Ngubani omele afumane uvavanyo lwe-apnea yokulala?

Imfundo yezeMpilo

Ndijongeka njengomphambukeli kuMzingeli! Le ibiyincwadana ehamba nesithombe endibhalele umyeni wam ngelixa bendixhunywe kwiingcingo zesifundo sam sokulala. Ndandiqalile ukurhona, kwaye ugqirha wam wayefuna ukundijonga ukuba apnea na ubuthongo — imeko apho uyeke khona ukuphefumla xa ulele. Njengomama wabantwana abancinci, ngezinye iindlela ndaye ndalivuyela ithuba lobusuku bokuphumla ngaphandle kokuphazanyiswa, kodwa andikwazi ukuthi kwakuphumla.

Yayibubusuku obungaqhelekanga, kodwa ndandivuya ukuba ndasivuma isifundo. Kwavela ukuba ndine-apnea yokulala kakhulu, kwaye ndandingazi.

Ziziphi iimpawu ezilumkisayo zokuphefumla ubuthongo?

Kukho iintlobo ezimbini zokuphefumula kokulala. I-apnea yokulala yokuthintela (OSA) yeyona ixhaphakileyo. Iindlela zomoya ziphindaphindwe zavalwa okanye zavalwa ngexesha lokulala, nto leyo inciphisa okanye iyeke ukuhamba komoya. Ngokuqhelekileyo, i-apnea yokulala ephakathi ivela xa ingqondo ingathumeli iimpawu ezifunekayo zokuphefumla.

Iimpawu yomphefumlo wokulala ubandakanya:

• Ukulala kakhulu emini
• I-apnea episodes (ukuyeka nokuphefumla)
• Irhona
• Ukuhlahlela umoya xa ulele
• Ukudinwa kwemini
• Umlomo owomileyo xa uvuka
• Intloko xa uvuka
• Ukuncipha kwengqwalaselo, ukubek'esweni, uxinzelelo, izakhono zemoto, kunye nokuthetha kunye nenkumbulo ye-visuospatial
• Ukuvuka rhoqo (okanye ukuvuka rhoqo ukuze uchame)
• Ukungasebenzi kakuhle ngokwesondo / ukunciphisa i-libido
• Uxinzelelo
• Ukucaphuka / ukutshintsha kwemood
• Uxinzelelo lwegazi
• Ukutyeba kwakho
• Ukuphuthelwa

Iimpawu kubantwana zingabandakanya: ukufuma ebhedini , ukuqaqanjelwa sisifuba, ukunganyamezeleki, kunye nemiba yokusebenza kunye nokufunda.

Kuze kunyangwe i-apnea yokulala, iimpawu kunye neziphumo ebezingalindelekanga ziya zisiba mbi, utshilo uKent Smith, DDS, umlawuli osungula Ukulala Dallas , unyango lwamazinyo lokulala olunika unyango lwezixhobo zomlomo kwizigulana ezinesifo sokuphefumla. Ukungalali ixesha elide kukonyusa umngcipheko womntu wokukhula kunye / okanye ubomi obusongela iimeko zempilo kubandakanya ukutyeba, isifo seswekile, uxinzelelo lwegazi, isifo sentliziyo , kunye nesifo.

Yintoni afanele ayenze umntu ukuba ukrokrela ukuba unokuba ne-apnea yokulala?

Qala ngomnxeba kumboneleli wezempilo, ngesiqhelo ugqirha. Ukuba umboneleli wezempilo uziva ngathi i-apnea yokulala inokwenzeka, uya kwenza idinga kunye nengcali yokulala kuvavanyo lwe-apnea yokulala.

