Sɔntɛnde, yu kin wek wantɛm wantɛm na nɛt? Yu kin fil se yu nɔ gɛt bɛtɛ briz? Ɔ yu kin fil taya ɛn slip ɔl di de? Dis nɔto jɔs random tin dɛn. Sɔntɛm di rizin fɔ dis na bikɔs yu gɛt wan sik we dɛn kɔl ``Central Sleep Apnea''. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.
Wetin na Sɛntral Slip Apnia (CSA)?
Fɔ tɔk am simpul wan, `(Central Sleep Apnea)` na we yu brith de stɔp fɔ shɔt tɛm we yu de slip. Bɔt dis nɔto di sem wit `(Obstructive Sleep Apnea)` we kin kam wit snor. Wetin kin apin ya na dat yu bren nɔ de sɛn di sayn dɛn to di mɔsul dɛn we de blo fayn fayn wan. Bɔrku tɛm, dis `(Central Sleep Apnea)` kɔndishɔn kin apin as kɔmplikeshɔn fɔ ɔda sik ɔ bikɔs ɔf di yus ɔf sɔm mɛrɛsin dɛm. Fɔ ɛgzampul, pipul dɛn we gɛt at sik kin gɛt dis sik. So, bɔku tɛm, dɔktɔ dɛn kin trit di men tin we kin mek i sik.
Wetin na di men kayn `(Central Sleep Apnea)`?
Bɔku kayn ``Sɛntral Slip Apnea'' de. Lɛ wi si wetin dɛn bi:
- Praymari CSA: Insay dis kes, i nɔ kin izi fɔ fɛn klia kɔz fɔ Sɛntral Slip Apnea. I jɔs de apin.
- CSA wit Cheyne-Stokes Breathing (CSB): If yu gɛt dis kɔndishɔn, yu brith kin apin insay saykl. Imajin, yu de blo kwik kwik wan fɔ lɔng tɛm, dɔn yu stɔp fɔ blo fɔ sɔm tɛm. Yu de blo kwik kwik wan bak, dɔn yu stɔp bak. Wan saykl lɛk dis kin las bitwin 40 ɛn 90 sɛkɔn.
- CSA wae kin kam wit ɔda mɛrɛsin: Na sɔm pipul dɛm, dis sik kin kam wit tin dɛm lɛk at sik ɔr nyurolɔjik kɔndishɔn.
- CSA we kin kam pan tritmɛnt: Sɔntɛnde, pipul dɛn we gɛt di Obstructive Sleep Apnea we a bin dɔn tɔk bɔt kin gɛt dis nyu sik we dɛn kɔl Central Sleep Apnea afta dɛn dɔn bigin fɔ yuz CPAP mashin (wan tin we de ɛp dɛn fɔ blo).
- CSA we kin kam we dɛn de na say dɛn we gɛt mawnten: Sɔm pipul dɛn kin gɛt dis kayn prɔblɛm fɔ blo ivin we dɛn de na say dɛn we ay mawnten fɔ lɔng tɛm.
- CSA we dɛn kin mek wit pen kil: Dis kin bi bikɔs ɔf sɔm pen kil we dɔktɔ dɛn kin gi, mɔ di wan dɛn we gɛt ``Opioid'', ɔ bay wan kɔndishɔn we dɛn kɔl ``Opioid Use Disorder''.
Wetin na di sayn dɛm fɔ `(Central Sleep Apnea)`?
Bɔrku tɛm, yu kin gɛt di sayn dɛm fɔ ``Central Sleep Apnea'' we yu wek. Si if yu gɛt dɛn sayn ya:
- Fɔ fil se yu de slip ɔltɛm insay di de, lɛk se yu nɔ slip bɛtɛ na nɛt.
- Siriv ed pen na mɔnin.
- Dray mɔt.
- Fɔ fil jɔs fɔ wɔri smɔl, fɔ vɛks izi wan.
- I nɔ izi fɔ pe atɛnshɔn pan sɔntin.
If yu gɛt `(CSA)`, yu kin wek wantɛm wantɛm na midul nɛt fɔ natin. If ɔda pɔsin de wit yu, dɛn go notis se yu de tos ɛn tɔn rili rɛst we yu de slip.
Wetin na di tin dɛm wae kin mek yu gɛt `(Central Sleep Apnea)`?
dis kin apin we sכmtin afekt di pat pan wi bren we dεn kכl ``Brainstem''. dis ``Brainstem'' na in de kכntro wi brith. na in de sεnd signal to di mכsul dεm na wi rεspiretכri sistεm fכ brith.
pan pɔsin we gɛt Sɛntral Slip Apnea, di bren stem nɔ de ansa fayn we di chenj we di kabon dayɔgzayd (CO2) de na in blɔd. Kabon dayɔgzayd na dɔti tin we kin kɔmɔt na wi bɔdi we wi de blo. We di kabon dayɔgzayd we de na yu blɔd go ɔp, yu bren stem de tɛl yu mɔsul dɛn we de blo fɔ blo ɛn pul di briz mɔ dip wan. Yu de tek dip briz.
