Ingabe nawe uyeka ukuphefumula ngokuzumayo ngesikhathi ulele? Ake sifunde ngalokhu (i-Central Sleep Apnea)!

Ingabe ngezinye izikhathi uvuka ngokuzumayo ebusuku? Ingabe uzizwa uphelelwa umoya? Noma uzizwa ukhathele futhi ulele usuku lonke? Lezi akuzona nje izinto ezingahleliwe. Mhlawumbe isizathu salokhu ukuthi unesifo esibizwa ngokuthi "i-Central Sleep Apnea". Ungakhathazeki, ake sixoxe ngalokhu kalula.

Kuyini i-Central Sleep Apnea (CSA)?

Kalula nje, `(I-Central Sleep Apnea)` yilapho ukuphefumula kwakho kuyeka isikhashana ngesikhathi sokulala. Kodwa lokhu akufani ne-`(I-Obstructive Sleep Apnea)` ehambisana nokuhona. Okwenzekayo lapha ukuthi ubuchopho bakho abuthumeli izimpawu emisipheni yokuphefumula kahle. Esikhathini esiningi, lesi simo `(I-Central Sleep Apnea)` singaba yinkinga yesinye isifo noma ngenxa yokusebenzisa imithi ethile. Isibonelo, abantu abanesifo senhliziyo banamathuba amaningi okuthola lesi simo. Ngakho-ke, odokotela bavame ukwelapha imbangela eyisisekelo.

Yiziphi izinhlobo eziyinhloko ze-`(Central Sleep Apnea)`?

Kunezinhlobo eziningana ze-"Central Sleep Apnea". Ake sibone ukuthi ziyini:

• I-CSA Eyinhloko: Kulesi simo, kunzima ukuthola imbangela ecacile ye-Central Sleep Apnea. Kuyenzeka nje.
• I-CSA ene-Cheyne-Stokes Breathing (CSB): Uma unalesi simo, ukuphefumula kwakho kwenzeka ngemijikelezo. Cabanga nje, uphefumula ngokushesha isikhathi eside, bese uyeka ukuphefumula isikhashana. Uphefumula ngokushesha futhi, bese uyeka futhi. Umjikelezo owodwa onjengalona ungahlala phakathi kwemizuzwana engama-40 nengama-90.
• I-CSA ibangelwa ezinye izimo zezokwelapha: Kwabanye abantu, lesi simo singabangelwa izinto ezifana nesifo senhliziyo noma izimo zezinzwa.
• I-CSA ephuthumayo yokwelashwa: Ngezinye izikhathi, abantu abane-Obstructive Sleep Apnea engikhulume ngayo ekuqaleni bangaba nalesi simo esisha esibizwa ngokuthi i-Central Sleep Apnea ngemva kokuqala ukusebenzisa umshini we-CPAP (idivayisi ebasiza ukuphefumula).
• I-CSA ibangelwa ukuhlala ezindaweni ezinezintaba: Abanye abantu bangabhekana nalolu hlobo lobunzima bokuphefumula ngisho nalapho behlala ezindaweni ezinezintaba isikhathi eside.
• I-CSA ibangelwa amaphilisi okudambisa izinhlungu: Lokhu kungabangelwa amanye amaphilisi okudambisa izinhlungu anikezwe odokotela, ikakhulukazi lawo aqukethe "ama-opioid", noma yisimo esibizwa ngokuthi "i-Opioid Use Disorder".

Ziyini izimpawu ze-`(Central Sleep Apnea)`?

Esikhathini esiningi, uhlangabezana nezimpawu ze-"Central Sleep Apnea" uma uvukile. Bheka ukuthi unalezi zimpawu:

• Ukuzizwa ulele njalo emini, sengathi awukalalanga ngokwanele ebusuku.
• Ikhanda elibuhlungu kakhulu ekuseni.
• Umlomo owomile.
• Ukuzizwa ukhathazekile kancane, ucasuka kalula.
• Ubunzima bokugxila entweni ethile.

Uma une-`(CSA)`, ungavuka ngokuzumayo phakathi kobusuku ngaphandle kwesizathu. Uma omunye umuntu enawe, angase aqaphele ukuthi uyazulazula futhi uphenduka ngokungalawuleki ebuthongweni bakho.

Yiziphi izimbangela ze-`(Central Sleep Apnea)`?

Lokhu kwenzeka uma okuthile kuthinta ingxenye yobuchopho bethu ebizwa ngokuthi "i-Brainstem". Le "Brainstem" yiyo elawula ukuphefumula kwethu. Yiyo ethumela izimpawu emisipheni ohlelweni lwethu lokuphefumula ukuze iphefumule.

