Belele - ntoni na? ubuthongo Obstructive umoya syndrome

Ucalulo zokulala enkulu iquka ebizwa ngokuba yi-belele syndrome. Yintoni na kuyo, hayi zonke. Xa athe wavela umntu elele apho ixesha elide engasayi ukuphefumla. Esi simo anobungozi, ngenxa yokuba kwezinye iimeko kunokuba yingozi.

Ngamanye amazwi, le Ukuphelelwa umoya umise ebhalwe ngeempumlo kunye flow ukuphefumla ngomlomo, elisuke imizuzwana ubuncinane ezilishumi neendlela recession kwabangelwa pharynx. Ngelo xesha njengoko iinzame sokuphefumla asindiswe, okanye angabikho emsebenzini.

Eyona engundoqo yokuphelelwa umoya

Ukuza kuthi ga ngoku, Kukho iindidi ezintathu ezingundoqo kolu luvo. Oku Central,, kunye exutyiweyo.

belele Central lichazwa kukusilela komoya ngenxa yokuba ubume ayifumaneki ukuba luvo central leyo yenza ukuba iinzame sokuphefumla. Njengomgaqo, olu hlobo kwenzeka kubantu kunye neendlela kakuhle umthetho eziphefumlayo, yaye oko sinxulumana umonakalo iindlela enzulu yokwakheka conductive le CNS.

Obstructive belele elinzima imeko, edla ubomi emngciphekweni. Oku kudla luphawulwa into ephuhlisa ukubanjwa yokuphefumla ngexesha lemizuzwana ngaphezu kweshumi emva kwesithuba izihlandlo ezilishumi elinesihlanu ngeyure nganye. belele Obstructive okanye peripheral ubonakala idlulela komoya kwi ngokuma eliphezulu. Ngenxa yoku, bonke umoya abanako ukufikelela imiphunga, yaye ke ngoko kukho ukusilela flow umoya.

uhlobo Mixed umoya

Mixed belele iqulathe iimpawu zazo zombini ezi ntlobo kuxoxwe ngasentla. Eqhelekileyo kakhulu, njengoko kuboniswe yi-data zoninzi kweelebhu kwabandincinayo ukulala - nto obstructive belele, kodwa amaninzi kakhulu waphawula mixed.
Uninzi amatyala obstructive belele sibangelwa zoququzelelo ngokungafanelekanga kwenkqubo luvo ngokunxulumene la mandla izihlunu zifo. Kwiimeko ezinjalo kukho izihlunu DYSTONIA central emqaleni.

Xa belele madoda (oko kukuthi, iye ezichazwe ngasentla) lumalunga amaxesha amabini ngaphezulu ngokuqhelekileyo ivela amane ukuya kominyaka imashumi mathandathu. Inkoliso yezi bantu bayahlupheka ukusuka ukutyeba.

iintlobo zonyango elele

Ngokutsho ukuhlelwa elele, ukongeza iintlobo ngentla sisahlula ukuba ezinxulumene Pathogenesis le syndrome, kukho kwakhona iintlobo zonyango, owakhiwa ezi fom zilandelayo:

• iziqalelo hona belele;
• syndrome Pickwick;
• belele elibukhali ebantwaneni (ngequbuliso ukufa syndrome) ;
• hypoventilation central;
• Ondine isiqalekiso.

snores Night wabonisa isandi, olwenzeka ngexesha inhalation umoya isicatshulwa exineneyo emlonyeni nakumarhanana indawo pharyngeal.

Ngoko-ebizwa syndrome Pickwickian luphawulwa ubukho ukutyeba, yeseli ebusuku, polycythemia, kunye hyperemia.

Umoya ngo Iintsana

belele ngesiquphe kubantwana lichule kakhulu inani lamathole phantsi konyaka omnye. Le meko yenzeka ngenxa hayi ncam ogqibeleleyo ukulawulwa ukuphefumla. Ngokuqhelekileyo, oko kwenzeka kakhulu xa iintsana ngaphambi kwexesha. Yaye okudityanisiweyo okuyinzala xa kukho catarrhal nokudumba lokutyunyuzwa iphecana sokuphefumla.

Unobangela iintsana Wagdi kunye luvo kumbindi ngokwaneleyo kwaye ayanceda nobushushu, ngenxa apho uphazanyiswe imo oluqhelekileyo thermal. Ngelo xesha sosana iphuhlisa elingumxube belele, kodwa imbonakalo yakhe inxaxheba Indlela engundoqo kunye obstructive.

Ondine isiqalekiso kwakhona uhlobo ngezifo ezifana belele. Yintoni na - akwaziwa ukuba abaninzi. Le meko kakhulu inqabile. Kule fomu lolawulo ezilahlekileyo ulawulo oluzenzekelayo umoya, ngoko ke umoya singalawuleka nakanjani na, ukuba oko akunakwenzeka ngexesha ubuthongo. Xa umntu elele, ummiselo singàphunyezwa, kwaye kukho umoya. Oku kudla phambi yamathumba, ukudumba okanye ubuchopho sisiba mandundu njengoko yokwenzakala umnqonqo, ukongeza, iindlela ngexesha utyando.

