Ka oho ohorere koe i te pō, ka haua te manawa? He uaua rānei ki a koe te moe nā te mea e ngongoro ana tō hoa? Tērā pea kei te ahua kua mutu tō manawa mō tētahi wā poto i waenganui? Koinei te mea e kiia nei e te hauora ko te Obstructive Sleep Apnea (OSA) , te obstructive sleep apnea rānei. Ki te kore e rongoatia, ka arahi pea tēnei āhuatanga ki ngā raruraru hauora nui. Nō reira, i tēnei rā ka kōrero tātou mō tētahi maimoatanga mō tēnei, inā koa he otinga kāore e kōrerohia ana e te tini o te tangata.
Ki te kī ngāwari, he aha ēnei taputapu waha?
He taputapu motuhake ēnei i hangaia mō tō waha e te tākuta niho. He rite tonu ki ngā ārai waha e whakamahia ana e ngā kaitātaki niho, engari he rerekē te mahi. Ina mau koe i roto i tō waha i te pō i a koe e moe ana, ka āwhina i te pupuri i tō ara manawa kia tuwhera.
Nā, ko te mea ka pā ki te tangata e pāngia ana e te mate moe pōrearea, i te wā e moe ana, ka whakangāwari ngā uaua i muri o te korokoro, ka whaiti, ka kati rawa rānei te ara manawa. Kātahi ka kore te hau e tomo, ka tukuna he tohu ki te roro kia ara ake koe kia manawa. Ka haere tonu tēnei huringa puta noa i te pō. Nā tēnei, kāore koe e moe pai, ā, kāore ō whekau tinana e whiwhi i te nui o te hāora e hiahiatia ana e rātou. Nō reira, ko te mahi a ēnei taputapu waha ko te pupuri i tō waha, kauae, me te arero ki tētahi tūranga motuhake, kia tuwhera tonu ai tō ara manawa.
E rua ngā momo matua o ēnei taputapu.
Ko ēnei taputapu e whakamahia ana hei rongoā i te apnea moe ka taea te wehewehe ki ngā momo e rua.
1. Ngā Pūrere Whakatairanga Kauwae (MAD)
Koinei te momo e whakamahia whānuitia ana. Ka kiia hoki ko ngā mandibular advancement splints, mandibular repositioning appliances, me ētahi atu. He māmā noa iho, ka kukumehia e tēnei taputapu tō kauae o raro (kaue o raro) ki mua. Ina neke whakamua te kauae o raro, ka neke whakamua hoki te arero e piri ana ki a ia. Ka whakanuia ake te wāhi mō te hau kia puta mā te tuarongo o te korokoro.
E rua ngā wāhanga o ēnei MAD: tētahi mō ngā niho o runga, tētahi mō ngā niho o raro. Ka honoa ēnei wāhanga e rua mā te whakamahi i ngā tīwiri, i ngā inihi, i ngā here rapa rānei. Mā tēnei ka taea e koe te whakarite i te tawhiti e hiahiatia ana kia nekehia te kauae o raro ki mua.
2. Ngā Pūrere Whakapūmau Arero (TSD)
Ka kiia hoki ēnei he taputapu pupuri arero. Kāore i te tino rongonui pērā i ngā MAD, engari he otinga pai mō ētahi tāngata. Ka whakamahia e rātou he momi, he tukanga e kukume ana i tō arero ki mua, ka pupuri i a ia ki tōna tūranga. He wāhanga pupuri arero rite ki te porowhita kei roto i te taputapu hei pupuri i tō arero ki tōna tūranga i te wā e moe ana.
He huarahi pai pea ngā TSD mō te hunga kāore e taea te whakamahi i tētahi taputapu MAD, hei tauira, nā te mea kāore i te kaha ō rātou niho.
| Momo taputapu | Te āhua o tana mahi | Ko wai te mea tino tika mō tēnei? |
|---|---|---|
| Ngā Pūrere Whakatairanga Kauwae (MAD) | Mā te kukume i te kauae o raro ki mua ka huaki te ara manawa. | Ko te mea tino taunakitia tēnei mō te nuinga o ngā tūroro Sleep Apnea. |
| Ngā Pūrere Whakapūmau Arero (TSD) | Ka kumea te arero ki mua, ka puritia ki tōna tūranga mā te momi. | He pai mō te hunga he ngoikore te kaha o ō rātou niho, kāore rānei e taea te whakamahi i ngā MAD. |
Ko te mea nui, he tino whai hua ēnei taputapu ina hangaia e te tākuta niho kia rite ki tō waha. Ahakoa kei reira ngā momo "kohua me te ngau" e wātea ana i ngā whare rongoā, i te ipurangi rānei, kua whakaatuhia e ngā rangahau ko ngā taputapu i hangaia kia rite ki te hiahia te mea pai rawa atu.
Mā wai tēnei maimoatanga e tino pai?
Ko te rongoā ā-waha he mea tino pai mō te hunga e pāngia ana e te mate moe ārai ngawari ki te ngoikore . He kōwhiringa pai rawa atu tēnei mō te hunga e uaua ana ki te whakamahi i te mīhini CPAP (Continuous Positive Airway Pressure), e kiia ana ko te rongoā pai rawa atu mō te mate moe ārai.
