Ngaba nawe uyafuthaniseka xa ulele ebusuku? Makhe sithethe nge-sleep apnea!

Ngaba nawe uziva ngathi uphelelwa ngamandla ngequbuliso xa ulala ebusuku? Okanye umntu olala naye ukuxelela ukuba uyeka ukuphefumla okwethutyana ebusuku uze uqale kwakhona? Okanye uziva udiniwe xa uvuka kusasa? Ezi ayizozinto nje ezingaqhelekanga, kunokubakho imeko ebizwa ngokuba yi -Sleep Apnea emva kwezi zinto. Makhe sithethe ngale nto ngokweenkcukacha, ngokulula.

Yintoni i-apnea yokulala?

Ngamafutshane, i-sleep apnea kuxa uyeka ukuphefumla okwethutyana ngelixa ulele. Zimbini izizathu eziphambili zoku. Esinye kukuba kukho into evimba indlela yakho yomoya (obstructive sleep apnea) . Esinye kukuba kukho into engalunganga ngendlela ingqondo yakho ekwazi ngayo ukulawula ukuphefumla (central sleep apnea) .

Khawucinge nje ngoku, xa umzimba wakho ungenayo ioksijini, umzimba wethu unendlela emangalisayo yokhuseleko. Nangona oku kungasivusi ngokupheleleyo, kusivusa kuphela ngokwaneleyo ukuba siqalise ukuphefumla. Nangona oku kunceda ekusindiseni ubomi, kuphazamisa umjikelo wakho wokulala. Ke ngoko, awufumani ubuthongo obuhle nobuphumlayo . Ukuba oku kuyaqhubeka, kunokubeka uxinzelelo entliziyweni yakho , nto leyo enokuba yingozi ebomini ukuba ayinyangwa. Ke ngoko, kubaluleke kakhulu ukuqaphela oku kwaye ufune iingcebiso zonyango ukuba kuyimfuneko.

Ziziphi iintlobo eziphambili ze-Sleep Apnea?

Makhe sibone ukuba zeziphi iintlobo ezintathu eziphambili ze-sleep apnea.

1. I-Sleep Apnea (I-Obstructive Sleep Apnea - OSA)

Olu lolona hlobo luxhaphakileyo. Okwenzekayo kukuba ngelixa ulele, izihlunu zomqala wakho ziyaphumla . Izicwili ezingqongileyo zibeka uxinzelelo kumbhobho wakho womoya, zivale indlela yomoya. Kufana nokuba ubambeke kumbhobho. Kulapho kuba nzima ukuphefumla, kwaye ngamanye amaxesha ungayeka ukuphefumla imizuzwana embalwa.

2. I-Central Sleep Apnea (CSA)

Kolu hlobo, xa ulele, ingqondo yakho ayithumeli imiqondiso efanelekileyo kwimisipha ebandakanyeka ekuphefumleni . Oko kukuthi, kukho ubuthathaka embindini obulawula ukuphefumla. Apha, akukho nto ithintela indlela yomoya, kodwa umyalelo "wokuphefumla" ovela engqondweni awuphumi kakuhle.

3. I-Mixed/Complex Sleep Apnea

Kwimeko enjalo, iimpawu zazo zombini ezi ntlobo ze-OSA kunye ne-CSA ezikhankanyiweyo ngaphambili zinokubonakala kunye . Oko kukuthi, indlela yomoya ivaliwe, kwaye kunokubakho ingxaki ethile ngemiqondiso evela ebuchotsheni.

Ixhaphake kangakanani le meko ibizwa ngokuba yi-Sleep Apnea?

Enyanisweni, sisifo esixhaphakileyo kunokuba unokucinga. Olunye uphando lufumanise ukuba malunga nebhiliyoni enye yabantu kwihlabathi liphela abaphakathi kweminyaka engama-30 nama-69 ubudala bane-Obstructive Sleep Apnea (OSA) . Nangona uhlobo olubizwa ngokuba yiCentral Sleep Apnea (CSA) lungaqhelekanga kune-OSA, aluqhelekanga nalo.

Zithini iimpawu ze-Sleep Apnea?

