Ke oki koke nei hoʻi ʻoe i ka hanu ʻana i ka wā hiamoe? E aʻo kākou e pili ana i kēia (Central Sleep Apnea)!

Ke ala koke nei ʻoe i kekahi manawa i ka pō? Ke manaʻo nei ʻoe ua pōkole kou hanu? A i ʻole ke manaʻo nei ʻoe ua luhi a hiamoe i ka lā a pau? ʻAʻole kēia he mau mea wale nō. Malia paha ke kumu o kēia no ka mea he maʻi kou i kapa ʻia ʻo "Central Sleep Apnea". Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha ka Central Sleep Apnea (CSA)?

I ka ʻōlelo maʻalahi, ʻo `(Central Sleep Apnea)` ka wā e kū ai kou hanu no ka manawa pōkole i ka wā hiamoe. Akā, ʻaʻole like kēia me `(Obstructive Sleep Apnea)` e hele mai me ka hāhā ʻana. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole hoʻouna pono kou lolo i nā hōʻailona i nā ʻiʻo hanu. ʻO ka hapa nui o ka manawa, hiki ke hana ʻia kēia ʻano `(Central Sleep Apnea)` ma ke ʻano he pilikia o kahi maʻi ʻē aʻe a i ʻole ma muli o ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau. No ka laʻana, ʻoi aku ka nui o ka poʻe me ka maʻi puʻuwai e loaʻa i kēia ʻano. No laila, mālama pinepine nā kauka i ke kumu kumu.

He aha nā ʻano nui o ka `(Central Sleep Apnea)`?

Aia kekahi mau ʻano o ka "Central Sleep Apnea". E nānā kākou i ke ʻano o lākou:

• CSA Mua: I kēia hihia, he paʻakikī ke loaʻa kahi kumu maopopo no ka Central Sleep Apnea. He mea hiki wale mai ia.
• CSA me ka hanu ʻana o Cheyne-Stokes (CSB): Inā loaʻa iā ʻoe kēia ʻano, hana ʻia kou hanu ʻana i nā pōʻaiapuni. E noʻonoʻo, hanu wikiwiki ʻoe no ka manawa lōʻihi, a laila hoʻōki i ka hanu ʻana no kekahi manawa. Hanu wikiwiki hou ʻoe, a laila hoʻōki hou. Hiki i hoʻokahi pōʻaiapuni e like me kēia ke mau ma waena o 40 a me 90 kekona.
• ʻO CSA i hoʻokumu ʻia e nā kūlana olakino ʻē aʻe: I kekahi poʻe, hiki ke hana ʻia kēia kūlana e nā mea e like me ka maʻi puʻuwai a i ʻole nā ​​​​kūlana neurological.
• CSA e kū mai ana i ka lāʻau lapaʻau: I kekahi manawa, hiki i ka poʻe me ka Obstructive Sleep Apnea aʻu i ʻōlelo ai ma mua ke loaʻa i kēia kūlana hou i kapa ʻia ʻo Central Sleep Apnea ma hope o ko lākou hoʻomaka ʻana e hoʻohana i ka mīkini CPAP (kahi mea e kōkua iā lākou e hanu).
• ʻO CSA i hoʻokumu ʻia e ka noho ʻana ma nā wahi mauna: Hiki i kekahi poʻe ke ʻike i kēia ʻano pilikia hanu ʻoiai ke noho nei ma nā wahi mauna kiʻekiʻe no ka manawa lōʻihi.
• ʻO CSA i hoʻokumu ʻia e nā lāʻau ʻeha: Hiki ke hana ʻia kēia e kekahi mau lāʻau ʻeha i kauoha ʻia e nā kauka, ʻoiai nā mea i loaʻa nā "Opioids", a i ʻole ma ke ʻano i kapa ʻia ʻo "Opioid Use Disorder".

He aha nā hōʻailona o ka `(Central Sleep Apnea)`?

