He otinga mō te moe pōrearea me te ngongoro: Akohia te pokanga UPPP (Uvulopalatopharyngoplasty)

Ka ngongoro nui koe i te pō ina moe koe? I ētahi wā ka rite koe ki te tū mo tētahi wā poto, kātahi ka manawa taumaha anō? Kei te kōrero tonu tō whānau mō tēnei ki a koe? E mōhiotia ana tēnei mate e te hauora ko te Obstructive Sleep Apnea (OSA) . Ka whakararuraru i tō moe, ā, ka pā mai pea ngā raruraru hauora mō te wā roa. Ko tētahi o ngā maimoatanga mō tēnei ko te Uvulopalatopharyngoplasty, ko te UPPP rānei hei whakarapopototanga. Me titiro tātou he aha tēnei, ko wai te kaimahi, me ngā mea katoa e hiahia ana koe kia mōhio mō tēnei mate i roto i ngā kupu māmā.

He aha te tikanga o te pokanga UPPP?

Whakaarohia kua paku āraia te ara manawa i roto i tō korokoro. I te pō, i a tātou e moe ana, ka whakangāwari ngā uaua o tō korokoro, ā, ka nui ake te whaiti o te ara manawa. Koinā te wā ka rongo koe i te tangi ngongoro, ā, ka pōturi te manawa.

Ko te pokanga UPPP he tango, he whakarerekē rānei i te kiko tāpiri i roto i tō korokoro e aukati ana i tō ara manawa, kia whānui ake ai. He rite ki te tango i ngā arai i runga i te huarahi pukumahi. Ina mārama tō ara manawa, ka taea e koe te manawa ngāwari ake i te pō, ā, ka pai ake tō moe.

I tēnei pokanga, ka tangohia, ka whakarerekētia rānei e te taote pokanga ēnei wāhanga:

• Te waha ngawari: Ko te wāhanga ngawari, kikokiko kei muri i te wāhanga mārō kei te tihi o tō waha.
• Uvula: He wahi kikokiko iti te āhua, he rite ki te maturuturunga roimata, e iri ana i te tuara o te korokoro, i runga ake i te turanga o te arero.
• Ngā Tonsil: E rua ngā puranga kikokiko i ia taha o te korokoro.

I ētahi wā ka mahia ko tēnei pokanga UPPP anake. Heoi, mō ētahi tāngata, mēnā he uaua ki te manawa nā ētahi atu raruraru i roto i ō rātou ihu, i ō rātou korokoro rānei, ka taea te whakakotahi i te pokanga UPPP me ētahi atu pokanga hei whakatau i aua raruraru.

I roto i ēhea wā ka mahia ai tēnei pokanga? Ka taea e te katoa te mahi?

Kāo, ehara tēnei i te pokanga mō te katoa. I te wā e rongoā ana i te Obstructive Sleep Apnea (OSA), ka whakamātau tuatahi ngā tākuta i ngā maimoatanga kore-pokanga.

Hei tauira:

• Mīhini CPAP: He taputapu tēnei ka mau ki runga i tō ihu pērā i te kopare i a koe e moe ana. Ka āwhina i te pupuri i tō ara manawa kia tuwhera i te pō katoa.
• Whakaitihia te taumaha: Ko te taumaha rawa tetahi o ngā tino take o te OSA. Mā te whakaiti i te taumaha ka āwhina i te whakahaere i te mate mō te tini o te tangata.

Ki te kore ēnei maimoatanga e whai hua, ka whakaarohia pea e tō tākuta te pokanga UPPP. He tikanga motuhake anō hoki hei whakatau mēnā he pai koe mō tēnei pokanga. Ka tirohia e tō tākuta te hanganga o tō korokoro, te rahi o ō tonsil, me tō taupū papatipu tinana (BMI).

Mā te tākuta e tirotiro i a koe koe e whakatau te whakatau pai rawa atu mō tēnei. Nō reira, me kōrero marie ki a ia mō tēnei.

Me pēhea taku whakarite i mua i te pokanga?

Mā tō tākuta e whakamārama ngā mea katoa e tika ana kia mahia e koe i mua i te pokanga, engari i te nuinga o te wā, me mōhio koe ki ēnei mea.

• Kōrerotia tō hītori hauora katoa ki tō tākuta : ētahi atu mate kua pā ki a koe, ngā pokanga o mua, me ngā mate pāwera ki te rongoā whakamoe.
• Kati te momi hikareti me te whakamahi tupeka: Ka taea e te momi hikareti te whakaroa i te whakaora o te patunga, nō reira he mea nui kia mutu rawa te momi hikareti i mua i te pokanga.
• Whāia ngā tohutohu mō ngā rongoā me te nohopuku: Mā tō tākuta koe e kī atu āhea koe e mutu ai te kai me te inu i mua i te pokanga, ko ēhea ngā rongoā me mutu te tango, me ēhea hoki ngā mea me tango e koe. Whāia kia tika aua tohutohu.
• Whakaritea kia taraiwa koe i te kāinga: Kāore e taea e koe te taraiwa i a koe anō i muri i te pokanga, nō reira whakaritea kia taraiwa koe i te kāinga i mua i te wā. Ki te taea, he pai ake kia whai tangata hei tiaki i a koe mō ngā haora 24 tuatahi i muri i te pokanga.
• Kawea te mīhini CPAP ki te hōhipera: Mena kei te whakamahi kē koe i te mīhini CPAP, kawea mai ki te hōhipera kia rite ki ngā tohutohu a tō tākuta.
• Mēnā ka pāngia koe e te mate, kōrero atu ki tō tākuta : Mēnā ka pāngia koe e te mate, pērā i te kirika, te makariri rānei, i ngā rā i mua i tō pokanga, me whakamōhio tonu atu ki tō tākuta. Me whakaroa pea tō pokanga.

