Ka whakamomori hoki koe i a koe e moe ana i te pō? Me kōrero tātou mō te mate moe pō!

Kei te ahua ohorere koe kei te hemo koe i te pō? Kei te kī mai rānei te tangata e moe tahi ana koe kua mutu tō manawa mō tētahi wā i te pō, ā, ka tīmata anō? Kei te ngenge rānei koe ina ara ake koe i te ata? Ehara ēnei i te mea noa iho, tera pea he mate e kiia nei ko te Sleep Apnea kei muri i ēnei. Me kōrero taipitopito tātou mō tēnei, he tino māmā noa iho.

He aha te mate moe pōrearea?

Ki te kī māmā noa, ko te moe pōrearea he wā e mutu ai tō manawa mō te wā poto i a koe e moe ana. E rua ngā take matua mō tēnei. Ko tētahi he mea e ārai ana i tō ara manawa (te moe pōrearea ārai) . Ko tētahi he mea hē kei te kaha o tō roro ki te whakahaere i te manawa (te moe pōrearea pokapū) .

Whakaarohia, ina kore te hāora i roto i tō tinana, he pūnaha haumaru whakamiharo tō tō tātou tinana. Ahakoa kāore tēnei e whakaara katoa i a tātou, ka whakaara noa i a tātou kia tīmata ai te manawa. Ahakoa he āwhina tēnei ki te whakaora i ngā oranga, ka whakararuraru i tō huringa moe. Nō reira, kāore koe e moe pai, e moe marino ana . Ki te haere tonu tēnei, ka taea hoki e ia te pēhi i tō ngākau , ka tūpono pea ki te ora mēnā kāore e rongoatia. Nō reira, he mea nui kia mōhio koe ki tēnei, ā, me rapu tohutohu hauora mēnā e tika ana.

He aha ngā momo matua o te Apnea Moe?

Kia tirohia tātou ngā momo matua e toru o te apnea moe.

1. Te Apnea Moe (Apnea Moe Ārai - OSA)

Koinei te momo tino noa. Ko te mea ka tupu, i a koe e moe ana, ka whakangāwari ngā uaua o tō korokoro . Ka pēhia tō puku manawa e te kiko e karapoti ana, ka aukati i tō ara manawa. He rite ki te mea kua mau koe i roto i te paipa. Koinā te wā ka uaua ai te manawa, ā, i ētahi wā ka mutu te manawa mō ētahi hēkona.

2. Te Apnea Moe Waenga (CSA)

I tēnei momo, ina moe koe, kāore tō roro e tuku i ngā tohu tika ki ngā uaua e whai wāhi ana ki te manawa . Arā, he ngoikore kei waenganui e whakahaere ana i te manawa. I konei, kāore he aukati ki te ara manawa, engari ko te whakahau kia "manawa" mai i te roro kāore e tika te haere.

3. Apnea Moe Whakaranu/Uaua

I tēnei take, ka kitea ngātahi ngā tohu o ngā momo OSA me CSA kua whakahuatia ake nei . Arā, kua āraia te ara manawa, ā, tera pea he raruraru kei ngā tohu e puta mai ana i te roro.

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He pēhea te noa o te ingoa o tēnei mate ko te Sleep Apnea?

Ina hoki, he mate noa ake tēnei i tō whakaaro. I kitea i roto i tētahi rangahau e tata ana ki te kotahi piriona tāngata puta noa i te ao i waenga i te 30 me te 69 tau te pakeke he Obstructive Sleep Apnea (OSA) . Ahakoa he iti ake te noa o te momo e kiia nei ko te Central Sleep Apnea (CSA) i te OSA, ehara i te mea onge.

He aha ngā tohu o te Apnea Moe?

Ki te whakaaro koe he mate moe tōu, kia aro ki ēnei tohu.

