Izahluko
Isingeniso Sokulondoloza Imali Yakho, Yonga I-Podcast Yamazinyo Akho
[0:05 – 0:47]
U-Eon Engelbrecht wethula uchungechunge lwama-podcast futhi wamukela uDkt Clifford Yudelman wase-OptiSmile, eKapa. Babeke inkundla yochungechunge olusha olunezingxenye ezintathu ezigxile kulo ukuhona, i-apnea yokulala, kanye nemininingwane yamazinyo.
Ukusabalala Kokuhona kanye Nokuphefumula Kobuthongo
[0:47 – 1:33]
UDkt Yudelman uxoxa ngokujwayelekile kokuhona, ukuphika kulabo abahonayo, futhi uthinta ukuthi kungani ukuhona kuvame ukunganakwa.
Ukuqonda Ukuhona: Izimbangela Nemiphumela
[3:25 – 4:26]
Incazelo yokuthi yini ebangela ukuhona, okuhlanganisa ukuvinjelwa komzila womoya kancane nokudlidliza kwezicubu zomphimbo. UDkt Yudelman uyifanisa nepayipi le-kinked, lapho ukugeleza komoya kuba nemingcele kodwa kusekhona.
Ukuchaza I-Apnea Yokulala Nezinhlobo zayo
[4:27 – 5:08]
Ukwehlukanisa phakathi kokuhona kanye ne-apnea yokulala, uDkt Yudelman uchaza izingozi zezempilo ezingathi sína ze-apnea, echaza izinhlobo ezintathu: i-obstructive sleep apnea, i-central sleep apnea, ne-complex sleep apnea.
Izimpawu ze-Sleep Apnea Ezigulini
[7:23 – 7:27]
Igqamisa izimpawu ezibonakalayo ze-apnea yokulala, okuhlanganisa ukuminyanisa, ukuhefuzela, nokuma ikhefu isikhathi eside phakathi nokulala. Amathiphu okusebenzisa izinhlelo zokusebenza ezifana ne-SnoreLab ukuqapha amaphethini okuphefumula ebusuku.
Izinto Ezinomthelela Ekuhoneni kanye Nokuphefumula Ubuthongo
[9:07 – 10:49]
UDkt Yudelman wabelana ngemininingwane ngezimbangela, ezinjengobudala, isisindo, ukuminyana kwamakhala, nezici zokuphila (utshwala, usayizi wentamo, ngisho nendawo ethile yokulala). Isho ukubaluleka kokulawulwa kwesisindo nokulungiswa kwendlela yokuphila.
Izingozi Zezempilo Ezihlotshaniswa Ne-Apnea Yokulala
[13:10 – 13:18]
Ukuxhumana phakathi kwe-apnea engelashiwe nezingozi eziphakeme zesifo senhliziyo, unhlangothi, umfutho wegazi ophakeme, isifo sikashukela, nokulala emini. Isingeniso se-Epworth Sleepiness Scale ukukala ukukhathala kwasemini. Uhlu lwemibuzo lwe-STOP-BANG luwusizo ekuhloleni i-apnea yokulala.
Ukuxilongwa: Iqhaza Lesifundo Sokulala
[18:23 – 21:54]
UDkt Yudelman uchaza i-polysomnography (isifundo sokulala), ehlukanisa phakathi kwezifundo zasekhaya nezasesibhedlela, futhi ugcizelela ukuthi iziguli kufanele zigweme ukuhlinzwa njengokwelashwa kokuqala. Incazelo yokuthi ongoti bokulala bazisebenzisa kanjani lezi zifundo ukuze bakhe ukuxilonga.
Amadivayisi Agqokekayo Okulandelela Ukulala
[22:02 – 25:25]
Ukuhlolwa kwezinto ezigqokwayo zezinga lomthengi njenge-Apple Watch yokushaya kwenhliziyo nokuqapha izinga le-oxygen. Igqamisa ukulinganiselwa kwalawa madivayisi, igcizelela ukuthi awathathi indawo yokuxilongwa kochwepheshe kwe-apnea.
Ukuzilapha ngokwakho vs Usizo Lochwepheshe lwe-Apnea yokulala
[25:37 – 27:23]
UDkt Yudelman uxoxa ngokulinganiselwa kwemishini ethengwayo kanye nesidingo sokufuna ukwelashwa kokuphefumula kokuphefumula lapho ulele eKapa ukuze kuvinjelwe izingozi ezingathi sína zezempilo ezihlobene nesifo sokuphefumula sobuthongo esingalashwa.
Ukufa Okungazelelwe Kwasebusuku kanye Neminye Imithelela Yokuphefumula Kokulala
[27:34 – 30:56]
UDkt Yudelman wethula 'ukufa okuzumayo kwasebusuku' nokuthi amazinga e-oxygen aphansi angathinta kanjani izimo ezifana namazinga e-uric acid, okuholela ekuchameni njalo ebusuku.
Iziqephu Ezizayo kanye Nokuthathwa Okubalulekile
[31:12 – 31:49]
Ukubuka kuqala kweziqephu ezimbili ezilandelayo ezigxile ezixazululweni zamazinyo ze-apnea yokulala, ama-splints entuthuko ye-mandibular, nokulungiswa kwendlela yokuphila ukuze kuthuthukiswe ikhwalithi yokulala.
Okulotshiweyo
[Eon Engelbrecht E-Radio] (0:05 – 0:47)
Siyakwamukela futhi kokuthi Londoloza Imali Yakho, Yonga Amazinyo Akho, i-podcast eya phambili lapho ilukuluku lihlangana nodokotela bamazinyo ngokuqondile kusukela kochwepheshe. Ngingu-Eon futhi ngijoyinwa futhi uDkt Clifford Yudelman wase-OptiSmile futhi uzosisiza ukuthi singene emhlabeni wokunakekelwa kwamazinyo ngokombono womthengi. Ngakho-ke uma ufuna ukukhanyisa ukumamatheka kwakho noma ufuna ukuvikela isikhwama sakho semali noma kokubili, sikuphathele ngezeluleko ezisebenzayo kanye nemininingwane yakamuva.
Ngakho-ke hlala uzungeze, futhi ake sembule izimfihlo zokugcina impilo yamazinyo akho kanye nezezimali. Kuleli sonto, sinesihloko esisha sha. Ingabe akunjalo, uDkt. Yudelman?
Siyakwamukela futhi.
[Dr Clifford Yudelman – OptiSmile] (0:47 – 1:33)
Yebo, ngiyabonga ngokungibuyisela. Futhi isihloko kuleli sonto ukuhona kuqhathaniswa nesifo sokuphelelwa umoya. Yini ekugcina wena nabanye niphapheme?
