He uaua ki te manawa nā te momona? Me kōrero tātou mō te (Obesity Hypoventilation Syndrome)!

He poto te manawa i ētahi wā? He ngenge noa iho, he hiamoe hoki koe i te awatea? He mea nui kia mōhio koe ki ēnei mea, inā koa mēnā he taumaha rawa koe. I tēnei rā ka kōrero tātou mō tētahi raruraru manawa kāore i te tino mōhiotia, engari he nui pea, ka pā ki te momona. Ko te ingoa o tēnei ko te `(Obesity Hypoventilation Syndrome)`, ko te OHS rānei. Kaua e manukanuka, me whakamārama noa iho.

He aha te OHS (Obesity Hypoventilation Syndrome)?

Ki te whakarapopototanga, ko te `(Obesity Hypoventilation Syndrome)` he mate manawa e pā ana ki ētahi tāngata momona. Koinei te wā ka piki ake te nui o te hauhā i roto i ō tātou toto, ka heke hoki te nui o te hāora. I te nuinga o te wā, ina manawa tātou, ka mimiti tātou i te hāora, ka whakaputa atu i te hauhā. Engari ina heke te tere o te manawa, ā, kāore te hau e uru tika ki roto i ngā pukahukahu, ka ngaro tēnei taurite. Ka kiia tēnei ko te `(Hypoventilation)` (he iti te manawa).

Haunga te ngoikore o te manawa, ka pā mai hoki te raruraru manawa moe i roto i te OHS. Inaa, 90% o ngā raruraru manawa moe e pā ana ki te OHS nā te obstructive sleep apnea.

Nō reira, he rite te OHS ki te huinga o ngā mea matua e toru:

• Te momonatanga.
• Te hekenga o te manawa (Hypoventilation).
• Te whakararuraru i te manawa moe.

Tērā tētahi atu ingoa mō tēnei OHS, arā, ko te `(Pickwickian Syndrome)`. I ahu mai te ingoa nei i te mea he kiripuaki i roto i te pukapuka a Charles Dickens i pāngia e ngā tohu o te OHS.

He raruraru nui te OHS i te manawa e pā ana ki te momona. Ahakoa ka pā mai he raruraru hauora e morearea ana ki te ora, he pai ngā maimoatanga kei a ia.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e te OHS?

He nui ake te kitea o te OHS i roto i ngā tāne i ngā wāhine. Tērā anō ētahi rerekētanga kua pūrongohia i waenga i ētahi iwi. Heoi, ko te tino take mōrearea ko te momona.

He uaua ki te kī tika i te whānui o tēnei mate, engari e kī ana ētahi rangahau ka pā pea ki tētahi ōrau iti o te taupori pakeke. Ko te tikanga , ehara i te mea tino noa, engari he mea e pā ana ki te tini o te tangata.

He aha ngā tohu o te OHS?

Ko ngā tohu o te OHS ka puta mai i te kore moe me te iti o te hāora i roto i te toto (Hypoxemia). Ko ētahi o ēnei tohu ko:

• Te poto o te manawa.
• Te ngenge tonu.
• Te kore o te kaha.
• Te hiamoe nui i te awatea (te mangere i te awatea).
• Te mamae o te upoko i ngā wā katoa.
• Pōuriuri.
• Te pouri.

I a koe e moe ana, ka kite pea tō hoa i ngā mea penei:

• Te ngongoro nui.
• Te āhua kei te kōroke koe, kei te hau rānei i a koe e moe ana.
• Ngā okiokinga manawa. Whakaarohia mēnā ka kī atu tētahi ki a koe, "Ina moe koe i te pō, i ētahi wā ka rite koe ki te mutu o tō manawa mō ētahi hēkona." He rite tonu tēnā ki tēnā.

He aha ngā take o te OHS?

Kāore anō kia tino mōhiotia e ngā kairangahau te pūtake o te OHS, engari e whakapono ana rātou tera pea nā te huinga o ngā āhuatanga:

• Tērā pea he hapa kei roto i te ara e whakahaere ai tō roro i te manawa . Me te mea he hapa iti kei roto i tā tātou "pātene" manawa.
• Mā te taumaha tāpiri i te uma ka uaua ai te pupuhi tika o ngā pukahukahu, me te manawa hōhonu. He rite ki te ngana ki te manawa me te taumaha kei runga i tō uma.
• Ka taea e te nui rawa o te ngako i ngā wāhi pēnei i te kaki, te uma, me te puku te whakanui ake i te hanga o ētahi homoni , ka pā ki ngā tauira manawa.

Me pēhea koe e mōhio ai mēnā kei a koe te OHS?

