Kei te ngongoro koe, kei te moe pōrearea rānei? Me kōrero tātou mō te AHI (Apnea-Hypopnea Index - AHI)

Kei te ngongoro nui tetahi o tō whānau, tāu tāne, tāu wahine rānei, i te pō i a koe e moe ana? Kua kite koe i a rātou e ngongoro ana, ka mutu ohorere te manawa, kātahi ka tīmata anō te manawa me te mea kei te hiahia hau? Ki tō whakaaro rānei i moe pai koe mō te 8, 9 rānei hāora i te pō, engari kei te ngenge tonu koe, kei te hiamoe hoki i te aonga ake? Kei te moe koe i ētahi wā i a koe e mahi ana, e taraiwa ana, e mātaki ana rānei i te pouaka whakaata? Ehara ēnei i te mea ka taea te kī he "ngongo" noa iho, he "kore e taea te moe pai." Kei muri i ēnei tohumate he mate hauora kino e kiia nei ko te Obstructive Sleep Apnea . Nō reira, i tēnei rā ka kōrero tātou mō tētahi inenga tino nui e whakamahia ana e ngā tākuta hei ine i te kaha o tēnei mate. Ko te uara AHI (Apnea-Hypopnea Index) .

He aha te AHI?

Ko te AHI he whakarāpopototanga mō te Apnea-Hypopnea Index . Ka ine i te maha o ngā wā ka mutu tō manawa (apneas) ka tino pāpaku (hypopneas) i roto i te haora i a koe e moe ana. Whakaarohia he "pūrongo" mō tō manawa moe.

Hei whakamārama ake i tēnei, me titiro tātou ki te tikanga tuturu o ēnei kupu e rua:

• Apnea: Koinei te wā ka mutu katoa tō manawa mō te 10 hēkona, neke atu rānei . I tēnei wā, kāore he hau e tomo ki roto i ō pukahukahu.
• Hypopnea: Koinei te wā kāore tō manawa e mutu katoa, engari kua āraia te nuinga o tō ara manawa, ā, ka papaku rawa tō manawa . Ka tino heke te taumata hāora i roto i tō toto.

Inaianei kei te whakaaro pea koe, "Me pēhea taku mōhio mēnā ka mutu taku manawa?" Koinei te mea e tupu ana. Ina mutu tō manawa, ahakoa he papaku, kāore rānei, ka kite tonu tō roro i tēnei tūponotanga. E mōhio ana te roro kāore tō tinana e whiwhi ana i te nui o te hāora. I taua wā, ka whakaarahia koe e te roro i te moe hohonu mō te wā poto (whakaoho). Engari he iti rawa tēnei oho ake, kāore koe e mahara ki a ia. Ina tīmata anō koe ki te manawa, ka tukuna koe e tō roro kia hoki ki te moe. Ina kino te Apnea Moe, ka taea tēnei te tupu rau ngā wā i te pō . Nō reira, whakaarohia, mēnā ka whakakorea tō moe i ngā wā maha i te haora, i ngā wā tekau rānei, me pēhea e taea ai e koe te moe pai, whakahauora? Koia te take e ngenge ai koe i te rā katoa.

Nā, me pēhea te ine i tēnei uara AHI?

Hei kimi i tēnei uara, me mahi koe i tētahi whakamātautau motuhake. Ka kiia e mātou he Rangahau Moe , i roto rānei i ngā kupu hauora, ko te Polysomnography . Ko te tikanga ka mahia tēnei i muri i te noho mō te pō i roto i tētahi taiwhanga moe motuhake i roto i te hōhipera.

Kaua e whakaaro he mamae tēnei. Kāore rawa he mamae. Ko tāu mahi he:

• He maha ngā pūoko iti kua tāpirihia ki tō upoko, ki tō mata, ki tō uma, me ō waewae.
• E rua ngā whitiki ka whakamaua ki tō uma me tō puku hei ine i ngā nekehanga i a koe e manawa ana.
• Ka tāpirihia he taputapu iti, he rite ki te topenga, ki te matimati hei ine i te taumata hāora i roto i te toto.

Kātahi ka moe noa koe. I te pō katoa, ka hopukina e ēnei taputapu ngā mahi a tō roro, te tere o te manawa, ngā tauira manawa, ngā taumata hāora i roto i te toto, te ngongoro, me ngā nekehanga o te tinana, me ētahi atu mea anō hoki.

