Pane mumwe munhu mumhuri mako, zvichida murume wako kana mudzimai wako, anokoromora zvine ruzha husiku akarara here? Wakamboona here kuti pavanenge vachikoromora, vanongoerekana varega kufema vozotanga kufema zvakare sekunge vari kufemera mweya? Kana kuti unofunga kuti wakarara kwemaawa masere kana mapfumbamwe husiku, asi uchiri kunzwa kuneta zvisina kujairika uye uine hope mangwana acho? Dzimwe nguva unorara here uchishanda, uchityaira, kana uchiona TV? Izvi hazvisi zvinhu zvinogona kunzi "kungokoromora" kana "kusakwanisa kurara zvakanaka." Kuseri kwezviratidzo izvi kungave nechirwere chehutano chakakomba chinonzi Obstructive Sleep Apnea . Saka, nhasi tichataura nezvechiyero chakakosha chinoshandiswa navanachiremba kuyera kuoma kwechirwere ichi. Ndiyo AHI value (Apnea-Hypopnea Index) .
Zvichitaurwa zviri nyore, chii chinonzi AHI?
AHI inomiririra Apnea-Hypopnea Index . Inoyera kuti kufema kwako kunomira kangani (apneas) uye kunova kushoma (hypopneas) mukati meawa imwe chete paunenge wakarara. Funga nezvazvo se "ripoti" yekufema kwako wakarara.
Kuti tinyatsonzwisisa izvi, ngatitarisei zvinorehwa nemashoko maviri aya:
- Apnea: Apa ndipo panomira kufema kwako zvachose kwemasekonzi gumi kana kupfuura . Munguva iyi, hapana mweya unopinda mumapapu ako.
- Hypopnea: Apa ndipo apo kufema kwako kusingamire zvachose, asi nzira yako yekufema inovharika zvakanyanya uye kufema kwako kunova kushoma . Izvi zvinoita kuti huwandu hweokisijeni muropa rako huderere zvakanyanya.
Iye zvino ungave uchifunga kuti, "Ndichaziva sei kana ndikarega kufema?" Izvi ndizvo zvinoitika chaizvo. Kana kufema kwako kwamira, kungave kuri kushoma kana kwete, uropi hwako hunobva hwanzwa njodzi iyi. Uropi hunoziva kuti muviri wako hausi kuwana oxygen yakakwana. Panguva iyoyo, uropi hunokumutsa kubva muhope dzakadzika kwenguva pfupi (arousal). Asi kumuka uku kudiki zvekuti hautombozviyeuki. Paunotanga kufema zvakare, uropi hwako hunokurega uchidzokera kunorara. Kana Sleep Apnea yakanyanya, izvi zvinogona kuitika kazana pausiku . Saka funga nezvazvo, kana kurara kwako kukakanganiswa kakawanda paawa kana kunyange kagumi, ungawana sei hope dzakanaka, dzinozorodza? Ndosaka uchinzwa wakaneta zuva rese.
AHI value ndiyo avhareji yenhamba yekumbomira uye kufema zvishoma zvinoitika paawa imwe chete panguva yekurara. Kana ichi chiyero chakakwira, kufema kwako kwekurara kwakanyanya.
Saka kukosha kweAHI uku kunoyerwa sei?
Kuti uwane kukosha uku, unofanirwa kuita bvunzo yakakosha. Tinoidaidza kuti Kurara , kana kuti mukurapa, Polysomnography . Izvi zvinowanzoitwa mushure mekurara kwehusiku hwose muchipatara.
Usafunge kuti izvi zvinorwadza. Hazvina kana kumborwadza. Zvauri kuita ndeizvi:
- Masensa madiki akati wandei akabatanidzwa mumusoro mako, kumeso, pachipfuva, nemakumbo.
- Vanoisa tambo mbiri dzakakomberedza chipfuva chako nedumbu kuti vayere mafambiro aunoita paunenge uchifema.
- Chishandiso chidiki chakaita seclip chinosungirirwa pamunwe kuti chiyere huwandu hweokisijeni muropa.
Wobva warara zvakanaka. Husiku hwese, zvishandiso izvi zvinonyora mashandiro europi hwako, kurova kwemoyo, maitiro ekufema, mwero weokisijeni muropa, ngonono, uye mafambiro emuviri, pakati pezvimwe zvinhu.
Zuva rinotevera, vanachiremba vanoongorora data iri voverenga chibodzwa cheAHI yako. Izvi ndizvo zvinoitwa:
Huwandu hweApnea neHypopnea zvakaitika husiku hwese ÷ Maawa ese awakavata = Kukosha kwako kweAHI
Dzimwe nguva kune zvishandiso zviri nyore zvekudzidza nezvekurara zvaunogona kuita kumba. Zvisinei, ruzivo rwakawanikwa kubva mukuongororwa kwakaitwa muchipatara rwakanyatsojeka uye rwakadzama. Chiremba wako ndiye achasarudza zvakakunakira.