Bɔt we di kabon dayɔgzayd we yu gɛt go dɔŋ, di bren stem kin tɛl dɛn mɔsul dɛn de fɔ blo smɔl. Yu kin blo shalo pas aw yu kin blo, yu nɔ kin blo dip dip wan, ɔ yu kin stɔp fɔ blo ɔltogɛda fɔ sɔm sɛkɔn. Wan ɔda prɔblɛm wit dis prɔses na di rut kɔz fɔ sɛntral slip apnea.
Wetin na di risk factor dɛm fɔ `(Central Sleep Apnea)`?
Yu kin gɛt mɔ risk fɔ gɛt dis sik if yu:
- If yu ol 60 ia ɔ pas dat: As wi de ol, di we aw wi bren de kɔntrol aw wi de blo we wi de slip kin chenj.
- If yu na man: Dɛn dɔn si se man kin gɛt dis sik.
- If yu gɛt at sik (lɛk `(Congestive Heart Failure)` ɔ `(Atrial Fibrillation)`).
- If yu gɛt wan sik na yu nervɔs sistɛm (lɛk `(Stroke)`, `(Amyotrophic Lateral Sclerosis - ALS)` ɔ `(Myasthenia Gravis - MG)`).
- If yu de tek pen kil we gɛt `(Opioid)` ɔ if yu de sɔfa wit `(Opioid Use Disorder)`.
- If yu gɛt sɔm kayn tin dɛn we yu kin gɛt frɔm yu mama ɛn papa (lɛk `(Rett Syndrome)`, `(Prader-Willi Syndrome)` ɔ `(Congenital Central Hypoventilation Syndrome)`).
- If yu gɛt tritmɛnt-imergent slip apnea (`(Treatment-emergent Sleep Apnea)`) ɔ yu blɔd ɔksijɛn lɛvɛl smɔl (`(Hypoxemia)`).
Wetin na di poshubul komplikashכn dεm fכ `(Central Sleep Apnea)`?
Central Sleep Apnea nɔto jɔs wan prɔblɛm we de mek pɔsin slip. Yu bɔdi fɔ wok tranga wan fɔ stɔp ɛn bigin fɔ blo bak. Sɛntral Slip Apnea min se yu bɔdi de stɔp ɛn bigin fɔ blo mɔ tɛm pas aw i fɔ blo. Dis ekstra aktiviti kin pwɛl yu insay ɔgan ɛn blɔd vesel dɛn.Sɛntral Slip Apnea kin mek yu gɛt bɔku tin dɛn lɛk:
- At bit irɛgyulariti `(Aritmia)`
- Slip we nɔ de wok fayn
- Taya ɔlsay na di de
- Nɔ ebul slip
Tink bɔt am, i tan lɛk motoka. Wetin kin apin to di injin we yu stat am ɛn ɔf am, ɛn wetin kin apin to am we yu stat am ɛn ɔf am, na di sem tin we kin apin to wi bɔdi.
Aw fɔ no bɔt `(Sɛntral Slip Apnea)`?
Dɔktɔ go aks yu fɔs bɔt yu sayn dɛm, if ɛnibɔdi na yu famili gɛt dis kayn sik, ɛn bɔt ɔda sik dɛm wae kin mek yu gɛt Central Sleep Apnea.
Dɔn, yu dɔktɔ kin tɛl yu fɔ du stɔdi fɔ no if yu gɛt sɛntral slip apnea ɔ obstructive sleep apnea. We yu de stɔdi bɔt slip, yu go spɛn di nɛt na slip lɛbɔraytri. Di mɛdikal tim go wach ɛn analayz aw difrɛn sistɛm dɛn na yu bɔdi de wok. Fɔ ɛgzampul, dɛn go wach aw yu bren de wev, aw yu at de bit, ɛn aw yu de blo. Dis go ɛp fɔ no ustɛm na di prɔblɛm.
Aw dɛn kin trit Sɛntral Slip Apnea?
Dɔktɔ dɛn kin yuz Positive Air Pressure (PAP) sistem (divays dɛn we de gi di ay prɛshɔn we pɔsin de blo) fɔ mek dɛn nɔ gɛt di sayn dɛn we de sho se pɔsin gɛt Sɛntral Slip Apnea. Dɛn tin ya na:
- `(Kontinyu Pozitiv Eya Prεshכn - CPAP)` mashin: Dis de gi εya pan wan kכnstant prεshכn.
