Ukuqeda Ukuphumula Kwe-Apnea? Izimpawu, Izimbangela, Nokwelapha

I-Obstructive sleep apnea yisifo esivamile sokulala lapho ukuqeda kwakho ukuheha kuye kuqale futhi kuqale ngokuphindaphindiwe ngesikhathi ulele. Lokhu kwenzeka uma izicubu zemisipha ehlombe lakho zikhululekile kakhulu, okubangela indlela yakho yokuheha ibe mncane noma ivaliwe ngokuphelele.

Ungase ungazi ukuthi unayo ngoba ukuqeda ukuheha kwenzeka ngesikhathi ulele. Noma kunjalo, umzimba wakho uvuka okwesikhashana njalo ukuqalisa ukuheha, okuphazamisa ikhwalithi yokulala kwakho futhi kukushiye uzizwa ukhathele usuku lonke.

Iyini i-Obstructive Sleep Apnea?

I-Obstructive sleep apnea ivela uma izicubu ezithambile ehlombe lakho ziwa bese zivala indlela yakho yokuheha ngesikhathi ulele. Cabanga ngayo njengophayiphi lwesiqabane olukhukhumala bese limisa ukugeleza kwamanzi.

Phakathi nalezi zikhathi, ubuchopho bakho buqaphela ukwehla kokujikeleza komoya bese bukuvusa okwesikhashana ukuqalisa ukuheha. Lokhu kuvuka kufushane kangangokuthi ngokuvamile awukhumbuli, kodwa kungenzeka izikhathi eziningi noma ngisho namakhulu ngobusuku.

Lo mzungulu oqhubekayo wokuyeka nokuqala ukuheha kukuvimbela ukuthola ukulala okujulile, okuvuselelayo umzimba wakho okudingayo. Ngokuhamba kwesikhathi, lo mphazamiso wokulala ungathinta amandla akho, isimo sengqondo, nempilo yakho yonke.

Ziyini Izimpawu Ze-Obstructive Sleep Apnea?

Izimpawu ezibaluleke kakhulu ze-sleep apnea zivame ukwenzeka ngesikhathi ulele, ngakho-ke umlingani wakho angase azibone kuqala. Ake sibheke izimpawu zobusuku nezosuku ongazihlangabezana nazo.

Izimpawu zobusuku zihlanganisa:

• Ukuqhwaba okuzwakalayo, okuqhubekayo okuthinta abanye
• Imizwa yokuphefumula noma yokunyakazisa ngesikhathi ulele
• Ukuyeka ukuheha okubonwa abanye
• Ukulala okungaphelili ngokuphindaphindiwe ukujika nokuphenduka
• Ukushisa ebusuku noma ukuya emathaleni njalo ebusuku
• Umlomo owomile noma intamo ebuhlungu uma uvuka

Izimpawu zosuku zihlanganisa:

• Ukulala okukhulu kosuku naphezu kwesikhathi esanele sokulala
• Ubuhlungu ekhanda ekuseni obuyaphela njengoba usuku luqhubeka
• Ubunzima bokuhlanganisa noma izinkinga zokukhumbula
• Ukuthukuthela, ukuguquka kwesimo sengqondo, noma ukucindezeleka
• Ukulala ngesikhathi semisebenzi ethule njengokufunda noma ukubuka i-TV
• Ukuthanda ucansi okuncane noma ukungasebenzi kahle kocansi

Abantu abaningi bayeka lezi zimpawu njengezimpawu ezivamile zokuguga noma ukucindezeleka. Noma kunjalo, uma uhlangabezana nezinye zalezi zimpawu njalo, kufanele uxoxe nodokotela wakho.

Ziyini Izimbangela Ze-Obstructive Sleep Apnea?

I-Sleep apnea ithuthukiswa uma imisipha esekela izicubu zakho ehlombe ikhululeka kakhulu ngesikhathi ulele. Izici eziningi zingase zifake isandla kule khululeko nokuncipha kwendlela yokuheha.