Ngā tohu noa e kitea ana e te tini:

• Te oho ake i waenganui pō i te nuinga o te wā.
• Te mutu o te manawa mō tētahi wā i a koe e moe ana (he maha ngā wā ka kitea tēnei i roto i te tangata e moe tahi ana koe).
• Ngā rerekētanga o ngā tauira manawa (te tere o te manawa, kātahi ka hōhonu, kātahi ka pāpaku anō, kātahi ka tū ka tīmata anō).
• Haruru nui .
• He uaua ki te manawa i te oho ake i te ata, me te mea kei te hemo koe i te manawa .
• Te ngenge nui i te awatea, te hiamoe, te tino ngenge rānei i te oho ake .

Tērā pea ka pāngia ētahi atu tāngata e ēnei tohu:

• Te mamae o te upoko , inā koa i te ata.
• Te werawera o te pō.
• Ngā panonitanga o te wairua (pērā i te pouri me te manukanuka).
• Te āhua o te kore okiokinga i te pō.
• Ngā raruraru pērā i te koretake o te moepuku .

He mea nui: Mēnā he mate moe pōrearea tō ngā tamariki, tera pea he rerekē te āhua o ēnei tohu . Nō reira, he mea pai kia toro atu ki te tākuta mēnā ka kite koe i tētahi mea rerekē i roto i te moe a tāu tamaiti.

He aha ngā tino take o te Apnea Moe?

Hei whakarāpopototanga, e rua ngā tino take o te mate moe pōrearea:

• He ārai i te ara manawa o runga i a koe e moe ana.
• He raruraru kei tō roro e whakahaere ana i tō manawa i a koe e moe ana.

Ko wai kei te mōrearea nui ake ki te whakawhanake i te Apnea Moe?

Ka pāngia te tangata e tēnei mate. Ka pāngia ngā tamariki, ngā pakeke, te tangata katoa. Heoi anō, he nui ake te mōrearea o ētahi tāngata ki te pāngia e tēnei mate.

Anei ētahi āhuatanga mōrearea noa:

• Mena kei te pāngia tetahi o te whānau e te mate moe pōrearea (tērā pea he tuku iho).
• Mō te hunga e pāngia ana e te mate manawa, te whiu, te toto toto tiketike rānei .
• Mō te hunga he nui ngā tonsils .
• Ko te tikanga o te momona nui ko te taumaha rawa.

Ka piki ake anō hoki tēnei mōrearea i a koe e pakeke haere ana . He nui ake te tūponotanga ka kitea tēnei mate i ngā tāne i mua i te 50 tau te pakeke.

Kia maumahara hoki, ahakoa ka piki ake te mōrearea o te apnea moe me te momona, ka taea e tēnei āhuatanga te pā ki te hunga o tetahi rahi tinana .

He aha ngā raruraru ka puta mai i te Sleep Apnea?

Ehara i te mea he mate moe noa iho te apnea moe. Ki te kore e rongoatia, ka arahi pea ki ngā raruraru kino, tae atu ki te mate .

• Ko te hiamoe nui rawa i te awatea, ko te "microsleeps" rānei, he āhuatanga e moe ai koe mō ngā wā poto noa iho i te awatea.He tino morearea ina taraiwa ana, ina whakahaere ana rānei i ngā mīhini.
• Ngā rerekētanga o te manawa o te ngakau, arā, ngā arrhythmias (pēnei i te fibrillation atrial, te apiti atrial maui rānei).
• Te toto toto tiketike .
• Te pakaru o te ngākau me te ngoikore o te ngākau .
• Te Matenga ohorere o te Manawa .

Nō reira, ki te pāngia koe e ngā tohu o te Sleep Apnea, kaua e warewaretia.

Me pēhea te tautuhi i te Apnea Moe?

Ki te whakapae koe he Sleep Apnea tōu, me toro atu koe ki tētahi tākuta i te tuatahi . Ka pātai atu ia ki a koe mō ō tohu me tō hītori hauora. Kātahi, ki te whakapae koe he Sleep Apnea tōu, ka tūtohu ia i ētahi whakamātautau hei whakaū i te mate.