Kumuntu one-Central Sleep Apnea, i-brainstem ayiphenduli kahle ezinguqukweni enanini le-carbon dioxide (CO2) egazini lakhe. I-carbon dioxide iwumkhiqizo ongcolile okhishwa emizimbeni yethu lapho siphefumula. Lapho izinga le-carbon dioxide egazini lakho landa, i-brainstem yakho itshela imisipha yakho yokuphefumula ukuthi iphefumule futhi ikhiphe umoya ngokujulile. Uphefumula ngokujulile.

Kodwa-ke, lapho amazinga akho e-carbon dioxide ehla, i-brainstem itshela leyo misipha ukuthi iphefumule kancane futhi ingene. Uphefumula kancane kunokujwayelekile, uphefumula kancane ngokujulile, noma uyeke ngokuphelele ukuphefumula imizuzwana embalwa. Enye inkinga ngale nqubo imbangela eyinhloko ye-central sleep apnea.

Yiziphi izici eziyingozi ze-`(Central Sleep Apnea)`?

Ungase ube sengozini enkulu yokuthola lesi simo uma:

• Uma uneminyaka engama-60 noma ngaphezulu: Njengoba sikhula, indlela ubuchopho bethu obulawula ngayo ukuphefumula ngesikhathi sokulala ingashintsha.
• Uma uyindoda: Kutholakale ukuthi amadoda anamathuba amaningi okuthola lesi simo.
• Uma unesifo senhliziyo (njengokuthi `(Congestive Heart Failure)` noma `(Atrial Fibrillation)`).
• Uma unesifo sesimiso sezinzwa (njenge-`(Stroke)`, `(Amyotrophic Lateral Sclerosis - ALS)` noma `(Myasthenia Gravis - MG)`).
• Uma uphuza imithi yobuhlungu equkethe `(Opioid)` noma uma unesifo `(Opioid Use Disorder)`.
• Uma unezimo ezithile zofuzo (njenge-`(Rett Syndrome)`, `(Prader-Willi Syndrome)` noma `(Congenital Central Hypoventilation Syndrome)`).
• Uma une-apnea yokulala ephuthumayo yokwelashwa (`(Ukwelashwa-Ukwelashwa I-Apnea yokulala ephuthumayo)`) noma amazinga aphansi omoya-mpilo egazini (`(Hypoxemia)`).

Yiziphi izinkinga ezingaba khona ze-`(Central Sleep Apnea)`?

I-Central Sleep Apnea ingaphezu nje kwesifo sokulala. Umzimba wakho kufanele usebenze kanzima ukuze ume bese uqala ukuphefumula futhi. I-Central Sleep Apnea isho ukuthi umzimba wakho uyayeka bese uqala ukuphefumula izikhathi eziningi kunokuvamile. Lo msebenzi owengeziwe ungalimaza izitho zakho zangaphakathi nemithambo yegazi.I-Central Sleep Apnea ingandisa ingozi yokuthuthukisa izimo ezifana nalezi:

• Ukuphazamiseka kwenhliziyo `(Arrhythmia)`
• Ukuphazamiseka kokulala
• Ukukhathala usuku lonke
• Ukungalali

Cabanga ngakho, kufana nemoto. Okwenzeka enjinini uma uyiqala bese uyicisha, kanye nalokho okwenzekayo kuyo uma uyiqala bese uyicisha, kuyinto efanayo eyenzeka emizimbeni yethu.

Ungayithola kanjani i-`(Central Sleep Apnea)`?

Udokotela uzoqala akubuze ngezimpawu zakho, ukuthi ukhona yini emndenini wakho onezimo ezifanayo, kanye nezinye izifo ezingase zibangele i-Central Sleep Apnea.

Ngemuva kwalokho, udokotela wakho angase ancome ucwaningo lokulala ukuze anqume ukuthi une-central sleep apnea noma i-obstructive sleep apnea. Ngesikhathi socwaningo lokulala, uzochitha ubusuku obubodwa elabhorethri yokulala. Ithimba lezokwelapha lizoqapha futhi lihlaziye ukusebenza kwezinhlelo ezahlukene emzimbeni wakho. Isibonelo, bazoqapha amaza obuchopho bakho, izinga lokushaya kwenhliziyo, kanye nezindlela zokuphefumula. Lokhu kuzosiza ekunqumeni ukuthi inkinga iyini ngempela.

Iphathwa kanjani i-Central Sleep Apnea?

