Ingabe nawe uyacinana ngesikhathi ulele ebusuku? Ake sixoxe nge-sleep apnea!

Ingabe nawe uzizwa sengathi uphelelwa umoya ngokuzumayo uma ulala ebusuku? Noma ingabe umuntu olala naye ukutshela ukuthi uyeka ukuphefumula isikhashana ebusuku bese uqala kabusha? Noma uzizwa ukhathele uma uvuka ekuseni? Lezi akuzona nje izinto ezingahleliwe, kungase kube nesimo esibizwa ngokuthi i-Sleep Apnea ngemuva kwalezi zinto. Ake sixoxe ngalokhu ngokuningiliziwe, kalula nje.

Kuyini i-apnea yokulala?

Kalula nje, i-sleep apnea yilapho uyeka ukuphefumula okwesikhashana ngenkathi ulele. Kunezizathu ezimbili eziyinhloko zalokhu. Esinye ukuthi kukhona okuvimba indlela yakho yokuphefumula (i-obstructive sleep apnea) . Esinye ukuthi kukhona okungahambi kahle ngekhono lobuchopho bakho lokulawula ukuphefumula (i-central sleep apnea) .

Manje cabanga ngakho, lapho umzimba wakho ungenawo umoya-mpilo, umzimba wethu unendlela emangalisayo yokuphepha. Nakuba lokhu kungasivusi ngokuphelele, kusivusa kuphela ngokwanele ukuqala ukuphefumula. Nakuba lokhu kusiza ekusindiseni izimpilo, kuphazamisa umjikelezo wakho wokulala. Ngakho-ke, awutholi ubuthongo obuhle nobuphumuzayo . Uma lokhu kuqhubeka, kungabeka nengcindezi enhliziyweni yakho , okungaba yingozi empilweni uma kungelashwa. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu nokufuna iseluleko sezokwelapha uma kudingeka.

Yiziphi izinhlobo eziyinhloko ze-Sleep Apnea?

Ake sibone ukuthi yiziphi izinhlobo ezintathu eziyinhloko ze-sleep apnea.

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

Lolu uhlobo oluvame kakhulu. Okwenzekayo ukuthi ngenkathi ulele, imisipha emphinjeni wakho iyaphumula . Izicubu ezizungezile zibeka ingcindezi emphinjeni wakho, zivale indlela yakho yokuphefumula. Kufana nokuthi ubhajwe epayipini. Yilapho kuba nzima ukuphefumula, futhi ngezinye izikhathi ungayeka ukuphefumula imizuzwana embalwa.

2. I-Central Sleep Apnea (CSA)

Kulolu hlobo, uma ulele, ubuchopho bakho abuthumeli izimpawu ezifanele emisipheni ehilelekile ekuphefumuleni . Okusho ukuthi, kukhona ubuthakathaka phakathi nendawo obulawula ukuphefumula. Lapha, akukho kuphazamiseka kwendlela yokuphefumula, kodwa umyalo "wokuphefumula" ovela ebuchosheni awudluli kahle.

3. I-Mixed/Complex Sleep Apnea

Kulesi simo, izimpawu zazo zombili izinhlobo ze-OSA kanye ne-CSA okukhulunywe ngazo ngaphambili zingabonakala ndawonye . Okusho ukuthi, indlela yokuphefumula ivaliwe, futhi kungase kube nenkinga ethile ngezibonakaliso ezivela ebuchosheni.

Sivame kangakanani lesi simo esibizwa ngokuthi i-Sleep Apnea?

Eqinisweni, kuyisimo esivame kakhulu kunalokho ongakucabanga. Ucwaningo olulodwa luthole ukuthi cishe abantu abayizigidi eziyinkulungwane emhlabeni wonke abaneminyaka ephakathi kuka-30 no-69 bane-Obstructive Sleep Apnea (OSA) . Nakuba uhlobo olubizwa ngokuthi i-Central Sleep Apnea (CSA) lungavamile kakhulu kune-OSA, aluvamile futhi.

Ziyini izimpawu ze-Sleep Apnea?

Uma usola ukuthi une-Sleep Apnea, qaphela lezi zimpawu.