ʻO ka hapa nui o ka manawa, ʻike ʻoe i nā hōʻailona o ka "Central Sleep Apnea" ke ala ʻoe. E nānā inā loaʻa iā ʻoe kēia mau hōʻailona:

• Ke hiamoe mau nei i ke ao, me he mea lā ʻaʻole ʻoe i hiamoe nui i ka pō.
• ʻEha nui ke poʻo i ke kakahiaka.
• Waha maloʻo.
• Ke hopohopo iki nei, a me ka huhū maʻalahi.
• Ka paʻakikī i ka noʻonoʻo ʻana i kekahi mea.

Inā loaʻa iā ʻoe ka `(CSA)`, e ala koke paha ʻoe i waenakonu o ka pō me ke kumu ʻole. Inā aia kekahi me ʻoe, e ʻike paha lākou e neʻe mālie ana ʻoe i kou hiamoe ʻana.

He aha nā kumu o ka `(Central Sleep Apnea)`?

Hana ʻia kēia ke hoʻopilikia kekahi mea i ka ʻāpana o ko kākou lolo i kapa ʻia ʻo "Brainstem". ʻO kēia "Brainstem" ka mea e kaohi i ko kākou hanu ʻana. ʻO ia ka mea e hoʻouna i nā hōʻailona i nā ʻiʻo i loko o ko kākou ʻōnaehana hanu e hanu.

I loko o ke kanaka me Central Sleep Apnea, ʻaʻole pane pono ka lolo i nā loli o ka nui o ke kalapona ʻokikene (CO2) i loko o ko lākou koko. He huahana ʻōpala ke kalapona ʻokikene i hoʻokuʻu ʻia mai ko mākou kino ke hanu mākou i waho. Ke piʻi ka pae kalapona ʻokikene i loko o kou koko, haʻi aku kou lolo i kou mau ʻiʻo hanu e hanu hohonu a hoʻokuʻu i waho. Lawe ʻoe i nā hanu hohonu.

Eia nō naʻe, ke hāʻule kāu pae kalapona ʻokikene, haʻi aku ka lolo i kēlā mau ʻiʻo e hanu iki i loko a i waho. Hanu pāpaʻu ʻoe ma mua o ka maʻamau, lawe i nā hanu hohonu liʻiliʻi, a i ʻole e hoʻōki loa i ka hanu ʻana no kekahi mau kekona. ʻO kekahi pilikia me kēia kaʻina hana ke kumu o ka apnea hiamoe waena.

He aha nā kumu pilikia no ka `(Central Sleep Apnea)`?

Hiki paha iā ʻoe ke piʻi aʻe ka pilikia o ka hoʻomohala ʻana i kēia ʻano inā ʻoe:

• Inā he 60 ou mau makahiki a ʻoi paha: I ko kākou ʻelemakule ʻana, e loli paha ke ʻano o ka kaohi ʻana o ko kākou lolo i ka hanu ʻana i ka wā hiamoe.
• Inā he kāne ʻoe: Ua ʻike ʻia he ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā kāne.
• Inā loaʻa iā ʻoe kahi maʻi puʻuwai (e like me `(Congestive Heart Failure)` a i ʻole `(Atrial Fibrillation)`).
• Inā loaʻa iā ʻoe kahi maʻi ʻōnaehana nerve (e like me `(Stroke)`, `(Amyotrophic Lateral Sclerosis - ALS)` a i ʻole `(Myasthenia Gravis - MG)`).
• Inā ʻoe e lawe ana i nā mea ʻeha hoʻomaha i loaʻa ka '(Opioid)' a i ʻole inā ʻeha ʻoe i ka '(Opioid Use Disorder)'.
• Inā loaʻa iā ʻoe kekahi mau maʻi hoʻoilina (e like me `(Rett Syndrome)`, `(Prader-Willi Syndrome)` a i ʻole `(Congenital Central Hypoventilation Syndrome)`).
• Inā loaʻa iā ʻoe ka apnea hiamoe koke i ka wā lapaʻau ("(Treatment-emergent Sleep Apnea)`) a i ʻole nā ​​pae oxygen koko haʻahaʻa (`(Hypoxemia)`).