Odokotela basebenzisa izinhlelo ze-Positive Air Pressure (PAP) (amadivayisi ahlinzeka ngomfutho womoya ngesikhathi sokuphefumula) ukuvimbela izimpawu ze-Central Sleep Apnea. Lokhu kufaka phakathi:

• Umshini othi `(Ukucindezela Komoya Okuqhubekayo Okuhle - CPAP)`: Lokhu kunikeza umoya ngokucindezela okungaguquki.
• Umshini we-`(Bilevel Positive Air Pressure - BiPAP)`: Lo mshini unikeza ingcindezi eyodwa uma uphefumula kanye nenye ingcindezi uma uphefumula.
• Umshini we-`(Adaptive Servo-Ventilation - ASV)`: Lona uthuthuke kakhulu. Ungalungisa ingcindezi yomoya njengoba kudingeka ngokusekelwe kuphethini yakho yokuphefumula.

Udokotela wakho uzochaza ukuthi iyiphi idivayisi engcono kakhulu ngesimo sakho.

Kungenzeka yini ukuphila isikhathi eside nge-`(Central Sleep Apnea)`?

Lona umbuzo abantu abaningi abawubuzayo. "I-Central Sleep Apnea" ayithinti ngqo ukuthi uphila isikhathi esingakanani. Kodwa-ke, uma ingelashwa kahle, ingaholela ezinkingeni engizikhulumile ekuqaleni futhi ithinte ikhwalithi yokuphila kwakho.

Ngizinakekela kanjani?

I-Central Sleep Apnea ivame ukuba yinkinga yesinye isimo. Ngakho-ke, uma welashwa ngalesi simo esiyisisekelo, qhubeka naso. Ngaphandle kwalokho, thola ukwelashwa kwaso.

Uma une-Central Sleep Apnea, kubaluleke kakhulu ukubona udokotela wakho njalo ukuze ahlolwe.Bangahlola-ke ukuze babone ukuthi ukwelashwa kwakho kusebenza kahle yini nokuthi kukhona yini ezinye izinkinga. Udokotela wakho angase futhi ancome ukuhlolwa okwengeziwe, njenge-"Sleep Study".

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela wakho imibuzo efana nale:

• Wazi kanjani ukuthi nginesifo sokuphefumula esibizwa ngokuthi i-(Central Sleep Apnea)?
• Yikuphi ukwelashwa ongincomayo?
• Kuyoze kube nini ngithatha lokwelashwa?
• Ingabe lezi zindlela zokwelapha zingayelapha ngokuphelele i-"Central Sleep Apnea"?

Uma une-Central Sleep Apnea (CSA), ungase ukuthole kunzima ukuqedela usuku, njengokungakwazi ukulala ebusuku, ukuvuka ngokuzumayo, nokuzizwa ukhathele kungakhathaliseki ukuthi ulala kangakanani.

Ungase ube ne-CSA ngenxa yesimo senhliziyo noma esinye isimo sezokwelapha. Noma ngezinye izikhathi, akukho sizathu esithile esingatholakala. Kungakhathaliseki ukuthi imbangela iyini, i-CSA ingathinta ikhwalithi yempilo yakho manje futhi yandise ingozi yakho yezinye izinkinga zempilo esikhathini esizayo. Izindaba ezinhle ukuthi odokotela banezindlela zokwelapha ezingakusiza ukuphatha i-CSA. Ngakho-ke nawe ungathola ubuthongo obuhle futhi uvuke uqabulekile.

Uma unezinkinga zokulala, qiniseka ukuthi ubonana nodokotela. Bazohlola isimo sakho ngokunembile futhi bancome ukwelashwa okufanele kakhulu kuwe.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-Central Sleep Apnea iyinkinga ehlobene nesignali yobuchopho ebangela ukuthi ukuphefumula kume isikhashana ngesikhathi sokulala.
• Kunezizathu ezahlukahlukene zalokhu; ezinye izifo, imithi ethile, noma ngisho nokungabi nasizathu nhlobo.
• Ungase usole uma unezimpawu ezifana nokulala ngokweqile emini, ikhanda elibuhlungu ekuseni, kanye nobunzima bokugxilisa ingqondo.
• "Ucwaningo Lokulala" lubalulekile ukuze kutholakale ukuxilongwa okunembile.
• Kunezindlela zokwelapha ezifana `(CPAP)`, `(BiPAP)`, kanye `(ASV)`.
• Uma lesi simo singanakwa, izinkinga ezifana nesifo senhliziyo zingavela.
• Uma unalezi zimpawu, funa iseluleko sezokwelapha. Akukho okufanele ukhathazeke ngakho, lesi simo singalawulwa kahle ngokwelashwa okufanele.

Ukulala , ukuphefumula, i-central sleep apnea, i-CSA, ubuchopho, izinkinga zokulala, i-CPAP