Futhi lena inombolo yokuqala ochungechungeni lwama-podcasts amathathu. Uma ungabhemi noma ungenaye umaqondana ohona, kulungile-ke, ngiyaxolisa, vula isikhathi esingangenyanga sesiqedile ngabahona. Kodwa ngicabanga ukuthi wonke umuntu uyamazi umuntu ohonayo.
Kodwa uma ubuza abantu, uyahona? Baphika njalo. Bathi, o, umkami ukhononda ngakho noma ngokuphambene nalokho.
Kodwa mina angihobhi, kodwa umkami uyakhononda. Yileyo mpendulo evamile.
[Eon Engelbrecht E-Radio] (1:33 – 1:45)
Yebo, yebo. Kodwa yebo, angazi. Kuyihlazo ukuthi abantu bavele bathi, yebo, ngiyahona.
Ngokuvamile bayaphika. Angazi kungani. Nangempela ngenza okufanayo.
Kungani senza lokho?
[Dr Clifford Yudelman – OptiSmile] (1:45 – 2:03)
Kungani sinamahloni ngokuhona? Ngiyahona kuphela uma ngiphuza. Bese ngithi-ke, uphuza kangaki?
Futhi bathi, njalo ebusuku. Yilokho okungcono kakhulu. Hhayi-ke, ngiyahona kuphela uma ngiphuza iwayini elibomvu.
Bese ngithi, isiphi isiphuzo osithandayo? Ingabe uphuza i-whisky noma iwayini elimhlophe? Athi, cha, ngiphuza iwayini elibomvu.
[Eon Engelbrecht E-Radio] (2:04 – 2:20)
Yebo. Yebo, ngakho-ke kuyinto evamile. Uyazi, abantu abaningi bayahona, hhayi izinsizwa kuphela, izintokazi.
Abanye besifazane bangakwazi ngempela, uyazi, njengoba besho ngesiBhunu, ja, saagbalken. Kodwa wenzani...
[Dr Clifford Yudelman – OptiSmile] (2:22 – 3:12)
Ngiyazi ukuthi ukuhona ngesiBhunu kuwukuhonqa. Kanti futhi ukuhona kungamadevu. Ngakho-ke ngicabanga ukuthi kufanele sihloniphe i-Movember, eseduze nomdlavuza wendlala yesinye, ukhulisa amadevu.
Ngake ngazama ukukhulisa amadevu ukuze ngiphume esihlokweni. Sisakhuluma ngokuhona, okuyisiBhunu, njengoba ngishilo, amadevu. Futhi ngawakhulisa lamadevu.
Futhi ngathi komunye, uyawathanda amadevu ami? Bathi, o, lelo ngamadevu ama-Apache. Ngangihlala eMelika ngaleso sikhathi.
Ngase ngithi, usho ukuthini amadevu e-Apache? Ngicabanga ukuthi kwakuwuhlobo oluthile olukhethekile, niyazi, iNdiya, umfana wezinkomo neNdiya, ukuthi ngangingum-Apache. Futhi bathi, yebo, une-Apache lapha ne-Apache lapho.
Angikaze ngikhule amadevu.
[Eon Engelbrecht E-Radio] (3:12 – 3:25)
O, izwi lami, i-Apache lapha ne-Apache lapho, kuyahlekisa lokho. Ngakho-ke kulabo abangazi, ngiqinisekile ukuthi bayazi. Kuyini ngempela ukuhona futhi kuvame kangakanani?
[Dr Clifford Yudelman – OptiSmile] (3:25 – 4:26)
Ngakho ukuhona kuwumsindo okhiqizwa ukuvevezela kwezicubu emphinjeni wakho lapho ulele. Futhi cishe njalo kubangelwa ukuvinjwa kwendlela yokuphefumula kancane. Sizongena kulokho ngemininingwane eminingi namuhla namaphodikhasti ambalwa alandelayo.
Kodwa ngokuyisisekelo, njengokuthi uma uchelela ingadi ngepayipi bese ukhahlela ipayipi, uyazi, amanzi awaphumi kakhulu, kodwa asaphuma. Lokho kuyisithiyo esiyingxenye. Futhi kujwayeleke kakhulu.
Cishe u-45% wabantu abadala bayahona ngezikhathi ezithile kanti u-25% bangabantu abavamile ukuhona. Futhi ngokuvamile ayinangozi, kodwa kungaba uphawu lwendaba ebucayi kakhulu. Futhi udaba esikhuluma ngalo lapha wukunqamuka kobuthongo.
Ngakho-ke ngibheke ngabomvu ukuxoxa ngalokhu ngokuningiliziwe.
[Eon Engelbrecht E-Radio] (4:27 – 4:32)
Pho yini i-apnea yokulala futhi ihluke kanjani ekuhoneni, dokotela?
[Dr Clifford Yudelman – OptiSmile] (4:33 – 5:08)
Ngakho i-apnea yokulala iyisimo lapho ukuphefumula kuma khona njalo phakathi nokulala. Futhi lokhu kungaholela ezingozini ezimbi kakhulu zezempilo. Umehluko oyinhloko awufani nokuhona, i-apnea yokulala ihilela njengokumisa kancane ukuphefumula futhi abantu abane-apnea yokulala bangase bahogele umoya noma baminyaniswe phakathi nokulala kwabo.
Kunezinhlobo ezintathu ze-apnea yokulala, i-obstructive sleep apnea, i-central sleep apnea kanye ne-complex sleep apnea, okuyinhlanganisela.
[Eon Engelbrecht E-Radio] (5:09 – 5:16)
Yiziphi izinhlobo ezahlukene ze-apnea yokulala, dokotela? Utholani? Unokuvimbile, okumaphakathi, okuyinkimbinkimbi?
[Dr Clifford Yudelman – OptiSmile] (5:17 – 7:05)
Yebo. Ngakho-ke i- obstructive sleep apnea yiyona evame kakhulu futhi kwenzeka lapho imisipha yomphimbo wakho ikhululeka futhi ulimi lwakho luwela ngemuva komphimbo wakho futhi indlela yakho yokuphefumula ivalekile. Bese kuthi uma uzama futhi uphefumule, kufana nokuthi i-vacuum inamathisela ekhethini bese ilimunca, ipayipi lonke levacuum lingase ligoqe.
Noma uma uchelela ingadi kuphuma amanzi bese kuba ne-twist noma ifindo epayipini livele linqamuke ngokuphelele. Uma isikhahlela, iya ku-zero. Lokho kusho ukuthi awukho umoya-mpilo oyiziro ongena lapho ulimi lwakho lungemuva komphimbo wakho futhi uphefumula ngokumelene nalokhu kuvinjelwa.
