Kutadza kufema munhu akarara chirwere chinoratidzwa nekuvhiringwa kwekufema panguva yekurara nekuda kwekuvharika zvachose kana kuti chikamu chenzira dzekumusoro dzemhepo. Iyo inozivikanwa zvakare seOSAS (Obstructive Sleep Apnea Syndrome)

Chii chinonzi obstructive sleep apnea?

Kune mazinga akasiyana ehutano: apnea apo kukanganiswa kwekufema kunotangira kubva ku10 seconds kusvika pasi pemaminitsi matatu; hypopnoea inguva apo pane kuderedzwa kwechikamu mukufema; RERA (Respiratory Effort Related Arousal) ndipo pakaita ganhuriro yekufema nekuwedzera kunofambira mberi mukuedza kwekufema kunoteverwa nekusunungurwa kamwe kamwe.

Chirwere ichi chinobata varume kakawanda kupfuura vakadzi, uye muvakadzi chinowanzoitika mushure mekuenda kumwedzi.

Ndezvipi zvinokonzeresa kuvharika kwekurara?

Mamwe mamiriro ezvinhu anokurudzira kutanga kwe apnea yekurara:

• kufutisa/kufutisa
• kuvharidzirwa kwepamusoro pemhepo (mhino, muromo, huro)
• kunwa doro zvisina mwero usati warara
• kunwa mapiritsi ekukotsirisa

Ndezvipi zviratidzo zve obstructive sleep apnea?

Vanhu vane dambudziko rekushaya hope vanoridza ngonono zvinonyatsooneka kubva pamatanho ekutanga ekurara (kuridza ngonono kunowedzera uye kunowedzera kusvikira munhu amira kufema kwemasekonzi mashoma, obva angotanga kufema zvakare otanga kutenderera kutsva kwakafanana).

Pane zviratidzo zvakawanda zvine chekuita nechirwere ichi

• kunyanya kurara masikati
• kuoma kuisa pfungwa
• kurwisa hope
• musoro uye / kana muromo wakaoma pakumuka
• usiku sweats
• kumuka kamwe kamwe nekunzwa kukachidzwa
• kuda kuita weti usiku
• kusanzwa zemo

Nzira yekudzivirira sei obstructive sleep apnea?

Kuti udzivise kutanga kwekuvharisa apnea, zvinokurudzirwa kuita:

• kuderedza uremu kana iwe wakafuta kana kuti wakafutisa;
• idya zvine utano uye kurovedza muviri nguva dzose, kunyange zvine mwero;
• dzivisa kusvuta;
• rega doro, kunyanya panguva yekurara.

kuongorora chirwere

Obstructive sleep apnea syndrome inoitika kana nhamba yeapnea yakaenzana kana kupfuura zvikamu zvishanu paawa, kana kana paine zvikamu gumi neshanu kana kupfuura zvinoperekedzwa nekuedza kuri pachena kwekufema.

Kuongororwa kunobva pakutanga pane zvese zviratidzo zvinoshumwa nemurwere uye mudiwa. Muchiitiko chekufungira, chiremba anogona kuisa nyaya kune zviyero zvezviyero zvakasiyana-siyana kuburikidza ne:

• Polysomnografia: iyi inosanganisira kuyera, mukati memaawa akati wandei ekurara husiku, mafambiro emhepo, mwero weokisijeni yeropa, kurova kwemoyo, thoracic uye dumbu rekufema kufamba uye kumira mukurara.
• Respiratory polygraphy (kana nocturnal cardio-respiratory monitoring): kuongorora kunosanganisira kutarisa zviratidzo zvemoyo-kufema panguva yekurara.

Dzimwe bvunzo dzinogona kunyorerwa

• electroencephalogram (kuongorora basa remagetsi reuropi).
• electromyography yemakumbo (kuongorora kushanda kwemhasuru).
• Kushaya hope, kurapwa

Varwere vane apnea yekurara vanorayirwa kuti:

• kuderedza uremu kana vakafuta kana kuwandisa;
• kudzivisa zvinwiwa zvinodhaka uye mapiritsi ekukotsirisa;
• varai norutivi rwavo;
• kurapa chero kukanganisa kwepamusoro pemhepo.

Mishonga yePharmacological inonangwa kune zvese zvinopesana nezviratidzo uye kugadzirisa zvikonzero zvekusagadzikana.

Kazhinji, kurapwa kunosanganisira

• kushandiswa kweCpap (Inoenderera mberi yakanaka air way pressure): ichi chifukidziro chinoshandiswa pamusoro pemhino nemuromo uye chinomanikidza kufamba kwemhepo, kunobatsira kufema.
• kushandiswa kwekuvhiyiwa: izvi zvinogona kusanganisira kugadzirisa yakatsauka septum yemhino kana kubvisa hypertrophied tonsils, zvichienderana nehuwandu uye rudzi rwekudzivirira kunowanikwa mumhepo yepamusoro.

Verenga Uyewo:

Nhema Dzine Njodzi Nezve CPR - Hapana Kufema Zvakare

Tachypnoea: Zvinoreva uye Pathologies Yakabatana Nekuwedzera Kwenguva Yekuita Kwekufema.

Source:

Humanitas