Ka oho ohorere koe i ētahi wā i te pō? Ka pōturi tō manawa? Ka ngenge rānei koe, ka hiamoe hoki i te rā katoa? Ehara ēnei i te mea noa iho. Tērā pea ko te take o tēnei he mate kei a koe e kīia nei ko te "Central Sleep Apnea". Kaua e manukanuka, me kōrero noa iho tātou mō tēnei.
He aha te Apnea Moe Waenga (CSA)?
Ki te kī māmā noa, ko te `(Central Sleep Apnea)` ko te wā e mutu ai tō manawa mō te wā poto i te wā e moe ana. Engari ehara tēnei i te `(Obstructive Sleep Apnea)` e puta mai ana me te ngongoro. Ko te mea e tupu ana i konei ko te kore o tō roro e tuku tika i ngā tohu ki ngā uaua manawa. I te nuinga o te wā, ka puta pea tēnei āhuatanga `(Central Sleep Apnea)` hei raruraru o tētahi atu mate, nā te whakamahinga rānei o ētahi rongoā. Hei tauira, ko te hunga whai mate manawa he nui ake te tūponotanga ka pāngia e tēnei āhuatanga. Nō reira, ko te tikanga ka rongoāhia e ngā tākuta te take matua.
He aha ngā momo matua o te `(Central Sleep Apnea)`?
He maha ngā momo "Central Sleep Apnea". Me titiro tātou ki ēnei momo:
- CSA Matua: I tēnei wā, he uaua ki te kimi i te tino take mō te Central Sleep Apnea. Ka puta noa mai.
- CSA me te Manawa Cheyne-Stokes (CSB): Mena kei a koe tēnei mate, ka puta tō manawa i roto i ngā huringa. Whakaarohia, ka tere tō manawa mō te wā roa, kātahi ka mutu te manawa mō tētahi wā. Ka tere anō tō manawa, kātahi ka mutu anō. Ka roa pea tētahi huringa pēnei i waenga i te 40 me te 90 hēkona.
- Ko te CSA i puta mai i ētahi atu mate hauora: Mō ētahi tāngata, ka puta pea tēnei mate i ngā mea pēnei i te mate ngakau, i ngā mate pūnaha io rānei.
- CSA mō te maimoatanga ohorere: I ētahi wā, ka pāngia te hunga whai Obstructive Sleep Apnea i kōrerotia e au i mua ake nei e tēnei āhuatanga hou e kiia nei ko te Central Sleep Apnea i muri i tā rātou tīmatanga ki te whakamahi i te mīhini CPAP (he taputapu hei āwhina i a rātou ki te manawa).
- Te CSA i puta mai i te noho ki ngā wāhi maunga: Ka pāngia ētahi tāngata e tēnei momo uauatanga manawa ahakoa te noho roa ki ngā wāhi maunga teitei.
- Te CSA i puta mai i ngā rongoā whakamamae mamae: Ka puta pea tēnei i ētahi rongoā whakamamae mamae i tohua e ngā tākuta, inā koa ko ērā kei roto ko ngā "Opioids", i tētahi āhuatanga rānei e kiia nei ko te "Opioid Use Disorder".
He aha ngā tohu o te `(Central Sleep Apnea)`?
I te nuinga o te wā, ka pāngia koe e ngā tohu o te "Central Sleep Apnea" i a koe e ara ana. Tirohia mēnā kei a koe ēnei tohu:
- Te hiamoe tonu i te awatea, me te mea kāore i nui te moe i te pō.
- Te mamae nui o te upoko i te ata.
- Waha maroke.
- He paku manukanuka, he ngawari ki te riri.
- Te uaua ki te arotahi ki tētahi mea.
Mena kei a koe te `(CSA)`, ka ara ake pea koe i waenganui pō, kāore he take. Mena kei a koe tētahi atu, ka kite pea rātou kei te hurihuri koe i roto i tō moe me te kore e okioki.
He aha ngā take o te `(Central Sleep Apnea)`?
Ka puta tēnei ina pāngia te wāhanga o tō tātou roro e kiia nei ko te "Roromatua". Ko tēnei "Roromatua" te mea e whakahaere ana i tō tātou manawa. Koinei te mea e tuku tohu ana ki ngā uaua o tō tātou pūnaha manawa kia manawa.
