Ukuhluleka Kokuphefumula Kwesinye Isikhathi Ebusuku Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuhluleka kokuphefumula kwesinye isikhathi ebusuku kwenzeka uma ingqondo yakho iyeka ukunikeza imiyalezo eminyameni elawula ukuphefumula kwakho ngesikhathi ulele. Ngokungafani nokuhluleka kokuphefumula okuphazamisayo okukhulu lapho indlela yakho yokuphefumula ivalekile, ukuhluleka kokuphefumula kwesinye isikhathi ebusuku kuyinkinga yokuxhumana phakathi kwengqondo yakho neminyame yokuphefumula. Lokhu kusho ukuthi uyaqeda ukuphefumula isikhathi esifushane, ngokuvamile isikhathi esingama-10 amasekhondi noma ngaphezulu, ngoba ingqondo yakho “iyilibala” ukutshela umzimba wakho ukuba uphefumule.

Nakuba lokhu kungase kuzwakale kukhathazayo, ukuhluleka kokuphefumula kwesinye isikhathi ebusuku kunokwelashwa, nokuqonda ukuthi kwenzekani kungakusiza ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuthola isisombululo esifanele sokulala kangcono nempilo.

Ziyini izimpawu zokuhluleka kokuphefumula kwesinye isikhathi ebusuku?

Izimpawu zokuhluleka kokuphefumula kwesinye isikhathi ebusuku zingase zibe nzima futhi zivame ukuvela kancane kancane ngokuhamba kwesikhathi. Awungase ungaqondi ukuthi uhlangabezana nokuqhekeka kokuphefumula ngesikhathi ulele njengoba kwenzeka ngesikhathi ungenamqondo.

Izimpawu ezivame kakhulu ongase uzibone wena noma umlingani wakho wokulala zifaka phakathi:

• Izehlakalo eziningi lapho ukuphefumula kuqala futhi kuphele ngesikhathi ulele
• Ukuvuka uzizwa ufuna umoya noma ukhwehlela
• Ubunzima bokuhlala ulele noma ukuvuka njalo ebusuku
• Ubuhlungu bekhanda ekuseni obuzwakala buthambile noma obukhulu
• Ukulala ngokweqile emini naphezu kokuchitha isikhathi esanele embhedeni
• Ubunzima bokuhlushwa noma ukuzizwa ungaqondi kahle emini
• Ukushintsha kwesimo sengqondo njengokucasuka noma ukuzizwa ukhungathekile

Abanye abantu bahlangabezana nezimpawu ezithile ezihlobene nezimo zabo zempilo. Lezi zingase zibe yilokhu: ubuhlungu esifubeni, ikakhulu uma kukhona izinkinga zenhliziyo, noma izindlela ezingezinhle zokushaya kwenhliziyo ezizwakala njengokuphulukana noma ukukhahlela.

Kubalulekile ukuphawula ukuthi izimpawu ze-central sleep apnea zingafana kakhulu nezinye izifo zokulala, kungakho ukuhlolwa yi-dokotela kubaluleke kakhulu ukuthola ukwelashwa okulungile.

Imiphi imikhakha ye-central sleep apnea?

I-Central sleep apnea inezinhlobo eziningi ezahlukene, ngayinye inezimbangela zayo kanye nezici. Ukuqonda ukuthi yiluphi uhlobo onalo kusiza ekutholeni indlela yokwelapha ephumelelayo.

Izinhlobo eziyinhloko zifaka:

• Iphethini yokuphefumula yeCheyne-Stokes: Lokhu kudala isizungu esiqondene lapho ukuphefumula kwakho kujulile kancane kancane, bese kuba buthakathaka, kulandele ukumisa. Kubonakala kakhulu kubantu abane-heart failure noma isifo sobuchopho.
• I-central sleep apnea ebangelwa yimithi: Imithi ethile, ikakhulukazi imithi yokunciphisa ubuhlungu be-opioid, inganciphisa izibonakaliso zokuphefumula ebuchosheni bakho ngesikhathi ulele.
• Ukuphefumula okuphindaphindayo emazingeni aphezulu: Lolu hlobo oluyimfashini luvela lapho uya emazingeni aphezulu kwamamitha angu-2,400, lapho amazinga aphansi oksijini ephazamisa uhlelo lwakho lokulawula ukuphefumula.
• I-Complex sleep apnea syndrome: Ebizwa nangokuthi yi-treatment-emergent central sleep apnea, lokhu kuvela lapho ukwelashwa kwe-obstructive sleep apnea nge-CPAP kuveza i-central sleep apnea engaphansi.
• I-Primary central sleep apnea: Lolu hlobo oluyimfashini luvela ngaphandle kwanoma yisiphi isimo sezempilo esiqondene.

