Unomukawo uchifema here? Saka unofanira kuziva nezveAHI (Apnea-Hypopnea Index)!

Waizviziva here kuti vamwe vanhu vanowanzo netseka nekufema panguva yekurara? Pamwe wakambosangana nazvo. Kana kuti pamwe mumwe munhu waunoziva akambosangana nazvo. Kungonzwa sekuti haugone kufema kwenguva yakati, kana kuti kungoerekana wamuka uchinetseka nekufema zvese zvinogona kunge zviri zvikonzero zveizvi. Saka nhasi tichataura nezvechiyero chakakosha chinobatsira kuona kana uine matambudziko akadaro ekufema panguva yekurara, kunyanya mamiriro akaita seObstructive Sleep Apnea , uye kana zvakadaro, kuti zvakakomba sei. Ndiyo AHI, iyo inomiririra (Apnea-Hypopnea Index) .

Chii chinonzi AHI (Apnea-Hypopnea Index)? Zvichitaurwa zviri nyore...

Muchidimbu, AHI (Apnea-Hypopnea Index) inhamba yekuti kufema kwako kunomira kangani paawa (apneas) uye kunova kushoma (hypopneas) paunenge wakarara. Aya ndiwo maitiro anoita vanachiremba kuongorora kana uine chirwere chinonzi Obstructive Sleep Apnea, uye kana zvakadaro, kuti chakakomba sei.

Chii chinonzi Apnea neHypopnea?

Zvino ungave uchishamisika kuti chii chinonzi apnea nehypopnea. Ngatitaurei nezvazvo zvakajeka.

• Apnea: Apa ndipo paunomira kufema zvachose. Apnea inguva yaunomira kufema kwemasekonzi gumi kana kupfuura paunenge wakarara. Munguva iyi, huwandu hwemhepo inopinda mumuviri wako hunoderera. Zvinoita sekunge kufema kwako kuri kubatwa kwenguva yakati.

• Hypopnea: Apa ndipo apo mweya wako wekufema hauna kuvharika zvachose, asi mwero wekufema kwako unodzikira zvakanyanya nekuda kwekuvharika kwakati. Panyaya iyi, haufeme zvakakwana, izvo zvinoita kuti huwandu hweokisijeni muropa rako hudzike. Funga nezvazvo sepombi yemvura yakavharika zvishoma, izvo zvinoderedza huwandu hwemvura inobuda.

Zvino ungave uchifunga kuti, "Saka chii chinoitika kana ukarega kufema seizvi?" Uropi hwedu hwakangwara zvikuru. Hunogara huchitarisa mamiriro emuviri wedu, akadai sekurova kwemoyo, BP, kufema. Saka kana uine apnea kana hypopnea, uropi hunonzwa izvi. Ipapo uropi hunoita chimwe chinhu chekukumutsa zvishoma kuti ugone kufema zvakanaka zvakare. Asi kumuka uku kunowanzova kushoma. Ungasatombozvinzwa. Paunotanga kufema zvakare, uropi hunokurega uchidzokera kunorara. Saka AHI inoyera kuti kangani paawa kumira uku uye kufema zvisina kudzika kunoitika. Kana chirwere ichi (Sleep Apnea) chakanyanya kuoma, ndipo panowanzoita kuti kukanganiswa uku kuitike.

Kukosha kweAHI uku kunoverengwa sei?

Kukosha uku kweAHI kunowanikwa ne (Study Sleep)Imwe yacho ndeyekudzidza nezvekurara. Izvi zvinosanganisira kushandisa michina yekutarisa mashandiro anoita muviri wako panguva yekurara kwehusiku, kusanganisira maitiro ako ekufema, kurova kwemoyo, mafungu europi, uye mwero weokisijeni muropa. Izvi zvinogona kuitwa murabhoritari yekurara , kana dzimwe nguva kune zvishandiso zviri nyore zvaunogona kuita kumba (Home Sleep Apnea Test) . Zvisinei, zvakakosha kuyeuka kuti data rakawanikwa kubva mukuongororwa kumba rakati pfuurei uye rinogona kunge risina kururama.

Chiremba anobva averenga chibodzwa chako cheAHI nekukamura huwandu hwese hwezviitiko zveapnea nehypopnea zvawakaita nemaawa ese awakarara.

