Lala Apnea - kuyini? ubuthongo Obstructive zokuphelelwa umoya syndrome

Ukwahlukanisa iziyaluyalu ezinkulu ubuthongo kuhlanganisa okuthiwa elele singathatha syndrome. Kuyini, Lutho neze wonke. Ngenkathi ebonakala umuntu elele khona isikhathi eside engasayi ukuphefumula. Lesi simo esiyingqayizivele sibangelwa kuyingozi ngempela, ngoba kwezinye izimo kungaba yingozi.

Ngamanye amazwi, lo zokuphelelwa umoya kuyinto stop ephelele eqoshiwe acinene futhi ngomlomo ukugeleza umoya, ezisabalele imizuzwana futhi kubangelwa sokuntenga komnotho ezweni sihlalise izindlela okungenani eziyishumi pharynx. kungenziwa Ngesikhathi esifanayo njengoba umzamo zokuphefumula ukulondolozwa, noma ngingekho.

Izinhlobo ezinkulu yokuphelelwa umoya

Kuze kube manje, Kunezinhlobo ezintathu eziyinhloko leli qiniso. Lokhu emaphakathi, obstructive futhi edidayo.

zokuphelelwa umoya Central lichazwa ngokuthi ukwehluleka emoyeni ageleza ngenxa yokuthi i-pulse ayitholakali ukuze isimiso sezinzwa esiyinhloko okuyinto oyenza umzamo zokuphefumula. Njengomthetho, lolu hlobo kwenzeka abantu izindlela kahle e ukulawulwa ukuphefumula, futhi lihlotshaniswa umonakalo izindlela ezijulile futhi yokwakheka conductive we CNS.

Obstructive elele singathatha yisimo esingathí sina, ngokuvamile okuyisimo esisongela ukuphila. Ivame libhekene yokuthi ukuthuthukisa ukuboshwa zokuphefumula ngesikhathi imizuzwana ezingaphezu kweziyisishiyagalombili nokuba eziyishumi ngezikhawu izikhathi nanhlanu ngehora. zokuphelelwa umoya Obstructive noma neuropathy libhekene idlulela Ukuhamba ku umgudu engenhla. Ngenxa yalokhu, wonke umoya iyaphuma angeke afinyelele emaphashini, ngakho kukhona ukwehluleka komoya.

uhlobo ezixutshiwe yokuphelelwa umoya

zokuphelelwa umoya ezixutshiwe siqukethe izici kokubili izinhlobo okuxoxwe ngawo ngenhla. Okuvame kakhulu, njengoba kuboniswa idatha iningi laboratories ukuthi uhlole ubuthongo - kuyinto obstructive elele singathatha, kodwa ngokuvamile kakhulu waphawula okuxubile.
Iningi lamacala obstructive elele singathatha kubangelwa ukubambisana engafanele isimiso sezinzwa esiyinhloko maqondana pulses kwemisipha yokuphefumula. Ezimweni ezinjalo kukhona imisipha dystonia emphinjeni emaphakathi.

Ngo elele singathatha amadoda (okungukuthi, liye ezichazwe ngenhla) esihamba ngawo ngokuphindwe izikhathi ezingamashumi amabili ngaphezulu ngokuvamile livela amane kuya eminyakeni engamashumi ayisithupha. Abaningi balaba bantu bayahlupheka ukukhuluphala.

amafomu Clinical ukuphelelwa umoya lapho belele

Ngokusho ngezigaba ukuphelelwa umoya lapho belele, ngaphezu izinhlobo ngenhla sesigaba ukuthi ahambisana pathogenesis yalesi sifo, kukhona izinhlobo zokwelapha, owakhiwa amafomu alandelayo:

• abanenkinga ye-apnea hona izakhi;
• Pickwick syndrome;
• zokuphelelwa umoya elibukhali izingane (okungazelelwe death syndrome) ;
• hypoventilation emaphakathi;
• Ondine isiqalekiso.

Ebusuku snores wabonakaliswa umsindo, okuyinto eyenzeka ngesikhathi ephefumula umoya ndima ukuvaleka emlonyeni acinene pharyngeal ndawo.