I-central sleep apnea ehlobene nempilo ingathuthukiswa nezimo ezifana nokuhluleka kwesibindi, iziphumu ebuchosheni, noma ukutheleleka kwe-viral ebuchosheni. Lezi zimo zidinga ukwelashwa kokubili isifo sokulala nesimo sezempilo esiqondene.

Uchwepheshe wakho wokulala uzosebenza ukuze aqonde ukuthi yiluphi uhlobo onalo, njengoba lokhu kuchaphazela kakhulu uhlelo lwakho lokwelapha kanye nokuthi uzoba kanjani esikhathini esizayo.

Yini ebangela i-central sleep apnea?

I-Central sleep apnea ivela lapho kukhona okuthile okuqeda ukuxhumana okujwayelekile phakathi kobuchopho bakho nemisipha ehambisana nokuphefumula. Cabanga ngakho njengoba kungumfutho wesikhashana ohlelweni lwakho lokuphefumula oluzenzakalelayo lomzimba.

Izimo eziningi zezokwelapha zingaphazamisa le nqubo ebucayi:

• Izinkinga zenhliziyo: Ukwehluleka kwenhliziyo kuyimbangela evamile kunazo zonke, njengoba kungathinta ukugeleza kwegazi ezindaweni zobuchopho eziqondisa ukuphefumula
• Isifo sobuchopho noma ukulimala kobuchopho: Ukonakala kwezindawo zobuchopho eziqondisa ukuphefumula kungaphazamisa izindlela zokuphefumula ebusuku eziqondile
• Isifo sezinso: Izinkinga zezinso eziphambili zingabangela ukungalingani kwezinto ezimbi ekulawuleni ukuphefumula
• Imithi: Imithi ebuhlungu ye-opioid, imithi ethile yokukhathazeka, nezinye izixhobo zokupumula imisipha zinganciphisa izibonakaliso zokuphefumula

Izimbangela ezingavamile kodwa ezibalulekile zihlanganisa iziphundu zobuchopho, ikakhulukazi lezo ezithinta ubuchopho, nezifo zezinzwa nemisipha njenge-ALS noma i-muscular dystrophy. Ukutheleleka kwezifo eziwumkhuhlane okuthinta ubuchopho, njenge-encephalitis, kungaphazanyiswa okwesikhashana ukulawulwa kokuphefumula.

Ukuvezwa emazingeni aphezulu kubonisa imbangela ehlukile lapho amazinga aphansi oksijini emazingeni angaphezu kwamamitha angu-2 438 angabangela izindlela zokuphefumula ezivamile. Lokhu kuvame ukuqeda uma ubuyela emazingeni aphansi noma umzimba wakho uqhelelana.

Kwezinye izimo, i-central sleep apnea ivela ngaphandle kwanoma iyiphi imbangela ebonakalayo, abaguli abayibiza ngokuthi i-primary noma i-idiopathic central sleep apnea. Lolu hlobo luluhlu oluphansi futhi luvamise ukudinga ukulingwa kwezokwelapha ukulala okukhethekile.

Nini kufanele ubona udokotela nge-central sleep apnea?

Kufanele uxhumane nodokotela wakho uma ubhekene nezinkinga zokulala eziqhubekayo ezithinta impilo yakho yansuku zonke. Ungalindi kuze kube yilapho izimpawu ziqala ukuba zimbi, njengoba ukwelashwa kwasekuqaleni kungavimbela ukuphazamiseka futhi kuthuthukise ikhwalithi yempilo yakho kakhulu.

