Ukuze ujabulele impilo efanelekileyo kuyimfuneko ukuqwalasela izinto ezintathu: isondlo, ukuzivocavoca umzimba kunye nokuphumla. Akusiyo okokuqala ukuba sithethe nawe ngokubaluleka kobuninzi kunye nomgangatho wokulala, kodwa kukuba ukukwazi ukufumana iiyure ezisibhozo zokulala okungaphazamisekiyo enye yeenjongo ezinzima kakhulu kubemi. Nangona kunjalo, ukwazi izibonelelo ezizisa kwimpilo, ukugcinwa kobunzima kunye nesimo sengqondo malunga nemidlalo kunye nokutya, kunomdla ukuba uyayixabisa indlela ukuphumla kwakho ebusuku.
Okwangoku unokuba uhleka ukuba kunokwenzeka ukuba ulale iiyure ezininzi ngokulandelelana, kwaye rhoqo. Uxinzelelo, uxolelwaniso losapho, ukusetyenziswa kwetekhnoloji, ukudakumba okanye ukusetyenziswa kweziselo zamandla zizinto ezichaphazela ngokuthe ngqo ukuphumla komzimba. Kodwa kukho enye into ehamba phambili ngakumbi kunezi: i-apnea yokulala.
Yintoni i-apnea yokulala?
Esi sifo sokuphefumla senzeka rhoqo kwaye sinokuba singapheliyo. Ukuphazamiseka kokuphefumla ngelixa silele ngenxa yokuvalwa kwendlela yokuphefumula ephezulu (iimpumlo, umlomo, i-pharynx, kunye ne-larynx). Kolu sikekelo (kunye namaxesha angama-30 okanye ngaphezulu ngeyure), ioksijini ayifikeleli emiphungeni. Ukongezelela, unqumamo lunokususela kwimizuzwana ukuya kwimizuzu emibini, yaye xa umoya ubuyile kuyinto eqhelekileyo ukuba kuphume irhono elikhulu.
I-apnea yokulala ihlelwa kwiindidi ezimbini ezahlukeneyo:
- I-Hypopnea/Isithintelo. Kwenzeka xa izicubu ezithambileyo ezisemva komqala zithintela indlela yomoya.
- ukulala central. Kwenzeka xa ingqondo isala ukuxelela izihlunu ezilawula ukuphefumla ukuba zenze umsebenzi wazo.
Ukongeza kokubangela ubunzima bokuphumla nokukhathala, i-apnea yokulala inokwandisa uxinzelelo lwegazi, ikhokelela kwisifo seswekile okanye iingxaki zentliziyo, igalelo kuxinzelelo ... iimpawu zicacile: ukurhona kakhulu, ukudinwa emini, amaxesha okuphazamiseka kokuphefumla xa ulele, ukuphuthelwa, ukozela kakhulu, kunye nentliziyo, i-metabolic, kunye nokuphazamiseka kokudumba.
Loluphi unyango olukhoyo?
Ihlala inxulumene ne UkunyanyaNgoko ke, indlela yokuphila enempilo (ukuba nobunzima obunempilo kunye nokuyeka ukutshaya) lolona nyango lusebenzayo. Kwakhona zama ukuba ungalali ngomqolo kwaye uphephe utywala kunye ne-tranquilizers. Ukuba ayisebenzi kwaye unesinye isizathu sokungalali ngokwaneleyo, olona nyango lwaziwayo kukusetyenziswa uxinzelelo lomoya.
La Uxinzelelo oluqhubekayo lwendlela yomoya (CPAP) inyanzela umoya ukuba ungene kwimpumlo yomntu oleleyo ngesigqubuthelo sobuso esincanyathiselwe kumatshini ophathwayo. Oku kugcina iindlela zomoya zivulekile. Le maski yempumlo okanye i-nasobucal isetyenziswa ebusuku xa silala kwaye idibanisa nesixhobo esisibeka kufuphi nebhedi. Ngaphezulu kwe-90% yezigulane ezisebenzisa le ndlela zilawula ukucombulula ingxaki ye-apnea yokulala. Kwiintsuku zokuqala ngokuqhelekileyo kukho ukuphucuka okuphawulekayo ekukhathaleni emini, ngaphezu kokuvuka kunye nemvakalelo yokuphila kakuhle.
Nangona kunjalo, kufuneka uhlale ukhumbula ukuba le ndlela ayinyangeki, isebenza kuphela xa isetyenziswa.
Ekugqibeleni sifumana kwakhona Unyango lonyango kweentlobo ezahlukeneyo, nangona zonke zifuna uviwo yi-otolaryngologist. Umsebenzi uya kuxhomekeka kubunzima kunye nendawo yeziphene. Ngokomzekelo, ukuba kukwiimpumlo zempumlo, ukulungiswa kwe-septum yeempumlo kunokwenziwa. Eyona nto ixhaphakileyo kukuhlanjululwa kwenkalakahla ethambileyo, nangona ngamanye amaxesha iindlela ezininzi zidityanisiwe ukuphelisa ingxaki.
Phakathi kwe-30 kunye ne-50% yezigulane ezenza utyando zixazulula ingxaki yazo ngokufanelekileyo. Ukongeza, kukho ithuba elikhulu lokunyanga abantu abangatyekanga, abaphila impilo enempilo kunye nomfanekiso we-apnea ongekho mbi kakhulu.