Kuba iimpawu zokuphefumla xa ulele zenzeka xa ulele, kunokuba nzima ukuzibona, utshilo uMichelle Worley, RN, umphathi wezonyango Ukhathalelo lwezeMpilo . Ngenxa yokuba abantu abaninzi bacinga ukuba badiniwe bengakhange bacinge ukuba banengxaki yokulala, kuqikelelwa ukuba malunga neepesenti ezingama-80 zamatyala obuthongo bokulala ahlala engafumaneki. Kubalulekile ukuqhagamshelana nogqirha wakho ngokukhawuleza ukuba unayo nayiphi na impawu yokuphefumula kokulala. Rhoqo, iqabane lakho linokukunceda uchonge ukuba uyarhona na, uphawu oluqhelekileyo lokuphefumla ubuthongo.

Uvavanya njani i-apnea yokulala

Zimbini iimvavanyo eziphambili zokuphefumla ubuthongo: enye yenziwe eklinikhi, enye yenziwe ekhaya.

Ukuvavanywa kwe-apnea yokulala ekhaya

Uvavanyo lokulala ekhaya (HST) luvavanya i-apnea yokulala yokuthintela ikhaya lakho. Olu phononongo luthatha amanyathelo okokugcwalisa ioksijini, ukubetha kwentliziyo kunye nokuhamba komoya, kunye nentshukumo esifubeni nakwisisu.

I-HST isebenzisa izivamvo — ngokuqhelekileyo emnweni okanye esihlahleni nasesifubeni, utsho uGqr. Smith. Ziimvavanyo ezenziwe lula, zihlala zilinganisa ukubetha kwentliziyo yakho, inqanaba leoksijini yegazi, ukuhamba komoya kunye iipateni zokuphefumla. Ngelixa i-HST ingekhoyo njengePSG, ibonelela ngedatha eyoneleyo yokufumanisa okanye yokuphelisa ubuthongo bokulala.

Uvavanyo lwe-apnea yokulala eklinikhi

Ilebhu yokufundela ukulala ilebhu ye-polysomnografi (PSG) luvavanyo lobusuku bonke (isifundo sokulala) kwiziko lokulala eligunyazisiweyo, utshilo uWorley. Oku kubek 'esweni isingqi sentliziyo, amaza obuchopho, inqanaba lokuphefumla, kunye nokuhamba komoya ngelixa ulele. Uvavanyo lokulala ngaphakathi kwelebhu lubonelela ngovavanyo oluchanekileyo noluchanekileyo lwemeko yakho kwaye lubonelela ngoochwephesha ngolwazi olungcono onokufumanisa ngalo ukuphazamiseka kokulala okungalunganga.

Kulapho kwavela khona uPredator wam. Ngexesha lePSG kwilebhu yokulala ilebhu yokufunda, umntu unxityiswe ngezixhobo ezibeka iliso kwintliziyo, imiphunga kunye nokusebenza kwengqondo, iipateni zokuphefumla, ingalo kunye nentshukumo yemilenze, kunye namanqanaba egazi leoksijini xa belele, utshilo uGqirha Smith.

Iingcingo zaziqhotyoshelwe kulusu entlokweni yam nakumalungu omzimba wam ngesixa esincinci sezinto ezinjengentlama yamazinyo. Ezi ngcingo zazincanyathiselwe kwiimonitha ezazithumela imiqondiso ebantwini abaqhuba isifundo kwigumbi labo lolawulo. Kwiklinikhi yam yokulala, kwakukho amagumbi okulala aliqela, ngalinye linomntu omnye.

Ngexesha elimiselweyo, sonke salala phantsi ukuze silale. Ukuba sifuna into, enje ngokungahluthwanga ukusebenzisa igumbi lokuhlambela, sasitsho ngokuvakalayo umntu aze kusinceda. Ngamaxesha athile, enye yeengcali zokulala ubusuku bonke yayiza kungena iphinde ibeke ucingo okanye iliso.

Ndandisoyika malunga nesifundo ngaphambi kokuba ndiye, ndicinga ukuba kungangxama-kodwa kwakungekho phantse kungathandeki njengokuba ndandinomfanekiso. Amaxhala am endinokuziva ngathi ndibukelwe akhawuleza akhutshwa.