Ukuba ukrokrela ukuba une-Sleep Apnea, qaphela ezi mpawu.

Iimpawu eziqhelekileyo ezibonwa ngabantu abaninzi:

• Ukuvuka rhoqo ezinzulwini zobusuku.
• Ukuyekisa ukuphefumla okwethutyana ngelixa ulele (oku kubonakala rhoqo kumntu olele naye).
• Ukungaqheleki kwindlela yokuphefumla (ukuphefumla ngokukhawuleza, uze ube nzulu, uze ube nzulu kwakhona, uze uyeke uze uqale kwakhona).
• Ingxolo enkulu .
• Ubunzima bokuphefumla xa uvuka kusasa, uzive ngathi uyafuthanisela .
• Ukudinwa kakhulu emini, ukozela, okanye ukudinwa kakhulu xa uvuka .

Abanye abantu banokufumana ezi mpawu:

• Intloko ebuhlungu , ingakumbi kusasa.
• Ukubila ebusuku.
• Utshintsho lweemvakalelo (njengokudakumba kunye nokuxhalaba).
• Ukuziva ungaphumli ebusuku.
• Iingxaki ezinje ngokungasebenzi kakuhle ngokwesondo .

Kubalulekile: Xa abantwana benesifo sokungalali kakuhle (Sleep Apnea), ezi mpawu zisenokubonakala zahlukile kancinci . Ngoko ke, licebo elihle ukubona ugqirha ukuba ubona nantoni na engaqhelekanga ebuthongweni bomntwana wakho.

Ziziphi izizathu eziphambili ze-Sleep Apnea?

Ngamafutshane, kukho izizathu ezimbini eziphambili ze-Sleep Apnea:

• Ukuvaleka kwendlela yomoya ephezulu xa ulele.
• Kukho ingxaki kwindlela ingqondo yakho elawula ngayo ukuphefumla ngelixa ulele.

Ngubani osengozini enkulu yokufumana i-Sleep Apnea?

Le meko inokukhula nakubani na. Ingachaphazela abantwana, abantu abadala, nabani na. Nangona kunjalo, abanye abantu basengozini enkulu yokuba nayo.

Nazi ezinye zezinto eziqhelekileyo ezibangela umngcipheko:

• Ukuba kukho umntu kusapho one-Sleep Apnea (isenokuba yimfuza).
• Kwabo banesifo sentliziyo, isifo sohlangothi, okanye uxinzelelo lwegazi oluphezulu .
• Kwabo bane tonsils ezinkulu .
• Ukutyeba kakhulu kuthetha ukuba nobunzima obukhulu.

Le ngozi iyanda njengoko ukhula . Amadoda anamathuba amaninzi okufunyanwa enale meko ngaphambi kokuba afikelele kwiminyaka engama-50 ubudala.

Kwakhona, khumbula ukuba nangona umngcipheko we-sleep apnea usanda ngokutyeba kakhulu, le meko inokwenzeka nakubantu bayo nayiphi na imizimba yabo .

Ziziphi iingxaki ezinokubakho ngenxa ye-Sleep Apnea?

I-sleep apnea ayisiyongxaki yokulala nje. Ukuba ayinyangwa, inokukhokelela kwiingxaki ezinzulu, ezisongela ubomi .

• Ukulala kakhulu emini, okanye "ukulala kancinci," yimeko apho ulala khona ixesha elifutshane kakhulu emini.Kuyingozi kakhulu xa uqhuba okanye usebenzisa oomatshini.
• Ukuphazamiseka kwentliziyo, oko kukuthi, i-arrhythmias (efana ne-atrial fibrillation okanye i-left atrial appendage).
• Igazi elonyukayo .
• Ukonakala kwentliziyo kunye nokungaphumeleli kwentliziyo .
• Ukufa Ngesiquphe Kwentliziyo .

Ngoko ke, ukuba uneempawu ze-Sleep Apnea, musa ukuzityeshela.

Indlela yokuchonga isifo se-Sleep Apnea?

Ukuba ukrokrela ukuba une-Sleep Apnea, kufuneka uqale ubonane nogqirha . Uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Emva koko, ukuba ukrokrela ukuba une-Sleep Apnea, baya kukucebisa ukuba wenze iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.