Yilolo hlobo oluvame kakhulu futhi yilolo oluyinhloko esizobe sikhuluma ngalo. Enye i-central sleep apnea. Yilapho ubuchopho buhluleka khona ukuthumela uphawu olufanele emisipha elawula ukuphefumula.
Bese kuthi inkimbinkimbi iyinhlanganisela yakho kokubili i-obstructive sleep apnea eyaziwa ngokuthi i-OSA kanye ne-complex or central apnea, okuyi-CSA. Izikhathi eziningi lapho iziguli zine-obstructive sleep apnea iminyaka eminingi, eminingi, umzimba uvele ujwayele futhi nobuchopho bujwayela iqiniso lokuthi umzimba awuwutholi umoya-mpilo futhi umoya-mpilo wehla uze ufike ku-80% ngezinye izikhathi. imizuzu emibili noma emithathu. Futhi akuhluphi nokuthumela i-signal yokuphefumula futhi yilapho iqala ukuba yingozi kakhulu.
Isikhathi esingcono kakhulu sokuyixazulula iwukuba unengxube efana nokuhona futhi usuqala ukungena kulokhu kuphefumula kokuphefumula okuvimbayo. Ngisho ukuthi ukuhona kungase kuzwakale kuhlekisa futhi abantu benza amahlaya ngakho, kodwa empeleni kungaba uphawu lwenkinga enkulu kakhulu.
[Eon Engelbrecht E-Radio] (7:06 – 7:22)
Ngike ngezwa ukuhona okuthakazelisayo ngaphambilini, uyazi, lapho kuba khona ikhefu elide kakhulu bese kuthi kungazelelwe uzwe bese kuba sengathi bese behefuzela kanjalo futhi lokho kuyethusa kakhulu. Angazi noma wake wakubona lokho ngaphambilini.
[Dr Clifford Yudelman – OptiSmile] (7:23 – 7:27)
Lokho empeleni yi-apnea okhuluma ngayo.
[Eon Engelbrecht E-Radio] (7:27 – 7:28)
Kwesabeka kakhulu.
[Dr Clifford Yudelman – OptiSmile] (7:28 – 8:49)
Abantu bayayeka ukuphefumula. Ngakho-ke okwenzekayo ngokuvamile ukuthi uthola ukuhona, ukuhona, ukuhona. Ngeke ngilingise.
Ngenzela iziguli zami. Bese uthola okuningi njengokuklinywa kanye nokukhwehlela kancane bese uhefuzela kakhulu. Ngakho-ke uma umuntu ehona ngokuthula bese ethanda nje ukuthi awuzwa lutho bese kuba nokuhonqa kancane bese edonsa umoya, lokho kungase kube i-apnea emaphakathi.
Ngakho-ke ngenkathi sikulokho, ngincoma uhlelo lokusebenza olubizwa ngokuthi i-SnoreLab, . Uzokwazi ukuthi ungakwesokudla ku-App Store yakho noma i-Apple Store yakho. Ilogo eluhlaza okwesibhakabhaka enekhemistri ebukeka njengebhekha, njengesitsha sengilazi esimise okukanxantathu esisetshenziswa elebhu.
Ibizwa nge-SnoreLab futhi ngingancoma inguqulo ekhokhelwayo. Ungayisebenzisa ukuqopha umkakho noma umyeni wakho noma wena futhi ngicabanga ukuthi kuyindlela enhle kakhulu yokubona ukuthi unalezo zikhathi lapho uyeka ukuphefumula. Isizathu sokuthi kungani ngithi kufanele uthole ekhokhelwayo ukuthi ungalalela iziqeshana ezivela ubusuku bonke.
Lapho uthola eyamahhala, ngicabanga ukuthi ikuvumela kuphela ukuthi udlale amanani athile futhi awukwazi ukubuyela emuva futhi ulalele lapho ubanga umsindo noma uma ngesizathu esithile ubuthule kakhulu, mhlawumbe empeleni ubungaphefumuli. Ngakho lokho kuyethusa nakakhulu.
[Eon Engelbrecht E-Radio] (8:50 – 9:07)
Hawu, kuyethusa kakhulu. Futhi okuthusa kakhulu ukuthi awukwazi ukukulawula. Ngisho ukuthi sonke kufanele silale, kodwa asikwazi ukuzibamba lapho siyeka ukuphefumula kanjalo.
Ayikho indlela yokugwema lokho. Kodwa ngiqonde ukuthi yini imbangela edala konke lokhu Dokotela?
[Dr Clifford Yudelman – OptiSmile] (9:07 – 10:49)
Ngakho empeleni sizobe sikhuluma ngokuthi ungakugwema kanjani. Ukulala ngohlangothi lwakho kuyinto eyodwa, ukunciphisa umzimba, ukungaphuzi, lezo zinhlobo zezinto. Sizobe singena kulokho, ngicabanga ukuthi kusiqephu sesithathu.
Ngakho-ke uthi yini ebangela ukuhona nokuphelelwa umoya? Ngakho-ke ukuhona kungabangelwa izici ezihlukahlukene ezifana neminyaka yakho. Ngakho-ke lapho usumdala ngokujwayelekile, maningi amathuba okuthi uhone.
Isisindo sakho sibaluleke kakhulu. Uma une-BMI, ngokuyisisekelo uma ukhuluphele noma ukhuluphele, ulimi lwakho luba nesisindo esikhulu. Ukulahlekelwa nje ngisho nama-kgs amahlanu noma angu-10 kwenza ulimi lwakho lube luncane kakhulu futhi mancane amathuba okuba ubanjwe ngemuva komphimbo wakho.
Ukuminyana emakhaleni kungabangela ukuhona kwesikhashana. Uma unokuminyanisa emakhaleni okuqhubekayo, kufanele ulalele incwadi ebizwa ngokuthi The Breathing Cure noma I-Oxygen Advantage. Sengiyilalela okwesibili.
Kunezindlela zokuqeda ikhala lakho ngokubamba umoya nokwenza izinto ezithile ngaphandle kwemithi. Kodwa ukulala ngohlangothi lwakho kungasiza ngempela. Abantu abaningi bayahona kakhulu uma besohlangothini lwabo uma kuqhathaniswa nasemhlane wabo.
Futhi ukuphuza kukhulu. Ukuphuza kubangela abantu abaningi noma abantu abaningi ukuba bahone. Ezinye izinto abantu abanobubanzi bentamo enkulu ngokwemvelo, ngicabanga ngaphezu kukasayizi 42.