- `(Bilevel Positive Air Pressure - BiPAP)` mashin: Dis de gi wan prɛshɔn we yu de blo ɛn ɔda prɛshɔn we yu de blo.
- `(Adaptive Servo-Ventilation - ASV)` mashin: Dis na smɔl mɔ advans. I kin ajɔst di prɛshɔn fɔ di briz as nid de bay aw yu de blo.
Yu dɔktɔ go ɛksplen to yu us divays go fayn fɔ yu sik.
I pɔsibul fɔ liv lɔng tɛm wit `(Central Sleep Apnea)`?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. ``Central Sleep Apnea`` nɔ de afɛkt aw lɔng yu de liv dairekt wan. Bɔt if dɛn nɔ trit am fayn, i kin mek yu gɛt di prɔblɛm dɛn we a bin dɔn tɔk bɔt ɛn i kin afɛkt yu kwaliti fɔ liv.
Aw a kin kia fɔ misɛf?
Bɔku tɛm, Sɛntral Slip Apnea na kɔmplikeshɔn fɔ ɔda sik. So, if dɛn de trit yu fɔ di ɔndalayn kɔndishɔn, kɔntinyu wit am. If nɔto dat, gɛt tritmɛnt fɔ dat.
If yu gɛt Central Sleep Apnea, i rili impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ mek dɛn chɛk yu.Dɔn dɛn kin chɛk fɔ si if yu tritmɛnt de wok fayn ɛn if ɛni ɔda prɔblɛm de. Yu dɔktɔ kin tɛl yu bak fɔ du ɔda tɛst, lɛk ``Slip Stɔdi''.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
- Aw yu no fɔ shɔ se a gɛt `(Central Sleep Apnea)`?
- Us tritmɛnt dɛn yu kin kɔmɛnt fɔ mi?
- Aw lɔng a go gɛt fɔ tek dis tritmɛnt?
- Dɛn tritmɛnt ya kin mɛn ``Sɛntral Slip Apnea'' kɔmplit wan?
If yu gɛt Central Sleep Apnea (CSA), yu kin si se i nɔ kin izi fɔ yu fɔ pas di de, lɛk fɔ nɔ ebul fɔ slip na nɛt, fɔ wek wantɛm wantɛm, ɛn fɔ fil taya ilɛksɛf yu slip bɔku.
Yu kin gɛt CSA bikɔs ɔf at sik ɔ ɔda mɛrɛsin. Ɔ sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn ɛni patikyula tin we mek i apin. Ilɛk wetin mek, CSA kin afɛkt yu kwaliti layf naw ɛn i kin mek yu gɛt ɔda wɛlbɔdi prɔblɛm dɛn tumara bambay. Di gud nyus na dat dɔktɔ dɛn gɛt tritmɛnt dɛn we go ɛp yu fɔ manej CSA. So yusɛf kin slip fayn na nɛt ɛn wek fayn fayn wan.
If yu gɛt ɛni prɔblɛm wit yu slip, yu go mɔs go to dɔktɔ. Dɛn go asɛs yu sik kɔrɛkt wan ɛn tɛl yu bɔt di tritmɛnt we go fayn fɔ yu.
Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .
- Sɛntral Slip Apnea na prɔblɛm we gɛt fɔ du wit di bren signal we kin mek pɔsin nɔ ebul fɔ blo fɔ shɔt tɛm we i de slip.
- Difrɛn rizin dɛn de fɔ dis; ɔda sik dɛn, sɔm mɛrɛsin dɛn, ɔ ivin nɔ gɛt ɛni rizin atɔl.
- Yu kin sɔprayz if yu gɛt sɔm sayn dɛn lɛk fɔ slip pasmak na de, ed we de at na mɔnin, ɛn i nɔ kin izi fɔ pe atɛnshɔn pan sɔntin.
- ``Slip Stɔdi`` impɔtant fɔ mek dɛn no di sik kɔrɛkt wan.
- Tritmεnt dεm de lεk `(CPAP)`, `(BiPAP)`, εn `(ASV)`.
- If dɛn nɔ tek dis sik, prɔblɛm dɛn lɛk at sik kin apin.
- If yu gɛt dɛn sik ya, yu go mɔs go to dɔktɔ. Natin nɔr de fɔ wɔri bɔt, dɛn kin kɔntrol dis sik fayn fayn wan wit di rayt tritmɛnt.
` Slip, brith, sɛntral slip apnia, CSA, bren, slip prɔblɛm, CPAP
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