Funani usizo lokuwelapha uma ubona lokhu:

• Umlingani wakho wokulala uqaphela ukuthi uyeka ukuphefumula ngesikhathi ulele
• Uvuka njalo ukhukhumele noma uzizwa ufuna umoya
• Ukulala emini kuhlupha umsebenzi, ukuqhuba, noma imisebenzi yansuku zonke
• Izinhlungu zekhanda zikusasa zenzeka njalo
• Uzizwa ukhathele naphezu kokuchitha isikhathi esanele embhedeni

Ukukhathalelwa okusheshayo kwezokwelapha kuyadingeka uma uhlushwa ubuhlungu esifubeni, ukushaya kwenhliziyo okungajwayelekile, noma ubunzima obukhulu bokuqeda umoya. Lezi zimpawu zingabonisa ukuthi i-central sleep apnea ithonya inhliziyo yakho noma ezinye izitho ezibalulekile.

Uma uthatha imithi ye-opioid futhi uthuthukise izinkinga zokuphefumula ngesikhathi ulele, xhumana nodokotela wakho ngokushesha. Bangase badinge ukulungisa imithi yakho noma banikeze ukuqapha okwengeziwe.

Abantu abanezinhlungu zenhliziyo ezikhona, isifo sokugula kwesibindi, noma izifo zezinzwa kufanele baqaphele ngokukhethekile ukushintsha kokuphefumula ngesikhathi ulele, njengoba lokhu kungabonisa ukubi kweziguli ezisemqoka noma ukuthuthukiswa kwezinkinga.

Iyini imikhakha yokusongela i-central sleep apnea?

Izinto eziningi zingandisa amathuba akho okuthuthukisa i-central sleep apnea. Ukuqonda le mikhakha yokusongela kukusiza wena neqembu lakho lokunakekelwa kwezempilo ukuthi niqaphele izimpawu zokuqala futhi nithathe izinyathelo zokuvimbela uma kungenzeka.

Imikhakha ebaluleke kakhulu yokusongela ihlanganisa:

• Ubudala nobulili: Amadoda aneminyaka engaphezu kuka-65 anosongo olukhulu, nakuba umehluko phakathi kwawomabili ubulili uyancipha ngemva kokuphela kwesikhathi sokuba yisikhathi sokuya esikhathini kwabesifazane
• Izimo zenhliziyo: Ukwehluleka kwenhliziyo, ukungazinzi kompompo, nezinye izifo zenhliziyo kukhuphula kakhulu ingozi
• Umbiko wesifo sohlangothi: Izifo sohlangothi ezedlule, ikakhulukazi ezihlasela izindawo ze-brainstem, zikhuphula amathuba okuba ne-central sleep apnea
• Ukusetshenziswa kwemithi: Ukwelashwa isikhathi eside nge-opioid, i-benzodiazepines, nezinye izidakamizwa ezithile zinganciphisa ukuphefumula
• Isifo sezinso: Isifo esingamahlalakhona sezintso esiphambili sidalela ukungalingani kwezinto ezikhiqizwa emzimbeni okuthinta ukulawulwa kokuphefumula

Izimbangela zengozi ezingavamile kodwa ezibalulekile zihlanganisa izifo zezinzwa nemisipha njenge-ALS, iziphumu ezingqondweni, nokuhluleka okukhulu kwe-thyroid. Ukuphila emazingeni aphezulu kwenyuka isikhashana ingozi ngenxa yezinga eliphansi lokuxhaphaza.

Ukuba ne-obstructive sleep apnea nokusebenzisa i-CPAP therapy ngezinye izikhathi kungaveza i-central sleep apnea engaphansi, kudale lokho okuthiwa yi-complex sleep apnea syndrome. Lokhu kuvame ukubonakala ezinyangeni ezimbalwa zokuqala zokwelashwa kwe-CPAP.

Umbiko womndeni ungase ube nomthelela kwezinye izimo, nakuba izici ze-genetic azicacisiwe kahle nge-central sleep apnea uma kuqhathaniswa ne-obstructive sleep apnea. Umhlinzeki wakho wezinsizakalo zezempilo uzobheka zonke lezi zici lapho ehlola ingozi yakho.

Ziyini izinkinga ezingase zenzeke ngenxa ye-central sleep apnea?