Izimpawu ezivamile ezibonwa abaningi:

• Ukuvuka njalo phakathi nobusuku.
• Ukuma ukuphefumula isikhashana ngenkathi ulele (lokhu kuvame ukubonakala kumuntu olala naye).
• Ukuphazamiseka kokuphefumula (ukuphefumula ngokushesha, bese kuba julile, bese kuba mfushane futhi, bese kuba ukuma bese kuqala futhi).
• Ukubhonga okukhulu .
• Ubunzima bokuphefumula uma uvuka ekuseni, uzizwa sengathi uyacinana .
• Ukukhathala ngokweqile emini, ukozela, noma ukukhathala okukhulu lapho uvuka .

Abanye abantu bangase babe nalezi zimpawu:

• Ikhanda elibuhlungu , ikakhulukazi ekuseni.
• Ukujuluka ebusuku.
• Ukushintsha kwesimo sengqondo (njengokucindezeleka nokukhathazeka).
• Ukuzizwa ungakhululekile ebusuku.
• Izinkinga ezinjengokungasebenzi kahle kocansi .

Okubalulekile: Uma izingane zine-Sleep Apnea, lezi zimpawu zingase zibukeke zihlukile kancane . Ngakho-ke kuwumqondo omuhle ukubona udokotela uma ubona noma yini engavamile ebuthongweni bengane yakho.

Yiziphi izimbangela eziyinhloko ze-Sleep Apnea?

Kalula nje, kunezimbangela ezimbili eziyinhloko ze-Sleep Apnea:

• Ukuvaleka kwendlela yokuphefumula ephezulu ngesikhathi ulele.
• Kunenkinga ngendlela ubuchopho bakho obulawula ngayo ukuphefumula ngenkathi ulele.

Ubani osengozini enkulu yokuthola i-Sleep Apnea?

Lesi simo singakhula kunoma ubani. Singathinta izingane, abantu abadala, noma ubani. Kodwa-ke, abanye abantu basengozini enkulu yokuba naso.

Nazi ezinye zezinto ezivame ukuba yingozi:

• Uma othile emndenini ene-Sleep Apnea (kungase kube yimbangela yofuzo).
• Kulabo abanesifo senhliziyo, isifo sohlangothi, noma umfutho wegazi ophakeme .
• Kulabo abanama -tonsils amakhulu .
• Ukukhuluphala ngokweqile kusho ukukhuluphala ngokweqile.

Le ngozi iyanda njengoba ukhula . Amadoda anamathuba amaningi okutholakala enalesi simo ngaphambi kokuba afinyelele eminyakeni engu-50.

Futhi, khumbula ukuthi nakuba ingozi yokuphelelwa umoya ngesikhathi sokulala ikhula ngokukhuluphala, lesi simo singavela kubantu banoma yimuphi umzimba .

Yiziphi izinkinga ezingaba khona ngenxa ye-Sleep Apnea?

I-sleep apnea ingaphezu nje kwesifo sokulala. Uma ingelashwa, ingaholela ezinkingeni ezinkulu, ezisongela ngisho nokuphila .

• Ukulala ngokweqile emini, noma "ukulala kancane kancane," yisimo lapho ulala khona isikhathi esifushane kakhulu emini.Kuyingozi kakhulu lapho ushayela noma usebenzisa imishini.
• Ukuphazamiseka kwesigqi senhliziyo, okungukuthi ama-arrhythmia (njenge-atrial fibrillation noma i-left atrial appendage).
• Umfutho wegazi ophakeme .
• Ukulimala kwenhliziyo kanye nokwehluleka kwenhliziyo .
• Ukufa Okungazelelwe Kwenhliziyo .

Ngakho-ke, uma unezimpawu ze-Sleep Apnea, ungakuzibi.

Indlela yokuxilonga i-Sleep Apnea?