Futhi abantu abanentamo emfushane, njengabadlali abaningi bebhola lombhoxo, angikuthandi ukuba sekhempini enabadlali abaningi bebhola lombhoxo. Ngicabanga ukuthi iningi labo kumele lihone.
[Eon Engelbrecht E-Radio] (10:49 – 10:54)
Yebo, lawo mantamo amakhulu, izintamo ezinkulu ezimfishane.
[Dr Clifford Yudelman – OptiSmile] (10:55 – 11:21)
Yebo. Futhi i-apnea yokulala ibangelwa kakhulu - ngithatha i-apnea yokulala kanye nokuhona into efanayo. Umuntu onokuphelelwa umoya uma elele ungumuntu ochwepheshe.
Yebo. Yeka indlela yokuyibeka, yebo. Kufana nokuhona okuchwepheshile, yebo.
Ukuhona okuchwepheshile, yebo. Uma usuba muhle impela, yebo, bakufezile, yebo.
[Eon Engelbrecht E-Radio] (11:21 – 11:30)
Kodwa ngokusobala, dokotela, lokhu kuthinta impilo yakho yonke ngoba uyeka ukuphefumula. Ngisho, kubi? Ake sithi, isibonelo, kubi enhliziyweni yakho?
[Dr Clifford Yudelman – OptiSmile] (11:31 – 13:07)
Ngempela. Inhliziyo iyona embi kakhulu. Usengozini ephezulu kakhulu, ephakeme kakhulu yesifo senhliziyo, unhlangothi, umfutho wegazi ophakeme, nesifo sikashukela.
Ngaphandle kokungena kakhulu kukho, uma othile ekhathazekile, uma nje u-Google sleep apnea, okubhalwe ukuthi APNEA, bese ufaka isifo senhliziyo, isifo sohlangothi, umfutho wegazi, isifo sikashukela, lezi zinto, uzobona kakhulu, kakhulu, kakhulu. izixhumanisi eziqinile neziwujuqu. Amakhulu namakhulu omagazini bezokwelapha baye babonisa ngaphandle kokungabaza ukuthi lezi zinto ziyingozi kakhulu, futhi zibangelwa ngokuqondile ukuphelelwa umoya. Enye indlela i-apnea yokulala ingaba yingozi noma ithinte impilo yakho yonke ukuthi uthola ubuthongo obuningi emini.
Kunento ebizwa nge Epworth sleepiness scale. Kuyimibuzo eminingi ongayigcwalisa, futhi ungazinika amaphuzu. Ungabona uma ucabanga ukuthi ungumuntu okhathele, futhi lokho kubhalwe ukuthi EPWORTH, Epworth.
Iku-inthanethi. Ungavele ubuze imibuzo enjengokuthi, ingabe uyazumeka uma ungumgibeli emotweni? Noma uke wazumeka ushayela uma uhlezi erobhothini, okuyisimo sengqondo esincane bese umuntu egxuma.
Angikhulumi ngomuntu obhala umlayezo ocingweni lwakhe. Ngakho, ngisho, lokho kuyingozi kakhulu. Abantu balala behamba ngesondo.
Abashayeli bezindiza, abashayeli bezindiza zezindiza kufanele babe nesifundo sokulala, ngicabanga, njalo ngonyaka ukuze baqiniseke ukuthi abanawo umoya wokulala.
[Eon Engelbrecht E-Radio] (13:07 – 13:09)
Flip, ngeke ngithembe.
[Dr Clifford Yudelman – OptiSmile] (13:10 – 13:18)
Yebo, yebo, kanye nabashayeli bamaloli, ngoba, niyazi, umshayeli weloli olala eshayela angalimaza abantu abaningi.
[Eon Engelbrecht E-Radio] (13:18 – 13:37)
Yebo, impela. Kulungile, umphumela omkhulu kakhulu empilweni yakho, nakanjani. Yiziphi izimpawu okufanele abantu bazibheke ukuze babone i-apnea yokulala ekhaya?
Mhlawumbe basola ukuthi umyeni noma unkosikazi noma umlingani wabo uphethwe yilokhu bengazi.
[Dr Clifford Yudelman – OptiSmile] (13:38 – 15:27)
Yebo, ngakho-ke ngicabanga ukuthi uhlelo lokusebenza, uhlelo lokusebenza lwe-SnoreLab luhle ngempela, ngoba lapho-ke ekuseni, ungadlala lokho futhi kumlingani wakho futhi umbonise, yebo, ngapha, lokhu kwakungesikhathi ubuminyanisa futhi ukhwehlela, bese kuba lokhu. yilapho wawuhefuzela khona. Futhi lapho bezwa, akuzwakali njengesaha noma indiza. Ungaba ne-apnea encane kanye nokuhona kakhulu, njengevuvuzela, uyazi, futhi ube nempilo ephelele.
Futhi sizokhuluma ngokuthile uma uthola isifundo sokulala, ukuthi empeleni sibabeka kanjani njengabamnene, abamaphakathi noma abanzima. Kodwa yebo, ukuhona okukhulu, uma uhonela kakhulu, maningi amathuba okuthi ube ne-apnea yokulala, ngokuphambene nokubhoboza nje, uyazi, kunokudlidliza okuncane emphinjeni wakho lapho umoya ungena futhi uphuma. Ukuhefuzela ngesikhathi ulele, njengoba usho.
Ikhanda elibuhlungu ekuseni, uma uvuka uphethwe yikhanda njalo ekuseni, lokho kuwuphawu oluhle lokuthi uphethwe yisifo sobuthongo. Uma unomlomo owomile, ngakho ngokuvamile ukuhona kubangelwa ukuphefumula ngomlomo. Yilokho-ke into ethokozisayo ezincwadini engizilalele, kukhona into ebizwa ngokuthi yi-mouth taping.
Angifuni ukungena kukho kakhulu lapha, ngoba ngicabanga ukuthi kumele kwenziwe ngokugadwa. Kukhona into ebizwa nge-myotape, lapho usengakwazi ukuvula khona umlomo wakho, kodwa ingena ezindebeni zakho. Futhi lokho bese kukuphoqa ukuthi uphefumule ngamakhala akho.
Kodwa uma kudingeka uphuze amanzi noma ukhulume noma uphefumule ngomlomo wakho, usengawuvula umlomo wakho. Kodwa yebo, uma umlingani wakho ebona ukuma kancane ekuphefumuleni kwakho ngesikhathi ulele, lokho kuyinkomba eqinile yokuthi une-apnea yokulala.
