Ka mutu te manawa i te wā e moe ana? Kia ako tātou mō tēnei āhuatanga morearea (Obstructive Sleep Apnea)!

E ngongoro nui ana tō tāne, tō wahine, tō hoa rānei i tō whare i te pō? I ētahi wā, i waenganui o taua ngongoro, ka mutu ohorere tō manawa, ā, i muri i ētahi hēkona, ka manawa hōhonu koe, ka tīmata anō te ngongoro? Kua mataku koe i te kitenga i tēnei? Ehara tēnei i te mea hei mea ngāwari. Tērā pea he mate tēnei e kiia nei ko te Obstructive Sleep Apnea (OSA), e kōrerohia ana e tātou i tēnei rā.

He aha te Āpnea Moe Ārai (OSA)?

Ki te kī ngāwari, ko te tikanga o tēnei i a tātou e moe ana, ka nui rawa te whakangā o ngā uaua o te korokoro, ka whaiti, ka ārai katoa rānei i te ara manawa.

Whakaarohia, ina moe tātou, tata ki ngā uaua katoa o te tinana ka whakangāwari. He mea noa tēnā. Engari mō te tangata whai OSA, ka tino whakangāwari te kiko ngohengohe i muri o te korokoro (te arero, te waha) ka aukati i te ara manawa. Kātahi ka mutu te manawa mō ētahi hēkona, i ētahi wā neke atu i te meneti.

Ka ahatia ina tupu tēnei? Ka heke haere te taumata o te hāora i roto i te toto. Ka tukuna he tohu ki tō tātou roro, e mea ana, "He tūpono! Kāore e taea e tātou te manawa!" Kātahi ka ara ake te roro i a tātou i te moe, hei whakaora i ō tātou oranga. Hei whakamārama, ka haria tātou e ia i te moe hohonu ki te moe māmā. Ko te wā tēnā ka whakapūmau anō ngā uaua o te korokoro, ā, ka tuwhera te ara ki te manawa. Kātahi ka manawa hōhonu tātou.

Ka taea tēnei te tupu i ngā rau o ngā wā i te pō. Engari ko te raruraru, kāore te tangata e moe ana e mahara ki tēnā. Kāore ia e mōhio kua kore ia e manawa tika i te pō katoa. Engari nā te mea kei te whakararuraruhia tonutia ia i tēnei ara, kāore ia e moe pai, e moe marino.

He aha ngā tohu e whakaatuhia ana e te tangata whai OSA?

Kāore pea ētahi o ēnei tohu e kitea e te tangata e moe ana, engari ka kitea nuitia e te tangata e moe tahi ana me rātou (tā rātou hoa). Kia titiro tātou he aha ēnei tohu.

He aha te āhua o te ngongoro a te tangata whai OSA?

Whakaarohia kei te moe tō hoa. Kua roa ia e ngongoro nui ana. Kātahi ka mutu te tangi... kātahi ka mutu te wā. Kei te mataku koe, me te whakaaro, "He aha te korenga o te tangi? Kāre au i te mōhio mēnā kei te manawa ia." I muri i te 10, 20 hēkona, pea he roa ake, ka puta whakarere mai he tangi 'hhhh', ka manawa, ka tīmata anō te ngongoro. Koinei tētahi o ngā tohu matua o te OSA. Ka taea tēnei te tupu i ētahi wā i te pō.

He aha te take e puta ai te OSA? He aha ngā āhuatanga mōrearea?

E ai ki tā tātou i kōrero ai i mua ake nei, ko te take matua ko te nui rawa o te whakangā o ngā uaua o te korokoro i te wā e moe ana, ka aukati i te ara manawa. Engari kāore tēnei e pā ki te katoa. He maha ngā āhuatanga mōrearea motuhake ka pā ki tēnei.

He aha ngā raruraru mōrearea ka puta mai mēnā kāore tēnei e rongoatia?

Ki te kore tātou e aro ki tēnei mea hei mea whakararuraru noa iho, ka ara ake pea he raruraru nui ake. Ko te kore o te hāora ki te tinana i te pō me te kore moe e pā ki te tinana katoa.

• Te hiamoe nui i te awatea: He tino morearea tēnei. Ka taea e te moe i a koe e taraiwa ana, e whakahaere ana rānei i ngā mīhini te whakararu i te ora.
• Mate manawa: Ka nui te taumahatanga o te ngākau mēnā ka kore te hāora mō te wā roa, ka nui ake te mōrearea o te toto toto tiketike, te mate manawa, te ngoikore o te ngākau, me te arrhythmia.
• Whiu: Ka nui ake te mōrearea o te whiu nā te OSA.
• Mate Huka Momo 2: Ka whakanui ake te OSA i te ātete o te tinana ki te insulin, ka piki ake te mōrearea ki te whakawhanake i te mate huka.
• Mate ohorere:Ahakoa he tino onge, ki te kore e rongoatia te OSA kino, kāore nei i te rongoatia, ka arahi pea tēnei ki te mate manawa i te wā e moe ana, tae atu ki te mate.