Uma ingalashwa, i-central sleep apnea ingabangela izinkinga zezempilo ezinzima ezithinta izinhlelo eziningi zomzimba. Ukwehla okuphindaphindayo kwezinga lokuxhaphaza ngesikhathi sokulala kubangela ukucindezeleka enhliziyweni yakho, ebuchosheni, nakwezinye izitho ezibalulekile ngokuhamba kwesikhathi.

Izinkinga zenhliziyo zihlanganiswa phakathi kwezinto ezinkulu ezibangela ukukhathazeka:

• Izinkinga zenhliziyo: Ukwanda komngcipheko wokwehluleka kwenhliziyo, ukubetha kwenhliziyo okungajwayelekile, kanye nokuphakama kokucindezela kwegazi
• Umgcipheko wesifo sobuchopho: Ukwehla okuphindaphindayo kokufinyeleleka komoya kungase kube nomthelela ekukhuleni kwesifo sobuchopho, ikakhulukazi kubantu abanesici sobungozi
• Ukufa kwenhliziyo okungaqondakali: Nakuba kunqabile, izimo ezinzima zingase zikhulise umngcipheko wezinkinga zokubetha kwenhliziyo ezingabulala ngesikhathi sokulala

Ukusebenza kwasemini kungase kuhluleke kakhulu, okuholela ekubeni kunzima ukuqonda, izinkinga zokukhumbula, nokukwanda komngcipheko wezingozi uma uqhuba imoto noma usebenzisa imishini. Ukushintsha kwesimo sengqondo kufaka phakathi ukucindezeleka nokukhathazeka kuyinto evamile.

Izinkinga zokuguqulwa kwemvelo zingase zikhule ngokuhamba kwesikhathi, kufaka phakathi ukwanda kokulawulwa kwesifo sikashukela nokukhuphuka kokuvuvukala emzimbeni wonke. Ukuphazamiseka kokulala kungase futhi kuqedele amasosha omzimba, kukwenze ube sengozini yokutheleleka.

Kubantu abanesimo senhliziyo noma esiphuphu, i-apnea yokulala ephakathi ingasheshisa ukuqhubeka kwesifo futhi yenze ezinye izindlela zokwelapha zingabi namphumela. Ukuxilongwa kwasekuqaleni nokwelashwa kungasiza ukuvimbela lezi zinkinga futhi kuthuthukise impilo yakho yonke.

Kungenzeka kanjani ukuvimbela i-apnea yokulala ephakathi?

Nakuba ungakwazi ukuvimbela zonke izinhlobo ze-apnea yokulala ephakathi, ikakhulukazi lezo ezihlobene nezici zezakhiwo noma izimo zezokwelapha ezingakugwemeki, izindlela eziningi zingasiza ekuqedeni umngcipheko wakho noma ukuvimbela ukwanda kwezimpawu ezikhona.

Ukulawula izimo zezempilo ezikhona kuyithuluzi lakho elikhulu kunawo wonke lokuvimbela:

• Impilo Yenhliziyo: Landela izeluleko zonyango lwehliziyo mayelana nokungaphumeleli kwenhliziyo noma ezinye izimo zenhliziyo.
• Ukuphathwa Kwemithi: Sebenzisana nodokotela wakho ukuze usebenzise imithamo ephansi kakhulu ye-opioids nezinye izidakamizwa eziqeda ukuqeda.
• Ukwazi Ukuphakama: Uma uhamba emazingeni aphezulu, nyuka kancane uma kungenzeka futhi cabanga ngokubonisana nodokotela wakho ngezindlela zokuvimbela.
• Ukuhlanzeka Kokulala: Gcina amashejuli okulala ajwayelekile futhi udale indawo yokulala enempilo.

Ukugwema ukusetshenziswa okukhulu kotshwala, ikakhulukazi ngaphambi kokulala, kungasiza ekuqondeni izindlela zokuphefumula ezingajwayelekile ngesikhathi ulele. Uthwala lunganciphisa izindlela zokulawula ukuqeda umoya ebuchosheni bakho.