Zeziphi iimvavanyo ezenziwayo koku?

Kukho iimvavanyo ezimbini eziphambili ezidla ngokwenziwa:

• I-Polysomnogram: Olu luvavanyo olwenzeka esibhedlele ubusuku bonke . Iisensa ezininzi zincamathiselwe emzimbeni wakho kwaye zijonga izinga lentliziyo yakho, ukuphefumla, amanqanaba eoksijini egazini, kunye namaza obuchopho ngelixa ulele.
• Uvavanyo lwe-Sleep Apnea: Olu luvavanyo olunokwenziwa ekhaya . Nangona kunjalo, alujongi amaza obuchopho. Kwakhona, olu vavanyo lusenokungaziboni ezinye iintlobo ze-sleep apnea, njenge-'Central Sleep Apnea'.

Icebiso elifutshane: Ukuba ukrokrela ukuba wena okanye umntu kusapho lwakho unesifo sokuphefumla xa ulele, bhala ividiyo emfutshane okanye irekhodi yesandi yomntu oleleyo, ingakumbi isandi sokuphefumla kwakhe. Ungarekhoda nokubamba ithishu phambi kobuso bakhe ukuze ubone indlela umoya ohamba ngayo. Ukubonisa oku kugqirha wakho kunokunceda ukukhawulezisa ukuxilongwa.

Ubunzima be-Sleep Apnea bulinganiswa njani?

Oogqirha bafumanisa ubukhali be-sleep apnea besebenzisa i-index ebizwa ngokuba yi-AHI (Apnea/Hypopnea Index) . I-AHI ilinganisa inani lezihlandlo zokuma kokuphefumla kwakho (i-apnea) kwaye yehlise isantya (hypopnea) ngexesha leyure yokulala.

Ubunzima be-Sleep Apnea buhlulwe ngolu hlobo lulandelayo:

• I-Apnea eNcinci yokulala: Iziganeko ze-AHI ezi-5-14 ngeyure.
• I-Apnea yokulala ePhakathi: Iziganeko ze-AHI ezili-15-29 ngeyure.
• I-Apnea Enzima Yokulala: Iziganeko ze-AHI ezingama-30 nangaphezulu ngeyure.

Ngawaphi amalungu omzimba achaphazeleka yi-Sleep Apnea?

I-Sleep Apnea ayisiyonto ichaphazela ilungu elinye kuphela. Enyanisweni, ichaphazela iinkqubo ezininzi emzimbeni . Nangona kunjalo, ezona zichaphazeleka kakhulu yinkqubo yakho yokujikeleza kwegazi (intliziyo) kunye nenkqubo yemithambo-luvo (ingqondo) .

Ziziphi iindlela zonyango ze-Sleep Apnea?

Ngokuxhomekeke kuhlobo lwe-sleep apnea onayo kunye nobunzima bayo, ugqirha wakho unokucebisa unyango olwahlukileyo.

Nazi ezinye zeendlela eziphambili zonyango:

• Ukusebenzisa isixhobo sokuphefumla, njengomatshini we-CPAP (Continuous Positive Airway Pressure) , kunceda ukugcina umoya wakho uvulekile ngelixa ulele.
• Ukulawula ezinye iimeko zempilo ezibangela okanye ezinyusa umngcipheko we-sleep apnea (umzekelo, isifo seswekile, uxinzelelo lwegazi oluphezulu).
• Ukutshintsha indlela olala ngayo (njengokulala ngecala endaweni yokulala ngomqolo) ukuze uphephe ukufaka uxinzelelo kwindlela yomoya ohamba ngayo.
• Ukunxiba isixhobo somlomo/isixhobo somlomo ukunceda ukugcina indlela yomoya ivulekile.
• Ukusebenzisa isixhobo seNeuromuscular Electrical Stimulation (NMES) ukuthintela izihlunu zolwimi lwakho kunye nomqala ongasentla ukuba zingavali indlela yakho yomoya ngelixa ulele.
• Ukuthatha amayeza (oku akufanelanga wonke umntu, kodwa kwiimeko ezithile ezikhethekileyo).
• Utyando .

