Kei te ara ake anō koe me te manawa e hau ana? Me mōhio koe ki te AHI (Apnea-Hypopnea Index)!

I mōhio koe he maha ngā wā ka uaua te manawa o ētahi tāngata i a rātou e moe ana i te pō? Tērā pea kei a koe. Tērā pea kei tētahi e mōhio ana koe. Ko te ngongoro, te āhua kāore e taea te manawa mō tētahi wā, te oho ohorere rānei me te uaua ki te manawa, koinei katoa ngā take o tēnei. Nō reira, i tēnei rā ka kōrero tātou mō tētahi inenga nui hei āwhina i te whakatau mēnā kei a koe ēnei uauatanga manawa i a koe e moe ana, inā koa ngā āhuatanga pēnei i te Obstructive Sleep Apnea , ā, mēnā koinā, he aha te kino o taua mea. Ko te AHI tēnā, ko te tikanga mō (Apnea-Hypopnea Index) .

He aha te AHI (Apnea-Hypopnea Index)? He māmā noa iho...

He whakarāpopototanga noa iho, ko te AHI (Apnea-Hypopnea Index) he ine i te maha o ngā wā i ia hāora ka mutu tō manawa (apnea) ka pāpaku (hypopnea) i a koe e moe ana. Koinei te huarahi e aromatawai ai ngā tākuta mēnā kei a koe tētahi mate e kiia nei ko te Obstructive Sleep Apnea, ā, mēnā koinā, he aha te kaha o taua mate.

He aha te Apnea me te Hypopnea?

Tērā pea kei te whakaaro koe he aha te apnea me te hypopnea. Me kōrero mārama ake tātou mō tēnā.

• Apnea: Koinei te wā ka mutu katoa tō manawa. Ko te Apnea te wā ka mutu tō manawa mō te 10 hēkona, neke atu rānei, i a koe e moe ana. I tēnei wā, ka heke te nui o te hau e tomo ana ki roto i tō tinana. Me te mea kei te puritia tō manawa mō tētahi wā.

• Hypopnea: Koinei te wā kāore tō ara manawa i tino āraia, engari ka tino heke te tere o tō manawa nā te mea he aukati kei roto. I tēnei wā, kāore koe e manawa nui ana, ka heke te taumata hāora i roto i tō toto. Whakaarohia he rite ki te paipa wai kua paku āraia, ka whakaiti i te nui o te wai e puta mai ana.

Inaianei pea kei te whakaaro koe, "Nā, he aha te mea ka puta ina mutu tō manawa pēnei?" He tino atamai tō tātou roro. Kei te aroturuki tonu i te āhua o tō tātou tinana, pērā i te tere o te manawa, te toto totoka, te manawa. Nō reira, ina pāngia koe e te apnea, te hypopnea rānei, ka rongo te roro i tēnei. Kātahi ka mahi te roro i tētahi mea hei whakaara i a koe kia taea ai e koe te manawa tika anō. Engari he maha ngā wā he tino ngawari tēnei oho ake. Kāore pea koe e rongo. Ina tīmata anō koe ki te manawa, ka tukuna koe e te roro kia hoki ki te moe. Nō reira, ka ine te AHI i te maha o ngā wā ia hāora ka puta ēnei okiokinga me te manawa papaku. Ko te kaha ake o te mate (Sleep Apnea), ko te maha ake o ngā wā ka puta ēnei aukati.

Me pēhea te tatau i tēnei uara AHI?

Ka kitea tēnei uara AHI mā te (Rangahau Moe)Ko tētahi he rangahau moe. Kei roto i tēnei ko te whakamahi i ngā mīhini hei aroturuki i te mahi a tō tinana i te wā moe o te pō, tae atu ki ō tauira manawa, te tere o te ngakau, ngā ngaru roro, me ngā taumata hāora toto. Ka taea tēnei te mahi i roto i te taiwhanga moe , i ētahi wā rānei he taputapu ngāwari ka taea e koe te mahi i te kāinga (Whakamātautau Apnea Moe Kāinga) . Heoi, he mea nui kia mahara he iti noa ngā raraunga i whiwhi mai i ngā whakamātautau kāinga, ā, kāore pea i te tino tika.