Izici zokwenyama ezandisa ingozi yakho zihlanganisa:

• Ukukhuluphala okukhulu ngqoqeni nasesigodini
• Amatonsil amakhulu noma ama-adenoids
• Indlela yokuheha ecishe ibe mncane noma ulwimi olukhulu
• Ukuhlwitha kwesigodo noma i-overbite
• Ukuvalekile kwempumulo noma i-deviated septum
• Ukuzungezela okukhulu kwentamo (ngaphezu kwama-intshi angu-17 kubantu, ama-intshi angu-16 kwabesifazane)

Izici zesitayela sokuphila nezokwelapha zihlanganisa:

• Ukuphuza utshwala, ikakhulukazi ngaphambi kokulala
• Ukubhema, okwandisa ukuvuvukala emizileni yokuheha
• Ukulala ngemuva
• Ukusetshenziswa kwezidakamizwa zokulala noma izidakamizwa zokukhulula imisipha
• I-Hypothyroidism noma ezinye izifo ze-hormonal
• Umlando womndeni we-sleep apnea

Ngenkathi ezinye izici zengozi njengezinto zofuzo zingashintshwa, eziningi zingashintshwa ngokulungiswa kwesitayela sokuphila nokwelashwa kwezokwelapha.

Nini Ukubona Udokotela Nge-Obstructive Sleep Apnea?

Kufanele ucabange ukubona udokotela uma ukuqhwaba okuzwakalayo kuphazamisa ukulala kwakho noma komlingani wakho, ikakhulukazi uma kuhambisana nemizwa yokuphefumula noma yokunyakazisa. Lezi ngokuvamile yizimpawu zokuqala ezifuna ukunakekelwa kwezokwelapha.

Hlela i-aphoyintimenti uma uhlangabezana nokulala okukhulu kosuku naphezu kokuthola okubonakala sengathi ukulala okwanele. Lokhu kukhathala okukhulu okungathuthuki ngokuphumula kuyisibonakaliso esibalulekile se-sleep apnea.

Funani ukunakekelwa kwezokwelapha uma unezinhlungu ekhanda ekuseni, ubunzima bokuhlanganisa, noma ukuguquka kwesimo sengqondo okubonakala kuhlobene nekhalithi elibi lokulala. Lezi zimpawu zingathinta kakhulu impilo yakho yansuku zonke nobuhlobo.

Ungalindi uma ulele ngesikhathi semisebenzi edinga ukunakekelwa, njengokuqhuba, ukusebenza, noma ukukhuluma. Leli zinga lokulala lingaba yingozi futhi lidinga ukulinganiswa ngokushesha.

Ziyini Izici Zengozi Ze-Obstructive Sleep Apnea?

Izici ezithile zikwenza kube lula ukukhula kwe-sleep apnea, yize ukuba nezici zengozi akusho ukuthi uzokhula ngalesi simo. Ukuqonda lezi zici kungakusiza ukuthi uthathe izinyathelo zokuvimbela.

Idemographics nezici zokwenyama:

• Ukuba owesilisa (abesilisa banezinga eliphezulu kabili noma kathathu lokuba ne-sleep apnea)
• Iminyaka engaphezu kwengu-40, yize ingase ivela kunoma iyiphi iminyaka
• Ukuba ngumuntu omkhulu noma onesisindo esiningi
• Ukuba nokuzungezela okukhulu kwentamo
• Umuntu omnyama wase-Afrika, iHispanic, noma iPacific Islander
• Abesifazane abase-postmenopausal

Izimo zezokwelapha ezandisa ingozi:

• Ukuphindaphindiwe kwegazi eliphakeme
• I-Diabetes
• Umlando wesifo senhliziyo noma isifo sobuchopho
• Ukuvalekile kwempumulo okungapheli
• I-Asthma noma ezinye izimo zokuphefumula
• I-Polycystic ovary syndrome (PCOS)

Ukuba nezici eziningi zengozi kukwandisa amathuba akho okukhula kwe-sleep apnea, kodwa lesi simo singase sibe khona kubantu abanazici ezimbalwa noma abangenazo izici zengozi ezicacile.

Ziyini Izingozi Ezingase Zenzeke Nge-Obstructive Sleep Apnea?