He taputapu te mīhini CPAP e tuku ana i te hau pēhanga ki ō ara manawa mā roto i te ngongo me te kopare hei pupuri i a rātou kia tuwhera. Ahakoa he tino whai hua te CPAP, he uaua ki ētahi tāngata te moe me te kopare i ia pō. Ka roa te wā, ka mutu tā rātou whakamahi. Ahakoa kāore te taputapu ā-waha i te rite te whai hua ki te CPAP, ka taea e ia te āwhina i te tini o te tangata ki te whakahaere i ō rātou tohumate.
Ka whakamahia e ētahi tāngata he mīhini CPAP me he taputapu waha. Hei tauira, ka whakamahia e rātou he CPAP ki te kāinga me tētahi taputapu waha e ngāwari ana te kawe mā rātou i a rātou e haereere ana.
He tāngata anō kei reira kāore e tika kia whakamahia tēnei?
Āe, kāore ēnei taputapu e pai mō te katoa. Ina koa mō te hunga e:
- Ngā tāngata e pāngia ana e te mate puku moe o te pokapū: He āhuatanga tēnei e mutu ai te manawa nā te raruraru o ngā tohu o te roro. Kāore e taea te rongoā mā ngā taputapu waha.
- Tamariki nohinohi: Me rerekē ngā maimoatanga mō ngā raruraru manawa o ngā tamariki i ērā o ngā pakeke. Whakaarohia ēnei mēnā ka tūtohutia e te tākuta o tāu tamaiti.
- Ngā tāngata whai OSA kino: He mea morearea pea mō te tangata whai apnea moe kino te ngana ki te whakahaere i tana moe mā te whakamahi i tēnei taputapu anake. Nō reira, me kōrero koe ki tō tākuta mēnā he tika tēnei māu.
Me pēhea te hanga i tētahi taputapu pēnei?
Hei whakatika i tēnei, me whai koe i tētahi tukanga motuhake.
1. Tuatahi, me whakahaere he rangahau moe hei whakaū mēnā he Obstructive Sleep Apnea tōu.
2. Ki te whakatau tō tākuta he kōwhiringa pai te whakamahi i tētahi taputapu niho māu, ka tukuna koe e ia ki tētahi tākuta niho .
3. Ka tangohia e te tākuta niho he tānga, he matawai 3D rānei o ō niho.
4. I runga i aua inenga, ka hangaia e te kaihanga he taputapu māu.
5. Kia oti te hanga o te taputapu, me toro atu anō koe ki tō tākuta niho. Ka tirohia e rātou kia tika te uru ki tō waha, kia kore ai e piri, kia kore ai e tangohia i te pō.
6. Ka hoatu hoki ngā tohutohu mō te horoi me te tiaki i tēnei.
Tērā pea ka tūtohu tō tākuta i tētahi atu rangahau moe i muri i te whakaurunga o te taputapu kia kitea ai te pai o tana mahi.
He aha ngā pānga taha me ngā painga?
Pērā i tētahi atu maimoatanga, he iti noa ngā pānga taha me ngā painga o tēnei.
| Ngā Pānga Taha | |
|---|---|
| Wā poto - i roto i ngā wiki tuatahi | |
| Te nui rawa o te whakaputa huware | I te tīmatanga, tera pea ka nui ake te huware nā te mea he mea rerekē kei roto i te waha. |
| Te mamae o te kauae, te niho, me te hononga temporomandibular (TMJ) | Tērā pea ka pāngia koe e te mamae iti i te tīmatanga nā te mea kei tētahi tūranga hou te kauae o raro. |
| Te maroke o te mangai me te mamae o te kapia | I te nuinga o te wā ka memeha haere ēnei i roto i ētahi rā. |
| Mō te wā roa - onge | |
| Ngā huringa o te tūnga o ngā niho (ngau) | I roto i te wā, ka rerekē pea te hononga o ō niho. |
| Te wiri o ngā niho, te neke rānei | Koia te hiranga o ngā tirotiro niho auau. |
Ngā painga o tēnei
- Ka taea e ia te whakaiti i ngā tohu OSA, inā koa te hiamoe i te awatea me te uaua ki te arotahi .
- Āwhina ki te whakatutuki i te moe hohonu, kore e mutu.
- Ka taea te whakaiti, te whakamutu rānei i te ngongoro .
- He huarahi pai tēnei mā te hunga kāore e taea te whakamahi i te mīhini CPAP.
- He tino ngāwari ki te kawe tahi me koe i a koe e haere ana.
Karere Tangohia ki te Kāinga
- He rongoā pai ngā taputapu waha mō te apnea moe aukati, inā koa mō ngā tūroro ngawari ki te hunga ngoikore me te hunga e kore e pai ki ngā mīhini CPAP.
- Ko ngā taputapu tino angitu o ēnei ko ngā mea i hangaia kia rite ki tā te taote niho kia uru ki tō waha.
- Tērā pea ka roa te wā e taunga ai ki tēnei i roto i ngā wiki tuatahi. Ahakoa he iti noa te mamae, ka memeha haere i muri i ētahi rā.
- I mua i te tīmatanga o tēnei maimoatanga, me kōrero koe ki tō tākuta kia mōhio ai koe he tika mō tō āhua.
- He mea tino nui kia tirohia ō niho me tō waha e te tākuta niho i ia wā, i te roanga o te whakamahinga o te taputapu.
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