Kātahi ka tatau te tākuta i tō kaute AHI mā te wehewehe i te tapeke o ngā wā apnea me te hypopnea i pā ki a koe mā te tapeke o ngā hāora i moe ai koe.

He māmā noa iho: AHI = (Te tapeke o ngā mate apnea + Te tapeke o ngā mate hypopnea) / Te tapeke o ngā hāora moe

Me pēhea te ine i te kaha o te apnea moe mā te whakamahi i te uara AHI? - Mō ngā pakeke

E whakamahia ana e te American Academy of Sleep Medicine te tauine e whai ake nei hei whakarōpū i te kaha o ēnei mahi manawa i roto i ngā pakeke:

• Āhua ngawari: I raro i te 5 ki te 15 ngā huihuinga ia hāora.
• Āhua āhua noa: I raro i te 15 ki te 30 ngā huihuinga ia hāora.
• Tino kino: 30, neke atu rānei ngā takahanga i ia hāora.

Ka whakamahia e tō tākuta ēnei tātaitanga hei whakatau i te kaha o tō apnea moe. Hei tauira, ki te 25 tō AHI, ko te tikanga he apnea moe ngawari tōu.

Nā, he aha te uara AHI toharite mō te pakeke?

Tērā pea kei te whakaaro koe, "He aha te uara AHI noa mō te pakeke?" Ko te uara AHI noa, hauora rānei, mō te pakeke he iti iho i te rima ngā huihuinga apnea me te hypopnea ia hāora (AHI < 5). Mena kei roto tō uara i tēnei awhe, ko te tikanga kāore koe e pāngia e te apnea moe.

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

Ae, he rerekē ngā uara AHI me ōna taumata kaha mō ngā tamariki nohinohi me ngā pakeke. Nā te mea kei te whanake tonu ngā pūnaha manawa o ngā tamariki, ahakoa he iti noa te aukati manawa ka pā kino ki a rātou. Ko te awhe AHI noa mō ngā tamariki nohinohi koia tēnei:

• Āhua ngawari: I raro i te 1 ki te 5 ngā takahanga ia hāora.
• Āhua āhua noa: I raro i te 5 ki te 10 ngā huihuinga ia hāora.
• Tino kino: 10, neke atu rānei ngā takahanga i ia hāora.

Mena kotahi, neke atu rānei te AHI o tāu tamaiti, ka taea e tō tākuta te tātaritanga he mate moe ārai ia. Ko te AHI noa mō te tamaiti nohinohi me iti iho i te kotahi (AHI < 1). Heoi, i ētahi wā, mō ngā tamariki pakeke ake, ko te tikangaKa whakamahia pea e ngā tākuta te tauine AHI kotahi mō ngā tamariki nohinohi (taiohi me ngā taiohi) me ngā pakeke.

He aha te uara AHI pai mō te mīhini CPAP?

Ko te mīhini CPAP (Continuous Positive Airway Pressure) te huarahi matua me te huarahi tino whai hua ki te rongoā i te Obstructive Sleep Apnea. Mā tēnei mīhini ka noho tuwhera tō ara manawa i te wā e moe ana. Nō reira, ko te whāinga mō te pakeke e whakamahi ana i tēnei mīhini CPAP ko te pupuri i te uara AHI ki raro i te rima (AHI < 5). Heoi, mā kōrua ko tō tākuta e whakatau tahi te iti iho o te uara e hiahiatia ana i roto i tō (Sleep Study), me te uara motuhake e tika ana kia whāia e kōrua.

Ko te mea pai, ina whakamahia e koe tō mīhini CPAP, ka taea e ia te whai i tō AHI ki tētahi taumata, arā, ka taea e ia te tuhi. He maha ngā mīhini CPAP hou ka taea te kite i ngā huringa o tō manawa, ā, ka whakamahia aua mōhiohio hei tatau i te uara AHI tata. Ehara tēnei i te ine tika 100 ōrau pērā i te rangahau moe. Engari ka taea e ia te āwhina i tō tākuta ki te tiki atu i ngā mōhiohio mō te whai huatanga o tō maimoatanga CPAP me te nui o tana āwhina i a koe.

He aha ngā ngoikoretanga o te AHI? E whakaatu ana i ngā mea katoa?