I-Sleep apnea engaphathwa ingabangela izinkinga zezempilo ezinzima ngoba umzimba wakho awutholi i-oksijini oyidingayo ngesikhathi ulele. Lezi zingozi zithuthuka kancane kancane kodwa zingaba nemiphumela ehlala njalo empilweni yakho.

Izingozi ze-cardiovascular zihlanganisa:

• Ukuphindaphindiwe kwegazi eliphakeme okunzima ukulawula
• Ukungahambi kahle kokushaya kwenhliziyo (i-atrial fibrillation)
• Ukuwanda kengozi yokuhlaselwa yinhliziyo
• Ukuphakama kengozi yesifo sobuchopho
• Ukwehluleka kwenhliziyo ezimweni ezinzima

Izingozi ze-metabolic nezingozi zengqondo:

• I-Type 2 diabetes noma ukwanda kokulawulwa kweswekile
• Ukukhuluphala okuba nzima ukulawula
• Izinkinga zokukhumbula nobunzima bokuhlanganisa
• Ukuwohloka nokukhathazeka
• Ukuwanda kengozi yezingozi ngenxa yokulala kosuku

Izingozi ezingavamile kodwa ezinzima:

• Izinkinga zesibindi, kufaka phakathi isifo sesibindi esinamanoni
• Izingozi ngesikhathi sokusebenza ngenxa yobunzima bokuheha
• Abalingani abakhathele ngokulala nokucindezeleka kobuhlobo

Izindaba ezinhle ukuthi ukwelapha i-sleep apnea kunganciphisa kakhulu lezi zingozi futhi ngokuvamile kuthuthukise izimo zezempilo ezisekhona.

I-Obstructive Sleep Apnea Ingavikeleka Kanjani?

Ngenkathi ungakwazi ukuvimbela zonke izimo ze-sleep apnea, ikakhulukazi ezihlobene nezinto zofuzo noma ukwakheka komzimba, unganciphisa ingozi yakho ngokuguqula isitayela sokuphila. Lezi zinguquko zingase futhi zisize ekuthuthukiseni izimpawu uma usuvele unalesi simo.

Amasu okulawula isisindo:

• Gcina isisindo esinempilo ngokudla okulinganiselayo nokuzivocavoca njalo
• Ngisho nokulahlekelwa isisindo okuncane (ama-10-15 ama-pounds) kungathuthukisa kakhulu izimpawu
• Gxila ekunciphiseni amanoni entanyeni nasezingxenyeni eziphezulu zomzimba

Izenzo zokulala nezokuphila:

• Lala eceleni kunokuba ulele ngemuva
• Gwema utshwala, ikakhulukazi phakathi kwamahora angu-3-4 ngaphambi kokulala
• Yekela ukubhema ukuze unciphise ukuvuvukala emizileni yokuheha
• Welapha ukuvalekile kwempumulo ngezidakamizwa zokuvula impumulo noma ama-strips empumulo
• Gcina amashejuli wokulala ajwayelekile
• Gwema izidakamizwa zokulala namaphilisi okulala uma kungenzeka

Lezi zinyathelo zokuvimbela zisebenza kangcono uma zihlanganiswe futhi zigcinwe njalo ngokuhamba kwesikhathi. Ukushintsha okuncane kungenza umehluko obalulekile ekhwalithi yokulala kwakho.

I-Obstructive Sleep Apnea Ihlonishwa Kanjani?

Ukuhlonishwa kwe-sleep apnea ngokuvamile kuqala ngodokotela wakho ebuza ngezindlela zakho zokulala, izimpawu zosuku, nomlando wakho wezokwelapha. Umlingani wakho angase aceleke ukuchaza lokho abakubona ngesikhathi ulele.

I-gold standard yokuhlola yisifundo sokulala, esingenziwa elabhorethri yokulala noma ngezinye izikhathi ekhaya. Phakathi nesifundo sokulala ebusuku, izinzwa ziqapha ukuheha kwakho, izinga lokushisa kwenhliziyo, umsebenzi wobuchopho, nezinga le-oksijini ngesikhathi ulele.