Uma une-obstructive sleep apnea bese uqala ukwelashwa kwe-CPAP, hamba emihlanganweni yokulandelela njalo ukuze uqaphele ukuthuthukiswa kwe-central sleep apnea. Ukutholakala kwangaphambi kwesikhathi kuvumela ukulungiswa kokwelashwa okusheshayo.

Kubantu abanezinhlungu ezingapheli, ukugcina ukunakekelwa kwemithi okujwayelekile nokulandela izinhlelo zokwelapha kungasiza ekuvimbeni izinkinga ezingase ziholele ekuthuthukiseni kwe-central sleep apnea.

I-central sleep apnea ihlonishwa kanjani?

Ukuxilongwa kwe-central sleep apnea kudinga ukuhlolwa kokulala okukhethekile okungakwahlukanisa kwezinye izifo zokuphefumula. Udokotela wakho uzoqala ngokuhlola ngokucophelela izimpawu zakho, umlando wezokwelapha, nanoma iyiphi imithi oyithathayo.

Inkqubo yokuxilonga ngokuvamile ihlanganisa:

• Ukuhlolwa kokulala (polysomnography): Lo viwo oluqhutshelwa ebusuku ekamelweni lokulala luqapha ukuphefumula kwakho, amaza engqondo, izinga lokushukuma kwenhliziyo, kanye namanqanaba oksijini ngenkathi ulala
• Ukuhlolwa kokulala ekhaya: Kwezinye izimo, imishini yokuhlola elula ingasetshenziswa ekhaya, nakuba ukuhlolwa kwelabhori kuvame ukukhethwa ngokuphathelene nokuhlushwa komoya okungapheli
• Ukuhlolwa kwezokwelapha: Ukuhlolwa kwegazi, ukuhlolwa kokusebenza kwenhliziyo, kanye nokuhlolwa kwezithombe kungase kudingeke ukuze kutholakale izimbangela eziyisisekelo

Phakathi nokuhlolwa kokulala, ochwepheshe bayobe befake izinzwa emzimbeni wakho ukuze baqaphe imisebenzi ehlukahlukene ebusuku lonke. Uviwo alubuthi, nakuba kungase kudingeke isikhathi sokujwayela ukulala ngemishini yokuhlola.

Odokotela bakho abachwepheshe ekulaleni bayohlola imiphumela ukuze baqonde ukuthi ukuphefumula kuye kuphela kangaki, isikhathi eside kangakanani lezi ziphumule zihlala, nokuthi zingaphikisani (ezihlobene nobuchopho) noma ezivikelayo (ezihlobene nomoya) ngokwemvelo. Bayohlala futhi bafune ukushintsha okuhambisana nokuqondana kwenhliziyo namanqanaba oksijini.

Ukuhlolwa okuengeziwe kungafaka ukusetshenziswa kwe-echocardiograms ukuhlola ukusebenza kwenhliziyo, izithombe zobuchopho uma kubhekwa izimbangela zezinzwa, noma ukuhlolwa kokusebenza kwesibindi. Lendlela ephelele ikusiza ukuthola uhlobo oluthile lokuhlushwa komoya okungapheli futhi iqondise ukuhlelwa kokwelashwa.

Iyini impilo yokuhlushwa komoya okungapheli?

Ukwelashwa kokulala okungapheli kugxile ekunakekeleni izimbangela eziyisisekelo ngenkathi kunikezwa ukwesekwa kokuphefumula ngqo ngenkathi kulala. Udokotela wakho ochwepheshe ekulaleni uzoqamba uhlelo oluqondene nomuntu ngokusekelwe ohlotsheni oluthile nobunzima besimo sakho.

Izindlela zokwelapha eziyinhloko zihlanganisa:

• Ukwelashwa ngomgqomo womoya ophezulu: Amadivayisi e-CPAP, i-BiPAP, noma amadivayisi akhethekile e-ASV (ukulinganisela okuzenzakalelayo kokuphefumula) angasiza ekuqondiseni izindlela zokuphefumula eziqondile
• Ukuphatha izimo eziyisisekelo: Ukuthuthukisa ukwelashwa kokwehluleka kwenhliziyo, ukulungisa imithi, noma ukubhekana nezinye izimbangela zezokwelapha
• Imithi: Kwezinye izimo, izikhuthazi zokuphefumula njenge-acetazolamide noma i-theophylline zingasiza
• Ukwelashwa ngomgqomo: Umgqomo ongeziwe ngesikhathi sokulala ungasiza ekuqondiseni izindlela zokuphefumula

Amadivayisi e-ASV abonisa ubuchwepheshe obusha obuqondene ngokukhethekile nokulala okungapheli okuphakathi. Lezi michini ifunda izindlela zakho zokuphefumula futhi inikeza ukwesekwa kokuphefumula okuqondile uma kuvela ukuyeka.

