Nang pawhin thawk lak tumin i harh ve thin em? Tichuan AHI (Apnea-Hypopnea Index) chungchang hi i hriat a ngai a ni!

Mi thenkhat chuan zan mut laiin thawk harsa an ti fo thin tih i hria em? I nei tawh pawh a ni mai thei. A nih loh leh i hriat mi pakhatin a nei pawh a ni thei. Hruihrual, rei lo te chhung thawk thei lo ang maia inhriatna emaw, thawk harsa taka harh nghal mai te hi he thil thlentu zawng zawng hi a ni thei. Chuvangin vawiin hian tehfung pawimawh tak kan sawi dawn a, chu chuan mut laiin chutiang thawk harsatna i neih leh neih loh hriat theihna tura puitu a ni a, a bik takin Obstructive Sleep Apnea ang chi conditions te, a nih chuan engtiang chiahin nge a pawi tih hriat theihna tur a ni. Chu chu AHI a ni a, chu chu (Apnea-Hypopnea Index) tihna a ni.

AHI (Apnea-Hypopnea Index) hi eng nge ni? A awlsam zawngin...

A awlsam zawngin sawi ila, AHI (Apnea-Hypopnea Index) hi darkar khatah i mut laiin i thawk a tawp (apneas) leh a thuk lo (hypopneas) vawi engzat nge tih tehna a ni. Hei hi doctor-te chuan Obstructive Sleep Apnea tih hming pu natna i neih leh neih loh an tehna a ni a, a awm a nih chuan engtiang chiahin nge a nasat tih an tehna a ni.

Apnea leh Hypopnea hi eng nge ni?

Tunah chuan apnea leh hypopnea hi eng nge ni tih i ngaihtuah mai thei. Chumi chungchang chu tlem han sawi chiang deuh ila.

• Apnea: Hei hi thawk i chawlhsan vek hun a ni. Apnea chu i mut laiin second 10 emaw a aia rei emaw chhung thawk i chawlhsan a ni. Hemi hun chhung hian i taksa chhunga boruak lut chu a tlem phah thin. I thawk chu rei lo te chhung chu an lo dang ang maiin i hria.

• Hypopnea: Hei hi i thawkna kawng a inkhar kim lo a, mahse eng emaw chen a inkharkhip avangin i thawk chakna chu nasa takin a tlahniam a ni. Chutiang a nih chuan i thawk tha tawk lo a, chu chuan i thisena oxygen level a ti tlahniam a ni. Tui pipe chu tlem a inkhar, chu chuan tui chhuak a ti tlem ang tih hi ngaihtuah teh.

Tunah chuan, "Chuti a nih chuan hetianga thawk i chawlhsan hian eng nge thleng?" Kan thluak hi a fing hle. Kan taksa dinhmun, heart rate, thisen sang, thawk dan te a enfiah reng a ni. Chuvangin apnea emaw hypopnea emaw i neih hian thluak hian hei hi a hre thei a ni. Tichuan thluak chuan thaw tha taka i thawh leh theih nan tlem a tiharh turin thil engemaw a ti thin. Mahse he harhna hi a fiah lo hle fo thin. I hre lo pawh a ni thei. Thâwk i thawh leh chuan thluak chuan muthilh leh turin a phalsak che a ni. Chuvangin AHI hian darkar khatah heng pause leh shallow breathing te hi vawi engzat nge a awm tih a teh thin. A natna (Sleep Apnea) a nasat poh leh heng inthlak danglamna te hi a awm fo thin.

Engtin nge he AHI value hi chhut a nih?

He AHI value hi (Sleep Study) 1000 atanga hmuh a ni.Pakhat chu mut dan zir chianna a ni. Hei hian zan khat mut chhunga i taksa hnathawh dan enfiahna tur machine hman a huam a, chutah chuan i thawk dan te, heart rate te, thluak wave te, leh thisen oxygen level te pawh a tel a ni. Hei hi sleep lab ah tih theih a ni a, a chang chuan in lama tih theih tur device awlsam tak tak a awm bawk (Home Sleep Apnea Test) . Mahse, home test atanga data kan hmuh hi a tlem deuh a, a dik lo zawk pawh a ni thei tih hriat reng a pawimawh.

