Ubani okufanele athole ukuhlolwa kwe-apnea yokulala?

Imfundo Yezempilo

Ngibukeka njengomfokazi ku-Predator! Lokhu bekungamazwibela ahambisana nesithombe engibhalele umyeni wami ngenkathi ngixhumeke ezintanjeni zesifundo sami sokulala. Ngase ngiqalile ukuhogela, futhi udokotela wami wayefuna ukungibheka ukuthi anginawo yini umoya wokulala — isimo lapho uyeka kaningi ukuphefumula lapho ulele. Njengomama wezingane ezincane, ngandlela-thile ngilijabulele ithuba lobusuku bokuphumula okungaphazanyiswa, kodwa angisho ukuthi bekuziphumulele.

Kwakuwubusuku obungajwayelekile, kodwa ngangijabule ukuthi ngavuma esifundweni. Kwavela ukuthi ngiphethwe umoya wokulala kanzima, futhi ngangingazi.

Ziyini izimpawu eziyisixwayiso zokuphelelwa umoya kokulala?

Kunezinhlobo ezimbili zokuphefumula kokulala. Ukuphefumula ukulala okuvimbelayo (OSA) yikhona okuvame kakhulu. Izindiza zivinjelwa kaningi noma zivinjwe kancane ngesikhathi sokulala, okunciphisa noma kumise ukuhamba komoya. Ngokuvamile, ukuphefumula kokulala okuphakathi kwenzeka lapho ubuchopho bungathumeli izimpawu ezidingekayo ukuze uphefumule.

Izimpawu I-apnea yokulala ihlanganisa:

• Ukulala ngokweqile emini
• Iziqephu ze-apnea (ukumisa nokuqala ukuphefumula)
• Ukuhogela
• Ukuhefuzela umoya ngesikhathi sokulala
• Ukukhathala kwasemini
• Umlomo owomile lapho uvuka
• Ukuphathwa ikhanda lapho uvuka
• Ukwehla kokunakwa, ukuqapha, ukugxila, amakhono emoto, kanye nokukhumbula ngomlomo nange-visuospatial
• Ukuvuka kaningi (noma ukuvuka kaningi ukuze uchame)
• Ukungasebenzi ngokocansi / ukwehla kwe-libido
• Ukucindezeleka
• Ukuthukuthela / ukuguquguquka kwemizwelo
• Umfutho wegazi ophezulu
• Ukuzuza kwesisindo
• Ukuqwasha

Izimpawu ezinganeni zingabandakanya: ukufafaza umbhede , ukukhubazeka kwesifuba somoya, ukungasebenzi kahle, nezinkinga zokusebenza nezemfundo.

Kuze kube yilapho kwelashwa i-apnea yokulala, izimpawu nemiphumela engemihle izoba yimbi kakhulu, kusho uKent Smith, DDS, umqondisi owasungula Lala eDallas , umkhuba wezokwelapha wokulala wamazinyo ohlinzeka ngemithi yokwelapha ngomlomo ezigulini ezine-apnea yokulala. Ukuncishwa ubuthongo isikhathi eside kwandisa ingozi yomuntu yokuba nezimo ezibucayi kanye / noma ezisongela impilo ezibandakanya ukukhuluphala, isifo sikashukela, umfutho wegazi ophakeme, Isifo senhliziyo , nesifo sohlangothi.

Yini okufanele umuntu ayenze uma esola ukuthi kungenzeka ukuthi une-apnea yokulala?

Qala ngokushaya ucingo kumhlinzeki wezokunakekelwa kwempilo, imvamisa udokotela ojwayelekile. Uma umhlinzeki wezokunakekelwa kwezempilo ezwa ukuthi i-apnea yokulala kungenzeka, uzokwenza i-aphoyintimenti nochwepheshe wokulala ukuze ahlole ukuhlolwa kwe-apnea yokulala.