Ifom engundoqo ye obstructive belele

Olu uhlobo kwindawo yabantu lisalele ngokuqhelekileyo kwenzeka xa abantu ekubonakalisweni wobulali kwesi sifo. It esibonakala umoya obstructive
izikhalazo yeseli rhoqo kunye nobuthongo emini, Noko ke, xa kukho polysomnography, akukho iinzame syndrome emuva yokuphefumla thoracic, nto leyo ehambisana eyahlukahlukeneyo usembindini sifo. Unyango olu hlobo elele kulula ukuphumeza, njengokuba uhlobo olufanayo kunokwenzeka ukuba ukufunda ukubhala ukulala kwividiyo, t. E. Ngenye ingxolo ethile xa ngokuma lokuvula in episode umoya nganye.

Iindlela ezisisiseko le meko esinxulunyaniswa nesibakala sokuba kukho ingcinezelo inzame nokuphefumla ngokusebenzisa komnotho ngonyaka we pharynx kwindawo lisalele. Noko ke, zomzimba basekuhlaleni kwakhokelela wabonakala eqhelekileyo elele.

uhlobo Laryngeal elele

Olu khetho anqabe kakhulu obstructive belele. Ubukhulu becala, le fom kwenzeka xa isithintelo ngokuma eliphezulu xa ulele ukuphuhlisa emva yokuphazamiseka kokuba innervation ye kwingqula, akhokelela yokuba seqela. Ezingqonge ezi zigulane, abantu badla ukuba bathi babe nayiphi yeseli engaqhelekanga, kwakunye nezinye iimpawu, ezifana ukozela, intloko ebuhlungu kusasa kunye inkungu lokuba sezingqondweni. Izizathu unako ukukhonza njengoko ukuphazamiseka central neuropathy.

aqaqambayo Night laryngeal kuvela kaninzi ngenxa yokuba ifuthe imisipha zehydrochloric acid. Umntu akanako ukuphefumla ngokwesiqhelo nokuphefumla ngexesha elinye lube ngakanye, waza ke evuka kabukhali. Ezi mpawu ivame ukuhlala imizuzu emibini okanye emithathu.

Ingcamango hypopnea

Loo simo isiganeko yokuphefumla, nto leyo luphawulwa ngeempumlo kwenxenye ukuncipha kunye komoya ngomlomo, kwakunye ukunciphisa awo ubuncinane kabini nezintsonkothileyo ukuncipha oksijini igazi Ukwanda amathathu ekhulwini, apho ubude ayikho imizuzwana ngaphantsi kwe ezilishumi. hypopnea syndrome ukuze zombini, kunye nohlobo central.

concepts enjalo ibizwa iingxaki eziqhelekileyo zemiphunga. La asisiseko ngezifo ethile hypopnea syndrome ostruktivnogo.

Ukuza kuthi ga ngoku, akukho inkcazelo ecacileyo elele syndrome. Ekuqaleni, nokutyhilwa yakhe yayisekelwe kuphela kwinani iziganeko nokuphefumla ngeyure ubuthongo nganye. Ngaloo yayirhona yenye buyafuneka kunye iimpawu ezininzi uphawu obstructive belele, kwakunye ingozi enkulu. Noko ke, asingabo bonke abantu babe yayirhona ulale obstructive umoya syndrome kunye nengozi ingenzeka yayo ephezulu kakhulu kunalowo abo hona.

Ubuzaza elele

Ukongeza, namhlanje kukho omnye Ulwahlulo elele, olusekelwe phezu ebukhulwini. bemfuno yaso inani kunye nexesha izigigaba ngeyure ukulala ngamnye ngobusuku.

Njengomgaqo, libonisa iqondo ezintathu eziphambili elele ubukhulu:

- ifomu wobulali (ukusuka ngezigigaba ezintlanu ukuya amabini ubusuku nganye);

- ubungnqongqo avareji (bangaphathwa amabini ukuya kumashumi amane);

- kakhulu (angaphezu kwamashumi amane iziqephu).

Kuxhomekeka kuhlobo kusetyenziswa unyango ezahlukeneyo elele. Ukongeza, kukho kubaluleke kakhulu ubungozi ubude inkqubo igazi Ukwanda mpilo kunye nokuhlasela ngokwabo. Inqanaba ubukhali elele syndrome kuvavanywa indices ukuphazamiseka nokuphefumla leyo zibalwa ngokungqinelana ifomula.

Imiqathango eyongezelelweyo ukuhlola ubuzaza elele inokuba ioksijini igazi nokuhlaselwa Ukwanda parameters ezisekelwe, ngesidanga ukulala ebusuku, aqokele - ukuphazamiseka sentliziyo, zinxulunyaniswa abanala makhwiniba of ukuphefumla.