[Eon Engelbrecht E-Radio] (15:28 – 15:36)
Futhi uma ingelashwa, izoba nomthelela empilweni yakho yansuku zonke kanye nempilo yakho yesikhathi eside. Ngisho ukuthi isiphiwo, akunjalo, dokotela?
[Dr Clifford Yudelman – OptiSmile] (15:37 – 18:13)
Yebo. Ngakho-ke ngingasho ukuthi isizathu sokuqala esenza sibone abantu bezosibona ngokuvamile uphathina, olala naye ubeke unyawo lwakhe phansi ngoba kuphazamisa ubudlelwane. Futhi umuntu, kungaba umyeni noma unkosikazi, sibona inqwaba yabesifazane kanye nabesilisa.
Futhi isikhathi esiningi kuba sengathi noma ngubani umenzi wobubi kufanele alale kusofa. Ngakho-ke ngezinye izikhathi kungase kube unkosikazi, into engiye ngazi kakhudlwana muva nje ukuthi empeleni kunokwanda okukhulu kokuhona kanye ne-apnea lapho abesifazane befika esikhathini sokunqamuka kokuya esikhathini, lapho kuba noshintsho kumahomoni. Futhi angizange ngibhekisise izimbangela eziqondile.
Isikhathi esiningi abantu bakhuluphalisa lapho amahomoni abo eshintsha. Futhi angiyena umuntu ongakunikeza izeluleko engikunikeza lapha. Wonke umuntu kufanele ngaso sonke isikhathi ahlole udokotela wakhe, kodwa kukhona ukugoba kwangempela eNingizimu Afrika kodokotela ukuthi banikeze ukwelapha okushintshwa kwamahomoni ngenxa yocwaningo olunamaphutha emuva ngeminyaka yawo-80s.
Futhi uma owesifazane eya esikhathini sokunqamuka kokuya esikhathini, kufanele ngempela athole imibono eminingana futhi athole okwengeziwe ngokushintshwa kwama-hormone ngoba akukuvimbeli nje kuphela ekutholeni i-apnea yokulala nokukhuluphala, kodwa futhi kungakhuphula ukuminyana kwakho kwamathambo. Ngakho-ke kunokuba ngiqhubeke nokwelashwa kokuminyana kwamathambo, okuyi-radical impela, ngiyazi ukuthi lokho akuhlangene nesihloko, kodwa ngicabanga ukuthi kubalulekile. Ngakho-ke ubudlelwano obuphazamisekile, emuva esihlokweni, ukulala kusofa, ungathola isizungu, ukuntuleka kokulala, ikakhulukazi umlingani, kodwa futhi nokuhona.
Ngakho uma uhona noma une-apnea, awulali ngempela. Kwabesilisa, imosha i-testosterone yakho. Wenza i-testosterone uma ungena ebuthongweni obujulile.
Futhi uma uhona, ungahonqa, uma une-apnea yokulala, khona-ke awenzi okwanele kunoma iyiphi i-testosterone. Futhi kuvele kubangele le metabolic syndrome, okuyilapho uthola khona lelo thayi esiswini sakho bese uqala ukuba nesifo sikashukela bese umfutho wegazi wakho ukhuphuka. Konke lokho kubangelwa ukuntuleka kwe-testosterone.
Futhi i-apnea engelashiwe ingaholela ezinkingeni ezinkulu, njengoba ngishilo, njengezinkinga zenhliziyo, izinkinga zenkumbulo, ukukhathala okungapheli, futhi konke lokhu kunomthelela ekusebenzeni kwakho komsebenzi nokuphepha kwakho siqu, ikakhulukazi uma uhamba ngendiza.
[Eon Engelbrecht E-Radio] (18:14 – 18:22)
Nakanjani. Ngakho-ke dokotela, i-apnea yokulala itholakala kanjani ngempela? Futhi, ungasitshela okwengeziwe mayelana nesifundo sokulala?
Kuyini ngempela?
[Dr Clifford Yudelman – OptiSmile] (18:23 – 21:54)
Ngakho-ke ukufunda ukulala, igama eligcwele lezokwelapha i-polysomnography. Ngakho-ke i-somnography, i-polysomno, isho ukulala. Futhi i-graphy, ngicabanga, iwukulinganisa njengoba bebiza umtshina wamanga, kodwa izwakala ifana ne-polysomnography.
I-Polygraph. Kodwa i-poly isho i-polygraph. Yebo, yebo.
Ngakho i-poly isho eziningi. Ngakho ngokuyisisekelo, amaphethini okuphefumula, amazinga e-oxygen aqashwe. Ngakho-ke kunezinhlobo ezimbili eziyinhloko zezifundo zokulala.
Kodwa ngaphandle uma othile enolunye uhlobo lokuphazamiseka kokulala, uma into eyinhloko kuwukuhona, khona-ke isifundo sokulala sasekhaya kufanele sanele. Yilapho unetheknoloji yokulala ikunikeza idivayisi ekhethekile oya nayo ekhaya bese ubeka i-pulse oximeter emunweni wakho ukuze uyilinganise. Ngicabanga ukuthi ngemuva kwe-COVID, abantu bayakwazi lokho.
Ikala umoya-mpilo wegazi lakho, futhi kuneshubhu elincane elikala uma uhona, uma kukhona ukugeleza komoya, futhi lilingana nje ne-iPhone 4 encane, futhi likubhinca esifubeni sakho, lifana nokunwebeka okuncane. Kufana nesiqapha ukushaya kwenhliziyo, futhi uvele usigqoke ebusuku. Bese kuthi ekuseni, uyicime futhi uyibuyisele esikhwameni bese uyilahla.
Izifundo zokulala ekhaya zivame kakhulu futhi azibizi. Ngeshwa, i-medical aid, babeyikhokhela. Abasakwazi.
Futhi cishe ziyizinkulungwane ezimbili nengxenye zamarandi. Ngizoqaphela ukuthi ngithola nobani isifundo sokulala ekhaya. Ngingancoma ukuthi ukwenze ngokusebenzisa umtholampilo wokulala onesitifiketi esifanele.
Futhi emhlabeni wonke, umtholampilo wokulala noma ukulala, udinga udokotela ochwepheshe bezokwelapha zokulala bese kuba uchwepheshe wezobuthongo, kanye nomuntu othengisa umshini we-CPAP, ongumshini wokwelapha ukuhona nokuphelelwa umoya, noma udokotela wamazinyo. enikeza idivayisi yokuthuthukisa i-mandibular, okuyiyona nto esizokhuluma ngayo, ngeke kube nguye owenza isifundo sokulala. Kudingeka kube umuntu ohlukene, okukugcina kusemthethweni futhi kuthembekile. Futhi ukuhumusha kwenziwa ngaphandle kwanoma yiluphi uhlobo lwenzuzo yezezimali noma inzalo, kodwa akuwona umsebenzi wokuthengisa.