Ahakoa he taputapu tino whai hua te AHI, kāore e taea te whakamahi hei pūtake mō te whakatau kaupapa. He ngoikoretanga anō hoki ōna. Me titiro tātou ki ēnei:

• Ngā whakaaro rerekē mō te hypopnea: Ahakoa he mārama, he whānui te whakaae a ngā tākuta mō te apnea, he uaua te whakamāramatanga o te hypopnea. Nā te mea he maha ngā āhuatanga e pā ana ki tēnei, pērā i te nui o te rere o te hau e tika ana kia whakaitihia, te iti o te taumata hāora i roto i te toto e tika ana kia heke (te whakakorenga o te hāora) , te maha rānei o ngā wā ka ara ake koe i te pō (ngā whakaoho) . Nō reira, i ētahi wā ka rerekē ngā whakamāramatanga.
• Ngā Here: Ka ine noa te AHI i te maha o ngā wā o te apnea me te hypopnea e puta ana i a koe e moe ana. Kāore e whakarato tika ana i ētahi atu kōrero, pēnei i te kaha o ngā wā, te roa o tō manawa i mutu, te iti rānei o te hekenga o ō taumata hāora. Hei tauira, tera pea he AHI o te 10 o tētahi, engari ko ia wā he 10-15 hēkona noa iho. Ko tētahi atu tangata he AHI o te 10, engari ko ō rātou wā he 40-50 hēkona pea te roa, ā, tera pea ka tino heke ō rātou taumata hāora. Nō reira, ko te titiro noa ki te AHI kāore e whakaatu i te rerekētanga.
• Ngā Hua Kāore i te Tika: Ko ngā hua o ētahi whakamātautau apnea moe kāinga māmā, inā koa ko ērā e mahia ana i te kāinga, kāore pea i te tino tika pērā i ērā mai i te whakamātautau taiwhanga moe. Nā te mea he iti ake pea te nui o ngā raraunga me te tika. Waihoki, ko ētahi tāngata kāore pea i te moe pai i te wā e mahi ana i te whakamātautau i te kāinga.

Nō reira, ahakoa he nui ngā kōrero a te AHI mō te kounga o te moe ka whiwhi koe i te pō, he mea nui kia mahara ko te AHI tētahi o ngā mea anake hei tātaritanga i tētahi mate moe me te whakatau i tōna kaha.

Ka whakaarohia e tō tīma hauora tō kaute AHI, tō tūranga moe (ahakoa kei te moe koe i tō tuara, i tō taha rānei), tō kaute AHI i ngā wāhanga rerekē o te moe (hei tauira, te moe REM), me ētahi atu hua o te whakamātautau hei whakatau whai whakaaro mō tō hauora.

Nā, he aha te mea tino nui hei ako mā tātou i tēnei pūrākau?

Āe, anei ngā mea tino nui hei maumahara māu mō te AHI (Apnea-Hypopnea Index) i kōrerohia e mātou:

• Ko te AHI he tohu e ine ana i te maha o ngā wā i ia haora ka mutu tō manawa (apnea) ka papaku (hypopnea) i a koe e moe ana.
• Mā tēnei ka āwhina i te tautuhi i ngā āhuatanga pēnei i te Obstructive Sleep Apnea me te ine i tō rātou kaha.
• Ko te uara AHI toharite mō te pakeke kia iti iho i te 5. Mō ngā tamariki, kia iti iho i te 1.
• Ka teitei ake te uara AHI, ka kino rawa atu pea te mate (Sleep Apnea).
• Ko te whāinga mō te hunga e whakamahi ana i te mīhini CPAP kia mau te uara AHI ki raro i te 5.
• Ahakoa he mea nui te ine i te AHI, ehara i te mea koinei anake; he maha atu ngā āhuatanga e whakamahia ana e ngā tākuta hei aromatawai katoa.

Nō reira, ki te mea kei te raru koe i te manawa i te pō, ki te ngongoro koe, ki te mea kei te mōmona koe, ki te nui rawa tō hiamoe i te awatea, me rapu tohutohu hauora. Nā te mea he mea nui te moe pai mō te oranga hauora! Waihoki, he tino whai hua te mōhio ki tēnei AHI māu ina kōrero koe mō tō mate ki tō tākuta.

Moe , manawa, moe pōrearea, AHI, taupū moe pōrearea, mate moe, CPAP