Lokho okubizwa ngokuthi i syndrome Pickwickian libhekene khona ukukhuluphala, ebusuku snoring, polycythemia, futhi hyperemia.

Apnea e Izinsana

zokuphelelwa umoya okungazelelwe izingane ungumdlali okuphawulekayo ukuthi inani labantu ababulawa ngaphansi konyaka owodwa. Lokhu kwenzeka ngenxa hhayi ngempela ephelele ukulawulwa ukuphefumula. Njengomthetho, kwenzeka kaningi e ezizalwa ngaphambi kwesikhathi. Futhi wawuhlanganisa uma kukhona catarrhal ukuvuvukala ukulinyazwa ipheshana zokuphefumula.

Imbangela yale Wagdi izinsana nge ampofu isimiso sezinzwa futhi zingaba okweqile, ngenxa okwakubekelwa iphazamiseke kwimodi ejwayelekile ezishisayo. Ngesikhathi esifanayo e usana eba okuxubile elele singathatha, kodwa ukubonakala kwakhe zihilelekile indlela ephakathi obstructive.

Ondine isiqalekiso futhi uhlobo zokugula ezifana elele singathatha. Kuyini - akwaziwa kwabaningi. Lesi simo esiyingqayizivele sibangelwa kuyinto ngempela ezingavamile. Kuleli fomu lokulawula ezilahlekile ukuzilawula ngokuzenzekelayo umoya omncane, ngakho umoya zingalawulwa ezinqumela, ukholelwa ngokuqinile ukuthi akunakwenzeka ngesikhathi sokulala. Lapho umuntu elele, ukulawulwa akuyona kwenziwe, futhi kukhona zokuphelelwa umoya. Lokhu kuvame khona izimila, yisihlungu noma awe ubuchopho esiwohlozayo njengoba balimala eqolo intambo, ngaphezu, izindlela phakathi nokuhlinzwa.

Ifomu ephakathi ye obstructive elele singathatha

Lokhu okuhlukile kule sikhundla womuntu lisalele ngokuvamile kwenzeka abantu ukubonakaliswa omnene lesi sifo. It libhekene zokuphelelwa umoya obstructive
ngezikhalo snoring njalo futhi ukozela emini, Nokho, uma kukhona polysomnography, akukho zokuphefumula umzamo syndrome sokuhoxisa thoracic, okuyinto sici ezihlukahlukene central lesi sifo. Ukwelashwa yalolu hlobo ukuphelelwa umoya lapho belele kulula ukuba kusebenze, njengoba ifomu efanayo kungenzeka ukufunda ingalali ngokubhala kuvidiyo, t. E. On umsindo othize lapho ukuvulwa umgudu e zokuphelelwa umoya ngamunye isiqephu.

Izinqubo eziyisisekelo lokhu mkhuba kungenzeka ukuthi umataniswe neqiniso lokuthi kukhona nokucindezela umzamo zokuphefumula ngokusebenzisa isimo sokuntenga komnotho ezweni we pharynx kule sikhundla lisalele. Nokho, izinzwa wendawo kwaholela ukubonakaliswa evamile ukuphelelwa umoya lapho belele.

ifomu Laryngeal ukuphelelwa umoya lapho belele

Lolu khetho lingandile kangako kuka obstructive elele singathatha. Ikakhulu, leli fomu kwenzeka uma elingenhla umgudu isimiso ngesikhathi sokulala ukuthuthukisa emva ukuphazamiseka innervation we umphimbo, okuyizinto ezibangela lokuthi ligamanxa. Wayekanye kulezi ziguli, abantu bavame bathi uneminye snoring engavamile, kanye nezinye izimpawu, ezifana ukozela, ikhanda ekuseni inkungu ukwazi. Izizathu zingakhiqiza iziyaluyalu emaphakathi kanye neuropathy.

Ebusuku laryngeal zibe avele kaningi ngenxa umthelela yephimbo hydrochloric acid. Umuntu akakwazi ukuphefumula evamile futhi ephefumula ngesikhathi esifanayo kuba ngakanye, wabe evuka ngokucijile. Lezi zimpawu ivame emizuzwini emibili noma emithathu.