Ngakho isifundo sokulala sasekhaya asilinganisi izinto eziningi. Uma unezinto ezinjenge-restless leg syndrome, noma unenkinga yokulala, ukuqwasha, noma unesifo senhliziyo esinzima noma ezinye izinkinga zezokwelapha, kungase kudingeke ukuthi uye esibhedlela futhi banamathisele ama-electrodes ekhanda lakho futhi. phezu kwakho konke. Uma uke waba ne-ECG, lokho kuyizintambo ezine noma ezinhlanu.
Uma ufunda nge-Google polysomnograph noma ulala esibhedlela, kufanele kube nezintambo ezingaba ngu-30 noma 40 emhlathini wakho, emehlweni akho, yonke indawo. Futhi uthola ihhanisi yonke into enamathela kuyo, ngokoqobo amakhulu namakhulu ezintambo. Hhayi-ke, hhayi amakhulu, kodwa ngamashumi.
Angenzi ihaba. Ngiye ngaba nezifundo zokulala eziningana lapho ngise-Australia, izifundo zokulala esibhedlela, futhi nami nginenkinga yokuphefumula ubuthongo, yingakho ngaba nesithakazelo kulokhu. Ngakho-ke mina ngokwami ngilala ngomshini we-CPAP, kodwa i-apnea yami yokulala imaphakathi.
Ngakho-ke ngingasebenzisa i-splint ye-mandibular noma idivayisi, esizokhuluma ngayo. Kodwa ngicabanga ukuthi sizogcina ama-podcast abe ngobude bethu obujwayelekile bese silinda inombolo yesibili nesithathu ukuze sikhulume ngalokho.
[Eon Engelbrecht E-Radio] (21:54 – 22:01)
Kulungile. Bese kuthi izinto ezigqokwayo ezifana, ake sithi i-Apple Watch, zingasisiza yini ekulandeleleni ukuphazamiseka kokulala njenge-apnea yokulala?
[Dr Clifford Yudelman – OptiSmile] (22:02 – 25:25)
Yebo. Kuyathakazelisa kakhulu ukuthi, angiyena umuntu we-Apple. Ngingumuntu we-Samsung.
Nami futhi. Nginewashi le-Samsung futhi ngiyalithanda iwashi lami le-Samsung. Futhi ngisebenzise iwashi lami le-Samsung ukuqapha izinga lokushaya kwenhliziyo yami nomoya wami wegazi nokunye.
Futhi muva nje, bengilokhu ngicwila ngokujulile kokuthile okubizwa ngokuthi ukuguquguquka kwesilinganiso senhliziyo, ebengingazi kakhulu ngayo. Kodwa manje njengoba ngikule nto yokuphefumula, konke kuxhunyiwe. Futhi ngazithengela ibhande lesifuba lePolo elisezingeni eliphezulu kakhulu.
Futhi ngangihamba endaweni yokuhamba ngezinyawo. Ukushaya kwenhliziyo yami ngathi ngihamba ku zone two. Ukushaya kwenhliziyo yami kwakungu-110 futhi ngazizwa ngimangalisa.
Futhi bengilokhu ngikwenza lokho isikhathi esingangonyaka ngokusekelwe ewashini lami. Ngafaka lelibhande esifubeni futhi ukushaya kwenhliziyo yami kwakungama-85 kuphela. Futhi ngazama, ngiyakuzonda ukugijima.
Ngaqala ukugijima ngilandela abanye abagijimayo ibanga elingamamitha ayikhulu. Futhi emgqeni wesifuba, ukushaya kwenhliziyo yami kwenyuke kwafinyelela ku-110. Futhi phakathi nemizuzu embalwa, umzuzu noma ngaphezulu, yase ihlehle ngo-85.
Futhi i-Samsung ayizange inyakaze. Futhi ngiyasola ngempela manje. Ama-apula kufanele abe ngcono.
Ngiyaxolisa ukusho ukuthi, angiyena umlandeli, kodwa ngiyaqiniseka ukuthi abantu abaningi abalalelayo bangama-apula. Bayawathanda ama-apula, kodwa akulona ithuluzi lokuxilonga futhi alimi endaweni yokuba uchwepheshe wokulala nokuthola ukuxilongwa okufanele. Udinga ngempela ukuthi unakekelwe ngendlela efanele.
Futhi yebo, eKapa, eNingizimu Afrika yonke, sisebenzisa inhlangano ebizwa ngokuthi Faree and Associates, ebhalwe ukuthi FOURIE, kubantu abangalazi igama lesiBhunu, Faree. Futhi banendawo eMilneton. Ngicabanga ukuthi banezithandani eKapa.
Benza nezifundo zokulala esibhedlela kubantu abanenkinga yenhliziyo nokunye. Futhi baseGoli. Sebephelile futhi ngibancoma kakhulu.
Kukhona nezinye izindawo. Nginokungabaza kancane. Kukhona odokotela abahlinza umphimbo nabantu abazokuhlinza bejabule.
Futhi njengoba nje ngibiza i-BS kodokotela bamazinyo. Ngethemba ukuthi akekho noyedwa kodokotela abahlinzayo ozongicasula, kodwa ukuhona nokulala ukuphefumula, indlela yakho yokugcina, uma kwenzeka, iwuhlobo oluthile lokuhlinzwa. Uma ungalaleli noma yimaphi amaphodikasti ami aqhubekayo, lokho kufanele kube ukuyisa ekhaya kusukela namuhla kungukuthi ungahambi futhi uthole, kuyilapho kungase kube nenzuzo ethile yokuthi i-septum yakho iqondiswe noma ikhishwe ama-polyps ekhala ukuze ukwazi ukuphefumula. ikhala.
Awufuni ukuyosikwa i-uvula yakho noma uhlinzwe ulwanga lwakho. Ngakho-ke uma uya kudokotela ohlinzayo bese bezenzela isifundo sokulala, lokho kungase kukhale insimbi ende. Ngingakhathazeka kancane.
Bengifuna nje ukubeka lokho lapho. Kuyinqubo yamazwe ngamazwe ukuthi umtholampilo ofanele wokulala kanye nodokotela wokulala bangenza ucwaningo lokulala, hhayi umuntu oncoma ukuhlinzwa noma imithi.