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

Mena kei a koe, kei tētahi rānei o tō whānau ēnei tohu, ko te mea tuatahi me mahi ko te toro atu ki te tākuta . Ka pātai atu te tākuta ki a koe mō ō tohu, ā, ka tirotirohia tō korokoro, tō waha, me tō kaki.

Kātahi, hei whakaū i tēnei āhuatanga, ka tonoa he whakamātautau motuhake e kiia nei ko te rangahau moe . E rua ngā huarahi matua e mahia ai ēnei.

1. Polysomnogram (PSG): Koinei te tikanga tino tika. Mō tēnei, me noho koe mō te pō i roto i te hōhipera, i tētahi pokapū moe motuhake rānei (taiwhanga moe). I reira, i a koe e moe ana, ka aroturukitia ō ngaru roro, te tere o te ngakau, te āhua manawa, te taumata hāora toto, me ngā nekehanga tinana puta noa i te pō mā roto i ngā pūoko e piri ana ki ngā mīhini.

2. Whakamātautau Apnea Moe Kāinga (HSAT): He whakamātautau māmā tēnei ka taea te mahi i te kāinga. Ka taea e koe te mau i tētahi taputapu iti i whakaratohia e te hōhipera i a koe e moe ana i te kāinga. Ka ine i ētahi mea taketake, pērā i te manawa me ngā taumata hāora. Ahakoa kāore i te tino taipitopito pērā i te PSG, he maha ngā wā ka nui hei whakatau mēnā kei a koe te OSA.

He aha ngā maimoatanga mō tēnei?

He waimarie, he mate ka taea te whakahaere pai i te OSA. He maha ngā kōwhiringa maimoatanga. Mā te tākuta e whakatau te maimoatanga pai rawa atu i runga i te kaha o te mate me te āhua o te tūroro.

• Ngā huringa āhua noho:
• Te whakaiti taumaha: Ahakoa te ngaronga o te 5-10% o tō taumaha tinana ka nui te pānga ki ō tohu OSA.
• Te whakarerekē i tō tūnga moe: Ina moe koe i runga i tō tuara, ka nui ake te tūponotanga ka hoki whakamuri tō arero, ka aukati i tō ara manawa. Nō reira, he pai ake te moe i tō taha .
• Āta karohia te waipiro me ngā pire moe: Kaua ēnei e whakamahia i te pō nā te mea ka whakangāwari ake i ngā uaua o te korokoro.

• Mīhini CPAP (Pēhanga Āhua Pai Tonu):

Koinei te maimoatanga tino whai hua, ā, e whakamahia whānuitia ana hoki mō te OSA.He mīhini tēnei me tētahi 'kōpare' iti e mau ana ki runga i te ihu, ki runga rānei i te ihu me te waha. Ko tāna mahi he whakarato tonu i te hau i te pēhanga e tika ana kia tuwhera tonu ai ō tātou ara manawa i a tātou e moe ana. Kātahi ka kore e mutu te manawa. Ahakoa he uaua ki te taunga ki tēnei i te tīmatanga, he tokomaha te hunga e pai ana ki tēnei mea nā te moe marino me te ahua hou o te awatea.

• Ngā Taputapu Waha:

He taputapu tēnei i hangaia mō tō waha e te tākuta niho. Ina mau koe i a koe e moe ana, ka āwhina i te pupuri i tō kauae o raro kia paku whakamua, kia tuwhera tonu ai tō ara manawa. He pai mō te hunga he OSA ngawari ki te OSA taurite.

• Pokanga:

Mena kāore e angitu ētahi atu maimoatanga, he raruraru hanganga rānei kei roto i te tinana, ka tūtohutia pea te pokanga.

• Uvulopalatopharyngoplasty (UPPP): Te tango i te kiko taikaha i muri o te korokoro.
• Te tango i ngā tonsil/te tango i ngā adenoid: Te tango i ngā tonsil, i ngā adenoid rānei mēnā he nui.
• Te whakaohooho io: Ka whakauruhia he taputapu whakaoho io ki roto i te tinana hei whakaoho i ngā uaua e pupuri ana i te ara manawa kia tuwhera i te wā e moe ana.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe, kei tētahi rānei o tō whānau tētahi o ngā tohu kua whakahuatia i roto i tēnei tuhinga, me toro atu ki te tākuta i taua wā tonu .

• Ki te amuamu tō hoa mō tō ngongoro me tō poto o te manawa.
• Mena ka tino hiamoe koe, ka ngenge hoki i te awatea.
• Ki te ara ake koe i te ata me te mamae o te upoko.

Āhua ohorere!

Ki te pāngia koe e te uaua o te manawa, ki te puta rānei ngā tohu o te mate manawa (mamae o te uma, te werawera), ki te pararutiki rānei (ngaro te kaha o te taha kotahi o te tinana, uaua ki te kōrero), haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.