Umqondo hypopnea

into enjalo umcimbi yokuphefumula, okungase libhekene ngokwengxenye ukwehla acinene futhi Ukuhamba temlomo, kanye wehlise amplitude okungenani kabili eziyinkimbinkimbi nokungawuvivinyi ngokwanele igazi elingenawo umoya amaphesenti ukugcwaliswa ezintathu, lapho isikhathi akuyona imizuzwana engaphansi kwengu eziyishumi. hypopnea syndrome zingase babe kokubili obstructive kanye nohlobo emaphakathi.

imiqondo enjalo zibizwa ngokuthi iziyaluyalu ezivamile zokuphefumula. Lesi senzakalo ziyisisekelo zokugula athile hypopnea syndrome ostruktivnogo.

Kuze kube manje, akukho incazelo ecacile ukuphelelwa umoya lapho belele syndrome. Ekuqaleni, incazelo yakhe yayisekelwe kuphela isibalo izenzakalo zokuphefumula ihora ubuthongo ngayinye. Ngakho snoring ingenye esisemqoka kanye nezimpawu isici iningi obstructive elele singathatha, kanye enkulu ingozi factor. Nokho, akubona bonke abantu babe snoring ubuthongo obstructive zokuphelelwa umoya syndrome kanti ingozi ivela khona abe makhulu kakhulu kunalokho alabo abangezanga ahone.

Kobukhulu elele singathatha

Ngaphezu kwalokho, namuhla kukhona enye ngezigaba ukuphelelwa umoya lapho belele, okuyinto ngokusekelwe ebucayini. umbandela Its inombolo kanye nesikhathi iziqephu ihora ubuthongo ngamunye ubusuku.

Njengomthetho, libonisa degrees ezintathu eziyinhloko ukuphelelwa umoya lapho belele kobukhulu:

- sibi (kusukela iziqephu ngabunye amahlanu kuya kwangamashumi amabili);

- kobukhulu isilinganiso (ekuhlaselweni amabili kuya amane);

- ezinzima (iziqephu angaphezu kwamashumi amane).

Kuye zinhlobo esetshenziswa ukwelashwa okuhlukile ukuphelelwa umoya lapho belele. Ngaphezu kwalokho, kukhona kubaluleke kakhulu kobukhulu kanye isikhathi inqubo igazi ukugcwaliswa zihlangana nomoya-mpilo ukuhlaselwa ngokwabo. Izinga kobukhulu elele singathatha syndrome sihlolwe indices kuphazamiseka zokuphefumula zazo ibalwe ifomula.

Imigomo engeziwe ukuhlola kobukhulu elele singathatha kungaba umoya-mpilo egazini ukuhlaselwa ukugcwaliswa nemingcele esekelwe, degree of ubuthongo ebusuku, nokuningi - zenhliziyo iziyaluyalu, abahlangene kwezinso ukuphefumula.

Definition of obstructive elele singathatha

Namuhla kungenzeka ukwaba yencazelo ephelele kunayo obstructive elele singathatha syndrome. Lena isimo lapho umuntu inezinto eziningi ukumisa njalo okuphindiwe ukuphefumula ngenxa yokuphelelwa umoya okuphelele noma okuyingxenye. Lokhu kungenxa yokuthi ukumisa ukupholisa yamaphaphu, futhi naphezu kweqiniso lokuthi kukhona namanje imizamo ukuphefumula, izimpawu khona snoring, nokuningi - ukwehla igazi elingenawo umoya kanye nokwehlukaniswa ubuthongo.

Kukhona kungabonakala nasemkhakheni awakenings njalo futhi ukozela okukhulu emini. Ukuze abone elele singathatha, lapho ukuphefumula ngokuphongoza esimweni esejwayelekile, kubalulekile ukuthi kusemthethweni yini iziqephu eyathatha imizuzwana okungenani eziyishumi futhi kwakuba nezikhathi nanhlanu ngehora ngempela.

obstructive Ikakhulukazi elele singathatha

Ezimweni ezimbi kakhulu, kungabonakala nasemkhakheni ebusuku ukuze izitobhi anamakhulu mahlanu ukuphefumula, kokuba obuphelele ingqikithi amahora amathathu noma amane. Kukhona ebalulekile ekwelapheni zokuphelelwa umoya. Ukuba khona leso sifo kungaholela hypoxemia oyingozi futhi ezingalapheki, okuyinto kakhulu kwandisa ingozi engaba nomfutho wegazi ophezulu asathuthuka futhi kuholela arrhythmias inhliziyo, ukuze isilethikusebenza, unhlangothi futhi ukufa ngisho okungazelelwe ngesikhathi sokulala.