Emva kokuba uvavanyo lugqityiwe kwaye luhlalutyiwe, ukuqeshwa kokulandelwa kwengcali yokulala kucwangciselwe ukuxoxa ngeendlela zonyango okanye amanye amanyathelo.

Uphathwa njani umphefumlo obuthongo?

Xa sele ufumene isifo, i-apnea yokulala inokuba yiyo waphathwa ngeendlela ezininzi , kubandakanya noxinzelelo oluqinisekileyo lokuhamba ngenqwelomoya (i-CPAP), izixhobo zomlomo, utyando okanye izinto zofakelo, utshilo uWorley. I-CPAP ihlala ilukhetho olukhokelela kunyango lwe-apnea yokulala, kodwa isigulana ngasinye kufuneka sibonane nogqirha wabo kunye nabalalayo ukuze babone ukhetho oluhlangabezana neemfuno zabo.

Oomatshini be-CPAP banceda ukugcina umoya uvulekile kusetyenziswa umoya oxinzelelweyo. Kukho iindlela ezahlukeneyo xa kuziwa koomatshini be-CPAP, kubandakanya iimaski ezahlukeneyo kunye noseto. Ngelixa ezinye iisetingi ziingcali zokulala ngokusekwe kwiziphumo zokufunda zokulala, ezinye zenzelwe intuthuzelo. Oomatshini be-CPAP kunye nezixhobo zihlala zifunyanwa kwi-CPAP nakwiivenkile zokulala, kwaye zinokugqunywa zizicwangciso zeinshurensi.

Enye into kumatshini we-CPAP yinto elungeleleneyo, izixhobo zomlomo ezenziwe ngomlomo ezibambe umlomo kwindawo enceda ukuthintela ukuwa kwezihlunu zomlomo kunye nezicubu zomzimba ezikhululekileyo, ezivumela indlela yomoya ukuba ihlale ingavulelwanga, utshilo uGqirha Smith.

Ngaba uvavanyo kufuneka luphindwe kamva?

Ugqirha wokulala okanye umboneleli wezempilo unokucela ukuba wenze esinye isifundo sokulala ngomatshini we-CPAP okanye olunye unyango, kokubini ukumisela useto olufanelekileyo, kunye nokuqinisekisa ukuba unyango luyasebenza. Izifundo ezingakumbi zokulala zinokuqhutywa phantsi komgca ukuba uziva ngathi unyango olusebenzisayo alusebenzi kangako okanye alusebenzeli wena.

Ukuphinda isifundo kunokwenziwa ukuba kukho isizathu sokukholelwa ukuba iziphumo zokuqala bezingachanekanga. Izixhobo zokubeka iliso ekhaya azihlali zibamba zonke iimeko zokuphefumla xa ulele, utshilo uGqirha Smith. Ukuba iziphumo zakho zovavanyo lwasekhaya azichanekanga, kodwa ugqirha wakho usarhanela ukuba ukuphefumla kuphazamisekile, basenokucebisa ngesifundo sokulala eklinikhi, ukuze uqiniseke.

Izifundo zokulala azikho ubusuku ehotele, kodwa zingatshintsha ubomi. Sukuzihoya iimpawu zakho, utshilo uWorley. Ukunyanga i-apnea yokulala kunokuphucula kakhulu umgangatho wobomi bakho kunye nempilo yakho kunye nokuba sempilweni. Nangona kuphuculwe umgangatho wobomi, unyango lokulala nokuphefumula luyanciphisa umngcipheko wesifo senhliziyo kunye nesifo.

Ngaphandle kokukrokrela ukuba ndilala ne-apnea, ndaqaphela umahluko omkhulu xa ndiqalisile ukusebenzisa umatshini we-CPAP. Ndilala ngcono, ndilumkile ngakumbi emini, kwaye ndiziva ndibhetele ngcono. Musa ukucinga ukuba i-snore yinto nje okanye ukukhathala kukukhathala-kukufanelekile ukuvavanywa.