Ngaba uyayenza utyando lwe-sleep apnea?

Ewe, kwezinye iimeko, utyando olwenziwe empumlweni, emlonyeni, nasemqaleni lunokunceda ekuthinteleni ukuvaleka kwendlela yomoya xa ulele.

• Utyando lwemihlathi: Kukho iindlela ezahlukeneyo zotyando ezinokusetyenziswa ukutshintsha indawo yomhlathi kunye nokunciphisa uxinzelelo kwindlela yomoya evela kwizicubu ezithambileyo.
• Utyando lwempumlo: Utyando oluqhelekileyo yi- septoplasty . Oku kubandakanya ukolula izicubu ezithambileyo ngaphakathi kwempumlo (udonga olwahlula iimpumlo ezimbini), okwenza kube lula ukuba umoya udlule empumlweni.

Ngaba i-Sleep Apnea inganyangeka ngokupheleleyo?

Ayizizo zonke iintlobo ze-sleep apnea ezinokunyangwa ngokupheleleyo . Umzekelo, i-Obstructive Sleep Apnea (OSA) inokunyangeka ngokunciphisa umzimba okanye ngokwenza utyando oluthile. Ugqirha wakho angakuxelela okungakumbi ngendlela oku okunokukunceda ngayo, kuxhomekeke kwimeko yakho.

Yintoni onokuyilindela ukuba une-Sleep Apnea?

I-Sleep Apnea yimeko enokuphazamisa kakhulu ubuthongo bakho. Ukuba awulali ngokwaneleyo ebusuku, usenokungakwazi ukusebenza kakuhle emini. Oku kunokukubeka emngciphekweni weengozi , kwaye kunokuphazamisana nomsebenzi wakho, izinto ozithandayo, kunye nobudlelwane bakho nabantu.

Kwakhona, le meko inokubangela iingxaki ezinokuba yingozi ebomini . Ugqirha angakunceda ufumane unyango olungcono kuwe. Kusenokufuneka uzame unyango olunye okanye ezimbini ezahlukeneyo, okanye indibaniselwano yazo, ukuze ufumane ukuba loluphi unyango olukulungeleyo.

Kuthekani ngobomi bomntu one-Sleep Apnea?

Iingxaki ezibangelwa yi-Sleep ApneaUkuba awunyangwa, ixesha lakho lokuphila linokuncipha. Ugqirha uza kusebenza nawe ukulawula le meko aze akuncede ukuthintela loo mngcipheko.

Zininzi izinto ezigqiba ubomi bakho. Ngoko ke, umntu ofanelekileyo ukuthetha naye ngemeko yakho ngugqirha wakho. Kuba izibalo zisenokusebenza kuwe okanye zingabi njalo.

Ziziphi iindlela zokuthintela i-Sleep Apnea?

Asinakuyithintela yonke into ebangela ukuba umntu angakwazi ukulala apnea. Nangona kunjalo, kukho izinto esinokuzenza ukunciphisa umngcipheko wethu :

• Ukugcina ubunzima bakho busempilweni .
• Ukutya ukutya okunesondlo kunye nokwenza umthambo rhoqo .
• Ukuseka imikhwa emihle yokulala (njengokuya kulala ngexesha elimiselweyo, ukuyeka ukusebenzisa izixhobo ze-elektroniki ngaphambi kokulala).
• Ukulawula ezinye iimeko zempilo esele zikhona (umz. i-cholesterol ephezulu, uxinzelelo lwegazi oluphezulu, isifo seswekile sohlobo lwesibini).
• Yenza uvavanyo lwezonyango ubuncinane kanye ngonyaka .
• Ukuphepha ukutshaya nokusela utywala .

Ndingazinyamekela njani? Ndingayilawula njani le meko?