I te aonga ake, ka tātarihia e ngā tākuta ēnei raraunga, ka tatau i tō kaute AHI. Pēnei te mahi:

Te maha o ngā huihuinga Apnea me Hypopnea i puta puta noa i te pō ÷ Te tapeke o ngā hāora i moe ai koe = Tō uara AHI

I ētahi wā, he taputapu ako moe māmā noa iho ka taea e koe te mahi i te kāinga. Heoi, he tika ake, he taipitopito ake hoki ngā raraunga i whiwhi mai i tētahi whakamātautau i mahia i roto i te hōhipera. Mā tō tākuta e whakatau ko tēhea te mea pai mōu.

Ko te kaha o te apnea moe e inehia ana e te uara AHI (mō ngā pakeke)

Ka whakarōpūhia tō āhua e ngā tākuta i runga i te uara AHI i whiwhihia i muri i tō rangahau moe. Koinei te mahi a tēnei whakarōpūtanga mō te pakeke.

He rerekē te uara AHI i waenga i ngā tamariki nohinohi?

Āe, tino tika. He rerekē ngā tinana me ngā pūnaha manawa o ngā tamariki nohinohi i ngā pakeke, nō reira he rerekē anō hoki te tauine e whakamahia ana hei ine i tā rātou AHI.

Ko te whakarōpūtanga AHI mō ngā tamariki e whai ake nei:

• Ngāwari: Uara AHI mai i te 1 ki te 4
• Waenga: Uara AHI mai i te 5 ki te 9
• Tino kino: Ko te uara AHI he 10, neke atu rānei

Mena ka ngongoro nui tāu tamaiti i te pō, ka manawa tuwhera tōna waha i a ia e moe ana, te āhua nei kei te hoha ia, he hihiko rawa rānei i te awatea, he uaua rānei ki te aro ki te kura, me kōrero koe ki tētahi tākuta tamariki mō tēnei take.

Te uara AHI o te tangata e whakamahi ana i te mīhini CPAP

Ko te rongoā matua me te tino whai hua mō te apnea moe ko te mīhini CPAP (Continuous Positive Airway Pressure) . Ka mahi tēnei mā te tuku i te pēhanga hau mā roto i tētahi kopare e mau ana koe i tō mata i a koe e moe ana, kia noho tuwhera tonu ai tō ara manawa. Mā tēnei ka ārai i a koe kei mutu te manawa.

I te tīmatanga o te rongoā CPAP, ko te whāinga kia mau tō AHI i raro i te 5 i te haora.Te Tiaki. He maha ngā mīhini CPAP o ēnei rā he āhuatanga e āhei ai koe ki te tirotiro i tō AHI i ia ata. Ahakoa ehara i te mea he 100% te tika pērā i te rangahau moe, he huarahi pai pea tēnei māu me tō tākuta ki te aroturuki i te pai o te mahi a tō maimoatanga.

He rawaka noa iho te uara AHI? He aha ngā herenga o tēnei tikanga?

He taputapu tino nui te AHI mō te tātaritanga me te rongoā i te Apnea Moe. Heoi, kāore e taea te whakamārama i te katoa o te kōrero. He maha ngā herenga o te uara AHI.

• Kāore e whakaatu ana i te kaha o ngā kaupapa: Ko te AHI anake e whakaatu ana i te maha o ngā wā i mutu ai tō manawa i ia hāora. Heoi, kāore te AHI e whakaatu tika ana i te nui o te hekenga o te taumata hāora i roto i tō toto i ia kaupapa, i te roa rānei o te mutu o te manawa. Tērā pea he AHI o tētahi e 10, engari ka tino heke pea ō rātou taumata hāora. Tērā pea he AHI o tētahi atu e 10, engari kāore pea e tino heke ō rātou taumata hāora.
• Ngā rerekētanga o te whakamāramatanga o te Hypopnea: Ahakoa he mārama te whakamāramatanga o te apnea, i ētahi wā ka kitea he iti noa ngā rerekētanga i roto i te huarahi e whakamāramahia ai te hypopnea.
• Ngā herenga o ngā whakamātautau kāinga: Ahakoa he watea ngā whakamātautau kāinga, i ētahi wā kāore pea ngā hua e tika 100%.

Koia te take kāore te tākuta e whakatau mō tō āhua i runga i tō kaute AHI anake. Ka whakaarohia e ia ngā āhuatanga maha, tae atu ki tō kaute AHI, te iti o ngā taumata hāora o roto i tō toto, ō tohumate, me tō tūnga moe, kia whiwhi ai i tētahi pikitia katoa.