I fain thawk a chawlhsan thut emaw, a mut laiin thawk a harsat emaw angin i inhriat ngai em? A châng chuan naupang tête chu an mut laiin hetiang hi a thleng ṭhin. Hei hi "naupang mut theih lohna" kan ti a. Hei hi nu leh pa tam takin an sawi thin leh hriat chian a ngai a ni.
Naupang te te pawh mut laiin an thawkrim em? Obstructive Sleep Apnea tih hi eng nge ni?
A awlsam zawngin,
naupan laia mut theih lohna hi i fate mut laiin thawk danah rei lo te chhunga chawlh hahdamna a ni. Hei hi an thawkna kawngah inkharkhip a awm avangin a thleng thei. A nih loh leh, thluak hian an thawkna thauah signal dik tak a thawn loh vang pawh a ni thei bawk. Hetiang hian han ngaihtuah teh. I mut lai chuan phone a rawn ri a. Hlauthawng takin i harh a, mahse chhang lovin i mu leh ta a ni. Chutiang chuan a thawk a ni. I fa thluak chuan an taksaah boruak a tlachham tih a hre chiang hle. Chumi hnuah thluak chuan thawk turin signal a thawn a. Hei hian i fa chu zanlai pelh hnuah a harh fo thei a ni. Heng harhnate hi rei lo te ni mah se, i fate mut dan a nghawng thei a ni. Chumi avang chuan i fa chu nitin a
chau zawk mai thei. Hei hi doctor ten `(Pediatric Sleep Apnea)` an tih hi i hre tawh mai thei.
Hei hi chi hrang hrang a awm em?
Ni e, naupan lai hian sleep apnea hi chi thum a awm a. Eng nge an nih i han thlir teh ang.
1. Mut theih lohna (obstructive Sleep Apnea) (OSA) .
Hei hi naupang tê tête zingah chuan
Asthma chi khat a tam ber a ni. Naupang thawkna kawng, a nih loh leh thlipui (windpipe)-a inkharkhip a awm chuan a thleng thin. Tui pipe block ang mai a ni.
2. Central Sleep Apnea (CSA) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
Hei hi
thil awm lo tak a ni . Nausen piang tharah hmuh tur a awm tlangpui. Heta thil thleng chu naute thluak hian thawkna thununtu taksa peng hrang hrangte nen a inbiakpawhna mumal thei lo hi a ni. Chu chu thawk tur "thuchah" chu a kal tlang tha lo tihna a ni.
3. Mixed/Complex Sleep Apnea emaw Enkawlna-Emergent Central Sleep Apnea emaw
Hei hi `(Central Sleep Apnea)` tih chi khat a ni bawk. Hei hi naupang `(Obstructive Sleep Apnea)` vei chu `(CPAP)` machine hmanga enkawl a nih chuan a thleng thin (hei hi thawkna puitu machine a ni a, a hnuah kan sawi leh ang), chubakah `(Central Sleep Apnea)` a vei bawk.
Hetiang dinhmun hi naupang tê tête tân engtiang chiahin nge a awm?
Dik tak chuan khawvel hmun hrang hrangah sleep apnea hi a hluar hle. Khawvel pumah mi maktaduai khat velin he natna hi an vei nia chhut a ni. Naupang tê tê zingah
` (Obstructive Sleep Apnea)` hian kum eng pawh ni se, mipui 1% leh 5% inkar a nghawng thei a ni. Chumi awmzia chu nau piang thar, naupang tê, preschooler, sikul kal thei naupang, leh puitling tleirawlte pawhin he natna hi an nei vek thei tihna a ni. Engpawhnise,
Naupang kum 2 leh 6 inkar ah a tam ber. Sleep apnea hi a hlauhawm thei em?
Naupangte hian he natna lan chhuahna na lo tak tak nei fo mah se, naupan laia sleep apnea hi enkawl loh chuan a hlauhawm thei hle. A hnuaia harsatnate hi a thlen thei bawk:- Hmasawnna leh thanlenna lama harsatna: Hei hian naupang taksa leh rilru lama thanlenna a nghawng thei a ni.
- Urinary control hloh (bedwetting - `(Enuresis)`) : Hei hian naupang thenkhatah zan lama bedwetting chungchangah harsatna a thlen thei bawk.
- Cardiopulmonary disease : Hun rei tak enkawl loh chuan thinlung leh lung a nghawng thei a ni.