He aha ngā whakamātautau e mahia ana mō tēnei?

E rua ngā whakamātautau matua e mahia pinepinetia ana:

• Polysomnogram: He whakamātautau tēnei e tū ana i te pō i roto i te hōhipera . He maha ngā pūoko e piri ana ki tō tinana, ā, ka aroturuki i tō tere o te ngakau, tō manawa, ō taumata hāora i roto i te toto, me ngā ngaru roro i a koe e moe ana.
• Whakamātautau Apnea Moe Kāinga: He whakamātautau tēnei ka taea te mahi i te kāinga . Heoi, kāore e aroturuki i ngā ngaru roro. Waihoki, kāore pea tēnei whakamātautau e kite i ētahi momo apnea moe, pērā i te 'Central Sleep Apnea'.

He tohutohu tere: Ki te whakaaro koe kei te pāngia koe, tetahi rānei o tō whānau e te mate moe pōrearea, tuhia he ataata poto, he oro rānei o te tangata e moe ana, inā koa te tangi o tōna manawa. Ka taea hoki e koe te tuhi mā te pupuri i tētahi tauera pepa ki mua i tōna mata kia kite ai i te nekehanga o te hau. Mā te whakaatu i tēnei ki tō tākuta ka tere ake te tautuhi mate.

Me pēhea te ine i te kaha o te Apnea Moe?

Ka whakatauhia e ngā tākuta te kaha o te apnea moe mā te whakamahi i tētahi taupū e kiia nei ko te AHI (Apnea/Hypopnea Index) . Ka ine te AHI i te maha o ngā wā ka mutu tō manawa (apnea) me te maha o ngā wā ka pōturi tō manawa (hypopnea) i roto i te haora moe.

Ko te kaha o te Apnea Moe ka whakarōpūtia penei:

• Apnea Moe Ngāwari: 5-14 ngā takahanga AHI ia hāora.
• Apnea Moe Taurite: AHI 15-29 ngā takahanga ia hāora.
• Te Apnea Moe Nui: AHI 30, neke atu rānei, ngā pānga ia haora.

He aha ngā whekau e pāngia ana e te Apnea Moe?

Ehara te Apnea Moe i te mea e pā ana ki te okana kotahi anake. Ina hoki, he maha ngā pūnaha o te tinana e pāngia ana . Heoi, ko te pūnaha tohanga toto (ngākau) me te pūnaha io (roro) te mea e tino pāngia ana .

He aha ngā maimoatanga mō te Apnea Moe?

I runga i te momo apnea moe e pāngia ana e koe me tōna kaha, ka tūtohu pea tō tākuta i ngā maimoatanga rerekē.

Anei ētahi o ngā tikanga maimoatanga matua:

• Mā te whakamahi i tētahi taputapu manawa, pērā i te mīhini CPAP (Continuous Positive Airway Pressure) , ka āwhina i te pupuri i tō ara manawa kia tuwhera tonu i a koe e moe ana.
• Te whakahaere i ētahi atu mate hauora e hua ai, e whakanui ake ai rānei i te mōrearea o te apnea moe (hei tauira, te mate huka, te toto toto tiketike).
• Te whakarerekē i tō tūranga moe (pērā i te moe ki tō taha kaua ki tō tuara) kia kore ai e pēhia tō ara manawa.
• Te mau i tētahi taputapu/waha hei āwhina i te pupuri i te ara manawa kia tuwhera.
• Te whakamahi i tētahi taputapu Whakaoho Hiko Neuromuscular (NMES) hei ārai i ngā uaua o tō arero me te korokoro o runga kei aukati i tō ara manawa i a koe e moe ana.
• Te tango rongoā (ehara tēnei i te mea mā te katoa, engari i ētahi wā motuhake).
• Kei te pokangahia .

Ka whakahaerehia e koe he pokanga mō te apnea moe?

Ae, i ētahi wā, mā te pokanga e mahia ki te ihu, te waha, me te korokoro ka āwhina i te ārai i te aukati o te ara manawa i te wā e moe ana.