Inkcazzo obstructive belele

Namhlanje yinto enokwenzeka kunika inkcazelo olugqityiweyo lwe obstructive belele syndrome. Le yimeko apho umntu abaninzi kumiwe rhoqo ngokuphindaphindiweyo ukuphefumla ngenxa umoya ngokupheleleyo okanye ngokuyinxenye. Oku kungenxa ekuyekeni umoya yemiphunga, kwaye nakubeni kusekho imigudu ukuphefumla, obubonakala ngokuba bubukho yeseli, nangaphezulu - ukuncipha ioksijini egazini nokuqhekeka ubuthongo.

Kukho kungabonakala eke rhoqo kwaye okukhulu emini. Ukuze ukuchonga belele, apho ukuphefumla yahluke kakhulu ukusuka kurhulumente eziqhelekileyo, kuyimfuneko ukuqinisekisa ukuba ngokwenene ugqaliselo sahlala imizuzwana ubuncinane ezilishumi kwaye kukho amaxesha elinesihlanu ngeyure nabo.

Ingakumbi obstructive belele

Kwiimeko kakhulu ngakumbi, inokubonakalisa ebusuku zokumisa ezingamakhulu amahlanu ukuphefumla, ukuba ubude iiyure ezintathu okanye ezine. Kukho kubalulekile ukuba unyango umoya. Ubukho isifo enjalo kunokukhokelela hypoxemia etsolo kwaye ezingapheliyo, nto leyo eyandisa kakhulu umngcipheko anokubakho lwegazi olusakhulayo kwaye ikhokelela arrhythmias kwentliziyo, ukuze iposi engabalulekanga, ukuba imivumbo nokufa bade ngesiquphe ngexesha ubuthongo.

Ekuhambeni kwexesha ixesha imini abantu abanengxaki kwesi sifo, kuye kwanda ukuhlaselwa nobuthongo, ukwanda nochuku, sinciphise ingqalelo, ukonakala amandla kunye intloko ebuhlungu elide. Ngaphandle ukozela kuhlasela anobungozi kwithuba lokuqhuba, njengoko kukho umngcipheko ezithile iingozi ezindleleni.

History of umoya

Ixesha yokuqala ngokubonakala elele syndrome iye yachazwa iinkcukacha ngowe-1919. Kulo mzekelo sasiwa ngabantu abaselula amavila kwaye ingxelo phambi emini. Sele 1956, sasichaza urhulumente yokuba eziqaphelekayo ezifana ezifana nokutyeba, yayirhona ebusuku, lwegazi.

Isiqalekiso of Ondine syndrome luhlobo engaqhelekanga central belele. Ntoni na, abazi abaninzi. Le meko idla kunye hypoxia ebalulekileyo notshintsho kumsebenzi kwengqondo, emnyuse eke kunokuba rhoqo ebusuku. Ukongeza, kukho iimeko apho ubukho umoya kubantu abane ubunzima bomzimba ngokukuko kunye nokungabikho emini.

Imiphumo elele

Efuna ukulala ezahlukeneyo ukuphazamiseka, ezo zibangelwa obstructive belele syndrome, ebantwini nempembelelo olungamandla zemihla ubomi babo. Ngoko nangoko ukuncipha kwemveliso, ukwanda iindleko zonyango, ukwandisa amathuba kuthathwa ikhefu lokugula kunye nezinye izinto.

Ngaphezu koko, umoya (oko kukuthi kwaboniswa ngaphambili) kukhokelela ekuncipheni kwemveliso oksijini kunye nokuthotywa komgangatho ubuthongo, nto leyo ebangela ukukhululwa hormone uxinezeleko, nto leyo kwandisa uxinzelelo, ukwandisa izinga lentliziyo kunye kungakhokelela yokudodobala kwentliziyo. Kwakhona belele kukhokelela ekuphazanyisweni kwenkqubo amandla kunokuba kungenxa ubungozi ukutyeba seswekile.

Ngokuqhelekileyo, ukuhla elibukhali kwi kwinqanaba oksijini emzimbeni kunokukhokelela ebuhlungu kusasa, yehle ukukwazi ingqalelo, ukucinga ngokusebenzisa ingqiqo, ukuze bafunde yaye ukucengceleza nantoni na. Ukongeza, efuna ikhokelela utshintsho kwimo nokuziphatha yomguli, kwakunye isimo edakumbisayo. Ngoko ke, ndingalali ebusuku ukwandisa amathuba iingozi emsebenzini kwaye endleleni.

Ezikwenza elele (ntoni na nokuba ukulwa ngayo, siye sakufunda ngohlengahlengiso) sachaza kakuhle ngamayeza mihla. Namhlanje, kulula noko ukunyanga, imigaqo leyo ixhomekeke indibanisela yezizathu ezahlukeneyo, yaye inqanaba nobungozi besi sifo. Ukuba kukho yeseli elula neentlobo okungephi elele, yeyokuba isebenza kakhulu ezizodwa laser kunye sokuquqa kwerediyo iindlela zonyango lwe inkalakahla ethambileyo kunye uvula. Kwakhona kakhulu ingongoma ebalulekileyo kwinkqubo unyango ingqalelo uqhaqho ukuba ukuphefumla nzima.