Njengoba izimpawu zokuphefumula ubuthongo zenzeka lapho ulele, kungaba nzima ukuzibona, kusho uMichelle Worley, RN, umphathi wezokusebenza emitholampilo Ukunakekelwa Kwezempilo Kwe-Aeroflow . Ngenxa yokuthi abantu abaningi bacabanga ukuthi bakhathele nje bengacabangi ukuthi banenkinga yokulala, kulinganiselwa ukuthi cishe amaphesenti angama-80 wamaphutha okulala ahlala engatholakali. Kubalulekile ukuxhumana nodokotela wakho ngokushesha uma unezimpawu zokuphefumula kokulala. Imvamisa, umlingani wakho angakusiza ukuthi ubone uma uhunga, okuyisibonakaliso esivamile sokuphefumula ubuthongo.

Ungayihlola kanjani i-apnea yokulala

Kunezivivinyo ezimbili eziyinhloko zokuphefumula kokulala: esisodwa senziwe emtholampilo, esisodwa senziwa ekhaya.

Ukuhlolwa kwe-apnea yokulala ekhaya

Isivivinyo sokulala ekhaya (i-HST) sihlola i-apnea yokulala evimbela ikhaya lakho. Lolu cwaningo lukala ukusuthiswa komoya-mpilo, ukushaya kwenhliziyo nokuhamba komoya, nokunyakaza esifubeni nasesiswini.

I-HST isebenzisa izinzwa — ngokuvamile emunweni noma esihlakaleni nasesifubeni, kusho uDkt. Smith. Ukuhlolwa okwenziwe lula, imvamisa ukukala isilinganiso senhliziyo yakho, izinga leoksijini egazini, ukuhamba komoya kanye amaphethini wokuphefumula. Ngenkathi i-HST ingeyona ephelele njenge-PSG, inikeza imininingwane eyanele yokuxilonga noma yokunqabela ukuphefumula kokulala.

Ukuhlolwa kokuphefumula kokulala emtholampilo

Isifundo sokulala se-polysomnography lab (PSG) siwukuhlolwa kobusuku obubodwa (isifundo sokulala) esikhungweni sokulala esigunyaziwe, kusho uWorley. Lokhu kuqapha isigqi senhliziyo yakho, amagagasi obuchopho, izinga lokuphefumula, nokuhamba komoya ngenkathi ulele. Ukuhlolwa kokulala ngaphakathi kwelebhu kunikeza ukuhlolwa okunembe kunakho konke futhi okuphelele kwesimo sakho futhi kunikeza odokotela ulwazi olungcono kakhulu lokuthola ukuphefumula kokulala okungavimbeli.

Yilapho ukubukeka kwami ​​kwePredator kuvele khona. Ngesikhathi sePSG esifundweni sokulala elebhu yokulala, umuntu ufakwe okokusebenza okuhlola ukusebenza kwenhliziyo, amaphaphu nobuchopho, izindlela zokuphefumula, ukunyakaza kwengalo nemilenze, namazinga eoksijini egazi ngenkathi belele, kuchaza uDkt.Smith.

Izintambo zazinamathiselwe esikhunjeni ekhanda lami nasezingxenyeni zomzimba wami nenani elincane lomuthi ofana nomuthi wokuxubha. Lezi zintambo zazinamathiselwe kubaqaphi ababethumela izimpawu kubantu abaqhuba isifundo egumbini labo lokulawula. Emtholampilo wami wokulala, kwakukhona amakamelo okulala amaningana, ngalinye linomuntu oyedwa.

Ngesikhathi esibekiwe, sonke salala phansi ukuze silale. Uma sidinga okuthile, njengokungagxiliwe ukusebenzisa indlu yangasese, sasisho kakhulu futhi othile wasisiza. Kwesinye isikhathi, omunye wochwepheshe bokufunda ubuthongo ebusuku wayefika abeke kabusha ucingo olubi noma ukuqapha.

Bengikade nginovalo ngalesi sifundo ngaphambi kokuba ngihambe, ngibona ukuthi kuzosiphazamisa — kodwa bekungenakuphazamiseka kangako njengoba bengicabangile. Izinkathazo zami engingazizwa sengathi ngiyabukwa zanqotshwa ngokushesha.