- Attention Deficit/ Hyperactivity Disorder ( ADHD ) : Zirna lama harsatna leh hmun khata awm theih lohna te hmuh theih a ni.
Naupang mut dan inthlak danglam hian an nungchang, an rilru put hmang leh an sikul hnathawh a nghawng thei a, chuvangin hei hi hriat a pawimawh hle.
Hei hi eng symptoms nge ni? Engtin nge i hriat chian?
Naupan lai hian sleep apnea symptom engemaw zat a awm a. Tin, chi hnih ah then ila. Mut laiin symptoms hmuh theih te: 1.1.
- Mouth breathing , loud breathing, or snoring : Hriat hi a lan chhuahna ber a ni fo thin.
- Thâwk a chawlhsan emaw, a tawp emaw : Naupang chu second engemaw zat chhung chu thawk a chawlhsan nghal tih i hmu mai thei.
- Khuh emaw, thawk hah emaw : I mut laiin khuh leh thawk harsa takin i harh thei.
- Khumah tossing leh turning (restless sleep) : Kawng khata tossing leh turning, mut theih loh.
- Zan lama thawk hah .
- Mutthilh emaw mutthilh emaw .
- Bedwetting tih hi a ni .
Nitin a lan chhuah theih (hengte hi naupangin sleep apnea a neih tih chhinchhiahna a ni thei):
- Chauhna : Zingkar i thawh chuan i chau hle mai thei. Nilengin i muhil thei.
- Ngaihtuahna tlakchham emaw, ngaihtuahna seng thei lo emaw : Ngaihvenna tlakchham angin a lang thei a, sikul hna thawh lai emaw, inkhelh lai emaw pawhin.
- Thinrimna, tharum thawhna, emaw rilru lam emaw nungchang lama harsatna dang : Thil tenawm tak avanga thinrim, midang nena insual, etc. te.
- Zingkar lu na .
I fain heng symptoms pakhat emaw a aia tam emaw a neih chuan Doctor nena inbiakna neih a tha ber. Engvângin nge naupang tê tête chungah hetiang hi a thlen? A chhan engte nge ni?
Naupan laia Obstructive Sleep Apnea awm chhan ber chu naupang thawkna kawng a tihkhawtlai vang a ni. Central Sleep Apnea hi naupang thluak atanga thawkna kawng ruh (airway muscles)-a signal thawn chhuah harsatna avanga lo awm a ni. A châng chuan CPAP machine hman pawh ni se, mut theih lohna (sleep apnea) complex zawk a awm thei bawk. Obstructive sleep apnea thlentu natnate chu engte nge ni?
- Tonsils lian emaw adenoids emaw : Hengte hi kawr hnung lama gland awmte an ni. Naupangin natna hrik emaw inflammation emaw a neih chuan an lian thei hle . A chang chuan heng gland te hi genetic factors vangin a tlangpui aia lian an ni thei bawk. Hei hi naupang tê tête OSA thlentu ber a ni.
- Muscle tone inthlak danglam : Genetic condition thenkhat, Down syndrome emaw cerebral palsy emaw hian naupang lu leh kawr muscle tone a tidanglam thei a ni. Chhun lamah naupang taksa ruh (muscle tone) chu a pangngai viau a nih pawhin, naupang mut laiin zanah he ruh (muscle tone) hi a tlahniam a, chu chuan tissue te chu a inzawm khawm a, thawkna kawng a tikhawlo a ni.
- Bone structure abnormalities : Facial bone structure narrow, jaw te tak te emaw, overbite emaw hian naupang tan thawk harsatna a thlen thei bawk.
- Tumor : Thlawhna kawng a tumor lo thang lian hian obstruction a thlen thei bawk. Mahse, hei hi a tlem hle.
Hetiang dinhmun hi tute nge hlauhawm ber? (Risk Factor hrang hrang) 1.1.
I fa chu a hnuaia thilte avang hian sleep apnea vei theihna a sang zawk thei a ni:- Allergies : Khawsik fo leh leivut allergy ang chi thil.
- Asthma natna a ni .
- Cleft palate emaw a kaihhnawih surgery (`pharyngeal flap surgery`) i neih tawh chuan .
- Zuk leh hmuam meikhu nena inzawmna : In chhunga mi pakhatin a zuk chuan chu pawhin nghawng a nei thei bawk.
- Chhungkaw member he natna nei (genetic predisposition) neih .
- Obesity : Taksa rih zawng chu kum a zirin a rih zawng aia tam a nih chuan.