Zvichitaurwa zviri nyore: AHI = (Zviitiko zvese zvekufema zvisina kunyatsoshanda + Zviitiko zvese zvekushaya mweya) / Maawa ese akarara

Kuoma kwekufema kwemudumbu panguva yekurara kunoyerwa sei uchishandisa chiyero cheAHI? - Kune vakuru

The American Academy of Sleep Medicine inoshandisa chiyero chinotevera kuyera kuoma kwezviitiko izvi zvekufema muvanhu vakuru:

• Mamiriro asina kudzika: Zvishoma pane zviitiko zvishanu kusvika gumi nezvishanu paawa.
• Mamiriro ari pakati nepakati: Zviitiko zviri pasi pe15 kusvika 30 paawa.
• Zvakanyanya: Zviitiko makumi matatu kana kupfuura paawa.

Chiremba wako achashandisa maverengero aya kuti aone kuoma kwekufema kwako muhope. Semuenzaniso, kana AHI yako iri 25, zvinoreva kuti une kufema kwekufema muhope kuri pakati nepakati.

Saka chiyero cheAHI chemunhu mukuru chii?

Ungave uchishamisika kuti, "Ndeipi AHI yakajairika kumunhu mukuru?" AHI yakajairika, kana kuti ine hutano, yemunhu mukuru isingasviki zviitiko zvishanu zve apnea uye hypopnea paawa (AHI <5). Kana kukosha kwako kuri muhuwandu uhwu, zvinoreva kuti hauna sleep apnea.

Kukosha kweAHI kwakasiyana here nevana vadiki?

Ehe, kukosha kweAHI uye kuoma kwayo zvakasiyana kuvana vadiki nevakuru. Nekuti masisitimu ekufema evana achiri kukura, kunyangwe kuvharika kudiki kwekufema kunogona kukanganisa zvakanyanya. Mhando dzeAHI dzevana vadiki ndeidzi dzinotevera:

• Mamiriro asina kudzika: Zvishoma pane chiitiko chimwe kusvika zvishanu paawa.
• Mamiriro ari pakati nepakati: Zviitiko zvisingasviki zvishanu kusvika gumi paawa.
• Zvakanyanya: Zviitiko gumi kana kupfuura paawa.

Kana AHI yemwana wenyu iri imwe kana kupfuura, chiremba wenyu anogona kumuongorora kuti ane Obstructive Sleep Apnea. AHI yakajairika yemwana mudiki inofanira kunge iri pasi peimwe (AHI < 1). Zvisinei, dzimwe nguva, kuvana vakuru, zvinorevaVanachiremba vanogona kushandisa chikero cheAHI chakafanana kuvana vadiki (vechidiki nevachiri kuyaruka) sechevakuru.

Chii chinonzi AHI yakanaka kana muchina weCPAP?

Muchina weCPAP (Continuous Positive Airway Pressure) ndiyo nzira huru uye inoshanda kwazvo yekurapa Obstructive Sleep Apnea. Muchina uyu unobatsira kuchengetedza mweya wako wakavhurika panguva yekurara. Saka, chinangwa chemunhu mukuru anoshandisa muchina uyu weCPAP ndechekuchengetedza kukosha kweAHI pasi pe5 (AHI < 5). Zvisinei, iwe nachiremba wako muchasarudza pamwe chete kuti unofanira kunge wakaderera zvakadii pane kukosha kwakanyorwa mu (Sleep Study), uye kuti ndeipi kukosha kwaunofanira kuvavarira.

Chinhu chakanaka ndechekuti kana uchishandisa muchina wako weCPAP, unogona kuteedzera AHI yako kusvika pamwero wakati, zvichireva kuti unogona kuinyora. Michina mitsva yakawanda yeCPAP inogona kuona shanduko mukufema kwako, uye inoshandisa ruzivo irworwo kuverenga kukosha kweAHI. Uku hakusi kuyera kwakarurama kwezana muzana sekudzidza kwekurara. Asi kunogona kubatsira chiremba wako kuwana rumwe ruzivo nezvekuti kurapwa kwako kweCPAP kunoshanda sei uye kuti kuri kukubatsira zvakadini.

Ndezvipi zvakaipa zveAHI? Inotaura zvese here?