He aha ngā mea ka tupu i te wā e pokangahia ana?

Kāore he take e wehi ai koe i tēnei. Ka puta te tukanga katoa me te kore koe e mōhio ki tetahi mea.

1. Tuatahi, ka hoatu he rongoā whakamoe ki a koe, kātahi ka tukuna ki raro i te rongoā whakamoe whānui. Ko te tikanga tēnei kāore koe e rongo i tetahi mea, ka moe katoa koe.

2. Ka whakatuwherahia tō waha e te taote pokanga ki tētahi taputapu motuhake, ka whakatītaha i tō arero ki tētahi taha, ka whakatikatika i te tūnga kia kitea mārama ai te roto o tō korokoro.

3. Kātahi ka tangohia marietia te kiko kāore e hiahiatia (ngā tonsil, te uvula, te waha ngohengohe) i roto i te korokoro e ai ki te whakamahere. Tērā pea ka whakamahia he taputapu pokanga koi, he hiko rānei hei ārai i te mate.

4. Hei whakamutunga, ka katihia ngā tapahi ki ngā tuitui ka taea te rewa.

E rua hāora pea te roa o te pokanga katoa, i runga i te nui o ngā huringa e mahia ana ki tō korokoro.

Kia pēhea te roa o te wā e ora ai i muri i te pokanga?

E rua ki te whā wiki pea te roa hei whakaora katoa. He tokomaha te hunga kāore e taea te haere ki te mahi, ki te kura rānei i tēnei wā, ā, me tango wā hararei rātou.

I muri i te pokanga, tera pea ka taea e koe te hoki ki te kāinga i taua rā anō, kāore rānei me noho noa koe ki te hōhipera mō te pō. Ka tukuna koe e tō tākuta kia hoki ki te kāinga ina tau tō manawa, ā, ka taea e koe te horomi haumaru.

Kia tumanakohia ēnei mea i te wā e ora ana koe

• Korokoro mamae: Tērā pea ka mamae tō korokoro, me te mea kua tangohia te tonsill. Tērā pea ka kino ake tēnei mamae ina kōrero koe, ina horomia rānei tetahi mea. Kaua e manukanuka, ka tohua e tō tākuta he rongoā mamae pai mō tēnei.
• Kai me te Inu: I ngā rā tōmua, ko ngā wai anake hei inu māu (wai, hupa, wai hua). I a koe e taunga haere ana, ka taea e koe te huri haere ki ngā kai ngawari pērā i te parāoa, te miraka kawa, me te pūtini. Āta karohia te kai i ngā kai raukikī, kawa, mārō, me ngā kai pakari (hei tauira, pihikete, pīkara), nā te mea ka nui ake te mamae o te patunga.
• Mahi: Kaua e hiki taumaha, kaua hoki e whakakorikori tinana mō ngā wiki tuatahi e rua. Heoi, hei utu mō te noho noa i te moenga i te rā katoa, mā te hikoi haere i te whare ka āwhina i te ārai i te toto totoka.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea anō hoki kei tēnei pokanga.

Ngā Painga

• Ko te painga nui ko te whakangawari i te manawa.
• Ka tino heke te ngongoro, ka mutu rānei, ka mutu katoa rānei.
• Nā te mea kāore e haukotia te moe i te pō, ka whakaitihia te hiamoe me te ngenge i te awatea.
• Mō ētahi tāngata, ka tino whakaora tēnei i te mate moe ārai (OSA).
• Ko ētahi he iti ake ngā tohu, ā, ka taea pea e rātou te mutu te whakamahi i te mīhini CPAP.

Ngā Tūponotanga/Ngā Raruraru

Haunga ngā mōrearea noa o tētahi pokanga, pērā i te mate urutā me te toto, he maha ngā raruraru onge e pā ana ki tēnei pokanga.

• Te pūngao o te ihu: He tino onge, i te wa e ora ana te patunga, ka nui ake te kiko koha ka puta, ka whakawhāiti ano te ara manawa.
• Te ngoikore o te ihu: Ina inu koe i ngā wai pēnei i te wai, tera pea ka rite ki te mea kei te piki ake i roto i tō ihu. Heoi, he wā poto noa iho tēnei, ā, ka memeha i roto i ētahi rā.
• Huringa reo: Tērā pea ka paku rerekē tō reo (pērā i te reo teitei ake) mō te wā poto i muri i te pokanga. He wā poto noa iho hoki tēnei.

Ka kōrerohia ēnei mōrearea e tō tākuta ki a koe i mua i te pokanga. Kaua e manukanuka, kāore ēnei e tino puta pinepine.

Āhea ahau me toro atu ki te tākuta?

He mea tino nui kia rapu tohutohu hauora tonu mēnā ka puta he raruraru i te wā e ora ana.