• Pokanga kauae: He maha ngā tikanga pokanga ka taea te whakamahi hei whakarerekē i te tūranga o te kauae me te whakamama i te pēhanga ki te ara manawa mai i ngā kiko ngohengohe.
• Pokanga ihu: Ko te pokanga septoplasty tētahi pokanga noa. Ko te whakatikatika i te kiko ngohengohe i roto i te ihu (te pakitara e wehe ana i ngā pongaponga ihu e rua), kia māmā ake ai te rere o te hau mā roto i te ihu.

Ka taea te whakaora katoa i te Apnea Moe?

Kāore e taea te whakaora katoa i ngā momo mate moe pōrearea . Hei tauira, ka taea te whakaora i te mate moe pōrearea (OSA) mā te whakaiti i te taumaha, mā te mahi rānei i ētahi pokanga. Ka taea e tō tākuta te kōrero atu ki a koe mō te āhua o tēnei mahi māu, i runga i tō āhua.

He aha ngā mea hei tumanako atu mēnā kei a koe te Apnea Moe?

He mate te Apnea Moe ka tino whakararuraru i tō moe. Ki te kore koe e moe nui i te pō, tērā pea kāore e taea e koe te mahi tika i te awatea. Ka tūpono pea tēnei ki te aituā , ā, ka whakararuraru i tō mahi, i ō hiahia, me ō whanaungatanga pāpori.

Waihoki, ka taea e tēnei āhuatanga te whakararu i te ora . Ka taea e te tākuta te āwhina i a koe ki te kimi i te maimoatanga pai rawa atu māu. Me whakamātau pea koe i tētahi, i ētahi rānei maimoatanga rerekē, i tētahi huinga rānei o ēnei, kia kitea ai te mea e pai ana mōu.

Ā, me pēhea rā te roanga o te oranga o te tangata e pāngia ana e te mate moe pōrearea?

Ngā raruraru i puta mai i te Apnea MoeKi te kore e rongoatia, ka taea te whakapoto i tō roanga o te ora. Ka mahi tahi te tākuta me koe ki te whakahaere i tēnei mate, me te āwhina ki te ārai i taua mōrearea.

He maha ngā āhuatanga e whakatau ana i tō roanga o te ora. Nō reira, ko te tangata pai hei kōrero atu mō tō āhuatanga ko tō tākuta. Nā te mea, tērā pea ka pā ngā tatauranga ki a koe, kāore rānei.

He aha ngā huarahi hei ārai i te mate moe Apnea?

Kāore e taea e tātou te ārai i ngā āhuatanga katoa e whai wāhi ana ki te apnea moe. Heoi, kei reira ētahi mea ka taea e tātou te mahi hei whakaiti i tō tātou mōrearea :

• Te pupuri i tō taumaha hauora .
• Te kai i ngā kai totika me te whai wāhi ki te korikori tinana i ia wā .
• Te whakatū i ngā tikanga moe pai (pēnei i te haere ki te moenga i te wā kua whakaritea, te whakamutu i te whakamahi i ngā taputapu hiko i mua i te moenga).
• Te whakahaere i ētahi atu mate hauora o mua (hei tauira, te cholesterol tiketike, te toto toto tiketike, te mate huka momo 2).
• Me tirotiro hauora koe i te iti rawa i te kotahi i te tau .
• Te karo i te momi hikareti me te inu waipiro .

Me pēhea taku tiaki i ahau anō? Me pēhea taku whakahaere i tēnei āhuatanga?