Ngokukhathazeka ngokulala okungapheli okuphakathi okubangelwa imithi, ukusebenzisana nodokotela wakho obhalela imithi ukuze ulungise imithamo ye-opioid noma ushintshe ezindleleni ezihlukile zokuphatha ubuhlungu kuvame ukuthuthukisa izimpawu kakhulu.

Ezimeni ezinzima ezingavamile, izinketho zokucutshungulwa njengezinhlelo zokugxila idiaphragm zingacatshangelwa. Lezi zinto zikhuthaza i-diaphragm nerve ukuze iqhubeke nokuphefumula ngesikhathi sokulala.

Impumelelo yokwelashwa ivame ukudinga isineke nokulungiswa. Iqembu lakho lokulala lizohlola intuthuko yakho futhi lenze izinguquko ukuqinisekisa ukuthi uthola ukwelashwa okuphumelela kakhulu esimweni sakho esithile.

Indlela yokuphatha ukulala okungapheli okuphakathi ekhaya?

Nakuba ukwelashwa kwezokwelapha kubalulekile ngokulala okungapheli okuphakathi, izindlela eziningi zokuphatha ekhaya zingathuthukisa ukusebenza kahle kokwelashwa kwakho futhi zithuthukise ikhwalithi yakho yokulala iyonke. Lezi zindlela zisebenza kangcono uma zidibene nokwelashwa kwakho kwezokwelapha okubhaliwe.

Indawo yokulala nemikhuba idlala indima ebalulekile:

• Ukuma ulele: Abanye abantu bathola ukuthi ukulala beqhele futhi kunokuba belale ngemva kusiza ukunciphisa ukuphazamiseka kokuphefumula
• Isimiso esiqondile: Ukulala nokuvuka ngesikhathi esifanayo nsuku zonke kusiza ukulungisa isikhathi sakho sokulala nokuphaphama
• Indawo yokulala: Gcina igumbi lakho lipholile, limnyama, futhi lizothile ukuze kukhuthazwe ukulala okujulile, okuphumuzayo
• Ukugcinwa kwezinto: Hlanza futhi ulondoloze i-CPAP yakho noma amanye amadivayisi okuphefumula ngokuya ngemiyalelo yomkhiqizi

Ukushintsha indlela yokuphila kungasekele uhlelo lwakho lokwelashwa kakhulu. Ukugwema utshwala kanye nezinye izidakamizwa ezithambisa ngaphambi kokulala kusiza ukugcina izibonakaliso zokuphefumula zemvelo yengqondo yakho ngesikhathi ulele.

Uma usebenzisa ukwelashwa kokucindezela komoya omuhle, sebenzisana eduze nomhlinzeki wakho wezinto ukuqinisekisa ukuthi isembozo lifanele kahle futhi liyanelisa. Abantu abaningi badinga isikhathi sokujwayela ukwelashwa, futhi ukulungisa izinkinga zokunethezeka kusenesikhathi kuthuthukisa impumelelo yesikhathi eside.

Gcina idayari yokulala ubhale amazinga wakho kwamandla, isimo sengqondo, nanoma yiziphi izimpawu. Ulwazi olufana nalolu lusiza iqembu lakho lokunakekelwa kwezempilo ukuhlola ukusebenza kokwelashwa nokwenza izinguquko ezidingekayo.

Hlala uhileleke ekunakekelweni kwakho kwezokwelapha ngokuya emihlanganweni yokulandelela nokuxhumana ngokukhululekile mayelana nanoma yiziphi izinkathazo noma imiphumela emibi oyitholayo ngokwelashwa.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela kahle i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nohlelo lokwelashwa oluphumelelayo. Ochwepheshe bakho bokulala badinga ulwazi oluqondile mayelana nezimpawu zakho, umlando wakho wezokwelapha, nokuthi izinkinga zokulala zikuthinta kanjani impilo yakho yansuku zonke.

