhubazekile. Iimisipha zomoya zomoya zikhubazekile. Le tube ithetha i-floppy kwaye idibene. Ngenxa yoko, i-apnea yokulala ivame ukugqithisa ngexesha lokulala kwe-REM. Oku kunokubangela inani elinyukayo leemeko okanye amaninzi amanqabileyo emanqanaba e-oksijeni njengoko kulinganiswa ngu-oximetry. Njengoko ubuthongo be-REM luyingxenye ebalulekileyo yobuthongo obuphezulu, le nto ingozi ingayi kugwenywa.
Utywala
Isiqhelo kwisithethe sokwenza ubusuku, kuyacaca ukuba utywala buchaphazela ukulala. Nangona kunokukwenza uzive ulele, njengoko ugugulekayo kubangela ukulala nokuhlula . Ukongezelela, njengesihlunu sokuphumla, sinokukwenza ukuba umoya ophezulu uphumelele ngakumbi. Lo mngcipheko uphakathi kolawulo lwakho. Kungcono ukuphepha utywala ngaphambi kokulala. Njengomthetho wesithupha, vumela iyure enye ukuba iphule isiselo ngasinye esinxilisayo oyidlayo ngaphambi kokulala. Oku kuya kunceda ukunciphisa imiphumo yotywala ngethuba lakho lokuba ne-apnea yokulala.
Ukunyuka kwexesha lokuNqununu kwabasetyhini
Kulungile, ngoko oku kusebenza kuphela kubasetyhini.
Nangona kunjalo, kubaluleke kakhulu ingozi yokuqwalasela. Abafazi abaselula bayakhuselwa yi-hormone progesterone kunye ne-estrogen egcina ubuchule bendlela yokuhamba. Isiganeko sokugonya kwe-apnea phakathi kwabasetyhini ngaphambi kokuqala kokuphuma kwesondlo. Xa ezi hormone zilahlekile, iziganeko zanda phakathi kwabasetyhini ukulingana namadoda. Ukunyuka komntu ngokukhawuleza, ibinzana elisetyenziselwa ukuchaza urhulumente emva kokuba i-hysterectomy kunye nokususwa kwee-ovari zenzeke, ihambisa ingozi efanayo yokuphala. Abasetyhini abathabatha i-hormone ye-alternative substitution (anti-hormone)
Imirhumo yeMilument kunye neMascle Relaxants
Imithi ingayichaphazela njani i-apnea yokulala? Ngokubanzi, kukho iindidi ezintathu zonyango ezinokuba yingxaki: i-benzodiazepines, i-opiates, kunye ne-barbiturates. I-Benzodiazepines idla ngokubhekiselele kwixhala, ukutshatyalaliswa, kwaye yayisetyenziselwa ukulala. Baye benza njengamahluma e-muscle kwaye oku kunokuchaphazela ukuhamba kwomoya kwaye kukhokelela ekuphumeni kwe-apnea. Ama-ophiates ayenayo imichiza yonyango esetyenziswa ukulawula intlungu. Banokufaka isandla kwi-apnea yokulala ephakathi, ebonakala ngokuphefumula okungapheliyo. Ukongezelela, iibhajitrates zisetyenziselwa ukuguqulwa kunye nokulawula ukuthunjwa kwaye ezi ziyakwazi ukuchaphazela ukuphefumla. Ukuba unomdla ukuba unyango lwakho luyakwandisa umngcipheko wokulala, kufuneka uthethe ugqirha wakho.
Ukuguga
Ekugqibeleni, ukuguga ngokwayo kungabangela ukuba uhlale ulale. Njengokuba ulahlekelwa yintsimbi yeengcambu ezandleni zakho nasemilenzeni yakho, ngokufanayo unokulahlekelwa ithoni ye-muscle ngaphakathi kwindlela ohamba ngayo. Oku kunokunciphisa amandla akhe okuhlala evulekile. Akukho nto enokuyenza malunga nalo mngcipheko othile. Iindaba ezilungileyo kukuba i-incnea yokulala ibonakala ifana ne-60 ubudala. Ukuba uya kuhlakulela i-apnea yokulala, kubonakala ngathi uya kuphuhlisa ngoko.
Ukutyeba kwakho
Ukufumana ubunzima, ngokukodwa xa kunokugqithisa okanye kuphelile, kunokuthatha impembelelo enkulu kwi-apnea yokulala. Ukuba i-airway isancinci ukuqala, ukuthunyelwa kwamafutha kwisiseko seelwimi kunye neendlela ezihamba ngomoya kungenza izinto zibe zibi nakakhulu. Ukulahleka kwesisindo, ubuncinane ubuncinane be-10% ukwehla kwesisindo, kunokuncedisa ukunciphisa kokubili ukugcoba nokulala kwe-apnea.
Yintoni Enokuyenza Ukunciphisa Ubungozi Bokulala Kwe-Apnea?
Qala ngokuphelisa nayiphi na ingentla engaphephekiyo okanye engaguqukiyo ingozi ongayibona. Kungakhathaliseki ukuba yintoni umbuzo onokukwenza ukuba u-apnea lwakho ulale kakhulu, kusekho iindlela zokwenza unyango olufumanekayo kuquka ukusetyenziswa komlomo okanye ukuqhutyelwa kwe-airpress positive (CPAP) .
Xoxa ngengozi ojamelana nayo kunye neengcali zakho zokulala uze ufumane isisombululo esifanelekileyo kuwe.
> Imithombo
> Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." Elsevier . Edition 5. 2011.
> Ulwahlulo lwaMazwe ngamazwe lweengxaki zokulala. I-American Academy yoLondolozo lweMpilo . 2 edition. 2005.