[Eon Engelbrecht E-Radio] (25:26 – 25:37)
Bese kuthi ekugcineni, dokotela, kungani abantu kufanele bafune iseluleko sezokwelapha uma besola i-apnea yokulala kunokuba nje bazelapha noma basebenzise amathuluzi?
[Dr Clifford Yudelman – OptiSmile] (25:37 – 27:23)
Ngakho-ke ngicabanga ukuthi uma ucabanga ngezinto esesivele siziphendulile namuhla, ngicabanga ukuthi ukuzelapha ngemishini ethengwayo, kunganciphisa ukuhona, kodwa ngeke kuxazulule inkinga ewumsuka yokuphelelwa umoya njengoba ikhona. . Futhi njengoba sishilo, i-apnea engelashiwe futhi ngingasho ngokuqondile ukuthi izoholela ezingozini ezinkulu zezempilo. Ayibi ngcono iyodwa ngaphandle kokuthi ukhuluphele kakhulu futhi uyahamba wehle ngo-20 kgs.
Empeleni ngikwenzile lokho eminyakeni embalwa edlule. Ngiyibuyisele ngebhadi futhi. Eqinisweni, lapho ngilahlekelwa isisindo, ngehla kusuka ku-90 kg ngehla kuya ku-74 kg.
Bengingadingi ukusebenzisa i-CPAP yami. Angizange ngihone nokunye. I-cholesterol yami yahamba kahle.
Konke, i-BP yami ihambe kahle. Kodwa kunzima kakhulu njenganoma ubani owehlile emzimbeni. Kunzima kakhulu ukugcina lokho.
Futhi ngeshwa, ngalahlekelwa isisindo ngokushesha kakhulu. Ngilahlekelwe cishe izicubu eziningi. Ngakho-ke angikuncomi lokho kunoma ubani.
I-Banting yinhle. Ngenza i-baning nokuzila ukudla, kodwa kusukela lapho, ngilalele izincwadi eziningi nama-podcasts. Lokho kwenzeka eminyakeni engaba mibili nengxenye edlule.
Sihlala siba nesithakazelo ezintweni ezisithintayo. Kulapho uthola umdlavuza wendlala yesinye noma umngane wakho enenkinga ethile lapho uqala ukufunda noma ukufunda ngakho. Futhi i-apnea yokulala iyabulala.
Ngicabanga ukuthi ukushaywa unhlangothi okuningi nokuhlaselwa yinhliziyo okwenzeka ebusuku, konke lokhu kubangelwa ukuphelelwa umoya noma okungenani kunomthelela omkhulu, omkhulu.
[Eon Engelbrecht E-Radio] (27:24 – 27:33)
Ngakho lezo zindaba lapho uzwa khona ukuthi othile usanda kushona ebuthongweni bakhe, okungenzeka ukuthi kungenxa yokuphelelwa umoya. Ngeke nje bayisho.
[Dr Clifford Yudelman – OptiSmile] (27:34 – 28:06)
Yebo, ngoba abantu abahlanganisi kokubili ndawonye. Futhi ngibona abantu abaningi kakhulu ababona ongoti benhliziyo lapha eKapa futhi bathola zonke izinhlobo zobumnandi, ngike ngaba nabo, amaphuzu e-calcium nama-x-reyi enhliziyo yenu futhi benza izivivinyo ze-treadmill. Bese ngithi kubo umkakho ukhala ngokuthi uyahona?
Futhi bathi, yebo, ngize ngayeka ukuphefumula ebuthongweni futhi ngigedla amazinyo. Futhi ngithi, utshele udokotela wenhliziyo? Futhi bathi, oh cha, udokotela wenhliziyo akazange angibuze.
[Eon Engelbrecht E-Radio] (28:06 – 28:29)
Oh izwi lami. Lokho kakhulu- ngiphakamisa izwi lami. Ngiphatheke kabi.
Yebo, cha, kuyaphithizela lokho. Kodwa lokho kuyinto ebalulekile okufanele uyikhulume kudokotela wakho wenhliziyo. Kodwa yebo, iyasikhanyisela nalolu daba lwabantu abavele badlule ebuthongweni futhi uhlale uzibuza ukuthi kungani?
Kungani ebuthongweni babo?
[Dr Clifford Yudelman – OptiSmile] (28:31 – 30:27)
Kukhona igama. Kubizwa, kukhona igama. Yebo, ngiyaxolisa ukuphazamisa.
Kubizwa ngokufa ngokuzumayo ebusuku. Ibizwa kanjalo. Futhi kunezinye izinto abantu abangazenzi, njengokuthi ucabanga lapho usumdala njengowesilisa futhi kufanele uqhubeke uya endlini yangasese, abantu bacabanga, o, i-prostate ekhulisiwe.
Kodwa empeleni lapho i-oksijini yegazi lakho iqala ukwehla, ibhalansi yakho egazini lakho, i-uric acid yakho iyakhuphuka bese wenza i-uric acid eyengeziwe. Bese uthola lokho okubizwa nge-nocturia, okusho ukuthi kufanele uvuke kabili noma kathathu ebusuku ukuze uyochama. Futhi lokho kungenxa yokuhona kanye ne-apnea.
Akuhlangene ngalutho ne-prostate yakho nanoma yini enye. Ziningi ezinye izinhlobo zalezo ezifana nezicasulayo, kodwa lokho kuthinta nokulala kwakho. Ngicabanga ukuthi uma ubuza okuningi kuka-60, ngisho ukuthi, ngineminyaka engu-64 ubudala.
Uma ubuza abaningi abaneminyaka engu-60 noma engu-70, wagcina nini ukulala ngehora le-10 futhi uvuke ngehora lesithupha? Ugcine nini ukulala amahora ayisishiyagalombili? Ngicabanga ukuthi ukuvuka kanye phakathi kwamabili ukuze ngichame kungase kube yinto evamile kunoma iyiphi iminyaka, kodwa ngibukele i-podcast.
Ngisho ukuthi, ngilalele i-podcast ezinyangeni ezimbalwa ezedlule mayelana nalokho, ukuthi ulala kanjani ubusuku bonke ngaphandle kokuthi ngivuke ngiye endlini yokugezela. Ngiyazi ukuthi siphumile kancane esihlokweni lapha, kodwa bekuyi-podcast ethakazelisa kakhulu. Ngalalela insizwa ebizwa ngokuthi uPeter Akia futhi ngicabanga ukuthi yingakho ngathola ugqozi lokwenza i-podcast ethi Gcina Imali Yakho, Gcina Amazinyo Akho ngenxa yakhe.