He aha nā pilikia e hiki mai ana o ka `(Central Sleep Apnea)`?

ʻOi aku ka Central Sleep Apnea ma mua o kahi maʻi hiamoe wale nō. Pono kou kino e hana ikaika e hoʻōki a hoʻomaka hou i ka hanu ʻana. ʻO ke ʻano o ka Central Sleep Apnea, ʻo ia hoʻi, ua hoʻōki kou kino a hoʻomaka hou i ka hanu ʻana i nā manawa he nui ma mua o ka maʻamau. Hiki i kēia hana keu ke hōʻino i kou mau kino kūloko a me nā kīʻaha koko.Hiki i ka Central Sleep Apnea ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i nā kūlana e like me:

• Nā ʻano ʻino o ka puʻuwai `(Arrhythmia)`
• Hiamoe hoʻopilikia
• Luhi i ka lā a pau
• ʻAʻole hiki ke hiamoe

E noʻonoʻo e pili ana i ia mea, ua like ia me ke kaʻa. ʻO ka mea e hana ʻia ana i ka ʻenekini ke hoʻomaka ʻoe a pio, a me ka mea e hana ʻia ana iā ia ke hoʻomaka ʻoe a pio, ʻo ia ka mea like e hana ʻia ana i ko kākou kino.

Pehea e ʻike ai i ka `(Central Sleep Apnea)`?

E nīnau mua ke kauka iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​inā he like nā kūlana o kekahi o kou ʻohana, a e pili ana i nā maʻi ʻē aʻe e hiki ai ke hoʻoulu i ka Central Sleep Apnea.

A laila, hiki i kāu kauka ke ʻōlelo aku i kahi noiʻi hiamoe e hoʻoholo ai inā he apnea hiamoe waena kou a he apnea hiamoe obstructive paha. I ka wā o kahi noiʻi hiamoe, e hoʻolilo ʻoe i ka pō i loko o kahi keʻena hoʻokolohua hiamoe. E nānā a kālailai ke kime lapaʻau i ka hana o nā ʻōnaehana like ʻole i loko o kou kino. No ka laʻana, e nānā lākou i kou mau nalu lolo, ka helu o ka puʻuwai, a me nā ʻano hanu. E kōkua kēia i ka hoʻoholo pono ʻana i ka pilikia.

Pehea e mālama ʻia ai ka Central Sleep Apnea?

Hoʻohana nā kauka i nā ʻōnaehana Positive Air Pressure (PAP) (nā mea hana e hāʻawi i ke kaomi ea i ka wā e hanu ana) e pale aku i nā hōʻailona o ka Central Sleep Apnea. ʻO kēia mau mea:

• Mīkini `(Continuous Positive Air Pressure - CPAP)`: Hāʻawi kēia i ka ea ma ke kaomi mau.
• Mīkini `(Bilevel Positive Air Pressure - BiPAP)`: Hāʻawi kēia i hoʻokahi kaomi i kou hanu ʻana i loko a me kekahi kaomi ʻē aʻe i kou hanu ʻana i waho.
• Mīkini `(Adaptive Servo-Ventilation - ASV)`: ʻOi aku ka holomua o kēia. Hiki iā ia ke hoʻoponopono i ke kaomi ea e like me ka mea e pono ai ma muli o kāu ʻano hanu.

E wehewehe kāu kauka iā ʻoe i ka hāmeʻa kūpono loa no kou kūlana.

Hiki paha ke ola i ka manawa lōʻihi me ka `(Central Sleep Apnea)`?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAʻole pili pololei ka "Central Sleep Apnea" i ka lōʻihi o kou ola ʻana. Eia naʻe, inā ʻaʻole mālama pono ʻia, hiki iā ia ke alakaʻi i nā pilikia aʻu i ʻōlelo ai ma mua a hoʻopilikia i kou ʻano ola.