- Digestive system-a acid reflux harsatna : gastritis ang chi.
- Upper respiratory tract infection (`Thawnna kawng chunglam natna`) .: Khawsik leh khawsik i neih fo chuan.
Engtin nge doctor hian hei hi a hriat chian?
Doctor chuan i fate natna lan chhuah dan zawtin naupan laia mut theih lohna (childhood sleep apnea) a nei tih a hmuchhuak ang. I fain a bengchheng em tih leh zanah engtin nge a mut tih ang chi zawhna an zawt ang. Tin, taksa enfiahna an nei ang a, i fa medical history kimchang an la ang. A châng chuan i doctor chuan mutna lama mithiamte hnênah a refer thei che a ni. Mut lama mithiam chuan test a ti thei a, chungte chu:- Sleep history : I fate zan lama mut dan record. Hei hi i hnen atanga details zawh atanga siam theih a ni.
- Upper airway evaluation : Hei hian taksa enfiahna a huam a ni. A châng chuan X-ray emaw, hnar endoscopy emaw hmangin hnar khar a awm leh awm loh enfiah theih a ni.
- Sleep study (`Sleep study / Polysomnography`) : Hei hi test pawimawh ber a ni. Hetah hian naupang chu a mut laiin enfiah a ni. He test hian thil tam tak a teh a, chu chu naupang thluak hnathawh dan te, heart rate te, ka leh hnar atanga boruak lut zat te, thisena oxygen leh carbon dioxide awm zat te, taksa peng hrang hrang hnathawh dan te, rilru leh pum chet dan te, mut tibuai te a teh thin.
Hei hi eng enkawlna nge ni?
Naupangte sleep apnea enkawl dan hi a chhan leh a nasat dan azirin a inang lo. Doctor tum ber chu naupang thawkna kawng tihfai hi a ni. Enkawlna kawng hrang hrangte chu:- Surgery : Tonsils lian zawk emaw adenoids (tonsillectomy / adenoidectomy) tihbo nan emaw, naupang lu leh kawr ruh structure-a thil dik lo awmte siamthat nan emaw operation neih a ngai thei. Hei hian boruak kalna tur hmun tam zawk a siamsak a ni.
- Nunphung siam danglam : Exercise neih fo hian a pianphungah i fate thawkna kawng hawn reng turin a pui thei a ni. Tin, i fate ei leh in lama inthlak danglamna siam hian an kum nena inmil body mass index (BMI) hrisel tak a neih theih nan a pui thei bawk.
- Damdawi : Damdawi hian i fa thawkna kawng a thianghlim emaw, a inhawng emaw theih nan a pui thei a ni. Doctor chuan i fa sleep apnea chhan a zirin damdawi a pe ang. Entirnan, allergy nei tan chuan antihistamine, fluticasone (Flonase®), leh montelukast (Singulair®) te pek theih a ni. Upper respiratory infection a awm chuan hnar decongestants pek theih a ni.
- Continuous Positive Airway Pressure (CPAP) atanga lo chhuak a ni.: Hei hian mut laiin hnar chungah mask te tak te bun a huam a ni. He mask hi machine te tak te, portable tak nen a inzawm a ni. He machine hian hnar kaltlangin boruak chu thawkna kawngah a thawn lut thin. He air pressure hian naupang thawkna kawng a inhawng reng a, chuvangin a mut laiin a thaw pangngaiin a thawk thei a ni.
I fain obstructive sleep apnea enkawl a nih hnua complex sleep apnea a neih chuan i doctor chuan CPAP machine-a air pressure siamrem emaw, i fa hmai nena mask fit dan siamrem emaw a rawt thei ang. Hei hi CPAP machine a sang lutuk emaw, a hniam lutuk emaw vang a ni fo. Heng siamthatnate hian complex sleep apnea symptoms a ti tha fo thin.
Doctor chuan enkawl emaw, in lama enkawl emaw a rawt hmain i fa natna lan chhuah dan chu uluk takin a enfiah hmasa ang. Enkawlna hian side effect a nei em?
I fate tana enkawlna eng pawh rawt a nih chuan a side effects chungchang chu i fa doctor nen sawiho rawh. Surgery zawng zawng hian risk a nei vek. Damdawi ei hian side effect hi a chi hrang hrangah a inang lo. I fa doctor hnenah enkawl laiin i hriat tur side effect a awm em tih zawt rawh. Hei hi a thlen loh nan a veng thei ang em?