Uma usola ukuthi une-Sleep Apnea, kufanele uqale ubonane nodokotela . Uzokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Ngemuva kwalokho, uma usola ukuthi une-Sleep Apnea, bazoncoma ukuhlolwa okuningana ukuqinisekisa ukuxilongwa.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Kunezivivinyo ezimbili eziyinhloko ezivame ukwenziwa:

• I-Polysomnogram: Lolu ukuhlolwa okwenziwa ubusuku bonke esibhedlela . Izinzwa eziningana zixhunywe emzimbeni wakho futhi ziqapha izinga lokushaya kwenhliziyo yakho, ukuphefumula, amazinga omoya-mpilo egazini, kanye namaza obuchopho ngenkathi ulele.
• Ukuhlolwa kwe-Sleep Apnea Ekhaya: Lokhu ukuhlolwa okungenziwa ekhaya . Kodwa-ke, akuqapheli amaza obuchopho. Futhi, lokhu kuhlolwa kungase kungazitholi ezinye izinhlobo ze-sleep apnea, njenge-'Central Sleep Apnea'.

Icebiso elisheshayo: Uma usola ukuthi wena noma othile emndenini wakho unesifo sokuphefumula esibangelwa ubuthongo, qopha ividiyo emfushane noma ukuqoshwa komsindo komuntu olele, ikakhulukazi umsindo wokuphefumula kwakhe. Ungaqopha futhi ngokubamba izicubu phambi kobuso bakhe ukuze ubone ukuthi umoya uhamba kanjani. Ukubonisa lokhu kudokotela wakho kungasiza ekusheshiseni ukuxilongwa.

Ubunzima be-Sleep Apnea bulinganiswa kanjani?

Odokotela banquma ubukhulu be-sleep apnea besebenzisa inkomba ebizwa ngokuthi i-AHI (Apnea/Hypopnea Index) . I-AHI ilinganisa inani lezikhathi ukuphefumula kwakho okuma ngazo (i-apnea) bese kunciphisa ijubane (hypopnea) phakathi nehora lokulala.

Ubunzima be-Sleep Apnea buhlukaniswa kanje:

• Ukuphelelwa Yisikhathi Kokulala Okuncane: Imicimbi ye-AHI engu-5-14 ngehora.
• Ukuphelelwa Yisikhathi Kokulala Okumaphakathi: Imicimbi ye-AHI engu-15-29 ngehora.
• Ukuphelelwa Yisikhathi Kokulala Okukhulu: Imicimbi ye-AHI engu-30 noma ngaphezulu ngehora.

Yiziphi izitho zomzimba ezithinteka yi-Sleep Apnea?

I-Sleep Apnea akuyona into ethinta isitho esisodwa kuphela. Eqinisweni, ithinta izinhlelo eziningi emzimbeni . Kodwa-ke, ezithinteka kakhulu uhlelo lwakho lokujikeleza kwegazi (inhliziyo) kanye nohlelo lwezinzwa (ubuchopho) .

Yiziphi izindlela zokwelapha i-Sleep Apnea?

Kuye ngohlobo lwe-sleep apnea onayo kanye nobunzima bayo, udokotela wakho angase ancome izindlela zokwelapha ezahlukene.

Nazi ezinye zezindlela zokwelapha eziyinhloko:

• Ukusebenzisa idivayisi yokuphefumula, njengomshini we-CPAP (Continuous Positive Airway Pressure) , kusiza ukugcina indlela yakho yokuphefumula ivulekile ngenkathi ulele.
• Ukulawula ezinye izimo zezokwelapha ezibangela noma ezandisa ingozi yokuphelelwa umoya (isibonelo, isifo sikashukela, umfutho wegazi ophakeme).
• Ukushintsha indlela olala ngayo (njengokulala ngohlangothi esikhundleni sokulala ngomhlane) ukuze ugweme ukucindezela indlela yakho yokuphefumula.
• Ukugqoka into yomlomo/umshini wokuphefumula ukusiza ukugcina umgudu wokuphefumula uvulekile.
• Ukusebenzisa idivayisi ye-Neuromuscular Electrical Stimulation (NMES) ukuvimbela imisipha yolimi lwakho kanye nomphimbo ongaphezulu ukuthi ivimbe indlela yakho yokuphefumula ngenkathi ulele.
• Ukuthatha imithi (lokhu akusikho okwawo wonke umuntu, kodwa kwezinye izimo ezikhethekile).
• Ukuhlinzwa .