Kukho amanyathelo abalulekileyo onokuwathatha ukulawula imeko yakho ye-sleep apnea:

• Yenza utshintsho kwindlela ophila ngayo kangangoko unako. Ukwenza utshintsho kwindlela otya ngayo kunye nendlela oqhele ukuzilolonga ngayo kunokuba nzima. Ukuba ufumana ezi zinto zinzima, ungoyiki ukuthetha nogqirha wakho ngazo. Ezi ziingxaki eziqhelekileyo, kwaye ugqirha wakho unokukunika iingcebiso zokwenza kube lula.
• Landela isicwangciso sakho sonyango ngokuchanekileyo. Ukuba ulandela isicwangciso sonyango esinikwe ngugqirha wakho ngokuchanekileyo, uya kufumana iziphumo ezilungileyo. Oku kuya kunciphisa nomngcipheko weengxaki.
• Thetha nogqirha wakho ngendlela oziva ngayo. Ukuba unengxaki yokulandela isicwangciso sakho sonyango nangasiphi na isizathu, xelela ugqirha wakho. Mhlawumbi imaski yakho ye-PAP ayikulungeli kakuhle, okanye unemiphumo emibi evela kumayeza. Ugqirha wakho anokukunceda. Ngoko ke, ukuba unemibuzo okanye iinkxalabo, mxelele.
• Ugqirha wakho uyacebisa ukuba ulandele unyango. Olu tyelelo lubalulekile ukuqinisekisa ukuba unyango lwakho luyasebenza, ingakumbi kumanqanaba okuqala onyango.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba ufumana naziphi na kwezi mpawu, yiya kwigumbi likaxakeka ngokukhawuleza :

• Iimpawu zokuhlaselwa yintliziyo: Iintlungu zesifuba (njengokuxinana okanye ukuxinezeleka), ukubila okubandayo, ukuqina kwesifuba, kunye nobunzima bokuphefumla.
• Iimpawu zestroke:Ubuthathaka okanye ukuba ndindisholo ngequbuliso kwelinye icala lomzimba, ukudideka, utshintsho embonweni, ubunzima bokuhamba, okanye isiyezi.
• Ubunzima obukhulu bokuphefumla: Ukuba uziva ngathi awukwazi ukufumana umoya owaneleyo emiphungeni yakho, isifuba sakho sivakala siqinile, okanye wenza isandi somlozi xa uphefumla.

Ndingayibuza yiphi imibuzo ugqirha?

Ukuba usandul’ ukufumanisa ukuba une-sleep apnea, ungabuza ugqirha wakho imibuzo efana nale:

• Luhlobo luni lonyango olundicebisayo?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga zale ndlela yonyango?
• Ndingakuphepha njani ukulala ngecala?
• Ndingenza ntoni ukuze kube lula ukuyifaka imaski yomatshini we-PAP?

Usenokungazi nokuba unesifo sokuphefumla xa ulele ngaphandle kokuba umntu olala naye ekuxelela ngeendlela zakho zokuphefumla ezingaqhelekanga kusasa. Endaweni yoko, usenokuba uzibuza, "Kutheni ndingakwazi ukulala kakuhle ubusuku ngabunye?" Isifo sokuphefumla xa ulele sisifo esiqhelekileyo, kodwa esilawulekayo .

Ugqirha wakho unokucebisa iindlela ezahlukeneyo zonyango ukukunceda ufumane unyango olufanelekileyo kuwe. Unyango lunokwahluka kumntu nomntu. Ukutshintsha imikhwa yakho yokulala kunokuba nzima, kodwa qala kancinci, wenze utshintsho olunye ngexesha, uze uqhubekele kolulandelayo. Ugqirha wakho unokukunika nezinye iingcebiso ezithile kwimeko yakho ukukunceda ulale kakuhle ubusuku ngabunye.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule

Ngoko ke, ngokwezinto esizithethileyo, kufuneka uqonde ukuba yintoni i-Sleep Apnea, indlela ekuchukumisa ngayo, kunye nento enokwenziwa ngayo.

Ungakhathazeki , le yimeko elawulekayo. Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ukuba uneempawu, endaweni yokuzityeshela. Emva koko ungalala kakuhle kwaye uphile ubomi obusempilweni. Awuwedwa, kwaye kukho oogqirha abanokukunceda kolu hambo.

I - apnea yokulala, i-apnea yokulala, ukurhona, ukuyeka ukuphefumla, i-CPAP, ukungalali, ukozela emini