Ngosuku isikhathi kubantu abaphethwe yilesi sifo, lapho iye uyakuqinisa ukuhlasela ukozela, kukhuphuke ukucasuka, kwehle ukunakwa, Ukuwohloka potency ikhanda isikhathi eside. Ngaphandle ukozela nokuhlaselwa ngempela yingozi esikhathini ukushayela, njengoba kukhona ingozi ethile zezingozi zomgwaqo.

Umlando yokuphelelwa umoya

Isikhathi sokuqala ngqa ukubonakaliswa elele singathatha syndrome iye yachazwa ezinhlwini ezingu imininingwane 1919. Kusibonelo sayiswa abantu abasha abakhuluphele kanye ababike khona ukozela emini. Kakade 1956, it ochazwe isimo kokuba ezifana izimpawu liyabonakala ezifana ukukhuluphala, snoring ebusuku, umfutho wegazi ophakeme.

Esiqalekisweni Ondine syndrome kuyindlela ezingavamile ephakathi elele singathatha. Ukuthi kuyini, abakwazi eziningi. Lesi simo ngokuvamile kuhambisana hypoxia abalulekile futhi izinguquko umsebenzi ubuchopho, okuholela ekungeneni kakhulu awakenings kunalokho njalo ebusuku. Ngaphezu kwalokho, kukhona amacala lapho khona yokuphelelwa umoya kubantu abanegciwane esisindo elilungile kanye nokuntuleka ukozela emini.

Imiphumela elele singathatha

Insomnia futhi ubuthongo ahlukahlukene neziyaluyalu, okuyinto zibangelwa obstructive elele singathatha syndrome, kubantu nethonya elinamandla kwansuku ezimpilweni zabo. umkhiqizo Ngokushesha encishisiwe, anda izindleko zokwelapha, okwandisa izinkathi ikhefu lokugula nokunye.

Ngaphezu kwalokho, zokuphelelwa umoya (ukuthi ingabe kwavezwa ngaphambi) kuholela ukwehla ekukhiqizeni umoya-mpilo ngokuhlanganyela ukwehlisa nobuthongo, okuholela okubangela ukukhishwa kwama-hormone yokucindezeleka, okungase kwandise ingcindezi yokufuna, ukwandisa kwenhliziyo kuholele yokujama tsi zenhliziyo. Futhi Apnea kuholela ukuphazamiseka amandla kuka kungenxa nengozi yokukhuluphala kanye nesifo sikashukela.

Ngokuvamile, ukwehla elibukhali ezingeni umoya-mpilo emzimbeni kungaholela ikhanda ekuseni, kwehle ikhono ukugxilisa ingqondo, ukucabanga ngokunengqondo, ukufunda futhi ngekhanda yini. Ngaphezu kwalokho, ukuqwasha kuholela kwemizwelo nokuziphatha esiguli, kanye isimo sokucindezeleka. Ngakho-ke, ukuqwasha amathuba okuba izingozi emsebenzini futhi endleleni.

Izikhathi ukuphelelwa umoya lapho belele (ukuthi iyini futhi kanjani ukulwa nabo, esixoxe ukubuyekeza kwethu) kahle wachaza wezokwelapha wesimanje. Namuhla, kulula sasivumela ukuba aphathe, izimiso zazo zincike inhlanganisela yezizathu ezahlukene, kanye nezinga ngobucayi isifo. Uma kukhona snoring elula amafomu omnene ukuphelelwa umoya lapho belele, kuba laser futhi imvamisa radio izindlela eziphumelelayo kakhulu ekhethekile nokwelashwa ulwanga esithambile futhi uvula. Libuye ngempela iphuzu elibalulekile enqubeni ukwelashwa kubhekwa ukuhlinzwa uma ukuphefumula kunzima.