Ingabe uyahlinza i-sleep apnea?

Yebo, kwezinye izimo, ukuhlinzwa okwenziwa ekhaleni, emlonyeni, nasemphinjeni kungasiza ekuvimbeleni ukuvaleka komoya ngesikhathi ulele.

• Ukuhlinzwa komhlathi: Kunezinqubo ezahlukene zokuhlinzwa ezingasetshenziswa ukushintsha indawo yomhlathi nokunciphisa ingcindezi endleleni yokuphefumula evela ezicutshini ezithambile.
• Ukuhlinzwa kwekhala: Ukuhlinzwa okuvamile yi -septoplasty . Lokhu kuhilela ukuqondisa izicubu ezithambile ngaphakathi kwekhala (udonga oluhlukanisa ikhala ezimbili), okwenza kube lula ukuthi umoya ugeleze ngekhala.

Ingabe i-Sleep Apnea ingalapheka ngokuphelele?

Akuzona zonke izinhlobo ze-sleep apnea ezingelapheka ngokuphelele . Isibonelo, i-Obstructive Sleep Apnea (OSA) ingelapheka ngokunciphisa isisindo noma ngokuhlinzwa okuthile. Udokotela wakho angakutshela okwengeziwe ngokuthi lokhu kungakusebenzela kanjani, kuye ngesimo sakho.

Yini ongayilindela uma une-Sleep Apnea?

I-Sleep Apnea yisimo esingaphazamisa kakhulu ubuthongo bakho. Uma ungalali ngokwanele ebusuku, ungase ungakwazi ukusebenza kahle emini. Lokhu kungakubeka engcupheni yezingozi , futhi kungaphazamisa umsebenzi wakho, izinto ozithandayo, kanye nobudlelwano nabantu.

Futhi, lesi simo singadala izinkinga ezingasongela impilo . Udokotela angakusiza ukuthola ukwelashwa okungcono kakhulu kuwe. Kungase kudingeke uzame ukwelashwa okukodwa noma okubili okuhlukile, noma inhlanganisela yakho, ukuze uthole ukuthi yikuphi okusebenzela kahle kakhulu kuwe.

Kuthiwani ngokuphila komuntu one-Sleep Apnea?

Izinkinga ezibangelwa yi-Sleep ApneaUma ingelashwa, isikhathi sakho sokuphila singancishiswa. Udokotela uzosebenza nawe ukuphatha lesi simo futhi asize ekuvimbeleni leyo ngozi.

Kunezici eziningi ezinquma isikhathi sakho sokuphila. Ngakho-ke, umuntu ongcono kakhulu ongakhuluma naye ngesimo sakho udokotela wakho. Ngoba izibalo zingase zisebenze kuwe noma zingase zingabi njalo.

Yiziphi izindlela zokuvimbela i-Sleep Apnea?

Asikwazi ukuvimbela zonke izici ezibangela i-sleep apnea. Kodwa-ke, kunezinto esingazenza ukuze sinciphise ingozi yethu :

• Ukugcina isisindo sakho siphilile .
• Ukudla ukudla okunomsoco kanye nokuzivocavoca umzimba njalo .
• Ukusungula imikhuba emihle yokulala (njengokulala ngesikhathi esibekiwe, ukuyeka ukusebenzisa amadivayisi kagesi ngaphambi kokulala).
• Ukuphatha ezinye izimo zempilo ezazikhona ngaphambili (isib. i-cholesterol ephezulu, umfutho wegazi ophakeme, isifo sikashukela sohlobo 2).
• Hlola udokotela okungenani kanye ngonyaka .
• Ukugwema ukubhema nokuphuza utshwala .

Ngizinakekela kanjani? Ngingabhekana kanjani nalesi simo?