Izivivinyo zokulala zasekhaya zingase zihlanganise:

• Amadivayisi okuqapha aphathekayo aqedela ukuheha nezinga le-oksijini
• Ukusetha okulula ngezinzwa ezimbalwa kunokuhlolwa kwelebhu
• Inketho elula futhi ebiza kancane
• Ilungele abantu abanethuba elikhulu le-sleep apnea ephakathi nendawo

Izivivinyo zokulala zaselebhu zinikeza:

• Ukuqapha okuningiliziwe kwamaza obuchopho, ukuhamba kwamehlo, nomsebenzi wemisipha
• Ulwazi oluqondile ngezigaba zokulala
• Ukutholakala kangcono kwezinye izifo zokulala
• Ukusekelwa kobuchwepheshe ngokushesha uma kunezingqinamba zezinto zokusebenza

Udokotela wakho uzokuncoma indlela yokuhlola efanele kakhulu ngokuya ngezimpawu zakho, umlando wezokwelapha, nethuba lokuba ne-sleep apnea.

Iyini Ukwelapha kwe-Obstructive Sleep Apnea?

Ukwelapha i-sleep apnea kuncike ezingeni lesimo sakho nezimo zakho zomuntu siqu. Umgomo ukugcina indlela yakho yokuheha ivulekile ngesikhathi ulele futhi uthuthukise ikhwalithi yokulala kwakho.

Ukwelashwa kwe-CPAP (ukwelapha okuvamile kakhulu):

• I-Continuous Positive Airway Pressure machine inikeza ukucindezela komoya okuzinzile
• Igqokwe njengemask phezu kwempumulo yakho noma empumulweni nomlomo ngesikhathi ulele
• Inemiphumela emihle uma isebenza njalo
• Ama-machines ajwayelekile athule futhi ahlala ephumule kunemodeli endala
• Kungathatha isikhathi ukulungisa, kodwa abantu abaningi bazijwayeza phakathi kwamasonto ambalwa

Amadivayisi okucindezela okunye komoya:

• Ama-BiPAP machines anikeza ukucindezela okuhlukile kokuphefumula nokukhipha umoya
• Ama-CPAP machines azilungisa ngokuzenzakalelayo ashintsha ukucindezela ngokuya ngezidingo zakho
• Wusizo kubantu abangakwazi ukubekezelela ukwelashwa kwe-CPAP okujwayelekile

Amadivayisi omhlathi:

• Amadivayisi aklanywe ngokukhethekile agcina umhlathi wakho noma ulwimi lwakho endaweni
• Kulula ukuhamba nawo kunama-CPAP machines
• Anemiphumela emihle ye-sleep apnea ephansi kuya kwephakathi
• Adinga ukuhlolwa njalo kwentando yokuqina ukuze kufaneleke kahle

Izinketho zokusebenza (uma ezinye izindlela zokwelapha azisebenzi):

• I-Uvulopalatopharyngoplasty (UPPP) isusa izicubu ezikhulu ehlombe
• Ukwelashwa kokuthuthukisa umhlathi wezinkinga ezinzima zokwakheka komzimba
• I-Inspire therapy ifaka i-pacemaker yokuheha
• I-Tracheostomy yezimo ezinzima, ezisongela impilo

Udokotela wakho uzosisebenzisana nawe ukuthola indlela yokwelapha efanele isitayela sakho sokuphila futhi inikeze imiphumela emihle kakhulu yesimo sakho esithile.

Indlela Yokuthatha Ukwelashwa Ekhaya Ngesikhathi Se-Obstructive Sleep Apnea?

Ukulawula i-sleep apnea ekhaya kuhlanganisa kokubili ukusebenzisa ukwelashwa okubhaliwe njalo nokwenza ukulungiswa kwesitayela sokuphila okusekela ukuheha okuhle ngesikhathi ulele. Uhlelo lwakho lokulondoloza ekhaya lubalulekile empumelelweni yokwelapha.