Pehea wau e mālama ai iaʻu iho?

ʻO ka Central Sleep Apnea pinepine he pilikia ia o kekahi maʻi ʻē aʻe. No laila, inā e mālama ʻia ana ʻoe no ke kūlana kumu, e hoʻomau me ia. A i ʻole, e kiʻi i ka lāʻau no ia mea.

Inā loaʻa iā ʻoe ka Central Sleep Apnea, he mea nui loa e ʻike pinepine i kāu kauka no nā hoʻokolohua kino.A laila hiki iā lākou ke nānā e ʻike inā e hana pono ana kāu lāʻau lapaʻau a inā he mau pilikia ʻē aʻe. Hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua hou aʻe, e like me ka "Sleep Study".

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau penei:

• Pehea ʻoe e ʻike pono ai ua loaʻa iaʻu ka `(Central Sleep Apnea)`?
• He aha nā lāʻau lapaʻau āu e paipai mai ai iaʻu?
• ʻEhia ka lōʻihi e pono ai iaʻu e lawe i kēia lāʻau lapaʻau?
• Hiki i kēia mau lāʻau ke ho'ōla loa i ka "Central Sleep Apnea"?

Inā loaʻa iā ʻoe ka Central Sleep Apnea (CSA), paʻakikī paha iā ʻoe ke hele i ke ao, e like me ka hiki ʻole ke hiamoe i ka pō, ke ala koke ʻana, a me ka luhi me ka nānā ʻole i ka nui o kāu hiamoe.

Loaʻa paha iā ʻoe ka CSA ma muli o kahi maʻi puʻuwai a i ʻole kekahi maʻi olakino ʻē aʻe. A i ʻole i kekahi manawa, ʻaʻohe kumu kikoʻī e loaʻa. ʻOiai ke kumu, hiki i ka CSA ke hoʻopilikia i kou ʻano ola i kēia manawa a hoʻonui i kou pilikia o nā pilikia olakino ʻē aʻe i ka wā e hiki mai ana. ʻO ka nūhou maikaʻi, he mau lāʻau lapaʻau nā kauka e hiki ke kōkua iā ʻoe e hoʻokele i ka CSA. No laila hiki iā ʻoe ke loaʻa kahi hiamoe mālie i ka pō a ala aʻe me ka hou.

Inā loaʻa iā ʻoe kekahi mau pilikia hiamoe, e ʻike pono i ke kauka. E loiloi pololei lākou i kou kūlana a e ʻōlelo aku i ka lāʻau lapaʻau kūpono loa nāu.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

• ʻO ka Central Sleep Apnea kahi pilikia e pili ana i ka hōʻailona o ka lolo e hoʻōki ai i ka hanu ʻana no kekahi manawa pōkole i ka wā hiamoe.
• Nui nā kumu no kēia; nā maʻi ʻē aʻe, kekahi mau lāʻau lapaʻau, a i ʻole ke kumu ʻole.
• Hiki paha iā ʻoe ke kānalua inā loaʻa iā ʻoe nā hōʻailona e like me ka hiamoe nui i ke ao, nā ʻeha poʻo o ke kakahiaka, a me ka paʻakikī o ka noʻonoʻo ʻana.
• He mea nui ka "Haʻawina Hiamoe" no ka hoʻoholo pololei ʻana i ka maʻi.
• Aia nā lāʻau lapaʻau e like me `(CPAP)`, `(BiPAP)`, a me `(ASV)`.
• Inā nānā ʻole ʻia kēia kūlana, hiki ke loaʻa nā pilikia e like me ka maʻi puʻuwai.
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻimi pono i ke kōkua lapaʻau. ʻAʻohe mea e hopohopo ai, hiki ke hoʻomalu maikaʻi ʻia kēia maʻi me ka mālama kūpono.

Hiamoe , hanu ʻana, apnea hiamoe waena, CSA, lolo, pilikia hiamoe, CPAP