Ngaphambi kwendwendwelo yakho, buthana lolwazi oluqakathekile:

• Imininingwane yezimpawu: Qaphela ukuthi izinkinga zokuphefumula zenzeka nini, ukuthi uvuka kangaki ukhwehlela, kanye nezindlela zokukhathala emini
• Ukubuka komlingani wokulala: Cela umlingani wakho ukuthi achaze ukuthi uqaphela ini ngokuphefumula kwakho ngesikhathi ulele
• Uhlu lwezidakamizwa: Letha ulwazi oluphelele mayelana nazo zonke izidakamizwa ezinconywe udokotela, izithasiselo, kanye nezidakamizwa ezingaphezu kokuthengiswa
• Umbiko wezokwelapha: Lungisa imininingwane mayelana nezimo zenhliziyo, isihlabathi, izinkinga zezinso, noma ezinye izinkinga zempilo ezihambelanayo

Cabanga ukuthi ugcine idayari yokulala okungenani isonto ngaphambi kokubonisana kwakho. Bhala isikhathi sakho sokulala, isikhathi sokuvuka, indlela ozizwa ngayo ekuseni, nanoma yiziphi izimpawu zobusuku ozikhumbulayo.

Lungisa imibuzo mayelana nezinketho zokwelashwa, imiphumela emibi engenzeka, nokuthi yini okulindelekile ngesikhathi sokuhlolwa kokulala. Ungangabazi ukubuza ngokuguqulwa kwesitayela sokuphila okungasiza isimo sakho esithile.

Uma uke waba nezifundo zokulala noma ukuhlolwa kwenhliziyo, letha lezo zirekhodi noma uqinisekise ukuthi udokotela wakho unawo. Lolu lwazi lusiza ukugwema ukuhlolwa okuphindwe kabili futhi lunikeza ulwazi oluyisisekelo oluqakathekile.

Cabanga ukuthi ulethe ilungu lomndeni omethembayo noma umngani ongakusiza ukuba ukhumbule ulwazi oluqakathekile oluxoxwe ngesikhathi sokubonisana.

Iyini into ebalulekile mayelana ne-apnea yokulala ephakathi?

I-apnea yokulala ephakathi iyimo elilawulekayo elidinga ukwelashwa okufanele kwezokwelapha. Nakuba kungabonakala kuyesabekayo ukwazi ukuthi ubuchopho bakho ngezinye izikhathi "bulibala" ukunikeza isignali yokuphefumula ngesikhathi ulele, kukhona ukwelashwa okuphumelelayo okukhona okungathuthukisa kakhulu izimpawu zakho kanye nekhalithi lokuphila.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-apnea yokulala ephakathi ngokuvamile ibonisa izimo zempilo eziyisisekelo ezidinga ukunakekelwa. Ukwelapha kokubili isifo sokulala nanoma yiziphi izinkinga zezokwelapha ezinikezela kunikeza ithuba elihle kakhulu lokuphathwa okuphumelelayo.

Ungayideli izinkinga zokulala eziqhubekayo noma ucabange ukuthi ziyingxenye nje yokuguga. Ukuxilongwa kwasekuqaleni nokuphathwa kungavimbela izinkinga ezingathi sína futhi kukusize uzizwe unamandla futhi ugxile ngosuku.

Ukusebenzisana eduze neqembu lakho lezeMpilo, ukuhlala uqine ngokwelashwa okuqokiwe, nokulondoloza imikhuba emihle yokulala kuzokusiza uphathe i-apnea yokulala ephakathi kahle. Abantu abaningi babona ukuthuthuka okukhulu ezimpahleni zabo phakathi kwamasonto kuya ezinyangeni zokuqala ukwelashwa okufanele.

Imibuzo evame ukubuzwa mayelana ne-apnea yokulala ephakathi

Q.1 Ingabe i-apnea yokulala ephakathi iyingozi kakhulu kune-apnea yokulala ephazamisayo?