Kuoma kwekufema kwemudumbu pakurara sezvinoyerwa neAHI (kune vakuru)
Vanachiremba vachaisa chirwere chako muzvikamu zvichienderana nehuwandu hweAHI hwawakawana mushure mekudzidza kwako kurara. Aya ndiwo mashandiro anoita kupatsanura uku kumunhu mukuru.
| Kukosha kweAHI (zviitiko paawa) | Kuoma kwemamiriro acho ezvinhu | Izvi zvinorevei? |
|---|---|---|
| Zvishoma pane zvishanu | Zvakajairika | Hauna chirwere chekufema chinonetsa kurara. Kunyangwe munhu ane hutano hwakanaka anogona kumbomira kufema kasingasviki kashanu paawa imwe chete. |
| Kubva pa5 kusvika pa14 | Zvinyoro | Une chirwere chekufema chisina kunyanya kunonoka. Unganzwa hope zvishoma masikati. |
| Kubva pamakore gumi nemashanu kusvika makumi maviri nemapfumbamwe | Zviri pakati nepakati | Dambudziko iri rakakomba zvikuru. Unogona kunzwa hope dzakawanda masikati uye kuoma kuisa pfungwa dzako pane chimwe chinhu. |
| Vane makore makumi matatu kana kupfuura | Zvakanyanya | Ichi chirwere chakakomba zvikuru. Njodzi yekubatwa nezvimwe zvirwere zvakaita sechirwere chemwoyo, BP, uye chirwere cheshuga yakanyanya. |
Kukosha kweAHI kwakasiyana here nevana vadiki?
Ehe, zvechokwadi. Miviri yevana vadiki uye masisitimu ekufema akasiyana neevanhu vakuru, saka chikero chinoshandiswa kuyera AHI yavo chakasiyanawo.
Kana AHI yemwana iri pamusoro pe1 , inoonekwa sechirwere chekushaya hope. Kukosha kwemwana kwakajairika kunofanira kunge kuri pasi pe1.
Kurongwa kweAHI kwevana ndekwekuti:
- Zvishoma: AHI kukosha kubva pa1 kusvika pa4
- Pakati nepakati: AHI kukosha kubva pa5 kusvika pa9
- Zvakanyanya: AHI kukosha kwe10 kana kupfuura
Kana mwana wako achingohon'ona zvine ruzha husiku, achifema muromo wake wakashama akarara, achiita seanofema zvisina simba, kana kuti ane simba rakawanda masikati kana kuti achinetseka kuteerera kuchikoro, iva nechokwadi chekutaura nachiremba wevana nezvazvo.
Kukosha kweAHI kwemunhu anoshandisa muchina weCPAP
Mushonga mukuru uye unoshanda zvikuru wekurapa sleep apnea muchina weCPAP (Continuous Positive Airway Pressure) . Izvi zvinoshanda nekupa mweya wakapfava kuburikidza nemasiki yaunopfeka pachiso chako paunenge wakarara, zvichiita kuti mweya wako ugare wakavhurika. Izvi zvinokudzivirira kuti usamire kufema.
Paunotanga kurapwa kweCPAP, chinangwa ndechekuchengetedza AHI yako iri pasi pe5 paawa.Kugadzirisa. Michina mizhinji yeCPAP nhasi ine chinhu chinokutendera kuti utarise AHI yako mangwanani ega ega. Kunyange zvazvo isiri 100% chaiyo sekudzidza nezvekurara, inogona kuva nzira yakanaka yekuti iwe nachiremba wako muone kuti kurapwa kwako kuri kushanda zvakanaka sei.
Ko kukosha kweAHI chete kwakakwana here? Ndezvipi zvipingamupinyi zvenzira iyi?
AHI chishandiso chakakosha pakuongorora nekurapa Sleep Apnea. Zvisinei, haitauri nyaya yese. Kukosha kweAHI kune zvimwe zvipingamupinyi.
- Kusaratidza kuoma kwezviitiko: AHI inongokuudza kuti kufema kwako kwakamira kangani paawa. Zvisinei, AHI hairatidzi zvakananga kuti mwero weokisijeni muropa rako wakaderera zvakadii panguva yega yega yechiitiko, kana kuti kufema kwakamira kwenguva yakareba sei. Mumwe munhu anogona kunge aine AHI yegumi, asi mwero weokisijeni wavo unogona kuderera zvakanyanya. Mumwe munhu anogona kunge aine AHI yegumi, asi mwero weokisijeni wavo ungasaderera zvakanyanya.
- Kusiyana kwetsanangudzo yeHypopnea: Kunyangwe paine tsananguro yakajeka yeapnea, dzimwe nguva panogona kuva nemisiyano midiki munzira iyo hypopnea inotsanangurwa nayo.
- Zvipingamupinyi zvebvunzo dzepamba: Kunyangwe bvunzo dzepamba dziri nyore, dzimwe nguva mhedzisiro yadzo ingasave yechokwadi 100%.
Ndosaka chiremba asingasarudze nezvechirwere chako zvichibva paAHI score yako chete. Iye achafunga nezvezvinhu zvakawanda, zvinosanganisira AHI score yako, kuti oxygen yako muropa yakaderera sei, zviratidzo zvako, uye nzvimbo yako yekurara, kuti uwane mufananidzo wakakwana.
Mharidzo Yekuenda Nayo Kumba
- Kana uchiita seuri kuridza ngonono uye uchimisa kufema kwako muhope, izvozvo hazvina kujairika. Teerera.
- AHI (Apnea-Hypopnea Index) chiratidzo chakakosha chinoyera kuoma kweSleep Apnea.
- Kana AHI yemunhu mukuru inopfuura 5 paawa, zvakakosha zvikuru kutsvaga rubatsiro rwechiremba.
- Kana AHI yemwana inopfuura 1, chirwere ichi chinofanira kuonekwa nachiremba.
- AHI chikamu chimwe chete chekuongorora chirwere. Chiremba wako achaongorora hutano hwako kuti asarudze mushonga wakanakisisa.
- Kushaya simba kwemunhu ari muSleep Apnea, kana kukasarapwa, kunogona kukonzera zvirwere zvakakomba zvakaita seBP, chirwere chemwoyo, uye chirwere cheshuga. Saka kana uine kusava nechokwadi nazvo, usanyara uye taura nachiremba.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga