Chizoloŵezi cha Apuloa Yogona, Matenda Opanda Pachepete Mavuto Owonjezeka ndi Kulemera
N'zosavuta kuzindikira kuti kukhala wonenepa kwambiri kapena ochepetsetsa kungakhale ndi zotsatira zolakwika za thanzi, koma kulemera kwambiri kumakhudza bwanji kugona kwanu komanso vuto la kugona? Mungadabwe kuphunzira njira zosayembekezereka-kuchotsa ndi kugona tulo kwa miyendo yopanda mapiri -kuti mutha kupumula zingasokonezedwe. Phunzirani za kugwirizana pakati pa kulemera ndi kugona komanso momwe kugona kosauka kungayambitsire kulemera.
Kumvetsetsa Zowopsa Zanu Mogwirizana ndi Thupi Lanu
Monga Achimereka ndi anthu padziko lonse lapansi amadya zakudya zambiri komanso amachita zinthu zochepa, chiŵerengero cha anthu omwe ali olemera kwambiri ndi olemera kwambiri amakulabe. Izi zimawononga thanzi m'njira zomveka, zomwe zimayambitsa matenda a mtima, shuga, ndi matenda. Ikhozanso kukhala ndi zotsatira zodabwitsa zomwe zingagwirizane ndi kukula kwa kunenepa kwambiri.
Mchitidwe wochuluka kwambiri kugwiritsidwa ntchito kuti ufanane ndi kulemera kwake ndi kutalika ndi thupi la chiwerengero cha thupi (BMI). Amayesa kulingalira mafuta anu a thupi. Chiwerengerochi chimathandizira kugawa anthu pogwiritsa ntchito kulemera kwake:
- Kunenepa kwambiri (BMI <19)
- Kulemera kwachibadwa (BMI 19-24.9)
- Kulemera kwambiri (BMI 25-29.9)
- Ovuta (BMI 30-34.9)
- Olemera kwambiri (BMI 35 ndi apamwamba)
Sizowonongeka, komabe zimakhala zovuta kwambiri kwa thupi la ochita masewera kapena kutsika mafuta ochepa thupi la anthu okalamba omwe ataya minofu. Mungathe kuwerengetsa BMI yanu pogwiritsa ntchito makina ojambulira pa Intaneti.
Mwachidziwitso, kuchuluka kwa mafuta ochulukirapo omwe mumakhala nawo angagwirizane ndi chiopsezo chanu chokhala ndi thanzi labwino kuti musakhale olemera kwambiri, kuphatikizapo omwe amagwirizana ndi tulo. Ma mapaundi angapo oposa thupi lanu labwino angakhale ndi zotsatira zonyansa pa tulo lanu. Komabe, mapaundi ochulukirapo omwe mumagwiritsa ntchito, zotsatira zake zikhoza kukhala zambiri.
Ngati muli ochepa kwambiri, muli pachiopsezo chachikulu cha mavuto osiyanasiyana.
Kulemera kwa msinkhu kumapangitsa kuti asamangidwe ndi kugona tulo
M'dziko la tulo, vuto lodziwika bwino kwambiri kuchoka pa kukhala wolemera kwambiri kapena lolemera kwambiri limasokoneza kupuma komwe kumapangitsa kuti asagone ndi kugona. Mafuta ochulukirapo omwe alipo amachititsa kuti thupi lanu likhale lolimba. Ndizomveka kuzizindikira pamene zimatsogolera m'mimba yaikulu, nkhope yowonjezera, mchiuno chomangirika, kapena matako ambiri. Komabe, imabisala m'malo omwe sitingathe kuwona mwachindunji, kuphatikizapo paulendo wathu komanso pansi pa lilime. Kuwonjezeka kumeneku, kuphatikizapo kuwonjezerapo kulemera kwamphamvu kuchokera kunja monga kukula kwa khosi kapena mimba yochepetsera mapapu, kugwa mlengalenga ndi kuyambitsa mavuto.
Kusunga
Pamene izi ndi zofatsa, zimapangitsa kuti zisamangidwe. Kusungunula ndi mpweya wokhazikika wa mpweya. Tangoganizirani mpweya wanu ngati mtsinje. Pamene mtsinjewuwo umayenda mozama, sichimatha kugwedezeka pamwamba. Mofananamo, njira yowonekera bwino siimveka phokoso. Komabe, pamene kuthamanga kwaletsedwa, kusokonekera kumabweretsa zotsatira. Mtsinjewu, mvula yamadzi ndi madzi oyera amatha kusokoneza pamwamba. Pansi panu, kusokonezeka kwa airflow kumakhala phokoso ndipo kumabweretsa kusewera. Izi zikhoza kukhala zovuta ngati muli ndi zovuta pamsewu monga matani owonjezera kapena adenoids, nsalu yotayika m'mphuno, tsaya laling'ono (lotchedwa retrognathia ), kapena lilime lalikulu (lotchedwa macroglossia).
Ana amakhala makamaka ndi mavuto ochokera ku matani okulitsa.
Kugonana ndi Apnea
Pamene msewu umakhala wochuluka kwambiri ndipo nthawi zambiri umatha, kutuluka kwa mpweya kumatha. Izi zimapangitsa kupuma kupuma kutchedwa apnea. Izi zimachokera ku mawu achigriki omwe amatanthauza "popanda kupuma." Pakakhala kochepa kwambiri, chitetezo chochepa chimatha ndipo izi zimatchedwa hypopnea. Anthu amene akuyesa kugona kuti azifufuza kupuma kwawo usiku akhoza kukhala ndi zochitika mwachidule monga ndondomeko ya apnea-hypopnea (AHI) .
Mavuto omwe amabwera chifukwa cha kugonana kwa kugona amakhazikitsidwa bwino. Pali zizindikiro zowonongeka monga kugona kwa tsiku ndi tsiku komanso mavuto, kusinkhasinkha, kukumbukira.
Palinso zotsatira zoopsa kwambiri. Zingakhale zosaonjezereka kuwonjezera chiopsezo cha mtima wanu, matenda oopsa, ndi shuga. Kugonana kofiira kumagwirizanitsa ndi chiopsezo chachikulu cha kupweteka ndi kufa mwadzidzidzi. Ana amakumana ndi mavuto awo , kuphatikizapo zotsatira pa kukula ndi chitukuko.
Hypoventilation
Pazovuta kwambiri, vuto lopuma usiku lingabweretse mavuto owononga carbon dioxide mpaka tsikulo. Mpweya woipa umawombera pamene tikupuma mokwanira. Kwa anthu ena ovuta kwambiri, izi zimakhala zovuta kwambiri pa nthawi ya tulo kuti zikhale zosavuta kuzigwira panthawi yogalamuka. Izi zimatchedwa matenda obisala kwambiri a hypoventilation . Zimapangitsa kuti pakhale mavuto aakulu a mtima komanso imfa.
Miyendo Yosasunthika Yogwirizana ndi Kulemera Kwambiri
Pambuyo pa kupuma kovuta, kulemera kungakhale ndi zotsatira zina pa tulo. Matenda a miyendo yopanda chilema amadziwika bwino ndi miyendo madzulo ali ndi mtima wofuna kusuntha chizindikiro. Pali zifukwa zambiri zomwe zingayambitse matenda a miyendo yopanda phokoso , kuchokera ku kusowa kwachitsulo kupita kumimba. Chimodzi mwa zifukwa zomwe zimayambitsa vuto lalikulu la miyendo yopanda kupuma ndi kunenepa kwambiri. Kafukufuku wina amasonyeza kuti mankhwala amodzi mu ubongo wotchedwa dopamine angakhale nawo. Sindikumvetsetsa bwino zomwe zingathe kufotokoza ubale umenewu, komabe.
Zinawonetsanso kuti anthu omwe ali ndi miyendo yopuma yopanda chizolowezi nthawi zambiri amadzuka ndikugwira kuluma kuti adye kumayambiriro kwa usiku. Izi zikuwoneka kuti zimatulutsa mpumulo ku zizindikiro za miyendo yawo. Kaya izi zowonjezera zowonjezera zimapangitsa kuti kunenepa kwambiri ndi kukhalapo kwa ubalewu sikudziwika.
Kugona Kosauka Kumayambitsa Kulemera Kukula, Kukula Kwambiri
Pomaliza, zikuwoneka kuti pali kugwirizana pakati pa kugona ndi kunenepa kwambiri. Sikuti kungokhala wonenepa kwambiri kapena kupweteka kwambiri kumakhudza kugona kwanu pogona tulo tomwe timapuma komanso miyendo yopanda kupuma, koma mavuto ena ogona angabweretse kunenepa kwambiri.
Zochitika zosaoneka bwino za kugona, kapena parasomnias , zingakhale zosafunikira kwenikweni. Chikhalidwe chimodzi chotere chimatchedwa matenda okhudzana ndi kugona (SRED) . Mu matendawa, munthu wokhudzidwayo amadya mobwerezabwereza komanso mopanda chidwi pa nthawi ya tulo. Zakudya zomwe zimadya zingakhale zachilendo, zopatsa mphamvu, kapena zosakwanira (monga malo a khofi kapena zinyalala za kitty). Anthu ambiri omwe akukhudzidwa ndi SRED amazindikira mavuto awo pozindikira chakudya chosowa kapena khitchini yosokonezeka m'mawa-osatchula mfundo yowoneka kuti iwo sangathe kuoneka ngati akuchepera.
Chopereka chofala kwambiri pa kulemera kungakhale chinthu chomwe ife tonse tikukumana nazo: kusowa tulo . Kafukufuku akusonyeza kuti kugona mokwanira kungayambitse kusintha kwa mahomoni komwe kumasokoneza kagayidwe kameneka. Momwe thupi lathu limayendera kugwiritsa ntchito ndi kusungirako mafuta akhoza kusokonezedwa. Kuwonjezera pamenepo, kusokonezeka tulo kungapangitse kuti munthu asateteze matenda a shuga komanso kuopsa kwa matenda a shuga. Choncho, osapeza nthawi yokwanira yogona kuti mukwaniritse zosowa zofunikira , kapena kugona tulo labwino, kungapangitse kupweteka.
Mawu Ochokera
Mwachidule, pali mgwirizano woonekera pakati pa kukhala olemera kwambiri ndi owonjezera komanso mavuto ogona. Zomwe zimachititsa kuti munthu akhale ndi matenda obwera chifukwa chagona ndi zotsatira zosiyana siyana. Pangakhale ngozi yowonjezereka ya mavuto osadabwitsa, monga matenda osapumitsa miyendo. Kawirikawiri, kutaya 10 peresenti ya kulemera kwa thupi lanu kungachepetse zina mwa zotsatirazi.
Komanso, zikuwoneka kuti ndiyankhulana pakati pa kusokonezeka tulo komanso chiopsezo cha kunenepa kwambiri, makamaka chizoloŵezi chofala cha kugona tulo. Ubale wovuta umenewu umayenera kukumbukira monga zotsatira za kugona tulo komanso kunenepa kwambiri zingathe kuwononga thanzi lanu.
Zotsatira:
Collop, N. "Zotsatira za matenda obwera chifukwa cha kugona kwa matenda obwera chifukwa cha matenda aakulu." Cleveland Clinic Journal of Medicine 2007; 74: 1.
Gao, X et al . "Kunenepa kwambiri ndi matenda osapumitsa miyendo mwa amuna ndi akazi." Neurology 2009; 72:14: 1255-1261.
Taheri, S. "Kugona ndi kusokoneza thupi: Kubweretsa zidutswa za jigsaw pamodzi." Kupenda Mankhwala Ogona Mwezi 2007; 11: 159-162.
Yaggi, HK et al . "Kusokonezeka kwa kugona tulo monga vuto lalikulu la kupwetekedwa ndi imfa." N Engl J Med 2005; 353: 2034-2041.