Naupan laia sleep apnea thlentu tam tak hi ven a harsa hle. Mahse, i fain he natna a vei theihna tur a tihziaawm theih nan hetiang hian i pui thei ang:- Exercise neih fo thin.
- Zuk leh hmuam meikhu awmna hmunte pumpelh.
- Seasonal allergy enkawl dan.
Doctor chuan naupang hlauhawmna tihziaawm thei tur mimal rawtna a siam thei a, a bik takin chhungkaw zinga mi tu emaw chuan he natna hi a neih chuan. Naupangin he natna hi a neih chuan eng nge thleng ang? An dam leh dawn em ni?
Enkawlna a awm chuan naupan laia obstructive sleep apnea symptoms te chu a reh thei a ni. Tin, naupang a lo puitlin chuan hun rei tak chhung nghawng a nei lo thei bawk. Mahse, enkawl loh chuan sleep apnea hi a hlauhawm thei a, naupang thanlenna leh thanlenna a nghawng thei a ni. Naupang thenkhat chuan an lo upat deuh deuh chuan symptoms an nei chhunzawm zel thei a, chutiang hunah chuan puitlin hun chhung zawnga enkawl a ngai mai thei. Obstructive sleep apnea symptoms tihziaawmna tur enkawlna a awm a, hei hi thil engemaw avanga lo awm thei a ni. I fa hian natna lanchhuahna na lo tak a neih chuan a lo puitlin chuan a mah chauhin a dam thei a ni. Hei hi a chhan chu i fa a lo upat deuh deuh chuan i rilru hnung lama tissue chu a lo tlem a, thawkna kawng a inhawng a ni. Tonsils emaw adenoids emaw lakchhuahna tur surgery hi he natna hi enkawlna tha tak a ni. Mahse, i fain an thawkna kawngah harsatna thar a neih chuan obstructive sleep apnea symptoms chu a lo kir leh thei a ni. Engtikah nge Doctor ka hmuh ang? Emergency a nih chuan engtin nge ni ang?
I fate zingah sleep apnea symptoms i hmuh chuan, a bik takin i fa chu zanlai pelh hnuah a harh fo emaw, a mut laiin thawk harsatna a neih chuan doctor pan nghal tur a ni.Chutiang a nih chuan emergency room (ER)-ah kal nghal la, a nih loh leh 1990 ah call rawh:- I fain thawk harsa a tih chuan.
- Naupang vun, hmui leh nail te chu a dum emaw, a sen emaw, a sen emaw a nih chuan.
I doctor zawh tur zawhna pawimawh
Doctor i hmuh hunah heng zawhnate hi zawh loh theihnghilh suh:- Eng thilin nge ka fa natna lan chhuah chhan?
- Enkawlna hian side effect a nei em?
- Ka fa hian operation a mamawh em?
- Ka fa hian CPAP machine hi eng chen nge a hman a ngaih ang?
Naupan laia mut theih lohna (sleep apnea) hi nang leh i fa tan pawh a buaithlak thei hle. I fa chuan zan mut ṭhat a harsat phah thei a, chu chuan chhun lamah a chau hle mai thei. Chu chuan an ni tin thiltih te, an thiltih te, an rilru put hmang te, leh nungchang te a nghawng thei a ni. Chuvangin, i fate zingah sleep apnea (sleep apnea) chhinchhiahna i hmuh chuan damdawi lam thurawn la nghal rawh. Doctor chuan nang leh i fa chu an dinhmun enkawl turin a pui thei a, i fa chu thawk awlsam zawk turin a pui thei bawk. A tawp berah chuan thil hriat reng tur (Take-Home Message) .
- Naupang tê tê zingah Obstructive Sleep Apnea hi a awm fo.
- Hruihrual, zan lama harh fo leh nilenga mutthilh hi a natna lan chhuahna ber a ni thei.
- Tonsils lian leh adenoids te hi a awm fo thin.
- Hetiang dinhmun hian naupang thanlenna, zirlai leh nungchang a nghawng thei a ni.
- He natna hi uluk taka enfiah leh enkawl a nih chuan a enkawl tha thei a ni.
- Rinhlelhna i neih chuan Doctor biak pawh hlau suh. I natna hmuhchhuah hma chuan i fa tan a tha zawk.
He thu hian i fate chu mut hrisel, nuam tak a neih theih nan a puih ngei kan beisei!
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