Mō te tangata e pāngia ana e te Central Sleep Apnea, kāore te roro e aro tika ana ki ngā huringa o te nui o te hauhā waro (CO2) i roto i ōna toto. He para te hauhā waro e tukuna ana mai i ō tātou tinana ina manawa tātou. Ina piki ake te taumata o te hauhā waro i roto i ō toto, ka kī atu tō roro ki ō uaua manawa kia manawa hohonu ake, kia manawa hoki. Ka manawa hohonu ake koe.
Heoi, ina heke te taumata o te hauhā waro, ka kī atu te take roro ki aua uaua kia iti ake te manawa ki roto, ki waho hoki. He papaku ake tō manawa i tō te tikanga, he iti ake te manawa hōhonu, he mutu rānei tō manawa mō ētahi hēkona. Ko tētahi atu raruraru o tēnei tukanga ko te pūtake o te mate moe puku.
He aha ngā āhuatanga mōrearea mō te `(Central Sleep Apnea)`?
Tērā pea ka nui ake tō tūponotanga ki te whakawhanake i tēnei mate mēnā:
- Mena kua 60 tau te pakeke, neke atu rānei: I a tātou e pakeke haere ana, ka rerekē pea te ara e whakahaere ai tō tātou roro i te manawa i te wā moe.
- Mena he tāne koe: Kua kitea he nui ake te tūponotanga o ngā tāne ki te pāngia e tēnei mate.
- Mena he mate manawa tōu (pēnei i te "Congestive Heart Failure" me te "Atrial Fibrillation" rānei).
- Mena he mate pūnaha io tōu (pēnei i te `(Stroke)`, `(Amyotrophic Lateral Sclerosis - ALS)` `(Myasthenia Gravis - MG)` rānei).
- Mena kei te tango koe i ngā rongoā whakamamae mamae kei roto ko te `(Opioid)`, kei te pāngia rānei koe e te `(Opioid Use Disorder)`.
- Mena kei a koe ētahi āhuatanga tuku iho (pēnei i te `(Rett Syndrome)`, `(Prader-Willi Syndrome)` `(Congenital Central Hypoventilation Syndrome)` rānei).
- Mena kei te pāngia koe e te mate moe ohorere (`(Treatment-emergent Sleep Apnea)`) he iti rānei te taumata hāora i roto i te toto (`(Hypoxemia)`).
He aha ngā raruraru pea ka pā mai i te `(Central Sleep Apnea)`?
Ehara i te mate moe noa iho te Central Sleep Apnea. Me kaha te mahi a tō tinana kia mutu, kia tīmata ai te manawa anō. Ko te tikanga o te Central Sleep Apnea, he maha atu ngā wā ka mutu, ka tīmata hoki te manawa o tō tinana i te mea noa. Ka taea e tēnei mahi tāpiri te kino i ō whekau me ō uaua toto.Ka piki ake pea te mōrearea o te whakawhanake i ngā āhuatanga pēnei i te Central Sleep Apnea i te Central Sleep Apnea:
- Ngā hapa o te ngakau `(Arrhythmia)`
- Te moe pōrearea
- Te ngenge i te roanga o te rā
- Te kore moe
Whakaarohia, he rite ki te motuka. Ko te mea ka pā ki te miihini ina tīmatahia, ka whakawetohia, me te mea ka pā ki a ia ina tīmatahia, ka whakawetohia, koia anō te mea ka pā ki ō tātou tinana.
Me pēhea te tautuhi i te `(Central Sleep Apnea)`?
Ka pātai tuatahi te tākuta ki a koe mō ō tohumate, mēnā he rite tonu te āhua o tētahi o tō whānau ki tēnei, me ētahi atu mate ka pā ai te Central Sleep Apnea.
Kātahi ka tūtohu pea tō tākuta i tētahi rangahau moe hei whakatau mēnā he mate moe puku tōu, he mate moe ārai rānei. I te wā o tētahi rangahau moe, ka moe koe i te pō i roto i tētahi taiwhanga moe. Ka aroturukihia, ka tātarihia hoki e te tīma hauora te mahi a ngā pūnaha rerekē o tō tinana. Hei tauira, ka aroturukihia e rātou ō ngaru roro, tō tere o te ngakau, me ō tauira manawa. Mā tēnei ka āwhina ki te whakatau ko tēhea te raruraru.
Me pēhea te rongoā i te Apnea Moe Waenga?
Ka whakamahia e ngā tākuta ngā pūnaha Pēhanga Hau Pai (PAP) (ngā taputapu e whakarato ana i te pēhanga hau i te wā e manawa ana) hei ārai i ngā tohu o te Apnea Moe Waenga. Kei roto i ēnei ko:
- Mīhini `(Pēhanga Hau Pai Tonu - CPAP)`: Ka whakarato tēnei i te hau i te pēhanga pumau.