Ina haere koe ki te tākuta, ka pātai rātou mō ō tohumate, ka tirotirohia hoki koe. Ka ine rātou i tō teitei me tō taumaha, ka tatau hoki i tō Taupū Papatipu Tinana (BMI). Ko te BMI o te hunga momona he 30, neke atu rānei.

I muri i tēnā, ka tonoa pea e te tākuta ētahi atu whakamātautau hei whakatau mēnā kei a koe te OHS. Ko ētahi o ēnei ko:

• Whakamātautau hau toto uaua: Ko te tikanga tēnei he tango i tētahi toto iti mai i tō uaua, ka ine i te nui o te hauhā me te hāora kei roto. Mā tēnei ka taea e koe te mōhio mēnā he nui te CO2 i roto i tō toto, he iti rānei te O2.
• Pūwero ine manawa: Kua kite pea koe i tēnei, he taputapu iti rite ki te topenga ka whakanohoia ki tō maihao. Ka taea e ia te ine i te nui o te hāora i roto i tō toto. Heoi, kāore e taea te ine i te hauhā waro, ā, kāore i te tino tika pērā i te tauira toto.
• Ngā whakamātautau mahi a ō pukahukahu: Ka tirohia e ēnei whakamātautau te pai o te mahi a ō pukahukahu, ā, ka rapua hoki ētahi atu take o te poto o te manawa.
• X-ray o te uma: Ka āwhina hoki tēnei ki te whakakore i ētahi atu take o te poto o te manawa.
• Te ako moe `(Polysomnography):` He whakamātautau motuhake tēnei. I muri i te noho i te hōhipera mō te pō kotahi, ka aroturukitia tō manawa, tō tere o te ngakau, me ngā ngaru roro i a koe e moe ana. Ka āwhina tēnei ki te whakatau mēnā kei a koe te `(Sleep Apnea)`, ā, mēnā kei a koe, te kaha o tōna kino.

He aha ngā maimoatanga mō te OHS?

Ko te maimoatanga mō te OHS ko te whakaiti i te taumaha me te tautoko i te manawa.

Te whakaiti i te taumaha

Ko te whiwhi i tētahi taumaha hauora e tika ana mō tō tinana, me te pupuri i taua taumaha, te taahiraa tuatahi me te mea nui rawa atu i te rongoā i te OHS.I ētahi wā, mā te whakaiti noa i te taumaha ka āwhina i te whakahaere i ngā tohu me te whakapai ake i te āhua. He nui te āwhina mā te whai i tētahi momo noho hauora. Hei tauira:

• Te kai i tētahi kai hauora. Hei tauira, he kai taurite pērā i te kai Mediterranean.
• Te whakakori tinana mō te 30 meneti pea i te iti rawa i te rā.
• Whakatūria ngā tikanga moe pai.

I runga anō i tō āhua, ka tūtohu pea tō tākuta i te pokanga whakaiti taumaha, pērā i te pokanga bypass puku.

Te āwhina i te manawa

Tērā pea ka tūtohu tō tākuta i tētahi mīhini whakapūngao ā-ringa hei āwhina i a koe ki te manawa. He taputapu kore-whakaeke ēnei, arā, ka taea te whakamahi me te kore he pokanga nui. Ka noho tuwhera tonu ō ara manawa i te pō i a koe e moe ana, ka whakanui ake i te nui o te hāora i roto i ō toto. Ka mau koe i tētahi kopare motuhake i a koe e moe ana, ā, ka tukuna e te mīhini te hau mā roto i tētahi ngongo. He maha ngā momo mīhini:

• Mīhini CPAP (Pēhanga Āhuarangi Pai Tonu): Ka tukuna te hau e te mīhini CPAP i te pēhanga kotahi ina manawa koe, ina whakaputa manawa hoki.
• Mīhini BiPAP (Bilevel Positive Airway Pressure): Ka tukuna e te mīhini BiPAP te hau i te pēhanga teitei ake ina manawa koe ki roto, me te pēhanga iti iho ina manawa koe ki waho. I ētahi wā ka kiia tēnei ko te ingoa waitohu ``(BiPAP®)``.

He tino onge, ki te kore e taea e ēnei mīhini "Pēhanga Huarere Pai" te whakahaere i te āhua, me mahi pea he "Tracheostomy". Ko te tikanga o tēnei ka hangaia e te taote pokanga he kōhao ki tō kaki, ka hono atu ki tō pūwero hau hei āwhina i a koe ki te manawa. He maha ngā wā koinei te huarahi whakamutunga.

Me pēhea te whakaiti i te mōrearea o te whakawhanake i te OHS?