Ukunakekelwa nokulondolozwa kwe-CPAP:

• Hlambulula i-mask yakho, i-tubing, nekamu lamanzi nsuku zonke ngesepu elithambile
• Shintsha amafutha, ama-mask, ne-tubing ngokuya ngezinkombandlela zomkhiqizi
• Sebenzisa amanzi ahlanzekile e-humidifier ukuvimbela ukwakheka kwaminerali
• Gcina umthombo wamandla wesibili ukuhamba noma ukuphazamiseka kwamandla
• Landelela ukusetshenziswa kwakho futhi ulethe idatha emihlanganweni yokulandelela

Ukuthuthukiswa kwendlu yokulala:

• Gcina igumbi lakho lokulala lipholile, limnyama, futhi lithule
• Sebenzisa amapilishi ukuze ugcine isikhundla sokulala eceleni
• Phakamisa ikhanda lombhede wakho ama-intshi angu-4-6 uma kunconywe
• Susa izinto ezingase zibangele ukuvalekile kwempumulo

Izenzo zansuku zonke ezisiza:

• Yenza ukuhlanzeka okuhle kokulala ngamashejuli wokulala ajwayelekile
• Hlala uthambile kodwa gcina amanzi eduze nesikhathi sokulala
• Yenza ukuzivocavoca komlomo nolwimi uma kunconywe udokotela wakho
• Landelela izimpawu zakho namandla akho

Khumbula ukuthi ukwelashwa ekhaya kusebenza kangcono uma kuhlanganiswe nokulandelela njalo kwezokwelapha ukuqinisekisa ukuthi ukwelashwa kwakho kuqhubeka kusebenza.

Kufanele Uzilungiselele Kanjani I-Aphoyintimenti Yakho Yodokotela?

Ukulungiselela i-aphoyintimenti yakho ye-sleep apnea kusiza ukuqinisekisa ukuthi uthola ukuhlonishwa okuchane kakhulu nezincomo zokwelapha ezifanele. Ukulungiselela okuhle kuholela ezingxoxweni eziphumelelayo neqembu lakho lezokunakekelwa kwezempilo.

Ngaphambi kwe-aphoyintimenti yakho:

• Gcina idayari yokulala amasonto angu-1-2 uqaphele izikhathi zokulala, izikhathi zokuvuka, nokuthi uzizwa kanjani
• Cela umlingani wakho ukuthi aqaphele izindlela zokuqhwaba nanoma yikuphi ukuqeda ukuheha
• Bala zonke izidakamizwa, izithasiselo, nezidakamizwa ezingaphezu kokuthengiswa ngaphandle kwesikweletu ozithathayo
• Bhala phansi imibuzo mayelana nezimpawu, izinketho zokwelapha, nokushintsha kwesitayela sokuphila
• Letha imiphumela yesifundo sokulala esidlule uma unayo

Ulwazi olumele luxoxwe:

• Amazinga okukhathala kosuku nokuthi akuphikisani kanjani nemisebenzi yakho yansuku zonke
• Noma yiziphi izingozi ezisondelene ngenxa yokulala
• Umlando womndeni wezifo zokulala
• Izimo zezempilo zamanje nezidakamizwa
• Izindlela zokusetshenziswa kwetshwala nekhafeyin

Imibuzo okumele uyibuze udokotela wakho:

• Yiluphi uhlobo lwesifundo sokulala engiyiludingayo?
• Ziyini izinketho zokwelapha zami nezinzuzo nezingozi zazo?
• Ngabe kungakanani ngaphambi kokuthi ngibone ukuthuthuka ngokwelashwa?
• Yiziphi izinguquko zesitayela sokuphila engingazinquma?
• Ngabe ngizodinga kaningi i-aphoyintimenti yokulandelela?

Ukuba ulungile kusiza udokotela wakho ukuqonda isimo sakho kangcono futhi akhe uhlelo lokwelapha olusebenza ngesitayela sakho sokuphila nezifiso zakho.

Iyini I-Key Takeaway Mayelana Ne-Obstructive Sleep Apnea?

I-Obstructive sleep apnea yisimo esingaphathwa esithuthuka kakhulu ngokuhlonishwa okuchane nokusebenza okuqhubekayo. Ngenkathi kubonakala kukhulu ekuqaleni, abantu abaningi bathola impumuzo enkulu uma beqala ukwelashwa okufanele.

