I chhungkuaa mi tu emaw, i pasal emaw, i nupui emaw pawh ni se, zanah mut laiin a beng nasa em? An bengchheng lai hian thawk an chawlhsan nghal a, chutah boruak an thaw chhuak ang maiin an thawk leh ta tih i hre ngai em? A nih loh leh zanah darkar 8 emaw darkar 9 emaw mut tha tak i nei a, mahse a tuk zingah chuan a danglam bik takin i chau a, i la muhil niin i la hria em? Hnathawh lai te, lirthei khalh lai te, a nih loh leh TV en lai te hian a chang chuan i muhil thin em? Hengte hi "snoring" emaw "mut tha thei lo" emaw tih mai maia hnawl theih thil a ni lo. Heng symptoms hnung lamah hian hriselna lama harsatna lian tak Obstructive Sleep Apnea tih hi a awm thei a ni. Chuvangin, vawiin hian he natna nasat dan tehna atana doctor-te hman thin tehfung pawimawh tak kan sawi dawn a ni. Chu chu AHI value (Apnea-Hypopnea Index) a ni.
A awlsam zawngin AHI chu eng nge ni?
AHI hi Apnea-Hypopnea Index tihna a ni. I mut laiin darkar khat chhunga i thawk a tawp (apneas) leh a thuk lutuk (hypopneas) vawi engzat nge a tehna a ni. I mut a thawk dan "report card" ang maiin ngaihtuah rawh.
Hei hi tlem tal chiang zawka hriat theih nan heng thumal pahnih awmzia dik tak hi han thlir ila:
- Apnea: Hei hi second 10 emaw a aia rei emaw chhunga i thawk a tawp vek chuan a ni . Hemi chhung hian i lung chhungah boruak a lut lo.
- Hypopnea: Hei hi i thawk a tawp vek lo a, mahse i thawkna kawng a tam zawkin a block a, i thawk a thuk hle a ni . Hei hian i thisena oxygen level a ti tlahniam nasa hle.
Tunah chuan, "Ka thaw ka chawlhsan chuan engtin nge ka hriat ang?" Hei hi thil thleng tak tak chu a ni. I thawk a tawp chuan, a thuk lo emaw, a thuk lo emaw, i thluak hian he hlauhawmna hi a hre nghal vek a ni. Thluak hian i taksain oxygen a dawng tlem hle tih a hria a. Chutih lai chuan thluak hian mut thuk tak atangin rei lo te chhung (arousal) a kaitho che a ni. Mahse he harhtharna hi a te lutuk a, i hriatreng pawh i hre lo. Thâwk i thawh leh chuan i thluak chuan muthilh leh turin a phalsak che a ni. Sleep Apnea a nasat chuan zan khatah vawi za tam tak a thleng thei . Chuvângin, han ngaihtuah teh, dârkâr khatah vawi tam tak emaw, vawi sâwm tam tak emaw pawh i mut chu tihtawp a nih chuan, engtin nge mut ṭha leh hahdam tak i neih theih ang? Chuvang chuan nilengin i chau tih i hria.
AHI value hi mut laiin darkar khata thawk chawlh leh thawk thuk lo (shallow breathing episode) awm zat zat a ni. He value hi a san poh leh i sleep apnea hi a na zual thin.
Chuti a nih chuan engtin nge he AHI value hi teh a nih?
He value hi hmu tur chuan test bik i tih a ngai a ni. Sleep Study , a nih loh leh damdawi lam tawngkam chuan Polysomnography kan ti a ni. Hei hi damdawi ina special sleep lab-a zan khat riah hnuah tih a ni tlangpui.
Hei hi pawiah ngai suh. A pawi lo tak zet a ni. I thil tih chu:
- I lu, i hmai, i rilru leh i keah sensor te te engemaw zat a awm a.
- I thawk chhuah ruala i chetna tehna atan i rilru leh i pum chhungah strap pahnih an dah a.
- Kut zungtang-ah hian clip ang chi hmanrua te tak te an bun a, thisen chhunga oxygen level tehna tur a ni.
Tichuan pangngai takin i muhil ta a ni. Zankhuain heng hmanrua te hian i thluak hnathawh dan, thinlung chak zawng, thawk dan, thisena oxygen level, bengchheng, leh taksa che vel te, thil dang dang te an record thin.
A tuk zingah doctor-te chuan he data hi an zirchiang a, i AHI score chu an chhut chhuak thin. Hei hi a tih dan chu a ni:
Zan khat chhunga Apnea leh Hypopnea thil thleng zat ÷ I mut darkar zawng zawng = I AHI value
A châng chuan in lama i tih theih tûr mut zir chianna hmanrua awlsam tak tak a awm ṭhîn. Mahse, damdawi ina test an neih atanga data an hmuh chu a dik zawk a, a chipchiar zawk bawk. I doctor chuan i tana tha ber tur chu a rel ang.
AHI value (puitling tan) atanga tehna angin sleep apnea natna nasat dan .