Chumi hnuah doctor chuan i AHI score chu apnea leh hypopnea episode i neih zawng zawng chu i mut darkar zawng zawng nen a zatvea a chhut a ni.

A awlsam zawngin: AHI = (Total apnea events + Total hypopnea events) / Darkar mut zawng zawng

Engtin nge AHI value hmangin sleep apnea nasat dan hi teh a nih? - Puitling tan

American Academy of Sleep Medicine chuan puitlingte zingah heng thawk chhuahna thil thleng nasat dan hi a hnuaia scale hmang hian a thliar hrang a ni:

• Mild condition: Darkar khatah thil thleng 5 atanga 15 aia tlem lo.
• Moderate condition: Darkar khatah event 15 atanga 30 aia tlem lo.
• Nasat: Darkar khatah thil thleng 30 aia tam.

I doctor chuan heng chhut dan te hi hmangin i sleep apnea nasat dan a hriat theih ang. Entirnan, i AHI chu 25 a nih chuan moderate sleep apnea i nei tihna a ni.

Chuti a nih chuan puitling tan chuan AHI value average chu engzat nge ni ang?

I ngaihtuah mai thei, "Puitling tan chuan AHI value pangngai chu engzat nge ni?" Puitling tan chuan AHI value pangngai, emaw hrisel tak chu darkar khatah apnea leh hypopnea event panga aia tlem a ni (AHI < 5). I value chu hetiang zat a nih chuan sleep apnea i nei lo tihna a ni.

Naupang tê têah hian AHI hlutna a danglam em?

Ni e, AHI value leh a nasat dan hi naupang leh puitling tan chuan a inang lo. Naupangte thawkna kawng a la lo thang chho zel a, thawk hahna tlemte pawh hian nghawng lian tak a nei thei a ni. Naupang tê tête tâna AHI range tlangpui chu hetiang hi a ni:

• Mild condition: Darkar khatah thil thleng 1 atanga 5 aia tlem lo.
• Moderate condition: Darkar khatah event 5 atanga 10 aia tlem lo.
• Nasat: Darkar khatah thil thleng 10 emaw a aia tam emaw a thleng thin.

I fate AHI pakhat emaw a aia sang emaw a nih chuan i doctor chuan Obstructive Sleep Apnea a nei tih a hmuchhuak thei a ni. Naupang tê tê tan chuan AHI pangngai chu pakhat aia tlem (AHI < 1) a ni tur a ni. Mahse, a chang chuan naupang kum upa zawk tan chuan a awmzia a niDoctor-te chuan naupang tê (tleirawl leh tleirawl) tan pawh puitling tan AHI scale inang an hmang thei a ni.

CPAP machine hmanga AHI value tha tak chu eng nge ni?

CPAP (Continuous Positive Airway Pressure) machine hi Obstructive Sleep Apnea enkawl dan ber leh tangkai ber a ni. He machine hian mut laiin i thawkna kawng hawn reng turin a pui thin. Chuvangin, he CPAP machine hmangtu puitling tan chuan a tum ber chu AHI value chu panga hnuai lam (AHI < 5) a ni. Mahse, nang leh i doctor chuan in (Sleep Study)-a value record aiin engzat nge in hniam tur tih chu in rel dun ang a, eng value bik nge in tum tur tih chu in rel dun ang.

Thil tha tak chu i CPAP machine i hman hian eng emaw chen chu i AHI chu a track thei a, chu chu a record thei tihna a ni. CPAP machine thar zawk tam tak chuan i thawk dan inthlak danglamna chu an hmu thei a, chu information chu hmangin AHI value tlemte chu an chhut thei a ni. Hei hi mut zirchianna angin za zela 100-a tehna dik a ni lo. Mahse i doctor chu i CPAP enkawlna a hlawk dan leh a puih dan tur chungchangah thu belhchian dawl zawk a hmuh theih nan a pui thei a ni.