Isinyathelo esibaluleke kakhulu ukuqaphela izimpawu nokufuna ukuhlolwa kwezokwelapha. Abantu abaningi bahlala bephethe i-sleep apnea engaphathwa iminyaka eminingi, bengazi ukuthi ukukhathala kwabo, ubuhlungu ekhanda ekuseni, nezinye izimpawu zinezimbangela ezingaphathwa.

Impumelelo yokwelapha ixhomeke kakhulu ekuzinikeleni kwakho ekusebenziseni ukwelashwa okubhaliwe njalo. Kungaba ukwelashwa kwe-CPAP, amadivayisi omhlathi, noma ukushintsha kwesitayela sokuphila, ukusetshenziswa okujwayelekile kuyisigaba esibalulekile sokubona ukuthuthuka ekhwalithi yokulala kwakho nempilo yakho yonke.

Khumbula ukuthi ukulawula i-sleep apnea kuyisivumelwano phakathi kwakho neqembu lakho lezokunakekelwa kwezempilo. Ngokwelashwa okufanele, ungalindela ukuzizwa ukhululekile, uphapheme, futhi unemandla ngenkathi unciphise ingozi yezingozi zezempilo ezinzima.

Imibuzo Evamile Ebuzwayo Mayelana Ne-Obstructive Sleep Apnea

Q1: Ingabe i-sleep apnea ingaphela yodwa?

I-Sleep apnea ayivamile ukuthi iphele ngaphandle kokwelashwa, ikakhulukazi uma ihlobene nezici zokwakheka komzimba. Noma kunjalo, ukulahlekelwa isisindo nokushintsha kwesitayela sokuphila kungathuthukisa kakhulu izimo ezilula. Kubantu abaningi, ukwelashwa okuqhubekayo kuyadingeka ukulawula izimpawu ngempumelelo nokuvimbela izingozi zezempilo.

Q2: Kuphephile yini ukulala nge-sleep apnea?

Ngenkathi i-sleep apnea ngokwayo ingakubangeli ukuyeka ukuheha unomphela, ibeka ingozi zezempilo ngokuhamba kwesikhathi. Ukwehla okuphindaphindiwe kwezinga le-oksijini kungase kubangele ukucindezeleka ohlelweni lwakho lwe-cardiovascular. Ukusebenzisa ukwelashwa okubhaliwe njenge-CPAP therapy kwenza ukulala kube kuphephile futhi kuvuselelayo.

Q3: Kuthatha isikhathi esingakanani ukuzizwa kangcono ngemuva kokuqala ukwelashwa kwe-CPAP?

Abantu abaningi baqaphela ukuthuthuka okuthile ekuqapheleni kosuku phakathi kwezinsuku ezimbalwa kuya kwamasonto okuqala kokusebenzisa i-CPAP njalo. Izinzuzo ezigcwele, kufaka phakathi isimo sengqondo esithuthukisiwe nokuhlanganisa, ngokuvamile zithuthuka ngaphezu kwamasonto angu-1-3. Isigaba esibalulekile ukusebenzisa i-CPAP machine yakho njalo ebusuku isikhathi esigcwele sokulala.

Q4: Ngingahamba ngezinto zokusebenza ze-sleep apnea?

Yebo, ama-CPAP machines aklanywe ukuhamba futhi awabali emazingeni ebhegi le-airline. Ama-machines amaningi ajwayelekile amancane futhi anemicu yokuhamba. Ungathola ama-battery packs okukama noma izindawo ezingenamandla. Njalo uthwale incwadi yodokotela echaza izinto zakho zezokwelapha uma uhamba.

Q5: Ingabe ukulahlekelwa isisindo kuzoqeda i-sleep apnea yami?

Ukulahlekelwa isisindo kungathuthukisa kakhulu izimpawu ze-sleep apnea futhi kungase kuqede izimo ezilula kubantu abathile. Noma kunjalo, i-sleep apnea ingase ibe khona kubantu abancane ngenxa yezici zokwakheka komzimba. Udokotela wakho angakusiza ukuqonda ukuthi ukulahlekelwa isisindo kuphela kuzoba yikho okwanele noma uma uzodinga ukwelashwa okwengeziwe.