Kunezinyathelo eziningana ezibalulekile ongazithatha ukuze uphathe isimo sakho se-sleep apnea:

• Yenza izinguquko endleleni yokuphila ngangokunokwenzeka. Ukwenza izinguquko ekudleni kwakho kanye nomkhuba wakho wokuzivocavoca kungaba yinselele. Uma uthola lezi zinto zinzima, ungesabi ukukhuluma nodokotela wakho ngazo. Lezi yizinkinga ezivamile, futhi udokotela wakho angakunikeza iziphakamiso zokuzenza zibe lula.
• Landela uhlelo lwakho lokwelashwa ngqo. Uma ulandela uhlelo lokwelashwa udokotela wakho akunikeza lona ngqo, uzothola imiphumela emihle. Kuzophinde kunciphise ingozi yezinkinga.
• Khuluma nodokotela wakho ngendlela ozizwa ngayo. Uma unenkinga yokulandela uhlelo lwakho lokwelashwa nganoma yisiphi isizathu, tshela udokotela wakho. Mhlawumbe imaski yakho ye-PAP ayikufaneli kahle, noma unemiphumela emibi evela emithini. Udokotela wakho angakusiza. Ngakho-ke, uma unemibuzo noma ukukhathazeka, mtshele.
• Udokotela wakho uncoma ukuvakasha okulandelayo. Lokhu kuvakasha kubalulekile ukuqinisekisa ukuthi ukwelashwa kwakho kuyasebenza, ikakhulukazi ezigabeni zokuqala zokwelashwa.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, iya ekamelweni eliphuthumayo ngokushesha :

• Izimpawu zokuhlaselwa yinhliziyo: Ubuhlungu besifuba (njengokucinana noma ukucinana), ukujuluka okubandayo, ukuqina kwesifuba, kanye nobunzima bokuphefumula.
• Izimpawu zesifo sohlangothi:Ubuthakathaka obungazelelwe noma ukuba ndikindiki kolunye uhlangothi lomzimba, ukudideka, ukushintsha kwamehlo, ubunzima bokuhamba, noma isiyezi.
• Ubunzima obukhulu bokuphefumula: Uma uzizwa sengathi awukwazi ukuthola umoya owanele emaphashini akho, isifuba sakho sizwakala siqinile, noma wenza umsindo lapho uphefumula.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma usanda kutholakala ukuthi une-sleep apnea, ungase ufune ukubuza udokotela wakho imibuzo efana nale:

• Hlobo luni lokwelashwa olungincomayo?
• Ingabe ikhona imiphumela emibi yalokhu kwelashwa?
• Ngingakugwema kanjani ukulala ngohlangothi?
• Yini okufanele ngiyenze ukuze kube lula ukuyifaka imaski yomshini we-PAP?

Ungase ungazi nokuthi unesifo sokuphefumula esibangelwa ukungakwazi ukulala ngaphandle kokuthi othile olala naye akutshele ngezindlela zakho zokuphefumula ezingavamile ekuseni. Kunalokho, ungase uzibuze, "Kungani ngingalali kahle ubusuku ngabunye?" I-sleep apnea iyisimo esivamile, kodwa esilawulekayo .

Udokotela wakho angase asikisele izindlela ezahlukene zokwelapha ukuze akusize uthole ukwelashwa okufanele. Ukwelashwa kungahluka kumuntu nomuntu. Ukushintsha imikhuba yakho yokulala kungaba yinselele, kodwa qala kancane, wenze ushintsho olulodwa ngesikhathi, bese udlulela kolandelayo. Udokotela wakho angase akunike nezinye izincomo eziqondene nesimo sakho ukuze akusize ulale kahle ubusuku ngabunye.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule

Ngakho-ke, kusukela kulokho esikuxoxile, kufanele uqonde ukuthi iyini i-Sleep Apnea, ukuthi ikuthinta kanjani, nokuthi yini engenziwa ngayo.

Ungakhathazeki , lesi yisimo esingalawuleka. Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha uma unezimpawu, kunokuzishaya indiva. Khona-ke ungalala kahle futhi uphile impilo enempilo. Awuwedwa, futhi kukhona odokotela abazokusiza kulolu hambo.

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I - apnea yokulala, i-apnea yokulala, ukuhona, ukuyeka ukuphefumula, i-CPAP, ukuqwasha, ukulala emini