Kunyangwe AHI iri chishandiso chinobatsira zvikuru, haigone kuvimbwa nayo kuti iite sarudzo pazvinhu zvese. Ine zvimwe zvayakaipirawo. Ngatitarisei kuti chii:

• Maonero akasiyana pamusoro pekushaya mweya: Kunyange zvazvo vanachiremba vachibvumirana zvakajeka pamusoro pekuti chii chinonzi apnea, tsananguro yekushaya mweya yakaoma zvishoma. Izvi zvinodaro nekuti zvinhu zvakawanda zvinokanganisa, zvakaita sekuti mweya wakawanda unofanira kuderedzwa sei, kuti mwero weokisijeni muropa unofanira kuderera sei (oxygen desaturation) , kana kuti kangani kaunomuka husiku (arousals) . Saka, dzimwe nguva panogona kuva nemisiyano midiki mutsananguro.
• Zvipingamupinyi: AHI inongoyera huwandu hwezviitiko zveapnea uye hypopnea zvinoitika paunenge wakarara. Haipe rumwe ruzivo zvakananga, senge kuti zvikamu zvacho zvakakomba sei, kuti kufema kwako kunomira kwenguva yakareba sei, kana kuti mwero weokisijeni wako waderera zvakadii. Semuenzaniso, mumwe munhu anogona kunge aine AHI yegumi, asi chikamu chimwe nechimwe chingangotora masekondi gumi kusvika gumi nemashanu chete. Mumwe munhu anogona kunge aine AHI yegumi, asi zvikamu zvake zvingatora masekondi makumi mana kusvika makumi mashanu uye mwero weokisijeni wavo ungaderera zvakanyanya. Saka kutarisa AHI chete hakurevi musiyano.
• Mhedzisiro Ingangove Isina Kunaka: Mhedzisiro inobva mune dzimwe bvunzo dzekushaya hope kumba , kunyanya idzo dzinoitwa kumba, dzinogona kunge dzisiri dzechokwadi sedzinobva murabhoritari yekurara. Izvi zvinodaro nekuti huwandu hwedata uye kururama zvinogona kunge zvishoma. Uyewo, vamwe vanhu vangave vasina kurara zvakanaka pavanonyora bvunzo kumba.

Saka, kunyange hazvo AHI ichipa ruzivo rwakakosha nezvemhando yekurara kwaunowana husiku, zvakakosha kuyeuka kuti AHI inongova chinhu chimwe chete chinobatsira pakuongorora chirwere chekurara uye kuona kuoma kwacho.

Chikwata chako chekurapa chichatarisa mamakisi ako eAHI, nzvimbo yaunorara (ingave wakarara nemusana kana nerutivi), mamakisi ako eAHI panguva dzakasiyana dzekurara (semuenzaniso kurara kweREM), uye mimwe mhedzisiro yebvunzo kuti uite sarudzo ine ruzivo nezvehutano hwako.

Saka, chii chinonyanya kukosha chatinofanira kudzidza kubva munyaya iyi?

Zvakanaka, saka hezvino zvinhu zvakakosha zvekurangarira nezveAHI (Apnea-Hypopnea Index) yatakataura nezvayo:

• AHI chiratidzo chinoyera kuti kufema kwako kunomira kangani paawa (apnea) uye kunova kushoma (hypopnea) paunenge wakarara.
• Izvi zvinobatsira kuona zvirwere zvakaita seObstructive Sleep Apnea uye kuyera kuoma kwazvo.
• Avhareji yeAHI yemunhu mukuru inofanira kunge iri pasi pe5. Kune vana, inofanira kunge iri pasi pe1.
• Kana AHI yakakwira, chirwere cheSleep Apnea chinogona kukura zvakanyanya.
• Chinangwa cheavo vanoshandisa muchina weCPAP ndechekuedza kuchengetedza kukosha kweAHI pasi pe5.
• Kunyange zvazvo AHI iri chiyero chakakosha, haisi iyo yega; vanachiremba vanoshandisa zvimwe zvinhu zvakawanda kuti vaongorore zvakakwana.

Saka, kana uchinzwawo sekunge unonetseka nekufema husiku, kana uchingoridza ngonono, kana uchinzwa sekunge uri kudzipwa, kana uine hope dzakanyanya masikati, tsvaga rubatsiro rwechiremba. Nekuti kurara zvakanaka kwakakosha kuti uve nehupenyu hwakanaka! Zvakare, kuziva nezveAHI iyi kuchakubatsira zvikuru paunenge uchikurukura nezvedambudziko rako nachiremba wako.

Kurara , kufema, sleep apnea, AHI, apnea hypopnea index, matambudziko ekurara, CPAP