Ngemuva kokuthi ukuhlolwa kuqediwe futhi kwahlaziywa, i-aphoyintimenti yokulandelela nochwepheshe bokulala ihlelelwe ukuxoxa ngezindlela zokwelashwa noma ezinye izinyathelo.

Kuphathwa kanjani i-apnea yokulala?

Uma usutholakele, i-apnea yokulala ingaba welashwa ngezindlela eziningana , kufaka phakathi ingcindezi eqhubekayo yomoya (CPAP), izinto ezisetshenziswa ngomlomo, ukuhlinzwa noma okokufaka okuhlinzwa, kusho uWorley. I-CPAP ihlala iyindlela ehamba phambili yokwelashwa kwe-apnea yokulala, kodwa isiguli ngasinye kufanele sithintane nodokotela wabo kanye nabahlengikazi bokulala ukuze babone inketho ehlangabezana nezidingo zabo ngabanye.

Imishini ye-CPAP isiza ukugcina imigwaqo yomoya ivulekile kusetshenziswa umoya ocindezelweyo. Kunezinketho ezahlukahlukene uma kukhulunywa ngemishini ye-CPAP, kufaka phakathi amaski namasethingi ahlukile. Ngenkathi amanye amasethingi engawengcweti yokulala ngokuya ngemiphumela yokutadisha ukulala, amanye enzelwe induduzo. Imishini ye-CPAP nezesekeli zivame ukutholakala nge-CPAP nezitolo zezinto zokulala, futhi zingahlanganiswa nezinhlelo zomshuwalense.

Okunye okuhlukile ngomshini we-CPAP into elungiselelwe ngokwezifiso, eyenziwe ngomlomo ebambe umlomo endaweni esiza ukuvimbela ukuwa kwezicubu zomlomo nezicubu ezikhululekile, okuvumela indlela yomoya ukuthi ihlale ingavinjelwe, kusho uDkt.Smith.

Ingabe ukuhlolwa kudinga ukuphindwa esikhathini esizayo?

Udokotela wokulala noma umhlinzeki wezokunakekelwa kwempilo angakucela ukuthi wenze olunye ucwaningo lokulala ngomshini we-CPAP noma olunye ukwelashwa, kokubili ukunquma izilungiselelo ezifanele, nokuqinisekisa ukuthi ukwelashwa kuyasebenza. Izifundo eziningi zokulala zingenziwa ngaphansi komugqa uma uzwa ukuthi umuthi owusebenzisayo ususebenze kancane noma awukusebenzeli.

Ukuhlolwa okuphindiwe kungenziwa uma kunesizathu sokukholelwa ukuthi imiphumela yokuqala ibinganembile. Imishini yokuqapha ekhaya ayihlali ibamba zonke izimo zokuphefumula kokulala, kusho uDkt. Smith. Uma imiphumela yakho yokuhlolwa kwasekhaya ingeyinhle, kepha udokotela wakho usola ukuthi ukuphefumula kokulala kunenkinga, kungenzeka ukuthi basancoma isifundo sokulala somtholampilo, ukuze nje uqiniseke.

Izifundo zokulala azikho ubusuku obude ehhotela, kepha zingashintsha impilo. Ungazinaki izimpawu zakho, kusho uWorley. Ukwelapha i-apnea yokulala kungathuthukisa kakhulu izinga lakho lokuphila kanye nempilo yakho nenhlalakahle. Naphezu kokwenza ngcono izinga lempilo, ukwelashwa kwe-apnea yokulala nakho kunciphisa ubungozi besifo senhliziyo nesifo sohlangothi.

Yize ngangingasoli nokuthi ngiphethwe umoya wokulala, ngabona umehluko omkhulu lapho ngiqala ukusebenzisa umshini we-CPAP. Ngilala kangcono, ngiphapheme ngokwengeziwe phakathi nosuku, futhi ngimane ngizizwe ngingcono ngokuphelele. Ungacabangi ukuthi i-snore nje i-snore noma ukukhathala ukukhathala nje-kufanelekile ukuthi kuhlolwe.