Doctor-te chuan i mutna zirchianna hnua AHI value i hmuh dan hmangin i dinhmun chu an classify ang. Hei hi puitling tan chuan he classification hian hna a thawk thin.
| AHI value (darkar khata thil thleng) 1.1. | A natna a nasat dan | Hei hian eng nge a awmzia? |
|---|---|---|
| 5 aia tlem lo | Pangngai | Sleep apnea i nei lo. Mi hrisel pawhin darkar khatah thawk laknaah vawi 5 aia tlem lo chawlh a nei thei. |
| 5 atanga 14 thleng | Hlek | Mild sleep apnea i nei a. Nitin i muhil deuh mai thei. |
| 15 atanga 29 thleng | Thunun | Condition hi a serious khawp mai. Nitin mutthilh tamna leh ngaihtuahna seng harsa i nei thei bawk. |
| 30 aia upa lam a ni | Nasa | Hei hi dinhmun pawi tak a ni. Natna dang, lung natna, thisen sang, leh zunthlum vei theihna a sang hle. |
Naupang tê têah hian AHI hlutna a danglam em?
Ni e, a dik tak zet. Naupang tête taksa leh thawkna kalphung hi puitlingte nen a danglam a, chuvangin an AHI tehna atana hman scale pawh a inang lo.
Naupang AHI 1 aia tam a nih chuan sleep apnea condition anga ngaih a ni. Naupang pakhat normal value chu 1 aia tlem a ni tur a ni.
Naupangte tana AHI classification chu hetiang hi a ni.
- Mild: AHI value chu 1 atanga 4 thleng a ni
- Moderate: AHI value chu 5 atanga 9 thleng a ni
- Severe: AHI value 10 aia sang
I fa chu zanah a bengchheng hle a, a mut laiin a hmui a hawng a, a thawk a thawk chhuak ang tih a hriat a, nitin a thawkrim lutuk emaw, sikula ngaihven a harsat emaw a nih chuan, chu chu naupang doctor hnenah sawipui ngei ang che.
CPAP machine hmanga mi pakhat AHI value
Sleep apnea enkawlna ber leh tangkai ber chu CPAP (Continuous Positive Airway Pressure) machine hi a ni. Hei hian i mut laiin i hmaiah i bun thin mask hmangin boruak pressure nem tak a pe a, chu chuan i thawkna kawng chu a hawng reng thin. Hei hian thawk a titawp thei lo.
CPAP enkawlna i tan dawnin tum ber chu darkar khatah i AHI 5 aia hniam lo tura dah a ni.Enkawlna. Tunlai CPAP machine tam takah chuan zing tin i AHI i check theihna tur feature an nei a. Mut zirchianna angin 100% a dik lo nain, nang leh i doctor tan chuan i enkawlnain a thawh that dan enfiahna kawng tha tak a ni thei.
AHI value chauh hi a tawk em? Hetiang hmanrua hian eng nge a tihkhawtlai theih?
AHI hi Sleep Apnea hmuhchhuah leh enkawlna atana hmanraw pawimawh tak a ni. Mahse, a chanchin zawng zawng a sawi chhuak lo. AHI value hian tihkhawtlai engemaw zat a nei a.
- Thil thleng nasatzia lantir loh: AHI hian darkar khatah i thawk a tawp vawi engzat nge tih chauh a hrilh che a ni. Mahse, AHI hian thil thleng apiangah i thisen oxygen level a tlahniam zat, leh thawk chhuah hun rei tak a tihtawp dan chu direct-in a tarlang lo. Mi pakhatin AHI 10 a nei thei a, mahse an oxygen level erawh a tlahniam nasa thei hle. Midang chuan AHI 10 an nei thei a, mahse an oxygen level chu chutiang chuan a tlahniam lo mai thei.
- Hypopnea tih awmzia inang lo: Apnea tih awmzia chiang tak awm mahse, a chang chuan hypopnea tih awmziaah hian danglamna tlem a awm thei.
- In lama test tihkhawtlai: In lama test hi a awlsam viau nachungin, a chang chuan an result hi 100% a dik lo thei.
Chuvangin doctor chuan i AHI score chauh atanga i dinhmun chungchangah thutlukna a siam lo. Amah chuan thil tam tak a ngaihtuah ang a, chung zingah chuan i AHI score, i thisena oxygen level a hniam zia, i natna lan chhuah dan te, leh i mut dan te pawh a tel a, chu chuan thlalak kimchang tak a hmu ang.
Take-Home Thuchah a ni
- I mut laiin i bengchheng a, i thawk i titawp niin a lang a nih chuan chu chu thil pangngai a ni lo. Ngaihtuah rawh.
- AHI (Apnea-Hypopnea Index) hi Sleep Apnea nasat dan tehna atana hmanraw pawimawh tak a ni.
- Puitling pakhatin darkar khata AHI 5 aia tam a neih chuan damdawi lam thurawn lak a pawimawh hle.
- Naupang AHI 1 aia tam a nih chuan doctor hmuh ngei ngei tur condition a ni.
- AHI hi diagnosis-a a then pakhat chauh a ni. I doctor chuan i hriselna zawng zawng a ngaihtuah ang a, enkawlna tha ber a hriat theih nan.
- Sleep Apnea hi enkawl loh chuan natna khirh tak tak, thisen sang, thinlung natna, leh zunthlum te a thlen thei a ni. Chuvangin he thila rinhlelhna i neih chuan zak suh la, Doctor nen inbia ang che.











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