Womabili ama-apnea wokulala angaba yingozi uma engaqondwa, kodwa abeka ingozi ehlukene. I-apnea yokulala ephakathi ivame ukuxhumene nezimo eziyisisekelo zenhliziyo, ubuchopho, noma izinkalankala, okwenza kube nzima ukuyiphatha. Noma kunjalo, ngokuphathwa kahle kwezokwelapha kokubili ukuphazamiseka kokulala nezinye izimo, abantu abaningi bangafinyelela imiphumela emihle. Isihloko ukufumana ukuxilongwa nokuphathwa okufanele kunokuzimisela ukuthi iyiphi uhlobo "olukhulu".

Q.2 Ingabe i-apnea yokulala ephakathi ingaphela yodwa?

Ezinye izinhlobo ze-apnea yokulala ephakathi zingathuthuka uma izimbangela eziyisisekelo ziphathwa. Isibonelo, i-apnea yokulala ephakathi ebangelwa yimithi ivame ukuqeda uma imithi ilungiswa, futhi ukuphefumula okuphindaphindayo emazingeni aphezulu kuvame ukuqeda uma ubuyela emazingeni aphansi. Noma kunjalo, i-apnea yokulala ephakathi ehlobene nezimo ezingapheli njengokwehluleka kwenhliziyo idinga ukuphathwa okuqhubekayo. Ochwepheshe bakho bokulala bangakusiza unqume ukuthi uhlobo lwakho oluthile lunokuthuthuka yini ngokwelashwa kwezimbangela eziyisisekelo.

Q.3 Ingabe ngizodinga ukusebenzisa umshini we-CPAP phakade?

Isikhathi sokusetshenziswa kwe-CPAP noma eminye imishini yokuphefumula siyehluka kuye ngokuthi yini ebangela i-apnea yokulala ephakathi. Uma kuhambelana nezimo ezilawuleka njengomphumela wemithi noma izinkinga zezokwelapha ezingathi sína, ungase ungadingi ukwelashwa isikhathi eside. Kodwa-ke, uma kuhambelana nezimo ezingapheli njengokwehluleka kwenhliziyo, ukwelashwa okuqhubekayo kuvame ukudingeka. Abanye abantu bangase bakwazi ukunciphisa noma ukuyeka ukwelashwa uma izimo zabo eziyisisekelo ziqhubeka zithuthuka kakhulu ngokwelashwa.

Q.4 Ingabe ukushintsha indlela yokuphila kuphela kungawelapha i-apnea yokulala ephakathi?

Nakuba ukuguqulwa kwesitayela sokuphila njengokugcina ukuhlanzeka okulungile kokulala, ukuphatha izimo zempilo eziyisisekelo, nokugwema utshwala kungasiza ekuthuthukiseni izimpawu, azivamile ukwanele ukwelapha i-apnea yokulala ephakathi. Lesi simo sivame ukudinga ukungenelela kwezokwelapha ngoba sihilela izinkinga nokulawula ukuphefumula kwengqondo. Kodwa-ke, ukushintsha kwesitayela sokuphila kuyiyingxenye ebalulekile yokwelashwa okuhleliwe futhi kungenza ukwelashwa kwezokwelapha kube nomphumela omuhle.

Q.5 Ngingazizwa ngingcono kangcono ngokushesha kangakanani ngemva kokuqala ukwelashwa?

Abantu abaningi baphawula ukuthuthuka okuthile kwamandla osuku lonke nokuqapha ngaphakathi kwamasonto ambalwa okuqala kokwelashwa okuphumelelayo. Kodwa-ke, kungathatha izinyanga eziningi ukuzwa izinzuzo ezigcwele, ikakhulukazi uma uphinde welaphe izimo zezokwelapha eziyisisekelo. Ochwepheshe bakho bokulala bazolandelela intuthuko yakho futhi kungadingeka balungise uhlelo lwakho lokwelashwa phakathi nezinyanga ezimbalwa zokuqala. Ukubekezela kubalulekile, njengoba ukufumana ukuxuba okulungile kokwelashwa ngezinye izikhathi kuthatha isikhathi, kodwa abantu abaningi bayabona ukuthuthuka okukhulu ngokwelashwa okufanele.