Futhi ama-podcasts akhe abizwa ngokuthi IDrayivu, njengokuthi ngicabanga ukuthi kufanele uyilalele noma uvela emsebenzini uma unohambo olude lokuya emsebenzini. Futhi wenze nencwadi ethi Outlive. Futhi ngicabanga ukuthi isiphetho salokho okunye kwakuwukuthi, ungaphuzi amanzi amaningi kangako ngesikhathi sesidlo sakusihlwa nangemuva kwesidlo sakusihlwa, futhi ngeke udinge ukuthi uvuke uhambe uyochama izikhathi eziningi kangaka.
[Eon Engelbrecht E-Radio] (30:27 – 30:28)
Yebo.
[Dr Clifford Yudelman – OptiSmile] (30:30 – 30:56)
Yebo. Futhi ikakhulukazi uma uvuka, uthi yisithandwa sakho esihona futhi uvuka ngoba udinga ukuya endlini yangasese. Uma usulele, awumnaki umuntu obanga umsindo, kodwa uma usuvukile, kuba nzima kakhulu ukuphinde ulale lapho omunye ehona.
Bese kuthi uma ngibuza abantu, niyahona? Futhi bathi, kahle, angazi, ngilele. Ngithi-ke, uvuka nezimbambo zilimele futhi uthole indololwane?
[Eon Engelbrecht E-Radio] (30:56 – 31:12)
Yebo, impela. Uyobe usuzazi ukuthi ungumuntu ohona. Kodwa yebo, ngiyabonga kakhulu, Doc.
Lokhu kube kakhulu, ukuqonda kakhulu. Impela enye yamaphodikasti engiwathandayo esiwenzile. Futhi siyakubonga futhi ngokwabelana nathi ngakho konke.
[Dr Clifford Yudelman – OptiSmile] (31:12 – 31:49)
Yebo, ngiyabonga kakhulu. Futhi uma kwenzeka ngithole intshisekelo yakho namuhla, inombolo ye-podcast yesibili kulolu chungechunge ithi, ngakho-ke ngesonto elizayo sizokwenza izixazululo zamazinyo zokuhona kanye nenkinga yokulala, ngaphezu kokulala nje ebusuku. Futhi sizoxoxa ngakho konke mayelana nokuthi kungani udokotela wamazinyo ekhuluma ngale ndaba?
Bese kuthi inombolo ye-podcast yesithathu izophila ne-apnea yokulala, ukuphathwa kwesikhathi eside kanye nendlela yokulala kangcono, noma uma ungowaseMelika, indlela yokulala kangcono.
[Eon Engelbrecht E-Radio] (31:49 – 32:27)
Indlela, yebo. Ngiyabonga, Doc. Ngikubheke ngabomvu.
Futhi yebo, sizophinda sikubambe ngesonto elizayo. Futhi kubalaleli bethu, khumbula, silwela ukunikeza imininingwane ebalulekile nge-podcast, kodwa ngaso sonke isikhathi thintana nochwepheshe bakho ukuze uthole iseluleko esifanelana nempilo yakho, impilo yakho yomuntu siqu. Futhi-ke ungakhohlwa ukubhalisela i-podcast ukuze uthole izingxoxo ezengeziwe ezikhanyisayo.
Futhi uhlanganyele nathi futhi ngesonto elizayo. Ezinye izihloko ezinhle kakhulu ziyeza njengoba siqhubeka nokuhlola ukuhlangana okuthakazelisayo kwezempilo yamazinyo kanye nolwazi lwezezimali. Kuze kube yileso sikhathi, qhubeka umomotheka futhi unakekele kakhulu amazinyo akho.
[Isikhulumi 3] (32:47 – 33:32)
Thola umhlaba wobuhle bamazinyo nge-OptiSmile. Hlanganyela nathi nge-podcast yamasonto onke ehlanganisa uDkt Clifford Yudelman, uchwepheshe ongumakadebona oneminyaka engama-40 yolwazi lwamazinyo kuwo wonke amazwekazi amane. Dlala imininingwane eyingqayizivele kanye nezeluleko zamazinyo ezingochwepheshe ngokuvakashela i-OptiSmile.co.za ukuze uthole izindatshana ezikhanyisa indlela eya empilweni engcono yomlomo. Uma ufuna ukunakekelwa kwamazinyo okungenakuqhathaniswa eKapa, thintana ne-OptiSmile noma ubhukhe ngokuqondile ku-inthanethi ku- OptiSmile.co.za. I-OptiSmile, lapho ubuchwepheshe bomhlaba wonke buhlangabezana nokunakekelwa kwasendaweni.
Umshwana wokuzihlangula: Okuqukethwe okuhlinzekwe kule podcast, “Yonga Imali Yakho Yonga Amazinyo Akho” ngeMisombuluko Yezokwelapha, okwezinjongo zolwazi nezemfundo kuphela. Akuhloselwe ukusebenza njengeseluleko samazinyo noma sezokwelapha. Imibono nemibono evezwe uDkt. Clifford Yudelman kanye nanoma yiziphi izihambeli zenzelwe ukugqugquzela ukuqonda kangcono impilo yamazinyo, izinyathelo zokuvimbela, kanye nempilo enhle evamile, kodwa akufanele kuhunyushwe njengezincomo zamazinyo ezichwepheshile noma zezokwelapha.UDkt. U-Clifford Yudelman akahloli, akalaphi, noma anikeze ngamasu okuvimbela anoma yiziphi izimo zezempilo ngokuqondile ngale podcast. Le nkundla ayithatheli indawo yokunakekelwa komuntu siqu nezeluleko ezinikezwa udokotela wamazinyo onelayisensi noma uchwepheshe wezokunakekelwa kwezempilo. Sikhuthaza kakhulu abalaleli bethu ukuthi baxhumane nabahlinzeki babo bamazinyo ukuze babhekane nezidingo zempilo yamazinyo ngabanye kanye nezinto ezibakhathazayo.Ulwazi olwabiwe lapha luhlose ukunika abalaleli amandla olwazi mayelana nempilo yamazinyo kodwa akufanele lusetshenziswe njengesisekelo sokwenza izinqumo ezihlobene nempilo ngaphandle kosizo lwezempilo. isiqondiso sochwepheshe. Umhlinzeki wakho wokunakekelwa kwamazinyo ungumthombo ongcono kakhulu weseluleko mayelana namazinyo akho kanye nempilo yakho iyonke. Sicela uhlale ucela iseluleko sikadokotela wakho wamazinyo noma abanye ochwepheshe bezempilo abaqeqeshiwe mayelana nanoma yimiphi imibuzo noma okukukhathazayo mayelana nempilo yakho yamazinyo.