- Mīhini `(Pēhanga Hau Pai Taumata-rua - BiPAP)`: Ka whakaratohia e tēnei he pēhanga kotahi ina manawa koe ki roto, me tētahi atu pēhanga ina manawa koe ki waho.
- Mīhini `(Adaptive Servo-Ventilation - ASV)`: He matatau ake tēnei. Ka taea e ia te whakarite i te pēhanga hau e hiahiatia ana i runga i tō tauira manawa.
Mā tō tākuta koe e whakamārama ko tēhea taputapu te mea pai mō tō āhua.
Ka taea te ora roa me te `(Central Sleep Apnea)`?
He pātai tēnei e pātaihia ana e te tini tāngata. Kāore te "Central Sleep Apnea" e pā tika ki te roa o tō oranga. Heoi, ki te kore e rongoatia tika, ka arahi pea ki ngā raruraru i kōrerotia e au i mua ake nei, ā, ka pā ki te kounga o tō oranga.
Me pēhea taku tiaki i ahau anō?
He maha ngā wā ka puta te Central Sleep Apnea hei raruraru o tētahi atu mate. Nō reira, ki te mea kei te rongoatia koe mō te mate taketake, me haere tonu. Ki te kore, me rapu maimoatanga mō tēnā.
Mena kei a koe te Central Sleep Apnea, he mea tino nui kia toro atu koe ki tō tākuta i ia wā mō ngā tirotiro hauora.Kātahi ka taea e rātou te tirotiro mēnā kei te pai te mahi a tō maimoatanga, me te mea he raruraru anō kei te pā mai. Tērā pea ka tūtohu tō tākuta i ētahi atu whakamātautau, pērā i te "Rangahau Moe".
He aha ngā pātai me pātai atu e au ki taku tākuta?
Ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:
- Me pēhea koe e mōhio ai kei a au te `(Central Sleep Apnea)`?
- He aha ngā maimoatanga e taunaki ana koe māku?
- Kia pēhea te roa o taku tango i tēnei maimoatanga?
- Ka taea e ēnei maimoatanga te whakaora katoa i te "Central Sleep Apnea"?
Mena kei a koe te Central Sleep Apnea (CSA), tera pea ka uaua ki a koe te puta i te awatea, pēnei i te kore e taea te moe i te pō, te oho ohorere, me te ngenge ahakoa te nui o te moe e moe ana koe.
Tērā pea kei a koe te CSA nā te mate ngākau, nā tētahi atu mate hauora rānei. I ētahi wā, kāore e kitea he take motuhake. Ahakoa te take, ka pā te CSA ki tō kounga o te oranga ināianei, ā, ka piki ake tō tūponotanga ki ētahi atu raruraru hauora ā muri ake nei. Ko te rongo pai, he maimoatanga ā ngā tākuta hei āwhina i a koe ki te whakahaere i te CSA. Nō reira, ka taea hoki e koe te moe pai ake i te pō, ā, ka oho ake me te hou.
Ki te pāngia koe e ētahi raruraru moe, me toro atu ki te tākuta. Mā rātou e arotake tika tō āhua, ā, ka tūtohu i te maimoatanga tino tika māu.
Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)
- Ko te Central Sleep Apnea he raruraru e pā ana ki ngā tohu roro e mutu ai te manawa mō te wā poto i te wā e moe ana.
- He maha ngā take mō tēnei; ētahi atu mate, ētahi rongoā, kāore rānei he take.
- Tērā pea ka whakapae koe mēnā kei te pāngia koe e ngā tohu pēnei i te hiamoe nui i te awatea, te mamae o te upoko i te ata, me te uaua ki te arotahi.
- He mea nui te "Rangahau Moe" mō te tautuhi tika i te mate.
- Kei reira ngā maimoatanga pēnei i te `(CPAP)`, `(BiPAP)`, me te `(ASV)`.
- Ki te kore e arohia tēnei āhuatanga, ka puta pea ngā raruraru pēnei i te mate ngakau.
- Ki te pā mai ēnei tohu ki a koe, me rapu tohutohu hauora. Kāore he mea e manukanuka ai, ka taea te whakahaere pai i tēnei mate mā te maimoatanga tika.
Moe , manawa, apnea moe pokapū, CSA, roro, raruraru moe, CPAP
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