He maha ngā mahi nui ka taea e koe te mahi hei whakahaere i tō mate moe pōrearea:

• Me whakarerekē i te āhua o te noho i ngā wā katoa e taea ana. He uaua pea te whakarerekē i tō kai me tō mahi whakakori tinana. Ki te kitea e koe he uaua ēnei mea, kaua e wehi ki te kōrero ki tō tākuta mō ēnei mea. He raruraru noa ēnei, ā, ka taea e tō tākuta te tuku tohutohu hei whakahaere i ēnei.
• Whāia tō mahere maimoatanga kia tika. Ki te whai koe i te mahere maimoatanga a tō tākuta, ka whiwhi koe i ngā hua pai. Ka whakaitihia hoki te tūponotanga o ngā raruraru.
• Kōrero ki tō tākuta mō ō kare ā-roto. Mena kei te raru koe i te whai i tō mahere maimoatanga mō tētahi take, kōrero ki tō tākuta. Tērā pea kāore tō kopare PAP i te pai te mau, kei te pāngia rānei koe e tētahi pānga taha o tētahi rongoā. Ka taea e tō tākuta te āwhina i a koe. Nō reira, ki te mea he pātai, he āwangawanga rānei āu, whakamōhio atu ki a rātou.
• E taunaki ana tō tākuta kia haere tonu ngā tirotiro ā-muri. He mea nui ēnei haerenga kia mōhio ai kei te whai hua tō maimoatanga, inā koa i ngā wāhanga tōmua o te maimoatanga.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ki te pāngia koe e tētahi o ēnei tohu, haere tonu ki te rūma whawhati tata :

• Ngā tohu o te whakaeke ngakau: Mamae te uma (pēnei i te kōpiripiri, te pēhi rānei), te werawera makariri, te kōpiripiri o te uma, me te uaua ki te manawa.
• Ngā tohu o te whiu:Te ngoikore ohorere, te māuiui rānei i tetahi taha o te tinana, te pōhēhē, te rerekētanga o te tirohanga, te uaua ki te hikoi, te whanoke rānei.
• Te uaua nui ki te manawa: Ki te mea kāore e ranea te hau i roto i ō pukahukahu, ki te pēhia tō uma, ki te tangi rānei koe ina manawa koe.

He aha ngā pātai me pātai atu e au ki te tākuta?

Mena kua kitea tō mate moe pōrearea i ēnei wā tata nei, me pātai atu pea koe ki tō tākuta i ēnei pātai:

• He aha te momo maimoatanga e taunaki ana koe māku?
• He pānga taha anō kei te puta mai i tēnei maimoatanga?
• Me pēhea taku karo i te moe taha?
• Me aha ahau kia māmā ake ai te mau i te kopare mīhini PAP?

Kāore pea koe e mōhio kei te pāngia koe e te mate moe pōrearea mēnā kāore tētahi e moe tahi ana koe e kōrero ki a koe mō ō āhua manawa rerekē i te ata. Engari, kei te whakaaro pea koe, "He aha ahau te kore ai e moe pai i ia pō?" He mate noa te mate moe pōrearea, engari he mea ka taea te whakahaere .

Tērā pea ka tūtohu tō tākuta i ētahi momo maimoatanga hei āwhina i a koe ki te kimi i te maimoatanga tika māu. Ka rerekē pea ngā maimoatanga i ia tangata, i ia tangata. He uaua pea te whakarerekē i ō tikanga moe, engari tīmata iti, ka huri takitahi, kātahi ka neke ki tētahi atu. Tērā pea ka hoatu e tō tākuta ētahi atu taunakitanga e pā ana ki tō āhua hei āwhina i a koe kia moe pai i ia pō.

Hei whakamutunga, ko ngā mea tino nui hei maumahara

Nō reira, mai i ngā mea kua kōrerotia e tātou, me mārama koe he aha te mate moe pōrearea, me ōna pānga ki a koe, me ngā mea ka taea te mahi hei rongoā.

Kaua e manukanuka , he āhua ngāwari tēnei. Ko te mea nui ko te rapu tohutohu hauora mēnā ka pā mai ngā tohu, kaua e warewarehia. Kātahi ka taea e koe te moe pai me te ora hauora. Kāore koe i te mokemoke, ā, kei reira ngā tākuta hei āwhina i a koe i tēnei haerenga.