Ki te tini, ka taea e te moe te waiho hei pūtake o te manukanuka. Mena kua kīia atu ki a koe ka mutu ohorere tō manawa i te pō, ā, ka tīmata anō me te manawa pōuri, tera pea kei te pāngia koe e te mate moe pōuri . Tērā pea kua mōhio kē koe ki te mīhini CPAP e whakamahia ana hei whakahaere i tēnei. Heoi, i tēnei rā, ka matapakihia e tātou tētahi atu huarahi matatau ake, "atamai ake": ko te mīhini ASV. Ahakoa he mea hou pea ki a koe te ingoa, tera pea koinei te otinga tino pai mō ētahi wero uaua o te manawa moe.
He aha te mīhini ASV?
He kupu ngāwari noa iho, ko te ASV ( Adaptive-Servo Ventilation ) he taputapu motuhake e whakamahia ana hei rongoā i ngā uauatanga manawa i te wā e moe ana. Pērā i te mīhini CPAP, me mau koe i tētahi kopare e honoa ana ki te taputapu mā te ngongo. Ka mahi mā te tuku hau pēhanga hei pupuri i ō ara manawa kia tuwhera tonu.
Heoi, anei te rerekētanga: he taputapu 'mātau' tūturu te ASV. Kāore e pana noa i te hau i te tere pumau. Engari, ka whakamahia e ia ngā pūoko kua hangaia hei aroturuki i tō tauira manawa ahurei i te wā tūturu. Ka kitea e ia te āhua o tō manawa, te wā e mutu ai tō manawa, me te tere o tō manawa. Kātahi ka tukuna te pēhanga i te wā me te wāhi e hiahiatia ana. Ko te tikanga, he mīhini urutau e tukutahi ana ki ngā hiahia o tō tinana.
He aha te rerekētanga o te ASV me te CPAP?
Ahakoa he rerekē te whāinga o ngā mīhini e rua ki te āwhina i a koe kia pai ake te manawa, he rerekē rawa tā rāua huarahi. Tirohia te ripanga i raro nei kia mārama ai koe ki ēnei rerekētanga matua.
| Āhuatanga | CPAP (Pēhanga Āhua Pai Tonu) | ASV (Whakahauora Urutau-Tukunga) |
|---|---|---|
| Tukunga Pēhanga Hau | Ka tukuna he pēhanga pumau, pumau kua tohua e tō tākuta. | Ka whakarerekē i te pēhanga hihiri (pēhanga rerekē) i runga i tō huringa manawa. |
| Mahi | Ka pupuri i te ara manawa kia tuwhera mā te pana i te hau ki roto; me manawa koe ki waho i te pēhanga pumau. | Ka aroturuki i te manawa, ā, ka tautoko anake mēnā ka mutu te manawa, ka pāpaku rānei. |
| Whakamahinga Matua | Mō te mate moe ārai (OSA) i puta mai i te aukati i te ara manawa te nuinga. | Mō te Central Sleep Apnea (CSA) me ētahi take uaua o te moe apnea. |
He aha te Central Sleep Apnea (CSA) ā, me pēhea te āwhina a te ASV?
E rua ngā momo o te mate moe pōrearea. Ko tētahi ko te 'Obstructive Sleep Apnea' (OSA), arā, ka whakangā ngā uaua o te korokoro, ka ārai i te ara manawa. Koinei te momo tino noa.
Heoi, he rerekē te 'Central Sleep Apnea' (CSA). Ehara i te mea kei roto i ō pukahukahu, i tō korokoro rānei te raruraru—kei roto i tō roro! Ko ngā tohu e tukuna ana mai i te roro te mea e whakahaeretia ana e tō tātou manawa . I roto i te CSA, ka kore te roro e tuku i te tohu tika ki te tinana kia manawa, ka mutu te manawa i te wā e moe ana.