AHI hian eng nge a that lohna? Engkim a sawi vek em?

AHI hi hmanraw tangkai tak ni mah se, a ringawt atanga thutlukna siam nan hman theih a ni lo. Harsatna engemaw zat a nei bawk. Eng nge an nih i en ang u:

• Hypopnea chungchanga ngaihdan hrang hrang: Doctor-te zingah hian apnea tih hi eng nge ni tih chungchangah hian inremna chiang tak, tlangpui awm mah se, hypopnea tih awmzia hi a buaithlak deuh a ni. Hei hi a chhan chu thil engemaw zatin a nghawng a, chu chu boruak kal dan tihtlem a ngai, thisena oxygen level hniam a ngai (oxygen desaturation) , emaw zan lama i harh leh zat (arousals) te hi a ni. Chuvangin, a chang chuan hrilhfiahnaah hian danglamna tlem a awm thei.
• Limitations: AHI hian i mut laiin apnea leh hypopnea episode awm zat chauh a teh a ni. Direct-in thu belhchian dawl zawk a pe lo a, chu chu episodes nasat dan te, i thawk a chawlhsan rei dan te, i oxygen level a tlahniam dan te a ni. Entirnan, mi pakhatin AHI 10 a nei thei a, mahse episode tin hian second 10-15 chauh a daih thei. Mi dang pakhat chuan AHI 10 a nei thei a, mahse an episode hi second 40-50 chhung a daih thei a, an oxygen level pawh nasa takin a tlahniam thei bawk. Chuvangin AHI en ringawt hian a danglamna a hre lo.
• Results dik lo awm thei: Home sleep apnea test awlsam tak tak thenkhat atanga result , a bik takin in lama tih te chu sleep lab atanga result ang kha a dik lo thei. Hei hi a chhan chu data tam leh dikna a tlem thei a ni. Tin, mi thenkhat chu in lama test an tih hian an muhil tha lo thei bawk.

Chuvangin, AHI hian zan lama i mut that dan chungchangah thu pawimawh tak tak pe mahse, AHI hi mut harsatna hriatchhuahna leh a nasat dan tehna atana thil pakhat chauh a ni tih hriat reng a pawimawh.

I medical team chuan i AHI score, i mut dan (i hnungzang emaw, i sir lama i mu emaw), i mut hun hrang hranga i AHI score (e.g. REM mut), leh test result dang engemaw zat te chu ngaihtuahin i hriselna chungchangah thutlukna dik tak siam a ni ang.

Chuti a nih chuan, he thawnthu atang hian eng nge kan in lama kan hruai haw tur pawimawh ber?

Okay, chuvangin kan sawi tawh AHI (Apnea-Hypopnea Index) chungchanga hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• AHI hi darkar khatah i mut laiin i thawk a tawp (apnea) leh a thuk lo (hypopnea) vawi engzat nge tih tehna a ni.
• Hei hian Obstructive Sleep Apnea ang chi natna te hriatchhuahna leh a nasat dan tehna atan a pui a ni.
• Puitling pakhat tan chuan AHI value average chu 5 aia tlem a ni tur a ni a, naupang tan chuan 1 aia tlem a ni tur a ni.
• AHI value a san chuan a natna (Sleep Apnea) a na zual thei a ni.
• CPAP machine hmangtute tana thil tum chu AHI value 5 hnuai lama dah tum a ni.
• AHI hi tehna pawimawh tak ni mah se, amah chauh hi a ni lo; doctor-te chuan thil dang tam tak hmangin assessment kimchang tak an siam a ni.

Chuvangin, zan lama thawk harsa i tih pawhin, i bengchheng a, i thawk hah ang maia i inhriat chuan, nitin mut tam lutuk i neih chuan doctor thurawn la ngei ang che. A chhan chu nun hrisel nei tur chuan mut that hi a pawimawh em em a ni! Tin, he AHI hi hriat reng hi i doctor nen i dinhmun i sawiho hunah i tan a tangkai hle ang.

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