Ko te huarahi pai hei whakaiti i tō tupono ki te whakawhanake i te OHS ko te pupuri i te taumaha hauora. Mena kua tohua e tō tākuta te CPAP, te BiPAP rānei, he mea nui kia whakamahia kia rite ki ngā tohutohu.

Hei tāpiritanga, ki te mea kei te haere koe ki te rererangi, kei te pokanga rānei, me kōrero wawe atu ki tō tākuta , nā te mea he nui ake te tūponotanga o ngā raruraru nui i roto i ēnei momo take.

He aha te āhua hauora o te tangata whai OHS?

Mā te maimoatanga, ka taea te whakaiti, te whakakore rānei i ngā tohu o te OHS. Mō ētahi tāngata, ahakoa te whakaiti noa i te taumaha ka taea te āwhina. He mea nui te maimoatanga nā te mea ka taea te whakapai ake i tō kounga o te oranga me te whakaiti i te tūponotanga o ngā raruraru anō. Kua whakaatuhia e te maimoatanga wawe me te mīhini manawa ka whakaiti i te reiti mate mai i te OHS mā te 10%.

Heoi, ki te kore e rongoatia, ka taea e te OHS te arahi ki ngā raruraru morearea, inā koa ngā raruraru o te ngākau me ngā oko toto. Ka nui te taumahatanga o te ngākau i te kore o te hāora. Ka ngāwari ake hoki koe ki te pāngia e ngā raruraru mai i te kore moe. Ki te kore he maimoatanga, ka heke te kounga o tō oranga, ā, ka nui ake te tūponotanga me kawe koe ki te hōhipera.

Kāore i te tino pai te matapae mō te hunga kāore e whiwhi maimoatanga. Ka taea e te OHS te whakapoto i te roanga o te oranga mēnā kāore i te rongoātia. Mō te hunga whai mate kē atu, ko te reiti mate 18-marama mai i te OHS e eke ana ki te 23%.

He aha ngā raruraru ka pā mai i te OHS?

Ki te kore e rongoatia, ka arahi pea te mate momona ngoikore ki ngā raruraru moe. Kei roto i ēnei ko:

• Te pouri.
• Te pukuriri me te riri.
• Te mōrearea nui ake o ngā aituā.
• Ngā raruraru i roto i te oranga ā-ira me ngā whanaungatanga piripono.

Ka taea hoki e te OHS te whakararu i te mate ngakau, hei tauira:

• Te toto toto tiketike (hypertension).
• Te ngoikore o te ngākau o te taha matau.
• Te toto toto tiketike o te pūkahukahu.

Āhea koe me toro atu ki te tākuta?

Me tino toro atu koe ki te tākuta i roto i ēnei āhuatanga:

• Mena he momona rawa koe, ā, kei a koe ētahi atu tohu e pā ana ki te OHS.
• E kī ana tō hoa he nui te ngongoro i te pō, ā, ka kite koe i ētahi mea pēnei i te mutu o tō manawa i ētahi wā?
• Mena ka tino ngenge koe, ka hiamoe hoki i te awatea.

Ko te Mate Momona me te Kore Hauhanga (OHS) he raruraru manawa nui o te momona. Mena he momona koe, he uaua ki te manawa, he raruraru moe rānei, me toro atu ki te tākuta tonu. Kei reira rātou hei āwhina i a koe. Mena ka tātaritatia koe e te tākuta he OHS tō mate, ka hoatu e rātou ki a koe te mahere maimoatanga tino tika.

Hei whakamutunga, ngā mea hei maumahara

Āe, me maumahara koe ki ētahi o ngā mea tino nui o ngā mea kua kōrerohia e tātou.

• Ko te Mate Momona me te Kore Hauhanga he raruraru manawa ka tino kino, ka haere tahi me te momona.
• Ko te mea ka tupu i tēnei, ka piki ake te hauhā waro, ka heke iho hoki te hāora i roto i te toto.
• Ko te mea pai rawa atu, he rongoā kei reira mō tēnei! Ko te whakaiti i te taumaha me te whakamahi i ngā mīhini manawa pēnei i te CPAP/BiPAP te mea nui.
• Mā te tautuhi me te maimoatanga wawe ka ārai i ngā kino nui ki te oranga, ā, ka tino whakapai ake i te kounga o te oranga.
• Mena he taumaha rawa koe, ā, kei a koe ngā tohu pēnei i te poto o te manawa, te hiamoe i te awatea, me te ngongoro i te pō, tēnā rapu tohutohu hauora. Kāore he mea hei wehi, hei whakama rānei. Ko tō hauora te mea nui.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` Te Mate Momona Te Mate Huna, OHS, Te Mate Pickwickian, te momona, ngā uauatanga manawa, te moe pōrearea, CPAP, BiPAP