Ngā take pea o te CSA:
- Ngā mate o te ngākau : Ina koa ko te ngoikore o te ngākau, te atrial fibrillation rānei.
- Ngā rongoā motuhake: Ngā rongoā whakamamae mamae kei roto i te opioid.
- Tau: Ka piki ake te mōrearea mō te hunga neke atu i te 60 tau te pakeke.
- Ngā āhuatanga io : Pērā i te whiu.
- Teitei Rawa: Te noho, te haereere rānei i ngā teitei teitei (neke atu i te 8,500 putu), ka iti ake pea te taumata hāora i roto i te toto (hypoxia).
Mena kei a koe te CSA, kāore pea te CPAP paerewa e whai hua nā te mea kāore tō ara manawa i aukatia. He mea hanga motuhake te mīhini ASV mō ēnei take. Ina rongo ia kua mutu tō manawa nā te korenga o te roro e tuku tohu, ka whakahohehia te ASV hei whakarato i te tautoko e tika ana.
Ngā Painga me ngā Mōrearea o te ASV
Ngā Painga:
- Tino Whai Hua: Ko tētahi o ngā maimoatanga tino angitu mō te Apnea Moe Waenganui.
- Whakamarie: Nā te mea kāore e pēhi i te pēhanga pumau, he maha ngā kaiwhakamahi e kite ana he pai ake i te CPAP. He āhua tūturu ake te āhua nā te mea kāore e akiaki i a koe ki te whakaputa manawa ahakoa te ātete tonu.
- Whaiaro: Ka urutau ki ngā tauira manawa ahurei o tō tinana.
He Whakatūpato Haumaru Tino Hira:
He mea tino nui: Mena kei te pāngia koe e te ngoikore o te ngākau , kua whakaatuhia e ngā rangahau he tūponotanga motuhake pea te whakamahi i tētahi mīhini ASV. Nō reira, ki te pāngia koe e tēnei mate, me kōrero koe ki tō tākuta, ki tō tohunga ngakau rānei i mua i te tīmatanga o te rongoā ASV , me te whai i ā rātou tohutohu.
Ngā pātai mā tō tākuta i mua i te tīmatanga o te rongoā
Mena ka tohua he mīhini ASV e tō tākuta, kōrerohia ēnei kōrero kia mōhio ai koe, kia mōhio ai hoki:
- "Ka taea e au te uru atu ki ngā raraunga moe mai i tēnei mīhini, ā, he aha ngā au matua me tirotiro e au?"
- "He tautuhinga pēhanga motuhake kei reira me mōhio ahau?"
- "Ka taea e koe te whakamārama mai me pēhea te mahi a ngā whakatikatika e ahu mai ana i te pūoko?"
- "Mēnā kua whakamahia e au te CPAP i mua, he aha te rerekētanga o te kare ā-tinana o te manawa me te ASV?"
Kia maumahara, kaua e mangere ki te pātai. He mea nui te mārama ki tō mahere maimoatanga mō tō hauora me tō whakamarie.
Ngā Whakaaro Matua
- He taputapu atamai te mīhini ASV e whakamahia ana hei rongoā i ngā raruraru manawa i te moe, inā koa ko te Central Sleep Apnea (CSA) .
- He rerekē tēnei i te CPAP noa, kāore e pana tonutia te hau; ka urutau ki te manawa o tō manawa, ā, ka wawao noa ina tika.
- He maha ngā kaiwhakamahi e kite ana i te āhua urutau o te ASV he mea whakamarie ake i te rongoā CPAP tuku iho.
- He mea nui: Mena kei te pāngia koe e te ngoikore o te ngākau , me kōrero koe ki tō tākuta i mua i te whakamahi i te mīhini ASV.
- Ehara te ASV i te mea mā te katoa. Mā tō tākuta e whakatau te maimoatanga pai rawa atu māu i runga i ngā rangahau moe haumanu. Me whai tonu i ngā taunakitanga a tō tākuta mō tō haumaru me tō hauora.
